MECH (10-0080)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA,' CALIFORNIA 92253
(f .
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Number: 10 _.-_ _ 0;0000-0'80-
Application L._.;
.. - -
Property Address:, 57133 MERION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
APN: 762-031-010-
- -
Application description: MECHANICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2440
Appljclnt:
Architect or Engineer:
issued.
Owner:
MURPHY.RESIDENCE
57133 MERION
LA QUINTA, CA -92253
Contractor: Di
AIR CONDITIONI
78441 ORCABES
BERMUDA DUNE , C
"(760)360-501
Lic.. No.: 315890 C
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date.: 2/02/10
O ' THE`•-.
I VE
93(2Z 0,9 j
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARA
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
- I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: C20 - License No.: 315890
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
_ -
issued.
Date: -2 ont ctor.
_ 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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier EXEMPT Policy Number EXEMPT
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code I sh I forthwith comply with those provisions.
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).:
,f,,,�
`Dater G(!•l% Appli -
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 offeredfor sale (Sec. 7044, Business and Professions Code: The
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
-SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN -
improvements are not intended or offered for sale. If, however, the building or improvement is sold within -
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
APPLICANT ACKNOWLEDGEMENT
(- 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,.
1 1 I am exempt under Sec. , B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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:
LQPERA11T
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 construction, and hereby authorize representatives
of this countytotoo enter upon the above-mentioned pro iew.puronses
IDate:'J? Xg ture,(Applicant or Ag-
_ Application Number . . . . . 10-00000080
Permit . - . MECHANICAL
Additional desc .
- Permit Fee 33.00
Plan Check Fee
8.25
Issue Date •. . . . _
Valuation
0
Expiration Date 8/01/10
_
`.
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
-- HVAC CHANGE OUT 13 SEER
----------------------------------------------------------- -
Other Fees . . ... . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged ..
---------- -----------
Paid Credited
---------- ---------
Due
-----------------
------------- -
Permit Fee Total 33.00
Permit
.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
LQPERAIIT
Certificate of Compliance: Residential
Residential
CF -IR -ALT
Man 5 of 5)
Project Name: Climate Zone # # of Stories
HERS VERIFICATION SUMMARY Tare 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
Duct Sealing & Testing HERS verification is required for this measure.
❑ YES aNO YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned
space, the ducts are to be sealed per §152(b)1Dii and the newly installed ducts are to be insulated per §151(f)10.
❑ EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos.
❑ YES NO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the
ducts are to be sealed per §I52(b)IDi.
WYES ❑ NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler,
outdoor condensing unit of a split system, cooling or heating coil, or the furnac6 heat exchanger) the ducts are to be
sealed per §152(b)IE.
❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS
verification in accordance with procedures in the Reference Residential Appendix RA3.
❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space.
❑ EXCEPTION: Existing duct systems constructed insulated or sealed with asbestos.
Refrigerant Charge - Split System HERS verification is required for this measure.
01 YES ONO YES: in Climate Zones 2 and 8-15, when the existing HVAC equipment is replaced (including the replacement of the air
handler, outdoor condensing unit of a split system A/C or heat pump; cooling or heating coil, or the furnace heat
PYchanarr) a refrigerant charge measurement shall be verified per §152(b)1F.
Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw
The ventilation requirements of § 150 o do not apply to existing residential homes.
Ducted Split Systems -Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
0 YES 16 NO YES: In Climate Zones 10 through 15, when the existing spaceconditioning system (HVAC equipment and ducting) is
1 renlaced, the airflow and fan watt draw shall be verified per § 152 1Ci to meet the requirements of §151 7B.
Documentation Author's Dect
• I certify that this Certificate
Name:/
/ n
Comi¢ 0
pany://
Address: „
Statement
Z_A, .L -e-
6�55,4- d`)ie-
and
Date:, /- 2-a112
�
If Applicable ❑ CEA or ❑ CEPE
I
C�y/StatelZip: p /13� v
P,
'�� � ■
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 thus 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
agenev for approval with this building permit application.
Name:
oz_ / — ,Zv/v
Ad License:
c316 -0
Phone: /
Ci ip:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration Number: Registration Datell'une: HERSProvider:
2008 Residential Compliance Forms August 2009
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations a e 4 of
Project Name: Climate Zone # # of Stories
l muQ A 14
HVAC SYSTEMS - HEATING
t. Mmimum
Duct or Piping
Configuration
Heating Equipment
Efficiency
Distribution
Insulation
Thermostat
(Central, Split,
Type and Capacity' 2,1
AFUE or HSP
Type and Location°
R Value
Type
Space, Package or dronic
rw ac, ka,
! as an
'9#1e- &ictS
Szl�
1. Indicate Heating Type (Central Furnace, Wall Fwriace, Heat pump, Boiler, Electric Resistance, etc)
2. Electric resistance heating is allowed only in Component Package C, or except where electric heating is.lWplemenial (i.e., if total capacity
< 2 KW or 7,000 Btulhr 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, Hydropic in Floor, Radiators, etc.)
HVAC SYSTEMS - COOLING
Minimum
Efficiency Duct or Piping Configuration
Cooling Equipment (SEER/EER or Distribution Insulation Thermostat (Central, Snut,
Type and Ca ''2 COP) Type and Location; R -Value Type Space, Package or dronic
t4 C — -s Tani I3 , O ArrlG -�- L
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 Hydronic in Floor, Radiators, etc.
WATER HEATING
List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be
gas or propane fired, and may not exceed 50 gallons. Hot water pipe insulation from the DHW heater to the kitchen(s) and on all ur derground
hot water pipes is required in all conWonent packages in all climate zones.
External Tank
Water Heater Type/Fuel Distribution Type Number In Tank Energy Factor or Insulation
...----i .V.....a-...4 oea.....1a«:--%2 c.,arem Canacity (call I Thermal Efficiency R Value?
I. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc.)f§I50(ra. The Prescriptive requirements do
2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements
o
not allow the installation of a recirculating water heating system for single dwelling units.
3. The external water heating tank and pipes shall be insulated to meet the requirements of §1506)
SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specifred in this checklist below.
These items may require written justification and documentation and special verification.
NEW ROOF ASSEMBLY - Radiant Barrier
The radiant barrier reuirement of & 151 2 does not apply to roof alterations.
Slab Edge (Perimeter) Insulation 0 YES 0 NO
YES: In Climate Zone 16 in Component Packages D, R-7 insulation is required.
Heated Slab Insulation 0 YES 0 NO
v>, e• clot, P,IOP incidatinn renuired for all heated slabs in all Climate Zones See details in Table 1111-A of the standards.
Raised Slab Insulation 0 YES 0 NO
YES: In Climate Zones 1, 2, 11, 13, 14 !it 16, R -g insulation is in Climate Zones 12 15 R-4 is under component
Thermal Mass
To obtain Compliance Credit for the installation of thermal mass, use the Performance k
Registration Number: Registration DatwTtme:
2008 Residential Compliance Forms
HERS Provider.
August 2009
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations Pae I of 5
Project Name: Climate Zone N N of Stories
/YI 1J/ - o /-/L/
General Information
Site Address: 3 :!N AJ
Enforcement Agency: Date:Z-1" 2Dry
Building Type Wingle Family ❑ Multi Family
Circle the Front Orientation: N& S, W, or degrees
Conditioned Floor Area (CFA): 304 5t; 9-f
Project Type: ❑ Alterations ❑ Envelope ❑ Fenestration ❑ Roof )HVAC
F
Replacement or Change Out ❑ Duct Replacement ❑ Water Heater
YT . Thu form is not to be used for Newry Constructed Buildings or Additlons
insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below)
Assembly Alteration
❑ Opening of framed cavity alone -Alterations that involve the opening of the framed cavity of a wall, ceiling, or floor must install the
mandatory minimum insulation value per §150 for the altered assembly. Fill in Columns A -C and enter mandatory insulation value in Column H.
❑ Replacement of entire assembly - Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component
Package- D insulation values in Table 151-C. Fill in Columns A - J.
Opaque Surface Details For the furred rtioned of Mass Walls see FurringStrips Construction Table below.
A B C D E F G I H I 1 J
Pro sed bee Rate Standard Values From JA4 Table
Ta�/
ID
Framing
Assembly Name Material
or Type' and Size'
Thickness, Framed Continuous JA4 Proposed
Spacing, U- JA4 Table Cavity Insulation Assembly Assembly
or Other' factor Numbers R -value° R -Valuer Cell Value U-factor9
E
F
G I
H I J I
K
L M
Proposed Properties of Masonry and Concrete
Added Interior or Exterior Insulation
Walls From Reference
Note: For furred assemblies, accounting for Continuous Insulation R -value, see Page JA4-3 and Equation 4-1. For calculating furred walls use the Mau and
Fumng Construction table below.
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 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 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 Standard U factor from Table 151-8, C or D for each different assembly Name or type.
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
7. Enter the Continuous Insulation R -value for the proposed assembly: otherwise, enter 1.0 ".
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 Assemblv U factor, Column J, must be equal to or less than the Standard Ufactor in Column E to comply.
Furring Strips Construction Table for Mass Walls Onl
A► IB C D I
E
F
G I
H I J I
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
u
Joint Appendix
Table 4.3.13
Assembly
° c c
~
A
U�
> v
Final
Mass
Name or
JA4 Table
2
o
Assemb,>ThicknessI
Type'L'U
>
W
U -factor ' Comment
Registration Number: _ Registration Date Time: HERS Provider.
2008 Residential Compliance Forms
August 2009
"--IPrescriptive Certificate of Compliance: Residential
Residential Alterations
Proiect Name: ,.
CF 1R ALT
(Page 4 of
Climate Zone # # of Stories
HVAC SYSTEMS - HEATING
List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be
gas or propane fired and may not exceed 50 gallons. Hot water pipe insulation from the DHW heater to the kitchen(s) and on all wxkrground
Nfmimum
External Tank
Duct or Piping
T Standard, Recirculatin a System Thermal Efficiency R -Value'
Configuration
Heating Equipment
Type and C i i.'�'
Efficiency
AFUE or HSP
Distribution
Type and Location°
Insulation
R Value
"thermostat
Type
(Central, Split,
Space, Package or dronic
0_,A>l Ezz, Q a .
/,9,9 0
q#,e- 4D jas
3. The external water heating tank and pipes shall be insulated to meet the =Eirements o 150 .
Se l a,_X_
8-:0/1 7�
1. Indicate Heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistarxe� 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 Btulhr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §I51(b)3 exception.
3. Refer to the HERS Verification section on Page 4 of the CF -I R -ALT Form for additional requirements and check applicable boxes.
4. Indicate 7)pe or Location (Ducts, Hw*onic in Floor, Radiators, etc)
HVAC SYSTEMS - COOLING
Minimum
Efficiency
Dud or Piping
Configuration
Cooling Equipment
Type and Capacity 1.2
(SEER/EER or
COP)
Distribution Insulation
Type and Location' R -Value
Thermostat
Type
(Central, Split,
Space, Pat a or dronic
.S Tont
1. Indicate Cooling Type (A/C, Heat pump, Evap. Cooling. etc)
2. Refer to the HERS Verification section on Page 4 of the CF -1 R ALT Form for additional requirements and check applicable boxes.
3. Indicate Type or Location , H nuc in Floor, Radiators, etc.
WATER HEATING
List water heaters and boilers for both domestic hot water (DHW) heaters and hydronic space heating. Individual dwelling DHW heaters must be
gas or propane fired and may not exceed 50 gallons. Hot water pipe insulation from the DHW heater to the kitchen(s) and on all wxkrground
hot water pipes is required in all ce Hentpa es in all climate zones.
External Tank
Water Heater Type/Fuel Distribution Type Number In Tank Energy Factor or Insulation
T Standard, Recirculatin a System Thermal Efficiency R -Value'
1. Indicate TMN (Storage Gas, Heat Pump, Instantaneous, etc.) �r f§ 77te Prescriptive rements do
2. Recirculating systems serving multiple dwelling units shall meet the recirculation ements o ISO(M. requi
not allow the installation of a recirculating water heating system for single dwelling units.
3. The external water heating tank and pipes shall be insulated to meet the =Eirements o 150 .
SPECIAL FEATURES The enforcement agency shouldpay special attention to the Special Features specified in this checklist below.
These items may require written 'esti cation and documentation and special verifkation
NEW ROOF ASSEMBLY - Radiant Barrier
The radiant barrier requirement of § 151 2 does not apiply to roof alterations.
Slab Edge (Perimeter) Insulation D YES D NO
YES: In Climate Zone 16 in Component Packages D, R-7 insulation is requited..
Heated Slab Insulation D YES D 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 D YES D NO under component Package D.
YES In Climate Zones 1, 2, 11 13, 14 & 16, R-8 insulation is required; in Climate Zones 12 alt 15, R-4 is required
Thermal Mass
To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach -
Registration Number: Registration Date Ttme. HERS Provider.
2008 Residential Compliance Forms August 2009
Bin #
City of La Quinta
Bin'(ding & Safety Divislon
P.O. Box 1504, 78-495 Calle Tamplco
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address., r; 6"33 ��Lb�J
Owner's Name: UVZ,9W
A. P. Number:
Address: vl
Legal Description:
City, ST, Zip: j, P (�� 1 CA- C1 -Z--L 5 3
Contractor:
�1 p, lmr N •
Telephone:.
ix
,�•�� :�f.; <
Address: ' 1 L{ ( l2e r� l3G 5� 2
Project Description:. i C k
City, ST, Zip: j�jQ�JV��7/A �.>�1G5 CA- cl 2Zo j
Telephone: 7 0 (9
.
s« ;�A
City Lic. #;
State Lic. # : 3 S
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
.
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
State Lic. #:�
�v � m �: � f� :'•
;" "
Name of Contact Person:
Sq. FL:
# Stories:
# Units:
Telephone # of Contact Person:v�o
Estimated Value of Project:- �� c.� i1.2
APPLICANT: DO.NOT WRITE BELOW THIS UNE
#
Submittal
Plan Sets
Req'd
Recd
TRACKIIVG PERMIT FEES
Plan Check submitted Item Amount
Structural Cales.
Reviewed, ready for corrections
Pian Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance
Title 24 Cala.
Pians picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'! Review, ready for corrections/issue
Electrical
Subeontactor 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 corrections/issue
Developer Impact Fce
Planning Approval
Called Contact Person.
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees