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06-1491 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00001491 Property Address: 78985 DEL MONTE APN: 770-050-007-6 Application description: PLUMBING Property Zoning: MEDIUM DENSITY Application valuation: 500 c&ht 4 4 a" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT CT -25389 -, RES Applicant: Architect or Engineer: -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that 1 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. Licen. seclas C36 wens No.: 828264 /ate Cntraaor: o -BUILDER DECLARATION I 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.). 1 _ 1 1, 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.). (_) 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: i Lender's Address: LQPERMIT Owner: MORTENSEN CLIFFORD 78985 DEL MONTE CT 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 Date: 4/12/06 ----------------------------------------------- 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 STATE FUND Policy Number 1576840 _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I hajyIor�wit comply with those provisions. yace��7��A 'ant: CJ WARNING: FAILURE TO SECURE WORKE S' PENSATIO14 COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES 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 ouinta, 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 city and county ordinances and state laws relating to building construction, and by authorize representatives of this count to enter upon th move -mentioned property for insp ctio urp ses. Date: Si ture (Applicant or Agent): LQPERMIT Application Number . . . . . 06-00001491 . Permit . . . PLUMBING Additional desc . Permit Fee 22.50 Plan Check Fee 5.63 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/09/06 Qty Unit Charge Per Extension BASE FEE 15.00 7_5000-EA PLB WATER-HEATER/VENT-----------------7_50.- ----- --1_00----------------------------- Special Notes and Comments REMOVE & REPLACE NATURAL GAS WATER HEATER.CF1-R APPROVED. 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 Bin # # k Projcd Address A. P. Ninliber: ODnl=Ulr -DC-0%k DC -0%k Addre= q�r7 5 f) city'sr-zip-x Tel cphan r- - 7 W 7—)_6-' Stale lac. 9 : &22a Arch., Ergr.. Designer: Address: Ci-�, Si; Zip: Telcphavc State Lir- 0: Name of Canino PCMOA: Tclephove 1) of Conwa Person: 1,119 sets .qtrgetww cafca. Truss Cato. Tide 24 ChIcs. 1JUad plain plan Grading plan Grant Decd i'll.0-4- approval IN t30: - Funning Funning Approval PW?. Wfm Appr School PC" City of La QLdnb NuMig et SaW Aftdon P.O. Box 1504, 78-495 Calk Tanwko La Oubna, CA 92253 - (760) M-7012 Building Permit ApOcadbn and Tracft Sheet Sel/7 Addresm Cf-. C-ty. ST.;,-* Telepho= P"j=Dcscr*tfiw: 21W ,ii zteed IMACIONG PERl►171'iIEFS P120 Cheeb Submitted lremr Amoun; melt for earrections Plan cbeck Dwofit c2lied coutzerpersan PhD Chedc Rabam Plans picked up Cousiruction Plans resubmitted 2'aReview,rendylarcorTwoonsanw, : Electrical CORIA Coulad Person Plumbing Plans pidied up Plans resublubted Gradft Iteview. resily Aw correcdansrassue Developer Impact Fee Cow Contact Person A.LP.P- Darr of permit ism TOW Permit Fee -- N CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -1R Project Title 7G 9�S �G-t- Project Address o Documentation Author Telephone Compliance Method (Prescriptive) Climate Zone 3 -15 �-- o� Date Building Permit # Plan Check / Date Field Check / Date Enforcement Agency Use Only ✓ CI 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 -111 page 3) For Package D Alternative see Appendix B Table 151-0 Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) fl Average Ceiling Height ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 — (5% X CFA) ft Maximum Allowed Total Fenestration Products Per Table 151-B or 151-0 _ (20% X CFA) ft ✓ O Building Type: (check one or more) Single Family MultifamilyAddition Alteration (If adding fenestration fill out WS -411, 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). ✓ 0 RADIANT BARRIER (required in climate zones 2.4.8-15) OPAQUE SURFACES INCLUDING OPAQUE DOORS Component Type (Wall, Roof, Floor, Slab Edge, Dom)or Frame Type (Wood Metal Cavity Continuous Insulation Insulation R Value R Value Assembly U - factor (for wood, metal ` frame and mass assemblies t Joint Appendix IV Reference Roof Radiant Barrier Location/Comments Installed (attic, garage, Yes or No ' ical etc. 1) See Joint Appendix IV in Section IV.2, IV.3 and IVA, which is the basis for the U -factor criterion. U -factors can not exceed prescriptive value to show equivalence to R -values. Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF -IR 3 —? D,,. Project Title Date SEALED DUCTS and TXVs (or Alternative Measures) A signed CF -4R Form must be provided to the building department for each home for which the following. are required. Ve Distribution Type .0 Sealed Ducts all climate zones taller testingand certification and HERS rater field verification uired f_f TXVs, readily accessible (climate zones 2 and 8-15 only) (Installer 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 ' ' fired 0 I Alternative to Sealed Ducts and Refrigerant Charge lr"s (See Package D Alternative Package Features for I Proiect Climate Zone in the RM Aonendix B Table 151-0. Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to have been previously 0 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 15 m and duct insulation requirements of Package D. WATER HEATING SYSTEMS Systems serving single dwelling units Water Heater Type/Fuel Type Distribution Type r Check box if system meets criteria of a "Standard" system. Standard system is one gas -feed water heater per f_f dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is 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 are Mquirod, and the system complies automatically. Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved 0 Alternative Water Heating table. In this can, 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 fora system serving multiple units Systems serving single dwelling units Water Heater Type/Fuel Type Distribution Type En Rated Tank Factor' or Number (kw or Capacity Thermal in System Bw/hr) (galoos Efficien Standby' Loss /o Tank External Insulation R Value —R System ser An ,multile dunits `t Rated Input' Water Heater Distribution Number (kw or Type Type in System Bwlhr) Energy Tank Factor' or Capacity Thermal wimy Efficiency Standby Loss % Tank External Insulation -Value —R 1. For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), 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 6) 2 A or 150 6) 2 B. Residential Compliance Forms March 2005 CERTIFICATE OYCOWLIANCE: RESIDENTIAL (Page 4 of 4) CF -1R Project Title 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 nrncerm ivP mrthnd +� Feature Reauked Forms if applicable) Description ❑ Metal Framed Walls CF -1R 4 of 12 ❑ Radiant Barriers CF -IR 5 of 12 ❑ Exterior Shades WS -411 part 6 of 12 N/A; Attach CRRC Label to ❑ Cool Roof Forms. 13 Dedicated Hydronic Heating Performance Calculation System Required; Attach Run to Fomes. Performance Calculation ❑ Combined Hydronic System R u' - Attach Run to Forms. ❑ Gas Cooling Performance Calculation Required, ❑ Buried Ducts N/ • Indicate on building fans. ❑ Kitchen Pipe Insulation See Section 5.6.2 Distribution Systems in Residential Manual. Multiple Water Heaters Per See Table 5-13 or use ❑ Performance Calculation and Dwelling Unit attach Run to Forms. ❑ Central Water Heating System Performance Calculation and Serving Multiple Dwellings attach Run to Fors. ❑ Non-NAECA Large Water CF -1R Heater See Table 5-13 or use ❑ Indirect Water Heater Performance Calculation and attach Rtm to Fors See Table 5-13 or use ❑ Instantaneous Gas Water Heater Performance Calculation and attach Run to Fors See Table 5-13 or use ❑ Solar Water Heating System Performance Calculation and attach Run to Forms ❑ 1 Wood Stove Boiler Performance Calculation and attach Run to Forms SPECIAL FEATURES REOUIRING HERS RATER VERIFICATION Tadd ext g sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verification. ✓ Feature Required Forms if applicable) Description Duct SealingCF-6R 4 of 12 ❑ 1❑ Refrigerant Charge CF -6R 5 of 12 ❑ Thermostatic Expansion Valve CF -6R part 6 of 12 Residential Compliance Forms March 2005