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07-1897 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00001897 Property Address: 51455 AVENIDA HERRERA APN: 773-084-027-12 -000000- Application description: PLUMBING Property Zoning: COVE RESIDENTIAL Application valuation: 500 Tih t44Q" Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Professionals Code, and my License is in full force and effect. License Class: C36 License No.: 828264 teontractor: i OWNER -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 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: LQPERMIT Owner: JAMES BELLAMY 51455'AVENIDA HERRERA LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (7.60) 777-7153 Date: 6/29/07 Contractor: FOY, SCOTT A. D b 43579 MAIN STREET INDIO, CA 92201 (760) 775-9405 JUL. o,3 2007 j Lic. No'.: 828264 j CITY OF LA WORKER'S COMPENSATION DECLARATION 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, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, nd agree that, if I should bec me suect to the workers' compensation provisions of Section 3700 of the Labor Code, I shat ,fort wi h comply with those provisions. e: plicant: 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. I certify that 1 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 build' 1W co ruction, and hereby authorize representatives of this ounty to enter upon the above-mentioned property r i p cion purposes. ate:ignature (Applicant or Agen Application Number . . . . . 07-00001897 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 22.5.0 Plan Check Fee 5.63 Issue Date . . Valuation 0 Expiration Date 12/26/07 Qty Unit Charge Per Extension BASE FEE 15.00' 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 ---------------------------------------------------------------------------- Special Notes and Comments REPLACE If0 GALLON GAS WATER HEATER WITH NEW 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 LQPERAIIT Dill it Permit N Project A ddress: A. P. Number. Ugel Desctipuon: Controctu —) C -04A Address: Ga `� C1 1? City, ST, Zip. IiC� LU C' Telephone: Stoic Lic. d Arch., Engr.. Designer Addres .: Cit)+, ST, Zip: Telephone. State Lic. R: Name of Contact Person: Teltphonek ofContuu t'emon: Su1.rn11tn1 6deq°d Plao Sets Stractaml Colt:. Tram Cabs. Titer.24 L`=les. Flood plain plan Grading plan Subcomatter List Grant Deed I].() -,L Approval IN HOUSE:- Ymoulag Approval Pull. 171m Appr School Fees l 1 city of La Quem Brritdhlg ar Safety Division P -O. Bolt 9504, 78-495 Ca/M Tampim La Willa, CA 92253 - (760) 777-7012 Building Permit AppOcadon and Tracidng Sheet City, Sr, Zip QCA 97Z$- AAA- TelephxMe: )- n ProjecrMscription: 21ZCa 3y'a y1tY Lic. �:� Wom_ C'MtMct ion Ty, Occupancy: SM :J? Projecttapa%ircleoner Ner: Add'n filter ep& Demo SQ. FL: T Stories: 4 Unite Feiirewtre( value of Pmj , AFFLICAM. ®O NOT tfi ME BELOW TMS UNE Recd TRACHMIG PEMMIT FEES Plan Cbee& submitted lcem Amount i@2cieire�, ready foreerreclions Plan Me& Deposit Called CoutaerPerson Plan Check Balani Pisces picked up Coustracdon Plans resubmitted flllecb�air�l and Review, ready for eorrer icasilssue Electrical Called Contac/. Person Plumbing Pians picked up S..ai!.1. Plans resobmiate d Grad -mg Review. ready for eonvedoaslissue Developer Impact Fee Called Congact Pusan A.E.P.P. Date of permit issue Total Permit }ems CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF -1R Project Title 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 required. D IAlternative to Sealed Ducts and Refrigerant Charge rMs (See Package D Alternative Package Features for I Proiect Climate Zone in the RM Am radix B Table 151-0. Footnotes 7-14. For additions and alterations, duct systems that are not documented to have been previously D 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 HEATING SYSTEMS Distribution T D Sealed Ducts all climate zones Installer tes 'M and certification and HERS rater field verificationrequired.) D TXVs, readily accessible (climate zones 2 and &15 only) (Installer testing and certification and HERS Rater field verificationrequired.) D Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verification ' q uired D IAlternative to Sealed Ducts and Refrigerant Charge rMs (See Package D Alternative Package Features for I Proiect Climate Zone in the RM Am radix B Table 151-0. Footnotes 7-14. For additions and alterations, duct systems that are not documented to have been previously D 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 HEATING SYSTEMS Systems serving single dwelling units Water Heater T e/Fue1 Type Distribution T Number in S Check box if system meets criteria of a "Standard" system Standard system is one gas-fired water heater per D dwelling unit. If the -water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is not allowed. D Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential Manual. No water heating calculations are ruluireand the system complies automatically. Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved D Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the submittal. D Check box to verify that a time control is requu cd for a recirculating system pump for a system serving multiple units Systems serving single dwelling units Water Heater T e/Fue1 Type Distribution T Number in S Rated Energy Tank Tank Factor' or External (kw or Capacity Thermal Standby' Insulation Btulhr tons EfficiencyLoss /o R Value C a 3 >% L4 System serving multiple dwelling units Water Heater Distribution Type Type Enemy Input' Tank Factor or Number (kw or Capacity Thermal Standby in System Btuft) wtons Efficiency Loss ffol Tank External Insulation R -Value I. 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 '14 inches or greater in diameter shall be thermally insulated as specified by Section 150 6) 2 A or 150 0) 2 B. Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -1R Project Title Project Address Documentation Author Telephone Compliance Method (Prescriptive) Climate Zone Date Building Permit # Plan Check / Date Field Check / Date Enforcement Agency Use Only ✓ 13 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 151-0 — (5% X CFA) _� f Maximum Allowed Total Fenestration Products Per Table 151-B or 151-0 — (20% X CFA) g ✓ O Building Type: (check one or more) Single Family Multifamily Addition Alteration (If adding fenestration fill out WS -4R, 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, Doors Frame Type (Wood or Metal Assembly U - factor (for Cavity Continuous wood, metal Insulation Insulation fiame and mass R -Value R Value assemblies r 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. 0 -factors can not exceed prescriptive value to show equivalence to R -values. Residential Compliance Forms March 2005 �— CERTIFICATE OF 'CONPLIANCE: RESIDENTIAL (Page 4 of 4) CF -IR Project Title Date SPECIAL FEATURES NOT REOUHUNG 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 nrPmerintivP methnd � Feature Requked Forms J applicable) Description ❑ Metal Framed Walls CF -IR part 4 of 12 ❑ Radiant Barriers CF -IR Part 5 of 12 ❑ Exterior Shades WSAR 6 of 12 ❑ 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 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 Forms. ` ❑ Non-NAECA Large Water CF -1R Heater See Table 5-13 or use ❑ Indirect Water Heater Performance Calculation and attach F4m 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 LEI Wood Stove Boiler Performance Calculation and attach Run to Forts SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION -(add eziZa sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verification. Residential Compliance Forms March 2005 Feature Required Forms if applicable) Description ❑ Duct Sealin CF -6R part 4 of 12 ❑ Refrigerant Charge CF -611 Part 5 of 12 ❑ Thermostatic Expansion Valve CF -6R 6 of 12 Residential Compliance Forms March 2005