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07-1899 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00001899 " Property Address: 78665 CASTLE PINES DR APN: 770-080-039-39 -25389 - Application description: PLUMBING Property Zoning: MEDIUM DENSITY RES Application valuation: 500 Ti'y/ °F 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: ROBERT PATTERSON 78665 CASTLE PINES DRIVE LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/29/07 Contractor: 4 Applicant: Architect or Engineer: FOY, SCOTT A. i 43579 MAIN STREET (� I 92201 AUL 03 2007 (760)760) 775-5- 9405 Lic. No.: 828264 CITyOF FINgNCOEr'� ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided license Class: C36 License No.: 828264 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is I issued. e: �C ractor: I 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier ENDR INS Policy Number WEN000882301 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ 1 certify that, in the performance of the work for which this permit is, issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I shoul become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, sh orthwith comply with those provisions. 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 ($500).: ate: icon: (_) I, 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 (Sec. 7044, Business and Professions Code: The WARNING: FAIL RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 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.). Lender's Name: Lender's Address: LQPERMIT 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 V4ilding struction, and hereby authorize representatives of this county to enter upo the above-mentioned pro rty folin ection purposes. eats: ignature (Applicant or A Application Number . . . . . 07-00001899 Permit . . . PLUMBING Additional desc . . Permit Fee. 22.50 Plan Check Fee 5.63 Issue Date Valuation 0 Expiration Date 12/26/.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 REPLACE 50 GALLON ELECTRIC WATER HEATER WITH NEW ELECTRIC UNIT 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 4 ! j Dill it PTJ1utAddass:�-5�� C A. P. Number. Conuaculr. � � (�� •� Addross: 44. j TclepJtune: If SI410 Lit Ow�� e Art -Ji.. Ergr., Desiper: Addresr.: Ci.^v. ST, Zip: Tetcphone; Stale Lic. m: Alsnm of Conlan Pcr%on: Traephona4 ofConluct Perwn. N Submittal 1'lao Stla - ireetaralCalcs- Tn= Cates. tl1� za Cltla. I -load plain plrm Quidlao plan Suhronractor List Grant Deed IIAML Approval IN ROUSE= - Planning Apprutvl Yale. Mt. Appr $,Noel Fees 1 i h Ci of b Uinta Bud&W ar Safety Ditbsfon P.O. Boil 1504, 78-495 Calle Tampico La Wnta, CA. 92253 - (764) 777-7012 Building Permit Application and Tracking Sheet C Wrs D�eOwner'sNmnt~.��- ` erg Addte=16UkD`5 CGS- ILf `llineS g City, ST, Tp: b'Gllirl o- Cf:k qzL FelephoLe: 1.`.-i ESQ 3z r . f PtojectDtscripnon: cit t Permit }ems �_r _ €r >z ��--_c F' =v<,_ S- Cot>Strur$ort Tye Otcupzelc;' Projxt cv*n (6.1. one), N., add'n 11ACr ctlr lir ilxto 5g. FI.: T Searles: r3 Unil': Es httatcd Value of Ptoj 1 ! I e APPLICMT: DO NOT LtiIRiTE EIELO Rt Tj*S LffjE Recd a TRACitiNG I PERit11'I7F KES ,I Plan Quu* Submitted Item Arairinr 11__ Rec4atsett, rasdp forecrrectiocs Y i Plan t3•cdt Deposit fatic-d Co—u Person !Pisa C.beck sal2mcc PhDs picked up ! Construction Plans resubmitted a T ttIIec4maiW 2dReview, ready for corrertionwime Electrical ' Calltd Contnel. Person Plumbing Plans picked up S.M.I. Plans resubmisted Cratfing !, '" P.eviotr, rr�dr Car rntrt eednnsfissue Caned Contact Person 9 Developer impact Fee xTat> of Permit issue 1 Permit }ems CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF -IR Project Title Date SEALED DUCTS and TXVs (or Alternative Measures) i A signed CF4R Form must be provided to the building department for each home for which the following. are / reciuired. n Alternative to Sealed Ducts and Refrigerant Charge fMs (See Package D Alternative Package Features for u Project Climate Zone in the RM Appendix B Table ISi-C, Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to have been previously , 0 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 spaces shalt meet the requirements of Section 150(m) and duct insulation requirements of Package D. WATER HEATING SYSTEMS r Distribution Type Number in S I17 0 Sealed Ducts ail climate zones installer tcsti& and certification and HERS tater field verificationrequired.) Standby' Less % TXVs, readily accessible (climate zones 2 and 8-15 only) -f Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential (installer teStin and ce 11cation and HERS Rater field verification uired Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the verification ' ' uired n Alternative to Sealed Ducts and Refrigerant Charge fMs (See Package D Alternative Package Features for u Project Climate Zone in the RM Appendix B Table ISi-C, Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to have been previously , 0 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 spaces shalt meet the requirements of Section 150(m) and duct insulation requirements of Package D. WATER HEATING SYSTEMS r Distribution Type Number in S Check box if system meets criteria of "Standard" system. Standard system is one gas -fined water heater per 0 dwelling unit If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is Standby' Less % not allowed. Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential Manual. No water heating calculations are requireA and the system complies automatically. Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved 0 Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the submittal. 0 Check box to verify that a time control is required for a recirculating system pump for a system serving multiple units S rstems servingiingle dwelling tmhs Water Heater TypefFuel T,yM Distribution Type Number in S Rated u (tcW or Btuttrr Tank Capacity fora Energy Factor or Thermal Effieitnppr Standby' Less % Tank External Insulation R Value system serving multi le d elling units — - Water Heater TXpe Distribution Number in System Input, (W or tiNL* Energy Tank Factor or Capacity Thermal tons Efficien Standby Loss /6 Tank External Insulation R -Value t . For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btufir), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Bmthr). 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 3/4 inehcs or grcatrr in diameter shall be thermally insulated as specified by Section 150 V) 2 A or 150 (j) 2 B. Rcsidentinl Compliance Fonns March 2005 FA CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -IR Project Title ' Proiect Address F Documentation Author Compliance Method (Prescriptive) Telephone Climate Zone Date Building Permit # Plan Check / Daze Field Check / Date Fnrorcement Agency Use Only O Alternative Component Package Method: (check one) C D D (Alternative) Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -1R page 3) For Package D Alternative see Appendix B Table 151-0 Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) fie Average Ceiling Height: - fl Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 — (5% X CFA) _ 2 fl Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C — (20% X CFA) g ✓ ❑ Building Type: (check one or more) Single Family Multifamily Addition Alteration (If adding fenestration fill out WS -4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 for Additions and 8.3.3 for Alterations.) Nurnber 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 (required in climate zones 2,4,8-15) OPAQUE SURFACES INCLUDING OPAQUE DOORS Coucponcnt Type (Wall, Roof, Floor, Slab Edge, Doors) Frame Type (Wood or Metal) ; Assembly U - factor (for Cavity Continuous wood, metal Insulation Insulation flame and mass R -Value R -Value assemblies r Joint Appendix IV Reference Roof Radiant Barrier 1A=ti0n/C0rnnents Installed (attic, garage, Yes or No typical, etc. frt 3f CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -IR Project Title ' Proiect Address F Documentation Author Compliance Method (Prescriptive) Telephone Climate Zone Date Building Permit # Plan Check / Daze Field Check / Date Fnrorcement Agency Use Only O Alternative Component Package Method: (check one) C D D (Alternative) Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -1R page 3) For Package D Alternative see Appendix B Table 151-0 Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) fie Average Ceiling Height: - fl Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 — (5% X CFA) _ 2 fl Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C — (20% X CFA) g ✓ ❑ Building Type: (check one or more) Single Family Multifamily Addition Alteration (If adding fenestration fill out WS -4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 for Additions and 8.3.3 for Alterations.) Nurnber 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 (required in climate zones 2,4,8-15) OPAQUE SURFACES INCLUDING OPAQUE DOORS Coucponcnt Type (Wall, Roof, Floor, Slab Edge, Doors) Frame Type (Wood or Metal) ; Assembly U - factor (for Cavity Continuous wood, metal Insulation Insulation flame and mass R -Value R -Value assemblies r Joint Appendix IV Reference Roof Radiant Barrier 1A=ti0n/C0rnnents Installed (attic, garage, Yes or No typical, etc. 1) See Joint Appendix 1V in Section IVI, IV.3 and 1VA, which is the basis for the U -factor criterion. U -factors can not exceed pn=dptive value to show equivalence to R -values. Rmidential Compliance Forms March 2005 ' CERTIFICATE OF'COMPLIANCE: RESIDENTIAL (Page 4of4) CF -1R L 1 � ' j Project Title Date SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra sheets if necessary) Indicate which special features are part of this project. The list below only represents special features relevant to the rrscrilive arethud. V Feature Required Forms if applicable) Description O Metal Framed Walls CF -1R Refrigerant Charge ❑ Radiant Barriers CF -IR CF -611 part 6 of 12 0 Exterior Shades WS -4R 0 Cool Roof N/A; Attach CRRC Label to Forms. 0 Dedicated Hydronic Heating Performance Calculation System Required, Attach Run to Forms. 0 Combined Hydronic System Performance Calculation Required; Attach Run to Forms. ❑ 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 ❑ Dwelling Unit Performance Calculation and attach Run to Forms. ❑ Central Water Heating System Performance Calculation and Serving Multi le Dwel-lings attach Run to Forms. O Non-NAECA Large Water CF -1R Heater See Table 5-13 or use 0 lndirmA Water Heater Performance Calculation and attach ftn to Forms See Table 5-13 or use 0 lnstantaneoae Gas Water Heater Performance Calculation and attach Run to Forms See Table 5-13 or use 0Soler Water Heating System Performance Calculation and _ attach Run to Forms 0 Wood Stove Boiler Performance Calculation and attach Run to Forms SPECIAL FEATURES REOUMING HERS RATER VERIFICATION Sedd exit sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verification. V, Feature Required Forms if applicable) Description ❑ Duct Sealing CF -611 part 4 of 12 ❑ Refrigerant Charge CF -611 part 5 of 12 0 Thermostatic Ex anion Valve CF -611 part 6 of 12 Residential Compliance Forms March 2005