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06-1691 (MECH)P.O. BOX 1504. 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00001691 Property Address: 76810 SUNBROOK LN APN: 604-291-001-1 -23995 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 3000 Applicant: Architect or Engineer: al0 , 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: PETRI RICHARD F 78810 SUNBROOK LANE LA QUINTA, CA 92253 Contractor: J & J INCORPORATED P.O. BOX 966 PALM DESERT; CA 92260 (760)346-4477 Lic. No.: 596456 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 -Date: 5/02/06 ------------'--------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION ---- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate.of consent to self -insure for workers' compensation, as provided License Class:. C20 License No.: 596456 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ate: O ontractor: Y issued. !' 1 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: . I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 1769525.-2006 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any 'construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the- person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section ' License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code I shall forthwith comply with those provisions. 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).: ate: ^ L 'QUO pplicant: M. Y/ (A' 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 offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the . DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. " 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.). - APPLICANT ACKNOWLEDGEMENT (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. ' property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed - 1. Each person upon whose behalf this application is made, each person at whose request and for I pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City ' 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: LQPERN11T 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 I city and county ordinances and state laws relating to building construction, and hereby authorize, representatives_ oft county to enter upon $jne above-mentioned property for insp�e/cltiion purposes. D' Agnature (Applicant or Agent): _T T� Application Number 06-00001691 Permit MECHANICAL Additional desc . Permit Fee 24.00 Plan Check.Fee' 6.00 Issue Date Valuation . . . . 0 Expiration.Date 10/29/06 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 EVAPORATOR COIL (UP TO 14 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 COMPLIANCE:••RESIDEN.TIAL: (Page`i`of4) CF-1'R Project Title. ` . Date; S— ©� Bulding Permit #PojectAddressi• CcMi/" Telephone .; Plan Check (Date :Documentation Author.',��`T V V 7ln 1 TG %� 19V .. Field Check/. Date Compliance Method (Prescriptive)' Climate Zone I 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 7-1.4 GENERAL INFORMATION. Total Conditioned. Floor Area (CFA) fe Average Ceiling Height: ' ft Maximum Allowed West.Facing Fenestration Products Per. Table 151-B or. 151-C :--- (5"/o X CFA) ft Maximu (lowed Total Fenestration Products Per ble 151-B or 151-C _.__ (20% X CFA) ' ft ✓Motuilding Type: (check one•or''more) ... ISingle Family Multifamily"- Addition ' Alteration. (If adding fenestration.fill'out WS-4R, Fenestration Maximum Allowed Area Wdrksheet.and see Section 8.3.2 for Additions and 8.3.3 for Alterations.) Number of Stories:_ Number welling Units: T Floor Construction Type:Sla wised Floor (circle one or both) Front Orientation: orth outh / East / West / All Orientations (input front orientation in degrees from True North and circle one). ✓ El RADIANT BARRIERIrectu'ired'in climate zones 2.4.8-15) OPAQUE SURFACES INCLUDING OPAQUE DOORS , Component Assembly U. Type (Wall; Frame factor (for 'Joint . Roof Radiant " Roof, Floor; Type. Cavity' : Continuous wood, metal Appendix' Barrier Location/Comments Slab Edge, Wood' .' •'Insulation': Insulation frame and mass IV , ' Installed . : •. (attic, garage; < •' Doors or Metal 'R-Value' R-Value assemblies Reference Yes or No ical; etc. 1) See Joint Appendix IV in.Sectiori 1V;2 IV.3 and IVA, which is. the basis for the U-factor criterion. U-factors can not exceed prescriptive value to: show::^equivalence to R-values, ,., March 2005 Residential Compliance Forms. t I CERTIFICATEOF COMPLIANCE:. RESIDENTIAL: (Page;;0.4j CV. -A. 'Projecf Title 7 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. Exterior 6 (Front, Left; Orien- Shading/Overhangs ' Rear, Right, tation, Area U -factor SHGC ✓ bok if WS -3R is Skylight) N, SiE W' ft2 U-factor2 Source' SHGC° Sources included 94❑ 1 ❑. _.__-u_L._ _ _ .:[,-A t- A.a ..,acf nr 40fad in anu (lire..Ctlnn 1) Skylignts are now incivaea In VY GSL -14%41 ', wuwu au 1 w.................Y-.p••-.. -- ------ -- - -- - when the pitch is less than 1:1:2. See §151(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 6f:Table 116A, Standards Default Table 116B or adjusted SHGC.from WS -3R. 4) Enter values in this column from.NFRC or from 5) Indicate source either from NFRC:or. Table 116B. 6) Shading Devices are defined in Table 3-3 in the Residential Manual and see:W S -3R to calculate Exterior Shading devices. 7) See Section 3.2:4 in the Residential Manual: ' HVAC_ SYSTEMS . Heating Equipment. Minimum Distribution Duct or Piping Thermostat. Configuration Type and Capacity Efficiency Type and Location p g g fumace heat um,_ m boiler .etc. AFUE or HSPF duc attic etc. R -Value T e s lit or acka e Cooling Equipment Minimum . Duct Thermostat Configuration Type and Capacity' Efi ciertcy.' • . Duct Location A/C, heat um eV . coolin SEER or fiER . `. ... attic etc. R -Value T e s lit or acka e U Residential Compliance Forms March 2005 RESIDENTIAL .(Pap.2 of 4) CjF:" ... .. _ ..: :. ••�-a�=off_ Project Title.: SEALED DUCTS and TXVs (or Alternative Measures) A signed CF4R Form must. be provided to the building department for each home for which the following. are reauired- ❑ IAlternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14 VR ,Yor 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 r. uirements of Section 150 m and duct insulation requirements of Package D. WATER NFAT11Nf_ CVCTTMC 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) Standbyl: Loss % 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 Number verification required.) nn ❑ IAlternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14 VR ,Yor 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 r. uirements of Section 150 m and duct insulation requirements of Package D. WATER NFAT11Nf_ CVCTTMC Heater T e/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 Standbyl: Loss % not allowed. ❑ Check box when using Pre_approved Alternative Water Heating table, Table 5-4 in Chapter 5 jn the Residential Number Manual. No water heatifi calculations are required, and the system complies automatically. Tank! ;; Capacity' 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'.' Type, submittal: ❑ . Check box to verify that a time control is required for a recirculating system pump for a system serving. multiple,..' eons units - • Loss % R -Value Heater T e/Fuel Type Distribution TYpe Number. in System Rated Input) . (kw or Btu/hr(gallons) .Tank Capacity Energy. Factor) or Thermal Effiicienc ,. Standbyl: Loss % -Tank • ExternalWater .Insulation R -Value Water. Heater Distribution Number Input) (kw or Tank! ;; Capacity' Factor -or ' '''•Thermal Standby' External Insulation Type, = Type. ' in System • Btu/hr eons Efficienc Loss % R -Value --- ------ ---,•--....- -...,u v. „yuw w iv,vvv otwgr), 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, RecoveryEfficiency; Thermal Efficiency and Standby Loss: For instantaneous gas water heaters, Iist.Rated Input and Theilnal:Efficiencie's. Pipe Insulation (kitchen lines > 3/4 nches).All hot water pipes from the heating source to the kitchen fixtures that are''/a 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 Rated ::, Energy Tank Water. Heater Distribution Number Input) (kw or Tank! ;; Capacity' Factor -or ' '''•Thermal Standby' External Insulation Type, = Type. ' in System • Btu/hr eons Efficienc Loss % R -Value I- Fnr email aac efn-onu ......e- r.e..a.:a.. f -_._J a _c. --- ------ ---,•--....- -...,u v. „yuw w iv,vvv otwgr), 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, RecoveryEfficiency; Thermal Efficiency and Standby Loss: For instantaneous gas water heaters, Iist.Rated Input and Theilnal:Efficiencie's. Pipe Insulation (kitchen lines > 3/4 nches).All hot water pipes from the heating source to the kitchen fixtures that are''/a 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 i CERTIFICATE OF COMPLIANCE .RESIDENTIAL' � (Pase .4 -of. — C .. Project Title Date SPECIALYEATURES'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 nre.wrintive methnd ✓ ' Feature Required Forms irapplicable). Description ❑ Metal Framed Walls CF -1R CF -6R part 6 of 12 ❑ Radiant Barriers CF -1R . ❑ 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 Water ' . CF -1 R 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 1 See Table 5-13 or use ❑ 'Solar Water Heating System: ' Performance Calculation and attach Run to Forms ❑Wood Stove Boiler Performance Calculation and attach Run to Forms . SPECIAI (add extra s verification. URES-REQUIRING HERS RATER VERIFICATION ;ces " Igdicate to'the'HERS.Rateiwhich credits .are part of this project and need Jpdature.ke,quiOd Forms:' if a ' licable Descri tion.. Duct Sealing CF -6R' art 4 of 12 ` ❑ Refrigerant Charge CF -611 part 5 of 12 ❑ Thermostatic Expansion _Valv'e':', CF -6R part 6 of 12 March 2605 Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit .# 1, Project Address: Owner's Name: A. P. Number: Address: Legal Description: Contractor: City, ST, Zip: Telephone:�j� % r Address: ���� i `� Project Description: City, ST, Zip: Telephone: State Lic. # City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: ; t ; }'' State Lic. #: Name of Contact Person: Construction TypdS. `moo/ Occupancy: Project type (circle o e): New Adcl'n Alter Repair Demo Sq. Ft.:#Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 5 GO —� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd 'TRACHING 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 correctionsrssue 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