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MECH (07-2835)i P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00002835 Property Address: 52690 AVENIDA NAVARRO APN: 773-305-010-14 -000000- Application description: _ MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 2800 Applicant: Architect or Engineer: 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: FARRINGTON BENJAMIN 52690 AVENIDA NAVARRO LA QUINTA, CA 92253 (760)564-6093 Contractor: Owner -VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/26/07 OCT 2 9?ool NA ------------------------------------------------------------------------------------------------- . LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION I 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 70001 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: License No.: for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: Contractor: _ 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 - - = - - - - - - - - - - - - - - - - - - - - Policy Number 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 shall 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 ' ' ant:7 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: II_, Apple Y� (!p- ) 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 novintended 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 am exempt under Sec. , B.&P.C. for this reason e•� 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: LQPERM[T WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 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 construction, and hereby authorize representatives— of this county.to enter upon the above-mentioned property for inspection purposes. Daie:t�Signature-IApplicant_ oAgent): Application Number . . 07-00002835 Permit . . . .MECHANICAL Additional desc . Permit Fee. .. 24.00 Plan Check Fee 6.00 Issue Date Valuation 0 Expiration Date 4/23/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 .9.0000 EA- MECH -B/C <=3HP/100K BTU 9.00 --- ------------------- Special Notes and Comments ----------------------- --------------- REPLACE EXISTING AIR CONDITIONING UNIT WITH A/C 13 SEER Fee summary. Charged Paid Credited Due ------------------------------------- Permit Fee Total 24.00 -------------------- .00 .00 24.00 Plan Check Total 6.00 .00 .00 6.00 Grand Total 30.00 .00 .00 30.00 LQPE"1IT CERTIFICATE OF COMPLIANCE:. RESIDENTIAL (Page.] of 4) CF -IR. l� c -e d&T 26 07 Project Title Date Project Address a Building Permit 9 Documentation Author Telephone Plan Check /Date Compliance Method (Prescriptive) Field Check /Date p ) Climate Zone F„forccrnent Agency [Jse Only . ✓ 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 -1 R page 3) For Package D Alternative see Appendix B Table 151-C Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) 2p ft Average Ceiling, Height_ ft Maximum Allowed West Facing Fenestration Products Pei Table 151-B or 151-0 (5%X CFA) _ ft Maximum Allowed Total Fenestration Products Per Table 15 1 -B or 151-0 — (?0'/o X CFA) ' g ❑ 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 832 . for Additions and 83.3 for Alterations.) Number of Stories: _ Number Dwelling Units: , 'Floor Construction Type: - Sla sed Floor (circle one or both) Front Orientation. Noah / South / East West All 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 Assembly U - Type (Wall,4M[R.!-Value factor (for Joint Roof Radiant Roof, Floor,avity Continuous. wood, metal AppendixBarrier Location/Comments' Slab Edge,,ulation Insulation frame and mass IV Installed (attic, garage, Doors R -Value. assemblies t Reference . Yes or No typical, etc. l 1) See Joint Appendix.lV in Section IV -2, IV.3 and IVA. 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 4 CERTIFICATE OF COMPLIANCE:. RESIDENTIAL (Page.] of 4) CF -IR. l� c -e d&T 26 07 Project Title Date Project Address a Building Permit 9 Documentation Author Telephone Plan Check /Date Compliance Method (Prescriptive) Field Check /Date p ) Climate Zone F„forccrnent Agency [Jse Only . ✓ 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 -1 R page 3) For Package D Alternative see Appendix B Table 151-C Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) 2p ft Average Ceiling, Height_ ft Maximum Allowed West Facing Fenestration Products Pei Table 151-B or 151-0 (5%X CFA) _ ft Maximum Allowed Total Fenestration Products Per Table 15 1 -B or 151-0 — (?0'/o X CFA) ' g ❑ 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 832 . for Additions and 83.3 for Alterations.) Number of Stories: _ Number Dwelling Units: , 'Floor Construction Type: - Sla sed Floor (circle one or both) Front Orientation. Noah / South / East West All 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 Assembly U - Type (Wall,4M[R.!-Value factor (for Joint Roof Radiant Roof, Floor,avity Continuous. wood, metal AppendixBarrier Location/Comments' Slab Edge,,ulation Insulation frame and mass IV Installed (attic, garage, Doors R -Value. assemblies t Reference . Yes or No typical, etc. l 1) See Joint Appendix.lV in Section IV -2, IV.3 and IVA. 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 i CERTIFICATE OF COMPLIANCE. RESIDENTIAL (Page 2 of 4) CF -1R Re gtct CQ X IST (lug oC: Z 0-7 Project Title Date FENESTRATION PRODUCTS - U -FACTOR AND SHGC ✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R —must be included for New Construction, Additions and Alterations. Fenestration #/Type/Pos. Exterior (Front, Left, Orien- Shading/Overhangs6, Rear, Right, talion, Area U -factor SHGC ✓ box if WS -3R is S li ht) Tl, S; E, ViW' ft U-factor2 Source3 SHGC' Sources included ❑ IT ��EE 1) Skylights 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 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 11613 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 Minimum Distri ution Type and Capacity Efficiency. Type and Location Duct or Piping Thermostat Configuration furnaceheat boiler, etc. (AFUE or HSPF ducts attic, etcJ R -Value iWne Cooling Equipment Type and Capacity heat pump,eva . cooli /.• Residential Compliance Forms Minimum Efficiency Duct Location Duct SEER or EER (attic. etc.) R -Vali Thermostat Configuration (split or package) ;t z, AZ March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Project Title Page 3 of 4) CF -IR G•T 'Z'4 O? Date SEALED DUCTS and TXVs (or Alternative Measures) A signed CF -4R Form must be provided to the building department for each home for which the following. are renuirrri 0 Alternative to Sealed Ducts and Refrigerant Charge fMs.(See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151 C, Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to. have been previously 0 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 r uirements of Package D. W A qr D TrV A IrYkTd" c.xrc.r ..,,. ,rt, input' Distribution .Number. (key or T e in S stem Bw/hr ❑ Sealed Ducts all climate zones Installer testing and certification and HERS rater field verificationrequired.) ❑ TXVs, readily accessible (climate zones 2 and 8-15 only) ❑ (Installer testing and certification and HERS Rater field verification required.). 0 Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field ❑ verification required.) nu 0 Alternative to Sealed Ducts and Refrigerant Charge fMs.(See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 151 C, Footnotes 7-14. OR For additions and alterations, duct systems that are not documented to. have been previously 0 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 r uirements of Package D. W A qr D TrV A IrYkTd" c.xrc.r ..,,. ,rt, Water Heater Type/FuelType_ input' Distribution .Number. (key or T e in S stem Bw/hr ❑ Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per dwelling unit. If the water heater is a storage type, 50 Tank Capacity gallons is the maximum capacity and recirculation system is not allowed. ❑ Check box when using Preapproved Alternative Water Heating table, Table 54 in Chapter 5 in the Residential. Manual. No water heatin calculations are required, and the system complies automatically. ❑ Check box if system does not meet criteria of"Standaid" system, and does not comply with the Preapproved Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the submittal. ❑ Check box to verify thata time control is required for a recirculating system pump for a system serving multiple . units . 1VSfpR1C cara)inn einoln A.....1 L'.........:a_ Water Heater Type/FuelType_ input' Distribution .Number. (key or T e in S stem Bw/hr Energy Tank Factor or Capacity Thermal loos Efficien Tank External Standby' Insulation Loss % R -Value Tank Capacity Energy Factor'. or Thermal Efficiency Standby' Loss (%) Tank External Insulation R -Value Water Heater Type Distribution e Number in S. stem Rated Input i (kw.or BbAr(gallons) Tank Capacity Energy Factor'. or Thermal Efficiency Standby' Loss (%) Tank External Insulation R -Value 1 Fnr email n c�...•....e .....a_- t__.___ i__._ � ' . ---%­ .. Vr .,..�„ uiau VI ryua, iv JJ,VVV Orwnr), eleeme resistance, ana 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'/a inches or greater in diameter shall be thermally insulated is specified by Section 150 (j) 2 A or 150 0) 2 B. Residential Compliance Forms March 2005 e s ,l - CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 4) CF -1R u k . " ' OCT Z,(; -6-7 Projecl Title 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 rescri tive method. �! ❑ Feature Required Forms if applicable) Description Metal Framed Walls CF -IR. ❑ Radiant Barriers CF -1R ❑ Exterior Shades WS -4R ❑ Cool Roof N/A; Attach CRRC Label to Forms. ❑ Dedicated Hydronic Heating ulation System Required: Run to Forms. Eqired;E.Attach ❑ Combined Hydronic System ulation Run to Forms.❑ Gas Cooling, Perance Calculation Required. N/A; Indicate on build': -tans. ❑ Buried Ducts ❑ Kitchen'Pipe Insulation See Section 5.62 Distribution S stems in Residential Manual. 13 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 11 ' 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 ' ❑ Instantaneous Gas Water Heater ' See Table 5-13 or use Performance Calculation and attach Run to Forms ❑ Solar Water Heating System . See Table 5-13 or use Performance Calculation and attach. Run to Forms ❑ Wood Stove Boiler Performance Calculation and attach Run to Forms ' SPECIAL FEATURES REOUIlUNG HE RATER VERIFICATION _(add extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verification. Feature Required Forms if a licable ' Description 0 Duct Sea in CF -6R art 4 of 12 ❑ Refrigerant Char e 2 CF -6R aEt6 D Thermostatic Ex ansion Valve CF=6R a2 Efl Residential Compliance Forms March 2005 Bin # CI of ' City La Qulnta Building & Safety Division- P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # / L3 Project Address: SZ(� 9� /Vq ✓ 22 O Owner's Name: En,1/U nJ A. P. Number: Address:Z(� q jj �/� 2..12-0 Legal Description: ke a Y, le-T/A/(q A-C City, ST, Zip: [tea Ji�u� q Z Z S Contractor: , w Ill 2i Telephone:. 746-6 D Q 3 Address: Project Description: City, ST, Zip: Q iOxl w1v Telephone: City Lic. #: Aoo % -e -e State Lic. # : Arch., Engr., Designer: Address: City, ST, Zip: Telephone: s _ � �- P f State Lic. #: Name of Contact Person: (� i I N d•J Construction Type: Occupancy: Project type (circle one): New Add'n . Alter • Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: �(� (,�. Estimated Value of Project: 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 Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- "d 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 TELEPHONE (760) 777-7012 FAX (760) 777-7011 OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a. permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to.put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection. If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX: (760) 777-7011 OWNER'S SIGNATURE/DATE S Z&'? o /V AV j' a? PROPERTY ADDRESS �7 PERMIT NUMBER(S)