06-2467 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00002467
Property. Address: 78390 CAMEO DUNES PL
APN: 643-181-016-14 -2043
Application description: PLUMBING
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 500
Applicant:
Titit 4 4 Q"
Architect or Engineer:
P 1
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 700011 of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: C36 cense No.: 828264
1
te: C ractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 1$5001.:
(_ 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.).
(_ I 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 ISec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
FENN DAVID L
78390 CAMEO DUNES PLACE
LA QUINTA, CA 92253
Contractor: D
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: 6/21/06
ct,
JUN 212006
CITY OF LA QUINTA
WORKER'S COMPENSATION DECLARATION
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.
�1 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 I should become subject to the workers' compensation provisions of Section
3700 of the bor Code, I tall forthwith comply 'th those provisions.
t8'S e / pplicant: .�.J /
WARNING: FAILURE TO SECURE WORKERS' COMPEN ATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001. 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 Ouinta, 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 to comply with all
city and county ordinances and state laws relating to building construction, and hereby a thorize representatives
of this county to enter upon the above-mentioned property for inspection.Rurpos�
(Applicant or Agent):
LQPERMIT
ation Number . . . . . 06-00002467
PLUMBING
onal. desc
Fee . . . . 22.50 Plan Check Fee 5.63
Date . . . . Valuation . . . . 0
.tion Date . . 12/18/06
y Unit Charge Per Extension
BASE FEE 15.00
0 7.5000 EA PLB WATER HEATER/VENT 7.50
-----------------------------------------------------------------
.1 Notes and Comments
HEATER CHANGE -OUT
.mmary Charged
----------- ----------
t Fee Total 22.50
Check Total 5.63
Total 28.13
Paid Credited Due
---------- ---------- ----------
.00 .00 22.50
.00 .00 5.63
.00 .00 28.13
JUN -20-2006 02:44 PM SCOTTY FOY PLUMBING 760 360 0479 P.03
-
?,
prof ct Title
project Address RuNing hwndi A
cbc
Documentation Author Telephone tin c 1 irate
Aidd (hack I We
Compliance Method (Prescriptive) Climate Zone Fi mnt,gorcy Uec only
✓ D Alternative Component Package Method: (deck one) C D ___D (Alternative)Package C and package D choieea require HERS rater field verification and/or diagnostic testing (see CF- 1 R page 3)
For Package D Alternative sea Appendix B Table 151-0 Footnotes 7-14
GENERAL YNFO TION
Total Conditioned Floor Area (CFA) Average Ceiling Height ft
Maximum Allowed West Facing Fenestration Pn xkcb Per Table 151-B or 151-0 — (5% X CFA) ftp
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C — (2096 X CFA) _ ft
✓ D Building Type: (c beck one or more)— Single Family Multifhmily Addition Alteration
Pf add' fenestration fill out WS-% Feneetrallon Maxieium Allowed Area Worlmheet and see Section 8.3,2
for A 24= and 8.3.3 for Alterations.)
Number of Stories: Number of Dwelling Units:
Floor Construction Type: SIablRsised Floor (circle one or both)
Front Orientation: North / South / Bast / West / All OrientWons (input flont orientation -in degrees from True
North and circle one).
. t, .
Component
Type (Wall.
Roof, Floor,
Slab Edge,
Doors
Fraise
Type Cavity
(Wood Insulation
or Metal) R Value
1
'
Continuous
Insulation
R Value
Assembly U -
factor (for
wood, metal
iiarne cad mass
usembliea)t
joint Roof Radiant
Appendix Barrier
IV Installed
Reference Yes or No
l oeagon/Co nmats
(attic, prage,
typical, etc.
1) See joint Appendix IV in Section IV.2, IV -3 and IVA, which is the basis for the U-fltetor criterion. U -factors can Trot
exceed prescriptive value to show equivalence to R -values.
Residential Compliance Forms March 2005
JUN -20-2006 02:44 PM SCOTTY FOY PLUMBING 760 360 0479 P.04
CERTIFICATE OF COWLIANCE: RESIDENTIAL (Palze 3 of 4) CF -1R .
91
SEALED DUCTS and Mg (21 Alftmaft Menow)
A signed CF -4R Foran must be provided td the building department for each home for which the following. are
V A%
C3 Alternative to Sealed Ducts
7-14.
Features
For additions and alterations, duct systems that are not dommemed to have been previously
❑ scaled as confirmed tgrough field verification and diagnostic testing in accordance with procedures in the
Residential ACM Manual and duct systems with more than 40 linear feat in unconditioned
sRaces shall meat the requirements of Section 1 SKmj and duct insulation remirements of Nckan D.
WATER TE
Check bout if system meets criteria of a "Standard" system Standard system is one gas-fired water heater per
13 dwelling 1miL 1f the water heater is a storage type, 50 geliove is the nlaxfmum capacity and recirculation system is
not allowed.
13
Chock box when using Preapproved Alternative Water Heating table, Table 5.4 in Chapter 5 in the Rasidentisl
I Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved
IE3
Altemative Water Heating table. 10 this case, the Performance Method must be used and must be included in the
submittal.
13 1 C�eck box to verify that a time control is regVired for a recirculating system pump fbr a system serving multiple
IRvft&rr warvtnn win !a Amd111tAn ....IM
Water Heater
nTwvul TvVe
-Distribution
Tvm
❑
Sealed Ducts all climate RLwjs Lwtaller Lmti.M end certification and HERS rater field verification wired.
❑
TXVs, readily accessible (climate zones 2 and 8.15 only)
(Installer teaft and certification and HERS hater field verificationrequired.)
❑
Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater Meld
vcriftcation uired.
V A%
C3 Alternative to Sealed Ducts
7-14.
Features
For additions and alterations, duct systems that are not dommemed to have been previously
❑ scaled as confirmed tgrough field verification and diagnostic testing in accordance with procedures in the
Residential ACM Manual and duct systems with more than 40 linear feat in unconditioned
sRaces shall meat the requirements of Section 1 SKmj and duct insulation remirements of Nckan D.
WATER TE
Check bout if system meets criteria of a "Standard" system Standard system is one gas-fired water heater per
13 dwelling 1miL 1f the water heater is a storage type, 50 geliove is the nlaxfmum capacity and recirculation system is
not allowed.
13
Chock box when using Preapproved Alternative Water Heating table, Table 5.4 in Chapter 5 in the Rasidentisl
I Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved
IE3
Altemative Water Heating table. 10 this case, the Performance Method must be used and must be included in the
submittal.
13 1 C�eck box to verify that a time control is regVired for a recirculating system pump fbr a system serving multiple
IRvft&rr warvtnn win !a Amd111tAn ....IM
Water Heater
nTwvul TvVe
-Distribution
Tvm
Rated
loputt
Number (War
in System Bw -
Tank
Capacity
tone
EMV
Fwtcle Or
Thermal
EfflOewy
Tank
External
Standby' Insulation
Lose N F. -Value
Tank
External
Insulation
R•Value
Water Heater
Type
Distribution Number
in System
I�tt
&War
Bailb-ft
Tank
Capacity
(20110afil.
Energy
Factor or
Thermal
Efficiency
Standby
Loss
Tank
External
Insulation
R•Value
_.. u-,• •.•••••s•• •,••••a .—w p %4a u u,r"la vs Agog Qlan or aquew W /79VVV VEWnr), electric resistance, and heat
pump water heaters, list Energy Factor, For large gas storage water beaters (rated input of greater than 75,000
Btighr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby ions. For instantaneous gas water
heaters, list Rated Input and Thermal Efficiencies,
Pipe jap lu orlon (kitchen lines >_ 3/4 inches) All hot water pipes from the heating source to the kitchen futures that aro Y4
inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 0) 2 B.
Residential Compliance Forms March 2005
'I'IFICATE Off' COMPLIANCE: RESIDENTL L P e 4 of
2q (-I An.n nn r W\0 "S
CF -IR
$PRO& FEATURE MRIOUIR�]s� RfiE YRill}'YC'ATION (add eatM Miners if neoessaty)
Indicate which special features aro part of thio Pwimt. The list below only tepreaMts tectal feats relevant to the
S0'd
SPED L• EUM=- Q G M B =ATIQN
(add oft beets if ) Indicate to the BM Raton which credits are Part of this project and Woad
vorifrcation.
✓I Feature aired Eams V a Ilcable J>excripoon
❑I Duct Seals CF -61Z W 4 of 12
❑ R.efri nt CF -6R pad 5 of 12
D 1 Thermostatic Expansion Volvo CF -6R. p4q 6 of 12
6Lb0 09� 09L ON I awn.id AOA A1100S " 'E :£e 900Z-0Z-Nnr
five marline.
Feature
aired Forms a llcable
D tloA
❑ 1
Metal Framed Walls
CF -1R
❑
Radiant Barriers
CF -IR
❑
Exterior Sbades
WS -4R
NIA; Attach CRRC Label to
❑
Cool Roof
Forrrrs,
Dedicated Hydropic heating
Perib maiwe Calculation
❑
g ernfired•
Attach Run to Forma.
Pecibraanee Calculation
Cl
Combined Hydronic System
Attach Run to Forms.
Performance Calculation
❑
Gas Coolies
=rsrea.
Buried Ducts
NI • Indicate an building planx
❑
Kitchen Pipe Insulation
See Section 5.6.2 Distribution
Srag in Residential Manual.
Multiple Wow Heaters Per
oru use
See 13ormimce
❑
Dwell!"Unit
and
attach Run to Forms.
❑
Central Water Heating System
Performance Calculation and
SeMnit Multi le D"Uhm
attach Run tq Forms
❑
Non-NAECA Large Water
CF -1R
Heater
Soo Table 5-13 or use
d
Indirect Water !'luster
Performance Calculation and
attach jtg to Fonns
See Table 5-13 or use
D
instantaneous Cies Wates Heater
Performance Calculation and
attach Run to forms
Sea Table 5-13 or use
❑
Solar water Heating System
Performance Calanlation and
attach Rim to Fomes
13
Wood Stove boiler
PerfbTnaace Calculation and
attach Run to Forms
S0'd
SPED L• EUM=- Q G M B =ATIQN
(add oft beets if ) Indicate to the BM Raton which credits are Part of this project and Woad
vorifrcation.
✓I Feature aired Eams V a Ilcable J>excripoon
❑I Duct Seals CF -61Z W 4 of 12
❑ R.efri nt CF -6R pad 5 of 12
D 1 Thermostatic Expansion Volvo CF -6R. p4q 6 of 12
6Lb0 09� 09L ON I awn.id AOA A1100S " 'E :£e 900Z-0Z-Nnr
JUN-20�-2006 02:43 PM SCOTTY FOY PLUMBING
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