09-0917 (MECH)P.O. BOX 1504
78-.495 CALLE TAMPIC.O
LA QUINTA; CALIFORNIA 92253
Application Number:
r-09-00000917
Property Address:
54973 OAK HILL
APN:
775-141-031- - -
Application description:
MECHANICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
1550
Applicant: Architect or Engineer:
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY .DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that Iamlicensed under provisions of Chapter 9 (commencing with
Section 7000) of: Division 3 of the Business Professions Code;. and my.License is in full force and effect.
LicenseClass: C20 icense No.: 794315
Date: a 7Contractor:
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 (Seca 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 IChapter 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 155001.:
(_ 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
Contractors' State License Law does riot 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.).
(_ 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 improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
1 I 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:
GRAVELY VIRGINIA
54973 OAK HILL
LA QUINTA, CA 92253
(714)299-8905
Contractor:
DOVE AIR INC
69749 RISUENO ROAD
CATHEDRAL CITY, CA
(760)327-1890
Lic..No.: 794315
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
8/27/09
------------------
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' cornpensation, 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 EXEMPT Policy Number EXEMPT
I certify that, in the performance of the workforwhich 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 m
should coe subj t to the works' compensation provisions of Section
377,00 of the Labor Cod ra''.%{�jp��QhalI forth h com witerh those provisions. -
D�
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 ($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 cf% nstruction, a d hereby authorize representatives
of this county to enter upon the above-mentioned propertl f /inspection p pos
Date: + ' `31 ` J Signature lApplicant'or,.Ag
a ^ e
Application Number . . . . . 09-00000917
Permit MECHANICAL
Additional desc .
Permit Fee . . . . 33.00
Plan Check Fee
8.25
Issue Date . . . .
Valuation . . .
. 0
Expiration Date 2/23/10
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 9.0000 EA MECH
FURNACE <=10.OK
9.00
1.00 9.0000 EA MECH
B/C <=3HP/100K BTU
9.00
----------------------------------------------------------------------------
Special Notes and.Comments
REPLACE ONE 4 TON A/C & HEATING
SYSTEM
13 SEER SAME LOCATION.
----------7-----------------------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged
-------------------------------------
Paid Credited
--------------------
Due
Permit Fee Total 33.00
.00 .00
33.00
Plan Check Total 8.25
.00 .00
8.25
Other Fee Total 1.00
.00 .00
1.00
Grand Total 42.25
.00 .00
42.25
n
LQPERMIT
i
CERTIFICATE OF CMPLIANCE:
.RESIDE�VTIAh .(Page 2 OM. CF-I..2
VC`
project Titley
f '� FENEp�C'pI�R.A770Ti PRODUCTS U FA('M�t wive cY.,,'
cif 1'h?N SH C
ES'I'RATION MAXIMt1M A1�,0yVED ARfiA WO
Additions and; Alterations . WORKS WS-4R-trust be included-for New.Construc ion,
f encstration
(Fjwt, Lett, Ori
Rev. Right, menExterior.
li N `S . on,r . , U-factor ShadingtDyecttanngs� �.
11-fadoc� ... Souroe' SHGC'
SIH f3C •� box.if WS-3R is
included
❑`
❑
13
1) Skylights are now iiccludod in West
the rich g fenestratlbn.ait6a ifttio s lift
❑
p1 is less H air 1 12 .&e j j'S1i�3Gand in. ' giztsar�tilteti"to.ffiewrst:or ' in agy direction
2): Etrtex.values m this colUmn*ccither cdon 3.23 ofQre Rcsideatial:Manual
. 3) Indicaite source either SRC Rated value or from,
. 4 n hiFRC or --T*le 116A, Standards der rmrlt
1�bk �'1tiA.
Enter values in this ooluirra from NFRCor.from. .
Indicate source.either f S Ards Default Table 116B oradustetl SHQC troni WS-3R
NFRC or Table 1168:
Shading.Dctnces are defined in Tab1.le 3-3 in tLe Resideatial
7) See Section 3.2.4. in the ResddeatiatMani iL Manual and sire WS-3R to calculate Exterior Shading devices,
HVAC SYSTEMS
�� Equipment
Minimum. .
Type,aad Capacity EfEci Distrl on. .
txat Mona etc. AFi1B � Tom° and Location D.uct.or I'�pipg, Thamostaf
ducts R=Value Co°sg+nation
Cooling•Equipnient • tilinimuat
ZY at and Capacity Elle Duct Location Duct
heat rd eft .
atti etc. R-Value Thermostat ConSgtuiatlon
tta.
Residential Compliance Forms
March 2005
A
_
CE RTEFICATti OF CoMp�L. xA,NCE:: RFSIDENTXI L lel of4 ' Cr
C� rG� Iv
Project TiUMee -
a ate
pto eoi Address2 .
�,. Q. C c s l0 fJ 3 -)0 18 U Bw7d'rrb e«ma t
vocumentatibn Author Telephone C aac/D�ts
Cotnplianoc Mdhod (p ptive) r c7,od / Daty
. . Cie Zone ' . t?nt'aroe�t �tux7' Use oaa
.r 0 Alternative Component Pacbp Method: (check one).._._C —D .D atilro .
Package C and Paolcuge D cboicxs require MRS-rater fold iAltan)
AGI cation and/or d Owstic toting (see CP IR page 3)• .
For PadMp D AlterhaWi see Appendix-:B T@blo'151 C Footrwtes 14
GENERAL M OaiT
Total Condibonod,
F1ooc/Srca (CFA) ' fe Ayrragetklltng Height it
Maximum Allowed �Vest.Famg F � Products Per Table ISIS or ISI-C�---
Maximurat Alg wcjTyp Total Ferxsiratior] Products Per Table 1514B or 151.0 , 00% X CFA).:. R
O Building 1yp (chock one or
(if adding f Vie) s Facru(y Matitanitly /tddition.___At�tion
wd s md'&on Sll.out WS-Oft"Fw=oatioa Maximuin;&Wwtd Arca.Wmbhed and
' . for Additions aad 83.3 •foc Attaatioc:s, sec Section 832. •
Number of Stories:
"Number of DwrUirig Unit=
TIWSCO °�efitatio&! T�'P� Slab�/R�ised Floor (circle �)
Front Notch aril ch-AC-OW). / Sout}i /Faust /West /AU Ucieatations. (mpv� fi oi� in degrccs from '(Viae
1�'. tAnrArl7r BARRIER rreaulred in cliaiafe 4 g.
OPAQUES ACIu.S INCLUDING OVA rr'v DOORS '
ODmponeat Assembly U-
TYPe (Wale Frame
Rood Floor, ' ch; ty Coatinuous• 1=.(for Joist. RoofRad;ard
SCab.Edge, (Blood Iiuulation h
its•
.Doors or M Value Insulad" IV Installed (attIc,.garage,
R Value. assemblies Referuice
1) See Joint Appu�dix.tY iii Section 1Y,2,. IY,3 and 1V.4; which Tz the basis for the U-faoloc criterion, U-factors cannot
exec cd prr^scriptive value to show equivalence to R-values:.
CERTIFICATE, OF COMPLIANCE:,•_RESIDENTIAL(Page 3 of 4) CF -1R
.7 S^
Project' Title Date
SEALED DUCTS and TXVs (or. Alternative
A signed CF4R Form must beprovided.to the building
. reauired.
each home for which the following. are
OR
Distribution
Number.
in S stem
Baled Ducts all climate zones Installertestin ,and,certificationand HERS'rater field -verification required.)
❑
TXVs, readily accessible (climate zones -2. and 8715 only)
(Installer testing and certification and'HERSA9&.field verification required.)
❑
Refrigerant Charge (climate zones2 and 845. only) (Installer testing and.certiftcation and HERS Rater field .
verification required.).-
e uired.
OR
❑ [Alternative to Sealed Ducts and Refrigerant Charge
Project Climate'Zone in the R-M.Appendix B Table 1
�o
(*,Package D Alternative Package Features for
Footnotes 7-14.
yr
For additions and alterations, ductsystems that are not documented to'have been previously
sealed as confirmed`through field verificationand diagnostic Testing in accordance with•procedures in the
Residential ACM Manual and -duct systems with.more than 401ineai feet ii�,.uncoaditioned
aces shall meet the .requirements of Section 15 to °and',duct insulation r � uirements of Package D.
WATF.12 TW.ATYNr_ CYCTF.MC
Svstems serving single dwellina.unitc
Water Heater
T uel
Distribution
Number.
in S stem
Check box if system meets criteria of`a "Standard"- system: Standard system is one gas-fired water heater per
❑
dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is
Standby
Loss %
not allowed.
❑
Check box when using Preappfoyed Altermative WaterHeatiiig table, Table 5-4 in Chapter in the Residential
Manual. No water heating'calculations.are r uu,. and.the' ,stem corn lies automatically.
Check box. if system does nortneet criteria of "Standard" system, and does;not'comply with the Preapproved
❑
Alternative Water Heating table. In this case, the`Peiformance 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
Svstems serving single dwellina.unitc
Water Heater
T uel
Distribution
Number.
in S stem
Rated
Input
tk�y.or
Btu/hr
Tank
Capacity
lions
Energy .
Factor or
Thermal
Efficiency
Standby
Loss %
Tank
External
Insulation
R -Value
Nvstem serving multiple dwellivia unitt
Water Heater
Type
Distribution
Number
in S stem
Rated
Input
(kw or
Buytr
Tank
Capacity'.
ons
Ener
Factor, or
'Thermal.
Efficienc •
Standby
Loss % .
Tank
External
Insulation
R -Value
i. ror smaii gas storage water neaters kratea inputs of less tnan.or equal to 75,000 Btuthr), 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, Thelma[ Efficiency and Standby Loss. For instantaneous gas water
r
Pipe Insulation (kitchen lines >_ 3/4 inches) All,hot water pipes from the heating source to the kitchen fixtures that are Y44
inches or greater in diameter shall be thermally insulated as specified by Section 150 0.) 2 A or 1500)2B.
Residential Compliance Forms March 2005
CERTIFICATE OFCOMPLLANCE; RESIDENT,
(Page 4 of 4 C.I'=1R
f f
x�'
Project Title
vr
Yj_
Date
±r>, .;;
FEA SPECIAL TURES NOT REO MMG ITERS , RiFICATION (add if
Indicatcwhit;h extra sheets nocessarv)
special features are part of this project, The list below only.* special features relevant to the
reseri tive method.
O
Feature,
Metl
. .
R aired Fot int + Deeri tion
r
O
Radiant Barriers
CF=IR.
CF-1R
❑
Exterior Shades
WAR ..
❑
: Cool Roof. ..
ttach CRRC La � to ...
❑
I=L—ed ca Hydropic Heating
Form's,
Performatt0o Calculatioh
Attach . un td Farms,
O
Hydropic System
rcriormance Calculation
hed!.Attach Run to Forms:
13Combined
Oas Coolint
P o Mice Calculation
❑
Buried Ducts
R uired:
N% • Indicate on build' lams.
❑
Kitchen'Pipe insulation
SeO Section 5:6.2 Distribution
in•Residential-Manual
Multiple Water Heaters Per
ale,5-13 or iue
i
Dwelling unit
Performance, Calculation and
'to
'
. ❑ .8
Central Water H S�►stetn
aftich Forms.
Performance Calculation and
}
Servin Multi le Dwel '
Kori NAEC:A Large water
W
t Run to Forms.
❑
Heater
MIR .
O
Indirect Watet Heater
See Table 5=13 or use
Performance. Calculation and
attach Rim tb Fortes
❑ .Instantaneous
C:as Water Heater
Performa m CalcUlation and
attach Run to Forms
❑
Solar' Wates H
Heating System
See Table 5=13 or use
Performance Calculation and
attach.Run to Forms
'
❑ 'Wood
Stove Boiler
Performance C hiftlation and
attach Run to Forms
• SPEC';IAL FEATURES
Ladd extra
REOUIIt]T1G HERS' RATER �RIIrICATION .• .
sheets rf neoessarv)
Indicate to.the HERS Rater which credits are of this and
verification.
part pmject need
+� Feature
Dud Sealing-6R
ulred•Forms Qf a licabl • Description .. '
13 Refri erant e '
4 of 12
CF-6 5 of f2
Zhetittosiatic lat ansioti Valve
... C F-O, art.6 of 12
Residential Compliance Forms
March 2005
I LVV0 mull Oi l.a a'. tall a+0 Vuanca DLLLjk p
Bin /t �
City :o#' L;a Quina
Bulldlq M Safety Divlslon;
Permit # P.O. Box 104, 78=495 Cant;: Tampico
C� 1 La Qulnt:a, CA 92253 - ('760). 777-7012
''IC
l ` Building Permit A '
pP. and Tracking. Sheet .
1.3 /�
•Project Address: 3 0�4 L s U_ Owmer'sName
Ira V
A. P. Number:
Address: 1
Legal Vescription: ..
City, ST, Zip: a v; CA 2 L S 3
Contractor: :.
T C. Telephoue — g
Address; G iS—qeo '
Project Description: Qgp CEi
o
city, sr, zip: Cam �JQ .C. L13 4 GA f.
T �' vin .L o ►
Telephone: 6 0 -3a2 --if h... 0IV ST n 12 00F
State 1.10. # : 9 City Lic C /63
Arch., Engr., Designer:
Address.
City, Sf, 'Lip:
ciephotte: Constriction Typo: Occupancy:
;tate Lie. #: Project circle one : New Add'n
J ty ) meter .Repair Demo
Name of Contac t Person: Si Sq. Ft.: 4 Stories: # Units:
1 elephone # of:Contact person:-711VJ Estimated Valve of Project .
APPLICANT: DO.;NOT;WRITE BELOW THIS UNE
N
Submittal
R 'd :.
iteed
TRAC CBKG •.:
PERI4ITC FEES
Pian Selo
Plari Cheek sabmitfpd
Iters Amoant
Structgral Cales.;
Reviewed, roadT for correclioas
Plan Check Deposit
Tress Casa.
Called Contact Person
Plan Cheek Batiste
Energy Ctles
Ptaos picked up
Constnoetion .
Flood plata plan .
Pians reanbmttted
Mechanical
Grading, plan
2 Review, ready for eorreetioas/issm
Eteetrlcal"
3abcoutyclor. LIaY
Caf ed Contact Person
PIre�Wng
Grant Deed
Flaps pickad up
SNLC
H.O.A. Approval
.'{'lash estdriiiilled ..
l":radidg
IN HOUSE:-
1+dS kivlew, ready for correctionsliasae
Developer. Impact Fee:
Planning Approval.
Called CoMaet Person
------------------
Pub. Wks. Appr
Date of permit lane
school Fees
—
Total Permit Feea