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06-1510 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: ti APN: Application description: Property Zoning: Application valuation: Applicant: 06-00001510 49620 AVENIDA 773-350-002-2 PLUMBING c&`y/ 4 4 " '. - BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: VISTA BONITAi �P STEVE HOLMES -14496 -,, �� iu 49620 AVENIDA VISTA BONITA LA QUINTA, CA 92253 LOW DENSITY RESIDENTIAL 500 APR Architect or Engineer: � (P LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions cif 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 ice a No.: 828264 Date`/tractor: 0 - UILDER 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).: 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 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.). ( 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.I. Lender's Name:. Lender's Address: LQI ERMIT 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 Date: 4/12/06 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 ��0 of the Labor Code, I f wit mply with those provisions. e: ant• . - WARNING:' FAILURE TO SECURE WO OMPENSATION 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 subject permit to cancellation. I 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 hereby authorize representatives of this co ty enter upon t eabove-mentioned property for ins action purgpse . te: nature (Applicant or Agent) Application Number 06-00001510 Permit- PLUMBING Additional desc .'. -Permit Fee 22.50 Plan Check Fee.. 5.63 Issue Date . . . Valuation . . . 0 Expiration Date 10/0.9/06, Qty Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 --- Special Notes and - REMOVE & REPLACE/6 1_EC-'rk-1C. WATER HEATER.CF1-R APPROVED. J '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 t Bin # 1 Bin �i S, l ' .. t Permit N Projcd Address 9�Zo A. P. Ntnnbcr. Legal Description: t:.onimcinr Addrrss: n City, ST, zip. Telephone: 7 (Cj_-7-)- K_ l q � Statc Mr.a :'O 42@ (o Arch.. Ergr.. Designer. Address: City, ST, zip: Telephones State Lic. R: Name of Conlan Peen: Tclepltone # of Conim Person: Sulmdtml Plan Sets Streetvrul Colo. Tees Cates. ' Ti0r.24 tSla. Flood plain pian Grnditw plan Sahcoatactor bkt Grant Deed 1N HOUSE:- i'lanalog Approval Pulp. WIm Appr Sebool Fees I City of La QL#nta Btutdirtg er Salky► Dhwon P.O Box 1504, 78-495 Ca/IP Tarripkv Za Qtdf=, CA 92253 - (760) 777-7012 jBlriiding Permit Appiicadon and iraddng Sheet City, ST 7 �� Tdephoar. ProjectDiesagriion: CIZZ.C' i Lic Cion Type Occupancy: -- Projxt tvoe(circle we)c Ne; Add'n !►Iter epau ' Dem Sq. Ft_: I Storie±: 8 li»i�. FstmtaL d Value of Pm' t �] APPUCAMT. DO NOT WRITE BELOW TFBS LMM Reed (, t>tArrrFrr_c PLw Greek mdnnitted lam' dmRWTA oanr ready for correctioas Plan Check Deposit Called CnatacrPersen Plan Cbeck Balance Flans pled op Coarrnction Pines es�nbmitted tlfectrsuinl "dReciew,ready for eorrectioruUm Bieetical Called Coataet Person Plans picked op 5_ai.l Plaas resubmitted Grati-]►g Review. rmdy for coned nsrmu,- Desebper Impact Fee Called Contact Fuson A,ypp. Date o1 permit osne Total Permit Fra CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -IR Project Title Date Project Address r Building Permit 4 Documentation Author Telephone pian Check /nate Field Check / Date Compliance Method (Prescriptive) Climate Zone Enforcement Agency 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) . fl Average Ceiling Height: R Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 — (5% X CFA) f Maximum Allowed Total Fenestration Products Per Table 151-B or 151'-C x,(200/. X CFA) R ✓ ❑ Building Type: (check one or more) Single Family Multifamily Addition Alieration (If adding fenestration fillout WS 4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 ffor 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). V ❑ 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 Location/Comments Installed (attic, garage, Yes or No typical, etc. A .. 1) See Joint Appendix IV in Section IV.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 CERTIFICATE OF COMPLIANCE: RESMENTIAT. CF -1R Project 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 required. vac 0 Alternative to Sealed Ducts and Refrigerant Charge fMs (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 0 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 shalt meet the requirements of Section 150 m and duct insulation requirements of Paorka a D. •1) ♦ TTY1 t� ♦♦ h l L` A IILLi 1 1tNty .l Y 1 a K VK 1 Distribution Type O Sealed Ducts all climate zones Installer testink and certification and HERS rater field verificationrequired.) 0 TXVs, readily accessible (climate zones 2 and 8-15 only) Standby' ?Loss % (Installer testing and certification and HERS Rater field verificationrequired.) 0 Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and H3 -RS Rater field verification ' 4 uired. AT vac 0 Alternative to Sealed Ducts and Refrigerant Charge fMs (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 0 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 shalt meet the requirements of Section 150 m and duct insulation requirements of Paorka a D. •1) ♦ TTY1 t� ♦♦ h l L` A IILLi 1 1tNty .l Y 1 a K VK 1 W Water Heater e/Fuel Type Distribution Type Number in System eek box if system meets criteria of a "Standard" system Standard system is one gas-fired water heater per Tank External InsulationT RValex7-'710 dwelling unit. If the water heater is a storage type, 50 gallons is the'maximum capacity and recirculation system is Standby' ?Loss % not allowed. O Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter S 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 0 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 for a recirculating system pump for a system serving multiple units 1 W Water Heater e/Fuel Type Distribution Type Number in System Rated Energy 3 Input' Tank Factor .or I Bbpacity whr ion) Loss Tank External InsulationT RValex7-'710 Energy Factor or Thermal ient Standby' ?Loss % TTankI External Insulation R -Value [EnfficiencyStandby' Cl f Water Heater _T"e Distribution T e Number in S stem Rated pu (W or litu/hr__(Ojonsh Tank Capacity Energy Factor or Thermal ient Standby' ?Loss % TTankI External Insulation R -Value F7 I - - - t, -••-----6� ••p«• fiMa«Rb kIULVU Inputs or less man or equal to 75,000 Btu/hr), electric 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 Iput, 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 '/4 inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 •A or 150 () 2 B. Residential Compliance Forms March 2005 • CERTIFICATE OYCOMPLIANCE: RESIDENTIAL (Page 4 of 4). CF -IR 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 fixtures relevant to the ✓ Feature Required Forms d applicable) Description ❑ Metal Framed Walls CF-IR Refri Brant Charge CF -611 vart 5 of 12 Barriers❑ Radiant Barriers CF -1R CF -6R part 6 of 12 ❑ Exterior Shades WS -4R N/A; Attach CRRC Label to ❑ Cool Roof Forms. 0 Dedicated Hydronic Heating Performance Calculation System Required; Attach Run to Forms. Performance Calculation ❑ Combined Hydronic System Required; Attach Run to Forms. ❑ Gas Cooling Performance Calculation Required. ❑ Buried Ducts N/A; Indicate on buildingplans. ❑ 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 ServingMultiple Dwellingsattach Run to Forms. ❑ Non-NAECA Large Water CF -1R Heater See Table 5=13 or use 13 Indirect Water Heater Performance Calculation and ' attach to Forms 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 - ' attach Run to Forms ❑ Wood Stove Boiler Performance Calculation and SPECIAL FEATURES REOUIRING HERS RATER VERIFICATION _(add eiigia sheets if necessary) Indicate to the HERS Rater which credits are part of this Project and need verification- V' erification ✓ Feature Required -Forms if applicable) Description ❑ Duct Sealing CF -611 part 4 of 12 ❑ Refri Brant Charge CF -611 vart 5 of 12 13 Thermostatic Expansion Valve CF -6R part 6 of 12 Residential Compliance Forms • r•