07-0422 (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:
07-00000422
53795 EISENHOWER DR
774-165-014-3 -000000-
PLUMBING
COVE RESIDENTIAL
500
Tiht 4 XP Q"
Architect or Engineer:
PIP
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I m licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business nd Professionals Code, and my License is in full force and effect.
License Class: C36 License No.: 828264
tractor60,
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).:
(_) 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.).
(_) 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: XV(.
LQPERMIT
Owner:
MARIA GARCIA
53795 EISENHOWER DRIVE
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
FEB 211007
Cm0'
F1NA&^.,. 7A
Date: 2/07/07
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 ENDR INS Policy Number WEN000882301
I certify that, in the performance of the w k for which this permit is issued, I shall not employ any
person in any manner so as to beco 'subject to the workers' compensation laws of California,
and agree that, if I should b come bject to the workers' compensation provisions of Section
3700 of the Labor Code, I' hal rt with comply with those provisions.
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 su ' ct
permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to com ,with all
city and co ty ordinances and state laws relating to buildin constructi , a authorize rep entatives
of this�enthe above-mentionedproperty in p i ose.
e (Applicant or Agent):
LQPERMIT
Application Number . . . . . 07-00000422
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . . 22.50
Plan Check
Fee
5.63
Issue Date . . . .
Valuation
. . .
.
0
Expiration Date 8/06/07
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 50 GAL.
ELECTRIC 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
' CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF -1R
Pmjcct Title Date
SEALED DUCTS and TXVs (or Alternative Measures)
A signed CFAR Form must be provided to the building department for each home for which the following. are
mnuired.
r 0 ( Alternative to Sealed Ducts and Refrigerant Charge fMs (See Package D Alternative Package Features for
I Proicet Climate Zone in the RM Aonetrdix B Table 151-C. Footnotes 7-14.
.5n
For additions and alterations, duct systems that are not documented to have been previously
0 scaled 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
Type
13
Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required.)
0
TXVs, readily accessible (climate zones 2 and 8-15 only)
►-�oousV
(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
0
verification "uired.
r 0 ( Alternative to Sealed Ducts and Refrigerant Charge fMs (See Package D Alternative Package Features for
I Proicet Climate Zone in the RM Aonetrdix B Table 151-C. Footnotes 7-14.
.5n
For additions and alterations, duct systems that are not documented to have been previously
0 scaled 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 servine single dwelline units
Water Heater
Type/Fuel Type
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
►-�oousV
not allowed.
0
Chock 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
red for a recirculating system pump for a system serving multiple
units
Systems servine single dwelline units
Water Heater
Type/Fuel Type
Distribution
Type
Number
in System
Input
(kw or
Budbr)
Energy
Tank Factor or
Capacity Thermal
(Spitons Efficiency
Tank
External
Standby Insulation
Loss /o R Value
►-�oousV
vim.
IG
.
System serving multinle dwelline units
Water Heater Distribution
Type Type
Number
in System
Energy Tank
Inpttiut' Tank Factor or External
(kW or Capacity Thermal Standby Insulation
Btu/hr tons Efficiency Loss A R -Value
1. For small gas storage water heaters (rated inputs of 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
l3tufhr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water
heaters, list Rated Input and Thermal Efficiencies.
Pipe lusulatiOn (kitchen lines 13/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are 3/4
inches or greater in diameter shall be thermally insulated as specified by Section 150 6) 2 A or 150 6) 2 B.
Rcsidenlial Compliance Forms
March 2005
4� f
�- CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -IR -
i J
Project Title
Project Address
Documentation Author
Compliance Method (Prescriptive)
Telephone
Climate Zone
Date
Building Pcmdt q
Plan Check / Date
Field Check / Datc
Enforcmient Agency Usc Only
✓ E3 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: ft
Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 — (5% X CFA)
Maximum Al [owed Total Fenestration Products Per Table 151-B or 151-C , (20% X CFA) g
1 ❑ 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.
✓ ❑ RADIANT BARRIER (ryguired 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 tyeical, etc.
1) See Joint Appendix IV in Section 1V.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
t
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 4) CF -1R
Projaet Tido 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
onm iDdve method
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.
•r
Feature
Required Forms if applicable)
Desert tion
13
Metal Framed Walls
CF -1R
Refri giant Charge
❑
Radiant Harriers
CF -IR
CF -611 part 6 of 12
D
Exterior Shades
WS -4R
N/A; Attach CRRC Label to
❑
Cool Roof
Forms.
O
Dedicated Hydronic Heating
Performance Calculation
system
Required, Attach Run to Fors.
Performance Calculation
❑
Combined Hydronic System
Required, Attach Run to Forms.
❑
Gas Cooling
Performance Calculation
Required.
0 I
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.
E3
Water Heating System
Performance Calculation and
Serving
Servin Multiple Dwellings
attach Run to Forms.
Nan-NAECA Large Water
CF -1R
Heater
See Table 5-13 or use
❑
Indirect Water Heater
Performance Calculation and
attach Rpn to Fortes
See Table 5-13 or use
❑
Instantaneous Lias 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.
•r
Feature
Required Forms if applicable) Description
❑
Duct Scaling
CF -6R part 4 of 12
❑
Refri giant Charge
CF -6R part 5 of 12
O
Thermostatic Expansion Valvc
CF -611 part 6 of 12
Residential Compliance Forms
March 2005
2007-01-10 18:11 7607713311 0208 COMMERCIAL SALE P 2/3
SSZR135ALOWE'S HOME CEN'T'ERS, INC. EL'Q 0208
PAGE: 1 DATE: 01 /'1.0/07 '78-865 HIGFIWAY 111
LA QUINTA •CA
ORDERED FOR: CARCTA, MARIA .(760)771-5566
i ADDRESS: 53-795 81SENHOWER DR
>LA QUINTA CA 92253 PHONE: (760)564-9545
VENDOR NAME: FOY, SCOTTY A CONTACT: '
i ADDRESS: ATT PHONE: (760075-0911
INDIO CA 92201 FAX: ('160)'/15-5l2l
PR(XTECT: 1829^9292 WATER HEATER INSTALL
LOWFS P0: 32770017 L'OWES INVOICE: 75290 ASSOCIATE: GARY REAGLES
EST DELIVERY: 01/11/07 AR NUMBER:
QTY ITEM ITEM DESCRIPTION BIN .VEND PART# COST EXT COST
i? --------------------- -------------------.......---------------------.------------.----
1 3.54374 PERMIT LA QUINTA PERMIT LA QU 22.50 22.50
i 1 89094 WATER HEATER TNSTAU, WATER HEATER 185.00 185.00
WAVER H p ATFR INSTAL
.FREIGHT $0.00
TOTAL $207.50
{
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afff itu �u� City of La Quince L
r
Buifdirrb er Safety Divisian
P-0. Boy 1504, 78-495 GIM Tampico
Pkrrlrtt >r r
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La Quinta, CA 92253 - (760) 777-70H
Ape Building Permit Application and Tracking Sheet
Project Addrtss: Owner's Nmne-..� n� CrYcru
A. P.Numbcr.
1_r l Descriplton: City, ST, Zip: ��-� A� GQ-,
Conimmor_� CS't� < Telephone:
AJtrccs: L �r% Ci i lo,ill ��( _ e, PtojtxtDcscr�stion:
-C & �IZZC it yy li 1cigAgtr h4&)j-er
State l.ic, 0 :�'j�c,� (� `�m City Lic.
l3
ArtJi.. Engr., Designer.
AJ i
>>
Circ. ST, Zip: Y
Tclaphone;yrc;€Q ({Y _ Construction Type: f Occup:xncy:
�
State 1 ic. K. ;;e ;ti;;, 't Y 3 = `.'— Projaci type (circle one). iVe:: Add'n filler eR plat- a t to
` -
tdanns of Conlan Person: _ Sq. Ft.: I Stories: V Unit-:
Tetepltonr 9 nt Concoct Pelson: g Fstirmted Value of Proc2M!` L
APPLICANY: Do NOT lt9IME BELOW THIS LINE
a
b Sutm ilral Req'd Reed TRACMG pEPOWFEES
I'17D Sets
1 Plea Chllectt submitted
_
irefsr
Aron -antes
tilraetantl Cnlc.
Rec'ietseot, ready forearrectioes
Plan Check Deposit
Tnm Cates.
{ Called Contact Person
Plan Cbcck Balance
Title 24 C?2Ics.
Flans picked up
4 Coastruetiaa
Flood plain pine
l
Plans resubmitted
Medr.-joieal
—
god Reaiew, really for eorredioRV-L t:e
Mocnital
C:rnding plan
Subtantector List
Called Coninci person
Plumbing,
Grant Occd
Plans Picked up
S.
11.0_4.. Approvat
s
Plnas resubmitted
Craditt>r
IN HOUSE-
'" Reviesv, Tcody for eorreedousftsue
}t Developer tatpact %e
Called CoftBact t?erson
A.Y.P.P.
`
Planning Appruml
—�
Pulp. Wk. Appr
!t Dole of permit issue
t;
L
School Fed
,
Tota! Permit Fem
;b