08-0652 (MECH)c:
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
F
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
08-00000652
lo
5448-2—OAK`TREE
775-081-050- - -
MECHANICAL
LOW DENSITY RESIDENTIAL
3200 ive
Architect or Engineer:
Owner:
WALKER RESIDENCE
54482 OAK TREE
LA QUINTA, CA 92253
(760)813-4787
Contractor:
PACIFIC AIR HEATING & AIR-COND
77920 CALLE NOGALES
LA QUINTA, CA 92253
(7.60) 77.1-6971
Lic. No.: 838711
VOICE (760) 777-7012
FAX (760) 777-7011
ISPECTIONS76017-7153
_15ate4: 4 08
APR 21 2008
CITY OF LA QVIPITA
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 ofthe following declarations - -
Section 7000) of Division 3 of the Business and Professionals Code, and:my License is in full force and effect.
_ I'have and7will maintain a certificate of consent io self -insu'r'e for workers' compensation, as provided
C20 License No.: 838711
for by Section 3700 of the Labor Code, for the performance -of the work for which this permit i.s
�Lice6sse. /Class:
' -
issued. -.
Date: Zcts�•� Contractor:
'1r h
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
OWNER•BUILDER DECLARATION
_ insurance carrier and policy number are: ,
I hereby affirm under penalty of perj y that I arm from the Contractor's State License Law for the
Carrier EXEMPT Policy Number EXEMPT
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ f certify that,.n the performance of the work for whidh this permit is issued, Ishall, 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. subjecmo the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the. Business and Professions Code) or
3700 of the Labor Code, I sh rthwith mpl 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).:
C
G
Date: Lt� L I -Q9 Applican` t -
(_ 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 .W, RS',CONIPENSATION. COVERAGE 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 CRIMI 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 -
(_) 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 orimproves thereon, and who contracts for the projects with a contractor(s) 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 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:
LQPERA11T
of La Quinta, its officers, agents andemployees 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.
Icertify 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 buildi construction, and hereby authorize representatives
of this county to enter upon the above-mentionedrprop or insp�tion purposes.
Date:
y Lf ®fr Signature
Application Number . . . . . 08-00000652
Permit . . . MECHANICAL
Additional desc . .
Permit Fee . . . . 33.00
Plan Check Fee
8.25
Issue Date . . . .
Valuation . . .
.
0
Expiration Date . . 10/18/08
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
CHANGE OUT HEATING AND COOLING SYSTEM
WITH NEW ONE 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
LQPER IIT
CERTIFICATE or, -.COMPLIANCE:. RESIDENTIAL (Pagel. of 4) CF -IR
Project Title
Date
5q -
Prot Building Perrnft
r -7
Kan Check / Date.
Documentation Author -Telep ne
Field Check / Date,
Compliance Method (Prescriptive) Climate Zone
Enfoiternent Agency Use Only
Alternative Component Package Method: (check one)
'D'(Altemative)
Package Cand Package Dc`h`qi i
.,,c*sFeqtiireHiEPS",rater;A.ieV.verificati
.,,don and/or diagnostic testing (see CF -1 R page 3)
For Package DAlterha&6 see Appendix B Tabk .15 1 -C 1766triotes 7-14
GENERAL INFORMATION
Tota]'Ciinditioned'-Plo6iAreit(C '..FA* fe Average Ceiling Height. 2i ft
Maximum-A.1lowed West Fa6iniffenestrition Products Per Table ISI-B.Or 151-C. -- (5%X CFA) ft
Maximum Allowed Total ,Fenestration 'Products.Per To' -1 -�B or 15 I, -C _; (2011/9 X CFA
11 Building Type:-- (check one or more) Singlej tly Multifamily
Addition Alteration
(If lidding f6eshatiori fill out WS.412-, Feneffm_tionUaximum A116wedArea.Worksheet and see Section 832
for Additi6ris"and'8J3for.'XIt6rati
Number of Stories: Number of Dwelling Units:
Floor Constiuction -type:
eORlour (circle one of both).
Front Orientation- North../ South 4ast) West-/ All Orientations (input front orientation in degrees from True
North and circle one).
CIRADIANT BARRHA-freguired in climate zones 2,4,845)
OPAQUE SURFACESINCLUDJ?4G` OPAQUEDOORS
Component
Assenibly U
Type (WWI. Frame f
actor.(for, Joint RoofRadiant
Root Floor, .Type.'. Cavity, Continuous wood, metal Appendix Barrier Location/Comments
in
Slab Edge.. (Wood Insulation' -Insulation, frame and mass IV Installed (attic, garage,
Doors or'Metal)
R, -Value R-Valite. assemblies)' Referince Yes or No typical, etc.
F I
1) See Joint Appendix IV4n Section 1V.2jV.3 and.,]VA,which-is the basis for the U -factor criterion- Ll -factors can not
exceed presciiptive value to show eq6ivalence to R -values:`
Residential Compliance Forms March 2005
CERTIFICATE OF COMPEL NCE RESIDENTIAL (Page 2 of 4) C&IR
P
r ojM'A'i tl eK Date. —0
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.
Exterior
(Front, Left, Qrien .7
Shading/Overhangs6
Rear, Right tafi6n, Area U4actor' SHGC ✓ box if WS -3R is
S (ft) U -fa ctor.2, Source?. SHGC-
Sou6.D$ included
13
Skylights are now included in West ,facing f6ndstrafibn area if the skylights are tilted, to the west or tilted M Any direction
when the pitch is less than 1:12. See§ 151(f)3C and in Section 3.23 of the R.6sidentiai I. Manual
2) Enter values in this column are either NFRC Rat4Vilue or from Stan" default Table 116A.
3) Indicate source either from NFRC or Table 116A,
4) Enter values in this column- from NFRC-orArc6 4, ftadards Default Table 116B or adjusted SHGC from WS -3R_
-5) hicicat& soUrce-either h�6m:NFKC'br Table'l-i6g."'
t7 Shading Devices are.defified in Table 3-3 'in th eResldential Manual and see WS -311 to calculate Exterior Shading devices.
7). See Section 3.2A in the Residential Manual:
HVAC SYSTEMS
Heating Equipment. Minimum Distribtfflork.
Capacity. Type and Location Duct of Pi
T, Efiickn6y ping Thermostat Configuration
Lfi-iam -bofler. etc:) (AFLIE or HSPFJ (ductsattic: etc: ) R -Value* lit or W1.9e)
i75TntJ h 7—
Cooling Equipment
Minimum
Duct Location: Dud
and Capacity -Efficiency
A/C beat Pufflei evap. coolim) - (SEER -orEER R=Valu
70
Residential Compliance Forms
Thermostat Configuration
Type (split or package)
March 2005
4 _
CERTIFICATE'OF COMPLIANCE: RESIDENTIAL (Page 3 of4) CF 1R
Project Title Date
SEALEDDU&S and -IX -Vs (or Alternative Measures)
A signed CF -4R Form- must,be provided to the'building de
partrnenYfor each home for which the following. are
r uire'3
❑ Sealed Ducts all climate zones installer testin and certification and.HERS rater field verification re uired.
. ❑ TXVs, readily accessible (climate zones 2 acid 8-'15only)
staller testin and certification'and HERS Rate"field verification wired.
❑ Refrigerant_Charge.(climate zones 2'and 8-15 only) (installer testing and certification and HERS Rater field
verification r wired-
OR
O Alternative to Sealed'Ducts and Refrigerant Charge /TXVs. (See. Package D Alternative Package Features'for
Pro'ect Climate Zone in the RM:A ndix B Tabl' 151
OR Footnotes 7=14.
F®radditions and alterations; duct'systems that are not documented to have beenpreviously❑ ed as confirmed through, field yerification'and.diagnostic testing in accordance with procedures in the
idential ACM Manual arid:duct,systems with.more than 40 linear.feet in unconditioned
aces shall meet the r . 'uirements'of Section 150 m and duct insulation requirements of Package D.
WATER HEATING SYSTEMS
Check box.if.system meets criteria ofa "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
L
allowed.
lj..... ck box when using Preapproyed Alternative WaterNeaUng'table, Table 5-4 in Chapter's in the Residential - .._.
j ual: No water heatin calculations are uir and the:' stem'com' lies automatical
Check box if system does not meet criteria of `-`Standard" system, and does not comply with the Preapproved
❑ Alternative Water Heating table. Imihis case, the Performance Method must be used and must be included in the
submittal.
0. Check box to verify that a :time control is r equired for a recirculating system pump for a system swing multiple
units
SYS
tenis servin single dwellhi '; units
IEnergy Tank
nnpot' Tank Factor or Ext
Water Heater Distribution .. Number ty Thermal Standby' Insulation
ernal
uel a in S stern Bwft tons Efficiency Loss % R -Value
S stem serving multiple dwellin ' units
Enemy Tank
1In ut' Tank Factor or External
Water Heater Distribution Number E: W or Capacity Thermal Standby' Insulation
Type e in Ryctgim Btiilhr Ions Efficiency Loss (%) 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
i heaters, list Rated Input and:Thermal Efficiencies.
Plpe Insulafioiu,(kitchsn lines _> 3/.4 inches). All hot water'pipesfrom the heating source to the kitchen fixtures that are /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 March 2005
CERTIFICATE OF COMPLLANCE: RESIDENTIAL (Page 4-6f4)' CF -1R
Project Title
Date
SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION'fadd extra sheets if necessary)
Indicate which special features are part of this project. The list below only'. resents'special features relevant to the
rescri tive method.
-0! Feature
..Re uired Forms. ita livable Descri tion
❑ 'Metal Framed Walls
CF- I R
O Radiant Barriers
CF -IR
❑ Exterior Shades
WS4R
❑ Cool Roof
N/A; Attach CRRC Label to
Forms.
❑ Dedicated Hydronic Heating
Performance Calculation
stem
R uired, Attach Run to Fonns.
❑ Cordbined Hydronic' Sj+stem
Performance Calculation
Rea— ':Attadh Run to Forms.
❑ Gas Cooling
Performance Calculation
O Buried Ducts
R uired..
N/A Indicate on buildin tans:
❑ Kitchen Pipe Insulation
See Section 5:6 2 Distribution
stems 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
)1 Servm Multi le-Dwellin s
attach ]Rin to Forms.
❑ Non-NAECA Large Water
'
Heater
CF -IR
❑ Indirect Water Heater .
See Table 5-13 or use
Performance Calculation and
attach Run to Eonns
❑ .Instantaneous Gas Water Heater
.See Table 543 or use
Performance Calculation and
attach Run to Forms
❑ Solar Water Heating System
See Table 5-13 or use
Performance Calculation and
attach Run to.Fonns
❑ Wood Stove Boiler :
Performance Calculation and
attach Rim to Forms
SPECIAL FEATURES REOL IMG•HERS RATER VERIFICATION
Ladd extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need
verification.
Feature
❑ Duct Sealin
R aired Forms. ita livable Descri tion
CF-bR act 4,of,12
❑ Refri erant Char a
CF=6R art 5 of l 2
❑ Thermostatic Ex ansion Valve
CF=6R art 6 of 12
Residential Compliance.Forms
Bin #
City of La Qq! ' Enta
Buiiding U Safety Division
P.O. Box 1504,.78=495'Calie Tampico
La Quinta, CA 92253 - (760) 777-7012 .
Building :Permit Application and Tracking Sheet
Permit #
Project Address: �L Z TZf
Owner's Name: �1 c
A. P. Number:
Address:
Legal Description:
City, ST, Zipl ,A- .. U/A&-14 C672 ?S
Contractor: 1r�G iti
Telephone: q 7.9
Project Description:
Address:
City, ST, Zip: /AJ Y� G tt7
ST
Telephone: % O 7 %16 6 ?
_ -
SVS %t _ZU37_A/� f
State Lic. # : 7 / r' City Lic. #r Q3:.
Arch., Engr., Designer: �G — !�SMAbA
S
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
I Construction T e:
YP ,$1Q.3 Occupancy:
Y:
'-Project type (circle one): New '. Add'n Alter Repair Demo
Sq: Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: Zcoepo
APPLICANT: DO „NOT WRITE;,BELOWTHIS LINE
#
Submittal
Req'd
Recd
• R -AC ING .
PERMIT FEES
Plan Sets
Plan Check submitted5
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
2"d Review, ready for corrections/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:-
M Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person.
AiI:P.P:
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees