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07-0417 (PLBG)r,. P.O.,BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property. Zoning: Application valuation: Applicant: 07-00000417 55544 LAUREL 775 -181 -063 - PLUMBING LOW DENSITY 500 T .4 it!t 4' QuIlICAl VALLEY RESIDENTIAL Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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: C36 License No.: 828264 ate: afffrector: WNER-BUILDER DECLARATION 1 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.). (_ I 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 the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ 1 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: ILA LQPERNUT Owner: CINDERELLA RAMOS 55544 LAUREL VALLEY LA QUINTA, CA 92253 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 FEB 212007 CITY OF LA p jlU A Date: 2/07/07 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 ENDR INS Policy Number WEN000882301 I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to becom ubject to the workers' compensation laws of California, and agree that, if I should becomes lect to the the compensation provisions of Section 3700 oft a Labor Cod I all fo with comply with those provisions. ate: a� licant: 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 Quinta, 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. certify that I have read this application and state that the above infor tion is correct.' I agree to comply with all city and county ordinances and state laws relating to building consirloylion, and hereby authorize representatives of this county to enntteerr upon the above-mentioned prop e y sp tion purposes. �/ `Sig ure (Applicant or Agentl: - Application Number . . . . . 07-00000417 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 22.50 Plan Check Fee .5:63 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/06/07 Qty Unit Charge Per Extension BASE FEE 15.00 140 7.5000 EA PLB WATER HEATER/VENT 7.50 ---------------------------------------------------------------------------- Special Notes and Comments REPLACE WATER HEATER WITH 40 GAL. GAS UNIT 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 Project Address: A. P. Numbcr. 1_cftyl Description: e��rrr.r. Ardi , Engr., Designer: Address: CiC/; ST. Zip: Tolcphona: State Lie. Name of Contact Penon- Tcleplione t: urContuet PCMn: city o La Quinta Buildin; ar5afay Divisfan P.O. Box 1504, 78-495 Calif Tampico La Quinta, CA 92253 - (060) 777-7012 LBullding Permit Application and Tracking Sheet APPLICANT: Do NOT t4i ME BELOW THIS B13lfE RWd I 'MAA W Mr_ o ` CERTIFICATE OF C OMPLIANCE: RESIDENTIAL Iv Date 3 of 4) CF -IR A signed CFAR Form must be provided to the building department for each home for which the following. are Alternative to Sealed Ducts and Refrigerant Charge rMs (See Package D Alternative Package Features for I Proiect Climate Zone in the RM Appendix B Table 151-0, Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to have been previously ❑ scaled 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 AIrV'D UV ATiNC, CVCTRMSR mrw. Number in System Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per ❑ Ducts all climate zones Installer testing and certification and HERS rater field verification required.) TXVs, readily accessible (climate zones 2 and 8-15 only) rCO3Scaled 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 verification ' ' uired. Alternative to Sealed Ducts and Refrigerant Charge rMs (See Package D Alternative Package Features for I Proiect Climate Zone in the RM Appendix B Table 151-0, Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to have been previously ❑ scaled 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 AIrV'D UV ATiNC, CVCTRMSR S terns servin sin le dw ino units 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. Chock 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 Heating table. 1n 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 S terns servin sin le dw ino units Water Heater Type/Fuel Type Distribution Type Number in System Rated Input' tkWr or Bader Energy Tank Tank Factor or 1 External Capacity Thermal Standby Insulation loos Efficien Loss/o R -Value l..�ts... &.,~inn mositinln Awpllino units Heater Tyee Distribution Type Energy Rated Tank Factor' or InpWater Number (kw or Capacity Thermal in System Btuft) (gwtons Efficiency Tank External Standby' Insulation Loss % R -Value 1. For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, ana near pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Bht/hr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated input and Thermal Efficiencies. ripe 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 '1 NCERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page I of 4) CF -IR Project Title Date Project Address Building Permit # Documentation Author Telephone Plan Check / Da1e Field Check / Date Compliance Method (Prescriptive) Climate Zone Enforcement Agency Use only ✓ 0 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) if Average Ceiling Height: ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 — (5% X CFA) ft2 Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C — (20% ft X CFA) ❑ Building Type: (check one or more) Single Family Multifamily Addition Alteration (If adding fenestration fill out WSAR, 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). ✓ ❑ 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) 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 typical, etc. 1) Sec Joint Appendix IV in Section IV.2, IV.3 and IVA, which is the basis for the U -tactor criterion. U -Tactors can not exceed prescriptive value to show equivalence to R -values. Residential Compliance Fors March 2005 'r CERTIFICATE OF *COMPLIANCE: RESIDENTIAL (Page 4 of 4 CF -1R Project Title Sls--:�;-WA Irk 'd U�" p 4 Date SPECIAL FEATURES INOT REQUIRING HERS VERIFICATION (add extra sheets ifSPECI 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 prescriative method SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION (add ext -A sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need vcrificalion. w" Feature Required Forms d applicable) Description O Metal Framed Walls CF- I R Refri Brant Charge ❑ Radiant Barriers CF -1R CF -611 part 6 of 12 ❑ Exterior Shades WS -4R ❑ Cool Roof N/A; Attach CRRC Label to Forms. 0 Dedicated Hydronic Heating Performance Calculation system Required; Attach Run to Forms. ❑ Combined Hydronic System Performance Calculation Required, Attach Run to Forms. ❑ Gas Cooling Performance Calculation Required. O Buried Ducts N/A; Indicate on building laps. ❑ Kitchen Pipe Insulation See Section 5.6.2 Distribution System in Residential Manual. Multiple Water Heaters Per See Table 5-13 or use ❑ Dwelling Unit Performance Calculation and attach Run to Forms. ❑ Central Water Heating System Performance Calculation and Serving Multiple Dwellings attach Run to Forts. Non-NAECA Large Water Heater CF -1R See Table 5-13 or use ❑ Indirect Water Heater Performance Calculation and attach RVn to Forms See Table 5-13 or use ❑ Instantaneous Lias 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 Forts 13Wood Stove Boiler Performance Calculation and attach Run to Forts SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION (add ext -A sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need vcrificalion. w" Feature Required Forms if applicable) Description ❑ Duct Scaling CF -6R part 4 of 12 ❑ Refri Brant Charge CF -6R part 5 of 12 ❑ Thermostatic Expansion Valve CF -611 part 6 of 12 Residential Compliance Forms March 2005 DETAIL STARTS HERE FROM: THE HOME DEPOT STORE 6630: LA QUINTA 79900 HIGHWAY 111 LA QUINTA, CA 92253 FAX PURCHASE ORDERS Date: 01/10/2007 Page: 2 FAX: (760) 775-2687 PHONE: (760) 347-8722 Ext. 382 ============(Use this number to invoice The Home Depot) P.O. Nbr 30462286======= For customer: RAMOS, CINDERELLA=====__ 293-867 WATER HEATER INSTALLATION INSTALLATION SITE: RAMOS, CINDERELLA 55544 LAURAL VALLEY LA QUINTA, CA 92253 PHONE: (760) 777-78:2 Ext. CUSTOMER NAME: CINDERELLA RAMOS PHONE: (760) 777-7822 WORK (310) 650-323.2 Ext ORDER: 210024 REF #: 104 No merchandise selected. MERCHANDISE WILL ARRIVE AT SITE VIA THE FOLLOWING: WATER HEATER INSTALLATION OPTIONAL LABOR PURCHASED: 15 ..PERMIT AS REQUIRED (SEE PRIG LA QUINTA Quantity: 1.00 UM: EA Price -Ea.: SPECIAL INSTRUCTIONS: PERMIT FEE LAQUINTA INSTALLATION•LABOR SUB -TOTAL: INSTALLATION LABOR TOTAL; w $22.00 TRIP CHARGE: $ .00 • Extension: $22.00 $22.00 $22.00 00002200 P.O. Nbr 30462286-===-== 888-1 100/100'd 150-1 18916110918+ 3J0lip0dxe 10dep BU04-MONI 80 91 1001-01-NVf Z I i. YOU