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08-1589 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253- Application 2253 Application Number: 0.8'-000.0=1589 _ Property Address: CH APN: 775 -141 -018 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 4500 Applicant: Architect.or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT --------------------7----------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm undei penalty of perjury that,) am licensedunder 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:" C20 -C36 License No.: 777794 ate: (Pl y OWNER -BUILDER 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 withSection 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 155001.: (_ 1 I, as owner of the property, or my employees with wagesas their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and;Professicns Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does thework 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044,. Business and Professions Coder 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.). Lender's Name: - Lender's Address: LQPERMIT Owner: RICHARD BROOKS 54625 OAK HILL LA QUINTA, CA 92253 Contractor: J ANTHONY PLUMBING 68743 PEREZ ROAD, D CATHEDRAL CITY, CA (760)328-8096 LiC. No.: 777794 VOICE (760) 777-7012 FAX (760),777-7011 INSPECTIONS (760) 777-7153 Date: 9/18/08 ------------------- 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 SUA INS Policy Number WSATNECO'030202 I certify that, in the performance of the :work for which this permit is issued,.) 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 - / 3700 of the Labor Code, !.) II forthwith comply with those provisions. A WARNING: FP, URE TO SECUR WORKERS' COMPENSATION 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 construe n, and hereby authorize representatives of t,i ,eounty to enter upon the above-mentioned property for i ion purposes. Date: Si ure (Applicant or Agent): Application Number . . . . 08-00001589 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date . . . 3/17/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 ---------------------------------------------------------------------------- Special Notes and Comments REPLACE HVAC SPLIT SYSTEM, 5.TON UNIT, 13 SEER Fee summary Charged --------------------------- Paid Credited Due ---------- Permit Fee Total 33.00 -------------------- .00 .00 33.00 Plan Check Total 8.25 .00 .00 8.25 Grand Total 41.25 .00 .00 41.25 LQPERMIT CERTIFICATE OF COMPLIANCE: Pfoject Title eZ,* �J 1, < Yo '4 Special Remarks COMPLIANCE STATEMENT ge 5 of 5) CF -IR q I I (O -e- This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of• -Regulations, and the administrative regulations to implement them. This certificate has been signed by the:individual with: overall design responsibility: The undersigned recognizes that compliance using duct design, duct sealing, verification. of refrigerant charge and TX -Vs, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. DesiLner or , Wner*er Business and Professions Code) Documentation Author Name: cLla Ja (�j Name: M0. Title/Firm: Title/Fiiin: Address: Address: -7 LI Peru- 4-9-zr- C.Vc1223c� Telephone -Telephone: "76G51� 31_8 - eo9 License #: License #: (if applicable) ,--1-1—.� ct �J a (signature (date) (signature) (date) Enforcement Agency f Name. ` f a Agency. r ` � Telephone { 1 7 F (signatice Residential Compliance Forms December 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 5) CF -IR Project Title ei".,.la jSy-�s Date i � IS ] cV 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. ❑ Sealed Ducts all climate zones(Installer testing and certification and HERS rater field verification required.) ❑ TXVs, readily 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 required.) OR ❑ IAlternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14. OR Jen No ducts installed. ❑ New ducts from existing space conditioning equipment, not exceeding 40ft. in len ❑ 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. Duct systems with more than 40 linear feet in unconditioned spaces shall meet the requirements of Section 150(m) ❑ and duct insulation requirements of Package D. WATER HEATING SYSTEMS F -Y-1 ❑ Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per dwelling Number in System unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is not allowed. ❑ Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential Standby` Loss % 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. ❑ 1 Check box to verify that a time control is required for a recirculating system pump for a system serving multi le units Systems serving single dwelling Units (See RM Table 5-4, Alternative Water Heating Svstems for recirculation requirements) Water Heater Type/Fuel Type Distribution Type Number in System Rated Input' (kw or Btu/hr(gallons) Tank Capacity Energy Factor' or Thermal Efficiency Standby` Loss % Tank External Insulation R -Value System serving multiple dwelling units (See Residential Manual Section 5.3.3) Water Heater Type Distribution T e Number in S stem Rated Input' (kW or Btu/hr) Tank Capacity allons Energy Factor' or Thermal Efficiency Standby' Loss % Tank External Insulation R -Value 1) For small gas storage water heaters (rated inputs of less than 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 Input, 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 3/4 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 December 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 5) CF -1R Proiect Title Date FENESTRATION PRODUCTS — U -FACTOR AND SHGC ✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R — must be included for New Construction, Additions, and Alterations. Fenestration #/Type/Pos. (Front; Orien- Left, Rear, Right, tation, Area U -factor Skylighq N, S, E, W' ft' U. -factor' Source SHGC4 Exterior Shading/Overhangs6•' SHGC ✓ box if WS -3R is Sources included �w 1iW fkm'" ` it — GC�O 13 zte-r C 1 aw ` 3 s l . •. C3v�. o.`� 13 1) Skylights are now included in West -facing fenestration area if the skylights are tilted to the west or tilted in any direction when the pitch is less than 1:12. See § 151(f)3C and in Section 3.2.3 of the Residential Manual. 2) Enter values in this column from either NFRC Certified Label or from Standards Default Table 116-A. 3) Indicate source either from NFRC or Table 116-A, 4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R. 5) Indicate source either from NFRC, Table 116B or WS -3R 6) Shading Devices'are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading devices. 7) See Section 3.2.4 in the Residential Manual. HVAC SYSTEMS Heating Equipment Minimum Distribution Type and Capacity Efficiency Type and Location furnace, heat pump,boiler, etc. AFUE or HSPF ducts attic, etc. Duct or Piping Thermostat Configuration R -Value Type (split or package) �w 1iW fkm'" ` it — GC�O 13 zte-r C 1 aw ` 3 s l . •. C3v�. o.`� 13 Cooling Equipment Type and Capacity (A/C, heat pump, evap. cooling) Minimum Efficiency (SEER or EER) Distribution Type and Location (ducts, attic, etc. Duct or Piping Thermostat . Configuration. R -Value Type (split or package) 5 dcA (' 13 zte-r C 1 aw ` 3 s l . •. C3v�. o.`� 13 Residential Compliance Forms December 2005 9 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 5) CF -1R Project Title `Z (7 fb"--,1 5 7 Date (g I G8 Building Permit # Project Address 6 2S �1 S�Oo.��'� l La ulw`"�-, Com- x{22 S Plan Check / Date Documentation Author Telephone Field Check / Date Compliance Method (Prescriptive) Climate Zone Enforcement Agency Use Onl 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 8-14 in the Residential Compliance Manual (RCM) GENERAL INFORMATION' Total Conditioned Floor Area (CFA) ft Average Ceiling Height: ft Check Applicable Boxes 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 in the RCM.) • Maximum Allowed Total Fenestration Area t (from WS -4R) • Maximum Allowed West Facing Fenestration Area ft (from WS -4R) • 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). ❑ RADIANT BARRIER (check box if required in climate zones 2, 4 8-15) OPAQUE SURFACES INCLUDING OPAQUE DOORS Component Type (Wall, Roof, Floor, Slab Edge, Doors) Frame Type Cavity (Wood or Insulation Metal) R -Value Assembly U- , factor (for wood, Continuous metal frame and Insulation mass R -Value assemblies) Joint Appendix IV Reference Roof Radiant Barrier Installed2 Yes or No Location Comments (attic, garage, 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. 2) This column is for the Inspector to verify installation of roof radiant barrier. Aociilontinl !'mm�/innno Ti'nrmc r)—o—ho,- MO; Bin # City of La Quinta i Building'& Safety Division P.O. Box 1504; 78-495 Calle Tampico La Quinta; CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 1 Project Address: Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: 1 Contractor: �i Ail6� 41 k�� �x - Telehone: P -16OF - S Sz �- Address: -ILi3 � Y z l� Pru Project Description: ``t'_ City, ST, Zip: ls; C' d Imo\ Telephone �C,G -$QQ (moil , City Lic. #: wwcl- State Lic. # : "j-�� "� Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one):New Add'n Alter Repay Demo Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: 5�w APPLICANT:, DO NOT WRITE BELOW`THIS LINE # Submittal Req'd Recd TRACKING PERl141T FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan :Plans resubmitted Mechanical Grading plan 2wd Review, ready for correctionsfiissue Electrical Subcootactor List Called Contact Person Plumbing Grant Deed Plans picked up . SM -1. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review, ready for correctionsrssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees