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07-0988 (PLBG)As P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tity BUILDING & SAFETY DEPARTMENT BUILDING PERMIT .. Applicant: Architect or Engineer: ------------------------------------------------- -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 C s: C36 L'icen No.: 828264 te: Co ! OWNER -BUILD R 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).: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 10 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.). I—) 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 ISec. 3097, Civ. C.). Lender's Name: Lender's Addresslo - LQPERMIT . Owner: GAVIN ROGER J 2442 NW MARKET ST STE SEATTLE, WA 98107 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: 3/29/07 3 APR 052007 CITY OF LA QUINTA FINANCE DEPT. WORKER'S COMPENSATION DECLARATION 1 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,asprovided 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 INSPolicy 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 '//)3777000 of the Labor Code, I shall forthwith comp with those provisions. ate�yG% / A icant ' WARNING: FAILURE TO SECURE WORKERS' COMPENSA N 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 above information is correct. I agree I o comply with all city'and c unty ordinances and state laws relating to building construction, and hereby author representatives of thWunty r upon eabove-mentioned property for inspect n purpose nature (Applicant or Agent): Application Number: .' 0,7-00000988--1 Property Address: 48225 PASO TIEMPO LN APN: 646 -360 -006 - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: - 1000 Tity BUILDING & SAFETY DEPARTMENT BUILDING PERMIT .. Applicant: Architect or Engineer: ------------------------------------------------- -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 C s: C36 L'icen No.: 828264 te: Co ! OWNER -BUILD R 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).: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 10 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.). I—) 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 ISec. 3097, Civ. C.). Lender's Name: Lender's Addresslo - LQPERMIT . Owner: GAVIN ROGER J 2442 NW MARKET ST STE SEATTLE, WA 98107 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: 3/29/07 3 APR 052007 CITY OF LA QUINTA FINANCE DEPT. WORKER'S COMPENSATION DECLARATION 1 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,asprovided 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 INSPolicy 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 '//)3777000 of the Labor Code, I shall forthwith comp with those provisions. ate�yG% / A icant ' WARNING: FAILURE TO SECURE WORKERS' COMPENSA N 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 above information is correct. I agree I o comply with all city'and c unty ordinances and state laws relating to building construction, and hereby author representatives of thWunty r upon eabove-mentioned property for inspect n purpose nature (Applicant or Agent): LQPERMIT Application Number 07-00000988 Permit . . .• PLUMBING Additional desc . Permit Fee . . . . 30.00 Plan Check'Fee -7.50 Issue Date Valuation . . . . 0 Expiration Date • 9/25/07 Qty -Unit Charge Per Extension BASE FEE 15.00 2.00, 7.9000 FA PT.R WATER HFATFR /1TFNT 1.5 nn -----------------7---------------------------------------------------------- Special Notes and Comments REPLACE 2 WATER HEATERS Fee.summary Charged Paid Credited Due Permit' Fee Total 30.00 .00 .00 30.00 Plan Check Total 7.50. .00 .00 7.50 Grand Total 37.50 .00 .00 37.50 l Permlt !! a11V'1Z_J Project Address: A. P. Number. . Legul DeSiTi ift: Conitactur. Addy—: OV, ST. Zip.,� G Telephoner Sinic LialSa12 g Arch.. Ergr.. Designcr. Addrecs Cly, ST. "Lip: Telephone. Slatc I_ic. ►Jana: of C'oulari Person: "1-Clenhonctt ufContlWA PeMn. H Su}wdtta! 1•Isn Sets "tractor al Cole... Tai}, Cnics. T`ida 2J 4`atts. !boil plain plan GnaCing pine JnUrenraaor List Grant Uced 11.t?.!L Approval IN IIOUSH_- i'lonning Approcirl Putt. Wks. Appr School Fccs 1 I city (of Lai menta BmIding ar Safety Division P -O. Box 1504, 76-495 Calle TampibD La Quinta, C. 92253 - (760) 777-7012 Miding Pmnit Application and Tratdng Sheet Owner's Naamr!. f�ddres^u 0 a�� C)-�i{'1'� Telephoned (�`7 ' t y� Q PiojecrDaraiption: Nrld -A City Lic. r' C-uva Pion T t s Y 1 Otcupzrir r• 11 M i`t ..�Z,,}}S ^Z-A+.iI:z ixryr1FnojxttMns(Circ leone)Tler: Add: fJtcr cR pru7 Dm:to it SQ" Ft_: T 5tnri_-s: v Unil: - — Estimated Value of Ptojcet•.{ APPLICANT: ©O NOT VVWE BE.UW TIRS UVE �4 ( A V1-10 jr- Aec u TRACMG PEIti►11T iaEFS f Plan Cha& submitted Iceer Amount 1 Iteci�r eerrections Called CaataerPersoo Pim Cbcck Deposit PU9 Check balance I Pleas picked up Coamvctian Plans resubmitted Mmimairnl ZL° Review, ready ror corredjoTwh- er Et=rricol ' Called C.omad Person Plumbing ?Inns pidted up S. M. ii Plans rem4+miated P.evim reedy for eorrecdousrayue { Cr3ding 4 Dr"doper Impact Fee Called Contact Ptrson —' A.EP.P. Da We. or FcrmiI issue S� I I � 1 k go RT CATS OF C®NISI, CE. RESIDENTjAj, .. age3 of4) CF IR Project Title r _ _ r• SEALED DUCTS and Dace A signed CF .4R Fon„ must S or Alternative Measures be �m aired. Provided to the building��dq"�Q for each home for which the following. are am O —tauer testi and ccutification and HERS s rCadily accCcs;ble (climate ZonCS 2 nstaller test- and and 8-15 only) rates field verification Refrigetgnt �trfi ... and HFJZS Rater field verification re uired uirc urge (climate yoneS y and 8-15 only) (Installer testin verification ' aired. OR g and Cefication and HERS Rater field Pro' I cli to Sealed Duc��,ndfiigemnt Pro'ect t rharg OR S in the RMA dut B Table 15 Vs ISee Packaag-1 DAlternativeAative package Features For additions and alterations, duct systems sealed as confirmed th that are not d rough field verification O°"mented to have Rest� Hall rAn�Manual and duct systems wid�i �m�ostiAnesting in accordance wim n 1»� �....,._ __ .. •�� "'Put and The .-'• """'.rat �rttciency and Stan --- r"' yr greater than 75 000 ni c Insulation (kitchen lines > renal ENiciencies. Y Loss. For in inchc_c 3/4 inches instantaneous gas water yr greater in diameter shall be the )All hot water Pipes from the bestir rurally insulated as specified b g source to the kitchen fuctun s He idential Cumpliancu Fonns Y Section 150 that are % (I) 2 A or 150 (j) 2.13 March 2005 A f, 1 ,CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -1R Documentation Author Telephone Compliance Method (Prescriptive) Climate Zone Date Building Pettnit # Plan Chock / Due Field Greek / Date Enforcement AgcncY Use Only ✓ O 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) fe Average Ceiling Height: ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 — (5% : CFA) _ fe Maximum Allowed Total Fenestration Products Per Table 151-B or 151-0 — (200/6 X CFA) ft d 13 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 odentation in degrees from True North and circle one). -, ❑ RUNT 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 Installed Yes or No Location/Comments (attic, garage, tyeical, etc. w __ _-r._ ry ee .:,.., ry 1 IV 1 r.A rV d .nh;.-h ic the hnQic fnr the 11 -factor criterion. U -factors can not exceed prescriptive value to show equivalence to R -values. Residential Compliance Forms March 2005 " r CERTXFICATE OF COWLIANCE: RESIDENTIAL (Page 4 of 4) CF -1R - Project Title Date t 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 :_eatures relevant to the prescriptive method. r ;i r ✓ Feature Required Forms if applicable) Description ❑ Metal Framed Walls CF -IR Refrigerant Charge ❑ Radiant Barriers CF- I R CF -611 pan 6 of 12 O Exterior Shades WS -4R ❑ Cool Roof WA; Attach CRRC Label to Forms. _ ❑ Dedicated Hydronic l icating 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 NI 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 Fors. 0 Central Water Heating System Performance Calculation and Serving Multiple Dwellings attach Run to Forms. ❑ Non-NAECA Large Water CF -IR Heater See Table 5-13 or use O Indirect Water Heater Performance Calculation and attach RVn 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 Fors ❑ I Wood Stove Boiler Performance Calculation and attach Run to Fors SPECIAL FEATURES REQUIRING HERS RATER VERNICATION (add cxOa sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need vrAficatian. ✓ lecature Required Forms dapplicable) Description ❑ Duct Scaling CF -6R part 4 of 12 ❑ Refrigerant Charge CF -6R part 5 of 12 ❑ Thermostatic gleansion Valve CF -611 pan 6 of 12 Residcntiil Compliance Fomes March 2005 0. r SSZR13bA �.OWR' S -HIW, INC. ` ELQ r 0208n , ^ PACE: 1 ,D&TE: 03/19/07 78-865 HIGHWAY 111 :. LA QUINTA' CA' ` -i" ORDERED =FOR: ROGER GAVIN f PIIONE: .('160)'171-S566' z ADDRESS: LA QUTNTA r LA QUI.NTA ! CA 92253 PHONE: (760)564-0514 Vk;NDUR- NAME: FOY, SCOTTY A CONTACT: - ADDRESS: ATT PHONE: (760)7'75-0911 F - TNUIO , * CA.92201: TAX:.. ('760)775-5222 PROJECT: 1917.65234 PERMIT FEE a LOWES !'U: 360'77522- LOWES TNVOICE: 79895 ASSOCIATE: ASHLEY ROBEY.; r RST DELIVERV: 03/20/07 -AR NUMBER: QTY 'ITEM ITEM DESCRIPTION BIN VEND_PART#; "s, COST EXT'C ST ----------------- ------------------------ -----------------------•- - ------------- ------ -------------- V 154374 PERMIT FEE FOR -- -- 22 . `.,0 22.50' � 0 1WATER HEAT 1. _'154374. PERMIT FEJT: FOR 1 WATER HEA 22.50 22 5.0 -. TER FREIGHT $ f0.00 �. r YI r TOTAL �$ 45.00 a .. `' • i . r t F. fcp - f-�CA_ t