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06-3775 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00003775 Property Address: 53705 AVENIDA CARRANZA APN: 774-115-021-10 -000000- Application description: PLUMBING Property Zoning: COVE RESIDENTIAL Application valuation: 500 Tav144Q" Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: BALUKAS DALE E 53705 AVENIDA CARRANZA LA QUINTA, CA 92253 D ( OCT 2 4:200]6DI Contractor: FOY, SCOTT A. VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/23/06 CITY OFLAQUINTA 43579. MAIN STREET PINANCEDEPT. INDIO, CA 92201 �I (760)775-9405 Lic. No..::828828264 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: C36 License -No.: 828264 bate%L¢%JC Co ctor. ,♦ V OWNE -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason ISec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001.: (_ 11, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale ISec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.I. Lender's Name: Lender's Address: LQPEM11T WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. fv have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FLTND Policy Number 1576840 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall `forth with comp) with those provisions. ate: pplicant: //)/- WARNING: FAILURE TO SECURE WORKERS' COMPENSATION OV'C ERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 0100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby au "ho ' representatives of this unty to enter upon the ve-mentioned property for inspection purposes. ate��S' ture (Applicant or Agent): Application Number . . . . . 06-00003775 Permit . . . PLUMBING Additional desc . Permit Fee 22..50 Plan Check Fee 5.63 Issue Date . . . . Valuation 0 Expiration Date 4/21/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 ---------------------------------------------------------------------------- Special Notes and Comments WATER HEATER CHANGE OUT Fee summary Charged ----------------- Paid Credited Due -------------------- Permit Fee Total 22.50 ---------- .00 ---------- .00 22.50 Plan Check Total 5.63 .00 .00 5.63 Grand Total 28.13 .00 .00 28.13 LQPERMIT La La"'s CF -1R Project Title �7��by V\ Date -- t SEALED DUCTS and T Vs (or Alternative Measures) A signed CF -411 Form must be provided to the building department for each home for which the following. are uired. Vol Distribution T e O Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required.) 0 TXVs, readily accessible (climate zones 2 and 8-15 only) Standby' Loss % nstaller testing; and certification and HERS Rater field verification required.) 0 Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field 0 J 'a Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapprovcd La La"'s CF -1R Project Title �7��by V\ Date -- t SEALED DUCTS and T Vs (or Alternative Measures) A signed CF -411 Form must be provided to the building department for each home for which the following. are uired. Vol Distribution T e O Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required.) 0 TXVs, readily accessible (climate zones 2 and 8-15 only) Standby' Loss % nstaller testing; and certification and HERS Rater field verification required.) 0 Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field 0 verification ' ' uired OR Alternative to Sealed Ducts and Refrigerant Charge /I7t"Vs (See Package D Alternative Package Features for O Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14. a OR i i S For additions and alterations, duct systems that are not documented to have been previously . sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned aces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D. WATER HEATING_ SYSTEMS Systems serving single dwe ing units Water Heater T e/Fuel T e Distribution T e Number in S stem Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per O dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is Standby' Loss % not allowed. 0 Chock box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential Manual. No water heating calculations are required, and the system complies automatically Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapprovcd D Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the subtnittal. IFCheck ] box to verify that a time control is required for a recirculating system pump for a system serving multiple units Systems serving single dwe ing units Water Heater T e/Fuel T e Distribution T e Number in S stem Iua Al or BWw Tank Capacity tons Energy Factor' or Thermal Efficiency Standby' Loss % Tank External Insulation R -Value G US O System serving multiple d elling units Water Heater Type Distribution Type Number in System Input (kW or Btu/hr(gallons) Enemy Tank Factor or Capacity Thermal Efficiency Standby Loss ffol Tank External Insulation R -Value 1. For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies. Pipe Insulation (kitchen lines >_ 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are 1/4 inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 (j) 2 B. Residential Compliance Forms March 2005 'CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -IR Project Project AddressSan a�- n '^ Documentation Author Telephone Compliance Method (Prescriptive) Climate Zone Date Building Permit # Plan Check / Date Field Check / Date Enforcement Agency Use Only ✓ ❑ Alternative Component Package Method: (check one) C D D (Alternative) . 0 Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -IR page 3) For Package D Alternative see Appendix B Table 151-C Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) Average Ceiling Height: ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C — (5% X CFA) ft Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C — (20% X CFA) ft ✓ ❑ Building Type: (check one or more) Single Family Multifamily Addition Alteration (If adding fenestration fill out WSAR, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 for Additions and 8.3.3 for Alterations.) Number of Stories: Number of Dwelling Units: Floor Construction Type: Slab(Raised Floor (circle one or both) Front Orientation: North / South / East / West / All Orientations (input front orientation in degrees from True North and circle one). ✓ ❑ RADIANT BARRIER free uired in climate zones 2.4.8-15) OPAQUE SURFACES INCLUDING OPAOUE DOORS Component Type (Wall, Roof, Floor, Slab Edge, Doors) Frame Type (Wood or Metal) % Assembly U - factor (for Cavity Continuous wood, metal Insulation Insulation frame and mass R -Value R -Value assemblies Joint Appendix. IV Reference Roof Radiant Barrier Location/Comments Installed (attic, garage, Yes or No typical, etc. f f. -�Y ;rf a� J7 F 'CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -IR Project Project AddressSan a�- n '^ Documentation Author Telephone Compliance Method (Prescriptive) Climate Zone Date Building Permit # Plan Check / Date Field Check / Date Enforcement Agency Use Only ✓ ❑ Alternative Component Package Method: (check one) C D D (Alternative) . 0 Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -IR page 3) For Package D Alternative see Appendix B Table 151-C Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) Average Ceiling Height: ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C — (5% X CFA) ft Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C — (20% X CFA) ft ✓ ❑ Building Type: (check one or more) Single Family Multifamily Addition Alteration (If adding fenestration fill out WSAR, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 for Additions and 8.3.3 for Alterations.) Number of Stories: Number of Dwelling Units: Floor Construction Type: Slab(Raised Floor (circle one or both) Front Orientation: North / South / East / West / All Orientations (input front orientation in degrees from True North and circle one). ✓ ❑ RADIANT BARRIER free uired in climate zones 2.4.8-15) OPAQUE SURFACES INCLUDING OPAOUE DOORS Component Type (Wall, Roof, Floor, Slab Edge, Doors) Frame Type (Wood or Metal) % Assembly U - factor (for Cavity Continuous wood, metal Insulation Insulation frame and mass R -Value R -Value assemblies Joint Appendix. IV Reference Roof Radiant Barrier Location/Comments Installed (attic, garage, Yes or No typical, etc. 1) See Joint Appendix IV in Section IV.2, IV.3 and IVA, which is the basis for the U -factor criterion. 0 -factors can not exceed prescriptive value to show equivalence to R -values. . Residential Compliance Forms March 2005 : RESIDENTIAL. (Page 4 of 4) CF -1R Project Title ` `p .� � Date SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra sheets if neccssaar Indicate which special features are part of this project. The list below only represents special features relevant to the prescriptive method. ✓ I Feature Required Fortes if applicable) Description ❑ Metal Framed Walls CF -1R Refrigerant Charge ❑ Radiant Barriers CF -1R CF -6R part 6 of 12 ❑ Exterior Shades WS4R O Cool Roof N/A; Attach CRRC Label to Forms. ❑ Dedicated Hydronic Heating Performance Calculation system R wired Attach Run to Forms. ❑ Combined Hydronic System Performance Calculation Required; Attach Run to Forams. ❑ Gas Cooling Performance Calculation Required. ❑ Buried Ducts N/A; Indicate on building plans. ❑ Kitchen Pipe Insulation See Section 5.6.2 Distribution Systems in Residential Manual. Multiple Water Heaters Per See Table 5-13 or use ❑ Performance Calculation and Dwelling Unit attach Run to Forms. ❑ Central Water Heating System Performance Calculation and Serving Multiple'Dwellings attach Run to Forms. ❑ Non-NAECA Large Water CF -IR Heater See Table 5-13 or use ❑ Indirect Water Heater Performance Calculation and attach Rpn to Forms See Table 5-13 or use ❑ Instantaneous Gas Water Heater Performance Calculation and attach Run to Forms See Table 5-13 or use ❑ Solar Water Heating System Performance Calculation and attach Run to Forms ❑ Wood Stove Boiler Performance Calculation and attach Run to Forms SPECIAL FEATURES REOUMNG HERS RATER VERIFICATION (add exL-a sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verification. ✓ Feature Required Forms if applicable) Description ❑ Duct Scaling CF -611 part 4 of 12 ❑ Refrigerant Charge CF -611 part 5 of 12 ❑ Thermostatic Expansion Valve CF -6R part 6 of 12 Residential Compliance Forms March 2005 V f o 1154 Catty Of Lauilita' L( � Building ar Safety Div OD p O Boz 1504 78-495 Gille Tampico Permit j1�'J La Quinia, CA 92753 - (760) 777-7012 3 Building Permit AoUcation and Tracking Sheet ", Project Address: S A. P. Atunrber. Legal Description: Contraciur. ����'s'`i r l �� i ler lephot:et =ar_�r.-.;3-3 Address: 1--l--?;c7 �j nlj a n Z7:y -e4'_4r " PcojcctDc=i;;tion: City, STIC1L�C)}C li•- GE 7.2 Tclephonc: �, Amnunl State Lic. d (p er .o._...._ i Plao Cheek Deposit City Lir. `t:� + — Arth., Ergr., Designer: Called Coatar-r Ferson Address: E Ci y, ST. zip: Ptoas picked up Tclephonc: Conswiction Type: ,� occup3acy: Aojxt tytrs(Citcie oma): Nc-.%- Add'a FJter !Tfcpair) DCM0 Jwlc 1-ic. R: tJantt: of Contact Person: S¢. Ft.:� Stories: 4 Units - Telephone k of Contuct Perkin: Estimated Value of Proj!tL2 APPLICANT: DO NOT t§f ME BELOW THIS ME e sulmatrat I'lao Sets Stroetaral Cala. Tnai Calcs. Tkt1n 24 (?arcs. hood plain pirn► Grntding plan f Subconrartor List Grant Dccd II.0_4. Approval 1N HOUSE:- Ytanning Approval Pult.1C m. Appr School Fees 1 M ReNd TRACKING PF. irr FEES Plia Check subtaitted item Amnunl Rm ie4, rndy for ocrrections i Plao Cheek Deposit Called Coatar-r Ferson Plan Check Ba!'rtete Ptoas picked up li Construction Plans resubmitted I18edraaical }' 2"' Review, really for correctionsilssae Ltxtrical Caller Contact Person d t�tumbcrtg Finns picked op Pions resubmieted " Grzding Rettiew. rwdr for correedousfiis9ue Developer Impact Fee Called coama Ftr son �1 7Late of permit issue t� � F � !Total Permit L-'ecs