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06-4247 (PLBG):444 -- P.O,. BOX 1504 VOICE 760 777-7012 78-495 CALLE TAMPICO FAX (760) 777=7011 LA QUINTA, CALIFORNIA 92253 BUILDING &.SAFETY' DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Ti _ Date: 12/11/06 Application Number: X06=00004'2'47.•�� Owner: Property Address: 79295' S JNSET RIDGE 'DR ZURCHER L B APN: 604-100-046-124 -19903 - 15722 S CARUS RD Application description: PLUMBING OREGON CITY, OR 97645 D a O Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 500 • Contractor: 13 �O Applicant: - Architect or Engineer: FOY, SCOTT .A. 43579 MAIN STREET y CiryQ� Y INDIO, CA 92201 P/��N ieu1�jT,q (760)775-9405 or Lic. No.: 828264 LICENSED CONTRACTOR'S'DECLARATION- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that l am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of 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 Licens o.: 828264 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate:/ Z ntractor: j/t 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 -BUILDER D RATION insurance carrier and policy number are: - I hereby affirm under penaltyof perjury that I am exempt from th ontractor's State License Law for the Carrier STATE FUND' Policy Number 1576840 _ following reason (Sec. 7031 .5, 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, - permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forthwith comgly with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by I ' any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001.: [,D A cant: ( I 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' COMPENSATI N COVERAGE 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 CIVIL FINES UP TO ONE HUNDREDTHOUSAND_ and who does the work himself or herself through his or her own employees, provided that the` DOLLARS ($100,000). 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 SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.l. APPLICANT ACKNOWLEDGEMENT - - (_) 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 person upon 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 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. 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 there is a construction lending agency for the performance of .the I certifythat I.have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and co y ordinances and state laws relating to building construction, and hereby authorize representatives of this my to enter upon t above-mentioned prop ty for ins ection purpos Lender's Name: 7 teyt S' ature (Applicant or Agen Lender's Address:' LQPE%NlIT _ Application.Number . . . . 06-00004247 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 28.13 LQPEPINIIT • - - - - - • � Dill 8 - � y city of La QL1 fin ta • }�. ,��� r.. _e.�� BUif&ng U5afety Dir Wo)t " P.O. Box 1564, 78-495 CafM Tampico La Quinta, CP. 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Qr Owner's Alame:. A. P. Number t_ct�Hl Description: I City, ST, Zip: In Conlrucnlr. 7C r 1 �"'t� #Tetephobut 3 r Txe: Adhlrccs:4-M�17r/ Mcin ProjecrDkscrtstion: city ST, zip. ce 22 L) t yn Tele � :-s-��'•�`•�:'�,i+.-- — IF-Ace -- - � Ir rhw�c:jp�_.;�) State1.IR u : 0�6j) (.0Lj City I.ic.'4: Arch., Engr., Designer: _ 1 s ,,WJress: City: STI Zip: Tdvithone; Comtuc2ina T Occupancy: •'} Oar>) 6..'�.o^ihN�, State Lie. R: PrD'-ct tn-fcirdeoner Ne:s Add'n After cprm ' axro Manic of Conlan Pktson: SQ. FL' $torics: +1 UniLy t Tokpltone — k arConluct Person: r Estimoted Vsalue of Prejt L — AMLICANT: DO NOT 111 ME BELOW THIS 1LF114' E N Submitral i"'d Reed TRACiCITtG PERAIfTr S I'lac Sets 1 Plea Check submitted Frew Amount Siraetnral arola: I3eciease�, resdp forerrrectiors j Plan Check Deposit Trim Cnlcs. Casted Coataet Person Pirm Cbeck Salatme — rine! 24 Qda. Plsas picked up N Construction !loud plain pltin i Plan; resubatittrd Nfeclumiul Grndingplan 3vdRmiew,rendyforeo,.eitionvjs=e L[ tritDl Subrenractoe 1Lbi Called Contact Person Plumbing Grana Dced Pians picked up Plans resubmialed '^ Fevier,, rwdy for corrections/issue S.M.). Grading !Developer Impact Fee 1.0-ii. Approval )N HOUSE:- IYlanalog Approtat Called Contact Person )gate of permit issue —� Pull. Ia'hc. Appr I'� School Fccs c' t — _ -- -- r Tolal Permit }'ems 't. - CERTIFICATE OF COXPLL NCE: RESIDENTUL (page'3 of 4) CF -1R Project Title �1 Date SE, AILED DUCTS and TXVs (or Alternative Measures) " A signed CF -41K Form must be provided to the building department for each home for which the following. are rcnuimsl- VR ❑ IAlternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-0. Footnotes 7-14. For additions and alterations, duct systems that are not documented to have been previously O 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. rr tV it ream 11rIA A Jul" a X a I ZlYto Distribution Type ❑ Scaled Ducts all climate zones Installer testing and certification and HERS rater field verification required.) ❑ TXVs, readily accessible (climate zones 2 and 8-15 only) Installer testing and certification and HERS Rater field verification uired. Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verification ' q wired. VR ❑ IAlternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-0. Footnotes 7-14. For additions and alterations, duct systems that are not documented to have been previously O 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. rr tV it ream 11rIA A Jul" a X a I ZlYto Water Heater Type/Fuel Type 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 ' not allowed. !7 Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential 0 01,0 Manual. No water heating calculations are required, and the system com lies automatically. Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved O 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 Water Heater Type/Fuel Type Distribution Type Number in System Rated Input Tank (kW or Capacity MAO tons Energy Factor or Thermal Efficiency Tank External Standby Insulation Loss % R Value S) 0 01,0 Water Heater T e Distribution Type Number in S stem Input, (kW or Btwbr Energy Tank Factor or Capacity Thermal Standby allons Efficienc Loss % Tank External Insulation R -Value - -• .... -•• b•-•• •" ••b• ..— k.a—u uiyuw ui ►ess Ulan or equal to /:),uuu btwhr), 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 lnput, 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 t March 2005 Component Type (Wall, Roof, Floor,, Slab Edge; Doors) t 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 Locatior✓Comments Installed (attic, garage, . Yes or No ical, etc. CERTIFICATE OF COMPLIANCE: RESIDEN'T'IAL (Paged of 4) CF -1R' . r i Project Title Date Building Permit q 1 .Project Address ' Plan Check / Date { Documentation Author Telephone . s • " •' c '' Field Check / Date - Climate Zone Only cetAgency UseCom fiance Method Preseri five), Fnfom k C D ✓ Q Altcrnativc'Componcnt Package Method: (check one) � � •D (Alternative). 0 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 I51 -C Footnotes 7-14' GENERAL INFORMATION M j Total Conditioned Floor Area (CFA) ft2 Average Ceiling Height: ft Maximum Allowed West Facing Fenestration Products Per Table 15 i -B or 151-0 — (5% )CCFA): _ ftZ Maximum Allowed Total. Fenestration Products Per Table 151-B or 151-C — (20% X CFA) ✓ O Building Type: (check one or more) Single. Family ' - Multifamily Addition Altemation , (If adding fenestration fill out WS -0, 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/Raiied Floor (circle one or both) r ' Front Orientation: North / South / East / West / All Orientations (input front orientation in degrees from True North and circle one). / ❑ RADIANT BARRIER (required in climate zones 2.4,8-15) , OPAQUE SURFACES INCLUDING OPAQUE DOORS ' 4 Component Type (Wall, Roof, Floor,, Slab Edge; Doors) Frame Typc (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 Locatior✓Comments Installed (attic, garage, . Yes or No ical, etc. I) See Joint Appendix IV in Section IV.2, IV.3 and IVA, which is the basis for the U -factor criterion. U -factors cannot , exceed prescriptive value to -show equivalence to R -values- - ' Residential Compliance Forms ' ' March 2005 Date 4 of 4) CF -1R f+ SPECIAL TEATURES NOT RE U1Ki1`lq�,r t> n4-1 •,: JL%,W " -- ial features relevant to the indicate which special features are part of this project. The list below only represents spec resen tive method. reature R aired Forms if a livable Desai tion /, ❑ Metal Framed Walls CF -1R f ❑ Radiant Barriers CF -1R WW AD ❑ Exterior Shades N/A; Attach CRR(; Label to ❑ Cool Roof Forms. Dedicated Hydronic Heating Performance Calculation ❑ R uired- Attach Run to Forms. • . .t'VstP.fi1 , ❑ Combined Hydronic System ❑ Gas Cooling ❑ 1 Kitchen Pipe Insulation ❑ Multiple Water Heaters Per Dwelling Unit 0 Central Wager Heating System Servin Multi le Dwelling ❑ Non-NAECA Large Water Heater ❑ 1 Indirect Water Heater Performance Calculation Required• Attach Run to Fo performance Calculation N/A; Indicate on bu7dmg ptan See Section 5.6.2 Distribution , (stems in Residential Manua See Table 5-13 or use performance Calculation and attach Run to Forms. performance Calculation and attach Run to Forms. CF -1R See Table 5-13 or use Performance Calculation and See Table 5-13 or use $Osolar antaneous Gas Water Heater Performance Calculation and attach Run to Forms See Table 5-13 or use Water Healing System Performance Calculation and attach Run to Forms Performanceod Stove Boiler attach Run to Forms SPECIAL FEATURES RE UIRING HERS RATER VERIFICATION ' (add exL-a sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verification. CF -6R part 4 of 12 CF -6R art 5 of 12 valve I CF -611 part 6 of 12 Residential Compliance Forms 0 March 2005