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07-0421 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: t07- 0000421 55048 INVERNESS 775-131-048- - PLUMBING LOW DENSITY RESIDENTIAL 500 Architect or Engineer: P/p, ------------------ LICENSED CONTRACTOR'S DECLARATION °F l�Q�rw BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am licensed under provisions of 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 LicenseNo.: 828264 ate: ntractor. U OWNER.BUILDE DECLARATION - I hereby affirm under penalty of perjury that I am exempt a 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).: (_ I 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: 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.). - (_ I 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.). (_) 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.). Lender's Name: Lender's Address: LQPERMIT Owner: DUANE LONG 55048 INVERNESS LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/07/07 Contractor: u FEB 212007 FOY, SCOTT A. 43579 MAIN STREET INDIO, CA 92201 CITY OF LA QUINTA (760) 775-9405 FINANCE DEPT. Lic. No.: 828264 ------------------------------------------------ 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. 1. 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 ENDR'INS Policy Number WEN000882301 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 shout become subject to the workers' compensation provisions of Section i Pp3700 of the Labor Cod I shall forthwith com y with those provisions. ate: I Ii pplicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. 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 county ttoorennt�er upon the above-mentioned propertfIoorriiinnspeection/ purpose , tie: � �S ature (Applicant or Agentk. 1 LJ\ / / —. Application Number . . . . . 07-00000421 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 22:50 Plan Check Fee 5.63 Issue Date . . . Valuation 0 Expiration Date 8/06/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 -7 -------------------------------------------------------------------------- Special Notes and Comments REPLACE WATER HEATER WITH 50 GAL. GAS 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 j Dill it u punill17 ^ Y L4Iy Project Address: 55G A. 1'. Nwnbcr. 1_cLtxl Dcscripuon: Conitaciu A\ Address: �LM�r7 cl Cih, sl, --imp—= ' Scute l.ia tJ : OD?��) (,p Ll Ardi., Engr.. Designer: t Cir ty; ST, Zip: f Telephone: Stale l.ic. �: %Jame: of Contan Person: Telephone 4 orContuct 1'tr.--cin: R Sulunittat %tea I'lso Sets titroetaral /i'nlo. Tniss Cotes. ril,. za (Wo. Floud plain pine Grildln_- plan Sullrentactor Lbi Grans Deed 11.0 -4. Approval 1N HOUSE:- 1112nolag Approtr:l Pult.14 i. Appr -_^ School FCC$ I I city OF Z2 Quint BuikUn; grSafelyDivision WV P-O. Box 15044, 78-495 0110 Tamp' La Quints, CR 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet '✓Ll% 1 Owner's Ntmne:. �t Addre— . \Ail; Z 1'1V Q,1'� City, ST. Zip: ��uLV Ilicp _ T -. Telephoce: 3�wK,ai�t" PsojmtDts ,*lion: ce ZZ C , a o�,CL tr V�eo� er ��e �n1�ar� �r .c� City Lic. 4:Zt..)—ry l i 2 Coastruction Type.p - 1r 10 Occup2ncy: :t`3i ic<•.`'ci?. r Projxt cyan(circle otter Ne-.%-Add'n /%Iter eR pwr' 0=0 ?F Sq. Ft.: stories: b UniL•: -- Estimated Value of Pmj APPLICANT: DO NOT WRITE BELOW THIS UNE Reed - � TRAC.)MG PEIMIrrr.M Plan Cheek submitted lreet ` .imnvnl R miewt1, 2 resdy for ecrreetioas Called Contact Plan Check Deposit Person Plan Cbcck Salattce a Plsas picked up ti Construction Plans resubmitted Medmaicnl _ 2' Review, ready for correction_ Isme Electrical Called Contact Person Plumbing Mons picked up S.M.]. — + Plans resubmitted Crading I Review. ready for eorreedons/issue Developer impact Fee Called Contact Ptrson AI.P.P. Ii Rate of Ferntit issue i d i Total Permit Fees r CERTIFICATE OF : RESIDENTIAL (Page 3 of 4) CF -IR 57S -1--nUQ x'rl�� Project Title Date r' x. SEALED DUCTS and TXVs (or Alternative Measures) A signed CF4R Form must be provided to the building department for each home for which the following, are WIM ❑ 1Alternative to Sealed Ducts and Refrigerant Charge fMs (See Package D Alternative Package Features for Project 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 ❑ scaled 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. cared. Rated Input' (kW or Btu/t r Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per ❑ Scaled Ducts all climate zones Installer testi and certification and HERS rater field verification required.) TXVs, headily accessible (climate zones 2 and 8-15 only) ❑ Installer testing and certification and HERS Rater field verification required-) ❑ Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field ❑ verification . ' wired. WIM ❑ 1Alternative to Sealed Ducts and Refrigerant Charge fMs (See Package D Alternative Package Features for Project 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 ❑ scaled 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. S -ms se -vin sin a dw ing units T. ♦ f �a � aJw� Rated Input' (kW or Btu/t r Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per Ll dwelling uaiL If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is not allowed. Chock 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. Water Heater Cheek 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 Thermal Standby submittal. Type/Fuel Type Check box to verify that a time control is req red for a recirculating system pump for a system serving multiple ❑ units S -ms se -vin sin a dw ing units T. Number in System Rated Input' (kW or Btu/t r Energy Tank Factor or Capacity Thermal tons Efficient Enemy Tank ut' Tank Factor or External Water Heater Distribution Number (kInput' or Capacity Thermal Standby Insulation Type/Fuel Type Type in System BOAT) icons Efficient Loss % R -Value Pon 1q):MqG.S7. mnliinls. dwnlUne unite V Water Heater Distribution Type Type Number in System Rated Input' (kW or Btu/t r Energy Tank Factor or Capacity Thermal tons Efficient Tank External Standby Insulation LossloR-Value 1. For small gas storage water heaters (rated inputs of less than or equal to 15,OW Boyhr), etecu'tc resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 13nJhr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Thermal Efficiencies. ripe Insulation (kitchen lines 2:3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are 3/4 inches or greater in diameter shall be thermally insulated as specified by Section 150 (j) 2 A or 150 0) 2 B. Residential Compliance Forms March 2005 1 .F 4�} r ' CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -1R Date Project Project Tit e �,w ` � � � �� `i—i t Building Permit 1f Project Address fi Plan Chock /Date rr Documentation Author Telephone d Field Chock / Date r i Compliance Method (Prescriptive) Climate Zone Enforcement Agency Usc only �'4 ✓ O Alternative Component Package Method: (check one) C D (Alternative) ) Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -1R page 3) r . For Package D Alternative see Appendix B Table 151-C Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) {� Average Ceiling Height: ft fe Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 --- (5% X CFA) Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C — (201/o X CFA) ft ❑ 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: Stab/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). `. ✓ ❑ RADIANT BARRIER (required in climate zones 2, 4, 8-151 OPAOUE SURFACES INCLUDING OPAOUE DOORS Component Assembly U - factor (for Joint Roof Radiant Type (Wall, Roof, Floor, Frame TypeCavity Continuous wood, metal Appendix Barrier Location./Comments Slab Edge, (Wood Insulation Insulation frame and mass IV Installed (attic, garage, Yes No ical etc. Doors) or Metal) R -Value R -Value assemblies)' Reference or 1) Sec Joint Appendix IV in Section IV.2, IV.3 and IVA, which is the basis for the U -factor criterion. U -factors cannot exceed prescriptive value to show equivalence to R -values. Residential Compliance For ns March 2005 CERTIFICATE OYCOWLIANCE: RESIDENTIAL (Page 4 of 4) CF -1R Project Title A � l Date s v1 SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra sheets if necessary) Indicate which special features arc part of this project. The list below only represents special features relevant to the nnescrintive method_ SPECIAL FEATURES REOUERING HERS RATER VERIFICATION (add ext -a sheets if necessarv) Indicate to the HERS Rater which credits are part of this project and need verification - v" Feature Required Forms if applicable) Description 17 Metal Framed Walls CF -1R part 4 of 12 ❑ Radiant Barriers CF -1R part 5 of 12 ❑ Gderior Shades WS -4R part 6 of 12 ❑ Cool Roof N/A; Attach CRRC Label to Forms. O Dedicated Hydtonic Heating Performance Calculation System Required; Attach Run to Forms. ❑ Combined Hydronic System Performance Calculation R uired; Attach Run to Forms. ❑ Gas Cooling Performance Calculation Rcquired. ❑ Buried Ducts N/A; indicate on building plans. ❑ Kitchen Pipe Insulation See Section 5.6.2 Distribution System 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 O Indirect Water Heater Performance Calculation and attach Ripn to Forms See Table 5-13 or use ❑ Inslanianeous Lias 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 101 Wood Stove Boiler Performance Calculation and attach Run to Forms SPECIAL FEATURES REOUERING HERS RATER VERIFICATION (add ext -a sheets if necessarv) Indicate to the HERS Rater which credits are part of this project and need verification - v" Feature Required Forms if a livable Description ❑ Duct scaling CF -6R part 4 of 12 ❑ Refrigerant Charge CF -6R part 5 of 12 O Thermostatic Expansion Valve CF -611 part 6 of 12 Residential Compliance Forms March 2005 DEC -26-2006 1004 FROM -home depot expeditors +97607752697 DEC -15-2006 01:08 PM. 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