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07-1338 (PLBG)C* P.O. BOX 1504 - Contractor: 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 ' 43579 MAIN STREET Application Number: 07-00001338_r t Property,Address: 80449 PEBBLE BEACH APN: 775-131-040- - Application description: PLUMBING Property Zoning: ILOW DENSITY RESIDENTIAL Application valuation: 500 Ti,ht 4 4 Qum& , BUILDING &SAFETY DEPARTMENT BUILDING PERMIT Owner: ROBERT TERRICK 80449 PEBBLE BEACH LA QUINTA, CA 92253 A - VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/02/07 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 of La Qwnta, 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 hereb thorize representatives of this�ytor upon the above-mentioned property for inspecturpt( lure (Applicant or Age - Contractor: Applicant: Architect or Engineer: FOY, SCOTT A. MAY ]- 6 2001 43579 MAIN STREET I ND I O , CA 9.2201 .�� ®F LA QUINTA (760).775-9405 �INAPICEDEPT / Lic. No.: 828264 ---- ------------------------------------------------------------------------------- • 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. have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C36 Lice -No.: 828264 —.1 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. tractor: tri 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 OWjy -BUIL ER DECLARATION insurance carrier and policy number are: hereby affirm under penalty of perjury that 1 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 _ I certify that, in the performance of the work for which this permit is issued, 1 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 37 0 of the Labor Code, I shall forthwith 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).: at scant: ( 1 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 WARNING: FAILURE TO SECURE WORKERS' COM ENSATION CO RAGE 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 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, (_ I 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 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 of La Qwnta, 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 hereb thorize representatives of this�ytor upon the above-mentioned property for inspecturpt( lure (Applicant or Age Application Number . . . . . 07-00001338 Permit . . . PLUMBING Additional desc . Permit Fee 30.00 Plan Check Fee 5.63 . Issue Date . . . . Valuation 0 .Expiration Date Qty Unit Charge Per. Extension BASE FEE 15.00. 2.00 7.5000 EA PLB WATER HEATER/VENT 15.00 ---------------------------------------- Special Notes and Comments ------ --- --- -- INSTALL 1, 50 GALLON GAS WATER HEATER & 1 40 GALLON GAS WATER HEATER Fee summary Charged Paid Credited Due Permit Fee Total 30.00 .00 .00 30.00 Plan Check Total 5.63 .00 .00 5.63 Grand Total 35.63 .00 .00 35.63. LQPERMIT Total Permit FM 3��35� Dill it city (Of b ui11 to BaftEft ar Safety Division e Prrtnft n P-O. Box 1504,78-495 Calle Tampico ! a Wnta, C<: 92253 - (760) 777-7012 1� Building Permit Application and Traddng Sheet Project Address: I� I OICi'l f oWRer' s Nunes. �- fieYY ►C c A. P. Nwnbcr. l t gal Dcseription: - City, ST. %tA: ,lA ,�1 \i•iAt& Cp� —1 Zb ' m Comraeurr. '� $ Te! inose 21 _I (:,� Addr= ` z s-,7 Cl /M I SLr-ee-4_ t PiojecrDescription: City(' C� encw �r i�� t01(arP iff be.Eoi _ -ooy t State Me. U :'=igry (Q Audi., Fngr., Designer: Addres.: -- k CI, j, ST. Zip: F i Teluphone: '? '?�L'^-'...'ts,}�'<'F'F Z $ +;'=-�l� Canstr ;•..�_ f_, �,A. g >z{,,� ,� ttsstinn TYpr. L- a Occupzaicy' 1..IG !, �� SWic. T. _ r` .9 fives>'��d� _ � F:s <_ s= »'a Pmjactty.=(circle one)- Ness Add'n Aftercptir) D;rto Nanta of Contact Pcman:m SQ. Ft.: 5tnries: L � UniL: TdcPhenctl ofConhtet Persvn• Estimated Value ofPmj! 15=, e _ 1•!l'PLICPAY: D® MOT 1€ ME BELOW TMS EL'JE F11haSeb. Submittal Rerl'd Reed TRA0MIG � �,.��...- -� P£RlyIPFEFS (i Plan Chteek suhtaitted Iran ,lrrDnnt \Iraetnntl Cntn_ I ge,i¢tretl, ready Forecrrectioas Plan Check Deposit Teta Cates. Called Con-i2aPerson Plass Check ealunee 1iJ°24 1 • I PInas picked up Construction !-load plain plan PLO= resubmitted Mectr iniul C.rndinoplan p ( 2°dResiew,smdyrarcorredio761ssee Electrical ` Sulironrsctor List Called Contact Person Plumbing Gant Deed t' Pians pidied up 5.M.1. 11A A. Approval Plans resu4mi8ted t Grading 1N ilOi1SE:- —� Review. reedy For correctionspssue Developer hupact pact Fcc I.12nning ApprmmI i Called Contact Person A.T.P.P. — Pull. Wltr. Appr Dwe of permit issue �y School Pees 1 ! — i t; Total Permit FM 3��35� J TE OF COAOLIAN.CE: RESID ENTIAI, (1'age3 of 4) CF -IR SEA&AD DUCTS and Date A sig►ted CF -4R Fo s or Alternative Measures uired- rrn mwst be Provided to the building department for each home for which the following are Sealed Ducts all �elin,ate 9,1.._ ... , x vs, readily accessible (climate1zones 2 testi and ccrLfrc Installer resort . and certification and 8-1 S only) Refrigerant and HERS Rater field veri f Charge (climate zones 2 and 8-15 only) (Installer verification 1Cquired.) to Scaled Ducts and Refri rate Zone in th gerant Charge n-xV and and certification and HERS OR a RM dix B Table 151-C, F rackage D Alternative Pac For additions and alterations, duct systems ootnotes 7-14.e Features for ❑ sealed as confirtr,ed through that are not documented to have Residential ACM gh field verification and diagnostic testing been previously Manual and duct system with more gin accordance with e Cts shall mem the uirements of Section 15 t}tart 401inear feet in unconditioned in the ✓ WAT)I R +ATING SYSTEtirc nt and duct insulation check box if stem meets - I dwollin cri�a of a `Stand•, s g unit If the water heater is a Stora a ys Standard not ellowed. g type 50 system is 0 gas-fired water heater r tem gallons is the maximum capacity and recirculation per L3 Check box when using 'reapproved Alternative Manual- No water heatin mauve Water Heating table, Table 5-4 in system is . Check box ifs Ste calculations are r u p System docs not m and the s stern co lies auto Chapter S in the Residential Alternative Water Heating eet criteria of "S mahtxil . submittal- Ung table. In this tandem" system, and does not case, the Performance Method must be used'gy the PfeaPProvcd ❑ Check box to veri and must be included in the units �' Wal a nme control is required for a S stems s ti recirculating system ervin units Sia a dwellin Ptunp for a system serving mtdtiole Water Heater Rated Ener y C/Fuel T e Distribution Number Input Tank Factorfor Tank T in S stem Ow or Capacity Thermal Stant External 13m� lows dby Insulation Effrcien foss % R -Value units Water Heater •1.vp@ Distribution Number Rated Input' Tank Enemy Factor Tank T e in S stem 1� (kW or Capacity or Them t Stan bo External insulation Loss • For sinal! gas s Urne IIIJ PumP water heaters, list Ere (rated inputs of fess BnUhr r$y Factor- For lar a than or equal to 75,0 ).list Rated Input, Reeove g gas storm Btu/hr), electric resistance, hentc,,, list Rated Input ry Efficiency, Thermal Eiliciencter heaters (rated input ofgreater than 75,000 and heat Insulation (kitchen lineand Thermal EReiencies. Y and Standby -loss. For in inches _ 3/4 inches instantaneous gas water yr CMIcr in diameter Shall be th )All hot water pipes from the heating Hesidentint Compliance Forms ermally insulated as specified b source to the kitchen fixtures 3 Y Section 150 (j) 2 A or 150 that are �) 2 B. March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -1R Project Title Date Project Address Building Permit Documentation Author Telephone plan Check /Date Field Clock / Date y, Compliance Method (Prescriptive) Climate Zone Frforcctnem 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-C Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) fe Average Ceiling Height: fl 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 ---- (20%X CFA) ft ✓ 13 Building Type: (check one or more) Single Family Multifamily Addition Alteration (if adding fenestration fill out WSAP, 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 / East / West / All Orientations (input front orientation in degrees from True North and circle one). r ❑ RADIANT BARRIER (required in climate zones 2,4,8-15) OPAQUE SURFACES INCLUDING OPAQUE DOORS Component `l'ype (Wall, Roof, Floor, Slab Edge, Doors) Frame Type (Wood or Metal) Cavity Continuous Insulation Insulation R -Value R -Value Assembly U- factor (for wood, metal frame and mass assemblies)' Joint Appendix IV Reference Roof Radiant Barrie Installed Yes or No Location/Comments (attic, garage, ical etc. .. N_-- L-]_. A __.-_.1:.- III :.. C!--§*.-- r\! 7 1 V 1 —A r1/ d . h:rh ie thr hneie fnr the. 11 -factor criterion. U -factors cannot exceed prescriptive value to show equivalence to R -values. Residential Compliance Forms March 2005 Y ' i ,t CERTIFICATE OF COMPLIANCE: 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 ntescrintive method_ ✓ Feature Required Forms dapplicable) Description ❑ Metal Framed Walls CF -IR part 4 of 12 ❑ Radiant Barriers CF -IR part 5 of 12 ❑ Exterior Shades WS411 part 6 of 12 ❑ C.00l Roof N/A; Attach CRRC Label to _ Forms. ❑ Dedicated Hydronic Heating Performance Calculation System R uired• Attach Run to Forms. ❑ Combined Hydronic System Performance CalculationRequired, Attach Run to Forms. ❑ Gas Cooling Performance Calculation Required. ❑ Buried Ducts N/A; Indicate on building tans. ❑ Kitchen Pipe Insulation See Section 5.6.2 Distribution Systems 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 ❑ 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 ❑ Wood Stove Boiler Performance Calculation and attach Run to Forms SPECIAL FEATURES REOUEMG HERS RATER VERIFICATION (add cxina sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verification. J Feature R owed Forms dapplicable) Description ❑ Duct Scaling CF -6R part 4 of 12 ❑ Rcfri merant Charge CF -6R part 5 of 12 ❑ Thermostatic Expansion Valve CF -6R part 6 of 12 Residential Compliance Forms March 2005