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06-3778 (PLBG)4.4 Q" P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE,TAMPICO '. FAX (760) 777-7011` LA QULNTA, CALIFORNIA 92253 ' BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 ;- BUILDING PERMIT = - Date: 10/23/06 Application Number: 06:00003778 Owner: Property Address: 79305 N'SUNSET. RIDGE DR WILLIAM CAMPBELL APN: 604-100-047-125 -19903 79305 NORTH SUNSET' RIDGE Application description: PLUMBING D /C\` LA QUINTA, CA, 92253 Property Zoning: LOW DENSITY RESIDENTI Application valuation: _ 500 OCT 211006 ` • Contractor: Applicant: Architect or Englnee�K. FOY, " SCOTT A. TY QUINTA 43579 MAIN STREET FI?MNCEDEpr INDIO, CA 92201 , (760)775-9405 _ • Lic. No.': 828264 ---------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION i I hereby affirm under penalty of perjury that I -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 fullforceand effect. _ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided , License Class: C36 License No.: 828264 M .` for by Section 3700 of the Labor Code, for the performance of the work for which this permit is j - _ issued. te: ontractor: 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 OWNER•BUIL ER DECLARATION insurance carrier and policy number are: ` I hereby affirm under penalty of perjury that I am exempt from the Contractor'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 37 YOof the Laboi Code, I shall forthwith comply with those provisions. 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).: te: .cant: 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 WARNING: FAILURE TO SECURE WORKERS' MPENSATION 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 HUNDRED THOUSAND - - - - 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 ASPROVIDED 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.). - �. - APPLICANT ACKNOWLEDGEMENT - 1 _ 1 I, as owner of. the property, am exclusively contracting with licensed contractors to construct the project ISec. ' 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.l. - - • • whose benefit work is, performed under or pursuant to any permit issued as a result of this application, 1 y 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. Dat4: Owner: - • 2. Any permit issued as a result of this application becomes null and void if workisnot 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 can " I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the - I certify that 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 ISec. 3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this unty toe ter upon he above-mentioned property for inspecti n purpos - _ Lender's Name: gnature (Applicant or Agent): - Lender's Address: LQPERMIT Application Number. 06-00003778; Permit PLUMBING - .. -• .Additional -desc Perm"t Fee 22'.50, Plari..Check Fee 5.63 Issue Date '.- . Valuation 0 • Expiration Date 4/21/07 :..' Qty Unit Charge., Per Extension BASE FEE ' 15 . 00 1. -1.00 7.5000..EA PLB,WATER HEATER/VENT 7.50 ------- Special.Notes and Comments., ' WATER HEATER CHANGE OUT y _ Fee' summary - Charged Paid Credited Due = :Pe -Mi t'Fee.Total' 22.50 .00 .00 Plane Check Total 5.63 .00 .00 5.63 Grand.Total- 28.13 •.00 00 28.13.. . LQPERDIIT' - CERTIFICATE OF COMPLIANCE: RESIDENTIAL 'age 3 of 4) CF -IR Date SEALED DUCTS and TXVs (or Alternative Measures) A signed CF -411 Form must be provided to the building department for each home for which the following. are rennired_ vie ❑ Alternative 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. W A 1 nK tlEA 11tV li J Y J 1 l:MJ Distribution Number -Type in System ❑ Sealed Ducts all climate zones Installer testing and certification and HERS rater field verificationrequired.) ❑ TXVs, readily accessible (climate zones 2 and 8-15 only) Installer testing and certification and HERS Rater field verification required.) 13 Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verification i ' uired. vie ❑ Alternative 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. W A 1 nK tlEA 11tV li J Y J 1 l:MJ Water Heater Type/Fuel Type Distribution Number -Type in System Rated Input' (W or Bturhr Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per - 0 dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is Standby' Loss %o 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 arer e quircd,and the system complies automatically. Check box if system does not meet criteria of "Standard!' system, and does not comply with the Preapproved C3 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 Number -Type in System Rated Input' (W or Bturhr Energy Tank Tank Factor or External Capacity Thermal Standby' Insulation tons Efficiency Loss %o) R -Value Tank Capacity (RdIons Energy Factor or Thermal Efficiency Standby' Loss %o Tank External Insulation R -Value Water Heater T e . Distribution Type Number in System Rated Input' (kW or Btu/hr) Tank Capacity (RdIons Energy Factor or Thermal Efficiency Standby' Loss %o Tank External Insulation R -Value -••• • s•--• �•­ -5- ­­ ". I -a k4amu urNuu ur less roan or equal to n,vuu tstuttrr), 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 OFCOWLIANCE: RESIDENTIAL (Page lof4) CF -IR 6,i .V hone Plan Check / We Documentation AuthorTel �Av Field Check / Date Compliance Method (Prescriptive) Climate Zone Enforcement Agency Use Only %*' 0 Alternative Component Package Method: (check one) _C _L DD (Alternative) Package and Package D choices iequire, HERS rater field verification and/or diagnostic testing (see CF -1R page 3) For Package D.Alternative see Appendix B Table. 15 I -C Footnotes 7-14 GENERAL. INFORMATION Total Conditioned Floor Area (CFA) Average Ceiling Height:. ft Maximum Allowed West Facing Fenestration'Products Per Table 151-B or 151-C (5-11. X CFA) ft2 Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C — (20%,X CFA) ft %,".0 Building Type: (check one or more) �_ Single family— Multifamily'_ Addition Alteration, (If adding fenestration fill out WS -41t, 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 circid one). ✓ E3 RADIANT BARRIER (required in climate zones 2,4,8-15) OPAQUE SURFACES INCLUDING OPAQUE DOORS Component Type (Wall, Roof, Floor, S16 Edge, Doors) Frame I 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 t ical, etc.) 1) See Joint Appendix IV in Section IV.2,,IV.3 and IVA, which is the basis for the U_ -factor criterion. 0 -factors cannot exceed prescriptive value to show equivalence to R -values. Residential Compliance Forms 2 . fix. �' CERTIFICA`T'E OF COWLIANCE: RESII)ENTUL (Page 4 of 4) CF -IR Project Title Date 4; F 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 rescritive method. ✓ Feature R aired Forms if.applivable Descri tion ❑ Metal Framed Walls CF -IR Rcfii Brant Charge ❑ Radiant -Barriers CF -1R CF -6R art6 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 R 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 Multiple Water Heaters Per See Table 5-13 or use 11 Performance Calculation and Unit attach Run to Forms. 11 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 Min 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 exin sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need veriticafinn. ✓ ' Feature Required Forms if applicable) Description ❑ Duct Scaling CF -6R part 4 of 12 ❑ Rcfii Brant Charge CF -6R part 5 of 12 ❑ Thermostatic Expansion Valve CF -6R art6 of 12 Residential Compliance Forms March 2005 .ate i ytii n i1 3 r Project Address: A. P. Number. I-cgal Description: Contractor. Address: G_/ c 7 Cl P City, S'f,'Zip. Tei Tei elephonc: Slate Lia d : &,Vg@ to Arcb.. Erfr.. Desiper: b Address: Ci.;, ST. Zip: Telephone: State Lic. R: PT of Contact Person: 4 of Conluct Perm: R Submittal I'Iao Sets Sircetarnl Color. Tnws Cafes. i7di:24 Gales. Flood plain pinn Gniding plan Subrentector hist Gnnt Deed ILO a. Approval IN HOUSE. Planning Approsvi Pub.14'kc. Appr School Fees I Budding ar Safety Division P.O. Boy. 1584, 78-495 Calle Tampico La Quinn, CA. 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Ownrr's N ne- W i l Cl Yl(1 k City, ST. Zip: rl (\1 l►�(11//n _ t il/'1 F Construed Type: • J Occupzalcy: s%: r•oa , �. �Ack . q Pwiccl lyl= (circle ones Nc.. Add*, Jtcr cpait) Data SQ. Ft.: T Stories: 4 Unite Esfmtettd Value of Proje nc`i L� li _e APPLICANT: DO NOT MTE BELOW THIS LME i Total Permit Yet-- I RACKIMIG Plan cheelt Submitted . PE10111'1' FM Irear Lmaum Ideci¢tsl, resdp for corrections �-—,Jledd CCo=erPetson j f Plan Check Deposit Pian Cbcck Balance Plzas picked up. 4 Construction Plorsr. resubmitted Mccrtslnir.21 "Review, ready for eorreetion-vissue Electrical Called Contact Person PlurnFirg Finn picltcd up 5.1.1. Plans resubmioted F. Cr2di l ng !.Review, ready for correcttaas/imue Developer lvipact tree Celled Conmer Person AXP.P. I. Date orrennit issue Total Permit Yet--