07-1337 (PLBG)% „� ter• � - ' - .
P.O. BOX 1504
.78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 ,
Application Number: 07-00001337 "1
Property Address: 78447 CALLE -ORENSE
'APN: 646-192-013- - -
Application description: PLUMBING
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: ' Soo
Architect or Engineer:
PIR
•.4
���
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
DEBBIE BERRY
78447 CALLE'ORENSE
LA QUINTA, CA 92253
• 11 U If—
Contractor:
FOY, SCOTT. A.
43579 MAIN STR
INDIO, CA 9220
(760)775-9405
Lic. No.: 8282
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/02/07
MAY 16 2001'
CITY OF L/►
' LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
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 las : C 6 License o.: 828264
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
ntractor: - _
issued.
I have and will maintain workers' compensation insurance, as required by Sect' n 3700 of the Labor `
Code, for the performance of the work for which this per is issued. My workers' compensation
OW R-BUILDE/RCLA RATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from tractor's State License Law forthe
Carrier ENDR INS Policy Number WEN000882301
following reason (Sec. 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 _
700 of the Labor Code, I shall forth ith comply it -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).:
m
�IAIE
(_ 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
WARNINURE WORKERS' CO ENSATI 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 ($100,000). 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.). _
I APPLICANT ACKNOWLEDGEMENT
I, 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 Safety for a permit subject to the
7044, Business and Professions Code: 'The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
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,
' (_) 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
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.
_
Date: Owner: -
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
CONSTRUCTION LENDING AGENCY
permit to cancellation.
- 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.).
I certify that I have read this application and state that the above information is correct. I agreeto comply with all
city and county ordinances and state laws relating to building construction, and hereby author ie representatives
'
of this county ente pon the above-mentioned property for inspection ur ses.
Lender's Name:
'
..
ate• nature (Applicant or Agent):
Lender's Address: � �
-
+
LQPERMIT -
Application Number . . . 07-00001337
Permit PLUMBING
Additional desc
Permit.Fee 22.50
Plan Check
Fee
5.63 -
Issue Date . . . .
Valuation
. . .
.
0
Expiration Date .. 10/29/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.,00 7.5000 EA PLB WATER
HEATER/VENT
7.50
---------.. -
Special Notes and Comments
INSTALL 40 GALLON GAS WATER HEATER
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 . ,.
-. ..
Purim P
a<
Projeei A ddress:
A. P. Mob=
Legal Description:
Conunc . �Cn 1r:
Akl�lrGcs: ��� J � r its
! TClcphonc:-7�j_�7�_��
5StoicI.ic. U .
Artyt.. Engr.. Designer.
i Address:
City, 5r. "Lip:
Telcphone:
Stale Lic. :
tJzntc of Contact Prnon:
"1•k:lelti1enc# nfConntct tperson-
Req•k
H Sutnalttal
1'120 Sets
Mradurdl .sols_
Tni 3 Cntcs.
ZitIr.2J C�stcs.
flood plain pirm
Gniaing plan
S01trentaetor List
Grant Ueed
Il.l) A. rt pproval
IN HOUSEc-
Yinnning Approtmi
Pule. Witc Appr
School Fus l
I
i
}Poi �Dy&3
Cit Of La QuintA
Burildlw ar Safety Dict an
P_O. Box 1504, 78-495 C211e Tampico
La QuinPa, C. 92ZS3 - (e 60) 777-7012
Building Permit Application and Trc eking Sheet
�xlle�OYe n 4 owner's Nalne:.
i
Adds716441 We r e.
�-V a Telephoce:
n -6r:ez) ProjeaMscription:
o.,QjcLA g r in o.i er >t' ,n v►man
..�rc••�;
t
City Lic. x:5'1" I rr
F- 4
Carutruc2innT',�C,'F
s Y "ter OccuPartcy'
�--N
Frojxttwa(circleom), Ne.: Add'a FiltereR Pwr-) Deno
Sq. FL: T Sta-ies: N Unit
IEstimated Value of Projt 5W t
APPLICANT: DO NOT YMTE BELOW TIRS A.P3';3E
a
Recd
Plan Check swomitted
Itzm
Amount
ltmietrl, ready foreerrectioas
Pin Check Deposit
Called Coat=Person
Parr C6cck Salancc
PI&as pkk¢d up
C3nstractian
Plans resubmitted
� Kedwaiul
►�
t 2' Review, ready for correctionslime
d =tric0l
Colied C'ownel Person
P"mmbinx
Finns pidred oP
ij Plans rtsv4+mleted
" Ceding
ReVien•, ready for eorruda0sla9ue
Developer lminci Fee
Called CoriFact Person
ALY.P.P.
1
IIaWofpermit issuc
G
'total Perrnil Fvice
CERZ'iFIICATE OF COMWLIANE. .
RESIDENTi&,
�1eet Title
age 3 Of-4—)--CF-IR
SEALED DU and Date
A signed CF -0R Fonn enact be S or A1terIIa'VC M�sua es
unw. Pluvided to the building dant for each home for whidr the followin
g are
t XW —_ -�.. mSu nines installer testi
p s, readily accessible (climate and certification and
nstaller testin , zones 2 and & 15 only) rater field verification uitetl.
Retri and tr6eation and HERS Rater field vcxification
O Sunt Grarge (climate zones 2 uircd.
verification ' wired, and &15 only) (1n§taller testing
OR g and certification andHERS Rater field
p Altemative to Sealed Ducts and Ref" _
Pro�ect Cli`naW,1,1&,nc
in the RM gecant Marge /IxVs (See Pae '
OR dix B Table 151-0 Footnotes 7-14.
Alternative Pac
lEage Features for
For additions and alta-ations duct S s
sealed as confirmed through Y iems that are not documented to have bean
Residential ACM field verification and di Previously
Manual and duct systems with Bostic ting in accordance with
s i:es shall meet the uuements of 'nOro than 401inear f Procedures in the
WATER HEATING Section 15 m and duct insulati n m wiconditioned
r SYSTEMS uiiements of PaCka a D.
Check box ifsystem meets criteria of a I Stan
p dwelling unit If the water heater is a storage type, system-0Standard
not allowed. system is one gas.fimd water heater per
Check box when gallons is the maximum capacity and recirculation
L3 using PreaPPr'oved Alternative
Manual. No water heatin Water H system is
Check box ifsystem docs no l�fions ane eating fable, Table 5-4 in Chap
O Alternative Water Hea u and the s stem co tics auto 5 the Rcsidaniial
su table. criteria of Standard" systems andel
bmitta1. this case, We Pedonnance Method�obe used with the Prea
O Chock box to vel sed send muss be ' PProved
units �' ural a time control is included in the
S stems servin required for a recirculating system
sin a dwellinunits Pump for a system, serving multiple
Water Heater Rated Ene
Distributionmy
e/Fuel T I '
Number nputTank Factor or Tank
T - in S stem g Cal�city Thermal S3aridb External
loan E�rcian �ss �Y Insulation
2-- Loss ° R -Value
units
Water HeaterRated En"
Trmy
Distribution Number Input' Tank Factor or Tank
T
V in S stem Bir Capacity herrn I Standby' In t a on
z
Loz % R -Value
�• unau gas storage water tea
Pump water healers, list Fyn tars (rates inputs of limos than or
BaVhr), Iiat Rated In u � Factor. For lar a e9ual to 75,0 Btu/hr
heaters P t. Recove g tis storage water heaters )'electric rp-sistance, and heat
.list Rated to Input rY Efficiency, Thermal E$icienc (rated input of greater Phan 75,000
!fie Ihsulation P and Thermal Efficiencies. Y and Standby j oma• For instantaneous
tneh-S (kitchen Iines 3/4 inches) Atl hot water ' i gas water
yr greater in diameter sha11 be inches)
insulated P Pes from the head
I;ridential as specified b ng source to the kitchen fixtures that arse 3j
Grrtiplianctr Formslly Y Section 150 (j) 2 A or 1500)213.
March 2005
CERTIFICATE OF COWLUNCE: RESIDENTIAL (Page I of 4) C&IR
Project Title Date
Project Address Building Permit H
Plan Check / Date
Documentation Author Telephone
Field Check / Datc
Compliance Method (Prescriptive) Climate Zone Enforcctnent Agency Use Only
V" 0 Altemativc'Component Package Method: (check one) C D_ ---- E, (Alternative)
• Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -1R 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: 11
Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C (5% X CFA)
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C —' (200/oXCFA) —ft
0 Building Type: (check one or more)— Single Family— Multifamily_ Addition Alteration.
(if adding fenestration fill out WS -4R, Fenestration Maximum Allowed Area Work3heet 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 orientation in degrees from True
North and circle one).
v'L] RADIANT BARRIER (required in climate zones 2.4,8-15)
OPAQUE SURFACES INCLUDING OPAQUE DOORS
Component
Typr� (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)
Joint
Appendix
IV
Reference
Roof Radiant
. Barrier
Installed
Yes or No
Location/Comments
(attic, garage,
!Yxical' etc.)
o- Y---. A
L
1%7: C!--&:-- xll) 11.11 —A TU A —h;rh;a the hneie fhr thp. I I-fAr-mr criterion. U-factors.can
not
exceed prescriptive value- to show equivalence to R -values.
R6idential Compliance Forms
t fi CERTIFICATE OF � COIV WLIANCE: RESIDENTIAL (Page 4 of 4) CF -1R
t' Project Title Date
SPECIAL FEATURES NOT REOUHUNG HERS VERIFICATION (add extra sheets if necessary)
Indicate which special features are part of this project. The list below only represents special features relevant to the
Prescriptive method_
3
�l
✓
Feature
Required Forays if applicable)
Description
❑
Metal Framed Walls
CF -IR
Rcfri *erant Charge
❑
Radiant Barriers
CF -IR
CF -6R part 6 of 12
O
Exterior Shades
WS4R
❑
C401 Reof
N/A; Attach CRRC Label to
Forms.
_
❑
Dedicated Hydronic Heating
Performance Calculation
System
Required; Attach Run to Forms.
11
Combined Hydronic System
Performance Calculation
Required, Attach Run to Forms.
❑
Gas Cooling
Performance Calculation
R uired.
❑
Buried Ducts
N/A; Indicate on building plans.
❑
Kitchen Pipe Insulation
See Section 5.6.2 Distnbution
i
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
Sem!!& Multiple Dwellings
attach Run to Forms.
❑
Non-NAECA Large Water
CF -1R
Heater
See Table 5-13 or use
❑
Indirect Water Heater
Performance Calculation and
attachFw 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
❑
Wood Stove Boiler
Performance Calculation and
attach Run to Forms
SPECIAL_ FEATURES REOUIRING HERS RATER VERIFICATION
(add cx,i a sheets if necessary) Indicate to the HERS Rater which credits are part of thisproject and need
vcriFratinn '
•r
Feature
Required Forms if applicable) Description
❑
Duct Scaling
CF -6R part 4 of 12
❑
Rcfri *erant Charge
CF -6R part 5 of 12
❑
Thermostatic Expansion Valve
CF -6R part 6 of 12
Residential Compliance Forms
March 2005