09-0180 (MECH)53805 Avenida Madero
09-0180
10733
=—Izs t ,
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
09-00000180
Property Address:
53805 AVENIDA MADERO
APN:
774-142-015-3 -000000-
Application description:
MECHANICAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
4500
TUV/ 4 4 a"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
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 and Professionals Code, and my License is in full force and effect.
License 22Class' :' C20-38 License No.: 374657
f
ate: J 'Q ntractor:
OWNER -B DER 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 155001.:
(_) 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 th&eon, and who contracts for the projects with a contractorls) 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
Owner:
BILL URESTE
53805 AVENIDA MADERO
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/02/09
Contractor: U
DANCY HVACR, MIKE j
EB
81171 ; AREOMA COR ZQ09
INDIO, CA 92201 C1Ty0
(760) 775-0750 F1NgNf QUINT
Lic. No.: 374657 E EPr A
-----------------------------------------------
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 EXEMPT Policy Number EXEMPT
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
37VTOSCEaCURE
bor Code, 1 hall forthw' omply with those provisions.
te: : ` a =
WARNING: FAIL WORKERS' COMPENSATION 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 rpade, 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, itsofficers, 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 construction, and hereby authorize representatives .
of this county to enter upon the above-mentioned property for ' specti rposes.
te: J 9 Signat (Applicant or Agent):
Application Number . . . .
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . 33.00
Issue Date
Expiration Date 8/29/09
09-00000180
Plan Check Fee . . 8.25
Valuation . . . . 0
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 HVAC SYSTEM WITH NEW 4 TON 13
SEER HEAT PUMP PACKAGE.
----------------------------------------------------------------------------
Other 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
✓ Alternative Component Package Method: (check one) C D D (Alternative)
Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF. -IR page 3)
For Package D Alternative see Appendix B Table 151-0 Footnotes 7-14
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) ft
Average Ceiling Height: R
Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C --- (5% X CFA) ft
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-0 ---(20% X CFA) ft2
✓ O Building Type: (check one or more) Single Family Multifamily Addition Alteration
(If adding fenestration fill out WS -4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2
for Additions and 8.3.3 for Alterations.)
Number of Stories: Number of Dwelling Units:
Floor Construction Type: Slab/Raised Floor (circle one or both)
Front Orientation: North / South / East / West / All Orientations (input front orientation in degrees from True North
and circle one).
43=101 MUM fr+eauired in gUNtg zones 2.4.8-I 5)
OPAQUE SURFACES INCLUDING OPAQUE DOORS
Component,
Type (Wall, Frame
Roof, Floor, Type
Slab Edge, (Wood or
Doors M
Cavity Continuous
Insulation Insulation
R -Value R -Value
Assembly U -
factor (for wood, Joint
metal frame and Appendix
mass IV
assemblies)' Reference
Roof Radiant
Barrier
Installed
Yes or No
Location
Comments
(attic, garage,
typical, etc.
i) ace Joint Appenrux IV m Section 1V.2,1V.3 and IVA, which is the basis for the U -factor cnteiion. U -factors can not exceed
prescriptive value to show equivalence to R -values.
Residential Compliance Forms April 2005
CERTIFICATE OF COMPLIANCE; RESIDENTIAL 2 of5 CF -IR
Pr 'ect Title Date
—D
FENESTRATION PRODU - S - U -FACTOR AND SHGC
J 3 FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R -must be included for New
Construction, Additions and Alterations.
Fenestration
#/Typos' men-
(Front, Left, tation,
Rear. Right, N, S, E,
-Skylight) Wt
Area
ft U -factor'
U -factor
SowrO
Exterior
Sbading/a,erhangs6, 7
SHOC -*box if WS -3R is
SHGC4 Sources included
42. s
O
O
O
1 alryitglrts are now included in West -facing fenestration area if the skylights are tilted to the west or tilted in 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 tram Standards default Table I I6A.
3) Indicate source either from NFRC or Table l 16A,
4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R -
5)
S -3R5) 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
Type and Capacity
ti maoe heat vump, boils etc.
Minimum Distribution
Efficiency Type and Location Duct or Piping
APtJE or HSPF (ducts attic, ate.) R -Value
Thermostat Configuration
Type Isplit or package)
Configuration
lit or package)
42. s
Cooling Equipment
Type and Capacity
(A/C, heat pump, evap.
cool'
Minimum
Efficiency
SEER or EER
Duct Location Duct Thermostat
attic, etc. R -Value T
Configuration
lit or package)
P
Residential Compliance Forms April 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL P 3 of 5 CF -1R
Project Title Date
Form must be
I✓ I
to the building department for each home for which the following. are
C1/
Sealed Ducts all climate zones(Installer testing and certification and HERS rater field verificationrequired.)
O
TXVs, readily accessible (climate zones 2 and 8-15 only)
Tank
External
Insulation
R -Value
testing and certification and HERS Rater field verificationrequired.)
Refrigerant Charge (climate zones 2 and 8-1 5 only) (Installer testing and certification and HERS Rater field
verification
OR
L C3 I Alternative to Sealed Ducts and Refrigerant Charge /fXVs (See Package D Alternative Package Features for
Project Climate Zone in the RM Appendix B Table 151-0, Footnotes 7-14.
OR---- - ----------
For additions and alterations, duct systems that are not documented to have been previously
C3 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
was shall meet the requirements of Section 1 m) and duct insulation requirements of Package D.
WAa&K nZAaurn: Dxa JJLfV s
systems serving single aiwelline units
Water Heater
TypedFuel Type
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
Tank
External
Insulation
R -Value
not allowed.
Check box when using Pmapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential
Manual. No water heating calculations are revved,and the system complies automatically.
Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved
G
Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the
submittal.
r-01
Check box to verify that a time control is required for a recirculating system pump for a system serving multiple
units
systems serving single aiwelline units
Water Heater
TypedFuel Type
Distribution
Type
RatedEnergy
Inputt Tank Factor or
Number (Mor Capacity Thermal
in System Bta/hr) (gan= Efficient
Standby
Loss 9,6
Tank
External
Insulation
R -Value
System serving multiple dwelling- units
Water Heater
T
Distribution
Type
EnergyTank
Rated Tank Factor or
Number or Capacity Thermal Standby'
in System Btulbr Efficiency Loss o
External
Insulation
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
heaters, list Rated Input and Thermal Efficiencies.
PIW In UbWon (kitchen lines >_ 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures
that ane 3/4 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 April 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL P 5 of S) CF -1R
Project Title Date
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and specifications needed to comply with Title
24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement
them. This certificate has been signed by the individual with overall design responsibility. The
undersigned recognizes that compliance using duct design, duct sealing, verification of refrigerant charge
and TXVs, insulation installation quality, and building envelope sealing require installer testing and
certification and field verification by an approved HERS rater.
Designer or Owner (per Business and Professions coder Documentation Author
Names
• iril/G Y
Name:
TWOFum:: d f
Tideffiaw
Address: /y
Address
I WO lo C A,
Telephow:
Telephone:
License #:3
3--2 -ev9
I
(Sigma) (date)
(sigma) (date)
Enforcement Agency
Residential Compliance Forms April 2005
Bin #
City of La Quinta .
Building at Safety Division
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P.O.
a, \
Project Address: /Q Owner's Name: L
A. P. Number: Address: 6 .5-
SLegal
LegalDescription: City, ST, Zip:
Contractor: Telephone:
Address: 4CIx,14 Project Description:.& G4e: c
City, ST, Zip: r
Telephone: —70 O
State Lic. #3744;C, City Lic. #:,,16 ? S
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: Construction Type: Occupancy:
State Lic. #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq. Ft.: #Stories: #Units:
Telephone # of Contact Person: Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
# .
Submittal
Req'd
Ree'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 Cheek Balance
Energy Calcs.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2`4 Review, ready for correctionstissue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.I. \
H.O.A. Approval
Plans resubmitted Grading \
IN HOUSE:-
''' Review, ready for correctionstissue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. APpr
Date of permit issue \
School Fees
'total Permit Fees