08-1042 (RPL)81235 Alydar Ct
' 11111111 VIII III VIII IIII 11 M
P.O. BOX 1504
78-495 CALLE TAMPICO 44Q
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 08-00001042 Owner:
Property Address: 81235 ALYDAR CT BATAVICK RESIDENCE
APN: 767-320-999-240 -32879 - 81-235 ALYDAR CT
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL '
Application valuation: 55000 D
Contractor: MCINTYRE POOLS & SPAS,
Applicant:. Ar-chi ect or ngineer: I
Lo,NV / 83695 AVENUE 45 1
l! 1 INDIO, CA 92201
(760)342-3612
LiC. No.: 614611
LICENSED CONTRACTOR'S DECLARATION
I 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 Pro ionals Code, and my License is in full force and effect.
License Class: FC 553 License No.: 614611
Date: 6- '0 a Contractor:
17-7
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).:
(_) 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.).
(_ I 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 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/19/08
JUN 19 2008 ID
OFn
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 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 DELOS INS CO Policy Number 01DKRM12001870
_ I certify that, in the performance of[he work r which this permit is issued, I shall not employ any
person in any manner so as to become ect to the workers' compensation laws of California,
and agree that, if I should becA,a sub' to the workers' compensation provisions of Section
/3770000 of the Labor Code, I s II for ' h comply with those provisions.
Date: Applicant:
` Applicant:
WARNING: FAILURE TO SECURE RKERSCOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 informs is correct. I agree to comply with all
city and county ordinances and state laws relating to building strut ' • n nd hereby authorize representatives
of this county to enter upon the above-mentioned property fo nspe urposes.
-/ g v ,
Date:. Signature (Applicant or Agent):.
Application Number . . . . . 08-00001042
Permit . . . MECH POOL
Additional desc .
Permit Fee . . . . 26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/16/08
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 11.0000 EA MECH FURNACE >100K 11.00
----------------------------------------------------------------------------
Permit . . . BLDG POOL PERMIT
Additional desc .
Permit Fee . . . . 437.00 Plan Check Fee 284.05
Issue Date . . . . Valuation . . . . 54760
Expiration Date 12/16/08
Qty Unit Charge Per Extension
BASE FEE 414.50
5.00 4.5000 THOU BLDG 50,001-100,000 22.50
-------------------------------------------------------------------- ------
Permit . . . ELEC POOL PERMIT -RES
Additional desc . .
Permit Fee . . . . 45.00 Plan Check Fee 11.25
Issue Date . . . . Valuation . . . . .0
Expiration Date . . 12/16/08
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00
----------------------------------------------------------------------------
Permit . . . PLUMBING .
Additional desc .
Permit Fee . . . . 33.00 Plan Check Fee 8.25
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/16/08
Qty Unit Charge Per Extension
BASE FEE 15.00
2.00 6.0000 EA PLB FIXTURE 12.00
1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL, SPA, ALARMS/BARRIERS SHALL BE IN
LQPERMIT
Application Number . . . . . 08-00001042
----------------------------------------------------------------------------
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION. 15' X
4' CITY STANDARD BLOCKWALL PER APPROVED
PLAN.
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 541.00 .00 .00 541.00
Plan Check Total 310.05 .00 .00 310.05
Grand Total 851.05 .00 .00 851.05
LQPERIM IT
i1111111m11111In1111 ,
Bin #IIIIIIIIIII�EIIIIIIIIIIII
City of La Quints
Building a Safety Division '
P.O. Box 1504, 78-495 Calle Tampico
U Quints, CA 92253 - (7¢0) 777-7012
Building Permit Application and Tracking Sheet
Permit #
U.
Project Address;da
Y-
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip: o .
U
Contractor:
Telephone:
Project Description:. .
OO Q14
Address: _6
4
City, ST, Zip:. °�
_. Z Z6
t. .
S. of e
Telephone: 3. Z 136 t ZrA.
State Lic. #: —14f
City' Lic. #:
Arch., Eng., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
rr
Construction Type: Occupancy:
Project type (circle one): New Add'n ' Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact -Person: '
2 o 8629
Estimated Value.of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE .
#
Submittal
Req'd -
Rec'd
TRACKING .
PERMIT 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
2"d Review, reaO for corrections
b
��
Electrical
SubcontactorList
Called -Contact Person
Plumbing
Grant'Deed
Plani_picked up
S.M.I.
N.O.A. Approval
Plans resubmitted
Grading.
IN ROUSE:-
ini Review, ready for corrections/tssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
REVISIONS BY
POOL & SPA SPECS,
POOL 51ZE : �5' X 20'
POOL 5.A.: 479 50, PT,
POOL PM 103 PT
PEPTH5'-0" TO 5'-6"
POO. PUMP 1.5 HP,
HEAff 400.000 m
FILTR CCP 420
1-100 WATT
I laff5 1-400 VIATT
CONTROLLER
5PA 51Z/E 7' PIA
5PA PW, 22 fit'
5PA 5A �78 5Q,PT,
5PA PMll �8"
JET5 5
IT PUMP
COME AREA 0 50, f f,
PAM5 AREA 3150 50. ff.
W.F.
f
�Sji ow
t ftp"
Ain
ra"`F`4i`' ?
� o
l a�
L
Q
DATE: 01129105
SCALE:
DRAWN BY: 1
JOB: 13MAVCK
SHEET
OF SHEETS
C]
IIIIIII VIII III VIII IIII 13
IE
AA ,N=�
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R
Project Address
Builder Name
Zk�
'$1 Z 3S_
Builder Contact
I••Qo:a
Telephone
Gd .0O
Plan Number
HERS Rater 1 (�
�j Au aD /U�etrYSo.J
Tele hone
�� 2�L 1'�
Sample GroupNumber
Compliance Method
Pre cri ive
Climate Zone r.5
ying Signat
_
lZ/(� / Date
Sample House Number /
;47-- .-� . l ALiJ►: y F�".r ...s.�e
J+..lsr�.�-rylwRs
ERS Provider
�l
7a4cC:c�J�-s`S
Street Address: %4City/State/Zi
f (AC K
7T45—f-I sraa.E. �..�: l a w�a'►�w�s. d 1%z 3
-ooies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
The house was: ✓ ❑ Tested ✓ Approved as part of sample testing, but was not tested
As the HERS rater providing diagnostic testing and field verification, 1 certify that the house identified on this form complies with
the diagnostic tested compliance requirements as checked ✓ on this form. The HERS rater must check and verify that the new
distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS
rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested
buildings.
The installer has provided a copy of CF -6R (Installation Certificate).
New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts).
I&New systems where cloth backed, rubber adhesive duct tape is installed, mastic and draw bands are used in
IJ ombinat,on with cloth backed, rubber adhesive duct tape to seal leaks at duct connections.
✓ INIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT
P ocedures for field verification and diagnostic testing of air distribution systems are available in RA CM, Appendix RC4.3,
Duct Diagnostic Leakage Testing Results
NEW CONSTRUCTION: -rj 5.4:5
Duct Pressurization Test Results (CFM @ 25 Pa)
MeasuredValues
1
Enter Tested Leakage Flow in CFM:
Fan Flow: Calculated (Nominal: ✓ Cooling ✓ ❑ Heating) or ✓ ❑ Measured
2
Enter Total Fan Flow in CFM:
✓ �{/
3
Pass if Leakage Percentage 5 6% [ 100 x [_(Line # 1) / (Line # 2)]]
ass ❑ ail
ALTERATIONS: Duct System and/or HVAC Equipment Change -Out
W
Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to
4
Duct System Alteration and/or Equipment Change -Out.
Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct Sys
5
for Duct System Alteration and/or E Equipment ment Chan e- ut.
Enter Reduction in Leakage for Altered Duct Syste (Line # 4) Mi (Line # 5)]
6
(Only if Applicable)
7
Enter Tested Leakage Flow in CFM to Outsidjtrj if A e)
8
Entire New Duct System - Pass if Leakage P centa _
❑Pass ❑ ail
100 x Line # 5 / Line
TEST OR VERIFICATION STANDARD or Altered Duct st and/or HVAC Equipment Change -Out
✓
Use one of the following four Test or kation Standards com iance:
9 Pass if Leakage Percent . 5% [100x[ _(Line # 5) / (Line # 2)]]
❑ Pass ❑ Fail
10 Pass if Leakage tside Percentage <_ 10% [100 x [(Line # 7) / (Line # 2)])
❑ Pass ❑ Fail
Pass if age Reduction Percentage >_ 60% [100 x # 6) / (Line # 4)]]
_(Line
1 I erification b Smoke Test and Visual Inspection
❑ Pass ❑ Fail
ikv�Tass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection
';" ^+, .; ' '
❑Pass ❑Fail
Pass if One of Lines # 9 through # 12 pass
11 Pass ❑Fail
Residential Compliance Forms
April 2005
HERS RATER COMPLIANCE STATEMENT
The house was: ✓❑ Tested ✓Approved as part of sample testing, but was not tested
As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies
with rhe diagnostic tested compliance requirements as checked on this form.
✓ The installer has provided a copy of CF -6R (Installation Certificate).
J
PQJTHERMOSTATIC EXPANSION VALVE (TXV)
ocedures. for field verification of thermostatic expansion valves are available in RACU, Appendix Rl.
Access is provided for inspection. The procedure shall consist of
✓
11 Yes ❑ No visual verification that the TXV is installed on the system and
installation of the specific equipment shall be verified.
Yes is a pass I Pass l Fail
✓ ❑ REFRIGERANT CHARGE MEASUREMENT
Verification for Required Refrigerant Charge for Split System Space Cooling Systems without Thermos ' expansion
wvvI unit Serial s
Location
Outdoor Unit Make
Outdoor Unit Model
Cooling Capacity r
Date of Verification
Date of Refrigerant Gauge Calibration (mu be c cked monthly)
Date of Thermocouple Calibration (must be checked monthly)
Note: The system should be ed and charged in accordance with the manufacturer's specifications and installer
verification shall be doc ted on CF -6R before starting this procedure. If outdoor air dry-bulb is below 55 OF rater shall
use the Alternative C ge Measure Procedure
ProceduresfaOlffetermining Refrigerant Charge using the Standard Method are available in RACK Appendix RD2.
✓ es ❑ No A copy of CF -6R (Installation Certificate) has been provided with refrigerant charge
measurement documented.
Residential Compliance Forms
April 2005
.1
•
CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Pageof 8) CF -4R
Pro'ect Address
Duct design exists on plans
.5
Buil er Name
st�.S�ar 4 ,_ :J �
Builder Contact �_
y60 Telephone
Plan Number
CL -34
Flow Ca tore Hood
HERS Rater -t>I E+
n�a
T hone
�4p Z�Z-
Sam le Group Number r G
I;
wJ v
t3
Certifying Signature
Date
Sample House Number
w Grid Measure
rG- j
� p
F�et�uh
FLER S rovider
Total CFM
S.�/tr�reeet Address:
/ v5_�_ ( rlACKw..r-
Rated Tons:
City/State/Zi
Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT
HERS RATER COMPLIANCE STATEMENT
The house was: ✓ ❑ Tested ✓Approved as part of sample testing, but was not tested
As the HERS rater providing diagnostic testing and field verification, 1 certify that the house identified on this form complies
with the diagnostic tested compliance requirements as checked on this form.
✓ XThe installer has provided a copy of CF -6R (installation Certificate).
✓ ❑ ADEQUATE AIRFLOW VERIFICATION
Proceduresor teld verification and diagnostic [esting Of adequate airflow are available in RACM Appe RE4.1.
Method .For Airflow Measurement
✓ ❑ MAXIMUM COOLING CAPAC
PrWVO
determiningmaximum coo ' load ca aci are available in RACM, A endix RF3.
❑No uate airflow verified (see adequate airflow credit) ❑ N efrigerant charge or TXV
o Duct leakage reduction credit verified
4 ✓ ❑ ❑ No Cooling capacities of installed systems are:5 to maximum cooling
❑ Yes ❑ No
Duct design exists on plans
capacity indicated on the Performance's CF -1R and RF -3.
. ❑
RE4.1. I
Dia ostic Fan Flow Using
Flow Ca tore Hood
-1 then the electrical input for the
❑
RE4.1.2
Dia ostic Fan Flow Using
PI um Pressure Matchi
❑
RE4.1.3
Diagnostic Fan Flow Usin
w Grid Measure
Procedures or veri rcation are available in RACM, Appendix R1..
Mea d Airflow:
Total CFM
2 ✓ ❑Yes ❑ No Fors lit system, indoor coil is matched to outdoor coil
Rated Tons:
cfm/ton
❑ Yes ❑ No
Measured airflow is gr to
the 'teria in Table RE -2 ❑
El
Yes to 1 and 2; and 3 If Re uired is a ass
Pass
Fail
Yes is a naqz I Pass
Fail
✓ ❑ MAXIMUM COOLING CAPAC
PrWVO
determiningmaximum coo ' load ca aci are available in RACM, A endix RF3.
❑No uate airflow verified (see adequate airflow credit) ❑ N efrigerant charge or TXV
o Duct leakage reduction credit verified
4 ✓ ❑ ❑ No Cooling capacities of installed systems are:5 to maximum cooling
capacity indicated on the Performance's CF -1R and RF -3.
If the cooling capacities of installed systems are > than maximum
5 ❑ Yes ❑ No cooling capacity in the CF R,
-1 then the electrical input for the
installed stems must be< to electrical in ut in the CF -1 R.
419
nd 3i and Yes to either 4 or 5 is a ass
✓� HIGH EER AIR CONDITIONER
Procedures or veri rcation are available in RACM, Appendix R1..
• I ✓ ❑ Yes ❑ No EER values of installed systems match the CF -1 R
2 ✓ ❑Yes ❑ No Fors lit system, indoor coil is matched to outdoor coil
✓ ✓
3 ✓ ❑ Yes ❑ No Time Delay Relay Verified (If Required)
Yes to 1 and 2; and 3 If Re uired is a ass
Pass
Fail
Residential Compliance Forms