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06-2859 (PLBG)ey P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00002859 Property Address: 51745 AVENIDA RUBIO APN: 773-121-018-5 -000000- Application description: PLUMBING Property Zoning: COVE RESIDENTIAL Application valuation: 5.00 T414il " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: J Owner: DOROTHY COTTLE 51745 AVENID LA QUINTA, CA VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date:' 8/01/06 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - LICENSED CONTRACTOR'S DECLARATION Contractor: ep FOY, SCOTT A. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - WORKER'S COMPENSATION DECLARATION 43579 MAIN STREE Vol 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. INDIO, CA 92201 I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided (760)775-9405 ` Lic. No.: 828264 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date:' 8/01/06 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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 issued. ate'' ontractor: �� V',L 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 NER-BUIL R 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 STATE FUND Policy Number 1576840 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I 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 should 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, I shall forthwith cort�ply-with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by . S any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: // icon: 1_). I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 1-1 the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The I WARNING: FAILURE TO SECURE WORKERS' OMPENS ON 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 1$100,000). 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.). APPLICANT ACKNOWLEDGEMENT (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and'for pursuant to the Contractors' State License Law.).' whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City Date: Owner: CONSTRUCTION LENDING AGENCY 1 hereby affirm under penalty of perjury that there is 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 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, nd hereby authorize representatives of this ty to a ter uppoon t/he.above-mentioned property -for inspection t�poses. Date gnatf ure (Applicant or Agent): LQPERMIT Application Number 06-0000285.9 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 22.50 Plan Check Fee 5.63 Issue Date . . Valuation` 0 Expiration Date 1/28/07 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 WATER HEATER WITH LIKE 50 GALLON 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 j atn r7 . 9 9 Pernrft U Project Address: A. P. Number. Legal Description: Contractor. C .� Address: 2L5'7 City, ST, Zip. } Telephone:-?_-�7 rh_Q State Lia U Arch., Ergr., Designer. Addras:: Can ST. Zip: Telephone. State Lic. U: Name of Contact Person: Tdepltone 9 orConiuct Person: Solttaltral X".d P1au Sets Stroetarul Cat*. Tnus Calls. ritte 24 tztcs. Flood plain phut Grading plan SubconTaetor l:.ist Grant Deed lI.A 4. Approval IN HOUSEo- l'lanulop, Approvel Pull. Mi. Appr I Seboal Fecs City of 1a Who. BuMng 1r Safety Dhdsiolt A.O. Box 1504, 78-495 Calle Tampico La QuiM, CA 92253 - (760) 777-7012 Building Permit AppOcadon and T acldng Sheet s Owmer's Alttane:. ' 1�` ' • Addresw City, ST 7_ip: APPLICANT. Do NOT l FUTE BELOW THIS LME n �'�,�.�-. YrojecilTe9ctriptiom: i Z2; a Idem W.jer,r. jAmount �24:riTE9, reedy for carrechoas r - = CamSlruC6011 T64e r ccupattty: - PiRjxltvuz(circle oma). New Add'n Alter epair Dtx-to Sq. FL: I Stories: 4 Unit-. Estimated Value o8 Proj t APPLICANT. Do NOT l FUTE BELOW THIS LME Reed TRACMG Pt;R}ylI FLES Plan Cheek subsnitted Idem jAmount �24:riTE9, reedy for carrechoas Plan Cheek 1Qewsit Called Contaerperson Plan Check Balance Ptans picked up Construction Plans resobmitled t1IIec6aoira7 _ 2'dReview, ready Cor earreegioavisme Electrical Celled t.'.oatnct Person Plumbing Pians piefted rap 5 M.1. — Plans resobtulated Grading , Review. reedy fur eorrecdoasrissae !Developer Dolpact Fee Called Coamer Person Date ol'permit issue Total Permit Pew M t CERTIFICATE OF COMPLIANCE: RESIDENTIAL • age 3 of 4) CF -1R Project Title Date 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 reauireri r vas ❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (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 0 sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual and duct systems with more Wan 40 linear feet in unconditioned aces shall meet the requirements of Section 159(m) and duct insulation requirements of Package D. ILII • TTiI i?T ♦ rRr� V A A AJAX i1L` Im A 11\V a a I]MIVEA Distribution Number Type. in System ❑ Sealed Ducts all climate zones Installer test' and certification and HERS rater field verificationrequired.) 0 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 ' q 5C( verification wired.)' AD vas ❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (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 0 sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual and duct systems with more Wan 40 linear feet in unconditioned aces shall meet the requirements of Section 159(m) and duct insulation requirements of Package D. ILII • TTiI i?T ♦ rRr� V A A AJAX i1L` Im A 11\V a a I]MIVEA Water Heater Type/Fuel Type Distribution Number Type. in System Rated Input' (kW or Bwb,) 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 gallon's is the maximum opacity and recirculation system is. not allowed. 0 Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential 5C( 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 Preapproved ❑ 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 1 Water Heater Type/Fuel Type Distribution Number Type. in System Rated Input' (kW or Bwb,) Tank Capacity (011ons Energy Tank Factor' or External Thermal ' Standby' Insulation Efficien Loss % R -Value 5C( 1. Fnr small Water Heater ' Type Distribution Type Ips Number (kW or in system BWhr) Enemy Tank Factor or Capacity Thermal Standby' (galtons Efficien Loss % Tank External Insulation R -Value 1. Fnr small - %-----t- v a uaau vt cyum W ij vuu Mum), 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'/a inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 (j) 2 B. • ; s , ,•' Residential Compliance Forms • 3' • . March�2005 w - CERTIFICATE OF COMPLIANCE: RESIDENTIAL a e 1 of 4 CF -1R Project Title r Date ` Ill � �%1♦��p� 1� ' ' Project Address Building Penmit # Documentation Author a Telephone Plan Chcck Date ' Field Check / Date Compliance Method (Prescriptive) Climate Zone Enforoemc nt , Agcmcy 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 -IR page 3) For Package D Alternative see Appendix B Table 15i -C Footnotes 7-14 y GENERAL INFORMATION Total Conditioned Floor Area (CFA) _fF Average Ceiling Height:. ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 — (5% X CFA) Maximum Allowed Total Fenestration Products Per Table 151-B or 151-0 — (20% X CFA) ft , ✓ O Building Type: (check one or more) - Single Family .r Multifamily Addition Alteration (If adding fenestration fill out WS -4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 for Additions arid 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). a. RADIANT BARRIER (required in climate zones 2.4.8-15),' OPAQUE SURFACES INCLUDING OPAQUE DOORS Component Type (Wall, Roof, Floor, 4 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 ical etc. t/ oee joint wppenarx ry to becnon iv.[., tv.s ana iv.a, wlucn is the basis for the u -tactor criterion. u -tactors can not , exceed prescriptive value to show equivalence to R -values. 44 f Residential Compliance Forms - x. A ' t } t March 2005 ' CERTIFICATE OF COMPLIANCE: RESIDENTIAL. (Page 4 of 4) ' CF4R' , Project TitteA �-ojktkj 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 nroc Am;un m�ivvi ✓ Feature Required Forms da licable Description ❑ Metal Framed Walls CF -1R Refri tCharge ❑ Radiant Barriers CF -1R " ❑ Exterior Shades WS -4R ❑ Cool Roof N/A; Attach CRRC Label to Forms. Hydronic Heating Performance Calculation S Required, • Attach Run to Forms. N rODedicated Combined Hydronic System Perfonnance Calculation ' Required, Attach Run to Forms. Gas Cooling _ Performance Calculation Required, ❑ Buried Ducts N/A; Indicate on building tans. ❑ Kitchen Pipe Insulation See Section 5.6.2 Distribution i. Systems in Residential Manual. Multiple Water Heaters Per See Table 5-13 or use E3Dwelling Performance Calculation and Unit attach Run to Forms. ❑ Central Water Heating System Performance Calculation and Serving Multiple Dwellings attach Run to Forms. ❑ Non-NAECA Large Wates CF -1R Heater F 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 Fors 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 REOUIIt NG HERS RATER VERIFICATION -(add extsheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verificatinn. ✓ Feature Required Forms(if applicable) Description ► ❑ Duct Scaling CF -6R part 4 of 12 ` ❑ Refri tCharge CF -611 5 of 12 ❑ Thermostatic Expansion Valve CF-6R'part 6 of 12 Residential Compliance Forms _ March 2005