08-0619 (MECH)I%
P.O. BOX 1504
78-495 CALLE TAMPICO
L/QUINTA, CALIFORNIA 92253
Application Number: 08-00000619
Property Address: 54225 AVENIDA CARRANZA
APN: 774-204-021-11 -000000-
Application description: MECHANICAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 3500 ,
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 Class: C20' License No.: 834471
WNER-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 _) 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:
LQPERA11T
Owner:
CHANNING BENJAMIN
54225 AVENIDA CARRANZA
LA QUINTA, CA 92253
Contractor:
SPEEDY AIR CONDITIONING
54685 AVENIDA HERRERA
LA QUINTA, CA 92253
(760)567-0133
LiC. No.: 834471
.VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/17/08
WORKER'S COMPENSATION DECLARATION '
1 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 6EMPT 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
3700 of the Labor Code, I s forthwith com,eiwi se pro Bions.
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 author' representatives
of this
sccounty
' to enter upon the above-mentioned property for in ection pur oses -
DatL: % �® Sign re (Applicant or Agentl:
Application Number. . . . . . 08-00000619
Permit . . . MECHANICAL INV FEE
Additional desc .
Permit Fee 85.00 Plan Check Fee
10.63
Issue Date Valuation . . . .
0
Expiration Date 10/14/08
Qty Unit Charge Per
Extension
BASE FEE
30.00
1.00 22.0000 EA MECH FURNACE >100K
22.00
1.00 33.0000 EA MECH B/C >3-15HP/>100K-500KBTU
33.00
----------------------------------------------------------------------------
Special.Notes and Comments
INSTALL ROOF MOUNTED 4 TON AC UNIT.
INVESTIGATION FEE ASSESSED PER 1997
UNIFORM ADMINISTRATIVE CODE§304.5 FOR
WORK BEGUN WITHOUT BUILDING PERMIT.
Fee summary Charged Paid Credited
Due
Permit Fee Total 85.00 .00 00
85.00.
Plan Check Total-_ 10.63 .00 .00-
10.63
Grand.Total 95.63 .00 .00
95.63
LQPERAIIT
PrqjProjectTitle Date
ProjectAddr6ss
Building Permit N
Documentation Author Telephone Plan Ched /Date
Field Cheek / Date
Compliance Method (Prescriptive) Climate Zone
Enforcement Agency Use Only
✓ El Alternative Component Package Method: (check one) C 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)/
:Average Ceiling Height. ,,0 ft
.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)
0 Building Type: (check one or more)�Single Family _�. Multifiimily Addition Alteration
(-If adding fenestration fill out WS -4R, Fenestration Maximum Allowed'Area.Worksheet and see Section 832
for Additions* and 8.3.3 for Alteration!s)
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).
✓ 1TRADL4NT BARRIER (required-in-climate-zones2,-4.8-15)
OPAQUE SURFACES INCLUDING OPAQUE DOORS
'i-
Component
Type (Wall,
Roof, Floor,
Slab Edge,
.Doors)
.
Frame
Type
(Wood
or Metal)
: .. . . Assembly U -
factor (for
Cavity Continuous wood, metal
Insulation Insulation fi-iiine and mass
R -Value R -Value assemblies )
Joint
Appendix
IV
Reference
Roof Radiant '
Barrier Location/Comments
Installed (attic, garage,
Yes or NO typical, etc.)_
1) See Joint Appendix IV in Section IV.2, IV.3 and JVA, which is the basis for the U! -factor criterion. U-f4ctorscan not
exceed prescriptive value. to show equivalence to R -values.
Residential Compliance Forms
March 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 4) CF -1R
�) ^ ----- -
Project Title Dat
FENESTRATION PRODUCTS — U -FACTOR AND SHGC
✓ ❑ FENESTRATION MAXIMUM ALLOWED. AREA WORKSHEET WS4R —must be included for New Construction,
Additions and Alterations.
Fenestration
#/Typelpos.
.(Front, Left, Orien-
Rear, Right, tation, Area U -factor
Skylight) N, S E, W' (fez) U-factor2 Source3. SHGC'
Exterior
Shading/Overhangs6,'
SHGC ✓ box if WS -3R is
Sources included
El
10,
El
❑
13.
i) atcyugms are now mctuaea m west-tacmg renesuanon area it the sky�gtits 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 116A,
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 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
furnacc heat Pump,boiler etc.
Minimum Distribution
Efficiency Type and Location Duct or Piping Thermostat Configuration
AFUE.orHSP duds attic etc. R-Valuelit or e
�z
10,
Cooling Equipment
Type and Capacity
A/C heat punip,eva .cooli
Minimum
Efficiency Duct Location Duct Thee Configuration
SEERorEER attic etc. R -Value Type lit or. S e
10,
Residential Compliance Forms March 2005
r,
t
CERTIFICATE OF COMPLIANCE: RESIDENTIAL
Project Title
3 of 4) C:V
Dat
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
renuired_
Sealed Ducts all climate zones Installer testing and certification and' HERS rater field verificationrequired.)
TX
Vs, readily accessible (climate zones 2 and 8-15 only)
(Installer testing and certification and HERS Rater field verificationrequired.).
e`.ngerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verificationrequired.)
OR
O Alternative to Sealed Ducts and Refrigerant Charge /TXVs.(See Package D Alternative Package Features for
Project Climate Zone in the RM Appendix B Table 151-0, Footnotes 7-14.
For additions and alterations, dud 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 T F..R UV A TYNG gVCTRMR
Svstems serving single dwelling units
Water Heater
Type/Fuel Type
Distribution
Type
Number
in System
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per
0
dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is
Standby]insulation
%
not allowed.
0
Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential
Manual. No water heating 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
0
Alternative Water Heating table. In.this case, the Performance Method must be used and must be included in the
submittal.
0
Check box to verify thata time control is required for a recirculating system pump for a system serving multiple .
units
Svstems serving single dwelling units
Water Heater
Type/Fuel Type
Distribution
Type
Number
in System
Rated Enemy Tank
ITank Factor or External
aci Thermal Standby' Insulation
(kW orFty
Bw'hr) (gallons) Efficiency.Loss % R -Value
• Tank
Capacity
uons
Energy
Factor' or
Thermal.'
Efficiency,Loss
Standby]insulation
%
Tank .
External
_R -Value
Svstem servinu multinle dwellinv unite
Water Heater
Type
Distribution
Type
Number
in System
Rated
Input
(kW or
BuAr
• Tank
Capacity
uons
Energy
Factor' or
Thermal.'
Efficiency,Loss
Standby]insulation
%
Tank .
External
_R -Value
1. For smau 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.
Pipe Insulation. (kitchen lines >_ 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that 'are /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 March 2005
lA
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 46f 4) CF -IR
Project 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
nrescrintive method -
SPECIAL FEATURES REOUIRING HERS 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 applicable)
Description
❑
Metal Framed Walls
CF -IR
Refrigerant Charge
❑
Radiant Barriers
CF -1R
CF -:6R part 6 of 12
❑
Exterior Shades
WS -4R
❑
Cool Roof
N/A; Attach CRRC Label to
Forms.
❑
Dedicated Hydronic Heating
Performance Calculation
System
Required; Attach Run to Forms.
❑
Combined Hydronic System
Performance Calculation
R uired; Attach Run to Forms.
❑
Gas Cooling
Performance Calculation
Required.
❑
Buried Ducts
N/A; Indicate on building plans.
❑
Kitchen'Pipe Insulation
See Section 5.6.2 Distribution
Systems in Residential Manual.
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
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
See Table 5-13 or use
❑
Instantaneous Gas Water Heater
Performance Calculation and
attach Run to Forms
See Table 5-13 or use
❑
Solar Water Heating System
Performance Calculation and
attach Run to Forms
❑
Wood Stove Boiler
Performance Calculation and
attach Run to Forms
SPECIAL FEATURES REOUIRING HERS RATER VERIFICATION
(add extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need
verification_
`Residential Compliance -Forms
March 2005
Feature
Required Forms if applicable)- - Description
❑
Duct Sealing
CF -6R part 4 of 12
❑
Refrigerant Charge
CF -6R part 5 of 12
❑
Thermostatic Expansion Valve
CF -:6R part 6 of 12
`Residential Compliance -Forms
March 2005
--
Bin #
t
Permit #
oq
City of La. Quinta
Building U Safety Division
P.O. Box 1504,78-495 Calle Tampico
U Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: `�G
Owner's Name: "
A. P. Number.
Address:Liz zz r
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
Address:G _
Project Description:
City, ST, Zip:
Telephone:
State Lie. #:
City Lic.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lit. #:
Name of Contact Person:
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: - 0;5)
APPLICANT: DO NOT WRITE BELOW THIS UNE .
#
Submittal
Req'd -
Ree.'d
TRACIMG _
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed; ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Floodplain plan ,.
Plans resubmitted
Mechanical
Grading. plan'
Z" Review, ready for eorrectioas/usae
Electrical
Subcontactor.List
Called Contact Person
Plumbing
GranfDeed
Pia n§,picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
''' Review, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. App
Date of permit issue
School Fees
Total Permit Fees