07-0748 (MECH)t:
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:07,-00000.748
Property Address:
5209+ VENIDA"CARRANZA
APN:
773-221-003-20 -000000-
Application description: MECHANICAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
6000
Tityl 4-4Q" -
Applicant: Architect or Engineer:
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm underpenalty 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 Class: License No.:
Date: 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 bf 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).:
(A I 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 thereon, and who contracts for the projects with a contractors) licensed
pursuant to the Contractors' State License Law.).
1 _ 1 I am exempt under Sec. , B.&P.C. for this reaSgn
Date`3 Owner: �Q—
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
of the
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/13/07
Owner:
PEREZ M/M LUIS E
52090 AVENIDA CARRANZA
LA QUINTA, CA 92253
---------------------------------
Contractor: PF
Owner
MAR `� 2007
--------------q,. r7 - �+ %�--
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 Policy Number
)O 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 Labor Co e, I shall forthwith comply wit ose provisions.
Date:/ 0 7Applicant:
AMC—
WARNING:
M►WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE 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 fora 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.
ate Sign��-,
` a"ture�lAppticant or Agent): �1
_y
c..
LQPERM[T
Application Number. . . . . . 07-00000748
Permit . . . MECHANICAL
Additional•desc .
Permit Fee . . . . 37.50
Plan Check Fee
9.38
Issue Date . . . .
Valuation
0
Expiration Date.. 9/09/07
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 9.0000 EA MECH
FURNACE <=100K
9.00
1.00 4.5000 EA MECH
VENT INST/ DUCT ALT
4.50
1.00 9.0000 EA MECH
APPLli REP/ALT/ADD
9.00
----------------------------------------------------------------------------
Special Notes and Comments
REPLACE EXISTING ROOF MOUNTED 13
SEER'
UNIT/ADD NEW DUCTING/SUPPLY/RETURN.
2005 CEC
Fee summary Charged
---------------------------
Paid Credited
Due
----------
Permit Fee.Total Fee.Total 37.50
--------------------
.00 .00
37.50
Plan Check Total 9.38
.00 .00
.9.38
Grand Total 46.88
.00 .00
46.88
FAX NO.
FROM
I
Feb. 21 2007 07:32PM P1
200002-0100:02
rNAVARRUS
Page 1
City of La Quinta
8widwt a[ Sa* DwQn
Petmlt f1 P.O. Box I SO4, M495 Caft Tampkv
\ ` U Un4ttA Gl 92,253 • (760) 777.7018
Building Permit Applicadon and TraCkIng Sheet
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Page 1
FROM :
FAX N0: : Mar. 12 2007 07:50PM P1
Alternative Component Package Method: (check one) C D D (Alternative)
• . 11
Package C and Package D eboices require f1; rater field verification and/or diagnostic testing (see CF -1R page 3)
• For Package D Alternative see Appendix R Table 151-C Footnotes 8-14 in the Residential Compliance Manual (F.CM)
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) i- d f
Average Ceiling Height: -B— ft
Check Applicable Bovey
Building Type: (check one or more)Single Family Multifamily Addition Alteration
(If adding fenestration fill -out WK-4R,Fenestration Maximum Allowed Area Worksheet and see Section 83.2
for Additions and 83.3 for Alterations in the RCM.)
• Maximum Allowed Total Fenestration Area it' (from WS -4R)
• Maximum Allowed West Facing Fenestration Area fL(from WS -4R)
• Number of Stories: Number of Dwelling Units:
• Floor Construction Type: ab/ Aiscd floor (Circle One or both)
• Front Orientation: Nort �aut F 4 / West: All Orientations (input front orientation in degrees
from True North and circle one).
C3 RADiiAlO T BARRIER (check box if required in climate zones 2.4.8-I5)
OPAQUE SURFACES INCLUDING 6PAQurc Boons
Z
Component
Type (Wall,
Roof, Floor,
Slab Edge,
Doors)
Frame
Type Cavity
(Wood or insulation
Metal) R -Value
Assembly U- •
factor (for wood
Continuous metal frame and
insulation mass
R -Value assemblies
Joint
Appendix
JV
Reference
',�i`-9";;; .
SL=u'
f� . i +�+��
=-_, _-• .EF
pt'°aC'nT
-{''.rr ;;
Location
Comments
(attic garage,
,
ical, etc.
1) See Joint Appendix IV in Section IV.2, IV.3, and IVA, which is the basis for the V -factor criterion. U -factors can not exceed
prescriptive value to show equivalence to R -values.
2) This column is for the inspector to verify installation of roof ra4iant barrier.
Reside Ireal Compliance Forms December 1005
J
FROM : FAX NO. : Mar. 12 2007 07:51PM P3
CERTIFICATE OF COMPLIANCE- RESIDENTIAL (Page 3 of 5) CF -IR
Project Title Date
A si ed CF4R Form must be provided to the building department for each home for which the following are required.
✓
❑ 1 Sealed Ducts all climate zones installer testilM and certification and HERS rater field verificationu'ued.
C3TXVs, readily accessible (climate zones 2 and 8-15 only)
Installer testin ' •and certification and HERS Rater field verificationrequired)
❑ Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verification re iced.
OR
❑ Alternative to Sealed Ducts and Refrigerant Charge /T XVs (See Package D Alternative Package Features for
Proiect Climate Zone in the RM Appendix B Table 1.5 t -C, Footnotes 7-14.
❑ No ducts installed -
E3 New ducts fromr existing space conditioning equipment, not exceeding 40ft. in len
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.
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.
HEATING SYSTEMS
❑ 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 gallons is the maximum capacity and recirculation system is not allowed.
❑ Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential
Manual. No water heatina calculations are required, and the system complies automatically.
Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved
C3Alternative Water Heating table. In this case; the Perfoirmance Method must be used and must be included in the
1 ❑ I Check box to verify that a time control is required for a recirculating system pump for a system serving multiple units
fivctpmQ vor vines cinale dwelling unite lCrr RM TohlP S -d Altrmnriv., WotPr Rp2tinn Cvcra,"o fur rx+r•irrnlarinn rom�;wmanrc\
Water Heater
Type/Fuel T e
Rated Enemy
Input' Tank Factor or
Distribution Number (kw or Capacity Thermal
Type in System Btu/hr) ( ions) ) Efficieng
Tank
External
Standby Insulation
i.oss L% R -Value
Tank
Insulation
R -Value
LNVPLe.kr oer v�np ttlteltFnlP_ elwpllfna rinilta lCar Rnci. nt;nl Mnn,.al S�rt;nn S Z Zl
Water Heater Distribution Number
Type Type in System
Rated
Input'
(Mot
Btu/hr)
Energy
Tank Factor` orExternal
Capacity Thermal Standby'
(90ons )JTcienC foss %
Tank
Insulation
R -Value
1) For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric rebibimce, and heat pump water beaters, list
Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency, Thermal
E. ficieney and Standby Loss. For instantaneous gas water heaters, list Rated Input mid Thermal Ef ciencics.
Pipe Insulation (kitchen lines 2:3/4 inches) All hot water pipes from the heating source to the kitchen fixtures
that are % 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
December 2005
I2:lit MM
- " i CES'
FAX N0.
Mar. 12 2007 07:51PM P2
CATS OF C®MFl,UNCE: RESIDENTIAL TIAL (Pac 2 of 5) CF -IR
Project Dde Dale
FENES'd p k130N P!<t0®UCTS — U -FACTOR AND SHGC
✓ r] FENESTRATION MAxoAUM ALLOWED AREA '4JVORISSI•IEET WS -4R — must be included for New
Construction, Additions, and Alterations.
Fenestration
#/Type/Pos. (front,
Left, Rear, Right,
Sk li t
Orion-
tation, Area
N, S, E, W ft
U -factor
U-fwwr2 SourceS
Exterior
Shading/Overhan$ s4 "
SHGC ✓ box if WS -3R is
IGC4 Sources included
Thermostat
Te,,,
Configuration
(split or package)
13❑
13
.s
a�
13
a
1) Skylights are now included in West -facing fenestration arca 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) Linter values in this column from either NFRC Certified Label or from Standards Default Table 116-A,
3) indicate source either from NFRC or Table 116-A,
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, Table 116B or WS -3R
6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading devices.
n See Section 3.2.4 in the Residential Manual.
HVAC SYSTEMS
Heating Equipment Minimum
Type and Capacity Efficiency
(fi—we, heat pump, boder etc. AFUBorHSP
Distribution
Type and Location Duct or Piping ' Thermostat Configuration
ducts attic etc. R -Value a slit or package)
T
JG
Thermostat
Te,,,
Configuration
(split or package)
Cooling Equipment
Type and Capacity
(AIC, heat pump, evap.
coo '
Minimum
)Efficiency
(SEER or
EER
Distribution
Type and Ucation
ductq attic, atc.
Duct or Piping
R -Value
Thermostat
Te,,,
Configuration
(split or package)
.s
a�
Residential CagpUawe Fonw
December 2005
w
-
December 2005
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) 777-7Al2
FAX: (760) 777-7011
OWNER'S SIGNATURE/DATE
PROPERTY ADDRESS
612-�/�
PERMIT NUMBER(S)
OWNERBUILDER 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.
f;
For more specific information about your=obligations under Federal Law, contact the Internal Revenue Service (and, if
you wish; the U.S. SmallBusiness Adininigtration). ;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 licenseld-c-entractors' 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) 777-702
FAX: (760) 777-7011
OWNER'S SIGNATURE/DATE N
PROPERTY ADDRESS '
6 /-)- %fir
PERMIT NUMBER(S)
*a {l•':d�'e u�{ff `.C:�.... »,.. •�Yh3=:i:..�+c!;:�.,"...; r