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06-1985 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO -LA QUINTA, CALIFORNIA 92253 .Application Number: cz�06=00001985-- -- Property Address: 78230 SAN TIMOTEO ST APN: 646-160-017- Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 11000 Applicant: T-,fbt4-4Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: 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 ce and effect. Licensee Class, �C2�0 License No Date: "1 t " — 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 f✓ 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, 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 _ 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: LQPERMIT Owner: BALL STERLING C 78230 SAN TIMATEO LA QUINTA, CA 92253. Contractor: PALOMA AIR CONDITIONING P.O. BOX 3510 PALM DESERT, CA 92261 (760)347-1212 Lic. No.: 619091 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/12/06 - WORKER'S COMPENSATION DECLARATION I hereby affirmunder 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 0000133-2005 _ 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 �370D ofitfi.6abor Code, I shall forthwith comply with thos ! Date a 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 enter upon the above-mentioned property for inspection purposes. Da m r Z ignore (Applicant or Agent): LQPERMIT Application Number 06-00001985 Permit MECHANICAL • Additional desc . Permit Fee 55.50 Plan Check Fee 13.88 Issue Date Valuation 0 Expiration Date 11/08/06 Qty Unit Charge Per Extension _ • BASE FEE 15.00 2.00.,- 9.0000 -EA MECH FURNACE <=100K 18.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 . 2.00 9.0000 EA MECH APPL•REP/ALT/ADD 18.00 -=-------------------------------------------------------------------------- Special Notes and'Comments - REPLACE A/C WITH 2 SPLIT SYSTEMS -ONE 2. TON/ONE 4 TON Fee summary Charged Paid Credited Due r, 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 LQPERMIT 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 # r / Project Address: '� �Q W l_.1't WrrL,— Owner's Name: SIV V �� Gd A. P. Number: Address: 7 `Z S'G (( W Legal Description: City, ST, Zip: J� C eA 7 U Contractor: Telephone: - Address: Project Description: City, ST, Zip: -LA"` Lux x Ca--� Q Z -LV Telephone: -7 City Lic. #: State Lie. #: �i �. Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Nom Construction Type: Occupancy: State Lic. #: 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 LINE # Submittal Req'd Rec'd 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 correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page I of 4) CF -1R Project Title Z 3 O SQ Q7 ll wa (�<p lXA Cf�J 11 �. Date Project AddressBuil ing Perm # �� 7f 0, 3y-211l�— Documentation Author Teleph one Ian Check / Date Field Check / Date Compliance Method (Prescriptive) Climate Zone Enforcement Agency Use Only ✓ ❑ 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 GENERAL INFORMATION Total Conditioned Floor Area (CFA) ft2 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) ✓ ❑ 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 (Wood or Metal) { Cavity Insulation R -Value Assembly U - factor (for Continuous wood, metal Insulation frame and mass R -Value assemblies)' Joint Appendix' IV Reference Roof Radiant Barrier Location/Comments Installed (attic, garage, Yes or No typical, etc. 1) See Joint Appendix 1V in Section 1V.2, IV.3 and 1VA, 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. CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 4), CF -IR Project Title Date s7 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. (Front, Left, Orien- - Rear, Right, tation, Area U -factor Skylight) N, S, E, W'(ft') U-factor2 Source SHGC SHGC° Sources Exterior Shad ing/Overhangs6' I ✓ box if WS -3R is included 001 -lo lion I) 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 I I 6 or adjusted SHGC from WS -3R. 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. 1 HVAC SYSTEMS Heating Equipment Type and Capacity furnace, heat pump, boiler, etc. Minimum Efficiency AFUE or HSPF Distribution ' Type and Location Duct or Piping Thermostat Configuration ducts, attic, etc. R -Value Type it or package) 001 -lo lion Cooling Equipment Minimum Type and Capacity Efficiency Duct Location Duct Thermostat Configuration A/C, heat pump, eva . cooling) SEER or EER attic etc. R -Value Type (split or package) 13 ly1 Z..ffkj/-P Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) 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. OR ❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features -for Proiect Climate Zone in the RM Annendix 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 I50 m and duct insulation requirements of Package D. WATER HEATING SYSTEMS Distribution Type Number in System 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) 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 Proiect Climate Zone in the RM Annendix 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 I50 m and duct insulation requirements of Package D. WATER HEATING SYSTEMS Systems serving single dwelling units Water Heater Type/Fuel Type Distribution Type Number in System Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per ' ❑ dwelling unit. If the water heat( r 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 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 Btu/hr(gallons) Tank Capacity Energy Factor' orExternal Thermal Efficiency Standby' Loss % Tank Insulation R -Value .—R System serving multiple dwelling units Water Heater Type Distribution Type Number in System Rated Input' (kw or Btu/hr(gallons) Tank Capacity Energy Factor' orExternal Thermal Efficiency Standby' Loss % Tank Insulation -Value .—R 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 March 2005 • ar CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 4) CF -IR 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 only represents special features relevant to the orescrintive method. . ✓ Feature Required Forms if applicable) Description ❑ Metal Framed Walls # CF -1R Refrigerant Charge ❑ Radiant Barriers CF -1R CF -6R part 6 of 12 ❑ Exterior Shades WS -4R ❑ Cool Roof N/A; Attach CRRC Label to Forms. ❑ Dedicated Hydronic Heating Performance Calculation System Required; Attach Run to Forms. ❑ Combined Hydronic System Performance Calculation r Required; Attach Run to Forms. ❑ Gas Cooling 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 ❑ 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 CF -1R Heater See Table 5-13 or use 0 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 (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 ❑ Duct Sealing CF -6R part 4 of 12 O Refrigerant Charge CF -6R part 5 of 12 ❑ Thermostatic Expansion Valve CF -6R part 6 of 12 Residential Compliance Forms March 2005