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07-1335 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO, LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT - VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 •,� '. Date: 5/02/07 Application Number: 1.:N7-00001335 Owner: Property Address: 79798 OLYMPIA -FIELDS y . - ROLF DOERPER APN: 775-0.51-034- - - 79798 OLYMPIA FIELDS Application description: PLUMBING LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation:. 500 I a DContractor: Applicant: Architect or Engineer: FOY, SCOTT A. `w j 43579 MAIN STREET MAY 1 2UU7 ' INDIO, CA 92201 6 / (760)775-9405 Lic. No.: 828264 CITY OF LA QUINTA FINANCE r DEPT. _ LICENSED CONTRACTOR'S DECLARATION ------•--------— WORKER'S COMPENSATION DECLARATION ' I 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 lass: C36 Licen 828264 -- for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate: rector. "'� �( I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor i` Code, for the performance of the work for which this permit is issued. My workers' compensation OWNS-BUILDI: DECLARATION • I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the - insurance carrier and policy number are: - 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 3709 of the Labor Code, I sh orthwith comply with thos revisions. - that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by '• .1 i any applicant for a permit subjects the applicant to a civil penalty of not.more than five hundred dollars ($500).: ate: ,cant: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and < t ' the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPED ATION 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 thework himself or herself through his or her own employees, provided that the DOLLARS 1$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.). 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 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 fonh'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, (_) 1 am exempt under Sec. •, B.&P.C. for this reason _- the owner, and the applii:ant, 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 •Owner_ performed under or following issuance of this permit.. Date:. ~ - ,� 2. Any permitissuedas 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. - hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above. information is correct. I a comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building construction,an reby thorize r resentatives ' - - of this county to enter upon the above-mentioned property for inspecti o es. - Lender's Name: - _ � I - • Da ig a (Applicant or Agent): - Lender's Address: ' LQPERMIT Application Number 07,00001335 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 5.6.3 .00 .00 5.63 Grand Total' 28.13 .00 .. .00 28..13 LQPERMIT Dat :r Project Address:--�O'rict8 a.qq A. r. Nu,»ncr: ion: City (0i, La Quint2 Bui dfrrg gr Safety Dil WO)7 P-4. Box t 504, 78-495 Cafe Tarapnro 'L3 Quints, CA 92753 - (760) 777-701-9 Building Permit Application and Tracking Sheet gl end S €. Owner's None:. 1 T -Coe, rpe i j Add— � � �-�1 t3 o e y (n i City, ST. Zip- Ir t, v Contractor. �C:} / �'Telephoze PsojccrDarsiPtion: CihS•r, lip. Y V1L`�i 0a 2,Z C, Z aa _ Tcle , -7 (CC �'i-j_�� Q�, rs'sW* ,,: j �i_�;_ax`iR't�-.yi r`City Scott Lic. U : Q/?��s t0` Lic i Arch.. Engr.• Designer. - y AJC-- + Cite. S -r, Zip: State Liu. T: ;:� ° €ri; ; s Construction Type: ", M� OCcup3ncy: �>..: 3_tla-- tit=s y`,�•.a�! _ � Pf*Cl tvDc(circle ones Net: Add'n i0ter eR pair axto Malnc of Contact Perron: ��-' 1 r�p r Sq. Ft-: g 5tnriz-s: V Unit-: - Tclepllonc 4 of Conluet l'tatscm: �� 3 i Estimated liaioe q � ` ' e APPLICANT: DO NOT 1 MffE BELOW TMS EEE N Sulnnittat Req d Reed TRACiMG ` -'-----�--_�� m< PMIrr FEES I'Isa Sets 1� Plau Chock submitted Rmiesrell, ready for ecrrections Ire3r ? Plzo Check Deposit Amoune titraetontl S'nlc- —� T"L-9 Cal 5. Cabled Coataer*Persou Piste Check B0lrnce — Tide: 24 Qilea• 1 Vises picked up Coostrnetion Flood plain pttm PtDas re5ubu,illed Afecimalcal — Gneding plan :!d Review, reo8y for eorrettio-,t.-ilme l t:xtricd! Sullrentsetor List Called Contnet Person PlitmFur; Grave Deed Plans picked up— JJ.0 A. App ravel t Plans resobrnlsted G=d'utg IN 116USE-. + !� " peview, retsd,• for eorrecdnuslissue Developer Impact Fce Pinnolag Approssll Caned Contact Ptrson �' A3t.P.P. Pub- Wlrc. Ar pP �j IIale of permit. issue I! Schaal Pees r � I _ I I `i Tcta1 Permit F,• Y��'�y1a334 �- SEALED DUCTS and Ms (or Alternative Measures) A signed CF -4R Form must be provided to the building department for each home for which the following. are M.Auirrtl ❑ Alternative to Sealed Ducts and Refrigerant Charge rfXVO&VPacAlternative Package Features for Project Climate Zone in the RM Appendix B Table -C, Footnotes 7-14. OR For additions an�altcrat�ions ystems that are not documented to have been previouslq❑sealed as confird verification and diagnostic testing in accordance with prc�cedu thecsidACuct systems with more than 40 linear feet in unconditioned aces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D. WATER AF.ATtN(_ CVCTFMC Standby' Loss % 0 Scaled Duc ciiniate zones Installer testing and certification and HERS rater field verification r uir TXVs, readily accessm ate zones 2 and 8-15 only) Installer testing and certification ERS Rater field verificationrequired.) 0 Refrigerant Charge (climate zones 2 and 8- 1) (Installer testing and certificat d ITERS Rater field verification uired. AT ❑ Alternative to Sealed Ducts and Refrigerant Charge rfXVO&VPacAlternative Package Features for Project Climate Zone in the RM Appendix B Table -C, Footnotes 7-14. OR For additions an�altcrat�ions ystems that are not documented to have been previouslq❑sealed as confird verification and diagnostic testing in accordance with prc�cedu thecsidACuct systems with more than 40 linear feet in unconditioned aces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D. WATER AF.ATtN(_ CVCTFMC Rated Enc actor or Water Hea er istribution N (kw or Capacity Thermal Type tem Btuthr) Ions Efficiency Standby' Loss % ark External Insulation R -Value 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 recirculation system is Water Heater not allowed. O Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential Tank Capacity Manual. No water heating calculations are required,and the system complies automatically. Type/Fuel Type 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 tons submittal. ❑ Check box to verify that a time control is required for a recirculating system pump for a system serving multiple units cl Rated Enc actor or Water Hea er istribution N (kw or Capacity Thermal Type tem Btuthr) Ions Efficiency Standby' Loss % ark External Insulation R -Value Rated Energy Tank . Water Heater Distribution Number Input' p tkw or Tank Capacity Factor' oa External Thermal Standby' insulation Type/Fuel Type Type in System Btu/hr tons Efficiency Loss %o R Value E1Cts s cl Rated Enc actor or Water Hea er istribution N (kw or Capacity Thermal Type tem Btuthr) Ions Efficiency Standby' Loss % ark External Insulation R -Value I - Fnr amnll rine c►...,.... ....•e- L_-•-- 1-._ J . _ " •••r""' `• .vow u— — u4uai w ij,uuv anunr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input o_'greatcr than 75,000 Btulhr), 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 3/ inches or Venter in diameter shall be thermally insulated as specified. by Section 150 6) 2 A or 150 6) 2 B. Rcsicicnhal Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE RESIDENTIAL (Page I of 4) CF -IR Project Title Project Address Documentation Author Compliance Method (Prescriptive) Telephone Climate Zone Date Building Permit N Pian Check / Date Field Check / Date Enforcement Agency Use 0111y ✓ ❑ 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 151-0 Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) tie Average Ceiling Height: fl } Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C — (5% X #-FA) ft2 Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C — (20% X CFA) • g t ✓ O 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 orientation in degrees from True North and circle one). ✓ ❑ RADIANT BARRIER (required in climate zones 2.4,8-15) OPAQUE SURFACES INCLUDING OPAQUE DOORS onent Type (Wa--Frame Roof; Floor, Slab Edge, Doors) Type (Wood or Metal) Assembly U - factor (for Cavity Continuous wood, metal Ins Insulation frame and mass R -Value --R--Value assembli!sJ 1 Joint Rcof Radiant Appendix Barrier Locati omments IV Installed attic, garage, Reference ty2ical, etc. 1) See Joint Appendix IV in Section IV.2, IV.3 and IVA, which is the basis for the U-factorcritenon. U -tactors can not exceed prescriptive value to sh®w equivalence to R -values. Residential Compliance Forms March 2005 of 4) CF -IR Date pmjuut Titic Jsheets if ! SPECIAL FEATURES NOT REextra UIRING HES �' RIFICATION acat features relevant to the Indicate which special features are part of this project. The list below onlyrepresents spec.. '' rescn Live method- li 1.1e 1Descri tion Feature R wired Fotvns tf a ca ' ❑ Metal Framed W211S CF -1R ❑ Radiant Barriers CF -1R . Al i ❑ Exterior Shades WS -4R N/A; Attach CRRC Label to �( ❑ Cool Roof Forms. Dedicated Hydronic Heating Performance Calculation Attach Run to Forms - S stem R uired- Performance Calculation ❑ Combined Hydronic System Re uired; Attach Run to Forms. Performance Calculation ❑ Gas Cooling R uired. N/A; Indicate on buildin tans - ❑. Buried Ducts See Section 5.6.2 Distribution ❑ Kitchen Pipe Insulation S stems in Residential Manual - See Table 5-13 or use Multiple Water Heaters Per Performance Calculation and Dwelling Unit attach Run to Forms - Central Water [seating System Performance Calculation and E Servin Multi le Dwellin attach Run to Forms. Non-NAECA Large Water CF -1R Heater See Table 5-13 or use 1:1 Indirect Water Heater Performance Calculation and attach to Fomts See Table 5-13 or use Q Instantaneous Gas Water Heater performance Calculation and Run � See Table 5-13 or use ❑ Solar Water Heating System Performance Calculation and attach Run to Forms Performance Calculation and ❑ Wood Stove Boiler attach Run to Forms 0-017 d-11 FEATURES REOUMNG HER—S—"—_R VEIEti)F'ICC� SIU ro ect and need (add ex na sheets if Reese w indicate to the HERS Rater which credits are part p CF -6R part 4 of 12 CF -6R part 5 of 12 CF -6R part 6 of 12 Residential Compliance Forms