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07-0425 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: F 07--00000425 - Property Address: 79185 CAMINO DEL ORO APN: 604-192-029-43 -24517 Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 500 Applicant: T,ity 4 4 Q" Architect or Engineer: P l ►4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- 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 Busines nd Professionals Code, and my License is in full force and effect. Lice Class: C36 License No.: 828264 Date: Z Z I -6� ractor: OWNER -BUILDER 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).: (_ 1 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.). 1 _ ) 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: PTA LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/07/07 Owner: VICKERS VIC L 79185 CAMINO DEL ORO UNKNOWN, CA 99999 Contractor: FOY, SCOTT A. FE 43579 MAIN STREET INDIO, CA 92201 (760) 775-9405 FEB �2�1 Lic. No.: 828264 OF LA QUINTA ----------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 ENDR INS Policy Number WEN000882301 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 Ishould ecome subject to the workers' compensation provisions of Section 3700 of the Labor Code de, "shall forthwith comply with those provisions. DEEB: f r� pplicant: /WARNING: FAILURE TO SECURE WO Fi RS' COMPENSATION 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 tabove information is correct. I agree to comply with all city and County ordinances and state laws relating to building construction and her by author' a representatives of this county to enter upon t above-mentioned pro erty'f r i pec 'on ur Ises ' e� �2 Zi .� nature (Applicant or Age LQPERMIT Application Number . . . . 07-00000425 Permit . . . PLUMBING Additional desc . Permit Fee. 22.50 Plan Check Fee 5.63 Issue Date Valuation . . . . 0 Expiration Date 8/06/07 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 50 GAL. GAS 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 w)) L& �O)J�," _ a Qidjin BO&W, ar 5afM Division ,J Projeel Address: A. P. Number. Legul Detet"On: Comtaclur. Address: gzs-r7 1 l ;i�jr3 ' 01", ST, :Lip. `n()� � C C Tcitphonc: -7 W SOIC Lic. U : 3=/C_.a to Atrh., et gt.. Designsr. Addms:s: City, ST. Gip: Tcicpllono: state Lic. d: Name of Contan perwn: "fclWiencU (ifCaiftwA PetWn: ti Suhndital Peq•d Pisa Sets \trattaral4'.otc . Tni � Cnks_ Tide 24 0.41 . Flood plain pian Gntding Pinn SaBrnntactor List Grant Dccd H.O.A. Approval IN IfOt)S8.- Ylsnolog Appratml Pal.. \Vht. Appr Seboal Fees 1 P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet (5 t�C,1� UP� owtenr s Al�nt :. -J l (_ 1) i c t • 3 l�ddres� � i � �LAYt!i G� -- _ -- — _ ► City. ST. 71p:1 rw 17 ik^wA- G4 PiojeaDescaiplion: Lic. 4: i Kr fz tt M -r ConsbuclioaT);pe Q` ` i *t 04CcuP3ncV. Projxtmcleircleater New Add•n alter Reptd Sq. FL: Storm: tt Uni1�: l Estimnte:i Value of Proje,Nt- �( �'� , Ct-- AP LICANTi . DO NOT VMTE BELOW TMS LINE herd + TRACMG PERbITrFM Pian Check submitted Irem I Tdecierraf. rtsdy forecrreetiorls ro Plan CLeek Deposit Called Coa-AtaerPerson Plan Check Ralance Finns picked up Construction Plans resubmitted 11Ledltiaicol �a° Rrc;ew, ready for eorredionvissee Rm trical i Called t ontnet Person Phrmbing Finns picked up — i Mons resubmitted k Grading; — '^ Revicw. ready for eorrecdoaslis9ue Developer Impact Fee Called Contact Person �1Date of permit issue I Total Permit Fet< Demo .lmounl i CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF -IR Project Title _ Date Sri Cwk i Yl a lel_ O(C) . SEALED DUCTS and TXVs (or Alternative Measures) A signed CFVR Form must be provided to the building department for each home for which the following, are renuired. I ❑ I Alternative to Sealed Duds and Refrigerant Charge fMs (See Package D Altemative Package Features for I Project Climate Zone in the RM Appendix B Table 151-0, Footnotes 7-14. J OR For additions and alterations, duct systems that are not documented to have been previously ❑ scaled 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 aces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D. WATER BEATING SYSTEMS Distribution Type ❑ Scaled Ducts all climate zones(Installer testing and certification and HERS rater field verification required.) 0 TXVs, readily accessible (climate zones 2 and 8-15 only) T ZSU)J (Installer testing and certification and HERS Rater field verificationrequired.) ❑ Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field ❑ verification "uired. I ❑ I Alternative to Sealed Duds and Refrigerant Charge fMs (See Package D Altemative Package Features for I Project Climate Zone in the RM Appendix B Table 151-0, Footnotes 7-14. J OR For additions and alterations, duct systems that are not documented to have been previously ❑ scaled 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 aces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D. WATER BEATING SYSTEMS Systems serving single dwelling units Water Heater TYPQTuel Type Distribution Type Number in System Check box if system m meets criteria of a "Standard" system. Standard system is one gas-fired water heater per D dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is T ZSU)J 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 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. ❑ Check box to verify that a time control is required for a recirculating system pump for a system serving multiple units Systems serving single dwelling units Water Heater TYPQTuel Type Distribution Type Number in System Rated Input' (kW or Bwnu) Tank Capacity (gaitons Energy Tank Factor or External Thermal Standby Insulation Efficiency Loss/o R -Value T ZSU)J 1 0 Svstem serving multinle dwelling units Water Healer Type Distribution Type Input' Number (kW or in System BvAr) Energy Tank Factor ort Capacity Thermal Oallons Efficient Standby Loss % Tank External Insulation R -Value 1. For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and hear pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btttfhr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies. YiRS Insulation (kitchen lines >_ 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are 3/4 inches or grouter in diameter shall be thermally insulated as specified by Section 150 (j) 2 A or 150 (j) 2 B. Residential Compliance Forms March 2005 .,CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -IR Project Tide - ` '�i�_ Date Project Address � Building Pemtit # Documentation Author Telephone Plan Check /Date Field Check / Date Compliance Method (Prescriptive) Climate Zone Fsforcernmt Agency Usc Only ✓ 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-C Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) I}z 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-C — (20% X CFA) ft d ❑ Building Type: (check one or more) Single Family Multifamily Addition Alteration (if adding fenestration fill out WS4R, Fenestration. Maximum Allowed Area Worksheet and see Section 8.3.2 for 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. 1) See Joint Appendix IV in Section IV.2, IV.3 and IVA, which is the basis for the U -factor criterion. 0 -factors can not exceed prescriptive value to show equivalence to R -values. Residenlial Compliance Forms March 2005 6 r CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 4) CF -IR SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra sheets if necessary) Indicate which special features arc part of this project. The list below only represents special features relevant to the nrewrinrive methml SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION add exi`a sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verification. f Feature Required Forms if applicable) Description 0 Metal Framed Walls CF -1R Refrigerant Charge ❑ Radiant Barriers CF -IR CF -6R part 6 of 12 ❑ Gdcrior Shades WS -4R ❑ Cool Roof N/A; Attach CRRC Label to Forms. ❑ Dedicated Hydrunie Heating Performance Calculation System Required; Attach Run to Forms. ❑ Combined Hydronic System Performance Calculation R uire4; 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 Systems in Residential Manual. Multiple Multiple Water Heaters Per See Table 5-13 or use 13 Unit Performance Calculation and attach Run to Forms. Central Water Heating System Performance Calculation and Serving Multiple Dwellings attach Run to Forms. 13 Non-NAECA Large Water CF -IR Heater See Table 5-13 or use O Indirect Water Heater Performance Calculation and attach to Forms See Table 5-13 or use ❑ Instantaneous Lias 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 SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION add exi`a sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verification. f Feature Required Fortes if applicable) tion ❑ Duct Scaling CF -6R part 4 of 12 ❑ Refrigerant Charge CF -6R part 5 of 12 ❑ Thymostatic Expansion Vnlvc CF -6R part 6 of 12 Residential Compliance Forms March 2005 SSZR135A LOWE'S HIW, INC. ELQ 0208 PAGE: 1 DATE: 01/23/07 78-865 HIGHWAY 111 LA QUINTA CA ORDERED FOR: VIC VICKERS PHONE: (760)771-5566 ADDRESS: 79185 CA41NO DEL ORO LA QUINTA CA 92253 PHONE: ( VENDOR NAME: FOY, SCOTTY A CONTACT: ADDRESS: ATT PHONE: (760)775-0911 INDIO CA 92201 FAX: (760)775-5222 PROJECT: 184394137 REDO PERMIT FEE LOWES PO: 32770328, LOWES INVOICE: 76121 ASSOCIATE: TEANA DIAZ EST DELIVERY: 01/24/07 AR NUMBER: QTY ITEM ITEM DESCRIPTION SIN VEND_PART# COST EXT -COST i------------------------------------------------------- ----------------- 1 154374 PERMIT FEE 08-22500 22.50 I 22.50 CITY OF LA QUINTA FREIGHT $ 0.00 TOTAL $ 22.50 No Z/Z d S31VS 0311VISNI-UOZO Z901 -£6£-(09L) 9Z:66 £Z-W-LOOZ