08-0842 (RER)4
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/14/08
Application Number: 08-00000842 Owner:
Property Address: 44090 CAMINO LA CRESTA DAMICO ANTHONY P
APN: 604-180-023-12 -24517 - 44090 CAMINO LA CRESTA
Application description: REMODEL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL (
Application valuation: 7000 ✓ Q
Contractor:
Applicant: Architect or Engineer: POLAR BARR AIR CONDITIO NC
41921 BEACON HILL STE C MAY 142008
PALM DESERT, CA 92260 C1ri
(760)3o46.-:57529 FINgH A QU/NT
LiC. N 22201 CEDEpt. A
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 Busi a and Professionals Code, and my License is in full force and effect.
License Class:
C20 _License No.: 722201
Date: 6-/l6Contractor: ,_V_/
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 ($5001.:
1 _ 1 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 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:
LQPER111IT
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 STATE FUND . Policy Number 0026049-2007
_ 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 shcpNbecome subject to the workers' compensation provisions of Section
37700 of the Labor o shall forthwith
/comply with those provisions.
Applicant: SJV N
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 1$100,0001. 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 th ove information is correct. I agree to comply with all
city and county ordinances and state laws relating to buil ing construction, and hereby authorize representatives
of this county to enter upon the above-mentioned proptirtl J, inspection purp ses.
Date: Sign/atu�re (Applicant drA�gentl:
� � V
Application Number . . . . . .08-00000842
Permit . . .
. . MECHANICAL
Additional desc
.
Permit Fee . .
. . 33.00
Plan Check Fee
8.25
Issue Date . .
. .
Valuation . . .
. 0
Expiration Date
. . 11/10/08
Qty Unit
Charge Per
Extension
BASE
FEE
15.00
1.00
9.000'0 EA MECH
FURNACE <=100K
9.00
1.00
----------------------------------------------------------------------------
9.0000 EA MECH
B/C <=3HP/100K BTU
9.00
Permit . .
. . PLUMBING
Additional desc
. .
Permit Fee
22.50'
Plan Check Fee
5.63
Issue Date
Valuation . . .
. 0
Expiration Date
11/10/08
Qty Unit
Charge Per
Extension
BASE
FEE
15.00
1.00
7.5000 EA PLB
WATER HEATER/VENT
7.50
----------------------------------------------------------------------------
Special Notes and
Comments
HVAC CHANGEOUT
FURNACE /. COIL/ CONDENSER
WATER HEATER CHANGEOUT TO TANNKLESS/GAS
Fee summary
--- L -------------
Charged
Paid Credited
Due
Permit Fee Total
---------- ----------
55.50
---------- ----------
.00 .00
55.50
` Plan Check Total
13.88
.00 .00
13.88
Grand Total
69.38
.00 .00
69.38
LQPERA11T
1 - -
• si"#
City of La Quinta
Building 81 Safety Division
P.O. Box 1504, 78-495 Calle Tampico
U Quitita, CA -92M - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:
Owner's Name: tj 4 w
A. P. Number:
Address: 440,10 Ct.vYt U%v.,0 CL GY1Q:,�)-f.o
Legal Description:
City, ST, Zip: i a-c�
Contractor: �O �rY ���Y L, .:
Telephone:
Address: _ { 1 2.1 . �jEsac �rn
, 6
Project Description. QN1 o
City, ST, Zip: Cc". *--I Zz (Q p
%a C t1 CL C. e
C (Z i
Telephone:
State Lic. # :
Arch., Engr., Designer:
City Lic. #:
Address:
City, ST, Zip:
Telephone:
State Lib. #:
Construction Type: Occupancy:
Project type (circle one): 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 UNE ..
#
Submittal
Req'd
Rec.'d
TRACIMG •
PERMIT FEES
Plan Sets
Pian Check submitted
Item
Amount
Structural Cala.
Reviewed; ready for corrections
Plan Check Deposit
Truss Cities.
Called Contact Person
Plan Check Balance
Energy Cales.
Plans picked up
Construction
Flood plain plan,
Plans resubmitted
Mecbanical
Grading.plan•
rl Review, ready for corrections fissue
Electrical -
Subcontactor List
Called'Contact Person
Plumbing
Graut'Viced
Plan§•picked up
S.M.I.
H.OA. 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. App.r
Date of permit issue
School Fees
Total Permit Fees
I115"WI MY1-+ A TL' d VV d"d- ANDT. Y.A 'KTt-1V . n V QYT1T'i XTTY A Y
CF -IR
D entati uthor Telephone
Plan Check / Date
G iVl J2 Sad b r►a1 Pfd/ l6o. -sq-Zr. %;?m Field Check /Date
Compliance Method (Prescriptive) Climate Zone Enforcement Agency Use Only
J 0 Alterative 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) if Average Ceiling Height: ft
Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 — (5% X CFA) ftZ
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-0 _ (20% X CFA) ft
✓ O Building Type: (check one or more)__L 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 Dwelling Units:
Floor Construction Type: SI_ Rai
Floor (circle one or both).
Front Orientation: Notch oath / 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
Type (Wall,
Roof, Floor;
Slab Edge,
Doors)
Frame
Type.
(Wood
or Metal)
Assembly U -
factor (for
Cavity Continuous. wood, metal
Insulation Insulation frame 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 ADnendix IV in Section IV2 IV3 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 C�tJw�r
EVRQ
9
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of4) CF -1R
Project Title r'j Date
FENESTRATION PRODUCTS -_U-FACTOR AND SHGC
❑ FENESTRATION MAXIMUM ALLOWED. AREA WORKSHEET WS-4R—must be included for New Construction,
Additions and Alterations.
Fenestration
#/TypelPos.
.(Front, Left, Orien-
Rear, Right, talion, Area U -factor
Skylight) N, S, E, W' (f?) U -factor' Source; SHCVd
Exterior
Shading/OverhangsC7
SHGC ✓ box if WS -311 is
Sources included
PL Icx� ze6
- A- L,
.
O
13
11
7
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 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 -3F_
5) 'ln(Jicate source either from NERC or Table 116B.
6) Shading Devices are.defined in Table 3-3 in the Residential Manual and see WS -311 to calculate Exterior Shading devices.
7) See Section 3.2A. in the Residential Manual.
HVAC SYSTEMS
Heating Equipment Minimum
Type and Capacity Efficiency
)seat pumpi boiler, etc. AFUE.orHSP
Distri ution
Type and Location Duct or Piping Thermostat Configuration
duds aWc, etc. R -Value it of e
PL Icx� ze6
- A- L,
Cooling Equipment Minimum
Type and Capacity Efficiency Duct Location Duct Thermostat
A/C beat punip,eva-coolin SEER or EER(attic,etc. R -Value Type
Configuration
lit or e
±;.31_4464 prK itt rZ
Residential Compliance Forms March 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3_ of4) CF -1R
Project Title Date-
-DAM vt/u
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
b Alternative to Sealed Ducts and Refrigerant Charge fMs.(S.ee.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
sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the
Residential ACM Manual and duct systems with more than40 linear feet in unconditioned
spaces shall meet the requirements of Section 150(m) and duct insulation reauireanents of Package D.
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 Watei Heating table, Table 5-4 in Chapter Sin the Residential
Manual. No water heating calculations are reggired,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
submittal.
Check box to verify that 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
Distribution
a
Energy Tank
Input' Tank Factor or External
Number Ow or Capacity Thermal Standby' Insulation
in System ' Bndhr Ions Efficiency Loss % R -Value
Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required.
Energy
Factor' or
Thermal.'
Efficiency,Loss
TXVs, readily accessible (climate zones 2 and 8-15 only)
(Installer testing and certification and HERS Rater field verificationrequired.).
. Tank .
External
Insulation
—R -Value
Refrigerant Charge.(climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verification r uired.
OR
b Alternative to Sealed Ducts and Refrigerant Charge fMs.(S.ee.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
sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the
Residential ACM Manual and duct systems with more than40 linear feet in unconditioned
spaces shall meet the requirements of Section 150(m) and duct insulation reauireanents of Package D.
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 Watei Heating table, Table 5-4 in Chapter Sin the Residential
Manual. No water heating calculations are reggired,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
submittal.
Check box to verify that 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
Distribution
a
Energy Tank
Input' Tank Factor or External
Number Ow or Capacity Thermal Standby' Insulation
in System ' Bndhr Ions Efficiency Loss % R -Value
• Tank
Capacity
lions
Energy
Factor' or
Thermal.'
Efficiency,Loss
dl
. Tank .
External
Insulation
—R -Value
System serving multiple d elling units
Water Heater :
Distribution Number
Type in System
Input
(kW or
- Badhr '
• Tank
Capacity
lions
Energy
Factor' or
Thermal.'
Efficiency,Loss
Standby
%
. Tank .
External
Insulation
—R -Value
1. For small 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.
giUe InS- ulati0q(kitchen lines 2:3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are 3/a
inches or greater in diameter shall be thermally insulated as specified by Section 150 (l) 2.A or 150 6) 2 B.
Residential Compliance Forms March 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 4) ` CF -1R
Project Title Date
SPECIAL FEATURES NOT RE.OUIRING 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 REOLTHUNG 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 Was
CF -1R
❑
Radiant Barriers
CF -IR
❑
Exterior Shades
WS4R
❑
Cool Roof
N/A; Attach CRRC Label to
Forms.
Dedicated Hydronic Heating
Performance Calculation
stem
R uired; Attach Run to Forms'. .
❑
Combined Hydropic System
Performance Calculation
R uired. Attach Run to Forms.
❑
Gas Cooling
Performance Calculation
R uired.
❑
Buried Ducts
N/A; Indicate on building plans.
❑
Kitchen Pipe Insulation
See Section 5.6.2 Distribution
S stems 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
-IR
CF -1R
CF.
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 REOLTHUNG 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 dapplicable) Description
❑
Duct SealingCF-6R
art 4 of 12
❑
Refrigerant Char a
CF -6R art 5 of 12
D
Thermostatic Expansion Valve
CF -6R part 6 of 12
`Residential Compliance.Forms
March 2005