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 •
-
- - - -
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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
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city ST, zip. ce 22 L) t yn
Tele � :-s-��'•�`•�:'�,i+.-- — IF-Ace -- -
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State1.IR u : 0�6j) (.0Lj City I.ic.'4:
Arch., Engr., Designer: _
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s ,,WJress:
City: STI Zip:
Tdvithone; Comtuc2ina T Occupancy:
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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:
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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
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School Fccs
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t
— _ -- -- r Tolal Permit }'ems
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-
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