09-0539 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application'Number:
0 9- 0 0 000 53 9
Property -Address:
52390 AVENIDA VILLA
APN:
773-274-006-17 -000000-•
Application description:
MECHANICAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
5.585
Owner:
CRAIN LINDA & JAMES
52390 AVENIDA VILLA
LA QUINTA, CA 92253
Contractor:
VOICE (760) 777-7012
FAX (760) 777-7011:
INSPECTIONS (760) 777-7153
Date: 6/01/09
Applicant: Architect or Engineer: BURGESONS HTG & A/C INC
P.O. BOX 7310
REDLANDS, CA 92375 ✓ O
(909) 793-3685
Lic. No.: 263871 07
U� D
---------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION - - WORKER'S COMPENSATION DECLARATION -
I hereby affirm under penalty of perjury that 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 pro ' e
License Class: C20, C43 License No.:. 263871 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
rac[or: XI 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
NER-B ILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty o'perjury that I am from the Contractor's State License Law for the Carrier STATE FUND Policy Number 0440029429
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 asigned 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 IChapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 370MADDITION
I 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).: fe�
1 _ 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: FAILURERS' COOJvI EN TION COVERAGE IS UNLAWFUL, AND SHALL _
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLL PENALTI D 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 ($100,00O THE COST OF COMPENSATION, DAMAGES AS PROVIDED FORIN
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
(_ 1 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
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, -
(_ 1 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 hereby 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.). city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned prop mspe n purposes.
.. Lender's Name:
Da �O 0 Signatur pplicant or Age
Lender's Address: -
LQPERN11T
..Application Number . . . . . 09-00000539
Permit MECHANICAL:
r Additional.desc'
F.'.
z
' Permit Fee .'. . 33.00
Plan Check Pee
8.25
r Issue Date
-Valuation
0•
Expiration Date 11/28/09
' Qty Unit Charge. Per
Extension
BASE
FEE
15.00
1.00 9.0000 EA. MECH
FURNACE'<=100K
9.00
1.00" 9.0000 EA MECH
B/C <=3HP/100K BTU
9.00
• .
Special Notes and Comments---'------
-------------------
'
REPLACE EXISTING HVAC SYSTEM, HEAT PUMP,
` 3 TON, 13 SEER. 2007 CODES
----------------------------------------------------------------------------'
Other Fees . . . . . . '. BLDG STDS ADMIN (SB1473)
1.00
' Fee summary Charged
Paid Credited
Due r
Permit Fee Total 33.00
.00 .00
33.00
Plan Check Total 8.25
.00. .00
8.25 '
Other.Fee Total 1.00
.00 .00,
1.00
Grand Total 42.25
.00 00
42:25'
LQPERMIT
JUN -01-2009 MON 0,1,:01 PM BURGESON' S HTG & A/C FAX No:, 909 792" 149 P. 001
CERTIFICATE OF COMPLIANCE: RESIDENTIAL age 1 of4) CF -IR
pt�p1ect'I'itle 310 e,41" Date
Proj A dyes )9 Building Permit #
Dolkynenfation Author Telephone PIa°eheck/Dace
'Field Cluck / Date
Cort li a thod (Prescriptive) { Climate Zone 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 -111 page '3)
For package D Alternative see Appendix B Table 15'1-C Footnotes 7-14
r
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) ,, ) .D f Average Ceilimg Height: _ ft
fe
Maximums Allowed West Facing Fenestration Products Per Table 151-B or 151-C --- (5% X CFA � II ft,
Maximum Allowed Total Fenestration Products per Table 151-8 or 151-C ____ (20% X CFA) � f
v/( Building Type: (check one or n iore)Single Family Multifamily. AdcatioA Alteration
(If adding fenestration fill out WS -49, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2
for Additions and 8.3.3 for Alterations.)
Number of Stories: Number 2,f Dwelling Units: "
Floor Construction a/Raised 1~ loo circle one or both)
Front Orientation: Wes (r North South / East /et / All Orientations (input front orientation in degrees from True
North and circle one).
✓ RADIANT BARRIER (reouired in climate zones 2, 4, 8-15)?&5444
OPAQUE SURFACES INCLUAT.1`TG 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
Ltstalled (attic, garage,
Yes or No typical, etc.
1) See Joint Appendix IV in Section. IV.2, IV.3 and TVA, which is the basis for the -U-factor criterion. U -factors can not
exceed prescriptive value to show equivalence to R -values.
Residential Compliance Forms
I
March 2005
JUN -01-2009 MON 01:01 PM BURGESON'S HTG & A/C
9
FAX No. 909 792'2:149
CERTIFICATE OF COMPLIANCE: RESIDENTIAL
'a e 2 of 4
P. 002
CF -1R
Project Title' Date
ENESTRATION PRODUCTS — U -FACTOR AND SHGC
✓ 0 FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS-4R—must be included for New Construction,
Additions and Alterations.
Fenestration
#/Type/Pos.
. (Front, Left, Orien-
Rear, Right, talion, Area U -factor
S li t) N, S, E,.Wi ft') -factor' Source'
SHGe
"
Exterior '
Shading/Overhangs"
SHCC ✓ box if WS -3R is
Sources included
.
A
o
13
13
Ll
1) Skylights are now included in West -facing fenestration area if the skylights are tilted to the wes-. or tilted is any direction
when the pitch is less than 1:12. 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 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.
HV,A,C SYSTEMS
'Heating Equipment
Type and Capacity
(i1rnace heat pump,boiler, etc.
Minimum Distribution
Efficiency Type and Location Duct or Piping Thermostat 'Configuration
AFVF- or HSPF ducts attic etc. R^ slue p e (split or package)
7.7 r sfk i- r�
o
Cooling Equipment Minimum -
Type and Capacity Efficiency Duct Location Duct Thermos -:at Configuration
A/C, heat pump, eva . eoo)in (SEER or EER attic etc. R -Value T e (split or asks
n
JUN -01-2009 MON 01:02 PM BURGESON'S HTG & A/C FAX No. 909 192 2149
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Pan 3 of 4
Date
P. 003
CF -IR
SEALED DUCTS and TXVs (or Mtet-rtative Measures)
A signed CF -4R Form must be provided to the building department :for each home for which the following. are
required.
OR
❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
)?ro ect 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
❑ . 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
T e
Rated
Input'
umber (kw or
in em BWAIr
Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required.)
b
TXVs, readily accessible (climate zones 2 and 8-15 only)
nstaller 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.) '
OR
❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
)?ro ect 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
❑ . 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
Systems seMag sin a dwellin (nits
Water Heater
Ty e/I'uel e
Distribution
T e
Rated
Input'
umber (kw or
in em BWAIr
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
of allowed.
❑
C k box when using Preapproved Alternative Water Heating table, 'fable 5-4 in Chapter 5 in the Residential -
Man . No water beating calculations are required, and the system complies automatically.
Check b if system does not meet criteria of "Standard" system, and does not comply with the Preapproved
13Alternative
r Heating table. In this case, the Performance Method must be used and must be included in the
submittal.
❑
Check box to verify at a time control is required for a recirculating system pump for a system serving multiple
units
Systems seMag sin a dwellin (nits
Water Heater
Ty e/I'uel e
Distribution
T e
Rated
Input'
umber (kw or
in em BWAIr
Tank
Capacity
uuons)
Energy Tank
Factor or t External
Thermal Standby Insulation
Efficiency TossloR-Value
System serving multiple dwelling units
Water Heater Distribution Number
TyRe Type in System
Rated
In ut'
(kW or
Btu/hr(gallons)
Tank
Capacity
Fuergy Tank
or or External
The Standby' Insulation
Efficienc,Loss °lo R -Value
L For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and ftbau
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.
give Insulation (kitchen lines > 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are 3/a
inches or greater in diameter shall be thermally insulated as specified by Seciion 150 0) 2 A or 150 0) 2 B.
Residential Compliance Forms March 2005.
r
JUN -01-2009 MON 01:02 PM BURGESON' S HTG & A/C FAX No. 909.192 2149 P• 004
,t
CERTIFICATE OF COMPLIANCE; RESIDENTIAL (Page 4 o£4 CF -IR
Project Title Date
•
SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add. extra sheets if neeessaty)
-Indicate which special features are part of this project. The list below only represents species features relevant, to.the
prescriptive method.
✓
Feature
Required Forms (ifRPPJ1CAbl0
Description
Refrigerant Charge
Metal Fram,edWalls,
CF -IR
CF -6R part 6 of 12
❑
diiant Barriers
CF -1R
❑
E or Shades
WS -4R
El
El
Cool Ro
CoolRXo
N/A; Attach CRRC Label to
Fox -ms.
EJ
Dedicated H onic Heating
Performance Calculation
System
Required; Attach Run to Forms.
O
Combined Hydropic stem
Performance Calculation
Re uired• Attacks Run to Forrms.
E3
Gas Cooling
Performance Calculation
Required,
O
Buried Ducts
N/A; Indicate on buildin laps•
❑
Kitchen, Pipe Insulation N,See
Section 5.6.2 Distribution -
stems in Residential Manual
Multiple Water Heaters Per
S Table 5-13 or use '
13Per
Dwelling Unit
ance,Calculation abd
attach n to Forms:
❑
Central Water Heating System
PerformatIte Cale on and
ServingMultiple Dwellings
attach Rum to F
la
Nom-NAECA Large Water
CF -1R
N,
Heater
See Table 5-I3 or us
❑
Indirect Water Heater
Performance Calc Is on
attach Run to Forms
See Table 5-13 or use
11
Instantaneous Gas Water Heater
Performance Calculation; and
attach Run to Forms
See fable 5-13 or use
.❑
Solar Water Heating System
Performance Calculation and
attach Run to Forms
1
❑
Wood Stove Boiler
Performance Calculation and
attach Run to Forms
SPECIAL FEATURES REQUIRING ITERS RATER VERIFICATION
(add extra sheets if necessary Indicate to the HERS Rater which credits are part of this project and need
verification.
✓ feature
Re uired Forms(if applicable) Description
Duct Sealing
CF -6R part 4 of 12
Refrigerant Charge
CF -6R part 5 of 12
❑ Thermostatic Expansion Valve
CF -6R part 6 of 12
Residential Compliance Forms
Bin #
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Qulnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # Q
3 i
Project Address: Z 3 a 1 D
Owner's Name: �� ' '
A. P. Number:
Address---
Legal Description:
City, ST, Zip: —t—'
Contractor:
� ro
? �.'•>n;<::>::ra:;>..>:;�.<»;:>`<:;::<::::
Address:14
Project Description:
City, ST, Zip: , GPS/ p.; -Z
Telephone: . ,.. :s ��•:..;>... ....
- ::#2:,•
State Lic. # City Lic. A-
Arch., Engr., Designer:.
Address:
City., ST, Zip-
ip:
Tele hone:>:.'•.^'<:>«::::>3:
Telephone:
P .•>:;<:::z:»>;: ; >.<.:::>::::;
State Lic.; ;?>;:• :' `> ':" <{>%;?:=> r<'<`::> ...... sA
....................................... .
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 Project: St�S"�
APPLICANT: DO NOT WRITE. BELOW THIS LINE'.
#
Submittal
Req'd
Recd
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
Title 24 Calcs.
Plans picked up •
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd 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 correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees