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06-2860 (PLBG)f ,1 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00002860 Property Address: 54795 AVENIDA HERRERA APN: 774-302-012-3 -000000- Application description: PLUMBING Property, Zoning: COVE RESIDENTIAL Application valuation: 500 T4ht- 4 4 4" Applicant: 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 Ean No.: 828264 �e: � ' ontractor: Sc� OWNER -BU ER 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).: (_) 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.). . (_) 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: '8/01/06 Owner: PHILIP HOY 51795 AVENIDA HERRERA LA QUINTA, CA 92253 Contractor: 0 FOY, SCOTT A. FW 43579 MAIN STREET INDIO, CA 92201US (760)775-9405U O 3 Lic. No.: 828264 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 shall forthwith comp with those provisions. ab te: icant: ) WARNING: FAILURE TO SECURE WORKERS' OMPENSATI COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND IVIL 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 ISO days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. 1 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 hereb authorize representatives of this bove-mentioned property for ins p� n purposes. da -I.: or Agent): Application Number . . . . . 06-00002860. Permit . . PLUMBING Additional desc . Permit Fee . . . . 22.50 Plan.Check Fee.. 5.63 Issue Date Valuation . . . . 0 Expiration Date 1/28/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 -------------------------------------------------------------7-------------- Special Notes and Comments REPLACE WATER HEATER WITH LIKE 50 GALLON 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 DHt it Permit #� Project Address: A. P. Ntnitbcs: Ugal Dcm iplion: Contmctur -Dc Address: 2�C,� t City, ST, Zip. `7 Telephone: -?W_: f Arch., Ergr.. Designer: Address.: City, Sf, Zip:. Telephone: Stats Lie R: Nemo of Contact Person: Telephone S of Contort Pelson: Suinnittat Ptah Sets Straetttntt Chic. Trim Calls. Titic24 talcs. blood plain pian Grndiog plan SubcontactorList Grant Deed 11.0A Approval 1N HOUSE- Piatuilog Approval Pule. W(m Appr School Fees 1 City of La Quin Bu d&g arSalky Dwiftji P -O. Box 1504,78-495 Calle Tampico La Qtd=, U PM3 - (760) 777-70I? 0611ding Permit Appiicadon and Traclang Sheet .Vl l (` A ii Q VP,,ees Neta!~. ilei"n A City' SI, 7irr tJ T bane: sct"Fxr n - o 66r, Ptoje xDesetiption: City Lia Y: Total Permit }cc — - Canstrtu�on Tye Otcupmty: h- - PDojxttvoo/eireteone:?: Nc::• Add'n After epaa Dctno SQ, Ft.: T Stories li Uai�. 'i' t 1011181A Value of Praj APPLICANT. DO NOT WRITE MOW TWS UNE Reed M40ONG PERiHiTFEFS Plan CaellePt tm6mitted Iu:m Amounr Retietres, rradp forexrrectious Plan Cheek Deposit Called Coat= Person Platy Check Balance Pleas picked up Construction Plans resubmitted MectmaicaJ od Review, ready for correetiorevissee Electrical Called Contact Person Plumbing Pians picked up plans resobstisled Grading Review, ready far eotreetionorssue Developer Impact Fee CsAed Contita Person A. )bate of permit issue i tl I Total Permit }cc 09RTIFI 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. ❑ 1Alternative to Sealed Duds and Refrigerant Charge ffXVs (See Package D Alternative Package Features for ` Proiect Climate Zone in the RM Annendix B Table 151-C_ Footnotes 7-14_ �L For additions and alterations, duct systems that are not documented to have been previously ❑ 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 spaces shall meet the requirements of Section I S m) and dud insulation requirements of Package D. WATER HEATING SYSTEMS I P� Number (kW or in system Badhr) ❑ Sealed Duds all'climate zones er testing and certification and HERS rater field verificationrequired.) ❑ TXVs, readily accessible (climate zones 2 and 8-15 only) ler 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 4 'red ❑ 1Alternative to Sealed Duds and Refrigerant Charge ffXVs (See Package D Alternative Package Features for ` Proiect Climate Zone in the RM Annendix B Table 151-C_ Footnotes 7-14_ �L For additions and alterations, duct systems that are not documented to have been previously ❑ 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 spaces shall meet the requirements of Section I S m) and dud insulation requirements of Package D. WATER HEATING SYSTEMS Systems serving single dwelling units I P� Number (kW or in system Badhr) Rated Check box if system meets criteria of a "Standard" system. Standard system is one gas -fined water heater per E3 dwelling unit If the water heater is a storage type, 50 gallons is ttie maximum capacity and recirculation system is Inp tut Tank (Wor Capacity Budbr) (pnons not allowed. ❑ Check box when using Pr+eapproved 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 Heatingtable. In 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 Systems serving single dwelling units System serving multiple dwelling units Water Heater Distribution Type Type I P� Number (kW or in system Badhr) Rated Energy Tank Water Heater Type/FuelType Distribution Number Type in System Inp tut Tank (Wor Capacity Budbr) (pnons Factor' or External Thermal Standby' Insulation Efficiency Loss/o R Value System serving multiple dwelling units Water Heater Distribution Type Type I P� Number (kW or in system Badhr) Enemy Tank Factor or Capacity Thermal wtons y Effrcienc Tank External Standby Insulation Loss %o 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 huge gas storage water heaters (rated input of greater than 75,000 Btuthr), 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 Compliance Method (Prescriptive) Climate Zone F„toc Agcncy 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) Average Ceiling Height: R Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 — (51/6 X CFA) fe Maximum Allowed Total Fenestration Products Per Table 151-B or 151-0 — (20% X CFA) R ✓ 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). 't. 'i. ✓ ❑ RADIANT BARRIER (reuuired in climate zones 2,4.9-15) 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 in Section W-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 ■l. lrl�;>Ei�ZE CERTIFICATE CF -1R Date SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra its if necessary) Indicate which special features are part of this project. The list below only represents special features relevant to the prescriptive method. ✓ Feature Rmifired Forms if licable Description ❑ Metal Framed Walls CF -1R Rehi nt a era ❑ Radiant Barriers CF -1R - ❑ Exterior Shades WS4R ❑ Cool Roof N/A; Attach CRRC Label to Forms. . ❑ Dedicated Hydronic Heating Performance Calculation Required, Attach Run to Forms. ❑ Combined Hydropic System Performance Calculation Attach Run to Forms. ❑ Gas Cooling Performance Calculation ❑ 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 See Table 3 or use lCalculation ❑ Dwelling Unit Performance and attach Run to Forms. 13 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 WaterHeater Performance Calculation and attach 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 ❑ J Wood Stove Boiler Performance Calculation and attach Run to Forms SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION (add exila sheets if neoessar A Indicate to the HERS Rater which credits are part of this project and need verification. ✓ Feature Required Formas Of applicable) Description ❑ Duct Sealim CF -6R 4 of 12 ❑ Rehi nt a era CF -611 part 5 of 12 ❑ Thermostatic Expansion Valve CF -6R part 6 of 12 Residential Compliance Forms - March 2005