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06-3777 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: XApplicant: 0.6-00003777 — - 78715 LA PALMA DR 604-172-009-1.30 -23269 PLUMBING LOW DENSITY RESIDENTIAL 500 T,4u4t 4 4 Q" Architect or Engineer: A) A. BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: ROBERT MCCARTHY 71 8 e 715 LA PALMA DRIVE lop } QUINTA, CA 92253 OCT 2 4 2006U� Contractor: CITY OF LA QUINTA JOY, SCOTT A. FINANCE OLL- � 3579 MAIN STREET NDIO, CA 92201 (760)775-9405 Lic. No.: 828264 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/23/06 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION , 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 full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C36 License No.: 828264 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ate ontractor: issued. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor t_ Code, for the performance of the work for which this permit is issued. My workers' compensation NER-BU DER 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 3700 ofthe La r 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 j any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate/ Gplicant:��a__/ L% 1 _) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and w�� the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION NSATION OVERAGE 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 (5100,000) 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 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.AP.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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 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. I certify that I have read this application and state that the above information is correct. I agree to comply with all cityand c my ordinances and state laws relating to building construction, and hereby authorize representatives of thi ounty to enter upon a above-mentioned property for inspection purposes. ate: nature (Applicant or Agent): L A Application Number . . . . . 06-00003777 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 22.50 Plan Check Fee 5.63 Issue Date . . . . Valuation . . . . 0 Expiration Date .. 4/21/07 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 CHANGE OUT 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 TIFICATE OF COMPLIANCE: RESIDENTIAL (Pap -e'3 of 4) 91 , J� CF -1R Project Title, I U pc,l m� oo - Date SEALED DUCTS and DUCTS and TXVs (or Alternative Measures) Alternative Measures) A signed CF4R Form must be provided to the building department for each home for which the following. are required. �� UK 0 Alternative to Sealed Ducts and Refrigerant Charge fMs (See Package D Alternative Package Features 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 (7 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 15km) and duct insulation requirements of Package D. WAXER kMA'FILN i SY&FEMS J Distribution Type O Sealed Ducts all climate zones Installer testing and certification and HERS rater field verificationrequired.) 0 TXVs, readily accessible (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verificationrequired.) 0 Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verification ' ' wired.) �� UK 0 Alternative to Sealed Ducts and Refrigerant Charge fMs (See Package D Alternative Package Features 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 (7 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 15km) and duct insulation requirements of Package D. WAXER kMA'FILN i SY&FEMS J Distribution Type Number in -System 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 Tank External Insulation R -Value 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 O Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the submittal. 0 Check box to verify that a time control is required for a recirculating system pump for a system serving multiple units ovsicrnN sr_rvmv No"WEV nweumv nmrc Water Heater Type/Fuel Type Distribution Type Number in -System Input, (W or Bhvlw) Tank Capacity wlops Energy Tank Factor or External Thermal Standby Insulation Efficiency Loss % R -Value Tank External Insulation R -Value wsrem serving, mmnme nwemnv unirt Water Heater T e Distribution T e Number in S stem Rated I pui (kw or Btu/hr) Enemy Tank Factor or Capacity Thermal (galto-) Efficiency Standby � Loss % Tank External Insulation R -Value rui mnau gaz :)►uiage water neaters kratea inputs or Less than or equal to 75,000 Btuthr), 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 1/4 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 r_ 0 ; 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 ical etc. J f 7 0 M (`FRTYPICATR n1R MMPT.TANCIP.- RF1.R1DVNTTA1r. Project Project Address Documentation Author l CF_1 R wuipuanw tviauwuu �rlubwlpuvcj %auuaUc [.uua Enforccmcnt Agcncy Usc 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) Average Ceiling Height: R Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C — (5% X CFA)�_ f Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C ---- (20% X CFA) g ✓ O 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). V ❑ 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 ical etc. 1) See Joint Appendix IV to Section IV.2, IV.3 and IVA, wtuch is the bans tor.the U -tactor criterion. U -tactors can not exceed prescriptive value to show equivalence to R -values. Residential Compliance Forms March 2005 i CERTIFICATE OF 'COMPLIANCE: RESIDENTIAL Project Title fff�€ 1 CF -IR 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 rescri five method v/ Feature Required Forms if applicable) Description ❑ Metal Framed Walls CF -1R Refrigerant Charge ❑ Radiant Barriers CF -1R CF -6R part 6 of 12 ❑ Exterior Shades WS4R N/A; Attach CRRC Label to ❑ Cool Roof Forms. Dedicated Hydronic Heating Performance Calculation ❑ System Required; Attach Run to Forms. Performance Calculation ❑ Combined Hydronic System R uired; Attach Run to Forms. Performance Calculation ❑ Gas Cooling Required. ❑ Buried Ducts N/A; Indicate on building plans. ❑ Kitchen Pipe Insulation See Section 5.6.2 Distribution Systems in Residential Manual. See Table 5-13 or use ❑ Multiple Water Heaters Per Performance Calculation and Dwelling Unit attach Run to Forms. ❑ 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 VElin 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 exi`a sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verification. V Feature Required Forms if applicable) Description ❑ Duct Scaling CF -6R part 4 of 12 ❑ Refrigerant Charge CF -6R vart 5 of 12 ❑ Thermostatic Expansion Valve CF -6R part 6 of 12 Residential Compliance Forms March 2005 / [i ~ -� 1 Uf7171 Pernift P —3-7-7-7 Project Address: IS— A. A. P. Number. Legal Description: Coniracutr Address: Cin•, ST,Lip. L .l 4, State Lia tl : &'12a co L Arch., Er -gr., Designer: Address: Cit;,, ST, Zip: Tcicphone: SWIG Lic. tJantr: of Conlart Person: Teleitilone9 ofContuct Petscm: %: Sldmitral ` I'lao Sets NtroctuNi Cnlc- Tnws Cates. roc 24 Cities. flood plain pinn Gnldlog pinn Sulicenrector List Grant Dccd 11.0A. Approval IN IIOUSE:- Pitnoing Appro -ul Puh. Wrts. Appr School Fees i 6 0q 1p5il City of La Quinta �. 40BltMng gr 5afay Division 0.b P-0. Boll 1504, 78-495 Calle Tampico � La QUiW, CP. 92253 - (760) 777-7012 ��// Building Permit APpiicadon and 'gassing Sheet L414 {'1r vn, ? Owner'sNmne:. Addre=--. ProjedDcscrilption: ff "TO Canstsuctinn Type: C3Q,, Occupmcy: �Mi- '1Y.E� Projcci tvir (circle ones Ncr. Add'n Alterci�palr) t7xto Sq. Ft.: Stories: N Unit: Eslimmied tial= of Proj ; t L APPLICMY. DO NOT UWRITP Rsa (mita safe n sows Rer'd _ TRACMG — P£RitIIT FEES Plan Check subtaitted (rem Amount Rltsiesre�l, ready forcerrections 1 Plan cheek Deposit Called CoctlaerPerson Plm Check Balance Pisses picked up :t Construction V Plans resubmitted Meetmaic.21 — T j 2' Review, ready Cor correciiolmilssee Elecrical h Called Contact Person Plumbing Pians pidted op S X11 -------��L''' Plans resubmialed ti '^ ,vicr, ready for correctinmrissue Grading (Developer lnipact Fee CelJed Contact Parson AIP-P. �jDate 01'perntit issue ' 1 Total I'ermi(Yrc$