06-2858 (PLBG)4,
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht 4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 06-00002858 Owner:
'Property Address: 48202 VISTA DE NOPAL NORMA 'CALVI
APN: 646-110-014 - - 48202 VISTA DE NOPAL
Application description: PLUMBING - LA ,QUINTA, CA 92253
Property Zoning: . LOW DENSITY RESIDENTIAL ;
Application valuation: 500
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/01/06
Contractor: D 0
Applicant: Architect or Engineer: FOY, SCOTT A. 2006
43579 MAIN STREET AUGUO 3 U
INDIO, CA 92201
' ,>)� ,M (760)775-9405 CIiYOFLAQUINTA
1" Lic. No.: 828264 F DEQ
-
-------------------------- ------------ _-___-______._R_____--___--.__________-___-,___,-___-.--_____.____
LICENSED CONTRACTOR'S DECLARATION - - WORKER'S COMPENSATION DECLARATION ,
I hereby affirm under penalty of perjury that) 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._ 1 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
issued.
r ate: ontractor.. - .' R 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
OWNE -BUILD ECLARATION insurance carrier and policy number are:
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE - FUND Policy Number 1576840
• following reason (Sec. 7031 .5, Business and Professions Code:- Any city or county that requires a permit tom_ 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 licensed pursuant 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 . 3700 of the Lab r Code, I shall forthwith comply wi 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).: ate: Plicant ,
( ) 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: TheWARNING: FAILURE TO SECURE WORKERS' COMP NSATION AGE 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 proving -that he or she did not build or -
improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT _
1 — 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 and 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.). I whose benefit work is performed under or pursuant to any permit issued as a result of this application,
I _Irl 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 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.. orrect. 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 building construct , and by uthorize representatives
of this c ty to enter upon the ove-mentioned property f4,nson purposes. '
Lender's Name: -
ate:� ature (Applicant or Agent):
Lender's Address ' -
LQPERMIT .
LQPERAIIT
Application Number 06-00002858
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,"
- -------------------------------------------------------------
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.
LQPERAIIT
Din it (!
4't U
Pernitt A �� }
Project Address:
A. P. Number.
Lcgal Description:
Contractor..
Address:
City, ST, Lip. L7 G
6
Telephone:j_
State lac 9 :,&Q@
(0;
Arch., Er,gr.. Designer
Address:
City; ST. Zip:
Telephone.
Stale Lic 4:
Nand of Contact Person:
Tdephonc S ot'Contuct Person:
Std,mlttai Req•d
P►an Seta
Stracttmrl Cult ---
nm Calm.
ruic:24 C`.alcs.
1.70011 plain plmr
Gntding plan
Sabcontactor List
Gnnt Dccd
11.0-,L Approval
1N HOUSE --
Planning Approsvl
i Pah WIm Aper
School Fees 1
I
City of La Quintai
BtlMng ar SaFety Ditiision
P.O. Box 1504, 78-495 Calle Tampico
La Quints, CA 92253 - (760) 777-7012
09didi>ng Pennit jWYcadon and Tracbng Sheet
1 ;Q,
Owner's N>muue:. r
Was; Check Balance
Address
V
k Construction
City, ST, Ztp '['Al
pI
Telephoce:fti _.
Proj=D=ription:
Electrical
i
Called Contact Person
City Lic. `E:
'
- — Constrttrtion Ty'p= Occup2ncy:
Pmjr et Laos (circle one). Ne^: Add'a After cpair Recto
Sq. FL: Smries: tf UnW:
"Cd Value offPtnj t of
AP PLiCMT: DO NOT wmTE BELOW TMS I tH E
Reed THACMG i?E nlrr FEFS
Plan Checlt submitted
Ioem
Amoum
7@egiesse , resdp forcerreetions
Plan Cheek Deposit
CCailed CoafterFerson
Was; Check Balance
Plaas picked up
k Construction
Plans. es Inn to
Nectmaicnl
' Rtview, ready for correctiowaisstse
Electrical
i
Called Contact Person
warn
PIOUS picked op
Plans resabmBtedCradnrtg
Review. reedy for correetlaadusne
Developer Impact Fee
Called Contact Verson
: A.LP.P.
Date of permit issue
1
Total Permit Fees
1
ai
CERTIFICATE OF COMPLIANCE: RI
1 of 4) CF -1R
�
t�� ���j►.1�-rv- �, ..,fir ....
Project Till- Date
Project Address Building Permit g
Documentation Author Telephone Plan Check / Date
Field Check / Datc
Compliance Method (Prescriptive) , " , Climate Zone Fnion=r=a Agcncy 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: ft
Maximum Allowed West Facing Fenestration Products'Per Table 151-B or 151-0 — (5% X CFA) _ _ ft
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-0 ---- (20% X CFA) ft
✓ 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 J East/ West / All Orientations (input front orientation in degrees from True
North and circle one).
✓ 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 frame and mass
R -Value R Value assemblies
Joint
Appendix
IV
Reference
Roof Radiant
Barrier
Installed
Yes or No
Location/Comments
(attic, garage,
ical etc.
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page'3 of 4) CF -1R
Project Title
Date
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
renuimi
9J. Alternative to Sealed Ducts and Refrigerant Charge /I'XVs (See Package D Alternative Package Features for
Pp
'ect Climate Zone in the RM Appendix B Table 151-0, Footnotes 7-14.
OR —
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
aces shall meet the requirements of Section 150(m) and duct insulation. requirements of Package D.
V V tt i Lit J3MI% 111V lir 0 Y a t JMV1J
'Energy
Distribution
Type
❑
Sealed Ducts all climate zones Installer testing and certification and HERS rater field verificationrequired.)
❑
TXVs, readily accessible (climate zones 2 and 8-15 only)
--(Installer 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 ' uired.
9J. Alternative to Sealed Ducts and Refrigerant Charge /I'XVs (See Package D Alternative Package Features for
Pp
'ect Climate Zone in the RM Appendix B Table 151-0, Footnotes 7-14.
OR —
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
aces shall meet the requirements of Section 150(m) and duct insulation. requirements of Package D.
V V tt i Lit J3MI% 111V lir 0 Y a t JMV1J
Water Heater
Type
'Energy
Distribution
Type
Rated
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per
❑
dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is
Input Tank
(kW or Capacity
Btu/hr ons
not allowed.
❑
Check 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
❑
Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the
submittal.
❑
Ch k box to verify that a time control is required for a recirculating system pump for a system serving multiple
toes
un
Water Heater
Type
'Energy
Distribution
Type
Rated
Energy Tank
Water Heater
uel T e
Distribution Number
Type in system
c
Input Tank
(kW or Capacity
Btu/hr ons
Factor or External
Thermal Standby' Insulation
Efficiency Loss % R -Value
1
Water Heater
Type
'Energy
Distribution
Type
Input
Number (kW or
in System Bu
Tank Factor or
Capacity Thermal Standby'
tons Efficiency Loss %
Tank
External
Insulation
R -Value
1
- - -o- --- -• ••- V....... —y— — ava" u&4u' w Gajum W /7,VUV nuunr), ercernc 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 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
CERTIFICATE OYCONPLIANCE: RESIDENTIAL (Page 4 of 4) CF -1R
Project Title - — 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
prescriptive method.
+�
Feature
Reauked Forms J a Ilcable
Description
❑
Metal Framed Walls
CF -IR
Refrigerant Charge
❑
Radiant Barriers
CF -IR
Valve CF -6R pad 6 of 12
❑
Exterior Shades
WS -4R
❑
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
Rcquui4 Attach Run to Fors.
❑
Gas Cooling
Performance Calculation
Required.
O
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 Fors. `
❑
Non-NAECA Large Water
CF -1R
Heater
See Table 5-13 or use
❑
Indirect Water Heater
Performance Calculation and
attach Ee to Fors
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
❑
1 Wood Stove Boiler
Performance Calculation and
attach Run to Fors
_SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION
(add ex s sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need
verification.
✓
Feature
Required Forms if applicable) Description
Duct SealingCF-6R
4 of 12
1❑
❑
Refrigerant Charge
CF -611 part 5 of 12
❑
Thermostatic Expansion
Valve CF -6R pad 6 of 12
Residential Compliance Forms March 2005