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06-1504 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00001504 Property Address: 78510 SINGING PALMS DR APN: 643-181-013-25 -2043 Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 506 Tiht 4 4 Q" Applicant: Architect or Engiriee BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: ORME DAVID EDWARD TRUST 78510 SINGING PALMS DRIVE LA QUINTA, CA 92253 W� A�� 1006' -------------------------------------------------- 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 : C36 icense No.: 828264 ate: ntractor. O R -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 _ 1 I, as owner of the property, am exclusively contracting with'licensed contractors to construct the project (Sec. 9044, 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. , BAP.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 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 WORKER'S COMPENSATION DECLARATION Date: 4/12/06 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. 11 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 subjec he workers' compensation provisions of Section Z 00 of the bor Code, I shall rth co Iy with those provisions. ate.- pplicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 Quinia, 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 cou ordinances and state laws relating to building construction, and hereby authorize representatives Of thio s c t e er upo a above-mentioned property for inspection purposes D ignature (Applicant or Agent): ' LQPERMIT -_ 1b% Application Number- 06-00001504 Permit .. . . PLUMBING Additional desc . - Permit Fee. 22150 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 -_ 1 Bin # w , per»Itl N 06 ./S-0 ProjW Address f A. P. Numbc-nbcr Conlnclu Aaam y_-&�r7 cl l City, ST. Zip. i nth G Tclephonc' j 7--77 K_,Qq Stoic Lic. 8 : &g2a (v q Arch.. Er.gr.. Designer: Address City, ST, Zip: Telephone. Statc Lir- K: Nam of Conlan Pemn: Tdcphonc # ofContuct Femon: Stdmilttal Pian Sets Streetnntl Cater. Tnm Calm. Tidr24�Ics. Flood plain plats Gntding plan Subcoetattor List Gnnt Deed IN HOUST:- Manniog Approval I Pulp. Wks. Appr I scbool Pees 1 City of La QLdnta Built SC Safety Divisi w P -O Box 1504,78-495 Calle ial WCD U Qtdnta, CA 9M3 - (760) 777.7012 Building Permit Ap09carion and Traddng Sheer (� � f' Owne=r's Name . l i 19 (�!O ry , City, ST .7* ' vcc,/ �o Te�ephitac: Proj=Descdp iou: zzc) i 5L9 Lir- 4. C, Cmsbucfon Typm (LBvt Occvmcy: Projxltvpcfdedeomr New Add'n filter epair Dmw SQ. Ft.: T Stories: 9 linin- Egg miml Wm of Pea" _ . e1Cl APPLICANT. DO NOT WRITE BELOW THIS LM Reed TRA[XNqG PERItriTFEt'cS PlanChetk sabmitted Item Amount reads for carresfiaas Plan Cheek Deposit Called ContaerPersan plan Check Rahn= Plt;ns picked up Loam uetian Plans resubmitted tlfechaniral ^f°Rtviea,ready for torrettioasIssue Metrical Called Contact Person plurmbin Plans picked up rbatitt IPISMGni'Revicw.reod-Tfurearrecdmmsrsssue Impact Fee Gaited Coatrut Boson f)Developer .iPs. Date of permit issue Total Permit Few J CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -1R Project Title Date.. _ - Project Address Building Pennit# Documentation Author Telephone Plan Check / nate Field Check / Date Compliance Method (Prescriptive) Climate Zone 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 151-0 — (5%.X CFA) ft Maximum Allowed Total Fenestration Products Per Table 151-B or 151-0 — (20% X CFA) f ✓ ❑ Building Type: (check one or more) Single Family Multifamily Addition Alteration (ffoIf adding fenestration fill out WS-4R,.Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 r Additions and 8.3.3 for Alterations.) Number of Stories: Number of Dwelling Units: Floor Construction Type:—. Slab/lbiised Floor (circle one or both) j Front Orientation: North / South / East / West / All Orientations (input front orientation in degrees from True North and circle one). 4 ✓ ❑ 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) 04 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!)Tical, etc. �. 1) See 7oint:Appendix IV in -Section N.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 CERTIFICATE OF COMPLIANCE: RESIDENTIAL .(Page 3 of 4) CF -1R Project. 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. ❑ 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-C, Footnotes 7-14 OR For additions and alterations, duct systems that are not documented to have been previously 0 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 spaces shall meet the requirements of Section 150 m and duct insulation recluirements of Package D. {1/ ♦T". � t r• h i Ln iac.ri 1 Ilii v a I A l L' 1YIA Distribution Type ❑ Sealed Ducts all climate zones Installer testing and certification and HERS rater field verificationrequired.) 0 TXVs, readily accessible (climate zones 2 and &15 only) Tank External ' Loss oInsulation --(Installer testing and certification and HERS Rater field verificationrequired.) 0 Refrigerant Charge (climate zones 2 and 5-15 only) (Installer testing and certification and HERS Rater field verification ' q uired. r%r ❑ 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-C, Footnotes 7-14 OR For additions and alterations, duct systems that are not documented to have been previously 0 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 spaces shall meet the requirements of Section 150 m and duct insulation recluirements of Package D. {1/ ♦T". � t r• h i Ln iac.ri 1 Ilii v a I A l L' 1YIA Water Heater T e/Fuel Type ` Rated Distribution Type Number System heck box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per Tank Cap(gallons) y dwelling unit. If the water heater is a storage type, 50 gallons is the •maximum capacity and recirculation system is Tank External ' Loss oInsulation 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 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 Heatingtable. 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 1 CveMmc co................t...i.....00__ __—tom_ Water Heater T e/Fuel Type ` Rated Distribution Type Number System Rated Input stu/6r Wor Tank Cap(gallons) y Energy Factor or Thermal Efficiency Tank External ' Loss oInsulation L. � liin 1 ----`- 1 Fnr email Water Heater Type Distribution Type Number in S stem Input (W or 13tumrtons Tam Capacity Energy Factor or Thermal Efficiency Standby' Loss % Tank External Insulation -Value) 1 Fnr email _ _. ... b,.,, "su wnwt „—,tet, kult— mputs or less man 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 AI CERTIFICATE OF COMPLIANCE: R'Et.SIDENTIAL (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 nreerrintive methnrt SPECIAI (add eii&,�k s verification- Feature erification Indicate to the HERS Rater which credits are part of this project and need' ✓ Feature Required Forms if a livable Description ❑ Metal Framed Walls CF -1R Refrigerant Charge ' ❑ Radiant Barriers CF -1R CF -6R vart 6 of 12 ❑ Exterior Shades WS -4R ❑ Cool Roof N/A; Attach CRRC Label to Forms. ❑ Dedicated Hydronic Heating Performance Calculation System R wired• Attach Run to Forms. ❑ Combined Hydropic 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 Heaters Per See Table 5-13 or use ❑ Performance Calculation and Dwelling Unit attach Run to Forms. ❑ Central Water Heating System Performance Calculation and Servi ng 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 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 SPECIAI (add eii&,�k s verification- Feature erification Indicate to the HERS Rater which credits are part of this project and need' ✓ Feature Re uired Forms if applicable) Description ❑ Duct Sealing CF -611 part 4 of 12 ❑ Refrigerant Charge ' CF -6R part 5 of 12 Thermostatic Expansion Valve CF -6R vart 6 of 12 Residential Compliance Forms r