07-1895 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA.QUINTA, CALIFORNIA 92253
Application Number: X07-00001895_
Property Address: 48655 PASEO TARAZO
APN: 646 -082 -054 -
Application description: PLUMBING
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 500
Applicant:
Architect or Engineer
P10
I
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
-----------------------------------------------------
_ LICENSED CONTRACTOR'S DECLARATION
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: rr\\C36 LicenseNo.: 828264
tractor:.
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 ISec. 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 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 1, 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 I am exempt under Sec. , B.&P.C. for this reason .
Date: Owner:
CONSTRUCTION LENDING AGENCY '
(.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:
LQPERAIIT
Owner:
WENDELL HARTMAN
48655 PASEO TARAZO.
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: 6/29/07
ci JCC. �3?DOl
/�J
---------------- I -------- 4-4 -----
WORKER'S COMPENSATION D 101ISC�H�q
I hereby affirm under penalty of perjury one of the following declarations: CfiT
_ I have .and will maintain,a certificate of consent to self -insure for workers nsation, s provided
for by Section 3700 of the Labor Code, for the performance of the work for w permit is
issued.
YI have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
-�c 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 I shout beco subject to the workers' compensation provisions of Section
3700 of the Labor Code, hal fo hwith comply with those provisions.
ate: �'--} ;cant-.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTHOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OFCOMPENSATION, 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 issuanceof 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 bove information is correct. I agree to comply with all
city and county ordinances and state laws relating to build construction, and hereby autl iie representatives
of t%h'� couunntty- to enter upon t e above-mentioned property r in ion purposes.
/pate: �i `•'T 'nature (Applicant or Agent):
Application Number .
. . . . 07-00001895
Permit . .
PLUMBING
Additional desc .
Permit Fee . .
22.50
Plan Check
Fee
5.63
Issue Date
Valuation
io.
Expiration Date
12/26/07
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 50 GALLON GAS
WATER HEATER
WITH
NEW 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
Dill it - -
Ci-
t a L uin��
• `� .•K-' ` �� � � B►ritdtr)g � 5af�y Division V
P_0. Box t 504, 78-495 Calle Tampico
t1
Ptmill r r "
a Quinta, CR 92253 - (760) 777-70 2
r f Building Permit Appficadon and T'racdng Sheet
•,
Projoct A ddrtw:
fA. P. Ntnuber: Addrts" I l�� c JC� �i J►� V 1"7 j r'� Z° ® .
t tf mal Description:
City, ST, lip: OA1 r•5
�'"_ _S,
' Conuacurr. ' 1 �i~ Yi., _,••_
Addrass: "In
ti Psojett
i Drscription:
ZZO
Tele hone.
j Sime MQ 0 r Gty 3_rc. :
( Arch., Er$r., Designer- —
4 AddrCiS: i t
Telephone: . — �+ Cansbvctioa Typr:C. '( Occupzticy$talc Liu'
� : '. '' ) stele otter Nov; Add'n filler RepairD�:to
Wane of Cancan Penson: (\ a � K Sq. Ft.' Stories: tl UniL:
1'cicphrnc>v nFConitic! P oetau— nL:
EstimDt,3lialvc-06
ofPtnj t
AF PilCAMY: ®O NOT WYM SaaW THIS LRE
— !i Stdrmltml Req-d Reed TIRAMENG PERA1r1 FEFS
11122 Seb i Plaa Cbec& subtaitted T item .lr;tounr
\traetnnrl Q o1c+_ IResiprreoi, ready Forcerrectiors Plan VCeek Deposit
TPIL'7 Gaits. ,� Called Coatacteersoa Pian ::Hccir Balance
rJn za c1�.
PlsAs pie)rcd up Coas�vction
ii
j
47aod plain pion f Plasm resubmitted j M cictnin) `
Grrading plan 2d Re*iew, reedy For correctiortsdssue �sttical
SulrronracroP LISt Called Contact. Person Plumbing
Grant Deed Pians piefted up 5.11.1
1LlApprovnl Ptnns resubmisted Gratflng
1N ❑OUSE:- '" P.eview, rCu$r For eorrecdonsCrssae Devehaper Impact Fee
Plnnoing Apprurvt �l Called Conttict Person AIP_P. I
flat t. Wkv. Appr IIate of Fer1nU issue 1
So Gal Fees
TotalxPetmit?;'e� ,
CERTIFICATE pF Cp,L
IA1vCE: RESIIDENTIAL .(page 3 of 4
Noeet Title CF -1R
SEALED DUCTSand Date
A signed CF -4R Fonn must s or Alternative Measares
m wired. be pt ovided to the building department for each home for whicF the following. are
13
0 r x vs, readily accessible (climate yon 2 testi ce>y
Installer tcstin and �ii6cation and &IS oNy)
p Rcfrig�t and HERS Rater field v.
vct9ficalion ? tge (ctirnate yon 2 and tt-1S onl
wired.) Y)Ansta.
0
raze- field
testing and certification and IERS Rater
- awmanve to Sealed Dui and Refrigerant
- -
Pro•eci Climate geiattt e �17CVs
OR Zone rn the RM dix B Table 15i -C, (See PtckRg D Alternative Package Features for
For additions and alt cxatio
sealed as eonfi ns, duct systems that are not d
Rosi trough field verification and diagnostic
to have
tial ACM manual and duct �o�c testingbeen previously
s ces shall mem the uit+em systenLs with more titan 40 linear feet in ce wttb Pree�ures in the
VATER gE Buts of Section IS m and duct insutariin unconditioned
A[ING �Vc'r�,..�
Iheck box I! system rtteets criteria of a "Standard,, tJ dwelling unfit If the water hea Standar system- Standard
not allowed. is a storage type 50 gallons is the system is one gas-fired water heater per
Check box when ntaximum capacity and recirculation r
Manual. No water h tin�pproved. Alternative Water system is
Check box if 4te calculations are Heating table, Table 5-4 in Chap
❑ Alternative Ws ter Head not m criteria of S and �e s stem co lies auto ter S in the Residential
cel cri nraticalI .
submittal. Heating table. In this case, the Pejfo sy M'ethod� not
umd1Y with the Preapproved
� Check box to verify that a time control is � and must be '
units included in the'
req;fired for a recirculating system
stems servin sin a dwellin units Pump for a system
serving multiple
Water Heater Rated Energy
duel T Distribution Number Input' Tank Factor or T
��C T in S tem gk opacity Thermal Standby' External
J tom' ' Ions E$cian � o� U►sulation
1�( F:-% R -Value
units
Water Heater Rated �Enr,-t. Distribution Number Input' Tank For or Tank
e r
e in S stem RW or Capacity Thermal r Extemal
gQ'a'r Ion EflScie �•.. Standby Insulation
• ror sinal! gas storJc--�
wate
PuMP water r heaters rat
heaters fist En ( � Puts of less than or
Bttt/hr), list Rated Input,erg}' Factor. For large gas storage water heat ' I Bir), electric
heaters, list Rated Input Recovery Efficiency, (rated input of rester t istance, and heat
P and The 77rermal Efficiency and Standby
g than 7S,000
1'![�c InsuluNon (k rntal Efficiencies. Y Loss. For ins
inehc
(kitchen lines > 3/4 inches antaneous gas water
er grCatcr in diameter shall ire thermally A4 hot water pipes from the heating
source to the kitchen ftxtires
R�idential.Cumpliance Forms Y Section 150 that ane /,
0) 2 A or 150 0) 2 B.
March 2005
CERTIFICATE OF COMPLIANCE: RESIDEo1TUL (Page I of 4) CF -IR
Project Title
Proicct Address '
Documentation Author Telephone
Compliance Method (Prescriptive) Climate Zone
Date
Building Permit N
Pla i Cheek / Date
Find Check / Datc
Enforremcnt Agcncy Usc Only
v' ❑ Alternative Component Package Method: (check one) C D D (Alt-mative)
Package C and Package D choices require HERS rater field verification and/or diagnost testing (see CF-lR page 3)
For Package D Alternative see Appendix B Table 151-0 Footnotes 7-14
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) Average Ceiling Height: ft
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
✓ p Building Type: (check one or more) Single Family Multifamily Additibn 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.)
Nuirdnr of Stories: Number of Dwelling Units:
Floor Construction Type: Stab/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 (ittic, garage,
Yesc or No ical, etc.
1) See Joint Appendtx IV in Section 1V.2, IV -3 and r V A, wtuch is the basis forme u -tactor crLienon. , u -tactors can nvt
exceed prescriptive value to show equivalence to R -values. I
Residential Compliance Forms
March 2005
It
j CERTII:ICATE OF COW LIANCE: RESIDENTIAL. (Page 4 of 4) CF -IR
$ Project Title Date
SPECIAL FEATURES NOT REOURUNG HERS VERIFICATION (add extra sheets if necessary)
f
+ Indicate which special features are part of this project. The list below only represents special icatures relevant to the
r' + rescri live method.
V
Feature
Required Fortes if applicable)
Description
❑
Metal Framed Walls
CFA R
Refrigerant Charge
❑
Radiant Barriers
CF -IR
CF -6R part 6 of 12
❑
Exterior Shades
WS -4R
❑
Cool Roof
N/A; Attach CRRC Label to
Forms.
0
Dedicated Hydronic Heating
Performance Calculation
system
Required; Attach Run to Forms.
❑
Combined Hydronic System
Performance Calculation
Required; Attach Run to Forms.
❑
GaIs Cooling
Performance Calculation
Required.
O
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
❑
Dwelling Unit
Performance Calculation and
attach Run to Forms.
❑
Central Water Heating. System
Performance Calculation and
SCM28 Multiple Dwellings
attach Run to Forms.
Non-NAECA Large Water
Heater
CF -IR
See Table 5-13 or use
❑
Induce[ Water Heater
Performance Calculation and
attach Ryn 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 REOUIRING HERS RATER VERIFICATION
Gadd exiN sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need
verifinatinn
1
Feature
Requited Forms Cifa livable tion
O
Duct Scali
CF -6R part 4 of 12
❑
Refrigerant Charge
CF -611 part 5 of 12
❑
Thermostatic Expansion Valve
CF -6R part 6 of 12
Residential Compliance Forms
4
March 2005