07-1892 (PLBG)t
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00001892
Property Address: .48516 VIA ENCANTO
APN: 646-0'91-044- - -
Application description: PLUMBING
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 500
r
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
•WINDSOR MELTON HUGH
485.16 VIA ENCANTO
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/29/07
LQPERMIT
Contractor. rJ:
Applicant: Architect or Engineer:
FOY,' SCOTT A.
43579 MAIN STREET'
INDIO, CA 92201 r
(760)775-9405
Li6. No.: 828264
- LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
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 an 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
License Class: C36 License No.: 828264
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
ate: �3'tractor:
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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
Thereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law fortheCarrier
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, impiove, 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 licensed pursuant to the provisions of the Contractor's State
and agree that, if Ishout 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
3700 of the Labor Code, shall with comply with those provisions. -
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).:
any
-
ate: ca
( 1 1, as owner of the property, or my employeeswith 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: FAIL RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP 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.proying that he or she did not build or
• - -
improve for the purpose of sale.).. - -
- '- APPLICANT ACKNOWLEDGEMENT, .
(_ 1 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 a'nd Safety for a permit subject to the ,
- 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application. - -
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 resultofthis 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 ielated 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 hereby affirm under. penalty of perjury that there is a construction lending agency for the performance of the
I certify that I 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. C.).
city and county ordinances and state laws relating to buildin nstruction, and hereby authorize representatives
- - -
of this ounty to enter upon the above-mentioned property fo spe i n purposes. '-
Lender's Name:
- -
Z'0 1
ate: �3 -' Signa a (Applicant or Agent)'
Lender's'Address -
LQPERMIT
Application Number. . . 07-00001892
Permit PLUMBING
Additional desc .
Permit Fee 22'.50
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 1:5000 EA- - PLB- WATER -HEATER/ VENT
7 59
--------
Special Notes and. Comments
-----------------
------
--------- - - - - --
�-
E
REPLACE 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
LQPERMIT ' ..
Bin #
Qty Of ,a Quints
Buifdhlg 8r Safety Duron '
P.O. Box 1504, 78-495 Cafe Tampico
La Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Pemtit #
Project Address: HOwner's
Name:MCI l
A. P. Number:
Address: 14 1 �o Wa 76won+0
regal Description:
Contractor: �m ��`n
Adds=;Ub _39`� S� .
City, ST, Zip: 101QUVVi Cf -A a
„>~ ) )
Telephone: - w m
Project Description:
City. ST, Tip:`• 'ZC)l
e C o
Telephone:W I =I
State Lic. 4: City Lic. #: 5
AwL, &W., Drsigncr.
Addmm:
City, ST. Zip:
'Cdcphanc:
A.: •. a> ;,•. J' ; { t?.ar f3.�
u c
r_s:»x >„ `'
,:.. ?
Construction Type: C. Occupancy:
State Lit. #'}j3v}'�'wza
Project type (circle one): New Add' Alter epair Demo
Name of Contact Person;
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project r)W , v U
APPLICANT: DO NOT WRITE BELOW THIS LINE
p
snbmlttal
Req'd
Ret'd
TRACIMG
PERMIT FEES
Plao Site
Plan Check submitted
Item
Amount
Struttnnl Cales.
Reviewed, ready for corrections
Plan Check Deposit
;
1lvv Calm
Called Contact Person
Pian Check Balance
Title 7A Calt�.
Plana picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correctionallme
Elechical
Subcoutector List
Called Contact Person
Plumbing
Crant Deed
Pians picked up
S.M.I.
ALO-. Approval
Plans resubmitted
Grading
IN HOUSE.
'n° Review, ready for corrections%ssue
Developer Impact Fee
PIARRIM Approval
Called Contact Person
AJLP.P.
Put. Wks Appr
Date of permit issue
&AGal Fee
Total Permit Fees
�:LK'1'lV1C;A E Ul+' UUNWLLkNUh: KLt'J11UL+'1V UAL (Page 3 of 4) UY-1111
Project Title
Date `.
SEALED DUCTS and TXVs (or Alternative Measures)
A signed CF -411 Form must he provided to the building department for each home for which the following. are
required.
OR
13 Alternative to Sealed Ducts and .Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14.
OR
For additions and alterations, duct systems that are not documented to have been previously
1 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 150(m) and duct insulation requirements of Package D.
WATER HEATING SYSTEMS
Distribution
Type
D
Sealed Ducts all climate zones Installer testing and certification and .HERS rater field verification required.)
O
TXVs, readily accessible (climate zones 2 and 8-15 only)
U
Installer testing and certification and .HERS Rater field verification required.,
0
Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and ETERS Rater field
verification required.) '
OR
13 Alternative to Sealed Ducts and .Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14.
OR
For additions and alterations, duct systems that are not documented to have been previously
1 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 150(m) and duct insulation requirements of Package D.
WATER HEATING SYSTEMS
Systems servina single dwe ling units
Water Venter
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
O
dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is
Standby
Loss %
not allowed.
Check box when using Preapproved Alternative Water Heating table, Table 54 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
173
Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the
submittal
(3
Check box to verify that a time control is required for a recirculating system pump for a sy-,tem serving multiple
units
Systems servina single dwe ling units
Water Venter
Type/Fuel Type
Distribution
Type
Number
in System
Rated
Input'
(kW or
Btu/hr)
Tank
Capacity
(gallons)
Energy
Factor ori
Thermal
Efficiency
Standby
Loss %
Tank
External
Insulation
R -Value
System serving multiple dwelling units
Water Heater
Type
Distribution
Type
Number
in System
Rated
Input'
(kW or
Btu/hr)
Energy
Tank Factor T ori
Capacity Thermal
(gallons) Efficiencd
Standby
Loss (%
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, I ist Energy Factor. For large gas storage water heaters (rated input of greater than 75,000
Btu/Itr), list hated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water
heaters, list Rated Input and Thermal Efficiencies.
Pine insulation (kitchen lines> 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are '/4
inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 (j) 2 B.
Residential Compliance Forms March 2005