07-1334 (PLBG)n
�e
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
'APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
owe
( �07-_000-01334.
50062 AVENIDA VISTA BONITA
658-260-053- - -
PLUMBING
LO.W DENSITY RESIDENTIAL
500
Architect or Engineer:
aiA
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
GEIST CARL W_
50062"AVENIDA VISTA BONITA
LA QUINTA, CA 92253
VOICE (760) 777-7012`
FAX (760) .777-7011
INSPECTIONS (760) 777-7153
Date: 5/02/07.
Contractor:
FOY, SCOTT A.
43579 MAIN STREET
INDIO, CA 92201 MAY 2007
(760)775-9405
Lic.+No. : 828264 Privy NANcLee E�N1A
�r
• -' 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
License Clasp: C3 Lice o.: - 828264
r//try
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
_�
rector: f V f •
J issued.
^ 1 have and will maintain workers' compensation insurance, as requiredby Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation +
OVA/ ER-BUILD6 DECLARATION
insurance carrier and policy number are:
hereby affirm under penalty of perjury that I am 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
_ 1 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 1 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
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
3700 of the Labor Code, I shall forthwith comply. ' h those provisions.
-. any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: -
icant: .
I_), 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' C PENSATI 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 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 contractorls) 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 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
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: +
LQPERMIT
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 corr I agre to comply with all -
city and county ordinances and state laws relating to building construction, nd hefeby author' a representatives
of th/Wtonter the above-mentioned property for ins rposes.ure (Applicant or Agent):
Application Number . . . 07-00001334
Permit PLUMBING
Additional desc .
Permit Fee 22..50"
Plan Check
Fee
5,.63
Issue Date
Valuation
0,
Expiration Date 10/29/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00. 7.5000 EA" PLB WATER
HEATER/VENT
7.50
-- - -- -- - - -- - - - --
Special Notes and Comments
INSTALL 90 GALLON GAS WATER HEATER
Fee summary Charged Paid
Credited
Due
Permit Fee Total 22.50
.00
:•GO
22.50
Plan Check Total. 5.63•
.00
.0.0
5.63
Grand Total 28-.13
.00
.00
28.13
t
z _ � nlu if
Ft
rte.,,...".. --•---
Pi:9'rfllf n A
. � � Prnirlt AAAr�«• Cr
city of 12 Quinta ,
BUY&n-
gr gafeiy Division
P.O. Box 15044, 78-495 Calle Tampim
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Taddng Sheet
'�v►S1et ?SJn� OwrtersNlmre:. CQYL �elC+
Addre�: �l
I-cpm®1 Description: ' City, ST, Zip:l�\ cA.
Conlrnetur.
city, S'1', Zip. � I(ii?,C) %'i ZZ cr }
Tclephunc:7iiF� C1� �i A:5- ( �yrsycx
''F V w' .:Fryct!f
City l ic. s
MO., Engr., Designer: t
L t
Addrecs -.: !
City: ST, Zip:
�
Telephone:•a: sem: Via=-: �:.,•:c�, ,..
t s€�
Construction Type ] Ckeupincy:
StatcJ.it:. R`: M. P+'olxi twx(circle orter Ner: Add'n IUter c rw-)
`Matto of Contact Peman: _ Sq. FL I•• Stories: U UnIL:
Telephone 4ufContuctYC[Stan: Fstintaled Value ofPro_ttt
'ARPLICANT: DO NOT MUTE BELOW THIS UNE
N Stiltmittat Req'd Reed TRACiMG NEItAfiTbEFS
--•----1-.a.,..---.- ,r
Man Sets I1 Plan Check submitted y irem .lknouna
' Structural Cn)c - —�l i3¢ctasseat, rtsdy for ecrrectioas ' Plan Check Deposic
TrussCivics,
s. Called CoafacrPerson flack Check Balance
TiJ.r 24 iala• MWas picked up ii Construction
u
blood plain pian _ Plon. resubmitted Ma dvinkal
(:mctirsgSalnn—dR-iew,sm®y for eorreeio»rlssre �FFaetkfckit
Sulacontaetor List � Q:alltd Contact Person Plumbing
Grant Deed Finns picked up SAM.
11A9 Approval . P/nas.k eso4knf9ted r
.Gr�3ing
IN HOUSE:- °r4 Fevimv, ready for eorrecdo=rwitte Developer Impact Fee
I lont lag Approsrri —� Called Contact Ptrson — AIT -P. f
Nib. Mac Appr1 hate of permit issue H
School Fccs
Total Permit Sem
fes- ?67-11Z3H3�
CER` TFICATE OF COWLUNCE: RESIDENTIAL (Page'3 of 4) CF -IR
Projcct Titic
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
rcauired _
0 Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative. Package Features for
Pro'ect 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
❑ 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.
rrtvirn azrIVIJUrlY aYaIiL1YlA
Distribution
Type-,
❑
Sealcd Ducts all clintate zones Installer testing and certification and HERS rater field verificationrequired.)
O
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 ' 4 uired.
0 Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative. Package Features for
Pro'ect 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
❑ 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.
rrtvirn azrIVIJUrlY aYaIiL1YlA
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
O
dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is
h`r\PaCA Ela
not allowed.
0
Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter Sin the Residential
tO•(D2
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
❑
Check box to verify that a time control is required for a recirculating system pump for a system serving multiple
units
Water Heater
Type/Fuel Type
Distribution
Type-,
Number
in System
Rated
Input'
(kW. or
Bhdhr)
Tank
Capacity
GWtons)
Energy Tank
Factor or External
Thermal Standby' Insulation
Efficiency Loss %o R Value
h`r\PaCA Ela
I
L4DDOC).
tO•(D2
t c,. ..n
Water Heater
Type
Distribution
Type
Number
in Sstem
Input'
(kW or
BbAr)
Tank
Capacity
(gwtons -
Enew
Factor" or
Thermal
Efficiency
Tank
External
Standby' Insulation
Loss %o R -Value
t c,. ..n
-• -•• »•--� ••--•••-6-• ••••�••• ��w....., k11L u,puu ui Mus tnan or equal to /:),Uuu Utu/hf), electric resistance, and heat
pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000
Btti/hr), list Rated 1put, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water
heaters, list Rated Input and Thermal Efficiencies.
Pipe Insulation (kitchen tines > 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are 3/a
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
CERTMCATE OF COMPLIANCE: RESIDENTIAL (Page I of 4)
CF -IR
A Project Title Date
Project Address Building Permit tt
� .. Plan Check / Date
Documentation Author Telephone
w 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
i Total Conditioned Floor Area (CFA) ft2 Average Ceiling Height:
Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 — (5°A X CFA) _'_ ft2
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C — (20% X C: -A) ft
} ✓ O 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: c
' Floor Construction Type: Slab/Raised Floor (circle one or both)
Front Orientation: Notch / South / 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 Location/Comments
Installed (attic, garage,
Yes or No typical, etc.
1) See Joint Appendix IV in Section IV.2, IV.3 and IVA,,which is the basis for the U -factor criterion. U -factors can not
exceed prescriptive value to show equivalence to R -values.
r
Residential Compliance Fortes y y• March 2005
Date
4 of 4) CF—IR
Projixt Titic
SNOT RE UIRING HES RIFKATION add extra sheets if nee
esmal
IAL FEW ial features relevant to the
SPEC art of this project. The list below only representsspec
Indicate which special features are p
rescri live method.
� R uired Fte
ors if a livable Description
✓ Feature
0 Metal Fruited Walls CF -1R
❑ RadiantBarriers CF -IR
❑ Exterior Shades
WS -4R
�,. N/A; Attach CRRC Label to
1 ❑ Cool Roof Forms.
Dedicated Hydronic Heating Performance Calculation
❑ -, R4 uired- Attach Run to Forms-
❑ 1 Combined Hydronic System
❑ I Gas Cooling
❑ Kitchen Pipe Insulation
Multiple Water Heaters Per
Dwelling Unit
17 Central Water Heating Sysl
Servin Multi le Dwellin
❑ Non-NAECA Large Water
Heiner
❑ 1 Indirect Water Heater
❑ I Instantaneous Gas Water Heater
❑ 1 Solar Water Heating System
❑ I Wood Stove Boiler
Performance Calculation
o _....:...t • Attach Run to FO;
N/A; Indicate on building ptar
See Section 5.6.2 Distribution
Systems in Residential Manue
See Table 5-13.or use
Performance Calculation and
attach Run to Forms.
Performance Calculation and
attach Run to Forms.
CF -1R
See Table 5-13 or use
Performance Calculation and
attachF4m to Forms
See Table 5-13 or use
Performance Calculation and
attach Run to Forms
See Table 5-13 or use
Performance Calculation and
attach Run to Forms
Performance Calculation and
attach Run to Forms
5'pECIAL FEATURES RE UIRING HERS RATER VERIFICATION
Gadd exi`� sheets if necess�r t2 indicate to the HERS Rater which credits ampart of this project and need
verification. - _ .:..tiie� noce�rintion
CF -6R
-6R
Residential Compliance Forms
4 of 12
5of12
6 of 12
March 2005