06-1503 (PLBG)P.O. BOX 1504
uu�tw
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 06-00001503 Owner:
Property Address: 55281 SHOAL CREEK > STEVE HOLMES
APN: 775-142-021- - - Q 55281 .SHOAL CREEK
Application description: PLUMBING LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL p� r�
Application valuation: 500 A q
CI7yOi: Contractor:
Applicant: Architect or Engineer: FI%IAi+ICQUIff.•�s. !4 FOY, SCOTT A.
' 43579 MAIN STREET
INDIO, CA 92201
(760)77-5-9405
'•v1 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 Class: 36 se No.: 828264
Datentractor:
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 fur 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 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 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 theprojects 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: f
LQPERMIT
VOICE (760) 777-7012
FAX (760) 77777011
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
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 STATE FUND Policy Number 1576840
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 shall rthw' omply with those provisions.
ate: pplicant: -
ar '
WARNING: FAILURE TO SECURE WORKERS' ENSATION 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
whbse 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 Quints, 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 hereby authorize representatives
of this_pounty�to enter upon the a4ove-mentionnddV4ogCrty fgr.inspegji p urposes.
(Applicant or
Application Number 06-00001503
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
LQPERMIT
. .
Permit g
' O6 • l'�'0 3
Project Address: -S S
A. P. Number.
Lggal Description:
Conlrncfttr. `
Address: -2- IS,7
City, ST, Zip. X) ,C
Tclephont--% rG6-'77
State Lie. U : &,V@ (� y
Area., Ergr.. Designer:
Addrms:
City, ST, Zip:
Telephone:
State Lic R:
Name of Contact Person:
Tclepltooe tl Of COMM Person:
x Sulmdttal Req•d
Plao sets
titroetanrl Cates.
Truss Cats.
Title 24 Calcs.
1-Uod plain plan
Grntdtog plan
Subt ontactor List
Grant Deed
U.0 -A. Approval
IN HOUSS:-
i•lanointg Approval
Puh. Whs. Appy
School Fees i
City of La Quinta.
BM1&h9 M7 Safety Division
P.O Box 1504, 78-495 Calle Tampko
La QtntM, CA 92253 - (760) 777-7012
Building Permit JWUCation and Traddng Sheet
Add-!:-- aNg
City, sr. 7_ip: CA, iZ7 S75Thones y�V 3
Fc�—t _.
Proj=Desaiption:
21Z0i
Lic. 4:
Co-b-ctioa T),I— Otcupmcy:
r'
Project type (circle ooz). Nen: Add'n Alter cpa
Sq. Ft : T Stories: 9 Umt�
Estimated Value of Pmj
APPUCMT: Do NOT WRITE BELOW THIS L111tE
Ditto
Recd TRACMG
PERMT1' BEES
Pian Check submitted
Iexar
.amount
see, me9p for core clions
Pian Cheek Deposit
Called Contur Person
Plan Check Balance:
Plaits picked up
Construction
Plans resubmitted
Iriecbaain!
2" Review, ready for eorreetiot wUme
Electrical
Called Contact Person
Plambirg
Pians picked up
Plass resubmitted
Grad tg
Review, ready for eorrecti as!tasae
Developer Impact Fee
Called Coataer Ptrson
A 7 p p
Date of permit issue
Total Permit Few
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page I of 4) CF -IR
Documentation Author
Compliance Method (Prescriptive)
Date
Building Permit #
Telephone Plan Check / Date
Field Check / Date
Climate Zone 'Enforcement Agency Use Only
✓ 13 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-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.)
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).
13 RADIANT BARRIER frequired 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 Continuous
Insulation Insulation
R -Value R -Value
Assembly U -
factor (for
wood, metal
frame and mass
assemblies)
Joint
Appendix
IV
Reference
Roof Radiant
Barrier Location/Comments
Installed (attic, garage,
Yes or No typical, etc.
r/ gee joint Appenatx i V to section 1V.2, 1V.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
CERTIFICATE OF COMPLIANCE° RESIDENTIAL
0\ ,n elft
'age 3 of 4) C&M
32 C�
Date
SEALED DUCTS and TXVs for Alternative Measures) .
A signed CF -411 Form must be provided to the building department for each home for which the following. are
required.
❑ Altemative to Sealed Ducts and Refrigerant Charge fMs (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
aces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D.
\7U A r17161" i7T A T716Td�v
i •.,ice i A;dlm 111 \ V 67 1 671 ]PIM
Distribution
Type
IJ
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)
Standby'
%
nstaller 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
P-7
verification i uired.
410
nu
❑ Altemative to Sealed Ducts and Refrigerant Charge fMs (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
aces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D.
\7U A r17161" i7T A T716Td�v
i •.,ice i A;dlm 111 \ V 67 1 671 ]PIM
------------
Water Heater
T e/Fuel Type
it
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
tons
dwelling unit. If thewater heater is a storage type, 50 gallons is the maximum capacity and recirculation system is
Standby'
%
not allowed.
❑
Check box when using Preapproved Alternative Water Heating table, Table 5-4 iii Chapter 5 in the Residential
P-7
Manual. No water heating calculations are required, and the system complies automatically.
410
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 requi red for a recirculating system pump for a system serving multiple
units
------------
Water Heater
T e/Fuel Type
it
Distribution
Type
Number
in System
Rated
Input'
(kW or
Btu/hr
Tank
Capacity
tons
Energy
Factor' or
Thermal
EfficiencyLoss
Standby'
%
Tank
External
Insulation
R -Value
External
Insulation
R -Value
P-7
410
1. For small gas storage water heaters (rated
inputs of less than or aua1 #-7C 000
Btu/hr
Water Heater
T e
Distribution
Type
Number
in S stem
Rated
In ut'
p
(kw or
Bm/hr
Tank
Capacity
loos y
Ener'Tank
Factory or
Thermal
Efficiency
Standby
Loss %
External
Insulation
R -Value
P-7
1. For small gas storage water heaters (rated
inputs of less than or aua1 #-7C 000
Btu/hr
,Io ), electnc 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/a
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
f
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 4) CF -1R
Project Title 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
✓
Feature
Required Forms if applicable)
Description
❑
Metal Framed Walls
CF -1R
Refrigerant Charge
❑ .
Radiant Barriers
CF -IR
CF -6R part 6 of 12
❑
Exterior Shades
WS -4R
N/A; Attach CRRC Label to.
13
Cool Roof
Forms.
Dedicated Hydronic Heating
Performance Calculation
-
System
R uired• Attach Run to Forms.
r[3
Combined Hydronic System
Performance Calculation
Required; Attach Run to Fomes.
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
❑
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 -1R
Heater
See Table 5-13 or use
❑
Indirect Water Heater
Performance Calculation and
attach Run 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 REQUIRING HERS RATER VERIFICATION
(add extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need
verifira8nn
✓
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