10-1113 (MECH)P.O OX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number. 10-00001113
Property Address: 49955 PARK .AVE
APN: 602-020-003- -
Application description: MECHANICAL
Property Zoning: PARKS & RECREATION
Application valuation: 10600
Applicant:
T-v4t 4 4 Q".
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
P1 it '
Owner:
FAMILY YMCA OF THE DESERT
43930 SAN PABLO AVENUE
PALM DESERT, CA 92260
Contractor:
WEBB INCORPORATED, D.
PO BOX 1982
YUCCA VALLEY; CA 92286
(760)401-2034
Lic. No.: 794667
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/27/10
r
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LICENSED CONTRACTOR'S DECLARATION
_ I hereby.affirm under penalty of perjury that I am licensed under provisions of Chapter 9.Icommencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my Lice -<.s in full force and effect.
Lic se Class: B License No.: 7 67
Date: 1_y110 ftniractor.
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 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 _ 1 1, 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.).
(_) 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: to
Lender's Address:
LQPERMIT
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 0026036-2009
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 I s of California,
/ and agree that, if I should become subject to the workers' compensation p isions of Section
3700 of the La or Cod I shall forthwith comply with those provisio
Date: O %-.IOA 'cant:
WARNING: FAILU E 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
a�Y2nd county ordinances and state laws relating to building construction, and hereby authorize representa . s
t 14his county to enter upon a above-mentioned property A spection purposes.
Date: �Jit,'nature (Applicant or Agent!:
Application Number. . . . . 10-00001113
Permit MECHANICAL
Additional desc .
Permit Fee 51.00
Plan Check Fee ..
12.75
Issue Date . . . .
Valuation . .
0
Expiration Date 4/25/11
Qty Unit Charge Per
Extension
BASE
FEE
15.00
2.00 9.0000 EA MECH
FURNACE <=100K
18.00
2.00 9.0000 EA MECH
B/C <=3HP/100K BTU
18.00.
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Special Notes . and Comment's
INSTALL 2 NEW AIR HANDLERS AND
.CONDENSERS. 2007 CODES
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Other Fees . . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee•summary Charged
Paid Credited
Due
Permit Fee Total 51.00
.00 .00
51.00.
Plan Check Total 12.75
.00 .00
12.75
Other Fee Total 1.00
.00 :00
1.00
Grand Total 64.75
.00 .00
64.75,
LQPERMIT
•
•
•
Bin # .
citjr of�La -Quinta.,
ri,
Building 8Z Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #2
Project Address: irI "1 Ss par % 9 ✓C. Q
Owner's Name:
A. P. Number:
Address: ,js .'P Qr, k A ✓C//►.
Legal Description:
City, ST, Zip: L V .:. ch "//��
i an
Contractor: G 6 n G
Telephone: 7 p 3 4 1— q
.. y
Address: P. Q, �9
Project Description:
City, ST, Zip: ✓ L ViL IC
L/9' "l )48
C e .7+ N V (r
Telephone:
y
<:..:.
:. ... %� f' " �,.�:<
h>
Vin u GB
t: 6 1 �,.
State Lic. # : 7q 9 b
Arch., Engr., Designer.
City Lie. C
'
I f7
Address:
City., ST, Zip:
Telephone:
:><>w , r•
' .. f. ,.•'• .;•,''„' .
..:,•.„ :y;;, .
Construction Type Occupancy:
Project type (circle one): New Add'n ' Alter Repair Demo
State Lic. #
Name of Contact Person: D a v,-
Vc I
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 7 6 D
3
Estimated Value of Project: 6 `-
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Ealance
Title 24 Calcs.
Plans picked up
Constructiom
Flood plain plan.
Plans resubmitted
Mechanical
Grading plan
tad Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
'^' Review, ready for correctionstissue
Developer I®pact Fee
Planning Approval
Called Contact Person
A,LP,P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
7
4
CERTIFICATE OF COMPLIANCE MECH-IC-ALT-HVAC
Prescriptive HVAC Alterations (Page 1 of 2
Project Name/Address: Date:
1 M L v �� e De,)e r i- 9 9S,S P a c, a PVv . 4a. h9_) -2-1v
Enforcement Agency- A _7Permit
if- ✓lam Q
Number:
Climate Zone
NOTE: This form may be used only for single zone constant volume systems. This form shall not be used for newly constructed
buildings, additions, or VA Vmulti-zone systems.
Select one "Existing Building Project Type" and complete the corresponding steps listed in the "Complete Steps" column
below. Note: After installation of HVAC units and/or ducts, the Installation and the applicable Acceptance Forms are required to be
submitted or verification by thefield inspector and a copv shall be made available to building owner.
Existing Building Project Type select one): Complete Steps:
XNew or Replacement HVAC unit 1, 4, 5 and 6 (Ifcriteria is met), 7 (When economizer is installed)
- New or Replacement ducts 1, 4, 5 and 6 (If criteria is met)
New Space Conditioning System (HVAC and ducts) 1, 2, 3, 4, 5 and 6 (If criteria is met), 7 (When economizer is installed), 8 (DCV)
r Ste 1— Ducts and HVAC E ui ment
Equipment Type, Efficiency Floor Area
Capacity
Distribution Type
Duct Insulation
Thermostat
Configuration
and Served'
and Location
R-Value4
Types
(Central, Split, Package)
qzrl,"Aht i z1op
V V4, -'
sed-
-
Ar
1. Indicate Equipment Type; Air Handler, Condenser, Heat Pump, Evap. Cooling, Boiler, Electric Resistance, etc. & HVAC Capacity; or Ducts
(new or replaced).
2. If the Floor Area Served (per duct system) exceeds 5,000 square feet, skip Steps 5 and 6.
3. Indicate Type and Location (Ducts on roof, ducts in conditioned space, ducts in attic, etc.)
4. Newly installed or replaced duct insulation: R-8 in unconditioned space or in buried concrete slab; R-4.2 in indirectly conditioned space; and R-0
for conditioned space.
5. Existing non -setback thermostats shall be replaced with setback thermostats for all altered units, and all newly installed space conditioning
systems requiring a thermostat shall be equipped with a setback thermostat. Setback thermostats shall meet the requirements of Section 112(c).
El Step 2 — Mechanical Ventilation Calculations
Both options (Area and Occupancy Basis) shall be completed to determine the minimum mechanical ventilation rates and Column I must be the
eater of either Column E or H.
AREA BASIS
OCCUPANCY BASIS
A
B
C
. D
E
F
G
H
I
Zone/
System
Type of Use
Condition
CFM
Min
Num of
CFM
Min
Design Vent. CFM
�}
Area (ft2)
Per ft2
CFM'
People'
per
CFM3
Larger of
C x D
Person
F x G
E or H
_.
15
,.
15
15
AREA BASIS
1. Minimum ventilation rate (CFM/ ft2) for the Type of Use in the Table below.
2. The conditioned floor area of the space multiplied by the applicable minimum ventilation rate from Table 4-1 CFM/ft Column below.
For additional ventilation rates, see Table 4-3 and use the values listed in the Required Ventilation Column in the Nonresidential
Compliance Manual. This provides dilution for the building -borne contaminants like off:gassing of paints and carpets.
OCCUPANCY BASIS
2. For spaces with fixed seating such as a theater or auditorium, the expected number of occupants is the cumber of fixed seats.
3. The expected number of occupants or people multiplied by 15 cfm per person.
T.. e' of Use - CFM; erA?
_
of e; -
T Use, ; - � CFM.Per ft?:
Auto repair workshops 1.50
..::
High-rise residential Ventilation Rates
Specified bv the CBC
Barber shops 0.40
Hotel guest rooms Oess than 500 ft2 30 cfm/ uest room
Bars, cocktail lounges, and
casinos 0.20
Hotel guest rooms (500 ft2 or greater) 0.15
Beauty shops 0.40
Retail stores 0.20
Coin -o erated dry cleaning 0.30
All Others 0.15
Commercial dry cleaning 0.45
1. For additional ventilation rates, see Table 4-3 in the Nonresidential Compliance Manual
Nonresidential Compliance Form
July 2010
CERTIFICATE OF COMPLIANCE MECH-IC-ALT-HVAC
Prescriptive HVAC Alterations (Page 2 lof 2
Pro'ect Name/Address: Date:
/ 1 4- A& 00)e-4 SJ- pkv h 4vr, L a P,,, k, ) D -�-7—/ n I
Installation Certificate requirement: The installing contractor shall complete and sign an Installation Certificate (MECH
to certify that the installed HVACfeatures, materials, components, or manufactured devices (the installation) conforms to all
applicable codes and regulations, and the installation is consistent with any required plans and specifications approved by the
Certiftcate of Acceptance requirement: After completing the installation, all required acceptance testing shall be completed
and all applicable Certificate of Acceptance forms are required to be felled out completely, signed, and made available to the
enforcement agency at final inspection. Copies of the completed, signed Certificate of Acceptance forms shall also be made
available to the building owner. I
Step 3 - MECH-2A - Outdoor Air Acceptance — This test is required for newly installed or replacement HVAC Systems(HVAC
I
equipment and ducts) to verify minimum outside air is provided in accordance with Section 125 o the Energy Standards.
I
0 Step 4 — MECH-3A - Constant Volume, Single Zone Unitary A/C and HP Controls Acceptance— This test is required
Signature:
for new or replaced constant volume, single -zone unitary air conditioners and heat pumps to verify controls function, including: thermostat
V L
installation andprogramming, Fupply an, heating, cooling, and damper operation in accordance with Section 125 o the Energy Standards.
Step 5 — MECH4A - Air Distribution Systems Acceptance — This test is required when the new or altered system is a ii E&
Date:
zone, constant volume system serving 5,000J12 or less, and 25016 or more of the duct surface area is located in the outdoors, unconditioned space,
or a ventilated attic in accordance with Section 125 of the Energy Standards.
i
Step 6 - MECH4-HERS - Air Distribution System Leakage Diagnostic — This test is required to be completed by a HERS
If Applicable
CEA #
Rater when the new or altered system meets the criteria in Step 5 to verify duct leakage in accordance with Section 125 of the Energy Standards.
,
The HERS Rater shall register the MECH-4-HERS Form with an approved HERS Provider.
Step 7 - MECH-5A - Economizer Testing Acceptance - This test is required for newly installed or replacement HVAC equipment
when an economizer is installed in accordance with Section 125 o the Ener Standards.
e
Step 8 - MECH-6A - Demand Control Ventilation Systems (DCV) Acceptance - This test is required for newly installed
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the mechanical
DCV systems or replacement of HVAC equipment with the following characteristics to verify controls and sensors function in accordance with
125
of the Energy Standards.: A. They have an air economizer; and B. They serve a space with a design occupant density, or a maximum occupant
• This Certificate of Compliance identifies the mechanical features and performance specifications required for compliance with
load factor for egress purposes greater than or equal to 25 people per 1000 fr (40 square foot perperson); and C. They are either:
Title 24, Parts 1 and 6 of the California Code of Regulations.
i. Single zone systems with any controls; or
• The design features represented on this Certificate of Compliance are consistent with the information provided to document
ii. Multiple zone systems with Direct Digital Controls DDC to the zone level.
design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and complete.
Name,
Signature:
V L
Company:
Date:
!
Address: /
�6 6 F9, VII tc 4ve
If Applicable
CEA #
iII
,
CEPE #
City/State/Zip (/
1 VC t k �ti � l� Ct 9)a8
Phone.
7 6 0 LJ 1
Principal Mechanical Designer's Declaration Statement
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the mechanical
design.
• This Certificate of Compliance identifies the mechanical features and performance specifications required for compliance with
Title 24, Parts 1 and 6 of the California Code of Regulations.
• The design features represented on this Certificate of Compliance are consistent with the information provided to document
this
design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the
enforcement agency for approval with this building permit application.
Name. h afar
'l 1-t )11 . mz
Company Name: _
G a ,i
Date:
) V —,� 7?—)
Address:License
7) Wa e Tr. � A
#
67
City/State/Zip:'fil L L ll, V I f e .Phone:
6 Q 3 6
• 2008 Nonresidential Compliance Form July 2010
,
CITY OF;LA QUINTA �.
i.
BUILDING & SAFETY DEPARTMENT °
_ (700),7774012
INSPECTION REQUEST LINE
(76.U)i7--77- 53� i
.CA OF THE DESERT
ntraQto110 Di WEBB, INC. 4
P rmit NLirt8er =1-011113
---RGSTO JOB: IN: PLACE °
a.1EQ.T_O MUST SIGN ALL APPLICABLE SPACES
1 JOB ADDRESS 49-955 PARK AVENUE.
• INSTALL 2 NEW AIR HANDLERS AN
CONDENSERS: 2007 C EO,
S.••. .IG`i
. VOW
TYPE OFINSPECT_ION . -INSP.' ;
TEMPORARY POWER -
SETBACKS +.
U/G_PLUMBING /WASTE
U/G'ELECTRICAL /".GROUNDING .
FOOTINGS / STEEL
CONCRETE SLAB, _
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL J PRE -ROOF '
OKAY TO WRAP
FRAMING COMBINATION
ROUGH.ELECTRIC
ROUGH PLUMBING
'ROUGH MECHANICAL
INSULATION
+ COVER NO WORK'UNTILABOVE'SIGNED
INTERIOR GYP'. BD. DRYWALL
EXTERIOR LATH
GAS TEST _
SEPTIC ABANDONMENT
SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR` I
1 . ^ MASONRY, INSPECTIONS
FOOTINGS'/ STEEL
BOND BEAM
r
POOL/ SPA/ WATER FEATURE_INSP.ECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS' , 1
U%G' ELECTRICAL
'PRE -PLASTER ALARMS / BARRIERS
DECK BONDING
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER
' ELECTRICAL '
PLUMBING `1
''MECHANICAL
PUBLIC,WORKS DEPARTMENT.
COMMUNITY DEVELOPMENT DEPT. '
FINAL / JOB ;COMPLETED '
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO .
TURN ON UTILITIES OR OCCUPY BUILDING