06-3180 (PLBG).?
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 060-0.0030
Property Address: 52170 AVENIDA RAMIREZ
APN: 773-222-009-14 -000000-
Application description: PLUMBING
Property Zoning: COVE RESIDENTIAL
Application valuation: ;500' $.
, v t
Applicant:
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
NATHAN BIRRETT
5'217.0 AVENIDA RAMIREZ
LA QUINTA; CA 92253
Contractor:
FOY-, SCOTT A.
43579 MAIN STREET
INDTO, .CA :92201
(760)775-94:05
Lic: No.: 828264
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/31/06
. - LICENSED CONTRACTOR'S,DECLARATION -
WORKER'S COMPENSATION DECLARATION
• I hereby. affirm under penalty of perjuryr that1 am licensed under'provisions' of Chapter 9 (commencing with
.I hereby affirm under penalty of perjury one: of the following declarations:
Section 7000) sof Division 3 of the Business and Professionals Code,, and my License is in full force and effect.
I have and will maintairi'a certificate of con`senC to self -insure for workers' compensation, as provided
Licens ,Cla s' .C36* i ' License No`.i 828264.
ti. -
FDate. o�c,: .1
Dai
_
`�'.for.by-Section 3700,of the: Labor Code, for the performance ofthe work for which.this permit is
• issued:-
ssued?
have and will mamtam;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 -BU ER DECLARATION
- insurance carrier aInd,policy number are: - -
. I hereby affirm:urider'penalty, of perjury that I am exempt from the. Contiactor's'Staie License Law for the
Carrier STATE FUND Policy Number 1576840 '
f6llowi4reason (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,
i
Permit : to de'.6signed statement that he or sh6 is licensed -pursuant to the -provisions of the ContracfoFs State'
- and agree that, if I should become subject to the -workers' compensation provisions of Section
. License'Law.(Chapier 9 (commencing with Section 7000) of Division '3 -of the Business ind Professions Code) or
3700;of the or Code, I shall'forthwith comply with those' provisions.
. ' that he or she is exempt therefrorn 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 dollais ($500).:
e: plicant: / -.
1 _ ) I, :as owner of the property, or niy employees with°wages as their sole'compensaiion,_will do the work,•and
-the structuie is not �intended. or offered for sale (Sec. 7044, Business and Professions Code'-rThe
WARNING: FAILURE TO SECURE WORKERS' COMPENS 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,
DOLLARSi$100,000). IN ADDITION To THE COST OFCOMPENSATION, 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-ofrcompletion, 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
1—) 1, 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 foi the projects with a contractors) 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 resultof 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
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
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 corre�l agree to comply with all
city and county ordinances and state laws relating to building construction, and he�rebl uthorize representatives
of this coynty to enter upon the -above-mentioned property for inspectio-o purposes.
(Applicant or Agent):
Application Number . . . . . 06-00003180
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
----------
.00
22.50
Plan Check Total 5.63
.00
.00
5.63
Grand Total 28.13
.00
.00
28.13
LQPERMIT
CERTMCA.'
Ulf f
Project Title 1, � p` Date
Project Address K� Bild�ng P«mit u
Documentation Author Telephone Plan
Check /Date
Fido Check / Daze
CF -1R
Compliance Method (Prescriptive) Climate Zone Ei rc=mcnt Agency Use only
13 Alternative Component Package Method: (check one) C (Alternative)
• Package C and Package l chgjces require HERS rater field verification and/or diagnostic testing (see CF -IR page 3)
• For Package D Alten iative see Appendix B Table 151-0 Footnotes 7-14
GENERAL IYVF®Ii1YIA�Y®N
Total Conditioned Floor Anea.(CFA) f Average, Ceiling Height: ft
Maximum Allowed West Facuig Fenestration Products. Per Table,,151-B or 151-C -- (5% X CFA) ft
Maximum Allowed Total Fenestration P Per Table 151-B or 151-0 — (200% X CFA) ft
O Building Type- (dwk one or more) Single Family Multifarmly ' Addition Alteration
(If adding fenestration .fill out WS -4R, Fenestration Maximum Allowed Area Worksheet and see Section 83.2
for Additions and 83.3 for Alterations)
Number of Stories: Number of Dwelling Units:
Floor Construction Type: SlablRaised 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•(rect *W 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)
Cavity
hisulation .
R -Value
Ably U -
factor (for
-Continuous - wood, metal
Insulation , frame and mass
'R -Value aeanblies t
Joint
Appendix
IV
Reference
Roof Radiant
Barrier Location/Comments
Instalicd (attic, garage,
Yes or No ical etc.
1) See Joint Appendix 1V in Section IV.2, IV3 and W.4, which is the oasis ror me u-iac wr cnunv.L. v-JUL4W&a a au uv
exceed prescriptive value.to show equivalence to R -values.
Residential Compliance Forms March 2005
C''ERTMCATE OF
A signed CFAR Form must be provided to the
uired.
: RESIDENTIAL (Page 3 of 4) CF -1R
Date
department for each home for which the following. are
Alternative to Sealed Ducts and Refrigerant Charge /IXVs (See Package D Alternative Package Features fon
Proiect Climate Zone in the RM Amendix B Table 151-C_ Footnotes 7-14_
OR
For additions and alterations, duct systems that are not documented to have been previously
13 sealed as confmned through field verification and diagnostic testing in accordance with procedures in the
Residential ACM Manual and duct systems with more than 4o linear feet in unconditioned
spaces shall meet the requirements of Section 150(m) and duct insulation reauiremeats of Package D.
WATER HEATING SYSTEMS
Distribution
T
O
Sealed Ducts all climate zones er testing and certification and HERS rater field verificationrequired.)
17
TXVs, readily accessible (climate zones 2 and 8-15 only)
(Installer and certification and HERS Rater field verificationrequired.)
E3
Refrigerant Charge (climate zones 2 and 8-15 only) (Installs testing and certification and HERS Rater field
verification
Alternative to Sealed Ducts and Refrigerant Charge /IXVs (See Package D Alternative Package Features fon
Proiect Climate Zone in the RM Amendix B Table 151-C_ Footnotes 7-14_
OR
For additions and alterations, duct systems that are not documented to have been previously
13 sealed as confmned through field verification and diagnostic testing in accordance with procedures in the
Residential ACM Manual and duct systems with more than 4o linear feet in unconditioned
spaces shall meet the requirements of Section 150(m) and duct insulation reauiremeats of Package D.
WATER HEATING SYSTEMS
Systems serving single dwelift units
Water Heater
jMdFuel Type
Distribution
T
Rated
Inputi
Number tkwcr
in S Bbft
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per
17
dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and nx imulation system is
not allowed.
0
Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential
_R
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
O
Alternative Water Heatingtable. 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
Systems serving single dwelift units
Water Heater
jMdFuel Type
Distribution
T
Rated
Inputi
Number tkwcr
in S Bbft
Energy
Tank Factor' or
Capacity Thermal
EfficiencyLs
Tank
External
Sto% Insulation
-Value
_R
System serving multiple dwelling units
Water Heater
Type
Distribution
T
Rated En Tank
� Tank Factor�or External
Number (W or Capacity Thermal Standby Insulation
in system Btolhr) (pnons y Efficiency Loss % R -Value
i . For smau 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
Bhdhr), 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 incites) All hot water pipes from the heating source to the kitchen fixtures that are 3/a
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
CF -1R
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
✓ •Feature
Feature
Iteauind Forms fif applicable
Description
❑ I
Metal Framed Walls
CF -IR
Refri
❑
Radiant Barriers
CF -IR
Valve CF -6R part 6 of 12
❑
Exterior Shades-`'
WS -4R
N/A; Attach CRRC Label to
❑
Cool Roof
Forms.
•
Dedicated Hydronic Heating
Performance Calculation
❑
System
Rewire& Attach Rim to Forms.
Performance Calculation
❑
Combined Hydronic System
- Attach Rim to Foam.
Performance Calculation
Cooling
Buried Ducts
WA; indicate on buildingplans.
See Section 5.62 Distribution
Kitchen Pipe insulation
S in Residential Manual.
fE3Gas
3 or use
lCalculation
Multiple Water Heaters PerPerSeeformanceable
anDwelling
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
atlachAin to Forms
See Table 5-13 or use
❑
Instantaneous Gas Water Heater
Performance Calculation and
r
attach Run to Fomes
See Table 5-13 or use
❑
Solar Water Heating System
Performance Calculation and
attach Run to Forms
Perflirmance Calculation and
❑
Wood Stove Boiler
attach Rum to Forms
SPECIAL FEATURES REOU PING HERS RATER VERIFICATION
(add exta sheets if necessWj Indicate to the HERS Rater which credits are part of this project and need
✓
Feature
Required Forms Cif applicable) Description
Sealin
CF -6R 4 of 12
RDud
Refri
CF -6R 5 of 12
Thermostatic Expansion
Valve CF -6R part 6 of 12
Residential Compliance Formas March 2005
2006-07-31 10:44 (760)-393-4062 0208 -INSTALLED SALES P 4/4
SSZR135A LOWE'S HOME CENTERS, INC. ELQ 0208
PAGE: 1 DATE: 07/31/06 78-865 HIGHWAY 111
LA QUINTA CA
ORDERED FOR: BIRKETT, NATTHAN (760)771-5566
ADDRESS: 52-170 RA14IREZ
TSA QUINTA CA 92253 PHONE: (760)953-9100
VENDOR NAME: FOY, SCO'1"1'Y A CONTACT:
ADDRESS: ATT PHONE: (760)775-0911
TNnIO CA 92201 PAX: (760)775-5222
PRCh7ECT: 154749645 R R IIEATER
LOWES PQ: 20688465 LOWES INVOICE: 91480 ASSOCIATE: STEPHEN WELBORN
EST DELIVERY: 06/22/06 AR NUMBER:
Q'PY ITEM ITEM DESCRIPTION BIN VEND PART# COST EXT COST
--------------------•------------------------------------------------------------
1 1543 _ 8-02250 22.50 22-50
FREIGHT $0.00
TOTAL $22.50
`N
l Dill 7t
PcYmlt N �O
Project Address:
A_ P. Ntnnbcr.
G i ilal nescriplion:
Contractur DC
Addrrss: Gaa�S
City, ST, Zip. Vick
Telephones -7 W -77 —j
State Lia 9 : p
A -h_ Er -gr-. Designer:
Address.::
City, ST. Zip:.
Telephone:
State Iiia R:
Nance of Contact Person:
Telephone E of Con1W Pe mon:
". Sutrmltnl Req•d
Plso Sets
Straeturvil Coir_.
Truss Cotes.
TvtiC24 COOS.
I -load plain plan
Gmding plan
Subcontactor List
Grant Dccd
II.U-I. Appmvai
IN HdiiSE--
Plauoiog Approval
Pub. t14Im Appr
School Fees 1
city Of La Qlfiwa
Building ar Safety Division
P -O. Bou .15®4, 78.495 Gine Tampico
La Quina, U. 92253 - (760).777-7012
Building Pen rk jWYcation and Tracidng Sheer
l'II� ZiA owftesNamr— r
• Addre� S � "per /�i�
City' ST ?-ice ` lel J I Ck
Proj=Dcscription:
City Lir-.A-j:;tj- 72
C nt> on Tye occupzacy:
_ Pro}ceitww(ckdeouzr New Add'n !diet cpair DMno
Sq. FL: T Stories: 4 Unit_
Estimated !latae of Pm' `
1
APPLICANT. DO NOT VRME BELOW , TMS LINE
Reed ,. TRAMMG 6 trERA9�I TIFFS
Plan Chii Yc snlunitted
Iaem
Amount
i3eciavree, ready for m"erleons
plan Cheek Deposit ,
called Coma ierPemn
Plata Check Balance
Places picked up
t Consanetian
Plans resubmitted
N etmaic.2l
3°d Review, ready for corrediamUsee
Electrical
Called Contact Person
PRIUMM-g
Plans picked tip
f
Plans rcsobatiatcd
Grading
Review. reedy for earrecdonsrwue
Developer Impact Fee
QM Contact Person
AXP -P.
Date of permit issue
Total Perndt Ft%--