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06-1502 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: c6-00001502 Property Address: 53975 AVENIDA JUAREZ APN: 774-143-023-11 -000000- Application description: PLUMBING Property Zoning: COVE RESIDENTIAL Application valuation:" 500 her Applicant: Architect or Engineer: p1t) BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: ORTIZ JOSE H �---- 53975 AVENIDA JUAREZ D0 LA QUINTA, CA 92253 APR 1 g 2006 Contractor: C 43S S SCOTT pt•rr 43579 MAIN STREET FrAM---- 2NDIO, CA 92201 (760)775-9405 LiC. No.: 828264 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. LicenseClass* C36 LicenseNo.: 828264 Date: fCp ractor: WNER-BUILDER 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 1$500).: (_ 1 I, as uwitei of the property, or my employees with wages as their solo compensation, will do the work, and the structure isnot 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.). (_ 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 (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 , Date: 4/12/06 WORKER'S COMPENSATION DECLARATION I 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. 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 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 sn .ect to the workers' compensation provisions of Section 37 0 of the L bor Code, I s II forthw� h c mply with those provisions. Date• % pplican WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this coun y to enter upon the above-mentioned property for in ection rpo s. ature (Applicant or Agent): r Application Number 06-00001502 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 ig-era ra I - , WATER HEATER . CF1-R� APPROV zu . 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 j Bin l# . � 4 Permit N tg6 „ �SoZ Project Address: S� A. P. Number. Conttnctar. -Dc Address: .S ffh, City, ST, Zip. 7 Telephone:-7W_776 _Qq State l.ie._U : �a�` Arch., Ergr.. Designer: Address: City, ST, Zip: Telephone. State Lic. w: Name of Contact Person: Telephone x of Contort person: Sulantttat Plan Stu Strsetmi Colo. Truss Cats. Tide 24 tbtcs. Flood plain plan G Wing plan Sahcentactor List Grant Deed 11.0_4. Appmval IN HOUSE - k%noing Approval Pub. W ts. Appr Seboal Fees City of La Quints Btffft Bt Safety Division P.O Box 1504, 78-495 C211P Tampion U QtdM, CA 92253 - (760) 777-7012 Building Permit Application and Traddnz Sheer y Owner's Naim. ReedRChecksubmMed �v PERM FEES Addr� 3 r ata. sr. I eerrections /0 Proj=Dmattion: lizzoi Plas Check Balance CftyLic,4:SqM Contraction Plansresnbmitled Mcebaainl 2i° RtIiew, ready for eorrcetiorwi nre Construrtioa Type Occugurcy: Projcd tv.w (CkdO one), Nmv Add'n Alter epair Duro SQ. Ft.: T Stories:4 Unite Pia as picked up Estes Value of Ptd t APPUCMIT: DO NOT WRITE BELOW THIS LIVE ReedRChecksubmMed RACKING PERM FEES d Ise►,�oqnt eerrections Pian Cheek Deosit n Plas Check Balance Contraction Plansresnbmitled Mcebaainl 2i° RtIiew, ready for eorrcetiorwi nre Electrical Called Costae! Person Plumbing Pia as picked up s 31.1. Plans rewbmitted Gradin a.. Review. ready for eorr ecdans/issue Developer impact Fee Caged Contact Perron Date of permit issue Total Penni( Fees CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -1R ect Building Permit # Documentation Author Telephone I Plan Check / Date Field Check / Date Compliance Method (Prescriptive) Climate Zone Enforcement Agency Use Only ✓ ❑ 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) Average Ceiling Height: ft ' Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C — (5% X CFA) ft Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C ---- (20% X CFA) g ✓ ❑ Building Type: (check one or more) Single Family Multifamily Addition Alteration Of 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). ✓ 0 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) 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 Location/Comments Installed (attic, garage, Yes or No typical, etc. t) See joint Appendix IV in Section IV.2, IV.3 and IVA, which is the basis for the U -factor criterion. CJ -factors can not exceed prescriptive value to show equivalence to R -values. Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL -(Page 3 of 4) CF -1R Project Tie Date SEALED DUCTS and TXVs (or Alternative Measures) A signed CF -4R Form must be provided to the building department for each home for which the following. are rennirpA U Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification requited 0 TXVs, readily accessible (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verificationrequired.) 0 Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verification i q uired. OR Alternative to Sealed Ducts and Refrigerant Charge rMs (See Package D Alternative Package Features for Pro'ect Climate Zone in the RM Appendix B Table 151-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 spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D. WATER HF,ATYNC. 1.QVCT11 M4Z Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per dwelling unit. If thewater heater is a storage type, 50 gallons is the maximum capacity and recirculation system is not allowed. 0 Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential Manual. No water heating calculations are rNuked,and the system complies automatically - Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved 0 Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the submittal. 0 units �Check box to verify that a time control is required for a recirculating system pump for a system serving multiple Systems serving single dwelling units Rated Water Heater Distribution Number Input' Tank ypefFuel Type Type in Svstem a ./hA Capacity serving multiple dwellin units Rated Water Heater Distribution Number Input' Tank Tung T___ (kW or Capaci Energy Factor' or Thermal Efficiency Standby) Loss % Tank External Insulation R -Value Enemy Factor or Thermal Efficiency Standby' Loss % Tank External Insulation R -Value 1. For small gas storage water heaters (rated inputs of less than 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 greater 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 0) 2 A or 150 0) 2 B. Residential Compliance Forms March 2005 CERTIFICATE OF'COMPLIANCE: RESIDENTIAL (Page 4 of 4) CF -IR Project Title Date 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 features relevant to the nrescrintive method. ✓ Feature Required Forms if applicable) Description ❑ Metal Framed Walls CF -1R Refri erant Char a ❑ Radiant Barriers CF -1R CF -6R part 6 of 12 ❑ Exterior Shades WS -4R ❑ Cool Roof N/A; Attach CRRC Label to Forms. ❑ Dedicated Hydronic Heating Performance Calculation System R uired; Attach Run to Fomes. Performance Calculation ❑ Combined Hydronic System Required; Attach Run to Forms. ❑ Gas Cooling Performance Calculation Required. ❑ Buried Ducts N/A; 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 ❑ Performance Calculation and Dwelling Unit attach Run to Forms. ❑ Central Water Heating System Performance Calculation and Serving 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 attach Run 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 ❑ Wood Stove Boiler Performance Calculation and attach Run to Forms SPECIAL FEATURES REOUHUNG HERS RATER VERIFICATION (add extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verification. ✓ I Feature Required Forms if applicable) Description SealingCF-6R art 4 of 12 NODuct Refri erant Char a CF -6R art 5 of 12Thermostatic Expansion Valve CF -6R part 6 of 12 Residential Compliance Forms March 2005