07-0714 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
$7-00000714 3
Property Address:
52585 AVENIDA JUAREZ
APN:
773 -244 -017 -ST -000000-
Application description:
MECHANICAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
4000
Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty -of -p rjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busines's and Professionals Code, and my License is in full force and effect.
License Class: License No.:
Date: 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
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
plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec:
7044, Business and Professions Code: The Contractor ' State license Law does not apply to an owner of
property who builds or improves thereon, and w ontrac for the ro'ects with a contractor(s) licensed
p /
pursuant to the Contractors' State License L .).
1 =) I am exempt under Sec. , B.$rP.C. f this reason
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:
ORRANTIA VIANKA
52585 AVENIDA JUAREZ
LA QUINTA, CA 92253
(
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
3/08/07
--------------- - -------------- - ----------------
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 - - - - - - - - - - - - - - - - - - - - - -- Policy Number
4 _j I certify that, in the performance of for which this permit is issued, I shall not employ any
person in any manner so as t ecome su 'ect t I� workers' compensation laws of California,
and agree that, if I ould come subject o workers' compensation provisions of Section
2 X1''3700 of the Labor a shall forthwith ply ith those provis' ns.
Date:` t� i(Applicant: Y `�
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 pursuani 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, asset n of w or 180 days will subject
permit to cancellation.
I certify that I have read this application and state that a abov information i rect. agree to comply with all
city and county ordinances and state laws relating to ildin onstruction, a ereby uthorize repr entatives
of this county to enter upon the above-mentioned pro y or inspecti n p p ses.
,Date 1 k Signature (Applicant or Agent):
LQPERMIT
Application Number 07-00000714
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . . . 33.00
Plan Check
Fee
8.25
Issue Date
Valuation
. . .
.
0
Expiration Date 9/04/07
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
APPL REP/ALT/ADD
9.00
----------------------------------------------------------------------------
Special Notes and Comments
REPLACE AC/HEAT UNIT
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
Bin #
City Of La Quinta,
Building M Safety Division
Permit # I
P.O. Box 1504, 78-495 Calle Tampico
La Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:
Z�
Owner's Name:
A. P. Number.
Address:
Legal Description:
Contractor..
ST, Zip: c!/n!T/� y
_
:Tji,hone:
Address:
Project Description:
City, ST, Zip:
Telephone:
State Lie. # :
City Lia #:
01
Arch., Engx., Designer
Address:
City, ST,Zip:
Telephone:
State Lic. #:
Construction Type: occupancy:
Name of Contact Person:
Project type (circle one): New Add'n Alter Repair Demo
Telephone # of Contact Person:
Sq. Ft.:#Stories:
I Units:
Estimated value oi~'Project: ,
APPLICANT:
DO NOT WRITE BELOW THIS LINE
#
Submittal
Req+d
Reed
IMACIMG
Plan Sets
Plan Check submitted
PERMIT FEES
StraMaral talcs.
-
Reviewed, ready for corrections
Item .
Amount .
Trans Cala.
Plan Check Deposit
Called Contact Person
Energy Glp.
Plan Check Balance
Plans Picked.ap '
Flood plain pian
Plans resubmitted
Construction
Grading. plan'
2- Review, ready for eorrectioWasue
Mechanical
Snbcontstctor List
GIIed Contact Person
Electrical
Grant Decd
Plans picked up
Plumbing
ILO.A Approval
Plans resubmitted
S.M.L
IN HOUSE:-'
Review, ready for.corrections/�sSet
Grading .
Planning Approval
Developer Impact Fee
Called.contact Person
Pub. Wks. Appr
Date of permit issue
A.LP.P.
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -IR
Pro ect Title — Date
Project Address Building Permit #
Documentation Author Telephone Plan 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
o
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) , ftz Average Ceiling Height: ft
Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C ---- (5% X CFA) ftZ
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C ---- (20% X CFA) ft
✓ ❑ 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 / Easi'/ West / All Orientations (input front orientation. in degrees from True
North and circle one).
✓ ❑ RADIANT BARRIER (regu►re'd 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)
Assembly U -
factor (for
Cavity Continuous wood, metal
Insulation Insulation frame and mass
R -Value R -Value assemblies
Joint
Appendix
IV
Reference
Roof Radiant
Barrier Location/Comments
Installed (attic, garage,
Yes or No typical, etc.
I) see Joint Appendix 1V in section 1V.2, 1V.3 and 1V.4, which is the basis Tor the U -tactor criterion. U -tactors 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 WS-4R—must be included for New Construction,
Additions and Alterations.
Fenestration
#/Type/Pos.
(Front, Left, 'Orien-
Rear, Right, tation, ]Area U -factor
Sk li ht N, S, E, W' U-factor2 Source
Exterior
Shading/Overhangs','
SHGC ✓ box if WS -3R is
SHGC' Sources included
Distribution
Type and Location Duct or Piping Thermostat Configuration
ducts, attic, etc.) R -Value Type (split or package)
El
1) Jkyltghts are now included to West-tactng tenestration area if the skylights are tilted to the west or tilted in any direction
when the pitch is less than 1:12. See §I51(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 I I6A,
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 l 16B.
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
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 (split or package)
60 SPLIT'
Cooling Equipment
Type and Capacity
A/C, heat pump, eva . cooling)SE
Minimum
iency Duct Location Duct Thermostat Configuration
Te . (splitor package)
—o '
60 SPLIT'
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
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.
WATER HEATING SYSTEMS
Distribution
Type
❑
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
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.
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 heater 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' or
Thermal,
Efficiency
Standby'
Loss %
Tank
External
Insulation
R -Value
System serving multiple dwelling units
Water He
T e
Distribution
Type
Number
in System
Rated
Input'
(kW or
Btu/hr(gallons)
Tank
Capacity
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 3/4
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
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 4) 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 only represents special features relevant to the
orescrintive method.
✓
I Feature
Required Forms if applicable)
Description
❑
Metal Framed Walls
CF -1R
Refrigerant Charge
❑
Radiant Barriers
CF -IR
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
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 Water11
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 Tables -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
❑
Refrigerant Charge
CF -6R part 5 of 12
❑
Thermostatic Expansion. Valve
CF -6R part 6 of 12
Residential Compliance Forms March 2005