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06-1509 (PLBG)P.O. BOX 1504 78-495�CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00001509 Property Address: 79397 HORIZON PALMS CIR APN: 604-110-031-67 -19903 t Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 500 Applicant: I& M 011, M E T lf "� � Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT rAPR 4 X06 CI -I :' OF LA CUit'�i --------------------- - ---------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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 Cl : C36 Lice No.: 828264 e: ntractor: ILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 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 ($500).: (_) 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 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.). ' (_) 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 �. Owner: SERNA MARTIN G 79397 HORIZON PALMS CIRCLE LA QUINTA, CA 92253 Contractor: FOY, SCOTT A. 43579 MAIN STREET TNDIO, CA 92201 (760)775-9405 Lic. No.: 828264 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/12/06 ----------------------------------------------- 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. 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 insurance carrier and policy number are: Carrier STATE FUND 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 Nith c with those provisions. ate plicant: WARNING: FAILURE TO SECURE WORKERS' MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). 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 c ty ordinances and state laws relating to building construction, and hereb authorize representatives of this unt to enter upo the above-mentioned property for inspection purpos te: tur aignae (Applicant or Agent): Application Number . .. 06-00001509 Permit . PLUMBING Additional desc . Permit Fee . . . . 22.50 Plan Check Fee 5.63 Issue Date . . . Valuation . . . . 0 Expiration Date 10/09/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT. 7.50 ---------------------------------------------------------------------------- Special Notes and,Comments� REMOVE & .REPLACECEGTi2l WATER HEATER.CF1-R APPROVED. 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 Bin tt City of ra Qgintd Btutdwg 8C Safky Dit+L*n Permit # P.O. Box 1504, 78495 Caf/p Tampico ILz Quina, CA 92253 - (760) 777-7012 wilding Permit Appucadon and hacking Sheet Project Add�-7939�1 c; Owner•sNmne% Q�( A. P. Ntnnbcr. Add -=-79397 zz I-q_1A Legal Description: d Ch', ST: .7*t d Mt / Conllaclur Address: yds n Cite, SC, Zip., lR�� Tclepho""2 Icb_77 K_C State Lir. t! :,ya (0 y Arch.. Ergr., Designer. Addms.:: City, SC, Zip: 1 elLphonm State Lic. K. Name of Contact Person: Tclerltonc $ of Conium Person: x Stdmrltmt Plan Sets Streetvrul Cate. Tnin Calm. TiOe 24 L`alcs. Flood pinin plan Gaiding plan Sul,coeun:tor List Grant Decd IN ROUSbr Phoning Approrsl Pula Wren Appr y School Fees l gzzC'ji Lic. ProjecrDescryriion: Cert efta Types ga Occupanccy: Projxttvaefcudeoner New Add'n Alter cpair Dmo SQ. FL: I Stories: 8 ltniL� Fstmmte<d Value of Pm' APPUCANlT: DO NOT WRITE BELOW TMS LMM Reed TRACMG P£RbUTFEES :FbnCi)eck anbmitted Two? Amount M4 ready for corrections Plan Cheek Dt�4t Caged ContaerYerson Plan Check Balance Pians picked up Construction Plans resubmitted h1ccr arn[nl "d Re ice, ready for amvetionrdsstse ElIxtrieal Called Contact Person Ply Plans picked up 511.7. Plans resabm>ftted Grading ReviM ready for eorrecdonsrmue Developer Impact Fee Caged CortP>rrt PtrSon A.1.P-r. Date ofpoM it issue Total Permit Fee CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page I of 4) CF -1R Project Title Date Project Address Building Permit /# t Documentation Author Telephone Plan Check / Date Field Check / Date Compliance Method (Prescriptive) Climate Zone Enfanxmcnt Agency Use Only ✓ 13 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-IR page 3) For Package D Alternative see Appendix B Table 151-0 Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) fl Average Ceiling Height: R Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 — (5% X CFA) fe Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C ---- (20% X CFA) f ✓ 17 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 ffor 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 (required in climate zones 2,4,8-15) OPAQUE SURFACES INCLUDING OPAQUE 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. t/ ace joint nppenatx tv to oecnon rv.z, tv.s ana IVA, which is the basis for the U -factor criterion. U -factors can not exceed prescriptive value to show equivalence to R -values. Residential Compliance Fomts March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Title Date 3 of 4) CF -1R SEALED DUCTS and TXVs (or Alternative Measures) . A signed CF -411 Form must be provided to the building department for each home for which the following. are required. O Alternative to Sealed Ducts and Refrigerant Charge fMs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-0, Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to have been previously 17 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 shall meet the requirements of Section 15m) and duct insulation irements of Packa a D. WATRU AFATiNr CVC'r1WRir uOITS O Sealed Ducts all climate zones Installer testinR and certification and HERS rater field verificationrequired.) ❑ TXVs, readily accessible (climate zones 2 and 8-15 only) --- (Installer testing and certification and HERS Rater field verificationrequired.) 0 Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field Distribution verification i• fired. Input' or nu O Alternative to Sealed Ducts and Refrigerant Charge fMs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-0, Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to have been previously 17 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 shall meet the requirements of Section 15m) and duct insulation irements of Packa a D. WATRU AFATiNr CVC'r1WRir �.c ♦auK ayluala lC UN'C�llrl uOITS heck box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per dwelling unit If thewater heater is a storage type, 50 gallons is the'maximum capacity and recirculation system is --- not allowed. O Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential Distribution Manual. No water heating calculations are required,and the system complies automatically. Input' or 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 External(W Insulation submittal. 0 Check box to verify that a time control is req* red for a recirculating system pump for a'system serving multiple stumr units � Systems servin sin le dweWn units Rated Energy Tank R -Value Water Heater Input' Tank Factor' or External Distribution Number- al nsulatio Standby' IR T e/Fuel T e I T e in S tem g ejoCapacn Efficiency � Loss Val e 1 �.c ♦auK ayluala lC UN'C�llrl uOITS Rated Enemy --- Tank Water Heater Distribution Number Input' or Tank Capacity Factor or Thermal Standby' External(W Insulation T)e --DT–e— in S stem stumr tons Efficiency Loss (%) R -Value 1. For small gas storage water heaters (rated inputs of less than or pump water heaters, list EnergyFactor. For large equal to 75,000 BhAr), electric resistance, and heat g 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 % inches or greater in diameter shall be thermally insulated as specified by Section 150 6) 2-A or 150 0) 2 B. Residential Compliance Forms March 2005 A" . ~ R CERTIFICATE OYCOMPLIANCE: RESIDENTIAL. (Page 4 of 4) CF -1R Project Title Date SPECIAL FEATURES NOT REOUHUNG 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 n*wecrintive methnd ✓ Feature Required Forms if applicable) Description ❑ Metal Framed Walls CF -1R Refrierant Ch a ❑ Radiant Barriers CF -1R CF -6R part 6 of 12 ❑ Exterior Shades WS -411 a N/A; Attach CRRC Label to O Cool Roof Forms. ❑ Dedicated Hydronic Heating Performance Calculation System Required; Attach Run to Forms. ❑ Combined Hydronic System Performance Calculation Required; Attach Run to Fomes. ❑ 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 -1R Heater See Table 5-13 or use ❑ Indirect Water Heater Performance Calculation and attach F4m 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 (add ezg--ck sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verification. ✓ Feature Required Forms if applicable) Description SealingCF-6R art 4 of 12 NODuct Refrierant Ch a CF -6R art 5 of 12Thermostatic Expansion Valve CF -6R part 6 of 12 f Residential Compliance Forms March 2005