08-1488 (MECH)P.O. BOX.1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application. description:
Property Zoning:
Application valuation:
Applicant:
C6
08-00001488
52700 AVENIDA VALLEJO
773-293-010--14 -000000-
MECHANICAL
COVE RESIDENTIAL -
650.0
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
PC
NSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury at I a ed under provisions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Busi ess rof ssionals Code, and my License is in full force and effect.
License Class: C20 -C38 License No.: 826714
i
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 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 Cade: 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,
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/28/08
Owner: D ,
DORAN LARRY d
5270 AVENIDA VALLEJO
LA QUINTA, CA 92253
( AUS 2 2008 .
YO�
Contractor: ��„F
F�YO
BEST IN THE WEST
255 N. EL CIELO, 140-125.
PALM SPRINGS, CA 92262
(760)322-0202
LiC. No. r 826714.
-----------------------------------------------
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 willmaintain 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 STATE FUND (icy Number .0023975-2007
_ I certify that, in the performanq of th work for which this permit is issued, I shall not employ any
person in any manner so a to bec a subject to the workers' compensation laws of California,
and agree that, if I shoul b om 1 ct to the workers' compensation provisions of Section -
3700f the Labor Cod I ith comply with those provisions.
_JVDate_ Applicant: -
WARNING: FAILURE TO SECURE WORK '•COMPENSAT.ION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT. AN EMPLOYER TO CRIMINAL PENA ND 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 becom II and void if work is not commenced
within 180 days from date of issuance of such it, or c ssation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that e a inmation is correct. I agree to comply with all
city and county ordinances and state laws relating t uild' r io I and hereby authorize representatives
of thi ount en upon the above-mentioned rope r i on urposes.
Date: - Signature (Applicant (r Ag —
Application Number . . . . ., 08-00001488
Permit MECHANICAL
Additional desc
Permit Fee 24.00
Plan Check Fee
6.00
Issue Date,
Valuation
0
Expiration Date 2/24/09,
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
HVAC CHANGE OUT LIKE FOR LIKE (5)
TON 13
SEER CONDENSER
Fee summary Charged
Paid Credited
Due
-
---------------- -- ------
Permit Fee Total, 24.00
.0-0 .00
24.00
Plan Check Total 6:00
.00 .00
6.00
}
Grand Total 30.00
.00 .00.
30.00,
LQPERMIT - -
CERTIFICATE OF COMPLIANCE:.RESIDENTIA L e i of 4 CF -1R
iPrdDatea7 ' 700 K V 1 dgmjdingpenpitfi
Tel hone Ptar, Check /Date
i)ogumeIItBtioa Author Field Check / Dace
n .....u......e *X -A Mmcr_rinttvel Climate Zone Enforcement Agency Use Only
✓ D Alternative Component Package Method: (check one) C D D (eve)
• 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 151-0 Footnotes 7-14
GENERAL INFORMATION ft
Total Conditioned Floor Area (CFA) fig Average Ceiling Height
fe
Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C --- (S'/a X CFA)
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-0 — (200% X CFA)
-sO' E3 Building Type: (check one or more) Single Family Multifamily Addition Alteration
(If adding fenestration fill out WSAR, Fenestration Maximum Allowed Area Worksheet and see Section 832
for Additions and 9.3.3 for Alterations.)
Number of Stories: Number of Dwelling Units:
Floor Construction Type: Slab/Raised Floor (circle one or both)
Front Onematton: North / South / East / West / All Orientations (input front orientation in degrees fiom True
North and circle one).
Component
Type (Wall,
Roof, Floor,
Edge, .
Doors
Frame
Type
(Wood
or M
Assembly U .
factor (for Joint
Cavity nous wood, metal >IV
flame and mass
InsulationYes
R -Value R -Value b ' Reference
f Radiant
Barrier
Installed(attic,
or No
I.ot�tion/Commeats
garage.Slab
i etc.
-_� m—L.- L....:- r—+U- 7 i . nr r_riterinn_ U-facfaftmcmnOt
1) Appendix IV in.5ection IV.4 I V.s acro i V. -t, Wm%m w Mu
enact prescriptive value to.show equivalence to R -values.
Residential Compliance Forms
March 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 4) CF -IR
Project Title Date -
%WESTRATION PRODUCTS — U -FACTOR AND SHGC /
✓ STRATION MAXIMUM ALLOWED AREA WORKSHEET WS-4R—must be included for New Const ctioa, .
Additions terations. /
Fenestration
Duct or Piping Thermostat Configuration
-R-Value T lit or
#/Type/Pos.
alli Ira C
Exterior
(Front, Left,
Ori
Shading/Overhangs6. 7
Rear, Right,
talion, Area U -factor SHGC
✓ box if WS -3R is
Sour
SourcesSkylight) N, S E, W` Source3
included _
13
❑
13
13
13
1) Skylights are now included " t facing fenestration area if the skylights ed to the west or tilted in any direction
when the pitch is less :12. See §151(f)3C and in Section 323 of the Resi al Manual
2) Enter values in thi are either NFRC Rated value or from Standards default 116A.
3) Indicate so er from NFRC or Table 116A,
4) Enter m this column from NFRC or from Standards Default Table 116B or adjusted S from WS -3R_
5) In ' source either from NFRC or Table 116B.
acting Devices are defined in Table 3-3 in the Residential Manual and see WS -3R. to. calculate Exten ading devices.
See Section 3.2.4 in the Residential Manual.
HVAC SYSTEMS
Heating Equipment Minimum Distribution
Type and Capacity Efficiency Type and Location
heat pump, boler, etc. AFUE or HSPF) (ducts, attic, etc
Duct or Piping Thermostat Configuration
-R-Value T lit or
,o
alli Ira C
/S
Cooling Equipment Minimum
Type and Capacity -Efficiency Duct Location Duct
A/C heat Pwnp, evap. cool SEER or EER) -(awc, etc. R-ValueType
Thermostat Configuration
lit or
alli Ira C
/S
Residential Compliance Forms March 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF -1R
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.
Alternative to Sealed Duds and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Project Climate Zone in the RM Appendix B Table 151-C, Footnotes" 7-14.
OR
For additions and alterations, duct systems that are not documented to have been previously .
0 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.
WATER HEATING SYSTEMS
Distribution
Rated Energy
Inpueask Factor' or
((Mor CapacityThermal.
B EfficiencyLoss
��ber
Sealed Ducts all climate zones ler testing and certification and HERS rater field verification required.)
0
TXVs, readily accessible (climate zones 2 and 8-15 only)
(Installer testing and certification and HERS Rater field verification ired
Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verificationrequired.)
Alternative to Sealed Duds and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Project Climate Zone in the RM Appendix B Table 151-C, Footnotes" 7-14.
OR
For additions and alterations, duct systems that are not documented to have been previously .
0 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.
WATER HEATING SYSTEMS
Syptetas serving single dwellin
Water Heater
uel
Distribution
Rated Energy
Inpueask Factor' or
((Mor CapacityThermal.
B EfficiencyLoss
��ber
Check box if system meets criteria of'a "Standard" system. Standard system is one gas -fined water heater per
0
elling unit. ffthe water heater is a storage type, 50 gallons is the maximum capacity and recirculation m is
owed.
WL
0
CheckNwhen using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the ential
Manual. heating calculations are required, and the system complies automatically.
Check box if em does not meet criteria of "Standard" system, and does not comply with proved
O
Alternative W g table. In this case, the Performance Method must be used and be included in the
submittal.
0
Check box to Verify.that a control is required for a recirculating system pump a system serving multiple
units
Syptetas serving single dwellin
Water Heater
uel
Distribution
Rated Energy
Inpueask Factor' or
((Mor CapacityThermal.
B EfficiencyLoss
��ber
Tank
External
Standby' Insulation
R-ValueT
Syi m serving multiple dwelling units
Water Heater D' on
T
Rated
T'
Number ' oInpuar Capacity
in System Bb Av Ion)
Enemy Tank
Factor or External
Thermal Standby' Insulation
ciency Loss % R -Value
1. For smal storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric and beat
pump er 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 instantaneous
tars, list Rated Input and Thermal Efficiencies.
Pi sulation (kitchen lines >_ 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are
,OKhes or greater in diameter shall be thermally insulated as specified by Section 150 6) 2 A or 1.50 0) 2 B.
Residential Compliance Forms March 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 4) CF -IR
Project Title Date
SPECIAL FEATURES NOT REQUIRING HERS VERLF1UA:F1U1N (add extra sheets it new.
Indicate which special features are part of this project. The list below only represents special features relevant to
SPECIAL FEATURES REOLTHUNG HERS RATER VERIFICATION
'(add extra sheets if necessaryl Indicate to the HERS Rater which credits are part of this project and need
✓ eature
Reauired Forms if applicable)
Description
❑
M ramed Walls
CF -1R
+'
m✓
❑
Radian ers
CF -1R
❑
Exterior S es .
WS -4R
N/A; Attach CRRC Label to
❑
Cool Roof
Forms.
Dedicated Hydronic g
Performance Calculation
System
Required, Attach Run to Forms.
Performance Calculation
❑
Combined Hydropic System
Rectuired,• Attach Run to Forms.
Calculation .
❑
Gas Coolingorance
Re'%od. 04
❑
Buried Ducts
N/A; to on buildingjgns.
See Sectio 6.2 D' ' on
❑
Kitchen Pipe Insulation
S stems m R Manual.
See Table 5-13
❑
Multiple Water Heaters Per
Perform cula and
Dwelling Unit
attach o Forms_
❑
Central Water Heating System
P ce Calculation an
Serving Multiple Dwellings
Run to Forms.
❑
Non-NAECA Large Water
-r'
Heater
See Table 5-13 or use
❑
Indirect Water Heater
Performance Calculation and
attach Run to Forms
See Table 5-13 or use
❑
Instantaneo Water Heater
Performance Calculation and
attach Run to Forms
See, Table 5-13 or use
❑
So ater Heating System
Performance Calculation and
attach Run to Forms
Performance Calculation and
Wood Stove Boiler
attach Run to Fors
SPECIAL FEATURES REOLTHUNG HERS RATER VERIFICATION
'(add extra sheets if necessaryl Indicate to the HERS Rater which credits are part of this project and need
✓ eature
Required Forms if applicable) Description
Dud Sealing
CF -6R part 4 of 12
❑Ykeffigerant Charge
CF -611 part 5 of 12
IV Thermostatic Expansion
Valve CF -6R part 6 of 12
Residential Compliance Forms March 2005
11
k
Permit #
Eg
City of La Quinta
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
Project Address: 5.2 7 a0
Owner's Name: , iA-l1Q
A. P. Number: U
Address:
TRACKING
Plan Check submitted
Legal Description:
City, ST, Zip:
Structural Calcs.
Contractor: v--�
Telephone:
— (
Address IVI F-1 0 �ZS
Project Description:
City, ST, Zi ; 2, X
Telephone:A 0 '3 ZZp ; 472L—
Plan Check Balance
3 5'
State Lic. #: O
City Lic. #:
Plans picked up
Arch., Engr., Designer:
Construction
Address:
City, ST, Zip:
Mechanical
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of
APPLICANT: DO NOT WRITE BELOW THIS LINE
SDo
#
Submittal
Plan Sets
Req'd
Rec'd
TRACKING
Plan Check submitted
PERMIT FEES
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'd Review, ready for correctionsAssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3" 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