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07-2314 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4'1�v 4 4 Q" BUILDING & SAFETY DEPARTMENT. BUILDING PERMIT Application Number: 07-00002314 Owner: Property Address: 52655 AVENIDA HERRERA : JESSE APN: 773-293-020-8 -000000- G -`5263 Application description: MECHANICAL LAaQP Property Zoning: COVE RESIDENTIAL NI Application valuation: 8500 U1 Cl Contac Applicant: Architect or Engineer: C-121y,O !. E mili7'Owrrr r ----------------- 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 Business and Professionals Code, and my License is in full force and effect. License Class: License No.: 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 91commencing 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).: (9p)- 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.). (= 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 ISec. 3097, Civ. C.I. Lender's Name: Lender's Address: LQPERAIIT ROMO ``AVENIDA HERRERA pIaTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/15/07 ----------------------------------------------— 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 . Policy Number 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. ' Date: Applicant: 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 constr -- by authorize representatives dm of this county to enter upon the above-mentioned property for ' ection dies. Date: Signature (Applicant or Agent): Application Number . . . . . 07-00002314 Permit . . . MECHANICAL Additional desc . Permit Fee 42.00 Plan Check Fee 10.50 Issue Date . . . . Valuation 0 Expiration Date 2/11/08 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 APPL REP/ALT/ADD 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 ---------------------------------------------------------------------------- Special.Notes and Comments HVAC CHANGE OUT. [13 -SEER MINIMUM] 2005 ENERGY. August 15, 2007 4:23:39 PM AORTEGA Fee summary Charged ------------------------------------- Paid Credited -------------------- Due' Permit Fee Total 42.00 .00 .00 42.00 Plan Check Total 10.50 .00 .00 10.50 Grand Total 52.50 .00 .00 52.50 LQPERMIT CERTIFICATE OYCOMPLIANCE: RESIDENTIAL (Page 5 of 5) CF -1R Project Title Date Special Remarks COMPLIANCE STATEMENT This certificate of compliance lists the building features and specifications needed to comply with Title:24, Parts 'l and'6 of the California Code of Regulations, and the administrative regulations to implement them. This. certificate has been signed by the individual with overall design responsibility. The undersigned recognizes that, compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation quality, and building envelope sealing require installer testing and certification -and field verification by an approved HERS rater. DesiLyner or Owner (oer Business and Professions Code). Documentation Author Name: � `l ESS ! 1 O dr1 Name: Title/Firm: Title/Finn: Address: ss Address: 5Y65-51 I LA Quai - 8+ zzs MZs Telephon ! Telephone: - License #: License #: (if applicable) (signature) (date) (signature) (date) Enforcement Agency Residential Compliance Forms CERTIFICATE OF COMPLIANCE: RESIDENTIAL ; (Page 4 of 5) CF -1R Project Title Date SPECIAL. FEATURES REOUHUNG BUILDING OFFICAL or HERS RATER VERIFICATION Indicate which special features are parts of this project: The list below only represents special features relevant to the prescriptive method. �,uccn nPpliudvjr vvncs Category Building Official Verification of Special Features HERS Rater Verification HERS Rater Diagnostic Testing Ducts ❑ -x YYzky_;; Y Y ❑ 1C;:..... .. ❑s Y y.,A. Y Envelope ❑;Fr • Y ❑ ` n Y ❑� y�r' HVAC Equipment' ❑,s: ❑ Y ❑ Y k ;F Y y ..- Water Heater x Y Y ; 5 WX Residential Compliance Forms Measure 100% of duds in crawlspace/basement Buried ducts Diagnostic supply dud location, surface area, and R -value Dud increased R -value Dud leakage Duds in attic with radiant barriers Less than 12 ft. of dud outside conditioned space Non-standard duct location Supply registers within two ft of floor Air retarding wrap Cool roof ' Exterior shades High thermal mass ; Inter -zone ventilation Metal framed walls Non -default vent heights Quality insulation installation' Radiant barrier Reduced infiltration (blower door). May also require mechanical ventilation. Solar gain targeting (for sunspaces) Sunspace'with interzone surfaces Vent area greater than' 10% Adequate air flow Air conditioner size Air handler fan power High EER Hy dronic heating systems Mechanical ventilation Refrigerant.charge Thermostatic expansion valve (TXV) Zonal control Combined hydronic High EF for existing water heaters Non-NAECA water. heater. Non-standard water heaters (wh/unit) Water heater distribution credits December 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 5) CF -1R Project Title I 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. ■ Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required.) ❑ TX S, 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 reouired.) OR ❑ 1Altemative to Sealed Ducts 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. ❑ 1 No ducts installed: ❑ New ducts from existing space conditioning equipment, not exceeding 40ft. in length. 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. 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 F-77 ❑ Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per dwelling Number in System unit: If the water heater is a storage type, 50 gallons -is the maximum capacity and recirculation s stemis not allowed. ❑ Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential Standby Loss % Manual. No water heating calculations are required, and the system complies automatically. 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 submittal. ❑ Check box to verify that a time control is required for a recirculating system pump for a system serving multiple units Systems serving single dwelling units (See RM Table 5-4, Alternative Water Heating Systems for recirculation requirements) Water Heater T e/Fuel Type Distribution Type Number in System Rated Input' (kW or Btu/hr(gallons) Energy Tank Factor' ori Capacity Thermal Efficiency Tank External Standby Insulation Loss % R -Value Standby Loss % Tank External Insulation R -Value System serving multiple dw Iling units (See Residential Manual Section 5.3.3 Water Heater Type Distribution Type Number in System Rated Input' (kW or Btu/hr(gallons) Tank Capacity Energy Factor' or Thermal Efficiency Standby Loss % Tank External Insulation R -Value 1) For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat 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 December 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL. (Page 2 of 5) CF -1R Proiect Title Date FENESTRATION PRODUCTS - U -FACTOR AND SHGC ✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R - must be included for New Construction, Additions, and Alterations. Fenestration #/Type/Pos. (Front, Orien-, Left, Rear, Right, tation, Area Skylight) N, S, E, W' ft2 Exterior Shad ing/Overhangs6.' U -factor SHGC ✓ box if WS -3R is U-factor2 Source SHGC4 Sources included 13 Efficiency" '} 'Distribution- Distribution- ,.J,y,p,e,and-Capacity--4 (A/c;. (A/,C; heat pump;,,evap:(SEER orr Type and Location Duct or Piping 13❑ Configuration A i te'ooliri , ?'—f „� ,.,EER), sd 1 ducts attic etc. ❑ 1) Skylights are now included in West -facing fenestration area if the skylights are tilted to the west or tilted in 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 from either NFRC Certified Label or from Standards Default Table 116-A. 3) Indicate source either from NFRC or Table 116-A, 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, Table 116B or WS -3R 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 1-3 50M IAIHIWV�_ Heating Equipment Minimum Distribution Type and Capacity Efficiency Type and Location Duct or Piping Thermostat Configuration furnace, heat pump,boiler, etc. AFUE or HSPF ucts, attic, etc. R -Value T eslit or package) IN Aim Cooling EquiptrieaY,! ti 4" Minimum Efficiency" '} 'Distribution- Distribution- ,.J,y,p,e,and-Capacity--4 (A/c;. (A/,C; heat pump;,,evap:(SEER orr Type and Location Duct or Piping Thermostat Configuration A i te'ooliri , ?'—f „� ,.,EER), sd 1 ducts attic etc. R -Value Type (split or, package owapp i 6 VOM" ofn- ., tia. - -.--: . J Residential Compliance Forms December 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Pagel of 5) CF -1R Project Title J h i Joint );<Rdbf Radiant; Appendixr : Barrier'."L IV roti;"Installed2 "3 Reference r1'eso�:;No" i'typical, DateQJVT Building Permit ' Project Address % '? Plan Check / DateM Documentation Author Telephone BUS Compliari Method (Prescriptive) Climate E4, field C}ieck /Date t k j ST U i 'enc Enfor rlce'mentRA Use Onl Alternative Component Package Method: (check one) C D A'O' 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 8,14 in the Residential Compliance Manual (RCM) GENERAL INFORMATION Total Conditioned Floor Area (CFA) — ft Average Ceiling Height: w— ft Check Applicable Boxes Building Type: (check one or more)Single Family Multifamily • Addition Alteration (If adding fenestration fill -out WA. Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 for Additions and 8.3.3 for Alterations in the RCM.) t • Maximum Allowed Total Fenestration Area ft (from WS -4R) • Maximum Allowed West Facing Fenestration Area ' ' �� ft2 (from WS -4R) • Number of Stories: Number of Dwelling Units: • Floor Construction Type: 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 (check box if 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=;Wzgr� factor (for -wood, Cavity Continuous metal frame and Insulation Insulation mass R -Value R -Value assemblies h i Joint );<Rdbf Radiant; Appendixr : Barrier'."L IV roti;"Installed2 "3 Reference r1'eso�:;No" i'typical, Location Comments (attic, garage, etc. BUS ST U ` D 1) See Joint Appenaix iv in section iv.z, iv.s, ana iv.,+, wnicn is me Dans i Ilu prescriptive value to show equivalence to R -values. 1, - I . 2) This column is for the Inspector to verify installation of roof radiant barridr. Residential Compliance Forms December 2005 CITY OF L.A. QUINTA- SUB -CONTRACTOR LIST JOB ADDRESS AOSSJMew* PERMIT NUMBER OWNERIG�iE 7 : BUILDER6 This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to.work on this job-.. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure- to comply will result in a stoppage of work and/or the voidance of building perrAit..For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response. rac ::>:. ::::;>.><;.; >,:.:;::: :..,..;:: :_:::....:;.:..:: ::: ..::. :.-.:•::.:. Business Ucense Trade / Classification Cont tar ::..::..::.. State..Contractor .s. License... :: : " :. :. :..::Workec$.C.om erlsattoir:(nsura�c�:° ::::.; ;'::..:. City. Company Name Classification License Number Exp. Date Carrier Name Policy Number Exp. Date Ucense Number Exp. Date .f (e.g. A, B, C-8) (xxxxxx) (xx/xx/xx) (e.g. State_ Fund, CalComp) (Format Varies) it (xxxx) (xx/zx/xx) EARTHWORK ((:-121 :: /�►� CONCRETE (10-8) .:.. VIA STRUCT 'MASONRY (C•29) �� "�-. � . PLUMBING IC -36) LATH: PLASTER �C351.Ina DRYWALL (C-9) :::...: HVAC. (9-20):.::'::. ELECTRICAL.(C=10) �..:.� - ROQFING'.(C.=391'><`«'>:'.. . SHEET METAL (C-43)' `. 77 FLOORING GLAZING (1P -17f INSULATIONIC-2):= SEWAGE OISP : 0-42) PAINTING (G=33) CERAMIC TILE (C-54) CABINETS (C-6) r �-• . FENCING (013). LANDSCAPING (C=27.).'.':: - POpL (C-531 TELEPHONE (760) 777-7012 FAX (760) 777-7011 OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the followinginformation for your benefit and protection. If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX: (760 6 5 O O GNATURE/DATE 57-(,55 &-- eE2-9 Ld va✓•ri4, CA y'zzs3 PROPERTY ADDRESS PERMIT NUMBER(S) BI" # 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 Permit # Project Address:* • j Z 65-5 A����� �(�Q� Owner's Name: A. P. Number: Address: S'Z L,:5 ly 4u,,j, a,¢ MrXa-ZeZ Legal Description: Contractor: ©y��p� �VtL City, ST, Zip: Z niv...ir L'G� %2,75.3 Telephone: Address: s"Z & S5 X)", DA' Ae-e—e-g-4 Project Description: QF- BjgG City, ST, Zip: L,- egw gt e14• `Tt7-5 ' Telephone: 7(pl7 O " �/73' ' State Lic. # : City Lic. #: . Arch., Engr., Designer: - Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: g. S-0000 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 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 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:- 7rd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue 8 ' School Fees Total Permit Fees.