07-2891 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
_- LA QUhNTA, CALIFORNIA 92253
T4ht 4 4 Qm,* 2
BUILDING & SAFETY DEPARTMENT.
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/02/07
Application Number: 07-00002891 Owner:
Property Address: 55457 OAK HILL DOLENGA PHYLISS M TRUST
APN: 775-161-025- - - 55457 OAK HILL
Application description: MECHANICAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 6000
Contractor: d
Applicant: Architect or.Engineer: PALOMA AIR CONDITIONING,
P.O. BOX RT, 410 V. off."��
PALM DESERT, CA 92.261 n
(760)347-1212 07
ei
Lic. No.: 619091Q
1 ZA
LICENSED CONTRACTOR'S DECLARATION _ WORKER'S COMPENSATION DECLARATION
I;hereby affirm .under, penalty of perjury that 1 arrhicensed under provisions of Chapter -9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:. -
. Section 70001 of.Division.3 of the Business and ProfessionalsCode, and my License is in full force and effect. _ I have and will maintain•a.certificate oPconsent to self -insure for workers' compensation, as provided
License Class: --C20 License No.i 6,19091 " .' for by Section 3706 of the Labor Code," for the performance of the work for which this,permit is
10^ - ,- issued.
Date:_ 1' :. Contractor: - _ I.have and will maintain workers'. compensation insurance, as required by Section 3700of the Labor
Code, for the performance ofthe .work for which.this permit is issued.* My workers' compensation
OWNER -BUILDER DECLARATION.* insurance carrier and polic' number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for.the Carrier ENDURANCE WRKR' Policy Number WEN300141802
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, I shall not employ any
construct, alter, irnprove; demolish, or repair any structure, prior to its issuance, also requires the, applicant for the person in any manner sous 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 - :MW3700 of. the Labor Code,.lshall"forthwith comply with those provisions. -
that he -or 'shels exempt therefrom and the basis ,for the alleged exemption. Any violation of Section 7031.5 by �. �"a'4' tom" '
any applicant fora"permit subjects !he applicant to:a civil penalty of not more than five hundred -dollars (5500).: Ds . std .' ^� leant: _
(_ 1 I, as owner, of the�property;or,:my employees with wages as their'sole compensation, will do the work, and
the "structure isnot intended'or offered for sale lSec. 7044, Business and Professions. Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION"COVERAGEIS UNLAWFUL, AND SHALL
Contractors',State License Law does not apply to an'owner of property who builds or. improves thereon, SUBJECT,AMEMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and:•who.doesithe work hunself.orherself;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 buildingorimprovement is sold within SECTION 3706 OF THE'LABOR.CODE, INTEREST, AND ATTORNEY'S FEES.
`one year of completion, the'bwner-builder. Willhavethe burden of proving that he or she did not buildor . -
impro4e'for the purpose of sale.). - APPLICANT- ACKNOWLEDGEMENT
1—) 1, 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,
1 _ 1 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 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:l!have read this application and state that the above information is correct. I agree to comply with all
city and county ord n� ances a d state laws relating to building construction, and hereby authorize representatives
.of this c nt2r�p®�t�ebove-mentioned property for inspection purposes. .
--
Date: Signature (Applicant or Agent): $��
Application Number . . . . . 07-00002891
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . . . 24.00
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date 4/30/08
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
REPLACE EXISTING A/C UNIT 16 SEER
CONDENSER
Fee summary Charged
Paid Credited
Due
-------------------------------------
Permit Fee Total 24.00
--------------------
.00 .00
24.00
Plan Check Total .00
.00 .00
.00
Grand Total 24.00
.00 .00
24.00
LQPERMIT
Bin #
City. of La
.Quints
Building U Safety. Division
'`P.O. Box' 1504, 78=495" Call'e,.Tampico
Permit #0
La Qulnta, CA-92253 - (760) 777-7012
Btaildin Perinit,_A Ilcation and Tracking,,,, Sheet
g - pp g,:
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Project Address: 5 �j ,. Q�6<`iZ .�: ,`�' p '
: Owner's Name:'
A. P. Number: L
Address: ,( kL rz.
Legal Description:
City, ST, Zip: C:�.. l.^ • P k �C. A�.
Contractor:Q.(
IO_t rL, COV :
Telephone; "
Address: a .
Project Description:AT
rr
City, ST, Zip: 1�1 C., L �Z `� 4
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Telephone:
State Lic. # : d City Lic #:
2IL
Arch., Engr., Designer:
Address:
City, ST, Zip:.a
,
p
Telephone: �.
r
Occupancy:
;'Construction.Type`.
Project type (circle one): New Add'n . Alter Repair Demo
State Lic. #:
Name of Contact Person:
Sq. Ft.:
'# Stories: `
#Units:
Telephone # of Contact Person: '.
Estimated Value,of Project: t
APPLICANT DO'NOTrWRITEBECOWTHIS LINE
-
#
Submittal
Req'd
", Rev'd. '
+TRACKING.". +"
PERMIT FEES
Plan SetsPlan'Check
submitted,r
Item'
Amount
Structural Calcs.Reviewed,
ready for.corrections
Plan Check Deposit
Truss Calcs.
Called.Contact Person
Plan Check Balance
Energy Calcs.
;Plans picked;dp
Construction
Flood plain plan
Rlansresubmitted;r .
Mechanical
Grading plan
2"" Review, ready forcorrections/issue
.Electrical
Subcontactor List
'Called Contact.Person,
`Plumbing
Grant Deed
Plans picked up
S.M.I. .
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''`" j 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
CERTIFICATE Or, COMPLIANC& RE►SIDE,NTUL.(Page t of 4) CF-IR
AV
Project Tit] ei 5.-(� R t (( "� Date . .
Project Address Building Permit f
79�
Documentation Author Tel" hone Plan Check /Date.
Fidd.Chcek / Datp
Compliance Method (Prescriptive) .'Climate Zone
' - . FnCorccaxa►t Agctrcy Use Only .
1 [] Alternative Component Package Method (check one) _ C D D (Alternative)
Package C and: Package D choitxs regwre HERS rater'f eld verifrcatioiran&or diagnostic testing (see CF-I R page 3)
For Package D Alternative see Appendix.B Table 151-0 Footrates 7-14
GENERAL INFORMATION
Total-Conditioned.FloorArca (CFA) fe Average MeilingNeight:
It.
Maximum AllowedWcst'Faging Fenes2ratwn; 'Uc; s Per Table 151-8 or I51-C (5%X CFA) _ fie
Maximum Allowed:Total Fencstration.i'roducts Per" Tabk.151 B or I51-C, (200%X CFA) ft
r D Building Type: (check.one or more) �inec Farrit7y' Mul6famr7y Additioa. Alteration
(Wadding feaestraLon 5l1,art W, ," . Fenestration Maximum Allowed Arca.Woiksheet and see Section S3.2..
for Additions and'83:3 for Alterations.)
Number of Stories-Number. of DweUingUnitr
Ftiu
loor ConsctionType_-'.'
Slab/Rased Fkior.(cmcle.00e of both)
Front Orientation: North /.,South / East/.West /All.Orientationsl'input f
ronj orientation in degrees from True
North and circle
fj ✓ ❑ RADIANT BARRIER'(reguired in climate zones 2 4 g-15)
OPAQUE SURFACES, INCLUDING OPAOUE DOORS
Component Assembly .U-.
Type (Wall, Frame fatr.(for Joint RooRRadiant
Root; Floor, Type Cavity Continuous wood, meta! Appendix Barrier I oca6onlComiuents
Slab Edge, (Wood' Insulation " :Insulation frame and mass IV.- Installed (attic, garage.
Doors) orMetal R-Value .R-Vatic.. asscrril liesV Reference Yes.orNo typical, etc.
l) See Joint AppendiklV in Sectigri IV,2;' IV.3 and, IV 4; which is the basis for the Waotor criterion. U-factors cannot "
exceed prescriptive. value to show-equivalence to, R-values .
Residential Compliance FormsMarch 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL` (Page'Z.of4) CF -IR
1
Project Title Date
FENESTRATION ;PRODUCTS — U-FACTUR AND- SHGC
❑FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R -must be'included.for New Construction,
Additions and Alterations.
Fenestration
#/Type vos.
Exterior
(Front, Left, Orien= Shadin erhan 6 7
Rear, Right,. tation, Area,. "actor' SHGC' •/ box S=3R is
5❑Skylight) N, S E, W� , (f U-factoi?' ` .:'Souice� r� SHGC° Sources included
13
❑
1) Skylights are now included to West=facMg`fenestrahon area rf the.,skyLglits ate tilW to the west or tilted in any -direction
when the pitch s'less tlian 1 12..See'§ 151(f)3Cand in Setion 3 2 3 of the Residential Manual
2) Enter values in this column are either NFRC Raied value,orfrom Standardsdefault Table.116A.
3) Indicate source either from 10,k orTalile 116A,
4) Enter values in this column ,.from.NFRC.or from Standards,Default Table. 11613 ocadjusted SHC3C from WS -3R
S) Indicate source either &6m, oror Table.I I6B.
6) . Shading Devices are defined,in Table 31,3 in the Residential Manual and.see WS -3R to calculate Exterior Shading devices. .
7) See Section 32.4 in the Residential Manual: '
HVAC SYSTEMS
NFLeatingEquipment Minimum Distri ution.d Capacity Efficiency. „ Type and Location . ' Duct or•Pipirig,. Thermostat Configuration
boiler -etc. AFUEor.HSP ducts attic dc. R-Velue . it or e ae (s,. �— o
Cooling Equipment . Minimunt
Type and Capacity. Efficiency; Duct Location Duct.: Thermostat Configuration
A/C beat uni 'eva . co fi SEER or EER attic ctc.R-Value lit ck
! �. or e,
I
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF -1R
tY
Probed Title Date
SEALED DUCTS and TXVs (or Alternative Measures)
Asigned CF -4R Form 'must be provided to the building department for each home for which the following' are
Sealed Duds all.climate zones : Installer testin" and.certificationand HERS -rater field'verification uired:
TXVs, readily accessible (climate: zones 2:and 8-15'only)
nstaller tesiin and'certification and HERS Rater -field verification.' uired.
❑ Refiigerant Charge (climate zones 2 and 8-15 only):(InsWler testing and certification and HERS Rater field
verification r uired.
nn
b Alternative to Sealed Ducks and Refi-igeranYCharge ITXVs. (See Package D Alternative Package =Featuresfor
Project Climate Zone in the RM Appendix B Table 151tg'Footnotes 7 14
OR
For additions and alterations, duct systems that are not documented to. have been previously
❑ sealed as confir-med 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-req
he-r uirements of Section 150 m 'and`duciinsulation r uirements of Package D.
WATER HEATING' SYSTEMS
Check box if system meets criteria of a "Staddard" system. Standard system is one gas-fired water heater per
❑ dwelling unit If the ware' heater is a'storage type; 50 gallons is the maximum:capacity and recirculationsysiem is
not allowed.
❑ Check box when using I'reapproved Alternative' Water, Heating table, Table 5-4.in Chapter 5 in the. Residential
Manual. No water heatingcalculations:are uired'�.and the stem complies automaticall
y.
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'Perforrnance Method must be used and trust be included in the
submittal.
u ieck box to verify that a time control is required 'for a recirculating system pump for a system serving multiple .
units
a stemsservin sin ledwelfin .units
Energy Tank . .
input,- Tank Factor or External
Water Heater . Distribution Number w cr Capacity Thermal-
(kStandbys Insulation
Type/Fuel a in S stem so,Thr tons Efficiency Loss % R -Value
Water Heater
e
Rated Energy
1Factorsor
Distribution. Number Input T
ank (kW:or. Capacity.. Thermal:
e.. 'in :stem 6lufir . Woos Efficiency:'
Standby'
Loss %
Tank
External
Insulation
R -Value
- - o-- ------ ••--- r•- V- +••V. W Y1 JV -bb Mail V[ UgUi l jo /J,vvv orutnr), erecane resistance, and heat
pump water heaters, list Energy Factor. , For large gas storage water heaters (rated:input of:greater than 75,000
Btu/lir), 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 >_ 3A 'inches) All hot water pipes from the heating source to the kitchen fixtures that are '/4
inches or greater in diameter shall be thermally insulated as specified by Section 150 (j) 2-A or 150 (j) 2 B.
Residential Compliance Forms March 2005
CERTIFICATE.-,OT• COMPLIANCE 'RESIDENTIAL (Page 4 of 4) CF-1R
Project Title - Date
SPECIAL FEATURES'1VOT`REOUIRIIVG HERS VERIFICATION (add extra sheets if necessary)
Indicate which special features are partof this project The hst belbi onl .r resents s
resort tive method. • . y yepedal features relevant to the
Feature
Re aired Forms if a Iicable •Descri tion
❑
0 MetalrFramed•Walls
.
° CF-1R:
❑ Radiant Barriers
CFA R `.
❑ Exterior Shades
WS4R
❑ . Cool Roof.
N/A; Attach': CRRC Label'to
.Fon us.
13Dedicated Hydronic Heating
`Perfonnance Calculation.
R uirW- Attach�Run to Forms.
❑ Combined Hydronic System
Performance Calculation"
R aired ;AttuetiAtin to. Forms.
❑ Gas CoolingPerfor-mance<Calculation
.
R uired •.
❑ Buried Ducts
N/A`.Indicaie:on ;buildin laps:
❑ Kitchen Pipe lnsulation
See Section 5.62 Distribution;
stems in Residential; Manuil.
Multiple Water Heaters Per
❑
See<Table 5=I3'or,
Dwelling Unit:
Performance Calculahori and
attacfi Run to..Forms.. '
❑ Central Water Heating System
. 'Performance Calculation and
Servin MultiIe Dwellin s
attach Run 6 Forms.
❑ Non-NAECA Large Water
Heater
CF=1 R
❑ Indirect Water Heater
See Table,5-13,oi use .
Performance. Calculation and
attach Run`to'Forms
❑ Instantaneous Gas Water Heater
See Table 5 13:or.use
Performance Calciilation and
attach Ruin;torForms
See Table 543 or use
❑ Solar Water Heating System
Performance Calculation and
attach Run: to Forms .
❑ Wood Stove Boiler
Perform ance'Calculation and
attach Run toYorms -.
SPECIAL FEATURES'REOUIRING HERS RATER VERIFICATION.
(add.extra sheets if necessary) Indicate to the HERS Rater` which credits are part of thi s project and need
verification.
✓ Feature
O
R uired•Forms' La livable •:Descei tion. .
Duct Sealin
CF-:6R part-4.•of 12'
O Refrierant Char "e
CF-61Z Oaft.5 of'12
❑ Thermostatic Ex ansion.ValveCF.=6R
part 6:6f32
Residential Compliance Forms
March 2005 , .