08-0933 (MECH)P.O. BOX 1504
`78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
X08-00000933 .�
Property Address:
78910`SONESTA WY
APN:
604-151-025-36 -23269
Application description:
MECHANICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
1500
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SCHMIDT SCOTT A
78910 SONESTA WAY
LA QUINTA, CA 9225
Contractor:
Applicant: Architect or Engineer: DANCY HVACR, MIKE
P.O. BOX 1567
INDIO, CA 92202
�1V(760) 775-0750
�/ LiC. No.: 374657
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 Code, and my License is in full force and effect.
license Class: C20-38 License No.: 374657
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 Caw (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).:
(_) 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, 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 r'Vison _====J
ate:wner:
.. STRUCTION 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
VOICE (760) 777-7012
FAX (760) 777-7011.
INSPECTIONS (760) 777-7153
n
Date: 5/28/08 l,
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 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 beconlwgbiect to the workers' compensation laws of California,
and agree that, if I should become orkers' compensation provisions of Section
yo �Ool
�IheL or Code, I sh hwith com those provisions.
aV te:
WARNING: FAIL RE TO SECURE WO KERS' 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 Applicationis 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 i I agree to comply with all
city and county ordinances and st to laws relating to building constructi hereb orize representatives
of this oun y to ter upon above-mentioned property for ins io rpo ,
Wt a:. gnature (Applicant or Agent):
'Application Number 08-00000933
Permit MECHANICAL
Additional desc .
Permit Fee 24.00
Plan•Check Fee
6.00
Issue Date . . . .
Valuation . . .
.
0'
Expiration Date 11/24/08
Qty. Unit Charge Pet
Extension
BASE
FEE
15.00
1.00 9.0000 EA MECH
B/C <=3HP/100K,BTU
9.00
----------------------------------------------------------------------------
Special Notes and Comments
REPLACE CONDENSING UNIT AND COIL
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
CERTIFICATE OF CC)1TLL4NCE: RESIDENTIAL
ProjiebtTitle ��
Author
Telephone
Climate Zone
✓ ® Alternative Component Package Method: (check one) C .D A (Alternative)
Package C and Package D choices requiro HERB rater field verification and/or diagnostic testing (see CF -1R page 3)
For Packcwe D Ahernatfve see Appendix B Table 151 -C Footnotes 714
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) ft
Average Ceiling Height: 8
Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 - (5% X CFA) W
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-0 ----(20% X CFA)
r ✓ E3 Building Type: (check one or more) Single Family Multifamily Addition Alteration
(if adding fenestration fill out, WS -411, Fenestration Maximum Allowed Area Worksheet and we Section 8.3.2
for Additions and 8.3.3 for Alieration.4.)
Number of Stories. Number of Dwelling units:
Floor Construction Type: Slab&aised Floor (circle one or both)
Front Orientation:•• North ./ South / East /.West. / All Orientations (input front orientation in degrees from True Nor#i
and circle ono),
n. RAWANUARM, R in
Qi'AQUE SURFACES INCLIJD)[1oTG ®PAQUE DOORS
Component
Type (Wall,
Roof, Floor,
Slab Edge,
Doors)
Frame
Type
(Wood or
Metal
Cavity
Insulation
R -Value
Continuous
I Insulation
R -Value
Assembly U-
factor (for wood,
metal liame,and
mass
assemblies '.
Joint
Appendix
IV .
Reference
Roof Radiant
Barrier
Installed
Yes or No
-�
Location
Comments j
, (attic, garage, I
Dkcal, etc.`
►) 5ee JOint Appendrx IV in Z ewUon I V 2, i V:3 and IV 4, 'WhrCh is the basis for the U -tactor criterion, U -tactors cannot exceed
prescriptive value to, show equivalence to R -values.
Residential Compliance Forms April 2005
A
CERTIFICATE OF COMPLIANCE: RESIDENTIAL , (Pae 2 ors) CF LR,
oil I
l'ro'ect Title ( Date
WESMUT OIN- PRODM - U-FA,CJOR AND §HGC
r FENESTRATION MA UNPJM ALLOWED AREA WORKSHEET W84R -must be mcliidod for New,
Construction, Additions and Alterations.
Fenestration
O/Type/Pos. I Orien-
(Front, Left, tation,
Rear, Right. N, S, E,
----Skylight)Wt
(
I
Area
fe
U -factor'
U -factor
Source'
`
SiIGC°
SHGC
Sources
Exterior
ShadtngiOverhangs�'
✓ box if WS -3R is
included
rr- G A c
.
a -
Cl
1
a
E
1). NKyltgGts aro 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 this column are either ivFRC Rated value or from Standards default_ Table l 16A.
3) Indicate source either from NFRC or Table I I6A,
4) Enter values in this column from NFRC or from Standards Default Table 1 I 6 or adjusted SHGC froin WS -311.
5) indicate source either froth NERC or Table I I6B.
7
6) Shading Devices are defused in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading'
devices.
�) See Section 3.2.4 in the Residential Manual. `
HVAC SYSTEMS
Heating Equipment Minimum
Type and Capacity . Efficiency
Armee, heat um boiler etc. AFUE or HSPF
Distribution
Type and Location i Duct or Piping 'rhennostat Configuration
` ducts, attic, eto.) R -Value TY s ht or sckaa
2 S dao 0 eC
S'Zc r- A'G L( —
j
I Thermostat
T _
{
I Configuration
lit or Package)
S �t f410 .STV
Cooling Equipment
I. Type and Capacity
(A/C, heat pump, evap.
Cooling)
Minimum
Efficiency
SEER or EER
Duct Location
attic etc.
Duct
R -Value
j
I Thermostat
T _
{
I Configuration
lit or Package)
S �t f410 .STV
rr- G A c
[ 7-
CtER'TIFICATE OF COWL' ANCE: RESIDENTL4L 3 of 5) CF -IR
Project fide - Date
A4 �If
MAX, AD lupi T5 ants TXVs for t�•� ttve 141[�y��
A signed CF -4R Form must be provided to the building department for each home for which the following, ars
FilSealed Ducts(all climate zones) (in_¢�er testing_aad certification and ITERS rater field varifirtntin„ —,,:r,,,a i
0 r -v s, rc=uy accessible (climate zones 2 and 8-15 only) - - -
nstaller teLft and certification and HERS Rater fieldverification required.)
Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verificationrequired.)
OR
C1 Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
ProClimate Zone in
ORR the RM Appendix B Table 151-0, Footnotes 7-14.
1
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 1 50(m) and duct insulation requirements of Package D.
r
WATER BEATING SYSTEMS
O
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
not allowed.
Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential
Q
Rated
Inputi Tank
(Mor. Capacity
Btk&) (Rauaw)
Manual. No water hes ' calculations are required, and the system complies automatically.
Standby'
Loss (*/*)
Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved
D
Alternative Water Heating table. in this case, the Performance Method must be used and must be included in the
submittal.
CChneck box to verify brat a time control is required for a recirculating system pump for a system serving multiple
uts
0
ti�rol,eeren
a .t. .L�_ne_ _
Rated Enemy Task
japd Tank Factor or External
Water Heater Distribution Number (Mor Capacity Thermal Standby InsulWon
T uel T e T in system Btu/hr (PUew Efficiency Loss (%) R-Vr_lue
Svctetn servine
unite
Water treater
Type
Distribution
Type
Number
in -system
Rated
Inputi Tank
(Mor. Capacity
Btk&) (Rauaw)
Energy
Factor or
Thermal
Efficient
Standby'
Loss (*/*)
Tark
Extemal
Insuladon
R -Value
. rvr siren gas suuagG water neaters (mwa inputs oI tess wan or equal to i%wu t3tu/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 I-1frciency, Thermal Efficiency and Standby Loss. For instantaneous gas water
heaters, list Rated Input and Thermal Efficiencies.
no It BII tion (kitchen lines ? 3/4 inches) All hot water pipes from the heating source to tho kitchen fixtures
that are 1/4 inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 (}) 2
B.
Residential Compliance Forms ApriVO05
�Y
f.,URTIFICATE OF C(3IdPLUNCE-ORESIDEN UL Tar a of 5) CF-IIl
ect Title Date
.2
S]F°ECIAL FKAHMS NOT UOLiIIMG HERS extra sheets if
necessan ?
indicate which special features are part of this project. The list below represents special features relevant to the Prescriptive .
And Pewrf'nemcmr AAoth-A P
✓
Feature
Required Fors if a licable
®eseri "on �
D
Metal Framed WaIh�'—
CF -1R
C3
Radiant Barriers
CF -1R-
0
Exterior Shades
WS -4R
N/A; Performance Calculation
0
Cool Roof
Required. Attach CRRC Label to
-
Forms.
C3
Dedicated Hydronic Heating
Performance Calculation
S stem
R uired; Attach Rim to Farms,
.
-0
. Combined Hydronic System
Perfonuanea Calculation
R aired• Attach Run to Forms. .
C3
Gas Cooling .
N/A; Performance Calculation
Requftvd.
D
Buried Ducts
N/A; Indicate on Wilding plans.
0
Kitchen Pipe Insulation
See Section 5,6.2 Distribution
Systems -in Residential MAMI.
E3
Multiple Water Heaters Per
See Table 5-13 or use
Dwelling Unit
Performance Calculation kid
attach Run to Forme.
0
C tral Wator Heating System
Performance Calculation and
§E'ffi Multiple Dwellings
attach Run to Forms.
C7
Non-NAECA Large Water
Heater
CF -1R
See Table 5-13 or use ~^
0
Indirect 'Water Heater
Performance Calculation and
attach Run to Forms
See Table 5-13 or use
O
Instantaneous Gas Water Heater
Performance Calculation and
attach Rua W Forms
See Table 5-13 or use
E3
Solar Water Heating System
Performance Calculation and
attach Run to Forms
0
Wood Stove, Boiler
Performance Calculation end
_
Attach Run'to Forms
Bin#
City of La Quinta
Building at 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:
A. P. Number:
Legal Description:
Contractor:
wner's Name: G
Address: F? U S D n
-City, ST, Zip: L A x
Telephone: 9 / R
Address:
Project Description:
City, ST, Zip:
Telephone:
0
State Lic. # :
C�<fJ r Co
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. IF.:
-7
# Stories:
# Units:
Telephone # of Contact Person:
timated Value of Project: S-00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING .
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
I
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd 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:-
''d 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
ENaGy 7004,41s c�- i2