08-0638 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
08-00000638
Property Address:
79120 KAYE CT
APN:
604-371-004-96 -27899 -
Application description:
MECHANICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
2000
Applicant:
Architect or Engineer:
P A
�F �w4�rw
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 Bu ess and Professional ode, and my License is in full force and effect.
Licens Clas [C20 ense No.: 596456
Date. �v�ntractor:
OWNER- ILDER 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 peimit 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 (commi:ncing 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 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 r '
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:
FLAGG DARREN E
79120 KAYE COURT
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: 4/18/08
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 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 ENDURANCE REINS Policy Number WEN100280802
I certify that, in the performance of the woJcoly
ich this permit is issued, I shall not employ any
person in any manner so as to become the workers' compensation laws of California,
and agree that, if I sh�Isha
es jeworkers' compensation provisions of Section
3700 of the Lab ort wiwith those provisions.
ate: _,cant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSA ON 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 wor or 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is corre I agree to comply with all
city and county ordinances and state laws relating to bus i constructs ,and her y authoriz representatives
of th' (nty o/o enter upon a above-mentioned pr y in
ectio purposes
Date: 1 `�(/ 'nature (Applicant or Agent
J
Application Number . . . 08-00000638
Permit MECHANICAL
Additional desc .
Permit Fee . . . . 31.50
Plan Check
Fee
7.88
Issue Date
Valuation
. . . .
0
Expiration Date 10/15/08
Qty Unit Charge Per t
Extension
BASE
FEE
15.00
1.00 16.5000 EA MECH
B/C >3-15HP/>100K-500KBTU
16.50
----------------------------------------------------------------------------
Special Notes and Comments
INSTALL NEW 5 TON 13 SEER CONDENSOR
Fee summary Charged
-------------------------------------
Paid Credited
---------------_----
Due
Permit Fee Total 31.50
.00
.00
31.50
Plan Check•Total 7.88
.00
.00
7.88
Grand Total 39.38
.00
.00
39.38
LQPERMIT - .
CERTIFICATE OF COMPLIANCE: RESIDENTIAL
Project Title ----•�-� — � Date
Project Address
-- J Z
LA- Q11 _V44�
�2
Documentation Author. Telephone
C" 33�'
Compliance Method (Prescriptive – HVAC andior Duct Climate Zone
System Alteration . 5 152 (b) I C. D and E) l ��
EXCEPTIONS
if anv nfthr fnlinwino thrpr+ Pv,,ntinrao �.� ✓ rt.� .1.. r
a e 1 of 1) CF -IRA
Building Permit tt
I
Plan Check/ Date
• j
Field Cheek/ Date
nforcement Agency Use Only
1i
" ^l. 115 T IU nzi
Heating Equipment Type
and Capaeitv (furnace. heat
PUMP. boiler. etc.)
tiiinimum
Efficiency
"(AFUF. nr HSPF)
Exceptions
1
fl
Duct systems that are documented to have been previously scaled as confirmed through field
verification and diagnostic testing in accordance with procedures in the. Residential ACM Manual.
2
i.
Existin ducts stems that are extended, which are constructed, insulated or scaled with asbestos.
3
—
Ducts stems with less than 40 linear feet of ducts in unconditioned space.
" ^l. 115 T IU nzi
Heating Equipment Type
and Capaeitv (furnace. heat
PUMP. boiler. etc.)
tiiinimum
Efficiency
"(AFUF. nr HSPF)
Distribution Typc
-and Location (ducts.
attic, etc.)
Duct or Piping
R -Value
Thermostat Type
Configuration
(split or
pflGirAgC )
Duct Location
Configuration
Duct R -Value Thermostat Type
pump, ct�aP. Cooling)
(SEER or
(attic, etc.)
(split or
package)
0AYTFR
'
`
e-
Cooling Equipment Type
ivlinimum
i
and Capacity. (NC, heat
Efficiency
Duct Location
Configuration
Duct R -Value Thermostat Type
pump, ct�aP. Cooling)
(SEER or
(attic, etc.)
(split or
package)
0AYTFR
'
`
e-
cr
ft �. � q 4% -V -v l A" •1l _UNI UkLAKUK "XV) AND EER
The prescriptive requirement for either a refrigerant charge or a TXV does apply to packaged units.
Before the permit can be finalized, a signed CF -4R must be provided to the building depamnent for any of
the following-_✓ compliance requirements-
Compliance
e uirements-Compliance Requirements
Sealed Ducts (climate zones 2 and 9-16) (Installer testing and certification and HERS rater field verification required.)
C TXV (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verification required.)
7 Refrigeerani Charge (climate zones 2 and 8-15 only) (installer testing and certification and HERS Rater field
verification required.)
rF..R as indicated in Table 8-3 of Residential Compliance Manual (climate zones 2 and 9-16 only) (installer testing
and certification and HERS Rater field verification required.)
SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION
A -,' indicates Avhich compliance requirements are part of this project and need HERS rater verification.
&DouctinCplianmrementa I Installer Fnre (if applicable) HERS Rater Forms (if appiiSealing CF -6R page 4 of 12 CF -4R page 1 of 8
Thermostatic Expansion Valve (TSV) CF -6R pages 5 and 6 of 12 CF -4R pages of 8
Refrigerant Charge I CF -6R pages 5 and 6 of 12 CF -4R pages 3 and 4 of 8
EER CF -6R page 8 of 12 L CF -4R pages 5 of 8
Bin #
City of La Quinta
Building & Safety Division
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P.O.
U
Project Address:
Owner's Name:
A. P. Number:
Address: —
Legal Description:
Contractor:Telep
City, ST, Zip:Ln A
hone:
Project Description: 1
C
Address:
City, ST, Zip: COO.,
Telephone: ' a.- 5
'
State Lic. # : LAU(O
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: tq` Occupancy:
Project type (circle one): New Add'nAlter Repair Demo
Sq. Ft.: ?�)OD
# Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Proje
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for corrections/issue
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