06-1496 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00001496
Property Address: 54540 AVENIDA VELASCO
APN: 774-284-002-23 -000000-
Application description: PLUMBING
Property Zoning: _ COVE RESIDENTIAL
Application valuation: 4 500
Applicant:
Ta�/
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
P we
Owner:
STANDLEY ERNESTINE F
54540 AVENIDA VELASCO
t f„l (j ( LA QUINTA, CA 92253
r�—
li APR I_ l) 2006
Contractor:
FOY, SCOTT A.
C!T'`,C—I-A t 43579 MAIN STREET
"-INDIO, CA 92201
(760)775-9405
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.
Lice n Cla s' C3 is se No.: 828264
ate: ontractor:
•BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 (55001:
1 _ 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 _ 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.).
1 _ 1 1 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 ISec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
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
1issued.
1 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
� VOO of the Labdr Code, I shall forthwith— ith those provisions.
ante:
WARNING: FAILU EE TU ORKERS' CO NSATION 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.
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,1 authorize representatives
of this county,O enter upon the above-mentioned property for inspection pu.Lo6ses.
Da Sign re (Applicant or Agent):
Application Number . . . . . 06-00001496
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 (- &vL6C--rA/ C- W
ATFL
PPROVED.--------
HEATER . CF1-R APPROVED.---------
Fee
Fee summary Charged
Paid Credited
Due
Permit Fee Total 22.50
.00 .00
22.50
Plan Check.Total 5.63
.00 .00
5.6.3
Grand Total 28.13
.00 .00
28.13
j
LQPERMIT
t Bin
- �j �l .v
City Qurnta .
Building 8t Safety Division
P.O. Box 1504, 78495 Calle Tampico
La Quints, CA 92753 - (760) 777-7012
Building PermitApp(ication and Tracking Sheet
pemil y
'l
Project Address: j — A if eo 4 iC�, *14SCC
Owner's Nave:. 2/125i /1 a stq/!al /e
A. P. Nutnbcr.
Addrews: 5y ---5- Yo 4 pom '
Legal Description:
t>C_0-14
Address: ss-% • n
l k Q e
City, ST, Zip: 14 . QuI
Telephone. R=,
Project Description:
City, ST, Zip. ) &_ % Z 2 L, l
Telephone.•Ys3
�ci-77.6--09. Cl,
$=
State Me. 9: �� (� � City Lic. 4:
Arch., Ergr., Des(jgner:
Addrrss:
City. ST, Zip:
Telephone: z
State Lic. R:.; : ;•:::i;.
ice' 3
Name of Contact Person
ConsQudion T rte= Occupancy:
..�
Prejcct type (circle ones New Add'n Alter epair) Demo
Sq. Ft.:
Sinries:
d Units
Telephone it of Contact Pet-n:
Estimated Value of Proj
t en
APPLICANT. DO NOT WRITE BELOW THIS LINE
Sulmdttal
Req'd Reed
TRAC)UNG
Plea SetsPlan
PERAfiT FEES
Check submitted
heat
titraetaral Colo.
Amount
Reels- ..dy for corrections
Plan Cheek Deposit
Tnws Cales.
Called CotuacrPerson
Plan Check Balattce
TiOc 24 i`atcs.
Plans picked up
Coasnvetion
1•load plain plan
Plans resubmitted
pfedrasica]
Grading plan
2" Review, ready for correctiowiszue
Electrical
Sabcontsaor List
Called Contact Person
Plumbing
Grant Deed
Pians picked up
11.0.4. Approval
Plans resabmitted
Grading
1N HOUSE:
::]'"
Review, ready for correedoasnssue
Developer Impact Fee
Pis aning Approval
Called Contact Person
A.LP.P.
Pulp. Wks. Appr
Date of permit issue
School Pecs 1
Total Permit Fels
a=i
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page'l of 4) CF -1R
Project Title Date
-> y5 70 !-t-V"Idc. re, lASce
Project Address
Documentation Author
Compliance Method (Prescriptive)
Telephone
Climate Zone
Building Permit #
Plan Check / Date
Field 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) ft2 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-C --:- (20% X CFA) ft
✓ ❑ 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).
0 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 typical, etc.
t/ gee joint Appendix 1V to lection 1V.2, W.3 and 1VA, 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
,r
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF -1R
' r
f �2�est-t ti e srA(II(P o 3
Project Title Date
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
required.
OR
❑ IAlternative 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 requirements of Section 150(m) and duct insulation requirements of Package D.
WA1EK IMA1IINU SYS'1'EMS
✓
Distribution
Type
❑
Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification re uired.
❑
TXVs, readily accessible (climate zones 2 and 8-15 only)
Installer testing and certification and HERS Rater field verification required.)
❑
Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verification required.)
OR
❑ IAlternative 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 requirements of Section 150(m) and duct insulation requirements of Package D.
WA1EK IMA1IINU SYS'1'EMS
✓
Distribution
Type
Number
in System
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per
Tank
Capacity
dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is
Standby'
Loss %
not allowed.
❑
Check 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.
p
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 for a system serving multiple
units
Systems serving single dwelling units
Water Heater
Type/Fuel Type
Distribution
Type
Number
in System
Rated
Input'
(kW or
Btu/hr(gallons)
Tank
Capacity
Energy
Factor' or
Thermal
Efficiency
Standby'
Loss %
Tank
External
Insulation
R -Value
e_(2ctZt C
�SGb
p
9a.
—R
3ysrem serving multiple dwelling units
Water Heater
Type
Distribution
Type
Number
in System
Rated
Input'
(kw or
Btu/hr(gallons),
Tank
Capacity
Energy
Factor' or
Thermal
Efficiency
Standby'
Loss %
Tank
External
Insulation
-Value
—R
1. 1'UL b111411 gds storage water heaters krated 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 3/4
inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2'A or 150 0) 2 B.
Residential Compliance Forms March 2005
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
DrescriDtive method.
✓
Feature
Required Forms if applicable)
Description
❑
Metal Framed Walls
CF -1R
Refri Brant Charge
❑
Radiant Barriers
CF -1R
CF -6R part 6 of 12
❑
Exterior Shades
WS -4R
❑
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
Re uired; 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 Heaters Per
See Table 5-13 or use
❑
Dwelling Unit
Performance Calculation and
attach Run to Forms.
❑
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
Water Heater
Performance Calculation and
attach Run to Forms
See Table 5-13 or use
eous Gas Water Heater
Performance Calculation and
End
attach Run to Forms
See Table 5-13 or use
ter Heating System
Performance Calculation and
attach Run to Formsove
Boiler
Performance Calculation and
attach Run to Forms
SPECIAL FEATURES REOUIRING HERS RATER VERIFICATION
(add extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need
verification.
✓
Feature
Required Forms if applicable) Description
❑
Duct Sealing
CF -6R part 4 of 12
❑
Refri Brant Charge
CF -6R part 5 of 12
❑
Thermostatic Expansion Valve
CF -6R part 6 of 12
Residential Compliance Forms
March 2005