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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