07-1776 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 00001776
Property Address: 53480 AVENIDA JUAREZ
-APN: 774-071-012-13 -000000-
Application description: MECHANICAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 3500
Applicant: Architect or Engineer:
n
LIC SCTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of ry m licensed and r provisions of Chapter 9 (commencing with
Section 7000) of Division 3 o e Bu as
an Professio ode, and my License is in full force and effect.
License Class: C20 -C3 nse No.: 826714
r
ct
OWNER -BUILDER DECLARP&ION
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 offcrod 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 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:
LEANNE JOHNSON
53480 AVENIDA JUAREZ
LA QUINTA, CA 92253
Contractor:
BEST IN THE WEST
255 N. EL CIELO, 140-125
PALM SPRINGS, CA 92262
(76b)322-0202
Lic. No.: 826714
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Dater " 6/19/07
u
-
---=-------------- - - - - - - ---------
WORKER'S COMPENS N ECLAf�TI?�
I hereby affirm under penalty of perjury one of the following de arati ns: .•��t�++
_ I have and will maintain a certificate of consent to elf -in ur nsafieArea-V ovid
for by Section 3700 of the Labor Code, for the erformance",o or�ACMO GiTA permit is
issued. �IN CE° DEP
I have and will maintain workers' compensation ins eetrorr39 or
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and poli ber are:
Carrier STATE FUND licy Number 1828645-2007
_ I certify that, in the perfo ma of th w for which this permit is issued, I shall not employ any
person in any ner so to bec me su 'act to the workers' compensation laws of California,
and agree t , if 1 s o d be subj the workers' compensate n provisions of Section
3700 of ab d I s all forth it o ly with those pr ' i
atefP t
WARNING: FAILUR ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO cnimINAL PENALTIES AND CIVII, 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 thisnce of this per?
2.- Any permit issued as a result of this application comes r I and void if work is not commenced
within 180 days from date of issuance of suc perm' n of work for 180 days will subject
permit to cancellation.
certify that I have read this application and s the b ve' form n is c rrect. I agree to com all
city and county ordinances and state aws alio r i con ruction, a eby authorizer sentatives
of this county enter upon the ve- ntione rope fo ins ction pu o ///n
Date Sig re (Appli nt or Age ):
Application Number . . . . . 07-00001776
Permit MECHANICAL
Additional desc .
Permit Fee . . . 33.00
Plan Check Fee
8.25
Issue Date
Valuation .. . .
.
0
Expiration Date 12/16,/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
B/C <=3HP/100K BTU
9.00
-----------------------------------------------------------------------------
Special Notes and Comments
HVAC CHANGE -OUT, NEW AH & CONDENSER
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
LQPERIIIT
CERTMCATE.OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF -1R
%/V,4C'i �/� . 0t9� �� g.4///
Project Title Date
S��{g0�'yo4���
Project Adams, Building Pem,it#
Do entatton Author Telephone S Plan Check/ Date
• Field Check/ Date
Compliance Method (Prescriptive) Climate Zone EnforCen;ent Agency Use Only
✓ O 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 -IR page 3)
For Package D Altemative see Appendix B Table 151-0 Footnotes 7-14
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) Average Ceiling Height: ft ,
Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 — (501. X CFA) fls
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 832
for Additions and 833 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).
Component
Type (Wall,
Roof, Floor,
Slab Edge,
Doors)
Frame
Type
(Wood
or Metal)
Assembly U -
factor (for Joint - of Radiant
Cavitynous wood, metal A Barrier Location/Comments
Insulation frame and mass IV Installed (attic, garage,
R -Value R --Value semb ' Reference Yes or No ica1, etc.
11 SAnnPndiv
TV;aa
Q—+;— .Tv 7 Til •1 �J itr �i-_
.-•a •• Wim+ u i+av vauaa ivi uic u-idG[Or unierion. U -fact IIOt.
xceed prescriptive value to show equivalence to R -values.
Residential Compliance Forms
March 2005
CERTIFICATE OF
1--l-04e
Project Title•
RESIDENTIAL (Page 2 of 4) CF -1R
Date
TION PRODUCTS — U -FACTOR AND SHGC
TMA)MVRJMRATON ALLOWED AREA WORKSHEET WS-4R—must be included for New Constru tion,
Additions terations.
Fenestration
IhType[Pos•
(Front, Le% Orie
Rear, Right, ration, 4h, Area U factor SHGC
S!qlight N, S, W U facto? Source; GC' Sources
Exterior
Shading/Overhangs6.'
✓ box if WS -3R is
included
Distribution
Type and Location
ducts, aW etc.
13
Oef
13001-
❑
1300
❑
13
�, 7 •`rr'w "•" "`^ •u�++µ+ +wL iLm U , iWiGlu4UWU UMU a Tile SKyugnTS>d!
e west or Ulm m any direction
when the pitch is less th :I2. See §151(f)3C and in Section 323 ofthe anual
2) Enter values in are either NFRC Rated value or from Standards 116A.
3) Indicate so er from NFRC or Table 116A,
4) Enter m this column from NFRC or from Standards Default Table 1ed S from WS -3R.
S) Ind" source either from NFRC or Table 116B.
g Devices are defined in Table 3-3 in the Residential Manual and see WS -3R tD calculate Exten ' g devices.
See Section 32.4 in the Residential Manual.
HVAC SYSTEMS
Heating Equipment
Type and Capacity
Feat EMZ bo>Yer etc.)
minimum
Efficiency
(AFUE or
Distribution
Type and Location
ducts, aW etc.
Duct or Piping Thermostat Configuration
• R -Value Type lit or
.
Cooling Equipment Minimum
Type and Capacity Efficiency Duct Location Duct
A/C Beat pump, evap cool SEERor EER attietc. R -Value
Thermostat Configuration
T elit or ka e
Residential Compliance Forms
March 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF -IR
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.
�n
1 ❑ 1 Alternative to. Sealed Ducts and Refrigerant Charge /TXVs (See PadWV D Alternative Package Features for
I Project Climate Zone in the RM Annendix B Table 151- Fnntnntec 7-t4_
For additions acrd -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
sva= shall meet the raluiremetft of Section 150m and duct insulation requirements of PacdCa a D.
WATPR TM A"WV CV?@7Ti-Me
Distribution
Type
❑
Sealed Ducts all climate zones ler testing and certification and HERS rater field verification
0
T"s, readily accessible (climate zones 2 and 8-15 only)
(histallertestuig and certification and HERS Ratter field verification ation ired.
❑
Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verificationuired.
�n
1 ❑ 1 Alternative to. Sealed Ducts and Refrigerant Charge /TXVs (See PadWV D Alternative Package Features for
I Project Climate Zone in the RM Annendix B Table 151- Fnntnntec 7-t4_
For additions acrd -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
sva= shall meet the raluiremetft of Section 150m and duct insulation requirements of PacdCa a D.
WATPR TM A"WV CV?@7Ti-Me
Water Heater
Type/Fuel Type
Distribution
Type
Rated Energy
Input! ink Factor` or
(kw meaty Thermal
JeHonjs Efficie4
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per ,
'n&
❑
fling unit If -the water heater is a sump type, 50 gallons is the maximum capaetty and reorculation m is
Chei4c when using Freapproved Alternative Wafer Heating table, Table 5=4 in Chapter 5 in ther:!!
E03
Manual h calculations are and the stein oAm lies automaticall .
Check box if 334L= does not meet criteria of "Standard" system, and does not coi nply with flJOVreOpproved
D
Alternative WORV41t9table. In this case, the Performance Method must be used and be included in the
submittal.
❑
Check box to verify that a control is required for a recirculating system puVOIL system serving multiple
units
Water Heater
Type/Fuel Type
Distribution
Type
Rated Energy
Input! ink Factor` or
(kw meaty Thermal
JeHonjs Efficie4
Tank
External
Standby' Insulation
Loss/o R -Value
Water Heater
Rated En Tank
T Factor` or External .
Number �� Capacity Thermal Standby' Insulation
in Svstem Rho/hA Aon~ T r A/_l
1. For smal
IoA storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr),"electrie ce, and heat
pump,,Vffter heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 000
B ), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneousNth:are
ers, list Rated Input and Thermal Efficiencies.
Pi ulation (kitchen lines >_ 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures
.00fhes or greater in diameter shall be thermally insulated as specified by Section 150 (j) 2 A or 150 (7i 2 B.
Residential Compliance Forms March 2005
Or
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4.f 4) CF -1R
Project Title Date
SPECIAL FEATIIRES NOT UIRING HERS VERIFICATION add extra sheets if necess
Indicate which special features are part of this project. The list below only represerrts special features relevant to
t+eccrinfnre mnthnA
✓
Mcature
Me ramed'Walb
Required Forms Cif a licable
Description
❑
CF -1R
CF -IR
Oe -
❑
Radi arriers
Exterior SINges
0
WS -4R
PC
❑
Cool Roof
N/A; Attach CRRC Label to
Forms.
Dedicated Hydionic g
Performance Calculation
Syste.rn
Requireck Attach Run to Forms.
❑
Combined Hydronic System
Performance Calculation
hAcquirect Attach Run to Forms.
14formance Calculation
13
Gas Cooling
OF
❑
Buried Ducts
N/ • on buildin
See Sectio 62 ' 'on
❑
J Kitchen Pipe Insulation
System in ReMAggM Manual.
See Table 5-13
Multiple Water Heaters Per
Dwelling Unit
Performan cul and
attach Forms.
0
Central Water Heating System
P ance Calculation an
Serving Multi le DwIhn
Run to Forms.
E3
Large Water '-1R
Heater
Heater
CF
See Table 5-13 or use
❑
Indirect Water Heater,/Oor
Performance Calculation and
attach Run to Forms
See Table 5-13 or use
❑
Instantaneo Zlw.terHexter
Performance Calculation and
attach Run to Fors
See Table 5-I3 or use
❑
So afar Heating System
Performance Calculation and
attach Run to Forms
4
Wood Stove Boiler
Performance Calculation and
attach Run to Forms
SPECIAL FEATURES REOUEMG HERS RATER VERIFICATION
(add extra sheets mf necessary) Indicate to the HERS Rater which credits are part of this project and need
Verification _
Feature
R
Forms if applicable) Descri tion
Duct SealingCF-6R
f✓
art 4 of 12
❑ Refrigerant -Charge
CF -6R
5 of 12
❑ Thermostatic Expansion Valve
CF -M
part 6 of 12
Residential Compliance Forms
March 2005
Bin #
City of La Quinta
Building at Safety Division
P.O. Box 1504, 78-495 Calle Tampico
Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
\�La
Project Address:`53
eO /� v `�� �V � -z–
Owner's Name:,7777—
A. P. Number:
Address:
Legal Description:
Contractor: 8F- -r- I'd i- l)�-s p--
City, ST, Zip:
Telephone: `
Address: 2 S'S Al, f l CCS /0 �0
Project Description:
City, ST, Zip: P IW 9&11VPJ 2Z 6
VV, �% l9 O LJ ►'
Telephone:
t
State Lic. # : 9 Z 71
City Lic. #:
Arc i., , Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'ti Alter Yepair Demo
Name of Contact Person:
Sq. Ft.:
#Stories: 7#
Units:
Telephone # of Contact Person:
Estimated Value of Project:
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 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