07-0429 (PLBG)• ���P.O. BOX 1504 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 07,`00000-429 Owner:
Property Address: 78054 CALLE NORTE TRAYLER LARRY
APN: 770-012-031- - 78054 CALLE NORTE
Application description: PLUMBING LA QUINTA, CA 92253
Property Zoning: , LOW DENSITY RESIDENTIAL
Application valuation: 500
Contractor:
Applicant: Architect or Engineer: FOY, SCOTT A.
43579 MAIN STREET
INDIO, CA 92201
�lw (760)775-9405
I,x 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.
License lass: C36 License No.: 828264
ate:��tractor:
OWNER -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 ($500).:
(_ 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
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.).
(_) 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:
L'ender's Address: PC
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-701.1
INSPECTIONS (760) 777-7153
Date: 2/07/07
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.
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 ENDR INS Policy Number WEN000882301
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 I forthwith comply ywith those provisions. -
Date: r�i'— pplicanC ^_ / S �
'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.
1 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 c my to enter upon the above-mentioned property for 'nspection purposes. )
te:�S' ure (Applicant or Agent): /
LQPERMIT
Application Number . . . 07-00000429
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 22.50
Plan Check
Fee
5.63'
Issue Date
Valuation
. . .
.
0
Expiration Date 8/06/07
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
-------=--------------------------------------------------------------------
Special Notes and Comments
REPLACE WATER HEATER WITH 50 GAL:
GAS
UNIT
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
La kfi1lta
j BmIcU Jg gt Safety Division
t P utt P-O. Box 1504, 76-495 Cafk Tampico
La Quinta, CA 92253 - f 7 60j 777-7012
Building Pemit Application ad Tracing Sheet
A MrAQ 1,42
Project A ddress: r Owner's Name-, am
A. i'. Number. O �' Addrew—
F q V� q �� -�j
Legal Dcst:r i tt: -- - - -4 C, SI. Zip: �
Lt Ulf 1 t'Cr/\ / lG J
Conuaeulr. '— --�Teiity/]'2
address: Ll <� eLY}?;ei/) � ��.�- ProjeaDtsaription:
City, sT,zip.� new �.� � ZZ-L, �( s `
a c� -C(marew� en'
Telephone: t i
>3ry r'_•"z?F t `5��,
• State UQ 11 . &:)12@ LO A-1 City U!1. 4: k
a
Arch.. lirgr.. Designer: t
1
Addres
City, ST. Zip: ;
Telephvar. rM
s'tom_' „m Construr3inn Typr i Oecupznty:
: ^ ,
ILIState 1 #: hoj� tdne(circle ontr Neer: Add'n Auer tR •pe r Demo
Name of Conlan pcnon: s Sq. Ft: s Stories: U Unit: -
Tel !tont # of Contact Nemn. Estimele'd Value of Pray L _
APPLICANT: DO NOT VYME BELOW TMS &IME
tl Sut�rnitta! Etcq'd Reed TRACMG ? PERl►tITFIEFS m
i'lan Sets Plan Chteck submitted Jrem (mauni�
strcctoral Cnlr. I I&et4ttre�t, ready foreerrectiats Plan CLeek Deposit
Trull Cn)cs. Called Coat= Person Plan Check Solattce
Ti4ee2dCues. ?Leas picked op ?Construction
Anad plain plim Pians resubmi(ted Mectumical
c:ntding pion 2' Review, ready for correctionsdssur Crectrical
�uttrontaaor i.ist Called Contact Person Plvtnbinl
Unint Uced pinns pidied op
z
11.().'1. Approval Pions resubmilted " Grading
IN HOUSE_- — 4 "' P.evierr. ready for eorreednat-asvue Devdoper Jmpact Fee
1112nalag Appr4nol III CIlled Coileact Ptrson AJ.P.P.
Pub. lWlrc. Appr i Date oPgermit issue
school Fees i >
E �
I
---- _--- 9 Total Permit FttE
it jL;ATE OF COMpLIA�tCE: RESIDEN,
a e3 of CF -IR
Project Title
SCALED DUCTS and Dace
A signed CFAR Form must be s or Alternative Measures
aired. Provided to the building dePartrnent for each home for which the followin
13 Sealed Du g are
all climate zones
TXVs, readilyInstaller testi and certification and HERS
accessible (climate zones 2 and 8-15 only)
Installer testi%. rates field verification
� Refrigerattt aad certification and HERS aired.
Charge (climate zones 2 field verification uired.
vet'ification ' u;� and 8-15 only) (Installer testi%
on g and certification and IRS Rater field
Alternative to Scaled Ducts and Rem
Pro'ect Climate Zorn in the RM gerant ' fMs
OR A dix B Ta b ee151 , (See Package D Alternative Package Features for
For additions and altcratiUng, ducts s
Q sealed as confirmed throe Y terns that are not documented to have been
Residential ACID field verification and d• Previously
Manual and duct systema with mor�o�c testing in accordance with
s ccs shall meet the U, Cnts of Section 1S �n 40 linear feet in unconditioned
in the
WATER HEA TWG SYSTEMC Q1 and duct insulation mouirpm-- cd
13 1 �+recx box ifsystein meets criteria ofa "Standard
dwolling unit. If the water heater
not allowed. is a storage type, S0 � s�the ,� IS gds.frcd water heater per
Check box when using 1'reapproved Alternative pacity and recirculation
Manual. No water hca ' Water H s3'em is
Check box if st tar calculations are eating table, Table 5-4 in
0 Alternative Wsayter Hea� not meet criteria of a and the stem co lies auto �rapter 5 in the Residential
Heating table.. in this tangy s'st� and does not comply maticall
sub>niltal- case, the Ferformance Method must be u with the Prea
0 Check box ro veri PProvcd
fy that a time con �d and must be included in the
units trot is requ•rtd fora
4 stems s recirculating system
ervin sin a dwellin Pump for a system serving multiple
units
Water Heater Rated Ener y
r e/Fuel T Distribution Number Input, Tank Fact r -f y Tank
c T in S stern Ow O1 Capacity The
r
m
a
l
External
Bruer loos Standby.
Insulation
Effrcien
-�--!_ R -Value
units
Water Heater Rated Ene
�• Distribution Number Inputt Tank Factomyr or Tank
T
e S em (fir Capaci errnal External
Ions Standby Insulation
Efiicienc Loss
R -Value
�� matt gas sturagc water hea
Pump water heaters, list Ern tens (rated inputs of less than or
BtnUhr), list Rated Input, Recce Factor. For large teas storage water
t 75,000 Btu/hr), electric res
heaters Recovery Efficienc cis (rated input greater than 75 p�d Itcat
list Rated Input and Thermal Efl,c ey- ieh�al Efficiency and Standby 1�e Insulation (kitchen tines Y Loss• For instantaneous
tnahcs yr Creatcr in diameter shall be th inches) All hot water i gas water
emtallY insulated pipes from the heating soursee to the kitchen fixtures
tt idenri»I Cumpliance Forms sP�ified by Section 150 0) 2 A or 150 0) 2 B. that are
March 2005
t -
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -IR
Project Address
Documentation Author
Telephone
Compliance Method (Prescriptive) Climate Zone
Date _
Building Permit ft
Plan Check / Date
Field Check / Date
Enforcement Agency Use Only
v" Cl 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 -1R page 3)
• For Package D Alternative see Appendix B Table 151-C Footnotes 77-14
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) fe Average Ceiling Height: ft
Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C — (5% X CFA) - fe
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C — (20% X CFA) ft
✓ 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.)
Numbcr 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
Typc (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,
typical, etc.
w____.4:_
r., ]
o, .: ry 7 ni 1 ,«d iV d mh;rh ;c tha haeic fnr thA t 1 -factor criterion. U -factors
can not
4 J Jrx'101414 A:FPGUVM a r ... V..v — • ..c., ..... m.0 ....t .. ...
exceed prescriptive value to show equivalence to R -values.
Residentinl Compliance, Forms I March 20054
r
CERTIFICATE OF CON TLIANCE: RESIDENTIAL (Page 4 of 4) CF -1R
. i
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
nrescrintive method_
✓ I
Feature
Required Forms if a usable
Description
0
Metal Framed Walls
CF -IR
Rcliri erdnt Chame
E3
Radiant Barriers
CF -IR
CF -611 pad 6 of 12
0
Exterior Shades
W`S4R
CI
Cool Roof
N/A; Attach CRRC Label to
Forms.
❑
Dedicated Hydronic Heating
Performance Calculation
System
Required; Attach Run to Forms.
CI
Combined Hydronic System
Performance Calculation
Rcquurd, Attach Run to Forms.
0 I
Gas Cooling
Performance Calculation
Required.
0
Buried Duds
N/A; Indicate on building laps.
❑
Kitchen Pipe Insulation
See Section 5.6.2 Distribution
Systems in Residential Manual.
Multiple Water Healers Per
See Table 5-13 or use
0
Dwelling Unit
Performance Calculation and
attach Rum to Forms.
0
Central Water Heating System
Performance Calculation and
Serving Multiple Dwellings
attach Run to Forms.
0
Non-NAECA Large Water
CF -IR
Heater
See Table 5-13 or use
0
Indirect Water Heater
Performance Calculation and
attach to Forms
See Table 5-13 or use
❑
Instantaneous Gas Water Heater
Performance Calculation and
attach Run to Fortis
See Table 5-13 or use
❑
Solar Water Heating System
Performance Calculation and
attach Run to Forms
D
Wood Stove Boiler
Performance Calculation and
attach Run to Forms
SPECIAL FEATURES REOUEMG HERS RATER VERIFICATION
(add exi_,t sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need
verification.
✓
Fcnture
Required Forms Cif applicable) Description
❑
Duct Scaling
CF -6R part 4 of 12
❑
Rcliri erdnt Chame
CF -611 5 of 12
❑
Thermostatic Expansion Valve
CF -611 pad 6 of 12
Residential Compliance Forms
March 2005
,2OO7oP269412:24609 (760)-393-4062 0208-INST, P 4/5
revScott FQy
p 7607755222 p,l
SSZR1354 - LOWB'S HOi.LB CENTERS, INC. EXQ 0208
PALE;- 1 DATE: 01/29/07 78-86S FIZ MAY III
LA gunVA CA
ORDSRgD FOR: TRAYLER, LARRY (760) 7715566
ADDRESS: 78-0S4 GALLS XORTE
LA OOZNTA CA 92253 PHONE: (760)777-7397
VBNDOA NAM- Toy. SCOTTY A CONTACT:
ADDRESS: ATT PHONE: (760)775-0911
1=10 Ce 92201 VAX; (760)775-5222
PROJECT: 185039064 PRRMIT PEE
LOWBS P0: 34020326 LMS INVOICE: 76551 ASSOCiATS: GREY RSAGLXS
2ST DELIdERY: 01/30/07 AR NMER:
QTY ITUM ITER DESCRIPTIOU DIN VMM PART$ COST EXT COST
---------------------
------------------ ----------------------
-
1 154374 PERMIT BEE 08-2250 22-S0-----22.50
CITY OF
LA WINTA CA
LIFORRIA 92253
FRszGH'r..........
TOTAL $22.50•.•
4/9 d 31VS WI0bN= Wn LLSSL))ng)
)7:JL I,7 -LQ -1M7