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06-1508 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 4� VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 4/12/06 06-00001508 Owner: 78775 GRAND TRAVERSE AVE EISLER PAUL 770-070-004-51 -25389 - _ 78775 GRAND TRAVERSE AVENUE PLUMBING -LA QUINTA, CA 92253 MEDIUM DENSITY RES 500 Contractor: Architect or Engineer: — FOY, SCOTT A. 43579 MAIN STREET INDIO,-CA 92201 top((760)775-9405 Lic. No.: 828264 --------------------------------------------------- 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 Cl. C36 yi No.: 828264 ate, tractor: ER -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 th e - improvements are not intended or offered for sale. If, however, the building or improv ent is sold within one year of completion, the owner -builder will have the burden of proving that he r 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.). 1 1 1 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: LQPERMIT --------------- - - - 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. 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 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 700 of the Labor Code, I shall fotthwi h comply with those provisions. ate plicant: WARNING: AILURE TO SECURE WORKE ' CgM ENSATION 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. 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 hereby authorize representatives of this count o ant up the above-mentioned property for inspection purposes. Da ignature (Applicant or Agent): LQPERMIT 0 Application Number . . . . . 06-00001508 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 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 ---------------------------------------------------------------------------- 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 0 e;►► # City of La Quinta Badbig erWay DMskn pefMit # P.O Box 1504, 78495 Cale Tarnpicn La Qtdw, CA 92253 - (760) 777-7012 pb l� Building Permit Appiicadon and Tracking Sheer Prq)W Address: Ownces Nta=- A. P. Ntn» bcr. g Add.=- -7 Legal DcstaiptiDn: -- - P C4y. ST. 7*ljaX I Ai n 4r— 0-n Coniracikn: �CQ'� Address: C% Jry city, sT Zip.lncl� C Telephone; -7 kj--7j K_ stats Mr. 8 : &42@ (0 Area►.. Erlgr- Designer. Addrtw Cly, ST. Zip: Telephones Statc.Lic. Naim: of contact Pa"M Teletdtone S of Cont>ttl Fetwn: Submittal t'lao Sets .%;trcetarul Cala. Truss Cates. rne24 ChIcs. 1-10011 plain PIM C.mdltw plan Subcostector List Grant Decd IN H(ME:- i finning Approval Pah. Wets. Appr school Fees I .l �o Tll� N PtoiettMsc igtion. c! zzcj i t - - 0 i I 100 AMUCAtilT: 00 NOT WRITE BELOW TMS LM rzerd TRAC.JrM P£ltAf1TFEFS Plan Cheek e3tmitted Iain Amount t endp for correk3ions Pian Cheek Deposit Caged Coat=Pa=n Pian Check Balance: Pians view up Construction Plans resubmitted h1ecb aical '°d Review, ready for ootrretionvlsstke Eiasr w Called Coatact Person Plumbing Pians picked up Plans resubmitted Grading Review. ready far correetlanwri vae Developer Impact Fee Called ContRaFenon A.iPY. Date of permit issue Total Permit Fees CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -IR Project Title Project Address Documentation Author Compliance Method (Prescriptive) Telephone Climate Zone Date Building Permit # Plan Check / Date Field Check / Date Enforccmcnt Agency Use 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 151-0 Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) ft2 Average Ceiling Height: ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C — (5% X CFA) ft Maximum Allowed Total Fenestration Products Per Table 151-B or 151-0 — (20% X CFA) g ✓ ❑ Building Type: (check one or more) Single Family Multifamily---L-Addition Alteration ((f adding fenestration fill out WS -4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 ftor 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 fiame 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 in Section IV.2, IV.3 and IV.41' which is the basis for the U -factor criterion. 0 -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 U -XL -h "wYQ-r� 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. O IAlternative to Sealed Ducts and Refrigerant Charge rMs (See Package D Alternative Package Features for I Proiect Climate Zone in the RM ADDendix B Table 151-0. Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to have been previously 13 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. WATER BEATING SYSTEMS Distribution Type Number X.Iftk box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per O Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification uired I O TXVs, readily accessible (climate zones 2 and 8-15 only) Check box when using Preappro'ved Altemative Water Heating table, Table 5-4 in Chapter 5 in the Residential (Installer testing and certification and HERS Rater field verificationrequired.) Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the verifications g wired. O IAlternative to Sealed Ducts and Refrigerant Charge rMs (See Package D Alternative Package Features for I Proiect Climate Zone in the RM ADDendix B Table 151-0. Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to have been previously 13 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. WATER BEATING SYSTEMS Systems serving sinele dwelling units Water Heater Type/Fuel Type Distribution Type Number X.Iftk box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per Tank Capacity dwelling unit. If the water heater is a storage type, 50 gallons is the niaximum capacity and recirculation system is I not allowed. O Check box when using Preappro'ved Altemative 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 ti Systems serving sinele dwelling units Water Heater Type/Fuel Type Distribution Type Number Rated input (kw or Braftgallons) Tank Capacity Enerfy Tank Factor or External Thermal, Standby Insulation Efficiency Loss /6 R -Value I Svstem serving multiple dweltine units Water Heater, Type Distribution Number Type in System Rated Input, (kw or Bm/hr) Energy Tank Factor' or Capacity Thermal (galtons Efficiency Standby Loss % Tank External Insulation R -Value 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 3/a inches or greater in diameter shall be thermally insulated as specified by Section 150 (j) 2-A or 150 6) 2 B. J Residential Compliance Forms March 2005 CERTIFICATE OF*COWLIANCE: RESIDENTIAL (Page 4 of 4) CF -IR Project Title Date SPECIAL FEATURES NOT REOUIMG 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 nrearrintive methnd_ ✓ Feature Required Forms if applicable) Description ❑ Metal Framed Walls CF -IR Refrigerant Charge ❑ Radiant Barriers CF -1R CF -611 part 6 of 12 ❑ Exterior Shades WS4R ❑ Cool Roof N/A; Attach CRRC Label to Forms. ❑ Dedicated Hydronic Heating Performance Calculation System Required; Attach Run to Fors. ❑ Combined Hydronic System Performance Calculation Required; Attach Run to Forms. ❑ Gas Cooling Performance Calculation Required. ❑ Buried Ducts N/A; Indicate on building lans. ❑ Kitchen Pipe Insulation See Section 5.6.2 Distribution Systems in Residential Manual. Multiple Water Heaters Per Multiple See Table 5-13 or use 13 Performance Calculation and Unit attach Run to Forms. ❑ Central Water Heating System Performance Calculation and Multiple Dwellings attach Run to Forms. ❑ -Serving Non-NAECA Large Water CF -1R Heater See Table 5-13 or use ❑ Indirect Water Heater Performance Calculation and attach RVn 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 REOURUNG HERS RATER VERIFICATION (add ezt`a 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 Sealing CF -611 part 4 of 12 ❑ Refrigerant Charge CF -6R part 5 of 12 ❑ Thermostatic Expansion Valve CF -611 part 6 of 12 Residential Compliance Fors March 2005