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06-3179 (PLBG)-176.1 - P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00003179 Property Address: 78005 LAGO DR APN: 658-270-003-3 -3941 - Tiht " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: IPr - ------------------------------------------------- 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 ate:5%Sc�� ontractor. OW ER- UILDER 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.). (_ 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 perf ormance of the work for which this permit is issued (Sec. 3097, Civ. C.1. Lender's Name: - Lender's Address: LQPERMIT C Owner: FOLEY MICHAEL C 78005 LAGO DRIVE LA QUINTA, CA 92253 Contractor: FOY, SCOTT A. 43579 MAIN STREET INDIO, CA 92201 (760)775-9405 Lic. NO.: 828264 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/31/06 SFP 112006 QUINTA CITY__...•c WEPT. ----------------------------------------------— 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 t� or Code, I shall forthwith comply with those provisions. ate: plicant: WARNING: FA URE TO SECURE WORKERS' COMPEN ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS J$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 - IMPOR7ANT 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 co rect. I agree to comply with all city and county ordinances and sta aws relating -to building construction, and he by authorize representatives �of this cou '10 enter upon th ove-mentioned property for inspection ur es. Si ature (Applicant or Agent): Application Number . . . . . 06-00003179 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 22.50 Plan Check Fee 5.63 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/27/07 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 REPLACEMENT Fee summary Charged ------------------------------------- Paid Credited Due _Permit Fee Total 22.50 ---------- .00 ---------- CO 22.50 Plan Check Total 5.63 .00 .00 5.63 Grand.Total 28.13 .00 .00 28.13 J OF CONTIJANCE: RESIDENTIAL (Page'3 of 4) CF -1R . . SEALED DUCTS and TXVs (or Alternative Meas es) A signed CF -4R Form must be provided to the building department for each home for which the following. are rrnuirpA Alternative to Sealed Ducts and Refrigerant Charge f1XVs (See Package D Alternative Package Features for. Proiect 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 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 1"(m) and dud insulation requirements of Package D. \i/ • .:-.ter: m, .. rmlrn JOM1M1u11V Oxax141Y1D Distribution Type ❑ Sealed Ducts all climate zones ler testing and certification and HERS rater field verification urn ❑ TXVs, readily accessible (climate zones 2 and 8-15 only) Inputs ler testing and certification and HERS Rata field verificationrequired.) ❑ Refrigerant Marge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field Otwor verification ' ' uired Alternative to Sealed Ducts and Refrigerant Charge f1XVs (See Package D Alternative Package Features for. Proiect 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 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 1"(m) and dud insulation requirements of Package D. \i/ • .:-.ter: m, .. rmlrn JOM1M1u11V Oxax141Y1D Water Heats Type Distribution Type Rated Check box if system meets criteria of a "Standard" system Standard system is one gas-fired water heater per ❑ dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is Inputs not allowed. p Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential Otwor Mamral. No water heating calculations are required, and the system complies automatically. jMaftel Type Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved ❑ Alternative Water Heating -table, In this case, the Performance Method must be used and must be included in the submittal. ❑ Check box to verify that a time control is required for a recirculating system pump for a system serving multiple units Water Heats Type Distribution Type Rated EneW Tank En"y Tank Factor' or Capacity Thermal Efficien Standby' Loss NO Inputs Tank Facto or External Water Heater Distribution Number Otwor Capacity Thermal Standby' Insulation jMaftel Type TNVe in S B ns Effrci Loss /o R Value - e_...Z— Water Heats Type Distribution Type Number in System I p� (kW or Buff(Wim)- En"y Tank Factor' or Capacity Thermal Efficien Standby' Loss NO Tank External Insulation R -Value -- "- a -- ------b- •••---•• "`^"""" %-.--,,.- ver xvbb u -m W uLlmu to /J,uw 13W/N),es electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Bhft), 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 /4 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 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -1R Documentation Author Telephone Compliance Method (Prescriptive) Climate Zone Date Building Permit g Plan Check /Date Fmid Check / Datc Enforcanan Agency Use Only ✓ ❑ Alternative .Component Package Method: (check one) C D _D (Alternative) Package C and Package ( 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 ti GENERAL INFORMATION Total Conditioned Floor Area (CFA) ____.fe Average Ceiling Height ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 — (5% X CFA) f Maximum Allowed Total Fenestration Products Per Table 151-B or 151-0 _ (20% X CFA) g ✓ 0 Building TPVpe: (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 83.3 for Alterations.) Number of Stories: Number of Dwelling Units: Floor Conon Typc: 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 (Walk Roof, Floor, Slab Edge, Doors) Frame Type (Wood Assembly U - factor (for Cavity Continuous wood, metal Insulation Insulation Same and mass R -Value R -Value assemblies)' Joint Appendix N Reference Roof Radiant Barrier Installed Yes or No Location/Comments (attic, garage, typical. etc. 1) See Joint Appendix IV in Section IV.2, IV.3 and IVA, which is the basis for the U -factor criterion U -factors can not exceed prescriptive value to show equivalence to R -values. r Residential Compliance Forms March 2005 Indicate which special features are part of this project. The list below. only represents special features relevant to the prescriptive method. ✓ Feature Reguired Forms(if applicable) Description ❑ Metal Framed Walls CF -IR Refri ❑ Radiant Barriers CF -1R CF -6R part 6 of 12 ❑ Exterior Shades ., WS -4R ❑ Cool Roof N/A; Attach CRRC Label to Forms. A ❑ Dedicated Hydronic Heating Performance Calculation System Rqcluir� Attach Rim to Forms. ❑ Combined Hydronic System Performance Calculation Rcquutd.- Attach Run to Fomes. ❑ Gas Cooling Performance Calculation 13 Buried Ducts N/A; Indicate on building laps. ❑ Kitchen Pipe Insulation See Section 5.62 Distribution Systems in Residential Manual- Multiple Water Heaters Per See Table l3 or use Dwelling Unit Performance Calculation an attach Run to Forms. 13 Water Heating System Performance Calculation and Saying Sayin Mul ' le Dwellings attach Run to Forms. ❑ Non-NAECA Large Water CF -1R Heater See Table 5-13 or use ❑ indirect Water Heater Performance Calculation and attachBa to Forms See Table 5-13 or use ❑ instantaneous teas Water Heater Performance Calculation and attach Run to Forms See Table 5-13 or use O Solar Water Heating System Performance Calculation and attach Run to Forms ❑ Wood Stove Boiler Performance Calculation and attach Run to Forms SPECIAL FEATURES REOUEMG HERS RATER VERIFICATION (add ext a its if necessary) Indicate to the HERS Rater which credits are part of this projed and need verification. ✓ I Feature Required Forms fif applicable) tion ❑ Dud Scali CF -6R 4 of 12 ❑ Refri CF -6R 5 of 12 ❑ Thermostatic Expansion Valve CF -6R part 6 of 12 (residential Compliance Forms March 2005 w j Dili it ,L Permit N Project Address A. P. Ntnitbcr. ILegal Dcseriptian: Contraclur DC Address: eaa�,`J City, ST, Zip-badd Telephone: -7W--7 State Lie. tl : &-;Ro Arch.. Er$r.. Designer: Address: City, ST, Zip:_ Telephone: State Lie. Nanta of Contact Person: S Tdopltone9 ofConnrcl PeMen: t: Suhnittai Ragd Plan Sets Straetoml Coln. Truss Calm Titic 24 (ales. Flood phft plan Grndlogn plan Satirostacior List Gtnnt Dccd ILO.A. Approval IN HOUSEc- Planning Approval Ptdt. WIm Appr Seboal Fees 1 t WA city of La Q=ta 13 Btrit ft W Safety Ditrision P-0. Box 1504, 78-495 GWM TampioD La Qaitlta, CA PM3 - (760) 777-7012 Building Permit ApOfi adon and T'raddng Sheet I Owrtet'sNmner_ City, ST. Z: r �*-' r v e Telephone:- a� ProjeaDeseri plion: ME City Lir- 4: TOW Permit Fees z _ Chan TAW Occopntcy: Pmjeei tvnefeindeoer Nc:•c Add'n Nter cpt Dano Q. F a Statics: M Unit-: - e:s t'•+ 5ialue oq a li s - APPLICANT: D® NOT WRITE BELOW THIS UNE Reed s TRAC MG N£Ri►IITFEFS PianCheek ashmitted kern Amount LL R"Wext, ready Forecrreclim pian CheckDepait , Caged CondaecPetson Pun Cheek salanoc Plass pkktd up r Consanetion Plats resubmitted pjecimniw Z' Review, ready for eorrectionsil tie Eretricai Called Coataet Person Plu-b +c Pinus picked op Plats resobmleted Grading Revievr, reedy for earreadaastissue Developer Impact Fee Called Contact Parson AXP -P. Rete of permit avec ;j t TOW Permit Fees