09-0929 (MECH)a
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
09-00000929
Property Address:
53298 AVENIDA MONTEZUMA
APN:
774-033-033-27 -000000-
Application description:
MECHANICAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
5000
Ti'tt 4 4 Q"
Applicant: Architect or Engineer:
X4_
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 and Profe my License is in full force and effect.
License Class: C20 -C38 a 577.952
Date: Contras
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, 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.).
(_) 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:
BARROWS CAMERON W
53298 AVENIDA MONTEZUMA
LA QUINTA, CA 92253
Contractor:
PAUL'S AIR COND
P.O. BOX 1818
CATHEDRAL CITY,
(760)323-4776
Lic. No.: 577952
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/02/09
& HTG CO INC
CA 92235-18'.
------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 OIDKRM12003287
I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, i ompensation provisions of Section
3700 of JATLabor Code, I sh y with tl a provisions.
Date:L'L_ C/ Ap ' ant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER 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 ab ma ect. I agree to comply with all
city and county ordinances and state laws relating to build' construction, and her authorize representatives
of this county to eennter upon the above-mentioned prop e y for inspe ses.
Date: - V
Signature (Applicant or Agentl:
Application Number . . . . . 09-00000929
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . . . 33.00
Plan Check Fee
8.25
Issue Date . . . .
Valuation .. . .
. 0
Expiration Date 3/01/10
-
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
" ... ." REPLACE A/C UNIT 14 SEER ;HEAT PUMP
12EER; 5 TON UNIT.
;
--------------------------------------------------------
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
LQPERMIT
TIFICATE OF COMPLIANCE: RESIDENTIAL
Project Title
yh ti -%A, ea o Liv
/L C AInd IA X o
Project Address 5 3 �-q S fZu
Documentation Author Telephone
Compliance Method (Prescriptive)
Climate Zone
'aged of 4) CF -IR
Date
Building Permit #
Plan Check / Date
Field Check / Date
Enforcement Agency Use Only
❑ Alternative Component Package Method: (check one) _g–C D D (Alternative)
Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -1 R page 3)
For Package D Alternative see Appendix B Table 151-C Footnotes 7-14
GENERAL INFORMATION ^^1
Total Conditioned Floor Area (CFA) fid/ f 2 Average Ceiling Height: 0 ft
Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 — (5% X CFA) ft
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-0 _- (20% X CFA) ft
I] Building Type: (check one or more)—Ingle Family Multifamily Addition Alteration
(If adding fenestration fill out WS4R,fFenestration Maximum Allowed Area Worksheet and see Section 8.3.2
for Additions and 83.3 for Alterations.)
Number of Stories: l Numbe welling Units: '
Floor Construction Type: la 'sed FI c c e one or both)
Front Orientation: North South / East/ 11 Orientations (input front orientation in degrees from True
North and circle one).
✓ ❑. RADIANT BARRIER (required in climate zones 2 4 8-15)
OPAQUE SURFACES INCLUDING OPAQUE DOORS
Component
Type (Wall,7Fe
Root Floor,
Slab Edge,
Doors
Assembly U -
factor (for
Cavity Continuous wood, metal
Insulation Insulation flame and mass
R -Value R -Value assemblies r
Joint
Appendix
IV
Reference
Roof Radiant
Barrier Location/Comments
Installed (attic, garage,
Yes or No typical, etc.
/ bee wr,u Appendix iv to section 1v.2, 1 V.3 and 1 VA, which is the basis for the U -factor criterion. U -factors can not
exceed prescriptive value. to show equivalence to R -values.
Residential Compliance Forms March 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL
CF -1R
q^ 2 �
Date
FENESTRATION PRODUCTS — U -FACTOR AND SHGC
✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WSAR —must be included for New Construction,
Additions and Alterations.
Fenestration
Minimum Distribution—
istri utionType
Efficiency Type and Location Duct or Piping Thermostat Configuration
AFUE or HSPF ducts attic etc. R -Value lit or a e
#/Type/Pos.
Exterior
(Front, Left, Orien-
Shading/Overhangs b'
Rear, Right, talion, Area U -factor
SHGC ✓ box if WS -3R is
Skylight) N, S, E, W' (ft U-factorz Source SHGe
Sources included
❑
11 Cltvliohtc � ..t...te,� :_ •v.._. r_ _ r__ _
❑
---•g —+ iL u,c S are UIwo to the west or tilted m any direction
when the pitch is less than 1:12. See § 151(f)3C and in Section 3.2.3 of the Residential Manual
2) Enter values in this column are either NFRC Rated value or from Standards default Table 116A.
3) Indicate source either from NFRC or Table I I6A,
4) Enter values'in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R.
5) Indicate source either from NFRC or Table 116B.
6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading devices.
7) See Section 3.2.4 in the Residential Manual.
HVAC SYSTEMS
Heating Equipment
Typeand Capacity
furriace heat pump,boiler, etc.
Minimum Distribution—
istri utionType
Efficiency Type and Location Duct or Piping Thermostat Configuration
AFUE or HSPF ducts attic etc. R -Value lit or a e
/y
1X
S
l
Cooling Equipment
Type and Capacity
A/C heat purnp,ever. cooling)
Minimum
Efficiency Duct Location Duct Thermostat Configuration
SEER or EER attic etc. R -Value lit or ck e
Residential Compliance Forms March 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF -IR
_ 12W Uo--- (n P Ret4J of _ 2 Oc ,
Project Title Date •
SEALED DUCT and TXVs r Alternative Measures
A signed CF4R Form must be provided to the building department for each home for which the following. are
required.
Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required.)
TXVs, readily accessible (climate zones 2 and 8-15 only)
nstaller testing and certification and HERS Rater field verification required.)
efrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verification required.)
!1D
p Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14.
For additions and alterations, duct systems that are not documented to have been previously
sealed as confirmed 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
spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D.
IIT ♦ TTII T44. l
• r cX a riX ial:.ri l u'4 V L31[0 L'1YlJ
Wafer Heater
Type/Fuel
Distribution
a
Rated Energy
Input' Tank Factor' or
Number (W or Capacity Thermal Standby'
in.S stem Bwlhr Ions Efficiency Loss %
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per
O
dwelling unit If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is
Standby'
Loss %
not allowed.
O
Check box when using Preapproved Alternative Water Heating table, Table 54 in Chapter 5 in the Residential
Manual. No water heating calculations are required, and the system complies automatically.
S
Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved
0
Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the
submittal.
0
Check box to verify that a time control is required for a recirculating system pump for a system serving multiple
units
Wafer Heater
Type/Fuel
Distribution
a
Rated Energy
Input' Tank Factor' or
Number (W or Capacity Thermal Standby'
in.S stem Bwlhr Ions Efficiency Loss %
Tank
External
Insulation
R -Value
Tank
Capacity
(gaMons
Energy
Factor' or
Thermal
Efficiency
Standby'
Loss %
'Tank
External
Insulation
R -Value
S
ystem serving multiple dwellme units
Water Heater
Type
Distribution
Type
Number
in stem
Rated
Input'
(kW or
Btu/hr)
Tank
Capacity
(gaMons
Energy
Factor' or
Thermal
Efficiency
Standby'
Loss %
'Tank
External
Insulation
R -Value
1 F 1
or sma 1 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
heaters, list Rated Input and Thermal Efficiencies.
Pipe Insulation (kitchen lines > 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are '14
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 COMPLIANCE: RESIDENTIAL (Page 4 of 4) CF -IR
Co
Project Title
A-It ^ a / , Date
SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra sheets if necessary)
Indicate which special features are part of this project. The list below only represents special features relevant to the
nre-f-Antive. mrthM
✓
Feature
Required Forms if applicable)
Description
❑
Metal Framed Walls
CF -IR
CF -611 part 6 of 12
❑
Radiant Barriers
CFAR
❑
Exterior Shades
WS -4R
❑
Cool Roof
N/A; Attach CRRC Label to
Forms.
❑
Dedicated Hydronic Heating
Performance Calculation
System
Required; Attach Run to Forms.
❑
Combined Hydronic System
Performance Calculation
R uired;. Attach Run to Forms.
❑
Gas Cooling
Performance Calculation
Required.
❑
Buried Ducts
N/A; Indicate on building plans.
❑
Kitchen Pipe Insulation
See Section 5.6.2 Distribution
S 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
Serving Multiple Dwellings
attach Run to Forms.
❑
Non-NAECA Large Water
Heater
CF -IR
See Table 5-13 or use
❑
Indirect Water Heater
Performance Calculation and
attach Run to Forms
See Table 5-13 or use
Fo
Instantaneous Gas Water Heater
Performance Calculation and
attach Run to Forms
See Table 5-13 or use
❑
Solar Water Heating System
Performance Calculation and
attach Run to Forms
❑
Wood Stove Boiler
Performance Calculation and
attach Run to Forms
SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION
(add extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need
verificatinn
Feature
Required Forms if applicable) • Descri tion
—Duct Sealin
CF -611 part 4 of 12
❑ Refrigerant Charge
CF -611 part 5 of 12
Thermostatic Expansion Valve
CF -611 part 6 of 12
Residential Compliance Forms March 2005
City of La Quinta
Building 8L Safety Division
Permit #
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and TrackingSheet
Project Address:
L�(
Owner's Name: R 1-0'-M.
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: 1,:
Telephone:
aws•>z•.:2z.
1�
Address: ` o iQ x
a
Project Description: �° T 14 0 4—
City, ST, Zip: d- cCA
Telephone: 34 CO)
VA
State Lie. # : City Lic. C
Arch., Engr., Designer:
1 _
r
Address:
City, ST, Zip:
a`r
Telephone: Construction Type: Occupancy:
State Lie. #: ..��..��
fi .. ;:<.;.;,, yEs Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq. Ft: #Stories: Tunits:
Telephone # of Contact Person: Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Recd TRACIUNG 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
Title 24 Calcs.
Plans picked up
Construction
Mechanical
Flood plain plan
Plans resubmitted
Grading plan
2`! Review, ready for correct!ons/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:-
3" Review,.ready for correctionstiissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees