06-2857 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00002857 ,
Property Address: 44420 CAMINO LAVANDA
APN: 604-193-019-21 -25290 -
Application description: PLUMBING
Property Zoning: LOW DENSITY RESIDENTIAL.
Application valuation: 500
Applicant: Architect or Engineer:
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 Business and Professionals Code, and my License is in full force and effect.
License Class: C36 Lice No.: 828264
ate: ^Contractor: C I
O{91 ER -BUILD 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 Codel 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 (5500).:
(_ 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 contractors) 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:
LQPERMIT
Owner:
WRIGHT CRAIG M
44420 CAMINO LAVANDA
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/01/06
Contractor:
FOY, SCOTT A. D
43579 MAIN STREET
INDIO, CP 92201
(760)775-9405 AUG 03.2006
Lic. No.: 828264
CITY AF
esuwu
--------------- - - -
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 hould become subject to the workers' compensation provisions of Section
3700 of theor Code, I shall forthwith com ly with those provisions.
ate:pplicant:
WARNING: FAILURE TO SECURE WORKERS' OMPENS ON COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AN 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 fora 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. 1 agree to comply with all
city andcounty ordinances an ate laws relating to building construction, and hereby authorize representatives
of county to enter up he above-mentioned property for inspection purpose .
Date• Signature (Applicant or Agent):
Application Number . . . . . 06-00002857
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
t Bin #
Permit 7
Project Address:
A. P. Nwnbcr.
Contractor. 2��C�
Address: C/ -a -Z � i Cj ri
City, sl, Zip-, 0_(1U , e
Telephone:? kb --7? M_
State Mc. tr :-JR@ (p y
Arch., Ergr.. Designer:
Address:
City: ST, Zip:
Telephone.
State Lic ::
Nance of Contact Person:
Tclealtone # ot'Contuct Person:
5utmdttai Retl'd
Plan Sets
Stratuml Coles_
Tntsa Coles.
Tie.2a ChIcs.
Flood plain plan
Grudiogo plan
Subcommoor List
Grant Deed
11.0-,L Approval
IN HOUSE:-
Plaanlag approval
Pulp. Wks Appr yy
Sebool Fees I
City Of La Who
MOW ar Salky Division
P.O Box 1504, 78-495 Calle Tampico
La Qtrir)ta, CA PM3 - (760) 777.7012
Building Permit Application and Tracking Sheet
;C\I,) i nUly N11i o�nerSN�e.(�n�;1� I &V- 04
ProjectBesmiption:
0121ZICr i
Lic
Conon Tye OCcppmcy:
MAMMON—
M Projxt type (tattle one)r New Add'n Alter eQair Death
SQ. FL: I Stories: 4E Unites
Estimated Value of Pm' r
APPUCANT: DO NOT WRITE BROW TENS L H E
Reed TRACJftING
PEMIfrFEES
Plan Cheek submitted
lain
Amount
Retie mdp for corrections
plan Cheek Deposit
Called ContaetPerson
Plan Check Balance
Ptsas picked up
Construction
Plans resubmitted
Medwinical
"" Review, ready for twrreetiotuilnue
Ekerrical
Called Coaraet Pawn
PI>mabing
Planes picked op
S aiJ.
Plans rcmbmitted
Grading
Review, ready for eotreetkmsfissne
Developer impact Fee
Called Contact Person
AXP -P.
Date of permit issue
Total Permit Fecs
CERTIFICATE OF COMPLIANCE:
ect
Project
Documentation Author Telephone
Compliance Method (Prescriptive) Climate Zone
1 of 4) CF -1R
Date
"% Building Permit #
Plan Check / Date
Field Check / Date
Enforcement Agency Use 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 -1R page 3)
For Package D Alternative see Appendix B Table 151-C Footnotes 7-14
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) f,Average Ceiling Height: R
Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C — (5% X CFA) f
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C -- (20% X CFA) g
✓ ❑ 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
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).
✓ 0 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
Cavity Continuous
Insulation Insulation
R -Value R -Value
Assembly U -
factor (for
wood, metal
frame and mass
assemblies 1
Joint
Appendix
IV
Reference
Roof Radiant
Barrier Location/Comments
Installed (attic, garage,
Yes or No ical 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.
Residential Compliance Forms March 2005
0
CERTIFICATE OF COMPLIANCE: RESIDENTIAL
Date
CF -IR
A signed CF -4R Form must be provided to the building department for each home for which the following. are
renuired_
0 I Alternative to Sealed Ducts and Refrigerant Charge fMs (See Package D Alternative Package Features for I
Project Climate Zone in the RM Appendix B Table 151-C, Footnote's'? -44.
OR
For additions and alterations, duct systems that are not documented to have been previously
13 Residential
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 150(m) and duct insulation requirements of Package D.
WATER HEATING SYSTEMS
Distribution
Type
❑
Sealed Ducts all •climate zones Installer testing 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
verification i g uired.
0 I Alternative to Sealed Ducts and Refrigerant Charge fMs (See Package D Alternative Package Features for I
Project Climate Zone in the RM Appendix B Table 151-C, Footnote's'? -44.
OR
For additions and alterations, duct systems that are not documented to have been previously
13 Residential
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 150(m) and duct insulation requirements of Package D.
WATER HEATING SYSTEMS
SvstentG Gervino cinale dwelling unite
Water Heater
Type/Fuel Type
Distribution
Type
Number
in System
Check 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
Standby
Loss %
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
SvstentG Gervino cinale dwelling unite
Water Heater
Type/Fuel Type
Distribution
Type
Number
in System
Rated Energy Tank
Input' Tank Factor` or External
(kW or Capacity Thermal " Standby' Insulation
Bwft) (90tons Efficiency Loss % R -Value
Tank
Capacity
(gallons)-
Enemy
Factor or
Thermal
Efficiency
Standby
Loss %
Tank
External
Insulation
R -Value
,vstem serving muitinle dwelling units
Water Heater
Type
Distribution
Type
Number
in System
Rated
Input'
Cdr or
Bm/hr
Tank
Capacity
(gallons)-
Enemy
Factor or
Thermal
Efficiency
Standby
Loss %
Tank
External
Insulation
R -Value
1. rui suiau gas sturage water neaters krarea inputs or less man or equal to "/3,000 Btu/hr), electnc 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 3/4
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
RESIDENTIAL
CF -IR
SPECIAL FEATURES NOT REOUIMG 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
nre-wrintive methnrt
✓
Feature
Required Forms if applicable)
Description
❑
Metal Framed Walls
CF -1R
Refrierant Ch a
❑
Radiant Barriers
CF -1R
CF -611 part 6 of 12
❑
Exterior Shades
WS -4R
N/A; Attach CRRC Label to
❑
Cool Roof
Forms.
Dedicated Hydronic Heating
Performance Calculation
❑
System
Required; Attach Run to Forms.
❑
Combined Hydronic System
Performance Calculation
Required; Attach Run to Forms.
❑
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 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
_SPECIAL FEATURES REOUHUNG HERS RATER VERIFICATION
(add ext -:k sheets if n Indicate to the HERS Rater which credits are part of this project and need
verification.
✓
Feature
Required Forms if a Ifcable Description
ScalingCF-6R
art 4 of 12
NODuct
Refrierant Ch a
CF -6R art 5 of 12Thermostatic
Expansion Valve
CF -611 part 6 of 12
Residential Compliance Forms March 2005