07-0986 (PLBG)T4hisy P.O.- BOX 1504' - , - - VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING &SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT '
��'' _ Date: 3/29/07
X
-Application Number: 0.7 00000986--_ Owner.
Property Address: 442.15 VIA DEL SOL , SERGIO AMIEVA • ,
APN: 604-201-002-2 -23971 44215 VIA DEL SOL
Application description: .PLUMBING LA QUINTA,, CK,92253
Property Zoning: LOW. DENSITY RESIDENTIAL
Application valuation: 500 .
Contractor:. D
Applicant: Architect or Engineer: FOY, SCOTT A.
43,579 MAIN STREET APR O5 2OOI7
INDIO, CA 92201
(760)775-9405
��� •. Lic. No.: 828264 CITY OF LA QUINTA
FINANCE DEPT.
--------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION - - WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ` I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain'a certificate of consent to self-insure for workers' compensation, as provided
L. 'Cl C36 License No.: 828264 for, by Section 31700ofthe Labor Code, for the performance of the work for which this permit is
-issued.
ate:T'J ntractor: 1 - I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
r / Code, for the performance of the work for which this permit is issued. My workers' compensation .
OWNER-BU ER DECLARATION insurance carrier and policy number are:
hereby affirm under penalty of perjury that Iam exempt from the Contractor's State License Law for the Carrier ENDR INS Policy Number WEN000882301 .
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
• construct, alter, improve, demolish,. or repair any structure, prior to its issuance, also requires the applicant for the person,in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensedpursuant to the provisions of the Contractor's State ' - and agree that, if I should become subject to the workers' compensation provisions of Section
• License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 37 0 of the Labor Code, I shall forthwith comply with those provisions.
1 that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by L
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001.: ate/b/' ' {/ ,cant: L ,
1 _ 1 1, 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 WARNING: FAILURE TO SECURE WORKERS' COMPEN ION COVERAGE IS UNLAWFUL, AND SHALL
LTIES -
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENAA D CIVIL FINESUP'TO ONE HUNDRED THOUSAND '
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements'are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. `
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.). APPLICANT ACKNOWLEDGEMENT
(_) I, as owner of-the property; am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
A. 7044, Business andProfessionsCode: The:Contrartnrs' State License Law does not apply-to an owner of .conditions and restrictions set forth on this application. • n -- - - - - - -- -
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for'
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
( _ 1 I am exempt under Sec. , B.&P.C. for this reason 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.
Date:. Owner: - 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
CONSTRUCTION LENDING AGENCY permit to cancellation. '. - - I It 1 /
- I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the, I certify that.1 have read tHis application and state that the above information is correct. I agree to comply with all -
work for which this permit is issued (Sec. 3097, Civ. CJ. city and county ordinances and state laws relating to building construction, and hereby�utho ize representatives
- r - - of this unty o enter upon the above-mentioned property for -inspect, purposes. '
..` - Lender's Name:. i - . ,
te: / nature (Applicant or Agent):
Lender's Address: -COOO
- -
LQPERMIT . • . - ...
Application Number 0"7-00000.986
Permit . . . . PLUMBING
Additional desc .
Permit Fee . . . 22.50 Plan Check_
Fee..
5.63
Issue Date . . . Valuation
0
. Expiration Date,. 9/25/07
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 WATER HEATER WITH 50 GALLON
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
LQPERMIT
• � PFrnitt Jnn! ,
i ProjeCiAddcess:l.
A. P. Number.
Legal DesLT ift:
Conuaciur.
cit~•, ST.I.ipT
Amh.. br:gr.. Designer:
Addre�;:
Cir+, ST. "Lip:
C
Telephone.
tilatc I_ic.k`:
Uzmc: of Conlm:i Pcnon:
Tolephent# ufContuct Perstni:
H
Submittal
11120 Sets -- -
Ktracturul Cnir.
Tni, Cnks-
T;dc 24 C:Ics:
blood plain plan
'
Gntala� plan
SnUcentactor 3Ast
Grant Dccd
11.0.1L. Approval
1N HOUSE:-
MMnalag Approml
Pulp. Wk. Apar
v
school Fccs 1
i I
city Of La kfin$-a
Building arWay Division
P.O. Box 1504, 78-495 Calle Tampim
La Quints, CA 92253 - (7 60) 777-7012
00ding Pei mit APMicadon and Traddng Sheet
AFPLIGAMTl : DO NOT VMTE BELOW TMS LAVE
RW,J 6 r Rar acmvr_
J' # ..
-ERT CATS. OF COWL....
.RESIDENTIAL
` PruJectTitle
3 of4 "'T IR
Date •
A signed CF-gR Foran must a vs or Alternative
be McAStIreS
urtEd. Provrded to the buriding department for each home for which the followin . are
13 Sealed Ducts g
all climate zones Installer testi
❑ TXVs, readily accessible clim and �ification and
Installer testin and ( ate Zona 2 and 8-15 only) HERS rater field verification
Refri ification and HERS Rater field verification re uired. uired.
O llerant Charge (climate zones 2
verification ' ' u; and 8 -IS only) (installertestin
OR g and certification and HERS Rater field
❑ Alternative to Scaled Ducts and Refrigerant Pro'ect Climate Zone in the RM q �e / XVS (See Package
OR dix B Table 151-C Footnotes 7-14. D Alternative Package Features for
For additions and alteratio11 ns, duct systems
❑ sealed as confithat are not docxunented to have
Residential ACM dtrough field verification and diagnostic been Previously
Manual and duct systems with more testing in accordance with
s cis shall meet the wants of Section 15 than 40 linear feet in un proceduresin the
or WATER HEATING SYSTEMS rn and duct insulation CO"d'Uoncd
uuEments of parir._ r,
(D dwelli^ •�-rsren) meets criteria of "Standard I, system.
Standard
I unit If the watrr heater is a storage type, SO t�altons is the maximum ca
not nllowed. system is one gas-fired water heater per
❑ Check box when using Pr1eapproved Alternative Wates H capacity and recirculation
Manual. No water hea system is
bra calculations aiE r eating table, Table 5-4 in
Check box ifsystcm does urr and the �apterS in the Residential
[7• Alternative Water Heads not meet criteria of "S stem co Ices auto tical!,.
submittal. g table. In this �, the e �'st°' and does not comply with the 'reapproved
Check box to verify that a time control is
units included in the
required for a recirculating system
stems servin sin le dwellin units Pump for a system serving multiple
Water Heater Rated Energy
c/Fuel T c Distribution Number Input' Tank Factor or Tank
T in Sstem 0`W O1' Capacity Thermal External
Bauhr • Ions Standby Insulation
(Efiicien Loss % R -Value
units
Water HeaterRated Ener-
�. Distribution Number Input Iy
Tank Factor or Tank
e in S stem (kw or Capacity Thermalr External
gIIia'r Ions Efi'icienc Standby Insulation
Loss �O R -Value
�nau gas storage water heaters rat
Pump water heaters, fist EreFactor.( ed inputs of less than or
Bn1/hr), lis Rated Input,For large gas storage water heaters Bt 1 hr), electric
Iteatc,s. list Rated In Input Recovery Eff,C1enc (rated input ofgreat than 75,000 d heat
=J �' I118ulatiO11(kitchen lines a Thermal EiTciencies. Efficiency and Standb
Y Loss. For instantaneous gas water
mchcc ur tester in diameter s —be
inches) All hot water i '
ha11 be thermally insulated pipes from the heating source to the kitchen rix
tures as specified by Section 150 tunes that are �� `
Cvmptianctt Forms (1) 2 A or 150 (j) 213.
March 2005
1
Component
`I'ypc (Wall,
Roof, Floor, .
Slab Edge, ,
Doors)
V t•
Frame
Type
(Wood
or Metal)
^.far..
i .• ' ` � a.
-1R
• ' -
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF
r
•
Project Title " i vrvi-
Date
,
t
'
Project Address n
4' V� - 1 1 t 1✓l �� TU ""`
Building Pectnit N ,
�°
Doctimentation Author Telephone ,
Plan Check / Date .
,
Field Check / Date
Compliance Method (Prescriptive) Climate Zone Fldorccmcnt Agency Use Only
O Altemative Component Package Method: (check one) C D D (Alternative)' r -
Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -IR page 3)
can not
For Package D Alternative see Appendix B Table 151-C Footnotes 7-14,
GENERAL INFORMATION -
"
Total Conditioned Floor Area (CFA) fl2 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-C — (20o/a X CFA)
❑ Building Type: (check one or more) Single Family Multifamily Addition 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) r
Front Orientation: North / South / East / West / All Orientations (input front orientation in degrees from True
North and circle one). .
d Ll RADIANT BARRIER (required in climate zones 2, 4; 8-15)
OPAQUE SURFACES INCLUDING OPAQUE DOORS z
Component
`I'ypc (Wall,
Roof, Floor, .
Slab Edge, ,
Doors)
V t•
Frame
Type
(Wood
or Metal)
; Assembly U-
factor (for Joint Roof Radiant
Cavity Continuous wood, metal Appendix Barrier
Insulation Insulation frame and mass IV • Installed
R -Value R -Value assemblies Reference Yes or No
Location/Comments
,(attic, garage,
ical etc.
r,
S III 2 I V 3 d TV 4 which is the basis for the U -factor criterion. U -factors
can not
I) See Joint Appendix I m ec on an ,
exceed prescriptive .value to show equivalence to R -values.
Residential Compliance Forms �� March 2005
14 r
r
' CERTIFICATE OF CONY TLiANCE: RESIDENTIAL (Page 4 of 4) CF-1R
Project Title Q, U Date
f.
,i
yF
SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra sheets if nccossary)
Indicate which special features are part of this project. The list below only represents special features relevant to the
prescriptive method.
r/
✓
Feature
Required Forms if applicable)
Description
❑
Metal Framed Walls
CF -IR
Rcfri grant Chame
❑
Radiant Barriers
CF -IR
CF -611 pan 6 of 12
0
Exterior Shades
WSAR
0
Cool Roof
N/A; Attach CRRC Label to
Forms.
_
0
Dedicated Hydronic Heating
Performance Calculation
System
Required, Attach Run to Forms.
O
Combined Hydronic System
Performance CalculationRequired,
Attach Run to Forts.
❑
Gas Cooling
Performance Calculation
Required.
❑
Buried Ducts
N/A; Indicate on building lasts.
❑
Kitchen Pipe Insulation
See Section 5.6.2 Distribution
Systems in Residential Manual.
Multiple Water Heaters Per
See Table 5-13 or use
❑
Dwelling Unit
Performance Calculation and
attach Run to Forms.
❑
Central Water Heating System '
Performance Calculation and
Serving Multiple Dwellings
attach Run to Forms.
❑
Non-NAECA Large Water
CF -IR
Heater
See Table 5-13 or use
❑
Indirect Water Heater
Performance Calculation and
attach F4m to Forms
See Table 5-13 or use
0
Instantaneous Gas Water Heater
Performance Calculation and
attach Run to Forms
See Table 5-13 or use
D
Solar Water Heating System
Performance Calculation and
attach Run to Forms
❑
Wood Stove Boiler
Performance Calculation and
attach Run to Forms
SPECIAL FEATURES REOUIRING HERS RATER VERIFICATION
Todd exi: a sheets if necessary) indicate to the HERS Rater which credits are part of this project and need
vrAfiicntinn
f
Feature
Required Forms Cif applicable) Description
O
Duct Scaling
CF -6R part 4 of 12
17
Rcfri grant Chame
CF -6R part 5 of 12
0
Tlrennostatic Expansion Valve
CF -611 pan 6 of 12
Residential Compliance Forms