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07-0426 (PLBG)" _J � !� P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 000004.26 Application Number: 0 R Property Address: 48210 PASO TIEMPO LN APN: 646-360-020- - Application description: PLUMBING Property Zoning: I LOW DENSITY RESIDENTIAL Application valuation: 500 T4ht. 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or -Engineer: 1� LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions ofLChapter 9 (commencing with Section 7000) of Division 3 of the Business nd Professionals Code, and my License is in full force and effect. Licenseass: C36 License No.: 828264 ate:ntractor: 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 permii subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_ 1 1, 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. forthis 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: RAYNE PAUL•L 48210 PASO TIEMPO LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/07/07 Contractor: FOY, SCOTT A. FEB 212007 43579 MAIN. STREET . INDIO, CA 92201 (760)77S-9405 CITY OF LA QUINTA FiPiAMCE K)JE Lic. No.: 828264 ------------------ 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 I should become/subject to the workers' compensation provisions of Section 3700 of the Laborde shall f thwith comply with those provisions. 1-1Z �1'� Applicant: WARNING: FAILURE TO.SECURE WORKERS' OMPENSATION 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 th above infor ation is correct. 1 agree to comply with all buitdin city and county ordinances and state laws relating to str ciion, and hereby authori presentatives of thi unttyy to enter upon,*he above-mentioned prop rty or in roses. atCi l ,nature (Applicant or Agent): Application Number_ . . . . . 07-00000426 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 -t wn rt U I rl�-Ilas BmUng a7 Safety DMdon P-0. Box 1504, 76-495 Calle Tampico La Quinta, U PM3 - (760) 777-7012 0WIding 6lemit App1icadon and Trading Sheet t Permit JJ PrOjeci A ddress: Q$ a 10 U A.1. Number. Legut Aescriplimt: Conuaculr. J��.� i Addren: LJ J j %} 1 CSrv, ST. �i -A Telephoner _�_,ei MO.. brgr.. Designer Address: City, ST. Zip* Tdcplionc 5tatc Lic. 'w: ►daue: of Conlan Nixon: Tcicpltenc tJ of Cwttuct Yetson: 8 Submittal tte.l•d I'lso Sets titrcetnretl Cnlc_ Tns3 Cults. -11n 14 Oz(cs. blood plain phot Gmdiag pian Salltent8K0r List Grant Met! I1.11 A. Approval IN HOUSE: - Pub. Ms. Appr School Fen 1 i i Addra o � c 0lnn(1 City, ST- Zip: r ('A (V t n-An1P. I - Psoject: Deasiption: City Lic. ac r..:s�r �-� _ ys,•. - ,� Cortstiurslon Ty -pc: OCCuplatcv: �iik,�-.t .. � Projxi twa (circle om). Nex Add'n Mier epau) Dcmo r• Sq. FL: T Storm: tt U I, Estimated Value offProj j 1 Y APPLICANT: DO NOT VMTE BELOW THIS LRE Reed @ TRACiffiVG PP.8N11Tirm A Phu Check x submitted � hent Amount 134mietrc�l, ready for ecrrectious Plao Cbeck Deposit C.11ed Ca;tt=Ferson Plan Check Rahliee 6 ?pias picked up Construction Plans resubmitted It4ecLvoinl :°d Review, ready ror correctiorm/isme Electrical Celled Contact Person Plmnbing Finns pietted op � f Plans resobinfeted Cr2ding Review. reedy for eorreedoas+imue Developer tmpact Fee Called Contact Ptrson t' Mile of permit issue I Total Permit Yetf CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of4) CF -IR Project Title l Date SEALED DUCTS and TXVs (or Alternative Measures) A signed CFAR Form must be provided to the building department for each home for which the following. are vrc 1 ❑ Alternative to Sealed Ducts and Refrigerant Charge fI71:Vs (See Package D Alternative Package Features for I 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 ❑ sealed 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 Spam shall meet the requirements of Section 15 m and duct insulation ants of Package D. moi, Tf`tr► ZIT A9rYM C- CV C'Vle I"R tial. O Sealed Ducts all climate zones Installer testing and certification and HERS rater field verifieation required.) Energy TXVs, readily accessible (climate zones 2 and 8-15 only) ❑ Installer testing and certification and HERS Rater field verificationrequired.) Refrigerant Charge (clirlrrte zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field 1] verification ' uired. vrc 1 ❑ Alternative to Sealed Ducts and Refrigerant Charge fI71:Vs (See Package D Alternative Package Features for I 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 ❑ sealed 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 Spam shall meet the requirements of Section 15 m and duct insulation ants of Package D. moi, Tf`tr► ZIT A9rYM C- CV C'Vle I"R J JlGl1L1 JG1 .ill Jlu VV HAJDA r1t.AluNv vAv-..au Number in System Rated Input' (kW or Bhithr) Energy 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 gallons is the maximum capacity and mecirculation system is not allowed. Factor or Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 -n the Residential ❑ Manual. No water heating calculations are required, and the system complies automatically, Number 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 TypwTuel Type submittal. ❑ Cheek box to verify that a time control is required for a recirculating system pump for a system serving multiple Efficiency units J JlGl1L1 JG1 .ill Jlu Distribution Type Number in System Rated Input' (kW or Bhithr) Energy Tank Rated Tank Factor or External Water Heater Distribution Number (kW or, Capacity Thermal Standby' Insulation TypwTuel Type , Type in System Bw/hr) (0tops Efficiency Loss/o R -Value J JlG'lY JGl ♦ill YlYlu ll. u..w Water Heater Type Distribution Type Number in System Rated Input' (kW or Bhithr) EncT a Tank Tank Factor or I External Capacity Thermal StandbyInsulation (gallons Efficiency Loss/aR-Value 1. For small gas storage water heaters (rated inputs of less than or equal to i:),vuu "Runr), eimtriG reaWlAI,GG, auu ,wm pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Bttdhr), 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 2:3/4 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 15016) 2 B. Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: E: (Page 1 of 4) CF -1R t Date Project Titlezc Project Address Building Petmit # `F Telephone Plan (Mock / Date Documentation Author Field Check / Date Compliance Method (Prescriptive) Climate Zone Etforcemem Agency Use only / ❑ Alternative Component Package Method: (check one) C D D JAlternative) f• • 0 Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -IR page 3) 0 For Package D•Alternative see Appendix B Table 151-C Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) l}z Average Ceiling Height ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C — (5% X CFA) fe Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C — (20% X CFA) ft ✓ ❑ Building Type: (check one or more) Single Family Multifamily AMition 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 otientation in degrees from True North and circle one). / ❑ FA..DIANT 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 Installed Yes or No Location/Comments (attic, garage, ty2ical, etc. A ----t:.. t\J :.. V- k- tV 7 TV 1 .«d rl/ d %whGrh is the hacic fnr the 1) -factor criterion. U -factors can not exceed prescriptive value to show equivalence to R -values. Residential Complianco Forms March 2005 CERTIFICATE OF ' COMTLIA►NCE: RESIIDENTUL (Page 4 of 4) CF -1R Project Title Date SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra sheets if neccssary) Indicate which special features are part of this project. The list below only represents special features relevant to the nresrrintive ntmhntt ✓ Feature Required Forests if applicable) Description ❑ Metal Framed Walls CIZAR part 4 of 12 ❑ Radiant Barriers CF -IR part 5 of 12 O Exterior Shades WS4R part 6 of 12 D Cool Roof N/A; Attach CRRC Label to _ Forms. ❑ Dedicated Hydronic Heating Performance Calculation System Required; Attach Run to Forms. 0 Combined Hydronic System Performance Calculation Required, Attach Run to Forms. O Gas Cooling, Performance Calculation Required. ❑ Buried Ducts N/A; Indicate on building plans. O Kitchen Pipe Insulation See Section 5.6.2 Distribution System in Residential Manual. Multiple Water Heaters Per See Table 5-13 or use Dwelling Unit Performance Calculation and attach Run to Forms. LI Central Water Heating System Performance Calculation and Serving Multiple Dwellings attach Run to Forms. Q Non-NAECA Large Water CF -IR Heater See Table 5-13 or use , LI Indirect Water Heater Performance Calculation and attach ftn 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 0 Solar Water, Heating System Performance Calculation and attach Run to Forms O Wood Stove Boiler Performance Calculation and attach Run to Forms SPECIAL FEATURES REOUIRING HERS RATER VERIFICATION (add ex a sheets if nccessarv) Indicate to the HERS Rater which credits are part of this proect and need vcri ftcatinn _ ✓ Feature Regaired Forays Cif applicable) Description ❑ Duct Scaling CF -6R part 4 of 12 ❑ Refrigerant Charge CF -6R part 5 of 12 ❑ Thermostatic Expansion Valve CF -6R part 6 of 12 Residential Compliance Forms March 2005 SSZR135A LOWE'S I3IW, INC. ELQ 0708 PAGE: 1 DATE: 01/12/07 78.865 HIGHWAY 111 LA QUINTA CA ORDERRIl h'OR:' PAUL HAYNE PHONE: (760)771-5566 ADDRESS: 48210 PASO TTFMPO LANE LA QUINTA CA 92253 PHONR: (760)771-5918: VENDOR NAME: FOY, SCOTTY A CONTACT: ADDRESS: ATT PHONE:: (760)775-0911 INDIO CA 92201 FAA: (760)775-5222: PROjKFCT: 1832110'/6 PERM'i'1' FEE LOWES DO: 32770074 LOWS 'I:NVOICE: 75431 ASSOCIATE: ALAN L02ANO EST DELIVERY: 01/13/07 AR NUMBER: QTY ITEM TTEM-DESCRIPTION SIN VEND_PART# COST EXT -COST 1 154:374 2 PERMITS FOR T -A QUINTA -•-------------------------------------- 40.00 40.00 FREIGH'P $ 0.00 TOTAL $ 40.00. Z/Z d S31VS 031lV1SNi-90ZO Z901 -£6£-(09D 6lz6L Z6-60-LOOZ