07-3161 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA; CALIFORNIA 92253
Application Number: 07-00003161
Property Address: 44430 BLAZING STAR TR
APN: 604-0817038-75 -22982
Application description: MECHANICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 5000
Applicant:
A
Tiht 4 4 a"
Architect or Engineer:
1 k
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.: 619091
Date: 1l 1 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 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 (5500).:
(_ 1 1, 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 1, 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 contractorls) 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
1 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:
LQPERN11T
Owner:
BANBURY RESIDENCE
44430 BLAZING STAR
LA QUINTA, CA 92253
( I
Contractor:
PALOMA AIR CONDI
P.O. BOX 3501
PALM DESERT, CA
(760)347-1212
Lic. No.: 619091
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
DEC 17 2997
MIR �14
Date: 12/17/07
WORKER'S COMPENSATION DECLARATION
I 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 ENDURANCE WRKR Policy Number WEN000141802
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 f ohe Lab¢ Code, I shall forthwith comply with those provisions.
� 7
n
D _ ate: ,� Applicant:
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 en=e ion he above-mentioned property for inspection purposes.
Date: _ L Signatu (Applicant or Agent
l
i
c
LQPERMIT
Application Number
07-00003161
Permit . . .
MECHANICAL
Additional desc .
Permit Fee
33.00
Plan Check Fee
8.25
Issue Date . . . .
Expiration Date
,
6/14/08
Valuation
0
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
REPLACE 1 (4) TON 14
SEER AIR
CONDITIONIN AND HEAT
SYSTEM .
Fee summary Charged
---------------------------
----------
.Paid Credited
Due,
Permit Fee Total
33.00
--------------------
.00 .00
33.0.0
-
Plan Check Total
8.25
.00 .00
8.25
Grand Total
41.25
.00 .00
41.25
1
r.
'T"
RTIFICATE OF COMPLIANCE:.*RESIDENTIAL
;t Title
.11 if
C A-..-2-
Paget of 4) CF -IR
Date
Building Permit I
IN—
►
Documentation Author Telephone
Compliance Method (Prescriptive) qiniate zone
Enforrement Agency Vx Only
11 Alternative Component Package Method: (check one) C D D (Alternative)
Package C and Package D choices require HERS mer field verification and/or diagnostic testing (see CF -IR page 3).
For Package D Alternative see Appendix.13 Table 151-CFo6Wtcs 7-14
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) �_��(fe Avm
ge CeilingHe. ight:
Maximum Allowed West Facing Fenestration Products Pei Table 151-6 or 151-C— (5'% X CFA) ft2,
Maximum AllowedTotalFenestration Prod cts P Table 151-B or 151-0 — (200% X
rr Qu CFA) fe
✓ 11 Building Type: (check one or more) ;, 7--rSingl
eFanuly_�Multitarnily—Addition Alteration
(If adding fenestration fill out WSAR, Fenestration Maximum Allowed Area.Woricshea and
see Section 932
for Additions and 83.3 for. Alteration , s.)
Number of Stories- Number of Dwelling Units:
..Floor ConstType: Slab/Raised Floor (circle one or both)
Front Orientation*. :JNorth South East/ West /All Orientations (input front orientation in degrees from True
North and circle one).
V El
RADIANT BARRIER (required. in climate zones 2,4.8-15)
OPAQUE SURFACES INCLUDING OPAQUE DOORS
Component Assembly LJ -
Type (Wall Frame factor (for joint Roof Radiant
lk6of, Floor.Type' Cavity Continuous. Wood, mew Appendix' Barrier Locatiqn/Conunents
Slab Edge, (Wood Insulation Insulation frame and mass IV Installed (attic, garage,
Doors) or Metal R. -Value R -Value. assemblies)' Reference -Yes or No typical, etc.)
1) See Joint Appendix IV in Section IV -2, IV -3 and IVA'Yalicit is the basis for the Wadtor diterion. U -factors can not
exceed prescriptive value to show equivalence to R -values.,
Residential Compliance Forms March 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 204) CF -1R
L co r�e -� -tom A, VA �i'UVv - to
Project Title Date
FENESTRATION PRODUCTS —U -FACTOR AND SHGC
❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WSAR-;must be included for New Construction,
Additions and Alterations.
Fenestration
#/TypelPos.
(Front, Left, Orien-
Rear, Right, tation, Area U -factor
Skylight) N, S, E, Wt (ft) U -facto j-2 Source] SHGC°
Exterior
Shading/Overhangs6.7
SHGC box if WS -3R is
Sources included
PL 4 O
• 't- Vp
o
El
❑
El.
El
i) i>Kyugnis are now urctuoeu to w esL-racing ienesrranon area it the sicylrghts are tilted to the west or tilted to any direction
when the pitch is less than 1:12. See § 1.51(t)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 oradjusted SHGC from WS -3R.
5) Indicate source either from NFRC or Table 11613'
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
Type and Capacity Efficiency.
fiunace heat Rm boils etc: AFUE or HSP
Distribution.
Type and. Location Duct or Piping Thermostat Configuration
ducts attietc. R -Value 1),pe (Split-pae
PL 4 O
• 't- Vp
o
Cooling Equipment Minimum
Type and Capacity Efficiency. Duct Location Duct Thermostat
A/C heat punip,eva ,.cooli SEER or EER attic etc. R -Value Type
Configuration
(split or package)
Ge—
ID t l
Residential Compliance Forms March 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF -1R
' L co
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
reauir•eci_
�n
b Alternative to Sealed Ducts and Refrigerant Charge 1'TXVs.(See Package D Alternative Package Features for
Project Climate Zone in the RM Appendix B Table I5I-C, Footnotes 7-14.
AD
For additions and alterations, dud systems that are not documented tohave 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 requirements of Section 150 m and duct insulation r uirements of Package D.
WAJUL•K HEXULNG SYS'YEMS
Rated
Distribution .Number, (W or
Type in System Bw/hr
Enemy
Tank Factor or
Capacity Thermal
Ions . Efficiency
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per
Er Sealed Ducts all climate zones installer testing and certification and HERS rater field verificationrequired.)
dwelling unit. If the water heater is a storage type, 50'gallons is the maximum capacity and recirculation system is
Standby
Loss %
Vs, readily accessible (climate zones 2 and 8-15 only)
nstaller testingand certification and HERS Rater field verification r uired.
❑
Check box when using Preapproved Alternative Water Heating table, Table 5-4 in.Chapter 5 in the Residential.
❑ Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verification required.)
Manual. No water heating calculations are required,and the system complies automatically.
�n
b Alternative to Sealed Ducts and Refrigerant Charge 1'TXVs.(See Package D Alternative Package Features for
Project Climate Zone in the RM Appendix B Table I5I-C, Footnotes 7-14.
AD
For additions and alterations, dud systems that are not documented tohave 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 requirements of Section 150 m and duct insulation r uirements of Package D.
WAJUL•K HEXULNG SYS'YEMS
wstemc servmv sm¢le Awellinv units
Water Heater
Type/Fuel Type
Rated
Distribution .Number, (W or
Type in System Bw/hr
Enemy
Tank Factor or
Capacity Thermal
Ions . Efficiency
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
Standby
Loss %
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 system complies 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
EE
submittal.
❑
Check box to verify thata time control is required for a recirculating system pump for a system serving multiple .
units
wstemc servmv sm¢le Awellinv units
Water Heater
Type/Fuel Type
Rated
Distribution .Number, (W or
Type in System Bw/hr
Enemy
Tank Factor or
Capacity Thermal
Ions . Efficiency
Tank
External
Standby' Insulation
Loss % R -Value
Tank
Capacity
auons
Energy
Factor' or
Thermal
Efficiency
Standby
Loss %
'Tank
External
Insulation
R -Value
System serving multiple dwellin units
Water Heater
T'yp&
Distribution
Type
Number
'in System
Rated
Input
(kw or
BU,/hr)
Tank
Capacity
auons
Energy
Factor' or
Thermal
Efficiency
Standby
Loss %
'Tank
External
Insulation
R -Value
EE
1.*
T
I
1. For small gas storage water heaters (rated inputs of less than or equal to 75,000 1340hr), 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 3/e
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
CERTIFICATE OF COMPLIANCE: RESIDENTIAL
4-11; 1 T'
LAV r -t 1. I `-i "J U M. 'J v vS- W r
ct Title Date
SPECIAL FEATURES NOT REQUIRING ITERS 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
Drescriotive method.
✓
Feature
Required Forms if applicable)
Description
❑
Metal Framed Walls
CF -1R-
Refri erant Charge
0
Radiant Barriers
CF -1R
CF=613, part 66f 12
❑
Exterior Shades
WS -4R
❑
Cool Roof.
N/A; Attach CRRC Label to
Forms.
❑
Dedicated Hydronic Heating
Performance Calculation
stem
Required; Attach Run to Forms.
❑
Combined Hydronic System
Performance Calculation
Required; -Attach Run to Forms.
❑
Gas Cooling
Performance Calculation
Requi red.
❑
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
[3
DwellingUnit
Performance elation and
attach Run to Forms.
0.1
Central Water Heating System
Performance Calculation and
Serving Multiple Dwellings
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 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 .
El
Wood Stove Boiler
Performance Calculation and
attach Run to Forms
SPECIAL FEATURES REQUERING HERS RATER VERIFICATION
(add extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need
verifiratinn-
d
Feature
Required Forms mf a livable Description
El
Duct Scaling
CF -6R part 4 of 12
❑
Refri erant Charge
CF -61Z part 5 of 12
❑
Thermostatic Expansion Valve
CF=613, part 66f 12
Residential Compliance Forms March 2005
Bin #
City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
�j
Project Address:' U s
Owner's Name: o VAA 2 V
A. P. Number:
Address: qM V 3
Legal Description:
City, ST, Zip: C^ C&-
Contractor: Q Q �Q
Telephone: ,�'
Address: ?J Q1
Project Description:
City, ST, Zip: T v\ -t 1 b C Z -z C/
Telephone: 7X 0 3 Y-1 I —L
fA to
State Lie. # : Q City Lie. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #:
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: '1 d 07
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 corrections/issue
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 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
r - *z—