08-1948 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
A`pp Ii` tion 08-0000
Number: 1948
CProperty'AdcJress: OK HI
54397 ALL
APN: 775 -071 -016 -
Application description: MECHANICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 7500
T-dy 4 4 Q"
Applicant: Architect or Engineer:
---------- 7 --------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9, (commencing with
Section 7000) of.Divisiod3 of the Business and Professionals Code, and my,License is in full force and effect.
License Class: .C20.': j License No.:.878533
Date: �.2 S� Q Cont' rec r: �%-J �%�I. e �S N P-' f/&) r .
OWNER-BUILDERMECLARATION
herem by affirm under penalty of perjury that I -am exempt- fro.tke'Coritractor's State License Law for the
followingreason(Sec. 7031 .5, Business and Professions Code: Any city orcounty 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 thatheor she isficensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 70 06) 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 7,031 .5 by
any applicant for-avpermit subjects the applicant to a;civil penalty of not more than five 'hundred dollars ($500).:
1 _ 1 I; as owner of the: property, or my employees with wages as their sole compensation, wili.do the work, and
. the structure isnot 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 hisor her owri 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,). r
(_ 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 improvesthereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State'Licerise 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.).
Lender's Name: _
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/11/08
Owner:
COLTON RESIDENCE
54397 OAK HILL
LA QUINTA, CA 92253
Contractor:
DIAL ONE'S ONE HOUR & i 12 2008Uu
2712 E., LA CADENA D IV
RIVERSIDE, CA 92507 CITY OF
(9E'1)276-9744 LA QUINTA
FINANCE DEPT.
Lic. No.: 878533 _
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 -(or which this permit is
issued. -
I have and will maintain workers'. compensation insurance, as required bySection3700 of the Labor
Code, for the performance of.the.work.forwhich this permit is issued. My workers' Compensation
insurance carrier. and policy number are:
Carrier EMPLYERS :WAUSAU Policy Number WCCZ91441085018
_ 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 tathe workers' compensation laws of California,
and agree that, if 1 should be�yY�e subject to the:workers' compensation provisions of Section _
3700 of the Labor Code, IsssfffS (I forth ith comply with those provisions.
Date r �"o Applicant C �\ pYG.�
WARNING: FAILURE TO SECURE WORKERS' ���COMPENSATION COVERAGE IS UNLAWFUL, AND.SHALL
'SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES•AND CIVIL'FiNES 0 TO ONE HUNDRED THOUSAND
DOLLARS (9100,000). 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 apermit 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 to enter c i
er upon the above-mentioned property f speon pur oses.
Date: ! C �-0-Rig (Applicant or Agent): , • Q
�wC.4-1 arC.= �// Cj
Ir
Application Number . . . . . 08-00001948
Permit MECHANICAL
Additional desc .
Permit Fee . . . . 24.00
Plan Check Fee
6.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . . 6/09/09
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 9.0000 EA MECH
B/C <=3HP/100K BTU
9.00
----------------------------------------------------------------------------
Special Notes and Comments
REPLACEMENT/CHANGE-OUT 70,000 BTU ATTIC
FURNACE AND'4'TON A/C WITH COIL.
Fee summary Charged
-------------------------------------
Paid Credited
--------------------
Due
Permit Fee Total 24.00
.00 .00
24.00
Plan Check Total 6.00
.00 .00
6.00
Grand Total 30.00
.00 .00
30.00
LQPERMIT
C:S)IJ. -R, o ate 0f,
Dam
CFA ALT
C6110ER d S 2005
-rrforcema ,aS-rrcy-Diis
ep. n@: ort Cheat Date
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400r!21�ee_
sidd ch�t'<D et""
IMPORTANT: This CF -9R -ALT thorrtt is only for use rrttert an HVAC-0rlty alteration is mads to
Use elft e:tistirrg tierno
We'll for each s stem beim altered. This is system 9 t .,a r
;cope ofAiterations: -
1 ❑i A^r ikna" fev Is to be insWW or trced. Duct SeAM to be determined. Continue to next line.
2 Ftw'll MOO MtChEnOW is to be installed or reMVIDEd. Duct stns DD btP dEtt rmined. Continue to Held tine
" ®�° ao ndangi qhs to D2 klstalLd or rep{at�l Duct Seagng and/ 7Xy(RCA) to ba d�iermtnad.
ft or Pain ca+i is to be installed or faced. Duct Seed andl T)tv RCA to be deemtlnEd. Carnlnu rrz d tins
5 ❑ then 40 feet of n" or naFiaeem8nt duct are to be Instelfed in umoorrdIgMil
O Check here If the rdl duct apace Duct aa8ftrlg t0 b8 dainrmtin3d
ays�m is also to be new or revtaced. .. ..
w��w� - �s t mean tJnr tan of Ones 1 2 3 4 r 5 are the SEc' if irtE 6 i8 tela
a ? O slam is In Cfanste Zone 1, 3 4 5 8 7 or 8. No duct see0 is ked. Go to Section 2.
8 0 a system tum Isss than 40 feet of duds in uncondiHored space No duct aeet lis* d Ga to S 2
edlon
S ❑ systsm ares f�u81Y sealed all tr>atel and ores c affil d by a HERS roar.
o
-WIN is Mull Attach Mk= CF.4R firm. Go to Section 2.
10 O his ductsystern is awled or Insulated wnh astteatoa. No ducts Wred. Go to Section 2
Note: If the lira duct s stem !s 4o be new or replaced Unes 11-14 do not a
11 ❑ In Climate Zones Z 12 and 16: An 0.92 AFUE furnace w91 be Install in liep Of9W
12 O n Climate Zones 10, 13 and 10: An SEER 14 MIMEER 12 cOfKim ser will be installed with T CV(Rtf e
added duct insulation l wrap on Wiliam ducts. R-8 near ducts in lieu of duct
Beaks 13 ❑ n Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 Go tD Section 2.
AfA"7 a 0.92 AFUE furnace will be fnsfalled in Oeu of duct EER o o Secti n .'W be natalled with TXV(RCA)
'14 ❑ In pimaL9 Zones 2, 9, It, t2, 14 ar 16: An SEER 14 a�Fny. Go iD Sediort 2.
EER 112 condenser Trill ba vela ad -tM TXV(RCA)
an 0.82 AFUE furnace will be installed' ith increased dud insutetion n lieu of duct Go to Section 2.
15 of fines 7-14 above are checked. thct Sc6ra� tg ttequtrad. Continue.
action 2 - TXV RGA Oni if Lines 3 or 4 are ottacked othtdvvise of to Section 3
16 ❑ he bei a Is a TXV R {s
17 t7 Is system is in Climate Zone 8 and a 14 SEER air conditioner or o.82 AFUE furna Is ng bel
No TXV(RCA is sell required. Go to sel 3. installed.ac
18 O This em 18 In Climate Zane 1 3 4 5 8 or 7 No TXV R is igull 10toSpil
19 Cl This Is to Climate Zone 18 and Qne 14 is n ch No TXV CA Is
20 ❑ s is in Climate Ione t8 and One 14 is checked and not Ilne 18. TXV Go to Section to 3.
21 system is In CllmateZarre
;7''F
or l f 5 and Ihle 11, 16 or 17 Is not cht .11, TXv ✓� aired. Go 3
Section 3 - HERS Rater verification (� � reafufreriL Go to section s,
22
If Ina 15 Is checked, HERS trer8it adJon is Meed for Suet Saaltng.
23 O If rate 12, t3, 14, 20 or 21 are checked and not am 16 or 17, tfiERf; vertflcaYlcn fa regtq►ed 7XV
24 ❑ f Ilse 12, 13 or 14 are checked, HERS verHleatSme Is required liar i2 E$R
ection 4 - E ui rnent Efhclenciss
25 ❑ f fines 11, 12, 13, 14 or 17 are checkmd, a equ mwat eilidefil are
Section 5- Duct R -Values requires, list to Sewn 3.
26 O If m�than�%Woofct is bat installed or—
0=01) lipduct R -value must meet or exceed
�27 ❑ fleat 4s bei ststalled or I Papkeo D re uirartFnis.
aced, duct R -value muai mad or exceed R�.2
Section 8 - see next
Version D3-10-06
his form can only be used on Projects being verified by CaICERTS certified raters.Page 1 of 2
www.catcerts.corn
Cr--jr'-ALT
Tom: --
Ye:
Z-- 6--C6 CpJrF-RTS 2005
li 'WORTANT: This CF -1R -ALT form Is only for use when an ;-IVAC-only alteration is made to an sids&V Boma
Use one tcim for each system b9lingLdtered. This is SYStsm E 1_Y7 systems algid In this hotase
I.:'�sctDor o iwirimum 13cclra�ia�r� enta for e:quoO wnt to @e lnsfalledlAttared.
tl
41slzbd equpmert mal MIM iq a&-4bn and rmw or =gem ®fnda�Qss/R wd�s.
II as c�: WPOWfltem Q a unit
29 (J °Rdr Hs ftmci,, AFUF-: Q xmv GAU Q}rydm= FAU QOUtar
I�30 ❑ a �._ .
rt3s31-
32
; j0qqMg Cr heattrg m3
33 ❑ as ocoflon: -�
I Mridatopt meas un a to an altered tom Hent See iUIF-1R - kLT Foran.
..ompAar►ce StsYemerrt:
I rs certific to 0 compliance Bats file 6a�ding fae4area and spea�rcatlorls needed to amply uwlrh True 24, i°ar481 and ti of the
.avi'rw iia Cccie of Regul&Y(Ons, and the sdm(nlalrati" ragulatioris to ImptelvrsnY them. This aalYificate hes been signed by the
livfduEf iroiifi overeU lOrok;ct res�rrslbllity. T�und-ig,ri7lcaP}on cf;e¢rEpvrEnt
nd T)tV r�qulre insaUar testingandon and velfiication by an aPied HERS rat®r.
one: —
760- 777-`/3
:r
or
early Name:
0.1AJ c:�'
.2'7l. �5 Z-,,* C1RJ61- -,,'
1 R -ALT: by anyone. Required at time of permit on. on, Copies to home owner, errfwcement agency, HERS rater.
r
F-6RALT, by tryst contractor. Required to close p®unit. Copies to home owner, enforcement agency, HERS refer.
CF -4R -ALT, by HERSS rater.
rater. Required to Gose permit. COPIES to home owner, enforcement agency Inetalbr. the CFVR forms For a
sa !e not ba sed l all an verification ' feted s for enii .
Version 03-10-08 you
This form can only be used on Projects being verified by CaICERTS certified raters.Page 2 of 2
a ww-catcer'is.com
J
Bin #
City of La Quints
Bttiiding 8c Safety Division
P.O. Box 1504, 78-495 Calle Tampico
1a Quinta, CA 92253 - (760) 777-7012
Building Permit Application and. Tracking Sheet
Permit #
QQ
Project Address:
Aff
Owner's Name:
A. P. Number.
Address:
Legal Description:
City, ST, Zip: n
Contractor,— J � e 5
1/'
Telephone: • ..-
f � ;�
Address: .2 /,
�� ��..
Project Description:
City, ST, Zip: p('
Telephone:
State Lie. # :
City Lie. #,
C -e
,e _Q
Arch., Engr., Designer. ---
Address: _.
City., ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person:
??
r. ..,. hr . ,
Construction Type: Occupancy:
+
Project type (circle one): New Add'n Alter Repair Demo
Sq. FL: #Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Pian Sets
Plan Check submitted
item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'° Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Pians resubmitted
Grading
IN HOUSE:-
Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees