06-1501 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00001501
Property Address: 53576 AVENIDA NAVARRO
APN: 774-135-024-22 -000000-
Application description: PLUMBING
Property Zoning: COVE RESIDENTIAL
Appllcadun vaivaunn! 5uU
Applicant: Architect or Engin
PC -
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 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
LicenseCas. C36 Li o.: 828264
Dat Contractor:
OW - UILDER 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 ($500).:
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.).
(_ 1 1, 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.).
(_ ) 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: q
(�.
Lender's Address: /�
LQPERMIT
Owner:
TOM HINRICHS
53576 AVENIDA NAVARRO
LA QUINTA, CA 92253
Contractor:
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: 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 subject to the workers' compensation provisions of Section
3700 of the Labor Code, I sh II forth comply with those provisions.
�at pplicant:IN FAILURE TO SECURE WORK COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 count to enter uponeabove-mentioned property for inspection purposete ignature (Applicant or Agent):
Application Number . . 06-000-01501
Permit PLUMBING
Additional desc .
P.ermit.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(,CommentG
-----------------------
REMOVE & REPLACE EnC62: T144 C_'; WATER
" HEATER . CF1-R APPRGvr;L-----t
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
Permit N
ProjectAddress: S•3s--7(,(
XP. Number.
Legal Description:
Contractor.
Address :_ ,S -r? C1 ".
City, ST, 'Lip. C
Telephone: -7W_-77K_Oq L
State Lie. tr :'� (0 Ll
Arc t., Ergr., Designer:
Address:
City_ ST, Zip:
Telephone.
State Lic. R:
Nati; of Contact Person:
Telephone 4 of Conloct Person:
Sulanittal
Plan Sets
Straetarai CateF.
Truss Cala.
True 24 ChIcs.
Flood plain plan
Gintding plan
Suleeontactor List
Grant Deed
11.04. Approval
1N HOUSE-
Agnalag approval
l Pub. Wks. Appr
School Fees
City of La Quanta.
Wlding at Safety Division
P.O. Box 1504, 78-495 Calletampio)
La Quints, CA 92753 - (760) 777-7012
Building >?ermit Appiication and Trackinz Sheet
Sq. Ft.: Stories: 4 Unit,-:
Estimated Value of Proj t �
APPLICANT: nn uinT wQrrc ao nse. � - . —
Reed
Owner's Name..
Plan Check submitted
A&ntsss: S3 S% ,
Y arc)
City, ST, Zip:
C,
�O
Telephone:
-
n
Project Description:
a
k A3cAA r
.r r.
City Lic. 4:
Plans resubmitted
Mechanical,
2nd Review, ready for correetiorswisstre
Electrical
y c u
Cousttvtxion Type:
Project tvoe (circle one): Nerr
Occupancy:
Ad din Atter
Sq. Ft.: Stories: 4 Unit,-:
Estimated Value of Proj t �
APPLICANT: nn uinT wQrrc ao nse. � - . —
Reed
TRAOMG PERMIT FEES
Plan Check submitted
Item
Amount
Rnic-A, ready for corrections
Pian Checic:®eposit
Called ContacrPerson
Plan Check solaftm
Plans picked up
Construction
Plans resubmitted
Mechanical,
2nd Review, ready for correetiorswisstre
Electrical
Called Contact Person
Pl�
Pians picked up
S M.1.
Plans resubmitted
Grath
Review, ready for wrreedonsJissae
Developer Impact Fee
Called Coo a Person
tP.P.
A.L
Date of permit issue
Total Permit Fees
f-V1n`1rYU71--' A 9P16- d -%V d -d-% "T Y A XTI-V. "10401"16-W"I'1 A T
' - ZVaw Va V Va•ww wI � Vw�• WMwwi iia \ a aaL%
wilie
1-111/rrJ4'Cta,IllG-�
)'
Project Address , _ I Building Per d' # I
Documentation Author Telephone ,
PIa:. check / Dat
Field Check /Date -
Compliance Method (Prescriptive) Climate.Zone - Enforcement Agency Use only
✓ C7. 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) ft2 Average Ceiling Height: ft
Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C -- (5% X CFA; f
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C ---- (20% X CFA) - f
✓ Building Type: (check one or more) Single Family Multifamily Addition Alteration
(If adding fenestration fill out WSAR, Fenestration Maximum Allowed Area Worksheet and see Section 8S2
for Additions and 8.3.3 for Alterations.)
Number of Stories: Number of Dwelling Units:
Floor Construction Type: Stab/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).
✓ d RADIANT BARRIER (recuired 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 frame and mass
R -Value ' R -Value assemblies t
Joint
Appendix
IV
Reference
,
Roof Radiant
Barrier Location/Comments
InstatL-d (attic, garage,
Yes or No ical etc.
i) see roim Appenalx iv in section iv.L, rv.s ana iv.4, wtireh is the basis for the U -factor criterion. U -tactors can not
exceed prescriptive value to show equivalence to R -values.
r
Residential Compliance Forms
r J�
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Pap 2 of 4). CF -1R
Project the Date
FENESTRATION PRODUCT_ R-FAUOR AND SHGC
✓ ❑ FENESTRATION. MAXIMUM ALLOWED AREA WORKSHEET WS -411 —must be included for New Construction,
Additions and Alterations.
Fenestration
#/Type/Pos.
(Front, Leta,
Rear, Right,
SkyligUt
Orien-
talion, Area
N S'E W' fl
U -factor
U -factor' Source'
Exterior
Shading/OverhangsQ'
SHGC ✓ box if WS -3R is
SHGCa Sources included
Configuration
{it or packW)
❑
i ❑
1) JKyltgnts are now included to west -racing tenestration area if the skylights are tilted to the west or tilted in any direction
when the pitch is less than 1:12. See §151(f)3C and in Section 3.2.3 of the Residential Manual
2) Enter values in this column are either NFRC Rated value or from Standards default Table 116A.
3) indicate source either from NFRC or Table I I6A,
4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC fbDm WS -3R -
5)
S -3R5) Indicate source either from NFRC or Table I I6B.
6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading devices.
7) See Section 3.2.4 in the Residential Manual.
- HVAC SYSTEMS
Heating Equipment.
Type and Capacity
fumace heat pump, boiler, etc.
Minimum
Efficiency
AFUE or HSP
Distribution
Type and Location Duct or Piping
duds attic etc. R -Value
Thermostat
Type
Configuration
{it or packW)
Cooling Equipment
Type and Capacity
(A/C, heat coolin
Minimum
Efficiency. Duct Location Duct Thermostat A Configuration
SEER or BER attic etc. R -Value Type i lit or e
r
Residential Compliance Forms March 2005
0%,
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page -3 of 4) CF -IR
Project Title Date
SEALED DUCTS and TXVs for Alternative Measured
A signed CF4R Form must be provided t6 the building department for each home for which the following. are
required.
OR
L❑ I Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Project 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
❑ 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 ERviTments of Section 150(m) and duct insulation requirements of Package D.
1 WATER TTVATTNr_ CVCTF.MC' I
Distribution
T e
❑
Sealed Ducts all climate zones Installer testing and certification and HERS rater field verificationrequired.)
❑
TXVs, readily accessible (climate zones 2 and 8-15 only)
staller testing and certification and HERS Rater field verificationrequired.)
❑
Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verification required.) uired
OR
L❑ I Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Project 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
❑ 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 ERviTments of Section 150(m) and duct insulation requirements of Package D.
1 WATER TTVATTNr_ CVCTF.MC' I
bvstems servine sinele dwettine units
'
Distribution
T e
Number
in $ stem
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per
Energy
dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is
Tank
not allowed.
❑
Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential
nnp t
Input'
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
[3
Alternative Water Heating -table. In this case, the Performance Method must be used and must be included in the
Number(kWCapacity
submittal.
❑
Check box to verify that a time control is required for a recirculating system pump for a system serving multiple
Insulation
units
bvstems servine sinele dwettine units
'
Distribution
T e
Number
in $ stem
I
Energy
EnergyLSt:andby
Factor orExternal
'Thermal
Efficiene
Tank
" 1
i.
nnp t
Input'
TankFactor or
External
,. Water Heater=-
Distribution
Number(kWCapacity
or
Thermal
Standby
Insulation
/Fuel T
T e
in S stem
Bw/hr
tons Efficienc
Loss %
-slue
bvstem servinsr muinnie aweittnLr units
Water Heater
T
Distribution
T e
Number
in $ stem
Input
(kW or
Bw&r
Tank
Capacity
tons
EnergyLSt:andby
Factor orExternal
'Thermal
Efficiene
Tank
Insulation
R -Value
i.
i. rut smarr gas storage waver neaters tratea 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 %
inches or greater in diameter shall be thermally insulated as specified by Section 150 Q) 2 A. or 150 0) 2 B.
Residential Compliance Forms March 2005
'�w'CERTIFICATE OF*COWLIANCE: RESIDENTIAL (Page 4 of.4) CF -1R
Project -Title Date *,
F SPECIAL FEATURES NOT REOURUNG HERS VERIFICATION (add extri sbeets if necessary)
Indicate which special features are part of this project., The list below only represents special fearues relevant to the
—L
✓
Feature
Required Forms if applicable)
Description
❑
Metal Framed Walls
CF -111,
Refh Brant Charge
❑
Radiant Barriers
CF -1R '
CF -6R vart 6 of 12
❑
Exterior Shades
WS -4R
N/A; Attach CRRC Label to
❑
Cool Roof
Forms.
Dedicated Hydronic Heating
Performance Calculation
❑
System
Required; Attach Run to Forms.
Performance Calculation
❑
Combined Hydronic System
R uired• Attach Run to Forms.
Performance Calculation
❑
Qas cooling
Required.
❑
Buried Ducts
N/A; Indicate on building plans.
See Section 5.6.2 Distribution
❑
Kitchen Pipe Insulation
Systems in Residential Manual.
See Table 5-13 or use
❑
Multiple Water Heaters Per
Performance Calculation and
Dwelling Unit
attach Run to Fortes.
0
Central Water Heating System
Performance Calculation and
Serving Mul ' le 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 REOUERING HERS RATER VERIFICATION -
(add extra sheets if nmuw) Indicate to the HERS Rater which credits are part of this project and need
verifir-Minn.
✓
Feature
Required Forms if applicable) Description
❑ •
Duct Scaling
CF -6R part 4 of 12
❑
Refh Brant Charge
CF -6R part 5 of 12
❑
Thermostatic Expansion Valve
CF -6R vart 6 of 12
Residential Compliance Forms March 2005