06-1505 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00001505 '
Property Address:
78026 CALLE NORTE
APN:
770 -012 -006 -
Application description:
PLUMBING
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
500
Applicant: Architect or
Ti&t 4 XP Qauk
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
u6
pp ,,��
fibs tu,d 1�
--------------------------------------------------
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 C�ss,CC336 License No.: 828264
tractor:
NER-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).:
(_) 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
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 contractorls) 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:
Lender's Address:
LQPEP WT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/12/06
Owner:
ISBELL FRED
78026 CALLE NORTE
LA QUINTA, CA 92253
Contractor:
FOY, SCOTT A.
43579 MAIN STREET
INDIO, CA 92201
(760)775-9405
Lic. No.: 828264
------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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.
_11Q 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
D37 0 of the Labor Code, I.s - o hwith comply with those provisions. -
ate/ pplicant:
WARNING: FAIL Rl1SECURE WORKE fv1PENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001. 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 constructio , and hereby authorize representatives
of�etgunaoture
n the above-mentioned property for i ctio D (Applicant or Agent
0
LQPERMIT
Application Number . . . . . 06-00001505
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 NATURAL GAS WATER
HEATER.CF1-R APPROVED.
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
0
LQPERMIT
Bin #
Ponlit N
06- l.So.3
Project Addrrss: `�i`�i
A. P. Ntnitbcr.
Legal Description:
Contracurr: �C
Addrnu: S `7
City, ST, zip.
Telephone_' _ 7—
Statc l,ic N : O�'2SC
Arch., Ergr., Designer.
Addrw.:
City, ST. Zip:
I Tdrphou.
• +i
Name of Conlan Person:
TclgAtonc # ofcontua Person:.
Sulmdtml
Plao Sets
Streetur w Calfa.
Truss Cates.
rote 24 09cs.
Flood plain plat
Gmdtag plan
.Soircoatectorilst
Grant Decd
1L0_ILApproval
1N HOUSE:-
Mooing Apptvrul
4 Pub. WIM Appr
School Fees
1
City of 12 Qd#nta
Brutdblg BiSafeiyr Division .
P -O. Box 1504, 78-495 CAP Tamp=
!.a QtdM, CA 5QM3 - (760) 777-7012
Building Permit Applicarion and Tracfdng Sheet
dwnWs Ntn>te . f -red /nS, l ,,
�p Address~ —4011 ) (�.ClX.& I / 0Y'6 �
.o relephcaeti7%% �-(Sr"1
L Projeatcscrt1ion:
2,Zc i
5tp Lia 4-C
F
t twe (cirde one). Nen Addn !f ret epair D=o
: I $taries: 41 Units:
BslnnaLcd Value of
APPLICANT: DO NOT Ili WM BELow TMS LM
Reed I T L4cmG I plaumrlecrc
Pian Check submitted
frteer
Amount
ready for ecrreetious
Pian cieek Deposit
Caged CbnbaPerson
Pian heck Balance
Ptsas picked up
Construction
Plans rembmitted
l�fechanical
"° Rtview, ready for Cow] . 1
marital
Called contact Person
p
Pians picked up
5 aij.
Plans resubmitted
Grading
Revier, teadp far torrecdaaslissue
Developer impact Fee
Caped cootaa Person
Date of permit issue
Total Permit Few
W
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -1R
Project Title
Project Address
Documentation Author Telephone
Compliance Method (Prescriptive) ' '
Climate Zone.
Date
Building Permit #
Plan Check / Date
Ficid Check / Date
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 -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: 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 151-0 — (200% X CFA) g
✓ ❑ 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
ffor 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 itf degrees from True
North and circle one).
✓ ❑ 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)
` Assembly U -
factor (for
Cavity Continuous wood, metal
Insulation Insulation frame and'mass
R -Value R -Value assemblies'
Joint
Appendix
IV
Reference
Roof Radiant
Barrier Location/Comments
Installed (attic, garage,
Yes or No j3Tical, etc.
1) See Joint'Appendix IV in Section IV.2, IV.3 and IVA, which is the basis for the U -factor criterion. U -factors can not
exceed prescriptive value to show equivalence to R -values.
Residential Compliance Forms
March 2005
t
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF -1R
Date
SEALED DUCTS and TXVs (or Alternative Measures) .
A signed CF -411 Form must be provided to the building department for each home for which the following. are
required.
❑ IAlternative to Sealed Ducts and Refrigerant Charge fMs (See Package D Alternative Package Features for
Project Climate Zone in the RM Appendix B Table 151-0, Footnotes 7-14
OR
For additions and alterations, duct systems that are not documented to have been previously
t3 sealed as confirmed through field verification and diagnostic besting in accordance with procedures in the
Residential ACM Manual and duct 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.
•t/ ♦ Tt11.1 i
TV n a a.n BLL'11JUIN V a X a 1JP11v1.11
Rated
Input'
Distribution Number (W or
T e in S stem Tt Lr
❑
Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required.)
❑
TXVs, readily accessible (climate zones 2 and 8-15 only)
Input'.
(Wor
(Installer 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
Bcomr
verification ' " uired
1%n
❑ IAlternative to Sealed Ducts and Refrigerant Charge fMs (See Package D Alternative Package Features for
Project Climate Zone in the RM Appendix B Table 151-0, Footnotes 7-14
OR
For additions and alterations, duct systems that are not documented to have been previously
t3 sealed as confirmed through field verification and diagnostic besting in accordance with procedures in the
Residential ACM Manual and duct 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.
•t/ ♦ Tt11.1 i
TV n a a.n BLL'11JUIN V a X a 1JP11v1.11
Water Heater
T e
Rated
Input'
Distribution Number (W or
T e in S stem Tt Lr
Rated
Qffe—cg box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per
Water Heater
dwelling unit If the water heater is a storage type, 50 gallons is the'maximum capacity and recirculation system is
Input'.
(Wor
not allowed.
❑
Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential
Bcomr
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
❑
Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the
submittal.
❑
Check box to verify that a time control is required for a recirculating system pump fora system serving multiple
Cvetam
units �
CVcfPmC
cn..a..... n.....1.. A--._1L•_� ___Sa_
Water Heater
T e
Rated
Input'
Distribution Number (W or
T e in S stem Tt Lr
Rated
Energy Tank
Water Heater
Distribution Number
Input'.
(Wor
Tank Factor' or External
Capacity Thermal Standby' Insulation
T e/Fuel T e
T e in tem
Bcomr
tons EfficiencyLoss % R -Value
ll
ALk—
,l
it
Cvetam
Water Heater
T e
Rated
Input'
Distribution Number (W or
T e in S stem Tt Lr
Energy
Tank Factor or
Capacity Thermal Standby'
tons)- Efficienc Loss %
Tank
External
Insulation
R -Value
1- For small
- • b....,...."b., wa-1 Mateo kratea inputs or 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 6) 2-A or 150 0) 2 B.
Residential Compliance Forms March 2005
CERTIFICATE OYCOMPLIANCE: 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
✓
Feature
Required Forms if applicable)
Description
❑
Metal Framed Walls
CF -1R
Refrigerant Charge
❑
Radiant Barriers
CF -1R
CF -6R part 6 of 12
❑
Exterior Shades
WS -4R
N/A; Attach CRRC Label to
❑
Cool Roof
Forms.
Dedicated Hydronic Heating
Performance Calculation
❑
System
R uired Attach Run to Forms.
Performance Calculation
❑
Combined Hydronic System
,
Required; Attach Run to Forms.
Performance Calculation
❑
Gas Cooling
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 -IR
Heater
See Table 5-13 or use
❑
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 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 REOUM NG HERS RATER VERIFICATION
(add ei i-ik 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
❑
Duct Sealing
CF -6R part 4 of 12
❑
Refrigerant Charge
CF -6R part 5 of 12'
❑
Thermostatic Expansion Valve
CF -6R part 6 of 12
Residential Compliance Forms March 2005