07-0428 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00000428
Property Address: 78157 CRIMSON CT
APN: 604 -024 -019 -
Application description: PLUMBING
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 500
Applicant:
Tity/ 4 4 Q"
Architect or Engineer:
t3lr>
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.
LicenseClass: C36 License No.: 828264
yate�.� t ractor.
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 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec.
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:
Lender's Address: '
LQPERMIT
Owner:
FETTERER JOE/BETTY
78157 CRIMSON COURT
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: 2/07/07
FEB 21 2001
CITY OF LA QUINTA
WORKER'S COMPENSATION DECLARATION
1 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.
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 ENDR INS Policy Number WEN000882301
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 sub t to the workers' compensation laws of California,
and agree that, if I should become subject o the workers' compensation provisions of Section
37010 of the Labor Code, I all orthwi comply with those provisions.
Date —Z�—v pplicant:
WARNING: FAILURE TO SECURE WOR RS' COMPENSATION 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 aunty ordinances and state laws relating to buildingJcon,�j truction, and hereb authorize repre ntatives
of th' ounty too enter upo 'the above-mentioned prop y for in be d r es.
ignature (Applicant or Agent)
IF
.i
Application Number . . . . . 07-00000428
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 4t0 GAL.
ELECTRIC 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
0
LQPERMIT
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P-O. Boy. 1504, 78-495 Calle Tampim
La Qllinta, C.A. 92253 - (760) 777-7012
Building Pemit Application and Traddng Sheet
Projeel Address: 1
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Sq. FL: T Stories: !t Unit:
fclerlrnac # of Conulct Pelson:$
Eslimled Value of P"j ! L
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APPLICANT: DO NOT ViffUTE BELOW Tj*S LfME
ITale of permit issue
I'
Ij
H Submittal fteq-d
Reed TRAOMIG PERi►1 YFEES
1'190 Sets
Slractural G nlc.
Trium Cnhs.
'tide 24 Clcz.
Plooll plain plan
G"Iding plan
Subtentaetor List
Grant Dtcd
1LWA. Approval
1N HOUSE:-
Yrannlnp Apprasal
Pnb.1WUs. Appr
— School Fees 1
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Plan Cbeck submitted
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I I3es4errat, read), for ccrrectious
^Plan CLeek Deposit
C?Jled CortacrPerson
Plan Check Rnlancc
Plaits picked up
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k Plans resubmitted
Meet -roiul
"4' Review, ready for eorreetioillssee
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Called Coarnet Person
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Pinns pidred up
)?tons rewbmilled
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Developer Impact flee
Culled Co►rtact Person
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CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF -1R
I -
Date
SEALED DUCTS and TXVs (or Alternative Measures)
A signed CFAR Form must be provided to the building department for each home for which the following. are
rrnniral
❑ Alternative 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
❑ 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
aces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D.
WATER HEATING SYSTEMS
✓
Distribution
Type
❑
Scaled Ductsall climate zones Installer testing and certification and HERS rater field verification required.)
17
TXVs, readily accessible (climate zones 2 and 8-15 only)
-EZFQU0DQ&U
Installer testing and certification and HERS Rater field verificationrequired.)
❑
Refrigerant Charge (elimate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verification ' wired.)
❑ Alternative 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
❑ 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
aces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D.
WATER HEATING SYSTEMS
✓
Distribution
Type
Number
in System
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per
❑
dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is
-EZFQU0DQ&U
not allowed.
❑
Chock box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential
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
LlAlternative
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 rcquired for a recirculating system pump for a system serving multiple
units 1
Svstems serving single dwellinp units
Water Heater
Type/Fuel Type
Distribution
Type
Number
in System
Inpu ' Tank
(kW or Capacity
Btafhr) witers
Ener
Factor�or
Thermal Standby
Efficiency Loss /o
Tank
External
Insulation
R -Value
-EZFQU0DQ&U
14T <<
System serving multiple dwelling units
Water Heater Distribution
T e Type
Input'
Number (kw or
in System Bw/hr)
Energy
Tank Factor' or
Capacity Thermal
(gaitons Efficicnc
Tank
External
Standby Insulation
Loss % R -Value
1. Tor 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
BtuAr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water
heaters, list Rated Input and Thermal Efficiencies.
i a Insulation (kitchen lines 2:3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are 3/4
inches or greater in diameter shall be thermally insulated as specified by Section 150 (j) 2 A or 150 6) 2 B.
Residential Compliance Forms
March 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page I of 4) CF -IR
Project Title . , ,
Documentation Author Telephone
Compliance Method (Prescriptive) Climate Zone
Date
Building Permit It
Plan Check / Date
Field Check / Date
Enforcement Agency Use Only
t v"' 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- I R page 3)
For Package D Alternative see Appendix B Table 151-C Footnotes 7-14
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) fta Average Ceiling Height: R
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
V 0 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.)
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). k.
f ❑ 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
Insulation
R -Value
% Assembly U -
factor (for
Continuous wood, metal
Insulation frame and mass
R -Value assemblies)'
Joint
Appendix
IV
Reference
Roof Radiant
Barrier Location/Comments
Installed (attic, garage,
Yes or No typical, 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 pm-criptive value to show equivalence to R -values.
Residential Compliance Forms March 2005
i
r�
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 4) CF -1R
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
prescriptive mcttmd_
✓
Feature
Required Forms if applicable)
Description
❑
Metal Framed Walls
CF -1R
Rcfri uerant Chame
❑
Radiant Barriers
CFA R
CF -6R part 6 of 12
O
Exterior Shades
WS411
❑
Cool Roof
N/A; Attach CRRC Label to
Forms.
_
❑
Dedicated Hydronic Heating
Performance Calculation
System
Required; Attach Run to Forms.
❑
Combined Hydronic System
Performance Calculation
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 Healers Per
See Table 5-13 or use
❑
Dwelling Unit
Performance Calculation and
attach Run to Forms.
E3Central
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 F4in to Fortes
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 REQUIRING HERS RATER VERIFICATION
(add exi-',A sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need
verification.
,/
Feature
Required Forms Cifapplicable) Description
❑
Duct Scaling
CF -6R part 4 of 12
❑
Rcfri uerant Chame
CF -6R part 5 of 12
❑
Thermostatic Ex anion Valve
CF -6R part 6 of 12
Residential Compliance Forms
March 2005
2006-12-26
SSZR135A
PAGE: 1
17:34 (760)-393-4062
LOWE'S HIW, INC_
DATE: 12/26/06
ORDERED FOR: JOE/BETTY FETTERER
ADDRESS: 78-157.CRTMSON CT
LA QUINTA CA 92253
VENDOR NAME: FOV, SCOTTY A
ADDRESS: A'rr
INDIO CA 92201
PROJECT: 177182658 LA QUINTA PERMIT
LOWES YO: 30305337 LOWES INVOICE: 71933
tST DELIVERY: 11/22/06
0208 -INSTALLED SALES P 11/14
ELQ 0208
78-865 HIGHWAY 111
LA QUINTA
PHONE: (760)771-5566
PHONE: (760)772-6831
CONTACT: }
PHONE: (760)775-0911.
FAX: (760)775-5222
ASSOCIATE: PETE DEWEY
AR NUMBER:
CA
QTY ITEM ITEM DESCRIPTTON BIN VEND_PART# COST EXT -COST
-----------------------
1 154374 LA QUINTA PERMIT 8-02250 22.50 22.50
r•REIGHT $ 0.00
TOTAL $ 22.50