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11-0659 (MECH)
IIIIIII VIII III II IIII 13 4 ' IE P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 11-00000659 Property Address: -49700 ALTHEA CTS APN: 649-520-999-7 -30331 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 3675 Architect or Engineer: --------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pre ionals Code, an .my License is in full force and effect. Licen lass: C20 C36 icense 906115 ate:tractor• � 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 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 ($500).: (_ 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 not 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 _ 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: �\'t Lender's Address: 1 - T LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/16/11 Owner: SONIA ABATE 49700 ALTHEA COURT LA QUINTA, CA 92253 a � A, 16 2p11 Contractor: iA HYDES 77825 WILDCAT STREET ] G� O (7. ! PALM DESERT, CA 92211 (760)360-2202 Lic. No.: 906115 ------------------ 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 NORGUARD INS Policy Number CEWC133676 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 to the workers' compensation laws of California, and agree that, if I should become su 'gct to the workers' compensation provisions of Section 3700 gf the Labor Code, I sh Ifo iU ith those provisions. ate: �'L1 AA scant: , WARNING: FAILU EE TO 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 ith all city and county ordinances and state laws relating to building construction, and hereby authorize repres nfa ves /of/this/cc my yooenter po he above-mentioned property for ' specti purposes. Date / v gnature (Applicant or Agent): Application Number . . . . . 11-00000659 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/13/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 ---------------------------------------------------------------------------- Special Notes and Comments MINI SPLIT INSTALL TO COOL INSULATED GARAGE. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited ---------- Due --------------------------- Permit Fee Total ---------- 24.00 ---------- .00 .00 24.00 Plan Check Total 6.00 .00 .00 6.00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 31.00 .00 .00 31.00 LQPERMIT Prescriptive Certificate of Compliance: CF -111 ADD Residential Additions (Page 1 of 5 Site Address: �/ Q Enforcement Agency: Date: Proposed See Note Standard Values From JA4 Table General Information Project Name 7T% Climate Zone # # of Stories Building Typ Ingle Family ®Multi Family Circle the Front Orientation: N, E, S, or Degrees Conditioned Floor dition (CFA): (((� New Addition Size: J Less than or equal to 100 ft2 _' Less than or equal to 1000 ft2 Do not use this orm or additions greater than 1000A NOTE: For Alterations to an existing home, submit a completed CF -IR -ALT Form. Exception: Existing HVAC systems that are replaced or altered to serve the addition may be included on the CF -IR -ADD Form. PRESCRIPTIVE ENVELOPE REQUIREMENTS FOR ADDITIONS ' For standard wood and assemblies meeting the Cavity R -value only. • For 100f? additions; the Proposed values must be equal or greater than the Standard column or when indicated when using Package D, "Pkg D". Enter values in the shaded Proposed Columns. • For less than 1, 000 ft2 additions must comply with "Pkg D" requirements unless indicated in the Standard Column. To meet "Pkg D" minimum energy com liance re uirements, see RCMAppendix B, Table 151-C or §152(b) in the RCM. Enter values in the shaded Proposed Columns. Size of Addition 100 ft2 or less Less than 1,000 ft2 Component Standard Proposed Comment Standard Proposed Comment Ceiling Insulation R-19 Minimum Pkg D Table 151-C Wall Insulation R-13 Minimum R-13 Minimum Floor Insulation R-13 Minimum Pkg D Table 151-C Fenestration U- U- factor SHGC factor SHGC 0.40 Pkg D Enter Values From "Fenestration 2 2 50 ft > f1 Proposed — Areas" ' Page 2 of 5 U- factor U- SHGC factor SHGC Enter Values From "Fenestration Proposed Areas" Pae 2 of 5 0.40 Pk D g Maximum Glazing ' Area t Addition Alone fl Enter Values From "Addition Allowed Fenestration Areas" Page 3 of5 For West -Facing ft2 Orientation 2,3 Radiant Barrier N/A Pkg D Table 151-C Roofing N/A See Roofing Products Below Pkg'D See Roofing Products Below OPAQUE SURFACE DETAILS For the furred portioned of Mass Walls see Furring Strips Construction Table below. A B I C D E F G I H I J Proposed See Note Standard Values From JA4 Table Framing Thickness, Tag/ Assembly Name Material Spacing, ID' or Type 2 and Size or Other U- factor° JA4 Table Numbers Framed Cavity R-value6 Continuous JA4 Insulation Assembly R -Value' Cell Value Proposed Assembly U -factory wand 14 !b oG 10, -1 -1 2-I umc/ 2X CY2 O C- 2 - Note: For furred assemblies, accounting for Continuous Insulation R -value, see Page JA4-3 and Equation 4-1. For calculating furred walls use the Mass and Furring Construction table below. Registration Number: 2008 Residential Compliance Forms Registration Date/Time: HERS Provider: March 2010 Prescriptive Certificate of Compliance: CF -1R ADD Residential Additions (Page 2 of 5 Site Address: Enforcement Agency: Date: M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation 1. For Tag/ID indicate the identification name that matches the building plans. 2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc... Indicate in column G the Frame material and Size: For Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies. 3. Enter the thickness for mass in inches or Spacing between framing members enter; 16 "or 24 "OC; or Other for all other assembly description such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel, and etc.... 4. Based on the Climate Zone; enter the equivalent U factor found in JA4 Table based on the R -Value from Table 151-C 5. Enter the Table number that closely resembles the proposed assembly. 6. Enter the R -value that is being installed in the wall cavity or between the framing; otherwise, enter "0 ". 7. Enter the Continuous Insulation R -value for the proposed assembly; otherwise, enter "0". 8. Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly U factor in Column J. 9. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U factor in Column E to comply. FURRING STRIPS CONSTRUCTION TABLE FOR MASS WALLS ONLY A I B I C I D I E F G I H I I I J K L M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation Walls From Reference in Furring Space from Reference Joint Appendix Table 4.3.5 4.3.6 4.3.7 Joint Appendix Table 4.3.13 1. Fenestration area is the area of total glazed product (i.e. glass plus frame). Exception: When a door is less than 50% glass, the fenestration area may be the glass area plus a "2 inch frame " around the glass. 2. Enter value from Component Package D Requirements in Table 151-C. 3. Actual fenestration products installed and as indicated in CF -6R -ENV Form shall be equivalent to or have a lower U factor and/or a lower SHGC value than that specified on the Fenestration Proposed Area table above. 4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading. 5. Ifapplicable at this stage enter "NFRC" or NFRC Certified windows or CEC "Default " valuesfound in Table 116-A or B. _ U N oa N N C Assembly j o 0.2 H o a —> Final Mass Name or Thickness' T e2 JA4 Table Number' ¢ > ;, y x c t A $ ' ¢ > Assembly U-factor6'7 Comment 1. Indicate the Mass Thickness from Reference Joint Appendix JA. 2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc... Indicate the Frame type and Size: For Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies. 3. Enter the Table number that closely resembles the proposed assembly. 4. Enter the row and column of the U factor value. 5. Enter the Effective R -value listed in the JA4 Table Number. 6. The Final Assembly is calculated by using Equation 4-1 or Equation 4-4 of the Reference Joint Appendix JA4. Enter the value in Column L. 7. Insert the Final Assembly U- actor value back on to the Opaque Sur ace Details table in Column J. FENESTRATION PROPOSED AREAS Orientation Fenestration Type and Frame (North, East, ProposedAreal Maximum Maximum Window Glass Door or Skylight) South, West(ft) U-factor2.3 SHGC2, 3, ° NFRC or Default Values5 Total 1. Fenestration area is the area of total glazed product (i.e. glass plus frame). Exception: When a door is less than 50% glass, the fenestration area may be the glass area plus a "2 inch frame " around the glass. 2. Enter value from Component Package D Requirements in Table 151-C. 3. Actual fenestration products installed and as indicated in CF -6R -ENV Form shall be equivalent to or have a lower U factor and/or a lower SHGC value than that specified on the Fenestration Proposed Area table above. 4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading. 5. Ifapplicable at this stage enter "NFRC" or NFRC Certified windows or CEC "Default " valuesfound in Table 116-A or B. Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms March 2010 Prescriptive Certificate of Compliance: CF -1R ADD Residential Additions (Page 3 of 5 Site Address: Enforcement Agency: Date: ADDITION ALLOWED FENESTRATION AREAS Check applicable box below if the roof addition is exempt from the roofing product "Cool Roof' requirements. Note: If any one of the boxes are A . B C D E El Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the above Cool Roof criteria F Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise, check CFA of Addition Allowed % Allowed Area Area Removed 2 Maximum Allowed Area Aged Solar Proposed Areas ft2 of CFA (A x B) 112 C + D Emittance (Table Above) Total Fenestration Area3 E3 0.20 12 El >_ West Fenestration Area El [I U (Required In CZ's 2, 4 & 7 -15 0.05 © >_ 0 1. West Fenestration Area includes west -sloping skylights and any skylights with a pitch less than 1:12. 2. Glass removed to make way for the addition. 3. For additions less than 1,000j12 the standards allows glazing removed during the remodel to be added to the glazing area allowance. The maximum allowed glazing area for the addition is the CFA x 20% + glass removed to make way for the addition. 4. In climate zones 2, 4, 7-15, no more than 5% of the CFA is allowedfor west facing glazing plus west facing glass area removed to make way for the addition. The maximum allowed west facing glazing area is the CFA x 5% + west facing glass removed to make way for the addition. 5. To meet compliance, the Proposed Area must be less than orequal to the Total Allowed Area or BOTH the Total and West Fenestration Areas. ROOFING PRODUCTS (COOL ROOFS) §151012 Check applicable box below if the roof addition is exempt from the roofing product "Cool Roof' requirements. Note: If any one of the boxes are checked below, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in §118(i) are not applicable. Do not fill table below. Roofing compliance Not Required in Climate Zones 1-12, 14, and 16 with a Low -Sloped. Less or 2:12 pitch. Roofing compliance Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped. Roofs pitch greater than 2:12 and product weight less than 51b/ft 2. El Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the above Cool Roof criteria Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/ft2 is exempt from the above Cool Roof criteria. Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise, check he applicable box below if Exempt from the Roofing Products "Cool Roof' Requirement: Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Number <— 2:12 > 2:12 < 5lb/ft2 >— 5lb/ft2 Type 2 Reflectance3'4 Emittance SRIS E3 0 12 El [34 El [I U [34 © 11 0 [34 El [ [344 ® 13 [3 I El El 0 E]4 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroo s.oMIproducts/search.i2h. 2. Indicate the type of product is being used for the roof top, i.e. single -ply roof, asphalt roof, metal roof, etc. 3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation (0.2+0.7(p;n;,;°t — 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance. 4. Check box if the Aged Reflectance is a calculated value using the equation above. 5. Calculate the SRI value by using the SRI- Worksheet at http://www.enerzy ca.govltitle24/and enter the resulting value in the SRI Column above and attach acopy of the SRI- Worksheet to the CF -I R. To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in § 118(1)4. Select the applicable coating: 0 Aluminum -Pigmented Asphalt Roof Coating 0 Cement -Based Roof Coating ® Other Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms March 2010 Prescriptive Certificate of Compliance: CF -1R ADD Residential Additions (Page 4 of 5 Site Address: Enforcement Agency: Date: HVAC SYSTEMS - HEATING List water heaters and boilers for both domestic hot water (DHW) heaters and hydropic space healing. Individual dwelling DHW heaters must be Heating Equipment Type and Capacity1, 2,3 Duct or Minimum Distribution Piping Efficiency Type and Insulation Thermostat AFUE or HSPF Location ° R -Value Type Configuration (Central, Split, Space, Package or H dronic Minimum Distribution Duct or Piping (Central, Split, Efficiency Type and Insulation Thermostat Space, Package or SEER/EER or COP Location R -Value Type H ronic S(A . SeG �i Ye5s , YES NO 1. Indicate Cooling Type (A/C, Heat pump, Evap. Cooling, etc). 1. Indicate Heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc.) 2. Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental (i.e., if total capacity < 2 KW or 7, 000 Btu/hr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §151(b)3 exception. 3. Refer to the HERS Verification section on Pages 3 and 4 of the CF -JR -ADD Form for additional requirements and check applicable boxes. 4. Indicate Type or Location Ducts, H dronic in Floor, Radiators, etc. HVAC SYSTEMS - COOLING List water heaters and boilers for both domestic hot water (DHW) heaters and hydropic space healing. Individual dwelling DHW heaters must be storage gas or propane fired, non -recirculating, and may not exceed 50 gallons. If no natural gas is connected to the building, an electric storage Configuration Cooling Equipment Type and Capacity 1,2 Minimum Distribution Duct or Piping (Central, Split, Efficiency Type and Insulation Thermostat Space, Package or SEER/EER or COP Location R -Value Type H ronic S(A . SeG �i Ye5s , YES NO 1. Indicate Cooling Type (A/C, Heat pump, Evap. Cooling, etc). 2. Refer to the HERS Verification section on Pages 3 and 4 of the CF -IR -ADD Form for additional requirements and check applicable boxes. 3. Indicate Type or Location Ducts, H dronic in Floor, Radiators, etc. WATER HEATING List water heaters and boilers for both domestic hot water (DHW) heaters and hydropic space healing. Individual dwelling DHW heaters must be storage gas or propane fired, non -recirculating, and may not exceed 50 gallons. If no natural gas is connected to the building, an electric storage DHW heater less than 50 gallons with an energy factor greater than 0.90 maybe used. Hot water pipe insulation from the DHW heater to the kitchens and on all underground hot water pipes is required in all component packa es in all climate zones. Heated Slab Insulation []YES I [I NO I Slab edge insulation required for heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation YES NO External Tank Water Heater Type/Fuel Distribution Type Number In Tank Energy Factor or Insulation Type' Standard, Recirculatin 2 System Capacity al Thermal Efficiency R-Value3 1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc.) 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive requirements do not allow the installation ofa recirculating water heating system for single dwelling units. 3. The water heating tank and pipes shall be insulated to meet the requirements o 150 ' . SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below. These items may require written justification and documentation and special verification. Applicable special features shall be marked with a YES and be specified within the plans. Radiant Barrier (Root) []YES I M NO I Required in Climate Zones 2, 4, and 8-15 for additions larger than 100 ft Slab Edge (Perimeter) Insulation YES I M NO I In Climate Zone 16 under Component Package D, R-7 insulation is required. Heated Slab Insulation []YES I [I NO I Slab edge insulation required for heated slabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab Insulation YES NO In Climate Zones 1, 2, 11, 13, 14 & 16 R-8 insulation is required, and in Climate Zones 12 & 15 R-4 insulation is required under Component Package D. [Thermal Mass - To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach. Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms March 2010 Prescriptive Certificate of Compliance: CF -1R ADD Residential Additions (Page 5 of 5 Site Address: Enforcement Agency: Date: HERS VERIFICATION SUMMARY - The enforcement agency should pay special attention to the HERS Measures specified in this checklist below. A completed and signed CF -4R Form for all the measures specified shall be submitted to the building inspector before final inspection. Duct Se ling & Testing HERS verification is re uired or this measure. rjYES [3NO In all Climate Zones, if a new space -conditioning system (HVAC equipment and ducting) is installed to serve the addition ('V-% (Certification #): alone, the ducts are to be sealed and tested per § 151(010. DYES Responsible Building Designer's Declaration Statement In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned this Certificate of Compliance. E]NO space to serve the addition, the ducts are to be sealed and tested per §I52(b)ID. n EXCEPTION: Existing duct systems • The building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement that are extended which are constructed, insulated or sealed with asbestos. Name: Signature: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including replacement of the air handler, outdoor Date: Address: condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) and will serve the addition, the ducts City/State/Zip: Phone: are to be sealed and tested per §152(b)IE. IMYES O IM EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS erification in accordance with procedures in the Reference Residential Appendix RA3. EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos. Refri erant Charge - Split System HERS verification is re uired or this measure. DYES J NO In Climate Zones 2 and 8-15, if a newly ducted split A/C or heat pump is installed to serve the addition alone, a refrigerant charge measurement shall be verified per § 151 7A. ��(( In Climate Zones 2 and 8-15, if the existing HVAC equipment is replaced (including replacement of the air handler, outdoor YES k"INO condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) and will serve the addition, a refrigerant charge measurement shall be verified per § 152 b 1 F. Central Fan Inte rated Ventilation System — Airflow and Fan Watt Draw - do not apply for additions 1,000 ft' or less. Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow and Fan Watt Draw HERS verification is required YESp In Climate Zones 10 through 15, if a new space -conditioning system (HVAC equipment and ducting) is installed to serve the addition alone, the airflow and fan watt draw shall be verified per § 151 7B. YES O In Climate Zones 10 through 15, if the existing space -conditioning system (HVAC equipment and ducting) is replaced and will serve the addition, the airflow and fan watt draw shall be verified per §152(b) IF. Documentation Author's Declaration Statement • I certify that this Certifi ate of Compliance documentation is accurateo 1 Name: // Signature: 44ZIGS-+ Company : Pr' I 1 � Date: Address: U6eA If Applicable ! EA or CrEPE ('V-% (Certification #): City/State/Zip: G A2� 0 Phone: Responsible Building Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. • The building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Name: Signature: Company: Date: Address: License: City/State/Zip: Phone: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at. 1-800-772-3300. Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms March 2010 TY OF U QUWA ENGINE NO. 2"Q �4W43 3 -31 -os rOR/ Crry ZxGINEM owt _ 00 �e sm S.M. t BY LWTD V WA -790M I -c No. 0 Bin $ City of La Quinta Building a Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico 11 - La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: L �(%U Owner's Name: y, j G A bcf e A P. Number. Address: LYq-7 00 r Legal Description: City, ST, Zip: Contractor. C-2. �J Address: �"% �kK' /Project Description: city,ST, zip: V G -t Z ' Telephone: -76" C Zo State Lie. # : q0 Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Telephone # of Contact Person: # I Submittal Plan Sets Structural Cake. Truss Cale& Energy Cales. Flood plain plan Grading plan' Sabcontactor List Grant Deed BLOA Approval IN HOUSE:- Planning OUSE:Planning Approval Pub. Wks. Appr School Fees Lic. #: Construction Type: Occupancy: Proje a hype (circ11 le one): New Add'u Alter Repair' Demo Sq. Ft.: # Stories: # Units: Estimated Value of Project APPLICANT: DO NOT WRITE BELOW THIS UNE ReNd TRACKING . PERMIT FEES Plan Check submitted Item Amount Reviewed, ready for corrections Plan Check Deposit Caged Congo Person Plan Check Balance Plans picked up Construction Plans resubmitted Mechanical 2" Review, ready for correctionsrmue Electrical Called Contact Person Plumbing Plans picked up S.M.L Plans resubmitted Grading 3" Review, ready for corrections/issae Developer -Impact Fee . Called Contact Person AyP.P: Date of permit issue