06-4248 (PLBG)4411111110
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00004248
Property Address: 54180 AVENIDA CORTEZ
APN: 774-192-0'09-16 -000000=
Application description: PLUMBING
Property Zoning: COVE RESIDENTIAL
Application valuation: 500
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
STUART SCHLEGEL
54180 AVENIDA CORTEZ
LA QUINTA, CA 92
�
r
Contractor.:
Applicant: Architect or Engineer: FOY, SCOTT A.
43579 MAIN STREE
INDIO, CA 92201
(760)775-9405
88
Lic. No..: 828264
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/11/06
ZX In
DEC 13 20U6 L
OF LA
-------------------------------------------------------------------------------------------------
UCENSED 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
1 hereby affirm under penalty of perjury oneof: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 Class: C36 Li o se No::. 828264
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
ate:,,10 � nuactor:
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
OWN_ -BUILD DECLARATION
insurance carrier -and policy number are:
1 hereby affirm under penalty of perjury that I am, exempt from the Contractor's State License Law for the
Carrier STATE FUND Policy Number 1576840
_
following reason (Sec. 7031.8, 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,
permitto file a signed statement that he or sheds licensed pursuant'to the provisions of thwContrectWwState
and agree that,4 l should become subject to the workers"compensation provisions of Section
License Law (Chapter9 (commencing with Section 7000) of Division 3. of the Business and Professions Code) or
3706 of the Labor Code, I shall forthwith comply those provisions.,
that he'or she is exempIutherefrom and.the basis for the,alleged exemption. Any violation of Section 7031.5 by
any applicant for a permitsubjects the'applicent to a civil penalty of not more than five hundred'dollars (55001.:'
ate Applicant:
(_) 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
WARNING: FAILURE TO SECURE WORKERS' PENSATION' VERAGE.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 CIV( PINES UP TO'ONE HUNDRED THOUSAND
and who does the work himself or Herself through his or her ownemployees, provided that the
DOLLARS (5100,000). 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
SECTIO_ N 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
one'year. of completion,.She 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 _ 1 I, 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 forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1. Each personupon 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 I am exempt under Sec. , B.&P:C. for this reason
the owner, and. the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
-
ofLaQuints, itsofficers, agenmand employees for any act or omission related to the work being
-
performed under or following issuance of this permit.
Date: Owner:
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
CONSTRUCTION LENDING AGENCY
permit to cancellation.
I hereby affirm under penalty of perjury that theresis a construction lending agency for the. performance of the
I certify that I have read this application and state that the aboveinformationis correct. I agree to comply with all
work for which.this permiTis issued (Sec. 3097, Civ. C.).
city.and cou ordinances and state laws, relating to building, construction, and hereby authorize representatives-
Lender's Name:
of this c y to enter upon the bgve-mentioned property for inspection pure se
e 'nature (Applicant or Agent):
Lender's Address: /r�F
7�r
L.QPERMIT
Application Number . . . 06-00004248
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . . 22.50
Plan Check
Fee
5.63
Issue Date . .
Valuation
0
Expiration Date . . 6/09/07
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 7.5000 EA. PLB
WATER HEATER/VENT
7.50
Special Notes and Comments
WATER HEATER REPLACEMENT
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
2.8..13
LQPERMFP
D711 it ; `l�L Ofa ll.tlilt to
�� d BuRdIng &r Safety Division
PClnttt n
p, P -O. Box 1504, 78-495 C2& 7ampit:o
�V La Quints, CA 92253 - (760) 777-701.2
►��' I` Building Permit X409 anion and 'Wracking Sheet
ProjctlAtldress Sul
_ Owner's Name:.
A_ P_ Ntnubcr.
F Addrt sui � s -o
la:psl Detcription:
City, ST, Zip: C4
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All
f Tclephune: 7 4yt`--7i a !c
Stats 1.9c d: S;io-1(jj :-� d
City Lic, e
Designer:
Address:
City, 51, Zip:
Tele ons
1
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# g '" € Car�sutu6on Type: `� ux Ckcupmty:
Slate Lir- R:
project iyae (circle ones Ncv Add'n Aberepair� nano
Manic of Conlan Person:
Sq. Ft : d 5tnrias: 41 Unit-:
Tdgdtoaar ofGontttu Pcesrn:
Esiu0aledvalue Of'ptajs - X '' , CYIQ
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APPLICANT'; DO NOT WRITE BELOW TIRS LINE
Al
SubmHrai !
Lwd
Reed
TRACMG
Pkin Cbeek submitted
R" -'k ready for carraet9oos
_ Pmirr p
inert+ _
Plan Check Deposit
Amoum�
11120 Sets
!k
Stractaral i_nlc-
Tr o Cala.
Called Coataer Person
l Plses picked up
Plan Cbcck Salrnae
t" Colim etiaa
Tide 24 (ala.
b700d plain plan
Plans resubmitted
id Review, ready for correetionvistee
w
Called Contact Person
Plans picked up
j machaoiol
Electrical
--1
Plmrt"
Grndlngo plan
Submistaor List
Grant Dccd
lI.UA Approval
Plans rrsabtnieted
Grading
IN HOUSE.*,�
.�� Review, rmdy for eorreedtmsfissue
a
r Developer impact 1%ce
1112nolea Appro%vl
Called C:ooftet Fuson
,) IME of permit issue
i A.I.P.P.
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Puk. Wks. Appr
School Feu
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- TOW Permit flea
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CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 41
CF -IR
Project Title
0
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
renuired_
❑ Alternative to Sealed Ducts and Refrigerant Charge frXVs (See Package D Alternative Package Features for
Project Climate Zone in the RM Appendix B Table 1S1 -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 requirements of Section 150(m) and duct irnsvlation reouimments of Package D.
WATER HEATING
Ene T
Tank Factor or
Capacity Thermal Standbys
(ndbas Efficieurc Loss /o
❑
Scaled Ducts all -climate zones Installer testift and certification and HERS tater field vilification iced.
❑
TXVs, readily accessible (climate zones 2 and 8-15 only)
(installer testing and certification and.HERS Rater field verificationrequired.)
O
Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verification ' " ired.
❑ Alternative to Sealed Ducts and Refrigerant Charge frXVs (See Package D Alternative Package Features for
Project Climate Zone in the RM Appendix B Table 1S1 -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 requirements of Section 150(m) and duct irnsvlation reouimments of Package D.
WATER HEATING
Systems serving single dwelling units
Rated
Inptute
Water Heater Distribution Number (kW or
TvvdFuel TYPO in System Bwft)
Ene T
Tank Factor or
Capacity Thermal Standbys
(ndbas Efficieurc Loss /o
Tank
Ektemal
In.
R-Value
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per
O
dwelling unit. If the water 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 mjuired,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 req red for a recirculating system pump for a system serving multiple
units
Systems serving single dwelling units
Rated
Inptute
Water Heater Distribution Number (kW or
TvvdFuel TYPO in System Bwft)
Ene T
Tank Factor or
Capacity Thermal Standbys
(ndbas Efficieurc Loss /o
Tank
Ektemal
In.
R-Value
Tank
External
Insulation
R -Value
Q0 Uq�
System serving multiple dwelling units
Water Heater
Type
I P�
Distribution Number (kW or
Type in System Bwnv)
Enemy
Tank Factor or a
Capacity Thelma) Standby
(gIons Efficiency Loss °/b
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.
Pine Insulation (kitchen lines >_ 314 inches) All hot water pipes from the heating source to the kitchen fixtures that are 3/a
inches or granter in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 6) 2 B.
Rcsidcolial Compliance Forms - March 2005
CERTMCATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -IR
•. 1
' Project Tide Li� �k kkpyfi-
e-
U-4 AAA -.-
Documentation Author
Telephone
Compliance Method (Prescriptive) Climate Zone
Date
Wid"tng Pemdt q
Plan Chock /Date
Heid Check / Date
Enforcement Agmcy Use Only
J O 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 we Appendix B Table 151-0 Footnotes 7-14
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) fl Average Ceiling Height R
Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 — (5% X CFA) f
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C — (200/6 X CFA) g
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 83.3 for Alterations.)
Number of Stories: Number of Dwelling Units:
Floor Construction Type: Slab/Raised Floor (circle one or both)
Front Orientation: North / South / East.1 West / All Orientations (input front orientation in degrees ftom True
North and circle one).
-1 ❑ 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 typic -24 etc.
I) See Joint Appendix W in Section IV.2, IV.3 and IVA, which is the basis for the U -factor criterion. U -factors can not
exc ced prescriptive value to show equivalence to R -values.
Residential Compliance Fortes March 2005
CERTIFICATE OF'CONTLIANCE: RESIDENTIAL (Page 4of4) CF -IR
Prajuvi Title Date
v
SPECIAL FEATURES NOT REOUIRIIVG.HERS VERIFICATION (add extra sheets if necessarv)
Indicate which special features are part of this project. The list below only represents special features relevant to the
nremmmntive nw4hnd
1
Feature
Required Forms if ap&cable
Desai ' n
I]
Metal Finned Walls
CF -IR
Refri amara Charge
❑
Radiant barriers
CF -IR
CF -611 pan 6 of 12
❑
Exterior Shades
WS4R
❑
Cool Roof
N/A; Attach CRRC Label to
Forms.
❑
Dedicated Hydronic Heating
Performance Calculation
System
ui • Attach Run to Forms.
❑
Combined Hydronic System
Perforniance Calculation
Required; Attach Run to Forms.
❑
Gas Cooling
Performance Calculation
Required.
O
Buried Ducts
N/A; Indicate on budding lana.
❑
Kitchen Pipe Insulation
See Section 5.6.2 Distribution
System in Residential -Manual.
Multiple Water Heaters Per
See Table 5-13 or use
❑
Performance Calculation and
Dwelling Unit
attach Run to Forms.
0
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 WaterHeater
Performance Calculation and
attachP41n to Fortes
See Table 5-13 or use
O
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
0
Wood Stove Boiler
Performance Calculation and
attach Run to Forms
SPECIAL FEATURES REOUIRING HERS RATER VERIFICATION
-(add cxi-t sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need
vMfimtion_
J
Feature
Reauhied Forms if a tieable 'on
0
Duct Scaling
CF -6R pan 4 of 12
❑
Refri amara Charge
CF -6R part 5 of 12
CJ
Thermostatic Expansion Valve
CF -611 pan 6 of 12
Residential Compliance Forms March 2005
54180 Cortez (Avenida)