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09-0203 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 cei-ty/ 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/04/09 Application Number: 09-00000203 Owner: Property Address: 52570 AVENIDA JUAREZ ANDREW MOGENSEN APN: 773-281-004-20 -000000- 52570 AVENIDA JUAREZ Application description: MECHANICAL LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTIAL M.24 ( Application valuation: 3500 2009 Contractor: Applicant: Architect or Enginee LA QUINTA AIR COND/HEATING INC �gpr53875 AVENIDA NAVAR92253 O pT LA QUINTA, CA 92253 (760)771-1680 Lic. No.: 902029 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C20 License No.: 902029 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. GDate: d Contractor:- _ 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 OWNER -BUILDER RATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 2380007422 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State - and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code I shall rthwith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by and orf — any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 155001.: 4 -'Date: V Applicant:-- (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE ORKERS' COMPENSATION COVERAGE IS UNL WFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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 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 buildi con ruction, an here uthorize representatives ofthis co my enter upon the above_ -_mentioned prope f r i action purp *Date; - " V Signature (Applicant or Agent): Application Number . . . . . 09-00000203 Permit . . .. MECHANICAL Additional desc . . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date I. . . . Valuation . . . . 0 Expiration Date . . 8/31/09 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/100K BTU 9.00 ---------------------------------------------------------------------------- Special Notes and Comments INSTALL SUPPLEMENTAL AIR CONDITIONING UNIT & HEATING SYSTEM TO MASTER BEDROOM PER A.J. -------------------------- Other Fees . . . ------------------------------------ . . . . BLDG STDS ADMIN (SB1473) -------------- 1.00 Fee summary Charged Paid Credited ------------------------------ Due --------------------------- Permit Fee Total 33.00 .00 .00 33.00 Plan Check Total 8.25 .00 .00 8.25 Other Fee Total 1.00 .00 .00 1.00 Grand Total 42.25 .00 .00 42.25 LQPERMIT CERTIFICATE OF COMPLIANCE:. RESIDENTIAL (Pagel of 4) CF -IR M09ema: SLmp)' -ITS`/StPin Project Title Date SZS 7p- Aut,. d A :3✓4!-e -L Project Address Building Permit >r Documentation AuthorTelephone Plan Check /Date. .Compliance Method (Prescriptive) Climate Zone Field Check / Dats Enf-=nient Agency Use Only 0 Alternative Component Package Method: (check one) C D D (Alternative) Package C and Package D choices'reguire HERS'rater fiOd verification and/or diagnostic testing (see CF -IR page 3) For Package D Alternative see Appendix B Table 151-0 Footnotes 1-14 GENERAL INFORMATION . Total Conditioned Floor Area (CFA) 13 Average Ceiling Height_ ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 (5%X CFA) _ ft2 Maximum Allowed Total Fenestration Products Per Table I S i -B or 151-C — (20'/o X CFA) g ❑ Building Type: (check one or more) Single Family Multifamily Addition Alteration (If adding fenestration till out WSA.. , Fenestration Maximum Allowed Area Worksheet and see Section 832 for Additions and 8.3.3 for Alterations.) Number of Stories: Number of Dwelling Units_ Floor Construction Type: Slab/Raised Floor (circle one of 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 In, OPAQUE n- OPAQUE SURFACES INCLUDING OPAOUE DOORS Component Assembly U - Type (Wall, Frame factor (for Joint Roof Radiant Root, FIoor, Type Cavity Contin Otis. wood, m Appendix' Barrier Location/Comrnents S16 Edge, (Wood Imulation Insulat n e mass IY Installed (attic Doors or Metal R -Value R- al , age' nes r Reference . Yes or No ical, 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 March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 4) CF 1R Project Title Date FENESTRATION PRODUCTS — U -FACTOR AND SHGC ✓ ❑ FENESTRATION MAXIMUM. ALLOWED. AREA WORKSHEET WSAR —must be included for New Construction, Additions and Alterations. Fenestration #/Type/Pos. Exterior .(Front, LeB, . Orien- Shading/Overhangs6.7 Rear R' SHGC v" box if WS -3R is S Ali ht�� N tSaLo W' Area U -factor > E, (R2U-factorZ Source. SIiGC� Sources included 1) Skylights are now included in West -facing fenestration O area if the skylights are tilted to the west or tilted in any direction when the pitch is. less than 1:12. See. § 15 1(1)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 I I6A, 4) Enter values in this column . from NFRC or from Standards Default Table l 16B or adjusted SHGC from WS -3R 5) lridicate 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 32.4 in the Residential Manual. HVAC SYSTEMS Heating Equipment. Minimum Distribution Type and Capacity Efficiency Type and Location Duct or Piping Theamostat Configuration furnace !meat boita etc. or HMS dc. R -Value . it or Cooling Equipment Minimum Type and Capacity. Efficiency Duct Location Duct Thermostat Cortfiguration W HeatPump,cva .cook iERorEER (atti0. etc.) R -Value Residential Compliance Forms March 2005 s CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CX1 R 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: Li orarea uucrs I nil comate zones Installer testin and certification and HERS rater field verification r arra TXVs, readily accessible (climate zones 2 and 8-15 only) nstaller testin and certificafion and HERS Rater field verification required.) Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verification r aired. OR 0 Alternative to Sealed Ducts and Refrigerant Charge rfxvs.(See Package D Alternative Package Features for Pro ed Climate Zone in the RMAppendix B. Table 151 Footnotes 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 aces shall meet the requirements of Section 15 m and dud insulation requi ernents of Package D. WATER HEATING SYSTEMS F box if system meets criteria of a "Standard" system. Standazd system is one gas-fired water hng unit If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is owed. box when using Preapproved Alttive Water Heating. table, Table 5-4 in.Chapter 5 in the Residential l: No water heatin calculations are uired, and the stem com lies automaticall . box if system does not meetcriteria of"Standard" system, and does not com with the Prproved tive Water Heating table. In this case, the Performance Method must be used and must be in !acted in the tal.box to verify that a time control is required for a recirculating system pump'for a system serving multiple -------------- Systems servin single dwellin units Rated Energy Tank Water Heater Distribution Number Input' r Capacity Thermal External Standby Insulation uel a in S stem Btu/hr lora Efficien Loss % R -Value System serving multiple dwelling units Enery Tank t(k d Factory or External EWa�ter*Heater Distribution Number t Tank Type'or Capacity Thermal. Standby Insulation e in stem aUons Efficiency Loss (%) 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'/a inches or greater in diameter shall be thermally insulated as specified by Section 150 (j) 2 A or 150 (j) 2 B. Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESID,E< NTaL (Page 4 of 4) CF-IR Project Title Date SPECIAL FEATURES NOT REQUIRING HE 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 rescri tive method. ✓. Feature Required Forms (itapplicable Descri tion Metal Framed Walls CF-IR ❑ Radiant Barriers CF-I ❑ Exterior Shades WS-4R ❑ . Cool Roof N/A; Attach CRRC Label to Forms. ❑ Dedicated Hydronic Heating Performance Calculation stem R uired; Attach Run to Fonns. ❑ Combined Hydronic System Performance Calculation R uired;.Attach Run to Fomes. ❑ Gas Cooling Performance Calculation R uired. ❑ Buried Ducts N/A; Indicate on buildin fans. ❑ Kitchen Pipe Insulation See Section 5.62 Distribution stems in Residential Manual. Multiple Water Heaters per . See Table 5-13 or use 0 Dwelling Unit Performance Calculation and attach Run to Forms. Central Water. Heating System ❑ . Performance Calculation and l� Servin Multi le Dwellin s attach Run to Fors.. Non-NAECA Large Water Heater CF-1R ❑ Indirect Water Heater See Table 5-13 or use Performance Calculation and attach Run to Forms Instantaneous Gas Water Heater See Table 5-13 or use. Performance Calculation and attach-Run to Fonio ❑ Solar Water Heating System See Table 5-13 or use Performances Calculation and attach Run to Forms ❑ Wood Stove Boiler Performance Calculation and attach Run to Forms SPECIAL FEATURES REOU RMG HERS RATER VERIFICATION Gadd extra sheets if necessary) Indicate '- to the HERS Rater which credits are part of this project and need verification. ure ❑ Required Forms if a licable Descri on Sealin MjRefri CF-6R art 4 of 12 ❑ Brant Char a .CF-6R art 5 of 12 ❑ mostatic Ex­;­ Valve CF-4R part 6 of 12 Residential. Compliance.Forms March 2.005 cn iD O DD o - Zj°—' m D - D'o ?Q oo m mo r— D > r - <I 0 cn CD mo DW - -o �o -4o O O O LIM Q CDm r+ N 4 O CDD CL C O N CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION 7r'lvl'!�l INSTALLATION DIAGRAM OF INDOOR AND OUTDOOR UNITS Fig.7 [INDOOR UNIT] Wall hook bracket 2"(5 or over cmV 2-215"(6 cm) or over 60"050 cm) or over Dust collection unit I Air -cleaning and Deodorizing filter Air filter connection cord 14AWG 2d"(60 or ova I 12'(31 cm)� or over - - - Mounting Support (Prepared Onsite) 2"(5 cm) or over 3- IWO cm) or over 12"(30 cm) or over Support Post Rear Yard - - �� --- connection fiord 14, AIN G 4'010 cmJ JOUTDOOR UNIT] ©r ZA,(6o M) qq ovo r 4�00 and r. or aver Sirmn r- can I or r f _ ovor or Ovar t (Pr9P3THd 04170W 1715CM) or ovet Condenser Unit to be placed on a concrete 'pad as perthe above detail. Unit will be 13 feet from rear property line setback and 7 feet from the side property line setback. Side Setback S' from this wa I l face Unit to be placed on concrete pad. — Rear Setback -:10' from face of beam i4 Submittal Data: System 18RLQ jdo Il V ASU 18RLQ & AOU 18RLQ JITSU Job Name: ►V1 ,��;�S�aal � Ac Location: S?—S70 AVe4 idct Tuar'e Z Purchaser: Engineer: Submitted To: For: ❑ Reference ❑ Approval Construction Submitted By: Capacities: Cooling 18,000 BTU/h Min/Max Cooling 5,500/19,000 Outdoor Design Temperature F- DBVB 95/75 Heating 21,600 BTU/h Min/Max Heating 4,600/29,000 Outdoor Design Temperature P, nBiwB 47/43 HSPF 10 SEER 19 EER Cooling/Heating 10.4/11.2 Low Ambient Temp. Fb CoolinglHeattng 14/5 Voltage/Frequency/Phase 208-230/60/1 Indoor Unit: Noise Level Cooling db (A) - HIWLIQ 45/39/33/25 Noise Level Heating db (A) - Hi All UQ 42/38/33/27 Weight 22 lbs. Outdoor Unit: Noise Level. db (A) - CoolinglHearing 50/50 Recommended Fuse Size 20A Min. Ampacity 16A Running Current Cooling (RaredlA ax) 7.7/9 Running Current Heating (naredMax) 8.6/13.50 Weight 88 lbs. Refrigerant Piping: Max Ht. Difference 49 ft. Max Total or Combined Length 66 ft. Discharge Vapor Line (O.D.) 1/4 in. Suction (O.D.) 1/2 in. Note: Figures are based on 230 Volts . Notes: OUTLINE AND DIMENSIONS 31-118 HIMN 9-1/16 (230) Standard Features: • Six year compressor warranty • Sleep timer; 24 hour timer • Two year parts warranty • Refrigerant R410A • Plasma filter • Auto Mode; Dry mode • Optional Wired Remote Control • Built in Low Ambient • Auto Restart/ Reset • Cold Prevention • Auto Louvre: Up/Down • Digital Wireless Remote Control Bllt # City of LaQ uinta 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 # rte �p Project Address: �a ��,(, �� Owner's Name: t�.Y f v o N <>e A. P. Number: -77 3 Z� 100 Address: 7- U -LA aA Legal Description: L.,0*Z© l W 1 (0. l0 Gdir Contractor: Q 0 1y4.6 A i City, ST,- Zip: L Telephone: Address: `" �� .� Awt �i P.-v Project Description: City, ST, Zip: �►-•��%7 �.� (/'� �22'� 3 � ���.� �U' �.Q'ti-� Telephone: 7�1 (7 R State Lic. # : "1j 3,Z City Lic. #: Arch.,- Engr., Designer- Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New dd'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value'of Project: APPUCANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd- . TRACKING . PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. 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 2id Review, ready for correctionstiissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.[. H.O.A. 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. Appr Date of permit issue School Fees Total Permit Fees