09-0016 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 09-00000016
Property Address: 81700 TIBURON DR
APN: 767 -531 -013 -
Application description: MECHANICAL
.Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1340
Applicant: n�
C•.
T4'ht 4 4 Q"
.Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
- 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 rofessionals Code, and my License is in full force and effect. -
License Class: C220 Li se No.: 794315
�te: L• - 7 - / ractor:
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).:
(_) 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 _ 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.). .
(_) 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:
SCHULER ARTHUR C
81700 TIBURON DRIVE
LA QUINTA, CA 92253
Contractor:
DOVE AIR INC
69749 RISUENO ROAD
CATHEDRAL CITY, CA
(760)327-1890 ,
Lic. No.: 794315
VOICE (760) 777-7012
FAX (760) 777-7611
INSPECTIONS (760) 777-7153
Date: 1/07/09
92234
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury -one of the following declarations:
I haveandwill 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:
CarrierE} EMPT 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 sha orthwith t
mpty with those provisions.
Date • d f 8Aant: r!G
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 thi unty to enter upon t •above-mentioned property for i pection purpose
Date: ' �r Q gnature (Applicant or Agent): .
Application Number . . . . . 09-00000016
Permit . . . MECHANICAL
Additional`desc .
Permit Fee 31.50 Plan Check Fee ..
7.88
Issue Date . . . . Valuation . . . .
0
Expiration Date 7/06/09
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 16.5.000 EA MECH B/C.>3-15HP/>100K-500KBTU
16.50
----------------------------------------------------------=-----------------
Special Notes and Comments
CHANGE OUT 1 5 TON CONDENSOR UNIT. ADD
TXV TO EXISTING EVAP COIL.
-----------------------------"-----------------------------------------------
Other Fees . . . . .: . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary, Charged Paid Credited
-----
Due .
----
------------------------- -- --------------------
Permit Fee Total 31.50 .00 .00
-
31.50
Plan Check Total 7.88 .00 .00
7.88
Other Fee Total 1.00 .00 .00
1.00
Grand Total 40.38 .00 .00
40.38
LQPERMIT
') CERTIFICATE Or COMPLIANCE- RESIUENT
xAI, (PaRe l of 4)CI+'-IR
Project itic C e r
ptojevt'Address
00
.. -. Lvcumcatauon Author
Tdcphmo Maa Cbo*IDais
Compliance Method (Presdi five
P ) Cli'viateZono ': F'ddt�odc/Data
`r l3 Alternat;`.e pa tP a r -1-w gAgengjj-x0ay
p Method: (dieck one)-
C.
ne) C _ Ij _ D (Altanatilre
age C and Padcagc D boas. roquirc FI>
For pacbec D Ah raterfr,1d vtxtftca ' �agrtos}io tcstirt
enza a see A �n and/or d g (ice. CF -IR R
. PPa1dix.BTabk�151-CFooj�14 _ page 3y.
GENERAL DWORMATxON .
Total U�nditionod -
Ma�cirnytrt Allowed (GFA) fe Avrragc-on-finHeight; ft
Maximum Afl Fes. Products Pec Table 15143,6r ISIS
owed Total FU`estration Products Per Tabk ISI-$ or ISI. -C, (Zp•� X ¢ j IMA) -T -
✓D Building t#+etk .
ft
(1faddiLqgSingleFam�y_ Multi --�
for Add tion till.out WS -q ene tion y— Action Alk tion
uoas and 833 for Altrstaatiocu.)' Allowed Area •Woe ser Section 832 -
Bw Nu oudiou� • Number of •
Front Oricutation: MaWRAised Foor(cirdc ah)
Noah and cir ck oae) �-- NoiW / Sotadi / Eazt / West /All Urieatatiars
rmput field or�I`is dcgrccs f -om Trus
✓ I7. RADIANTgARi2 ER
icedin climate joy 4 g -I
OPA iI,E SIIRRACES XIYGZUDING OPA VE b0
ORS
P�Cat .
Ype (Fall,... Frame Asswnbty .. _
'SlabFI. ; ..f`avity � factor(for J� P f�
�Sant
Doors t'Wood Insulation .Insulation "n'o`i' metal Appendix Batria
or M friubc and massoomraatts'
it -Value . :R Va1ac.
lies.1 R � N (attic' g
. ical, cic..
l) Sce loint.AppendixdY in Section IV
exceed Pmcaiptive. value to 2►'. IY3 and IY.4; which is the basis for the U -factor criterion, U -factors �an'not
A equivalenm to R -values:.
Residential Compliance. Forms
March 2005
'CERTIFICATE OF COMPLIANCE; RESIDENTIAL
(Page2 of4 )
_
CFJR . .
Project Title
��'%60 �i Date:
•
. v/Otis. f,
FENESTRATION PRODUCTS — U-FACi'OR AND SHGC
FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET
WSAR —must be included.for New Constru '
Additions and Alterations.. ction,
Fenestration
�ype/Pos.
(Front, Left, Orien- .
61erior.
Rear, Right► tation, . A�
S li t N, S . Wt U=factor SHGC ..
ly f U-factor2.
.
Shading/OveflmgsA 7
..i box if WS -3R is
Source' SH Gd. Sources
included
❑ '...
.13
0.
❑
1) Skylights are now included iu West facing fenestratibn area if the s li ❑
when the pitch is less than U12. See'§ l51(f)3C and in S a� tilted to the west.or tilted in tin+ direction
2):
m this column art: either NFRC Rated value deefault
IEnterirate--
oar from Standards Tabled 6A,
3) Indicate source either from NFRC or Table 116A,
4) Enter values in this column ' om NFRCor from Standards
Default Table 116B oradusbed SHQC from
Indreate source either'from NFRC or Table 116B.
WS -3R
s 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
H'�AC SYSTEMS
Pleating Equipment lviriximtun. Distii tttion. .
and CaPacih' EfiicieacY. Type
and. Location Duca or P' in
bor7a etc or HS ducts atti etc. �• g Thermostat,
. R -Value
Configw2tlon
C ®
11
icor
v
Cooling Equipriient . Minimum
Type and Capacity Efficie,
hey DuctLocation Dud
heat urn eva .cool'g�•or Thermostat
attic etc. R -Value
Configuration
• �,
it or e
Residential Compliance Forms
March 2005
a
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (page 3 of 4) CF-�
Project Title
Date.
SEALED DUCTS and TXVsA or AlternatieM
easur
'IV'
.mt4-4R Form must beprovidtohe -building
VZ)cmalred
ed. department fo
r each home for which the following. are
Dud's (211
17_Vreadily. ` U11%7duon ana HE" rater.freld verification required.
Y accessible (climate zones 2.and 8-15 only) ..
nstaller testin and cutification and HERS }tater field verification fired:
E Refrigerant prarge (climate zones 2 and 8-15 only).(Installertestin
verification iced, g and certifiiation and HERSRater field
OR
O . Alternative to Sealed Duds and RefrigerantCharge
Piro'ect piaiate Zone in the RM ,ppendix .e . I vs-(Soe Package D Alteinauve.Package Features for
OR • B Tabl51: Footnotes 7-14.
For addons and alterations, duct systems that are not d
13 sealed as confirmed through field verification and di ocumented to.have been previously
Residential ACM Manual and duct : agnostic testing in accordance with procedures in the
aces shall meet the d �'�s with more than 40 linear feet "un conditioned
cements of Section 150 m and dud insulation irements of P D,
WATER HEATING SYSTEMS
Check box if system meets criteria of a-Standacid
D dwelling unit_ If the water heater is a sto » systern Ziltll 11 system is onegas-f�cd water heater per
not allowed e + 50'8allons is the maximum capacity and. recirculation
Check box when us' system is
},
Manual. No water h' calculations 1111'11!! alive Water H8 table, Table 5-4 in -Chapter S in the.Residential
Check box if system does not meet and the cc lits automatically.
[7 Alternative Water Heatin of "Standard" sY�n, and does not corn
ed
submittal: gate• In this case, the 'Performance Method must be used and must plywidi berinc uaevd in the
Check box to verify that -a time oontml is required for a
units recircrrlaft system pump for a system serving multiple
=WaterHeater Dispribution Numberel ��
Rated En Tank'
Input Tank F$dorfor External
a 'Capacity- Thermal , Standby' Insulation
0I .V, �\
S stem servin multi le.dwelliri units
Rated EnerZy Tank
Water Heater Distribution Input' Tank Factor or External
e in umber (kW -or
'Capacity Thermal ' Standby' Insulation
std
2W-or
tons EffrcienI oss % -.R-Value
1.For small gas storage water heaters
Pump water heaters, list En (� mP :g less than or equal to 75,000 Btu/Iv), electric resistance, and heat
�S3' Factor.. For large as storage water heaters (rated input of greater than 75,000
Btu/hr), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Los
1 heaters; list Rated Input and Tbei�nal Efficiencies. s: For instantaneous gas water
Pipe InsulahOn (kitchen lines >_ 3/4 inches) All hot water i
inches or greater in diameter shall be thermally.insulated as specified P Pes from thaheahng source to the kitchen fixtures that ate'/
by Section 150 G) 2 A or 150 Q) 2 B.
Residential Corrrpliance Forms -
March -2005
al"�T I[n��ih�. n .Y•
ri -
i
t CERTIFICATE OF COMPL
IAN•CE: RESIDENTIAL. (page 4 of 4) CI+=1Z
Project Title
SPECIAL FEATURES NOT
RE
Indicate which sTy
�URUNpecial HERS 'VERIFICATION add extra sheets if necessary)
i pedal featuies are p� of this 1
five
rescri method.
Feature.
project he list belbw onl Y represents special features relevant to the
❑ Metal Framed'Walls
0
R uired Forms rf a ticable Descri tion
CF-1R.
Radiant Barriers
C7 Exterior Shades-IR
Cool Roof.
WA; Attach CRRC Label to
❑ DedicatedHydropic H
. .
Forms'
stem
Performance Calculation
l7 Combined Hydronic Syitem -
R u' Attach Run to Forms,
Performanc a Calculation
Cias Cooling
R'Attach Run to Forms;
Performance Calculation
. 0 Buried Duds . '
R wired.
0' Kitchen•Pipe Insulation
Indicate •On build' fans.
Set Section 5:62 Distn�bution
CT Multiple Water Heaters Per
Systems in Residential.-Manual.
Sec Table 5-13 or
Dwelling-Unit
use
Performance Calculation and
�. Central Water H
.attach Run to Forms.
Servin Multi le Dwel —
-I`lon=NAECA
Performance Calculation and
- DLarge Water
attach Run to Forms. - .
.. Heater
CF=IR
0 Indirect Water Heater
Sec Table 5=13 or use-
Performance. Calculation and
$ Run to Forms
O ..Iurstantaneous GasW
Water Heater
Table.5-13.or use.
Performance Calculation and
attach Run to Forms
0 Solar Water Heatin g System
Set Table 5-13 or use
Perfor;manep, Calculation
❑ ' Wood Stove Boiler
and
attach.Run to Forms
•.Performance Calculation
and '
attach Run to Forms
UL
• Gadd eCxhasheets ifrt� �` • UiRING HERS RATER'�E RiFICA�'I�N
Ldicate
• to.the HE .
verification. RS Rater which credits are part of this project and need
Feature
0 Duct Sealin
0 Refri erarrt Char a
R wired Forms fa livable Descri tion
CF 6R 4 of]
0 Thermostatic Ex anion Valve
CF ..6R art 5 of I2
CF-6R art 6 of 12
Residential Compliance Forms
March 2005
-YV0 RV1`1 .._........... .... .,--.._...._... WJVU+ V
Binlf
'
City of !a Quanta
Building 8E Safety Division
P.O. Box 104,'78-495 Calle Tampico
La Quanta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet .
Permit #
-Project Address:
Owner's Name -
r. �rC, iller
A- P. Numbs:
Address: ? 00 T- h 4 it 0 Y) (.
LegalVescription:
City, ST, Zip:
Contractor:O p v. e r� r.
Telephone: — 0
Address; $ - V` �..
Yroject Description: C ' 6 V T
/yk 1
City, ST, Zip: +CF C* CA 921)y
.O1J(< CaN.W JLP i/>k�z
Telephone: i91I 0
V +t
0Tx ?
State Lic. # : 3.15- City Lie. #:
Ls JZA4 C 6Z L.
Arch., Bngr., Designer:
Address:
City, S•1•, Zip:
elepitone:
State Lie. #:
Name of Contact Pera-on: 6oA -0— S C
Constriction Type: Occupancy.
Project ty0c (circle one): New Add'n Alter Repair Demo
Sq. R.:
' # Stories: # Uuits:
Telephone # of Contact Person:st
Estimated Value of Project: 10 , 00
APPLICANT: DO NOT WRITE BELOW THIS UNE
a
submittal
Req'd •
RWd
TRAC.MG •
PERMIT FEES
Plan Sets
Pian Clerk sabmitlgd
Iteta Amount
Structural Calm:
Reviewed, ready for cotrectiom
Pian Check Deposit
Trass Calet.
Called Contact Person
Plan Check Bata.zace
Energy Calcs
flans biekcd up
Construction
Flood plain plan
Plans mubmltted
Mechanical
Grading.plau
V Review, ready t'or corrections/issxc
Electrical
Subcoutactor List
Cotled Contact Person
PlrntUag
Grant Deed
Plaas picked up .
S.WLL
IMA. Approval
Plans resubruitled
Cradidg
IN HOUSE:-
'^! Review, ready [or correctionslinue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue.
seltool Fees
_ .. . _ ........
_ ..
, '
Total Permit Fees