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06-1172 (MECH)ceity/ 4 P.O. BOX 1504F• �^� VOICE 760 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT., Date: � 3/22/06 Application Number: 06-00001172 Owner: , Property Address: 54063 -SOUTHERN HILLS KIRSHNER MERVYN/DARLENE' APN: 775-101-037- - - 54063 SOUTHERN'HILLS Application description: MECHANICAL LA QUINTA, CA .92253. _ _ Property Zoning: LOW .DENSITY RESIDENTIAL Application valuation: 18000. - -� Contractor: MAR 22 Zoot! Applicant: " Architect or Engineer: POLAR= BARR AIR 'COND, INC P�F� 41921 'BEACON HILL SUITE C f.OFLAouiNTA PALM DESERT, _ CA 922.60 F1 CE�E� (760)346-5529 Lic. No.: 722201 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 Busin s 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. Lic se Class: C20 .: Li nse No.: 722201 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ' issued. Date: ontractor: c`� ►l 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 " 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 0000460014226 t 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 tabecome subject to the workers' compensation lawsofCalifornia_ - 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 sho ecome 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 he Labor Cod I hall forthwith co ply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by� //,t � any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500) r : #DateApplicant: (_ 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 havetheburden of proving that he or she did not build or improve for the purpose -of sale.f. 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 Lawdoesnot 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 contractorls) licensed 1 : Each person upon whose behalf this application is made, each person at whose request and for 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 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. Date: - Owner: - 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 • • - - - CONSTRUCTION LENDING AGENCY - . permit to cancellation. I heieby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C:1. - city and county ordinances and state laws relating to buildi g onstruction, and hereby authorize representatives • • of this to enter upon the above-mentioned propfor inspection purposes. Lender's Name: - 2 .�-t/,•'l�// !• . ate: 3 ZZ ignature (Applicant or Agent): Lender's Address: LQPERMIT J :.Application Number_ 06-00001172 Permit" MECHANICAL Add itional_ desc -- - ermit Fee 86.00 _ Plan Check Fee . - L-21.5'0. - - Iss.ue,'Date • Valuation:; 0 ' Expiration Date 9,/18/06 " Qty Unit Charge Per Extension 'BASE FEE . , 15.0.0 .. .2 .00 - 9:0000 EP, MECH -FURNACE. <=100K 18.00 " 1.00 , - . 11.0000 .EA MECH:'FURNACE >100K, •11.00 I.00- 9.0000 BP, MECH B/C <=3HP/100K BTU 9.00 2:00'; •' '. <16. 5000 'EA•: MECH B/C" >3-15HP/>I00K-50OKBTU -" " --= - 33;00 •-- Special Notes and -Comments REPLACE EXISITING HVHC SYSTEM- -Pee summary Charged Paid- Credited Due _, Permit Fee.Total 86.0,0 00 :00 86..00 Plan Check Total", 21.50 :00 .00. 21:5.0" Grand Total- 107.50 ..00 .60 107.50 LQPERMTT Bin # City of La Quints y 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: Owner's Name: /n 9A fS q ,fen— fe2A. A.P. Number: Address: 5�40 6 3 Sao ttfc—r—" Gf,' it S Legal Description:City, ST, Zip: L L'/aG� Contractor: -9,+• a -a- +l L , r,- C_ Telephone: 6 • 6-4q 8.7 6-2— Address: %Z, Project Description: City, ST, Zip:, -PA-L," VESff-2T ('/3 lC) aoc-� a -S �n n QCT/R�� �7c,�T�n E>lIiAC. Telephone: -7(_C) [f �$'zq h _ f C v, e vl t I State Lid. # : Z4D- ap / City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Constru.ction. Type:- Occupancy: Project type (circle one): New Add'n Alter, Repair. Demo State Lic. #: Name of Contact Person: •A2�m Sq. Ft.: # Stories: its:. Telephone # of Contact Person: 760 :346 IS—T-Xe, Estimated Value of Project:W /'8606°- ' APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACMG 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 Cal cs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading. plan 2°" Review, ready for corrections<ssue Electrical Subcontactor List Called Contact Person Plumbing .Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE: ''" 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 40IjDE ti CERTIFICATK OF COMPLIANCE: RESIDENTIAL (Page 1 of 4) CF 44, Project Title Date S`rtbfo 3 moo 7 rrc� ni G�: /�S L A Qy. n T a Cp Project Ad Building Permit #, -r6 07 !'sesSi�S-�� 760 -34 b G iq Documentation Author Telephone Plan Chemo / Date / S Field Check / Date Compliance Method (Prescriptive) Climate Zone Enforcement Agmen, Use oniY ✓ 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 -1R page 3) For Package D Alternative see Appendix B Table 151-C Footnotes 7-14 GENERAL INFORMATION TotaIr Conditioned Floor Area (CFA) ft2 Average Ceiling Height: ft , Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C ---- (5% X CFA) ft Maximum Allowed T. otal Tenestration -Products-Per Table -15-1=B or -15-1 =_.: (20% X CFA) ft ✓ O 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 8.3.2 for Additions and 8.3.3 for Alterations.) Number of Stories: Number of Dwelling Units: Floor Construction Type: r 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). ✓ ❑ RADIANT BARRIER (required in climate zones 2,4,8-15) OPAQUE SURFACES INCLUDING OPAQUE DOORS Component Type (Wall, Roof, Floor, Slab Edge, Doors) Frame Type (Wood or Metal) Assembly U-, factor (for Cavity Continuous wood, metal' Insulation Insulation frame and mass R -Value R -Value assemblies)' Joint Appendix IV Reference Roof Radiant Barrier Location/Comments Installed (attic, garage, Yes or No typical, etc. t) gee joint Appenaix i v to bectton Iv.z, tv.s ana Iv.4, which is the basis for the U -Tactor criterion. U -tactors can not exceed prescriptive value to show equivalence to R -values. CERTIFICATE OF COMPLIANCE: RESIDENTIAL -, (Page, 2 of 4) • CF -1R . M Les h n/e Z_ Project Title Date FENESTRATION PRODUCTS — U -FACTOR AND SHGC ✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R —must be included for New'Construction, Additions and Alterations. 1 Fenestration #/Type/Pos. i (Front, Left, Orien- - Rear, Right, tation, Area U -factor Skylighn N, S, E, W' (ft') 0 -factor' Source' Exterior Shading/Overhangs6•' SHGC ✓ box if WS -3R is SHGC° Sources included Distribution Type and Location Duct or Piping Thermostat Configuration ducts attic etc. R -Value Type slit or package) 13 Imo% FL'SA .A•T7,L 2-'i•2 r [ of IY a 1 14 13 1) Skylights are now included to west-tacmg tenestratton area it the skylights are tilted to the west or tilted in any direction when the pitch is less than 1:12. See §151(fl3C 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 or Table I I6A,. 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 fumace heat pump,boiler, etc. Minimum Efficiency AFUEor.HSPF Distribution Type and Location Duct or Piping Thermostat Configuration ducts attic etc. R -Value Type slit or package) ✓r.1AcE Imo% FL'SA .A•T7,L 2-'i•2 r [ of IY a 1 14 Cooling Equipment Minimum Type and Capacity Efficiency A/C heat pump,eva . cooling) SEER or.EER Duct Location attic etc. Duct Thermostat Configuration R -Value Type (split or package) q • L 1, r [ of IY a 1 14 Residential Compliance Forms March 2005 - G s r`°" CERTIF,I/CATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF -IR In rSkrneY" :3-z2-616 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. OR ❑ IAlternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 15.1=C, Footnotes 7-14. OR 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 spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D. WA I EK HEA 1]IN h JY J YEMS V/ \ Check box if system meets criteria of a "Standard- system. Standard system is one gas-fired water beater per ❑ ❑ Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required.); not allowed. ❑ Check box when using Preapproved Alternative Water Heating table, Table 54 in Chapter 5 in the Residential ❑ TXVs, readily accessible (climate zones 2 and 8-15 only) 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 verification required.) ❑ Alternative Water Heating table- In this case, the Performance Method must be used and must be included in the OR ❑ IAlternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 15.1=C, Footnotes 7-14. OR 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 spaces shall meet the requirements of Section 150(m) and duct insulation requirements of Package D. WA I EK HEA 1]IN h JY J YEMS nvsrems serving smme awemng unim Distribution Type Number in System Check box if system meets criteria of a "Standard- system. Standard system is one gas-fired water beater per ❑ dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is Standby Loss % not allowed. ❑ Check box when using Preapproved Alternative Water Heating table, Table 54 in Chapter 5 in the Residential Manual. No water heating calculations are required, and the system complies automatically. Tank 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 Water Heater submittal. ❑ Check box to verify that a time control is required for a recirculating system pump for. a system serving multiple Capacity units • . nvsrems serving smme awemng unim wNiem servmv muame awennnu unim Water Heater . Type Distribution Type Number in System Rated Tank Capacity tons Energy Standby Loss % Tank Input' Tank Factor' orExternal —R Water Heater Distribution Number (kw or Capacity Thermal Standby' Insulation Type/Fuel Type Type in System Bw/hr) (gaeons Efficiency Loss "/o R -Value wNiem servmv muame awennnu unim Water Heater . Type Distribution Type Number in System Rated Input' (kw or Bh to Tank Capacity tons Energy Factor' or Thermal Efficiency Standby Loss % Tank External Insulation -Value —R r. rui suiai gas sturage water neaters krarea mputs.or less tnan or equal to 75,000 Btu/hr), electric resistance, and beat 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 Insulation (kitchen lines _> 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are '/4 . 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 CERTIFICATE' OF COMPLIANCE: RESIDENTIAL (Page 4 of 4) Project Title Date SPECIAL FEATURES 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 prescriptive method. � Feature " Required Forms if applicable) Descri tion ' ❑. Metal Framed Walls CF -1R - ❑ Radian SPECIAL FEATURES REOUHUNG HERS RATER VERIFICATION (add extra sheets if necessard) Indicate to the HERS Rater whichcredits are part of this project and need verification. - ; - a Feature Required Forms if a 6licable . Description CV Duct Sealing CF -6R part 4 of 12 ❑ Refri' Brant Char a CF -6R part 5 of 12 Thermostatic Expansion Valve . CF -6R part 6 of 12 . t Barriers CF -1R ❑ _ Exterior Shades WS -4R ❑ Roof N/A; Attach CRRC Label to .Cool Forms. 0 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.. ij Central Water Heating Systema Performance Calculation and t �Serving Multiple Dwellings attach Run to Forms. ❑ Non-NAECA Large Water - CF -IR Heater V ' 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 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 �... , SPECIAL FEATURES REOUHUNG HERS RATER VERIFICATION (add extra sheets if necessard) Indicate to the HERS Rater whichcredits are part of this project and need verification. - ; - a Feature Required Forms if a 6licable . Description CV Duct Sealing CF -6R part 4 of 12 ❑ Refri' Brant Char a CF -6R part 5 of 12 Thermostatic Expansion Valve . CF -6R part 6 of 12 .