06-3723 (MECH)k•
P.O. BOX 1504
78-495 CALLE TAMPIC0
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
-Applicant:
0- 0 6o O3 72 3'._—�
54125,AVENIDA VALLEJO
774-212=017-6 -000000-
MECHANICAL
COVE RESIDENTIAL
3000
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT .
Owner:
LAWSON JEFFREY P
VOICE (760) 777-7012
FAX (760) 77777011
INSPECTIONS (760) 777-7153
Date: 10/19/06
54125 AVENIDA VALLEJO
LA QUINTA, CA .92253 .
Contractor:
Architect or Engineer: J & J INCORPORATED
P.O. BOX 966
PALM DESERT, CA.922
(760)346-4477
N Ipr Lic. No.: 596456
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 o the Business and Professionals Code, and my License is in full force and effect.
Licens ass: C220 License No.: 596456
Date: ��-0(.PCont
OWNER -BUILDER DECLARATION
1 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).: _
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
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 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 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
a a •�
OCT 2006
clnroF u►®ulyTA
FINANCE DEPT.
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
Ar 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 VIRGINIA Policy Number WVS0001918801
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 shall forthwith comply with those provisions.
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 this county to enter upon the above-mentioned propert for inspection purposes_.
ture (Applicant or Agent):.
Application Number . . . . . 06-00003723
Permit . . . MECHANICAL
Additional desc
.
Permit Fee •. 24.00
Plan Check
Fee
6.00
Issue Date
Valuation
0 .
Expiration Date 4/17/07
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 9.0000 EA MECH
APPL REP/ALT/ADD,
9.00
Special Notes and Comments
NEW FAU FOR HEAT PUMP, SPLIT SYSTEM
. 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
Bin #
City of La Quinta
Building U Safety Division
Permit # P.O. 23 Box 1504, 78-49S Calle Tampico La Quinta, CA 92253 - (760) 777-7012 .
3� Building Permit A lication and
. PP Tracking Sheet
Project Address: f'� ! I wner's Name:
A. P. Number Address.
Z,I Atmll
Legal Description: City, ST, Zip: 7Z
cc,
Contractor
�� � Telephone: �y--
Address:
Proj
s
Description:
City, ST, Zip: e
`q
Telephoner
State Lic. # : lip
City Lic. #:
-
Arch , Engr., Designer:
Address:
City,. ST, Zip:
Telephone:
Construction Type: _ /— Occu an
�c7� P �
y=Project
State Lic. #:.
type (circle one): New Add'n Alter 'Repair Demo
Name of Contact Person:
Sq: FL: Z
# Stories: A#Units:'
,
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT:
DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACI KING ..
PERMIT FEES
•
Plan Sets .
Plan Check submitted
Item
Amount
Structural talcs.
Reviewed,.ready for corrections
Plan Check Deposit
Truss talcs.
Called Contact Person'
Pian Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Pians resubmitted
Mechanical
Grading.plaa
V Review, ready for correctiionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
$ M.I.
H.O.A. Approval
Plans resubmitted...
Grading
IN HOUSE:-
'`' Review; ready for correctionsrssuc
Developer Impact Fee.. ;
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date orpermit issue
School Fees
::... , . , ..,.:.. _ ....-.; •,<, .• .: :::... .:... .:..
Total Permit. Fees ..:.
Compliance Method (Prescriptive) Climate Zone .:IA
med-Agency Use Only
✓ 13 Altemative,Componen't Package Method: (check one) C D D (Alternative)
Package C and;Pack6ge D choices require HERS rater field verification and/or diagnostic testing.(see CF -IR page3)
For Package D Alternative see Appendix B Table 151-C Footnotes 7-14
GENERALINFORNMO
Total ConditiOne& F Ioot.Ateg (&A) fte Average Ceiling I4eight:,' ft
Maximum Allowed Westnestration Products Per Table 151-B of 151-C —,(5% X CFA) ft
Maximum Allowed.Tqtal =9pPrpducts Per Table 151-B or 151-C --.; (20% X CFA).,, ft
uildingType -.'(dheck:one.orjudre)�t'.;F.�C�SingleFamily _ Multifamily.:-:,� .- Additioh�' Alteration:
(If adding fen"omftll1'64t1WS Fenestration Maximum Allowed Area-Vorksheefand"see Section 8. -3.2'
-
for Additions and'8.3.3 for. Alterations.)
Number of Stories: `NpmbqAf.QwFIjing Units:
Floor ConstrucOm Type: 15
SlabS, se LJQoor (circle one or both)
o.ns (in ut1ront orientation in deems from True
Orientation., We�st I All Orientations 'N'
19,47so
North,
_Td circlqo6e)o':
RADIANT BAR auired in'climate -zones 2. 4. 8-15)
OPAQUE SURFACES INCLUDING'OPAO. . DOORS,
A,
Component
basis.for the U-ktor crit0d'ni-"U
0
can
fh�tqrs,* a I h .,no t
x
exceed prtscriptive. val'u, en
vall 00 k-
Assembly U-
J,
Type;
rame:
factor (for Joint:w'.
Roof Radiant. "4:-
R
T'
Ca.vit
coiiinuous�'
W99d, metal Appegdlx
-Barriir-Location7Commqnts.:
S WEdge,
;7r.
on
Insulation,
frame and mass IV
tallied 'e
'Ins (attic, garagej,
Doors)
or Me
Metal
:'? 'R Vil ue
k�V ilue
assemblies) Reference"
—A
Yes or No., typical'etci)
4
yi
4;
yl 61-
Z4
6!
44",
N 4:
Residential Compliance F �ftns
Marck,,2bO
9M
3V Tan(
1) 'See Joint d V�:2_ 1 IV,
..-Appendix,IV W A,41tich is.the
basis.for the U-ktor crit0d'ni-"U
0
can
fh�tqrs,* a I h .,no t
x
exceed prtscriptive. val'u, en
vall 00 k-
J,
"N 4
'Y
yi
4;
'IF
Z4
44",
N 4:
Residential Compliance F �ftns
Marck,,2bO
�' rj ' ' x it i�S• '`fr { drrs • t i�Lr'� #� +; r x .
l'J`Aiw
Fhy
' R,rx,.>, 1 r tui1. v tiu rtl�'h.
'
REY,
1 '''"' L'��.?tt• (til' 'YPY.1 i t .x, t.
-� - '� 5 �#'�i . v u i� "�•a}� �f '� � i N � 2 :> V { ,. }` ir����Au;+C+ '� t .sof 4 a F
'� �ls�. 'F � s. ''. .i' -J•,� .!jai �.i..� {.Yv^ .�.�. `f.. .�{' �� 1 .
FT04A .0 3C3 �LI�NCE:. RESIDENTIAL;, a e 2 of 4 k i yip 11T ' 1�{ �
,6b=,c^"� C. e; *�4�t-a i, -rid r -j}ey Ei �rt� .iHY;Ei�s7�n,.
G's lxs 5, �s
p�eCt tYV A'
AM 14;;A-011
,paten
FENESTRATION PRODUCTS U-)rACTOR'AND SHGC
✓;❑ FENESTRATIONNMAXIMI IM ALLOWED AREA WORKSHEET WS -4R —must be included for New Constniction, 4h
Additions and Alterations.
Fenestration
#/Type/Pos.:.- Exterior
(Front, Left;`' Orien- '' Shading/Overhangsb•' _
r. ,.
Rear, Right;.,,_,` ...-..tation, +Areae :' ` U -factor . SHGC ✓. box if WS -3R is
'Skylight) N S -.E W i 8 iJ-factor' Source' ':SH .:in Sources• . :: included h .
7 -777777 7,
777, 7
-
1) Skylights are. now included in,West=facing_ fenestration area if the skylights are tilted:'ao the west or tilted iwany;'Direction
. when the pitpli is less. than 1:12 tSee § 151(f)3C;and in Section 3.2:3 of the ResidentihManual
2) Enter valuesin this column are t' her.,;NFRG Rated value or. from Standards�default`ale 116A.
3) Indicate source either from I K W Table 'l 16A, : ;
4). Enter values` n this column fro' 1F46or from Standards, Default. Table .116Bor adjusted SHGC.from W 3R
5) Indicate source either from.NF 7 4FR Table:116B.
6) Shading Devices are :dgfined.tn'able 3 in the Resideiitiaf Manual and see'WS 3R to calculate. Exterior Shading devices
7). See Section 3 2 4 it the Residential Manual
f �{
.. K
HVAC SYSUMS: s
"':Heating;Equipment'. Mdiimutn ,. Distribution
Type'and Capacity: E 'iciend, ;Type. and Location . Duct or Piping Thermostat Configuration
furnaceheat um boiler,ete:. ot.HSPF : ; '` , duc attic etc. R -Value T e slit or acka e
. .�• _ tet:
,
Cooling'Eguipment
Type and Csapacity
N$ffici dye �, Duct Location:';'
Duct . , ! Thermostat ;: ;
Configuration
A/C, heat um eve .,coolin
5EE$;or>EER L.. a attic etc.
R -Value . Type.
(split of acka e '
'. �yt f. rte, •y -
• Il
it
• u,
., ¢
e
• Il
it
• u,
., ¢
Residential Compliance Forms,
*.jj March 2005 6
+:RTYFICATK C
A sighed, CF.41
reouired. -
f
,IANCE: RESIDENTIAL (Pagg a,'of ,)777 7,
v
.' Date w
AA"
Ig 2... r,
Alternative Measures)``
to the building department for each home for which the following. are
OR
❑ Alternative to .Sealed Ducts and Refrigerant Charge /TXVs (See Package 'D Alternative Package Features for
Pro'ect Climate Zone in the,RM Appen&'B Table 151-C Footnotes 7-14..'
OR'
For additions and alterations' -duct systems that are not documented to have been previously
sealed as- confirmed through fieldverification and diagnostic testing in accordance with procedures in:the
Residential ACM Manual and,duttsystems with more than 40 linear feet in unconditioned
spaces shall.meet the re uiremetiti•of Section 150 m and duct insulation requirements of Package D.
WATER'HEATING SYSTEMS
✓
❑
Sealed Ducts all climate zones (Installer testing and certification and HERS rater field verification re uired. "
❑
TXVs, readily accessible (clin(ate zones 2 and 8-15 only)
(Installer. testing and certification and HERS Rater field verification required.)
❑
Refrigeraot'Charge (climate p'' 2 and 8-15 only) (Installer testing and certification and HERS Rater field � . " .
verification required.)
OR
❑ Alternative to .Sealed Ducts and Refrigerant Charge /TXVs (See Package 'D Alternative Package Features for
Pro'ect Climate Zone in the,RM Appen&'B Table 151-C Footnotes 7-14..'
OR'
For additions and alterations' -duct systems that are not documented to have been previously
sealed as- confirmed through fieldverification and diagnostic testing in accordance with procedures in:the
Residential ACM Manual and,duttsystems with more than 40 linear feet in unconditioned
spaces shall.meet the re uiremetiti•of Section 150 m and duct insulation requirements of Package D.
WATER'HEATING SYSTEMS
✓
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired:water heater per
❑
dwelling unit.. If the water h, eater is a'stoiage type, 50 gallons is the maximum capacity; and, tecirculat'ion systeig is
not allowed.
❑
Check box when using Pre_appmved Alternative Water Heating table, Table 5=4 in Chapter 5 in the Residential
Manual. No water heatin calculations are required, and the system complies automatically. .
Tank,
Check box,if system does not-toeet'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
submittah .'
❑
Check boklo verify that a time control is required for a recirculating system pump,for a system serving.mu '...';':`.
Standby'
Capacity"
`.i rr>..
unitsltiot�
S stemi serving single dwe ling units
;r
t ti •
Rated
Ener$yTank
Tank
+Distribution.
Input'
Tank,
Factor or•
Exteittal
Water Heater
,,Distribution,
Number
:Ther6*
(kw
Standby'
Capacity"
?} p4 nal
Standby.
., In
Typexudxype
Type .:
in System
Btu/hr)
(gaeons
13fficieo.c
Loss (0/6)
�. R Value'
t
1-
System serving multiple.d*e1grig units
4
i.�43
1
ni: o
1. For small gas storage water heaters.(rated inputs of less than or equal to. 75,000`13tu/hr), electric resistance, and heat
pump water heaters, IistEnergyFactor: For large gas storage waterheaters (rated input of greater than 75;000
Btu/hr);1ist Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss 1?or instantaneous gas .water
heaters'list Rated Input•aad Theixnal.Efficiencies.
Pipe Insulation (kitchen _linesy3/4 inches) All hot water pipes from the heating source to,the kitchen fixtures that are 3/a
inches.or greateHn diametershall beahetri ally insulated asspecified by Section 150 2 A or -150 2 B. y
Residential Compliance Forms i x= March 2005
t ti •
Rated
Enet�y
Tank
+Distribution.
..:
Input:
Tank +')E!8ctocTor
'
External
Water Heater
r
Number
(kw or
Standby'
Capacity"
?} p4 nal
'
Insulation '
T e
T e''''
in System .
BtuRv
Ions
'E cienc
Loss % '
R -Value
4
i.�43
1
ni: o
1. For small gas storage water heaters.(rated inputs of less than or equal to. 75,000`13tu/hr), electric resistance, and heat
pump water heaters, IistEnergyFactor: For large gas storage waterheaters (rated input of greater than 75;000
Btu/hr);1ist Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss 1?or instantaneous gas .water
heaters'list Rated Input•aad Theixnal.Efficiencies.
Pipe Insulation (kitchen _linesy3/4 inches) All hot water pipes from the heating source to,the kitchen fixtures that are 3/a
inches.or greateHn diametershall beahetri ally insulated asspecified by Section 150 2 A or -150 2 B. y
Residential Compliance Forms i x= March 2005
,P ro3ect�tle,s �J ,`Date; Vr4 `4
SPECIAL: FEATURES NOT REOUIRING HERS VERIFICATION (add extra sheets rf necessarvl
Indicate'wluch special features arefQart of this project.:.The list below only represents special features relevant to the
rescritive inbthod , r
✓'=
Feature':'<; ' : '' ` `"
n.
Desvri tion
• s hi, t t
x r r x
M ; .pN�
CMTIFIG` FE
t�S+�
CF;1R`
❑;
,P ro3ect�tle,s �J ,`Date; Vr4 `4
SPECIAL: FEATURES NOT REOUIRING HERS VERIFICATION (add extra sheets rf necessarvl
Indicate'wluch special features arefQart of this project.:.The list below only represents special features relevant to the
rescritive inbthod , r
✓'=
Feature':'<; ' : '' ` `"
n.
Desvri tion
❑
Metal Framed Walls?-
March 2005
❑
: Radiant;Barriers -_ ;r
CF;1R`
❑;
ExteriorShades :'`:
WS4R ..
s`
Cool Roofs
'LIANCE:xRESTDENTIAL
a
o e 4`0
r :
Forms. • .
st7yf. } ar5 3i�'v i'i'yt�x�1h'a it h •t .�'�R'. rs �,� qlsZ+.r`�e.cp{. P.!
-Perfohnance Calculation
;.>
'System. '"`�#i' n "
r.x
; R' uired• Attach Run to Forms.
.30
,P ro3ect�tle,s �J ,`Date; Vr4 `4
SPECIAL: FEATURES NOT REOUIRING HERS VERIFICATION (add extra sheets rf necessarvl
Indicate'wluch special features arefQart of this project.:.The list below only represents special features relevant to the
rescritive inbthod , r
✓'=
Feature':'<; ' : '' ` `"
'Re uired Forms if applicable)
Desvri tion
❑
Metal Framed Walls?-
March 2005
❑
: Radiant;Barriers -_ ;r
CF;1R`
❑;
ExteriorShades :'`:
WS4R ..
❑
Cool Roofs
N/A; Attach CRRC Label to
r :
Forms. • .
Dedicated>l ronic Heatmgt , ;�4.
-Perfohnance Calculation
;.>
'System. '"`�#i' n "
r.x
; R' uired• Attach Run to Forms.
[3,
Combined Hydronic Systent'x
Ped6rmance: Calculation
Attach Run to
R wired; Forms.
D
Gas CooLng'Performance
Calculation
=
,. ;.
Required.'
❑
Buried Ducts
N/A; Mdicate.on building plans."
❑
Kitchen Pipe Insulation :.See
Section 5.6.2 Distribution '
Systems in Residential Manual.
❑
MultipleWater Heaters Per.. .,;:_,.;
See Table 5-13 or use
Performance Calculation
r. :;; r.
Dwelling,Unit
and
attach Run to Forms.
❑
Central'Water Heating System'`F_•
k
''`
Performance Calculation and
Sertvin °Multi le Dwellings
attach Run to Forms. ,
13Non-NAECA
Large Water ,
- . •
Heater ,
See Table 5-13 or use
❑
Indirect'Nater Heater
.Performance Calculation and
attach:Run to Forms
See Table,5-13 or use
❑
Instantaneous Gas Water Hepterr
L-
Performance Calculation and.
7 t
attach;Run to Forms
See-Table,5-13oruse:
❑
Solar Water Heating System
;Performance Calculation and
{ s,rx„
atlach Run to Forms
3
❑
i
Wood Stove Boiler z
Petformance. Calculation and
`k
attach Run to Forms
SPEC ;FEA Tj
(add-esheets if ri
verification ° -. V1.
4 ct Sea m
Refri etailtCharge1<•!
13' Thermostatic Ex ansion:V
N
.'Residential Compliance Fortes r
4
March 2005