06-1507 (PLBG)T,
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00001507
Property Address:
79065 OCOTILLO DR
.APN:
604-264-003-65 -23913 -
Application description:
PLUMBING
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
500
Applicant:
Architect or Engineer:
a I p'
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
RICHARD LOVING
�79065 OCOTILO DRIVE
LtiSQUINTA, CA 92253
rPR
V f'�
e
M6JOT,
contractor:
SCOTT A.
43°579 MAIN STREET
INDIO, CA 92201
(760)775-9405
Lic. No.: 828264
VOICE (760) 777-7012 -
. FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/12/06
------7------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
1 hereby affirm.under penalty of perjury that I am licensed under provisions of.Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Cla C36 yee a No.: 828264
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
C
issued.
ate ontractor:
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
O -/BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the,
Carrier STATE FUND Policy Number 1576840
following reason ISec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
_
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code, I shall forthwj omply with those provisions.
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).:
4'Dat
_
aG Applicant:
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
WARNING: FAILURE TO SECURE WORKERS' PENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
• and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale.. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
' 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.).
APPLICANT ACKNOWLEDGEMENT
(_ ) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and d Safety for a permit subject to the
7Q44, Business and Professions Code: The OnnTrartnrs' State Lirense, Law dnas not annly to an owner of
conditions and restrirtinns set forth on this annliration,
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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
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 to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of thi ounty t enter uponthe above-mentioned property for inspectioryp ses.
4te: ignature (Applicant or Agentl:
Application Number . . . . . 06-00001507
Permit . . . PLUMBING
Additional desc .
Permit Fee. 22.50
Plan Check
Fee
5.63•
Issue Date
Valuation
0
Expiration Date 10/09/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 7.5000 EA PLB WATER
----------------------------------------------------------------------------
HEATER/VENT
7.50
Special Notes and Comments
REMOVE & REPLACE NATURAL GAS WATER
HEATER.CF1-R APPROVED.
Fee summary Charged Paid
Credited
Due
--- ------ ----------
Permit Fee 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
i Bin #
Permit N
B(o • l 50 �%
Project Addww:'79
A. P. Ntnttbcr.
Legal Description:
e�
C'.onlmcu,r. --DC
Address:
city, ST.
Telephone: 77
Slate l.;c. 9:
Arch.. Ergr., Designer:
Address:
C;ty, ST, zip:
1. Telephone
State Lic
Nanro of contact Person:
Teicrhonc t; orcontuct Person:
Stdmdtm!
Pima Sets
Stra tural Cahn.
Tow Calm.
Title 24 talcs.
Flood plain Plan
Grading plan
Sukvittactor Llst
Gnnt Deed
1l.O_4.Approva!
IN HOUSE:-
Annning Approval
Poly. Wits. Appr
School Fees
City of 12 Questa
BlnM tg ac Safety Division
P -O. Box 1504, 781495 Ca11e Tampiav
La Wnta, CA 92M - (760) 777-7012
Building Pemit Application and iraeft Sheet
. 11 r ! Owner's N Cn Lv. vrl%" cn, t�nn
City, ST, 7* ta
Teltphoae3
ProjectDeseriplion:
'1zz'C'A
Lie. 4:
Cion TyPG Occufrwcy:
1frqjxttvpe(ckdeone).- New Add'n Aber epair Dmo
SQ. FL: I Stories:. 4 (mit-.
Fstnnated Baine of Pm'tin
APPLICANT: DO NOT VMTE BELOW MS L.giE
Reed TRAC MG istDitrrr lets rc
Plan Cheek submitted
Item
xmotmr
reidp for moons
Plan Cheek Deposit
Called Cbataetft=ff
Plan Chuck Balance,
p1sas pleked up
Construction
Pians resubmitted
Ititx6�lral
"° R�esiew, rmdy for emreetiorutisstte
Eteetrrtal
Called Contact Person
numbing
Plans picked up
5MMJ.-
Plast remfabled
Gradhig
Bevicw. ready for eorrecdrmsrrssne
Devetsiper Impact Fee
Called Coma Rin
Date of permit issue
t
tal
rermit Pees
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page i of 4) CF -1R
Project Title .
Project Address
t
Documentation Author
Telephone
Compliance Method (Prescriptive) Climate Zone
Dale
Building Permit #
Plan Check / Date
Field Check / Date
Enforcement Agency Use Only
✓ 17 Alternative Component Package Method: (check one) C D D (Alternative)
Package C and Package D choices require HERS rater field verification and/or diagno;-.Uc testing (see CF -IR page 3)
For Package D Alternative see Appendix B Table 151-0 Footnotes 7-14
GENERAL INFORMATION ;
Total Conditioned Floor Area (CFA) ft Average Ceiling Height: R
Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 — (5% X CFA) fte�
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-0 — (20% X CFA) g ' .
✓ ❑ Building Type: (check one or more) Single Family Multifamily Addition , Alteration
(lf adding fenestration fill out WSAR, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2
ffor 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).
✓ ❑ 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 fiame and mass
R -Value R -Value assemblies
Joint
Appendix
IV
Reference
Roof Radiant
Barrier Location/Comments
Installed (attic, garage,
Yes or No ical etc.
r
i/ our jumt r%ppenutx i v to aecnon i v.L, 1 V.3 ana rv.4, wntcn is the basis for Lite U -Tactor anterlon. U -tactors can not
exceed prescriptive value to show equivalence to R -values.
0
Residential Compliance Forms
March 2005
a
CERTIFICATE OF COMPLIANCE: RESIDENTIAL .(Page 3 oF4) CF -IR
Date
SEALED DUCTS and TXVs (or Alternative Measures)
A signed CF -411 Form must be provided to the building department for each home for which the following. are
required.
vie •
Alternative to Sealed Ducts and Refrigerant Charge fMs (See Package D Alternative Package Features for
Project Climate Zone in the RM Appendix B Table 15I -C, Footnotes 7-14
OR
For additions and alterations, duct systems that are not documented to have been previously
0 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
aces shall meet the requirements of Section 15OCm) and duct insulation requirements of Package D.
TV JUIJM aL' H 1111 %ff a X a JL imu
Distribution Number
T e System
O
Sealed Ducts all •climate zones Installer testing and certification and HERS rater field verification required.)
D
TXVs, readily accessible (climate zones 2 and 8-15 only)
nstaller testing and certification and HERS Rater field verification uired.
0Refrigerant
Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verification i o uired.
AT
vie •
Alternative to Sealed Ducts and Refrigerant Charge fMs (See Package D Alternative Package Features for
Project Climate Zone in the RM Appendix B Table 15I -C, Footnotes 7-14
OR
For additions and alterations, duct systems that are not documented to have been previously
0 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
aces shall meet the requirements of Section 15OCm) and duct insulation requirements of Package D.
TV JUIJM aL' H 1111 %ff a X a JL imu
Water Heater
T e/Fuel T e
Distribution Number
T e System
Rated
(kWInput'o
(kWor
X.heck box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per
Energy
Factor' or
Thermal
Efficiency
dwelling unit. If the water heater is a storage type, 50 gallons is the •maximum capacity and mcirculation system is
not allowed.
O
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.
0
Check box to verify that a time control is reggired for a recirculating system pump fora system serving multiple
units \\
Water Heater
T e/Fuel T e
Distribution Number
T e System
Rated
(kWInput'o
(kWor
Tank
Capacity,j&J_AgWlon
Energy
Factor' or
Thermal
Efficiency
Tank
External
Standby' Insulation
,id
7-
13
Cvc*rm =
_Not--
Water Heater
T e
Distribution
T e
Rated
Number Input
(kW or
in S stem titu/hr
Energy
Tank Factor or
Capacity Thermal
Ions Efficiency
Standby'
Loss %
Tank
External
Insulation
R -Value
1 _ Fnr cmall .Mc
�•�•�s_ ..a." k1aLeu mpurs or less man or equal to 75,000 Btu/hr), electric resistance, and heat
pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of grater 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 1/4
inches or greater in diameter shall be thermally insulated as specified by Section 150 6) 2 A or 150 (j) 2 B.
Residential Compliance Forms March 2005
CERTIFICATE OF CONWLIANCE: RESIDENTIAL (Page 4 of 4) CF -IR,
Project Title Date
SPECIAL FEATURES NOT REOUIRING ITERS VERIFICATION (add ex= sheets if necessary)
Indicate which special features are part of this project. The list below only represents special features relevant to the
✓
Feature
Required Forms if applicable)
Description
❑
Metal Framed Walls
CF -1R
Refrigerant Charge
❑
Radiant Barriers
CF -1R
CF -6R part 6 of 12
❑
Exterior Shades
WS -411
N/A; Attach CRRC Label to
❑
Cool Roof
Forms.
Dedicated Hydronic Heating
Performance Calculation
0
system
Required; Attach Run to Forms.
Performance Calculation
❑
Combined Hydronic System
Required; Attach Run to Fomes.
Performance Calculation
❑
Gas Cooling
Required.
❑
Buried Ducts
N/A; Indicate on building plans.
❑
Kitchen Pipe Insulation
See Section 5.6.2 Distribution
Systems in Residential Manual.
Water Heaters Per
See Table 5-13 or use
Performance Calculation and
Dwelling Unit
attach Run to Forms.
rEO3Multiple
Central Water Heating System
Performance Calculation and
Servin Multi le Dwellin
attach Run to Forms.
Non-NAECA Large Water
CF -1R .
Heater
See Table 5-13 or use
❑
Indirect Water Heater
Performance Calculation and
attach Ryun 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
101
Wood Stove Boiler
Performance Calculation and
attach Run to Forms
_SPECIAL FEATURES REOUIRING HERS RATER VERIFICATION
(add eii k sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need
verification_
✓
Feature
Required Forms if applicable) Description
❑
Duct Sealing
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