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07-1126 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 07-00001126 46900 CAMEO PALMS DR 643-194-007-62 -2117 MECHANICAL LOW DENSITY RESIDENTIAL 7500 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: C//2��0License No.: 619091 ` Date: 4ljl/,� k!70Contractor: S-0- 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 ($500).: 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 _ 1 1 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: LQPERMIT Owner: SERRANO PATTY 46900 CAMEO PALMS DR LA QUINTA, CA 92253 Contractor: PALOMA AIR CONDITION P.O. BOX 3501 PALM DESERT, CA 9226 (760)347-1212 Lic. No.: 619091 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/16/07 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 WEN000141801 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 Codde,III shall forthwith comply with those provisions. Date:N� Applicant: �//K� •,- erA�f WAR ING: FAILURE TO SECURE/WO'RKERS' 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 enter upon the above-mentioned property forinspectionpurpposes Date: Signature (Applicant or Agentl: x�fJ//iV^ti 0 Application Number . . . . . 07-00001126 Permit . . . MECHANICAL Additional desc . Permit Fee . . 37.50 Plan Check Fee 9.38 Issue'Date Valuation . . . . 0 Expiration Date 10/13/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 ---------------------------------------------------------------------------- Special Notes and Comments NEW 5 TON 14 SEER UNIT WITH NEW THERMOSTAT Fee summary Charged Paid Credited Due ------------------------------------- Permit Fee Total 37.50 -------------------- .00 .00 37.50 Plan Check Total 9.38 .06 .00 9.38 Grand Total 46.88 .00 .00 46.88' LQPERNIIT D CFI� Bin # City of LA Quin Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ` ,, ��✓ Project Address: Owner's Name: CV1S A. P. Number: Address: Y6_—aw Legal Description: City, ST, Zip: Contractor: . It � Telephone: ? Address: 4t, Project Description: City, ST, Zip: Telephone: l City Lic. #: M, q0 1 y seer' 4i State Lie. # : ( Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lie. #: Construction Type: Occupancy: Project type (circle one): New Add'n . Alter Repair Demo Name of Contact Person: rmQ, f Sq. Ft: #Stories: # Units: Telephone # of Contact Person: (710 — '2 [ Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal . Req'd Reed TRACIONG . PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Coles. Reviewed, ready for corrections Plan Check Deposit Trans Cala. Called Contact Person Plan Check Balance Energy Coles. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading. plan V Review, ready for corrections/imue Electrical Subcoutactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Pians resubmitted Grading IN HOUSE:- ''� Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees wn,U CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 5) CF -1R Project Title ,.{ Date Building Permit # Project Address L /-S %� Qu r� z Z : Plan Check / Date Documentation Author Telephone �(dj) (� — �jd Z j Field Check / Date Compliance Method (Prescriptive) Climate Zone Enforcement Agency Use Onl ✓ 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 -1R page 3) For Package D Alternative see Appendix B Table 151-C Footnotes 7-14 C1- 4 11 -_-- IC! 1 Imo: Total Conditioned Floor Area (CFA) ft Average Ceiling Height: 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-C'---(20% X CFA) ftZ ✓ ❑ 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 8.3.2 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 (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 Cavity (Wood or Insulation Metal) R -Value Assembly U - factor (for wood, Continuous metal frame and Insulation mass R -Value assemblies Joint Appendix IV Reference Roof Radiant Barrier Installed Yes or No Location Comments (attic, garage, typical, etc. 1) See Joint Appendix IV in Section IV.2, IV.3 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 April 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 5) CF -1R Project Title I Date FENESTRATION PRODUCTS — U -FACTOR AND SHGC ✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R —must be included for New Construction, Additions and Alterations. Fenestration #/Type/Pos. Orien- (Front, Left, tation, Rear, Right, N, S, E, Area S li t W' ft' U -factor U -factor' Source' SHGC° Exterior Shading/Overhangs6 7 SHGC ✓ box if WS -3R is Sources included Thermostat Configuration Type (split or package) 13 l/r/LG; I 0 /O d f i c. , 2— ❑ 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 3.2.3 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 -31L 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 fumace, heat pump, boiler, etc. Minimum Efficiency AFUE or HSPF Distribution Type and Location Duct or Piping ducts, attic, etc. R -Value Thermostat Configuration Type (split or package) l/r/LG; I 0 /O d f i c. , 2— Cooling Equipment Type and Capacity (A/C, heat pump, evap. cooling) Minimum Efficiency Duct Location Duct Thermostat SEER or EER attic, etc. R -Value Type Configuration (split or package) Residential Compliance Forms April 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 5) CF -1R 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. ❑ Sealed Ducts all climate zones(Installer testing and certification and HERS rater field verification required.) ❑ TXVs, readily accessible (climate zones 2 and 8-15 only) Tank Capacity (galions) Installer testing and certification and HERS Rater field verification required.) ❑ Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verification required.) OR ❑ 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-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 requirements of Section 150(m) and duct insulation requirements of Package D. F7___1 A TER HEATING SYSTEMS Systems serving single dwelling units Water Heater Type/Fuel Type 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 Tank Capacity (galions) 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 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 Type Distribution Type Number in System Rated Input' (kw or Btuft) Tank Capacity (galions) Energy Factor' orExternal Thermal Efficiency Standby' Loss % Tank Insulation R -Value System serving multiple dwelling units Water Heater Type Distribution Type Number in System Rated Input' (kw or Btu/hr) Tank Capacity Dons Energy Factor' or 'Thermal Efficiency Standby Loss % 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. Pipe Insulation (kitchen lines > 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are % 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 April 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 5) CF -1R 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 represents special features relevant to the Prescriptive and Performance Method. ✓ I Feature Required Forms if applicable) Description ❑ Metal Framed Walls CF -1R CF -6R part 6 of 12 ❑ Radiant Barriers CF -1R ❑ Exterior Shades WS -4R N/A; Performance Calculation ❑ Cool Roof Required. Attach CRRC Label to Forms. ❑ Dedicated Hydronic Heating Performance Calculation System Required; Attach Run to Forms. ❑ Combined Hydronic System Performance Calculation Required; Attach Run to Forms. ❑ Gas Cooling N/A; 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 ❑ Performance Calculation and Dwelling Unit attach Run to Forms. ❑ Central Water Heating System Performance Calculation and Serving Multiple Dwellings attach Run to Forms. ❑ Non-NAECA Large Water CF -1R 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 ❑ Wood Stove Boiler Performance Calculation and attach Run to Forms SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION Ladd 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 ❑ Duct Seating CF -611 part 4 of 12 ❑ Refri Brant Charge CF -6R part 5 of 12 ❑ Thermostatic Expansion Valve CF -6R part 6 of 12 Residential Compliance Forms September 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 5 of 5) CF -1R Project Title Date COMPLIANCE STATEMENT This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. The undersigned recognizes that compliance using duct design, duct sealing, verification of refrigerant charge and TX -Vs, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business and Professions Code) Documentation Author Name: Name: Title/Firm: Title/Firm: Address: Address: Telephone: Telephone: License #: (signature) (date) (signature) (date) Enforcement Agency Name: Comments: Title Agency: Telephone: si ature / stain date Residential Compliance Forms April 2005