MECH (13-1361)51880 Avenida Madero
13-1361
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
13-00001361
Property Address:
51880 AVENIDA MADERO
APN:
773-154-007-18 -000000-
Application description:
MECHANICAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
8900
Applicant: j Architect or Engineer:
4 VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/24/13
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Business and Professi nals Code, and my License is in full force and effect.
License Class: C20 License No.: 967263
Date: o - z ►-1 Contractor:
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, 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:
Lender's Address:
LQPERMIT
Owner:
BOB VADEN
51880 AVENIDA MADERO
LA QUINTA, CA 92253
(760)289-4208 D
Contractor:
RIGHT AWAY AIR CONDITIONI n
P.O. BOX 752
PALM DESERT, CA 92261
(760)408-0280
Lic. No.: 967263
—'"L—
OCT 24 zoo' D
OF LA
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 CO Policy Number RIWC364828
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 subject to the workers' compensation provisions of Section
3700 of the LaborCode, I sh twith
mply with those provisions.
1 f
DateAlD -,LLA -1 i )Applicant:
WARNING: FAILURE TO SECURE RKERS' COMPENS TION with
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 with all
city and county ordinances and state laws relating to building cons ruction, and hereby authorize representatives
of this county
lto enter
upon the above-mentioned property ' sp tion btuposes.
i
Date: l ( S Zj' nature (Applicant or Agent) "11\11111\
Application Number . . . . . 13-00001361
Permit . . MECHANICAL 2013
Additional desc . .
Permit Fee . . . . 107.25 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 4/22/14
Qty Unit Charge Per
Extension
1.00 35.7500 EA MECH FURNACE
35.75
1.00 35.7500 EA MECH CONDENSER/COMP
35.75
1.00 35.7500 EA MECH AIR HANDLER
35.75
----------------------------------------------------------------------------
Special Notes and Comments
HVAC CHANGE OUT - 16SEER/9HSPF SYSTEM
[2008 ENERGY] CARBON MONOXIDE ALARM(S)
TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2010 CALIFORNIA BUILDING
CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . PERMIT ISSUANCE M/P/E
90.57
PLAN CHECK, MECHANICAL
59.58
Fee summary Charged Paid Credited
-----------------------------------------------
Due
----------
Permit Fee Total 107.25 .00 .00
107.25
Plan Check Total .00 .00 .00
.00
Other Fee Total 150.15 .00 .00
150.15
Grand Total 257.40 .00 .00
257.40
LQPERMIT
Bin #
Qty Of La Quinta
-Building 8L Safety Division
P.O. Box 1504,.78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
. p—
Project Address: 51890 A Qe
Owner's Name: p \)A c,n
A. P. Number:
Address: `S g06o A vc-, MA O
Legal Description:
City, ST, Zip: `L (>c Q CA 2 j 3
Contractor: l Awky 0,\ i N 0
elephone• '% 6D - Z'39- 426 2>
Address: 60y, 75-2
Project Description: A1Y Co nAt r
City, ST, Zip: PAM 024A -,-T Imo, 9Z 2b (
Telephone:O
C-" V\ 2 l7 l
State Lic. # : (pr) 2(0
City Lic. #-.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone.
}.1?i ,r.; v}. iiY?:. i:L•i'; ;;:}}iiia •• "E %::+'
:' i:• if : iiT%:in:•'{hy iii}i:h:??:^$:; it::i i ?;.
:::",~::<»< i;z;sr-'.r<;•i<><:'.%:>:«s:_iss;;>"><:::<:::.>f:::>::;"::::>:i.>"::?:::::<<::i>:.:s;s:. .ProJect
Construction Type: Occupancy:
.
State Lic. #:
n Alter Repair Demo
tyPa (circle one): New Add'
Name of Contact Person: VATr stl
Sq. Ft.:
# Stories:
# Units:
Telephone #,of Contact Person: _' (0
Estimated Value of Project: U6 r
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
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
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Pians picked up
S.M.1.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
"Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P,P,
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS q '
CEC- CF -IR -ALT Revised 03/10 CALIFORNIA ENERGY COMMISSION
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations Pa e 5 of 7
Project Name:Q O , 1R C Climate Zone # # of Stories
5 /
HVAC SYSTEMS - HEATING
List water heaters and boilers for both domestic hot water (DHW) heaters and hydropic space heating. Individual dwelling DHW heaters must be
gas or propane fired. Hot water pipe insulation from the DHW heater to the kitchen(s) and on all underground hot water pipes is required in all
component packages in all climate zones.
Water Heater Type/Fuel
Type'
Minimum
Duct or Piping Configuration
Heating Equipment
Efficie y
Distribution Insulation Thermostat (Centralp
Type and Capacity 2 3
AFUE o HSPF)
T e and Location" R -Value Type S ace, Packa a or H dronic
NIEAT _;j v M S I,,T"
F1 Ex Ovt c Pio v alo e S
AN +
L K - L 01 l t A
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 Page 4 of the CF -IR -ALT Form for additional requirements and check applicable boxes.
4. Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc.)
HVAC SYSTEMS - COOLING
Minimum
Efficiency
Duct or Piping
Configuration
Cooling Equipment
(SEER/EER or
Distribution Insulation
Thermostat (Centra Slit
Type and Capacity I-2
COP)
Type and Location R -Value
Type Space, Package or dronic
H>= A'V P A' -N
b 2.
Fix6,j cr
o 1
C ncie n f
AIT I C_ —t-(
D l+A
1. Indicate Cooling Type (A/C Heat pump, Evap. Cooling, etc)
2. Refer to the HERS Verification section on Page 4 of the CF -IR -ALT 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 heating. Individual dwelling DHW heaters must be
gas or propane fired. Hot water pipe insulation from the DHW heater to the kitchen(s) and on all underground hot water pipes is required in all
component packages in all climate zones.
Water Heater Type/Fuel
Type'
Distribution Type
(Standard, Recirculating)Z
Number In
System
Tank
Capacity (gal)
Energy Factor or
Thermal Efficiency
External Tank
Insulation
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 of a recirculating water heating system for single dwelling units.
3. The external water heating lank and i es 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.
NEW ROOF ASSEMBLY - Radiant Barrier
The radiant barrier requirement of § 151 2 does not apply to roof alterations.
Slab Edge (Perimeter) Insulation ❑ YES ❑ NO
YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required.
Heated Slab Insulation ❑ YES ❑ NO
YES: Slab edge insulation required for all heated slabs in all Climate Zones. See details in Table 118-A of the standards.
Raised Slab Insulation ❑ YES ❑ NO
YES: In Climate Zones 1, 2, 11, 13, 14 & 16, R-8 insulation is required; in Climate Zones 12 & 15, R-4 is required under component Package D.
Regis ration .. umber: Regis ration Dae .ime: HERS Provider:
2008 Residential Compliance Forms March 2010
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC- CF -IR -ALT Revised 03/10 CALIFORNIA ENERGY COMMISSION
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations Pa e 7 of 7
Project Name Climate Zone # # of Stories
Name:
S `r1
Signatur
Company:
P Y
/
N4. coy \\ \Ovg1vl l\'f)(-
Da .1
0 -ZIA
A . C-> Q X
6
Licensat e: (P 2
City/Stat ip:
A lin
f r
Phone:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at. I-800-772-3300.
Registration NiemGer Date/TO HERS P
2008 Residential Compliance Forms March 2010