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07-2599 (MECH)4 P.O. BOX 1504 VOICE (760) 777-7012 ,r78-495 CALLE TAMPICO j FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Application Number: 07-00002599 Property Address: 80659 CHERRY HILLS APNt I 775-132-008- - - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 10.000 Applicant: Architect or Engineer: a - � n ----------------- 7 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed underreelISI�rSs'D(�:hapter 9 (commencing with Section 70001 of Division 3 of the'Busiriess and Professi ode, and my Li erase Is in full and effect. License Class: C2000 License No:: 87 703 Dat-6115;M1ContrZ OWNER -BUILD ,DECLARATION I hereby affirm under penalty of perjury that I am exempt from Contractor's State License Law for the following reason (Sec. 7031.5; Buimess: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 permititofile+a signed statement that he or is licensed pursuantto 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 anyapplicant for a' permit -subjects -the applicant to a civil penalty ofnot more than five hundred dollars (5500):: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the,work, and the structure it 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 orimproves thereon, and who does the 'work himself or hersetf through his or her own employees, .provfded' that the improvements;are not intended or offered for sale. If, however, the building or improvement is sold within one.yearof completion, the owner -builder will have the burden of proving that he or she -did not build or improve for the purpose of safe.). (_) 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' StateUcense Law.). 1-1 I am exempt under Sec. B.&P.C. for this.reason Data: 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: LQPERMPP Owner: CALVERT RESIDENCE 80-659 CHERRY HILLS LA QUINTA, CA 92.253 Contractor: CR FRIEND LD TOLLEY P.O. BOX 12100 PALM DESERT, CA 9225 (760)3'46-0434 Lie. No.: 872703 Date: 9/25/07 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 permivis issued. = I heve.and'Will maintain workers' compensation insurance; as required by Section 3700 of the Labor Code, for the performance of f the work for which this permit is issued. My workers' compenss_tion insurance carrier and policy number are: Carrier TRUCK INS EXCH Policy,Number A01109S91 _ I certify that; in the performance of the work for which rm sued, I shall not employ any person inany'manner so.as to become subject workers' co nation laws of California, and agree that, if l should become su ' the workers' compe5iationprovisions of Section 3700 of the Labor,C all fo comply with those pr isions. Date: Applicint L WARNING: FAILURE TO SECURE -WORKERS' COMPENSATION C ERAGE IS,UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL ESUPTO 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 alpermitsubject 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 OuintaJts 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 at issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify thafl have read this applicationsand-state that the above information is come ree to cont with:all city and county ordinances and state laws relating to building constructio a y'authoriza rept ntatives /> ofthiscounty.to en7rt terupon the above-mentioned propey.ior- c ' aces. Date -.5; _ Signature (Applicant or AgeitH:� - Application Number . . . . . 07-00002599 Permit . . . MECHANI_CAL Additional desc . Permit Fee . . . . 48.00 P1an.Check Fee 12.00 Issue Date . . . Valuation . . . . 0 Expiration Date ._ 3/23/08 Qty. Unit -Charge Per Extension BASE FEE 15.00 2.00 16.5000 EA MECH B/C'>3-15HP/>100K-500KBTU 33.00 ------------------------ ---------------------------------------------------------- Special Notes and Comments REPLACE (2,) EXISTING PACKAGE HEAT/AC UNITS, ENERGY FORMS PROVIDED. Fee summary Charged --------- Paid. Credited Due - --- - - -- Permit Fee Total 48.00 ------------- ---- .00 .00 48.00 Plan Check Total 12.00 .00 .00 12.00 Grand Total 60.00 .00 .00 60.00 LQPERMT CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Pagel of 4) CF -IR M Documentation a, Telephone Compliance..Method'(Prwcriptive) Climate Zone Date Building Permit # Plan Check / Date Field Check / Date Enforcement Agency Use Only 13 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)fl2 Average Ceiling.Height: ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 15.1-C -- (5%.X CFA) fig Maximum Allowed Total.Fenestration Products Per Table 151-B or 151-C -_ (200A X CFA) R ❑ 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 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 (inputfiont.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 Type (Wall, Roof;. Floor, Slab Edge, Doors) Frame Type (Wood or Metal) Assembly U- factor (for Joint Cavity Continuous wood, metal Appendix Insulation Insulation frame and mass IV R; Value R -Value assemblies)' Reference Roof Radiant Barrier Installed Yes or No . Location/Comments (attic, garage, typical, etc. 1.) See Joint Appendix IV in Section JV -2, IV.3 and IVA which is:the basis for the U -factor criterion. U-fbctors can not exceed prescriptive value to show equivalence to R -values. Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 ON) CF -1R Project Title Date FENESTRATION PRODUCTS —U-FACTOR.AND SHGC FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -411 -must be included for New Construction, Additions and Alterations. Fenestration #lTypelPos. (Frons, Left, Orien- Rear, Right, talion, Area U -factor Skyli&tj N, S E; W' f2? U -factory Sour=3 SHGC SHGC' Sources Exterior Shading/Overhangs� � ✓ box if WS -3R is included to 13 13 ❑. 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 3.23 of the Residential Manual 2) Enter values in this column are. either NFRC Ratted 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 we WS -3R to calculate Exterior Shading devices. 7) See Section 3.2A in the Residential Manual. HVAC'SYSTEMS Heating Equipment Minimum Distribution Type and Capacity Efficiency Type and Location. Duct or Piping. Thermostat heat boler, etc. AFUE or HSP duds awr, etc. R -Value TYpe Configuration lit or 2 to Duct Location %'✓i ce/ 1 % adi'1:<I�i/ —/ �� /GL =.— 2 Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE; RESIDENTIAL (Page 3 of4) CF -IR Project Title 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 required'. OR O Alternative to Sealed Ducts and Refrigerant Charge fMs: (See Package D Alternative Package Features for Project Climate Zone in'the RM Appendix B Table I5I-C, Footnotes 7-14. OR 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 and duct systems with more than 40 linear feet in unconditioned spaces shall meet the r uirements �of Section 150(m) and duct insulation requirements of Package D. WATER SEATING SYSTEMS Distribution Type ❑ Sealed Ducts, all climate zones Installer testing -and certification and HERS rater field verificationrequired.) E3 TXVs, readily accessible {climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verificationrequired.) ❑ Refrigerant 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 fMs: (See Package D Alternative Package Features for Project Climate Zone in'the RM Appendix B Table I5I-C, Footnotes 7-14. OR 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 and duct systems with more than 40 linear feet in unconditioned spaces shall meet the r uirements �of Section 150(m) and duct insulation requirements of Package D. WATER SEATING SYSTEMS Systems serving single dwelling units Water Heater Type/Fuel Type Distribution Type Rated Enemy Inpue Tank Factor or Number (Wer 'Capacity Thermal 'inSystem- Bwlhr ions Efficiency Check box if system meets criteria of a "Standard" system. Standard system.is one gas-fired water beater per E3 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 heating calculations are required, and .the' sterntom lies automatically. Check box if system does not meet criteria of "Standard" 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 verifythat-a time control 'is required for a recirculating system' pump for a system serving multiple . units Systems serving single dwelling units Water Heater Type/Fuel Type Distribution Type Rated Enemy Inpue Tank Factor or Number (Wer 'Capacity Thermal 'inSystem- Bwlhr ions Efficiency Tank External Standby Insulation Loss V% R -Value Enetpy Factor or Thermal - Standby' Efficiency- Loss NO Tank External Insulation -R-Value System serving multiple dwelling units Water'Heater Type Distribution Number in`System Rated i Tank (kW m amity BVA tons Enetpy Factor or Thermal - Standby' Efficiency- Loss NO Tank External Insulation -R-Value 1. For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electricresistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/lu), 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 fiom the heating source to the kitchen fixtures that am % inches or greater in diameter shall be thermally insulated as specified by Section 150 G) 2 A or 150 (j) 2 B. Residential Compliance Forms I March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 4) CF -IR Project Title SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra. sheets if necessary) Indicate which special features are part of this project. The<lisf below only represents special features relevant to the nrescAntive method_ � Feature Required Forms, ifa licable Description ❑ Metal Framed'Walls CF -IR Refri erant.Charge '❑ Radiant Barriers CF -1R CF -6R part 6 of 12, ❑ Exterior Shades WS -4R ❑ Cool Roof N/A; Attach CRRC Label to Fors: ❑ Dedicated Hydronic Heating Performance Calculation SystemRequired; Attach Run to Forms. ❑ Combined Hydroma System Performance Calculation Required; Attach Run,to Forms. ❑ Gas Cooling Performance Calculation Requited. ❑ Buried Ducts N/A; Indicate on building,plans. D Kitchen Pipe Insulation See Section 5.6.2 Distribution Systems in Residential Manu_ al. Multiple Water Heaters Per See Table 5-13 or use ❑ Dwelling Unit Performance -Calculation and attach Run to Forms. ❑ Central Water Heating System -Dwellings Performance Calculation and Serving ;Multiple attach Run to Forms. ❑ Non-NAECA Large Water CF -IR Heater See Table 5-13 or use ❑ Indirect Water Heater Performance Calculation and attach Run to Forms See Table 543 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 REOU UNG 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 a iicabie Description ❑ Dud Sealing CF -61k part 4 of 12 ❑ Refri erant.Charge CF -6R part 5 of 12 ❑ Thermostatic Expansion Valve CF -6R part 6 of 12, Residential Compliance Forms March 2005 Bin # City of La Quinta. Building. 8i' Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quintal CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # if q.01 I I Project Address: ' Owner's Name: L A. P. Number: Address: & 6s� Legal Description: City, ST, Zip: Contractor:. C Telephone: Address: Aex 4,41432Project Description: City, ST, Zip: Telephone: 357r % State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Construction Type: Occupancy: Project type (circle on 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 LINE # Submittal Req'd Recd TRACMG _ PERMIT FEES Plan Sets Plan Cheek submitted Item Amount Structural Calcs. Reviewed, readyfor 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 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 eorrecdous/issue Developer Impact'Fee Planning Approval Called Contact Person M.P.P. Pub. Wks. Appr Data of permit issue School Fees Total Permit,Fees