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08-1770 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 40_8-- 00001770�� T4 -ht " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Property Address: 53055 AVENIDA-JUAREZ APN: 774-032-003-3 -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 4700 Applic nt: Architect or Engineer: OkA _--l-------------- --------------------------=--- 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 .ode, and my License is in full force and effect. License Class: C20-38 ense No.: 374657 C Dater/ � p - Contractor. •'C 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 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: CALLISTER RESIDENCE VOICE (760) 777-7012, FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/27/08 53055 AVENIDA JUAREZ LA QUINTA, CA 92253 0 gDEPT GCT 2Contractor: DANCY HVACR,-MIKE CITY OF LP.O. BOX 1567. FINANC INDIO, CA 92202 (760)775-0750 Lic. No.: 374657 co ----------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 EXEMPT Policy Number EXEMPT 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 (3700 of the Labor Code, I shall forthwith ply with those provisions. Date�� �d �Oticant: 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 roses. Date* Signature (Applicant or Agent, Application Number . . . . . 08-00001770 Permit . . . MECHANICAL Additional desc . Permit Fee 24.00 Plan Check Fee 6.00 Issue Date Valuation . . . . 0 Expiration Date 4/25/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 -------------------------------------------------------- Special Notes and Comments -------------------- REPLACE EXISTING HVAC AIR CONDITIONER TO - (4) TON PACKAGE 13 SEER. Fee summary Charged Paid Credited Due Permit Fee Total 24.00 .00 00 24.00 Plan Check Total 6.00 .00 .00 6.00 Grand Total 30.00 .00 .00 30.00 LQPERMIT CERTIFICATE OF COWLIANCE: RESIDENTIAL (p e l o�' Project Title CF -IR <B ding /+� utl .Permit # Project Address. Pian 'beck /Date t Documentation Abu r Telephone �"l//CE �o—mp�eMethod (Prescriptive):Ft�ald.Cbeck./:Data Climate ;Lone '�Eiifarceaieit` .' +®nc::Use'Oni":" ;, ✓ 13 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 lR p e 3) For Package D Alternative see Appendix B Table 151-0 Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) fe Average Ceiling Height: ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 -- (5% X CFA) ft' 'Maximum Allowed Total Fenestration Products Per Table 151-B or 151-0 ----(20'/o X CFA)z ft ✓ ❑ Building Type: (check one or more) Single Family Multifamily Addition Alteration (If adding fenestration fill out WS -4R, Fenestration Maximum Allowed Arca 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 Tete North and circle one). ✓ ®RADIANT BARRIER /--1 ed in climate zones 2 48-1 OPAQUE SURFACES INCLUDING OPAOUE DOORS 'Component Type (Wall, Frame Roof, Floor, Type Cavity Slab Edge, (Wood or insulation Doors Metal R -Value Assembly U - factor (for wood, Continuous metal frame and Insulation mass R -Value assemblies ' Joint Appendix Reference Roof Radiant Barrier Yens ailedor Location Comments (attic,typicagarage, 11 Sep mint A—Ai, IU;- 4Z—*:— Tv 11 Ter - - > -- .+,., v 'a W, uac u-iactor cnierion. u-IactOIs can not exceed prescriptive value to show equivalence to R -values. 1cesiaenual Compliance Forms April 2005 CERTIFICATE OF COWLIANCE: RESIDENTIAL (Pae 2 of 5) gCF—IR Project Title�4 �'T-- S Date % p FENESTRATIM PRODUCTS — U -FACTOR AND SHGC ✓ 0 FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R —must be includes! for New Construction, Additions and Alterations. Fenestration Minimum Efficiency AFUE or HSPF Distribution Type and Location Duct or Piping Thermostat (ducts, attic, etc.) R -Value Type Configuration (split or package) Exterior ShadingfOverhangs6•7 ✓ box if WS -3R is included #/I'ype/Pos. (Front, Left, Rear, Right, Skylight)Wt Orien- talion, N, S, E, Area fiz) U -factor SHGC U-factorz Source SHGC° Sources C] 13 O 13 D axytlgrlls arc 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 thi s column are either NFRC Rated value or from Standards default Table 116A. 3) Indicate source either from NFRC or Table l l6A, 4) Enter values in this column from NFRC or from Standards Default Table 116B 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. HVAC SYSTEMS Heating Equipment Type and Capacity fumece, heat pump, boiler, erc.) Minimum Efficiency AFUE or HSPF Distribution Type and Location Duct or Piping Thermostat (ducts, attic, etc.) R -Value Type Configuration (split or package) Cooling Equipment Type and Capacity (A/C, heat pump, evap. cooling) - Minimum Efficiency Duct Location Duct SEER or EER) attic, etc. R -Value Thermostat Type Configuration or package) Residendal Compliance Forms April 2005 department for each home for which the following. are 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 Insulattion (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. nesmennat (-ompirance POPM April 2005 SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra sheets if necessary) Indicate which special features are part of this project. The ltst and Performance Methni below represents special features relevant to the Prescriptive D Feature Metal Framed WallsCF-1R Required Forms if a licable pastil tion ❑ Radiant Barriers CF -1R ❑ Exterior Shades WS -4R N/A; Performance Calculation ❑ Cool Roof Required. Attach CRRC Label to Forms. ❑ Dedicated Hydronic Heating Performance Calculation System Required; Attach Run to Forms. ❑ Combined Hydronic System Pefformarice Calculation Required; Attach Run to Forms. ❑ Gas Cooling N/A; Performance Calculation Re ❑ Buried Ducts N/A; Indicate on buil '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 Heater CF -1R See Table 5-13 or use ❑ Indirect Water Heater Performance Calculation and attach Run to Forms See Table 5-13 or use D Instantaneous Gas Water Heater Performance Calculation and - attach Run to Forms See Table 5-13 or use D Solar Water Heating System Performance Calculation and attach Run to Forms ❑ 1 Wood Stove Boiler Performance Calculation and attach Run to Forms SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION (add extra cheptc if npra¢earv\ r"A—to t.. tt.e tmm n-7_777 _ _ ,•. "' neasuenuui t-ompnance tams . September 2005 %-aauw air, t ut tuts project and need verification. Feature Required Formsif appucable) ❑ Description Duct Seal' CF -6R part 4 of 12 ❑ Refrigerant CharCF-6R part 5 of 12 ❑ Thermostatic Expansion Valve CF -6R part 6 of 12 neasuenuui t-ompnance tams . September 2005 CERTIFICATE OF COMPLIANCE: RESIDEN'T'IAL (Pae 5 of 5) CF -IR - Project Title /2/4 Date COMPILiANCE STATEMENT This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. The undersigned recognizes that compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Designer or Omni` (ner Rn Qinnee nnA n,. • _ Name: - --'-' / ^r e L I [ u C- - ++wwua:uap�avu tf4«lUri Name: Tide/Firm. , Tide/Firm: Address: 1AAKIIJAC� Address: L 9 zo Telephone: 1406_ 7-7.5 —09r _g ?D Telephone: License #: .E (signature) (date) (signature) (date) Enforcement Agency Residential Compliance Forms April 2005 Bin #City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: S -70 S S �lvl 4?w (�� Owner's Name: C A. P. Number: Address: \ Legal Description: City, ST, Zip: Contractor: c— G v C Telephone: �s Address: ' �/,/* Cj Project Description: City, ST, Zip: ��Qt /� / �- 6 H I�j'� t� © 0 Telephone: b U 17 5 S f State Lic. #: 6, s % City Lic. #: RT Arch., Engr., Designer: Address: City, ST, Zip: `:f-1 bI�A Telephone: State Lic. #: Name of Contact Person: ` Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Sq. Ft.: # Stories: # Units: Demo Telephone # of Contact Person: ' —0 ?' :!ry 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 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