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07-1494 (MECH)P.O. BOX .1504 - 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA.92253 Application Number: -07=00001494 Property Address: 46414'- ROUDEL LN APN: 649-052-004-27 -2667 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 5000 Applicant: Architect or Engineer: 4 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 Tess and Professionals Code; and my License is in full force and effect. _ License CIss: C20 License'No.: 596456 ate:- ontractor: 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 ISec. 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 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, andwhodoes 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, 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 fur the prujeuts with a contractorls) licensed pursuant to the Contractors' State License Law.). 1 _ 1 I am exempt under Sec. B.&P:C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY - I hereby affirm underpenalty 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: DENISE GOOCH 46414 ROUDEL.LANE LA QUINTA, CA 92253 Contractor: J & J INCORPORATED P.O. BOX 966 PALM DESERT, CA 92260 (760)346-4477 Lic. No.: 596456 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/21/07 ----------------------------------------------- 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. V 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 VIRGINIA Policy Number WVS0001918801 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 hould become subject to the workers' compensation provisions of Section ' 700 of the Labor ode, I shall f thwith comply with those provisions. ate: , plicant: WARNING: FAILURE TO SECURE WO KERS' 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 applir,.atinn is made, each person at whose request and for whose benefit work is performed underor 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. certify that I have read this applicationand state that the above information is correct. I agree to comply with all city and c unty ordinances and state laws relating to bu• ding construction,. d hereby authorize representatives of thi /nty/t enter upon the above-mentioned prop. for inspection - rposes. ate. Vr I ture (Applicant or Agent): Application Number . . . . 07--00001494 Permit . . MECHANICAL Additional desc . Permit Fee . . . 33.00 Plan Check Fee 8.25 Issue Date Valuation . . . 0 Expiration Date 11/17/07 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/10.OK BTU 9.00 Special Notes and Comments REPLACE HEATING & COOLING SYSTEM.(15 SEER A/C, SPLIT HEATING SYSTEM) Fee summary Charged Paid Credited Due Permit Fee Total 33.00 .00 .00 33.00 Plan Check Total 8:25 .00 .00 8.25 Grand Total 41.25 .00 .00 41.25 �i�,A�}a"S�t�•f�•Yi'+,�'�^.;� �f 3.irf ��?.:ti iF }�, k; ��f't yf 1 t}` f t•;� C ry•'�t ��' K', `<�•R4 ,1r•.'}" t- = �'�},i+S, 1��-.v�4'7`�"�✓'��' tr''R'il., Gw °tr4J �i��'"�+ C; t' �' '• ! , !7.• !.. { A 2 k , a, !F `! / .� � , ./M, is,•y t %r<•t. }1,,S�,�A 2 t1TE^ FAC�;U LANCE RESIDENTIAL' a e�3 gf��4'ARM �C y .•• �� ;}�it.u"� �"j .+ r#, r , � y„� ;. ,. ,x �x ,,,•� j � �+• (�'t ;{ � °ii"r c�'"Ytt?? ly st>'i,'itD4 �'�a1�`. •k., 1j'j 1: + ” K..��`i �' •`'i'iw �'� .�'', , a , }` 1 :�tif- tT tr �` •l�;��., 4i'N- -; • y > i ! Yom' S (•YSY Y !';'` ' F " c'•P�y a'S» t'� r E BPro ect,TltleD$to{!y Pe / e.trY�'�m+,ly'.`�•d,`�i,�iV pf •i•w��tr • V•C�" / X37/U( U'\ 'T-i�it:,y'` �!, 'SEAL''E VC T. "n Vs or Alternative Measures i t / ;"A" slgded, F4R Forii�+mtu)l be`provided to the building department for each home for which the following are, req U�1 GU ;'� .(, ,�"'t�r•� {,1 y "f,*?'RJ (�aGjMih:'1'�41 ,.,r5' •Y . DRo • ':. Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Project Climate Zone in ft RM Appendix B Table 151-C, Footnotes 7-14. •. - .. Vol .13,--- Sealed DUcts. all;climate zones Installer testing and certification and HERS rater field verification re uired. `k,' ❑ 'TXV6, readily accessible'(elimate,zondO and 8-15 only) T';• ❑:, (Installerteiting 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.)'"", •Y . DRo • ':. Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Project Climate Zone in ft RM Appendix B Table 151-C, Footnotes 7-14. •. - .. Vol Rated Check boz if system meets criteria of a "Standard" system. Standard system is one gas-fired eater 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 Water Heating table, Table 5-4 in Chapter 5;ir. the Residential"'-: Manual. Not -water heating calculations are required, and the system complies automatically. .Tank Check box.if system does -not meet criteria of "Standard" system, and does not comply with the Pre approved ❑ Alternative Water Heating table:; In this case, the Performance Method must be ;used and 'must be included in Water Heater + submittal, `Y t ❑ Check box'to verify that a time control is required for a recirculating system pump•for a'systeru servifig.multipie' •. Capacity units;; �Cjj.'.', Y} 4 3 Systems servin 'sin le dwellin units`_.:*;' Rated Enemy _...' r ...._ "S stem'servinj'multi le dwellini _units i Rated �. • 'Enet+ " : Tank ! ' a z( r �.•' i " Tank Factor •or ' Input .Tank Factor or, � . External , Water Heater + Distribution Number �kw or •. Capacity ; Thermal x• i , .'Standby ; . hisuIaUon 4' T e/Fuel Type',' : T` e 'in System Btu/hr aeons `.Efficient ', ' Loss % - `1t=Value' t4 i , H j \. "S stem'servinj'multi le dwellini _units i I.,: For small. gas storage tt,puinpwwater heaters, inches or greater �mdituneter Residential Compliance Forti n 1 s zers,tratea inputs or less tnan..or•equai to,-75,Uu Faetor``:,For"large gas storage'waterheaters,.(re iX,tffftctenc ,Thermal Efficiency and •Staridb �trtlal Effci�encies. i'ft&b#AII hot water pipes from the heating`.sc rmallytuisulated es specified:byrSection 150t(j Mat Rated �. • 'Enet+ " : Tank ! ' a z( r �.•' i i Input, Tank Factor •or ' External Water Heater at' ,Di trlbuUoq Number ' • : Capacity `. `°eTheimal" 'Standby'. Insulation ` Type. s+ ; :: in stem . : •, BtuRir . Ions .. 'Efficient ` Loss % R -Value H j \. I.,: For small. gas storage tt,puinpwwater heaters, inches or greater �mdituneter Residential Compliance Forti n 1 s zers,tratea inputs or less tnan..or•equai to,-75,Uu Faetor``:,For"large gas storage'waterheaters,.(re iX,tffftctenc ,Thermal Efficiency and •Staridb �trtlal Effci�encies. i'ft&b#AII hot water pipes from the heating`.sc rmallytuisulated es specified:byrSection 150t(j Mat In MT N P MIN �K�M;�Nw 0,, Mp 49, -extra- E ,ATUREMNOTAEQUIRING HERS VERIFICATION. (add. she ts Tf'necessary hich qaw.w s this v project. ,The reprhe list below onlyints-soeciid''feat'uies"rel6v�t.t 6` F SPE&JAL UR9REQUIRINGHERS RATER VERIFICAT14 -�. -(add, sheets'if.Ilidicitti to the HERS Rater ,,.�hidii.credits ,are ,part .btthis n i -vecation. . Feature':, 'Requio.e'd Forms. if apolicabit) Discriodn:'I" Duct _,6aiing `CF-6R._part "4 of 12' Refrigerant Charge i;� .:CF -6R p`art 5 of 12. ❑ TbemostaticExpansio .V �MCMR-part 6of-12 Required Forms or applicable). Description M Metal Framed Walls'"' "CMR 0 Ridiant.BaiTiers CF -IR 0 'Exterior Shades WS -411 N/A; Attach CRRC Label to COP! Ro0' Forms. 13, DedicatedEydronic.'Reatin yerformance Calculation . S stem Required; Attach Run to Forms. iPerformance Calculation Coinbin4Hydr6fiic.j-Syptei wired; Attach R Regun to Forms. �.f',Reside'ntial,Cqmpiianpe Forms Cod ing - 'Performance Calculation ..Gas �yK 4 Required. N/A; Indicate on building plans. S66; Section 5.6.2 Mtribution Systems in Residential Manual. j t,U,yi! • M iti p Heatert-Peri,,A:�, Se.iTable 5-13 or use ;Dwelling jitter Unit: o'. Performance Calculation and 1',Dwellin"� ' aiMch',R un to Forms. 13 Ceittral Water H & Performance Calculation and S Mul I etVing Multi 611 mo attach,Run to Forms. geW at Large NofiNAECA L CF-ojlk Heater v S ee Table 5-13 or use t3,,. .Indirect Witter Heater 3 Performance Calculation and attach Run to Forms See' -Table 5-13 or use [3,',* 'Instantaneous Gas,Witei Heater O"rmance Calculation and rl 7, , ; Z T'. ittkh Run to Forms See Table 5-13 or use . . . . . . . . . . . .. 'Solar Witer'Hea�� M., Performance Calculationand attach Run to Forms 0 Wood S Bo Performance Calculation and - P attach Run to Forms SPE&JAL UR9REQUIRINGHERS RATER VERIFICAT14 -�. -(add, sheets'if.Ilidicitti to the HERS Rater ,,.�hidii.credits ,are ,part .btthis n i -vecation. . Feature':, 'Requio.e'd Forms. if apolicabit) Discriodn:'I" Duct _,6aiing `CF-6R._part "4 of 12' Refrigerant Charge i;� .:CF -6R p`art 5 of 12. ❑ TbemostaticExpansio .V �MCMR-part 6of-12 .t Iry project and ez -K, 4 March 2005*k:y �.f',Reside'ntial,Cqmpiianpe Forms .t ;-j project and -K, ;-j -K, 4 March 2005*k:y A'A CE:-, ES1DEN_T1AL*-L:,1 4-H 'Project�Ttticrllf =i :57- FEN]i STJLtATLONrl? DUCTS 7-- V-VACTOR AND SHGC - ii6iTIoN MAXIMUM'ALLOWED AREA WORKSHEET EET WS -411 —must be include:dfor New Constr L Additions and Alterations. Fenestration' - L #/Type Pos. Efficiency Type and Location Duct or Piping' .';rherrnostat.,�. ---------- I ) Skylights are now included in,West4acing fenestration area if the skylights are tilted to the west or tilted in any directidn (Front, Left; Orien-. " ;Shading/Overhangs'4 Rear,'Right,SHGC cation, �:'�'Area U -factor' is bok if.-W.S-3R ' 'Skylight).";,' -N, S';`E, W'' U-factor, Source'SHGC4 SOU rceI• ud RIK L YX 3) lndicite'source:either from NFRC':6r:Table 116A, C 4) Enter values in this column from'NFRC or from Standards Default Table I I 6B or adjusted SHGC from W S -3R.- % 5) Indicate sourcicither from NFRC.*6r'Table'1I6B.,' 13 6) Shading Devices" are defined in Table 1-3 in the Residential Manual and see WS -3R to calculate Exterior Shading d e'v' ic"e's-.- 7) See Section 3.2A in the Residential Manual. 13 , SVSTEMS1 Z,0 Heating. Equipment Minimum Distribution Type'arid CApicity Efficiency Type and Location Duct or Piping' .';rherrnostat.,�. ---------- I ) Skylights are now included in,West4acing fenestration area if the skylights are tilted to the west or tilted in any directidn furnace heat. heatpump, b6iler, em) when. the pitch than 1:12. See'§151(f)3C and in Section 3.2.3 of the Residential Manual (sp lit or o pac age), LSEER,6i Ellilkj,� ,is'less (split or packiiji)'• s. 2) Enter, values in this column are either NFRC Rated value or from Standards default Table 116A. aicli 2005.' RIK L YX 3) lndicite'source:either from NFRC':6r:Table 116A, C 4) Enter values in this column from'NFRC or from Standards Default Table I I 6B or adjusted SHGC from W S -3R.- % 5) Indicate sourcicither from NFRC.*6r'Table'1I6B.,' 6) Shading Devices" are defined in Table 1-3 in the Residential Manual and see WS -3R to calculate Exterior Shading d e'v' ic"e's-.- 7) See Section 3.2A in the Residential Manual. , SVSTEMS1 .'HVAC Heating. Equipment Minimum Distribution Type'arid CApicity Efficiency Type and Location Duct or Piping' .';rherrnostat.,�. Configuration .' furnace heat. heatpump, b6iler, em) (AFLJEor HSPF) (ducm attic, etc.) R -Value Type'� (sp lit or o pac age), LSEER,6i Ellilkj,� R 'J - (attic, etc.) -Value ype (split or packiiji)'• f 16 aicli 2005.' RIK L YX C Coolini.EquipTen Minimum 'Type and Capacity Effigi6ricy,',.',; 'Duct Location -'Duct Thermostat-, Configuration:, (A/C, heat pump, evap.'cooling) LSEER,6i Ellilkj,� R 'J - (attic, etc.) -Value ype (split or packiiji)'• aicli 2005.' RIK L YX C -% 4 Residential Compliance Forms aicli 2005.' Bi" # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit .# ,1, l.� l� Project Address:' l�� G , Owner's Name:&- i 465— A. P. Number: Address: Legal Description: S-1 Contractor: �� S�C City, ST, Zip: Telephone: Address: Y Project Description:d ' City, ST, Zip: 7z( CAOVI Telephone: State Lic. # : City Lic. #: Arch., Engr., Designer - Address: City, ST, Zip: Telephone: Construction Type: Occupancy: 3 State Lic. #: Project type (circle one): New Ad n Alter • epair 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 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 _mpact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees �,-Conioliancq-Method (Prescrilloo Cliifikte'.Zon Alieiniiivi Cb; ini Picka= mpon"el. ...,,..ge Me�odi (check one' �--C D S. 4 '.Package d,Packige,,Dichoice require R rater field verification 71 . -ii , , -77: For: el) Alternative see Appendix B Table 151-C Footnotes 7-14 r � J: .'r ' It Gi E ORMAT"I"T 'toiil Conditio'he-dIllboir' A`r-'&:(C#A)-`;,t.. fe Average Ceiling Height:. ft Maximum Alld%�ed-'Westfapjfig, Fenestration Products Per Table 151-B of'I 5 1 -C -�—'(50%;kCFA): -P 'Maxi p!n"A]Iowed Total Fenestration ro&6ts Per Table 151-B*or 151-C —7 - ... (20% X CFA) ft, .7 qn�Wimore)-'. 'Single Family Multifamily Additioh", Altera 10 pg Type: (check, t (if ad4ilgfenesttatii��,�ill'��t'WS-4R,,Fenestration Maximum Allowed ArewWorksh eetand.see Section1i for Additions and 8.33,�i Alterations.) Number of Stories- ..,..Number of Dwelling Units: Floor Construction Type: -:7., Slab/Raised Floor (circle one or both) -fro Front Orientation: North /.South East West All Orientations (input front orientation in degrees ni True,.,..,, North andci,rcle one). 0 RADIANT BARRIER (required in climate zones 2, 4, 8-151 OPAQUE SURFACES INCLUDING OPAQUE DOORS Component--,' kjvaluei.,, Assembly U - ,ri., 1) See'Joint Appen( Type,(Wall,:. -Frame factor (for Joint of Radiant "I., Roof, Floor,'Typei-i Continuous Wood,:metal Appe-ndjx:-,' �'-,,Barrier 'Locatio . om- Slab Edge :(Wo4j su a 6 Insulation Insulation frame and mass, IV ','-t:Insta1led'- Doors) r Metal) R. Value Value assemblies) Reference Re Y6 No .6 Residential Compliance I or '4 t.% - --------------- n IV.4.4hich is.the hask. for"the I Lfhilnr nritg4in'n I Lf6ntnre ron ant Ea; f.Ni e', e,quiy show ili&i46 kjvaluei.,, ,ri., 1) See'Joint Appen( exceed xceed prescriptive va % 1'-,; f ON Residential Compliance I e', e,quiy show ili&i46 kjvaluei.,, ,ri., '4 t.% rms, r;-: -f,732