06-1481 (MECH)414
P.O. BOX 1504 Qu,44 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253. " BUILDING &SAFETY "DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
- Date: 4/11-/06
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application Valuatiurl:
Applicant:
06-000.01481__ _-- Owner:
78955 VIA FLORENCE M/M BUCHANAN
643-140-047-110 -26152' - 78955 VIA FLORORNCE
MECHANICAL LA QUINTA, CA 92253
LOW DENSITY RESIDENTIAL
Contractor:
'Architect or Engineer: PACIFIC AIR HEATING & AIR
77920 CALLE NOGALES
LA QUINTA, CA 92253
(760)771-6971
Lic. No.: 838711
----------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 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: C20 License No.: 838711
bate:`7"jZ' Contractor c �-
""-�� 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 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 (55001.:
(_ 1 1, 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, 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 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
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 EXEMPT Policy Number EXEMPT
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: i•(!" Applicant: VY -r—
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 ent upon the above-mentioned property for inspection purposes.
Nst z __ -- - - �/j� �► S T
I Date: i Signature (Applicant or Agentl:, i
Application Number . . . . 06-00001481
,.
Permit MECHANICAL
Additional desc
Permit Fee ' .. 24.00
Plan Check
Fee
3.75
Issue Date.
Valuation
0
Expiration Date 10/08/06
'
Qty ' Unit Charge Per
Extension
BASE
FEE
`15.00
1.00 9.0000 EA MECH
APPL.REP/ALT/ADD
9.00.
.p=
- -------- - - -- - - --- -------_--------
-----------------
-----
------------------
Special Notes and Comments
<•
CHANGE A/C CCONDENSER.
Fee summary Charged
--------------------
Paid Credited
----------
Due
----------
`
-----------------
Permit Fee Total 24.00
.00
.00
24.00
Plan Check Total 3.75
.00
.00'
3.•75
Grand Total 27.75
.00
.00
.27.75
{
•
LQPERMIT
Bin #
City of La Quin to
Building U Safety Division,
V-0. Box 1504, 78-495 bile Tampico
La Quinta, CA 92253 - (766) 777-7012
Building Permit Application and Tracking Sheet
Permit.#
Project Address:
Owner's Name: TvejiA'
44
A. P. Numl e*r:'
Address: -7k— (?SS. 0A,
Legal D6scrit)tion:
.9
Contractor:' A—
City, ST, Zip. V1,atA
Telephone: -746— 7 z
Address:,
Project Description:
City, ST, Zip:
L46
Telephone: -74,o 7 17
City 'Lic.
State Lie. # :S?, 9 7 /j a
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): N6Y d' Alter Repair Demo
Sq. FL:
# Stories:
units:
Telephone # of Contact Person:
-Estimated Value of Project: fe-00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
RWd
TRACMG.
PERMIT FEES',
Plan Sets
Plan Checksubmi' tted
Item
Amount
Structural Cates.
I
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
CalleklContact Person
. Plan . Check Balance
Energy Calcs.'
Plans Picked up
Construction
Flood plain plan,
Plans resubmitted
Mechanical'
Grading.plan
r' Review, ready for corrcctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing ing
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
4
CERTIFICATE OF COMPLIANCE: -RESIDENTIAL (Page I Of 4) CF -IR
Project Title Date y, / Z —c C
Project Address building Permit #
Documentation Author 'Telephone Plan Check / Date
Field Check / Date
Compliance Method (Prescriptive) Climate Zone Entorceinent 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- I R page 3)
For Package D Alternative see Appendix B Table 151-C Footnotes 7-14
GENERAL INFORMATION. -
Total Conditioned Floor Area (CFA) fe , Average Ceiling Height: ft
Maxiniwn Allowed West Facing Fenestration Products Per Table 151-B or 151-C ---- (5% X CFA) ft'
Maximum Allowed Total Fenestration Products Per Table 15I -B or 15I -C ---- (20% X CFA)
❑ Building Type: (check one or more) Single Family Multifamily Addition •Alteration
(If adding fenestration fill out WS -411, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2
for Additions and 8.3.3 for Alterations.)
Number of Stories: Number of Dwelling Units:
Floor Construction Type: Raised Floor. (circle one, or both)
Front Orientation: North / South / East / West / All Orientatioris (input front orientation in degrees from True
'North and- circle one).
✓ ❑ RADIANT BARRIER (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 -
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
Installed (attic, garage,
Yes or No typical, etc.)
I) See Joint Appendix IV in Section IV.2, IV.3 and IVA, which is the basis for the U -factor criterion. U -factors can not
exceed prescriptive value to show equivalence to R -values.
Residential Coiipliance Forms
March 2005
CERTIFICATE OF COMPLIANCE; RESIDENTIAL (Page 2 of4) CF -1W
Project 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
9/Type/Pos.
(Front, Left, Orien-
Rear, Right, tation, Area U -factor
Skylight) 'N, S, E, W' (ft) U -factor' Source SHGC°
Exterior -
Shad ing/Overhangs6''
SHGC ✓ box if WS -3.R is
Sources included
Distribution
Type and LocationDuct or Piping Thermostat Configuration
(ducts, attic, etc. R' -Value Type (split or package)
.❑
I) skylights are now included to West -taring tenestration area if the skylights are tilted to the west or tilted' in any direction
when the pitch is less than 1:12. See § 1.51(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 1 16A.
3) Indicate source either from NFRC or Table 116A,
4) Enter values in this column from NFRC or from Standards Default Table 1 16B or adjusted SHGC from WS -311.
5) Indicate source either from NFRC or.Table 1 16B:
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 -
Heating Egiaiprnent
Type and'Capacity
(t'urhacc, heat um , boiler, etc.) .
Minimum
Efficiency
(AFUE or HSPF)
Distribution
Type and LocationDuct or Piping Thermostat Configuration
(ducts, attic, etc. R' -Value Type (split or package)
Cooling Equipment Minimum
Type and Capacity Efficiency Duct Location Duct Thermostat Configuration
(A/C,.heat um ), eva . coolin>) (SEER or EER) (attic, etc. R -Value Type (so] it or packa e)
G t i1_ 'T? /G T / / T
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 thr; following. are
req u i red.
OR
❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for.
11'roject.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 re uirements'of Package D.
WATER HEATING SYSTEMS
Distribution
Type
Number
in System
Sealed Ducts (all climate zones) Installer testing and certification and HERS rater field verification required.)
❑
TXVs, readily accessible (climate zones 2 and 8-15 only)
Standby'
Loss %
(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 required.)
OR
❑ Alternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for.
11'roject.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 re uirements'of Package D.
WATER HEATING SYSTEMS
Systems serving sina.le dwelling units
Water Heater
Type/Fuel Type
Distribution
Type
Number
in System
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired .vater heater per
❑
dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is
Standby'
Loss %
not allowed.
❑
Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 n the Residential
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 t)e Preapproved
❑
Alternative Water Heating table. In this case, the Performance Method must be used and mu_-t.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 sina.le dwelling units
Water Heater
Type/Fuel Type
Distribution
Type
Number
in System
Rated
Input'.
(kw or
BtLdhr)
Tank'
Capacity
(gallons)
Energy
Factor' orExternal
Thermal
Efficient
Standby'
Loss %
Tank
Insulation
R -Value
I
.System serving_multiple dwelling units
Water Heater
Type
Distribution[in
Type.
N:rner
m
Rated
Input'
(kw or
BtLYhr)
Tank
Capacity
(gallons)
Energy
Factor' or
Thermal Standby
Efficient Loss. (%)
Tank
External
Insulation
R -Value
I . 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 irstantaneous gas water
heaters, list Rated Input and Thermal Efficiencies.
Pipe Insulation (kifclfen lines > 3/4 inches) All hot water pipes from the heating source to the k.tchen fixtures that are '14
inches or greater in diameter shall be thermally insulated as specified by Section 150 (j) 2 A or 150 (j) 2 B.
Residential Compliance Forms
March 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 4) CF -IR
Project Title Date
SPECIAL FEATURES NOT, REOUIRING HERS VERIFICATION (add extra sheets if necessary)
Indicate which special features are part of this project.. The list below only represents special features relevant to the
' nrescrintive methnri -
✓
Feature
Required Forms ifapplicable)
Description
❑
Metal Framed Walls
CF - IR
CF -6R part 6 of 12 A
❑
Radiant Barriers
CF -IR
❑
Exterior Shades
WS -4R
❑
Cool Roof
N/A; Attach CRRC Label to
Forms.
❑
Dedicated H_ydronic.Heating
Performance Calculation
System
Required; Attach Run to Forms.
Combined Hydronic System
Performance Calculation
Required; Attach Run to Forms..
❑
Gas Cooling
Performance Calculation
Required.
❑
Buried Ducts
N/A; Indicate on building plans.
❑
Kitchen Pipe-[nsulation
See Section 5.6.2 Distribution
Systems in Residential Manual.
Multiple Water Heaters Per
See Table 5-13 oruse
❑
Dwelling Unit
Performance Calculation and
attach Run to Forms.
❑.
Central Water Heating System
Performance Calculation and
Serving Multiple Dwellings
attach Run to Forms.
❑
Non-NAECA Large Water
Heater
CF -IR
See Table 5-13 or. use
❑
Indirect Water Heater
Performance Calculation and
attach Run to Forms
See Table 5-13 or use
Instantaneous Gas Water Heater
Performance Calculation and
attach Run to Forms
See Table 5-13 or use
❑
. Solar Water Heating System
Performance Calculation and
attach Run to Forms
❑
Wood Stove Boiler
Performance Calculation and
attach Run to Forms
SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION
(add.extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need
verification:
✓ . Feature
Required Forms if applicable) Description
❑ Duct Sealing
CF -6R part 4 of 12
❑ Refrigerant Charge
CF -6R part 5 of 12
Sk Thermostatic Expansion Valve
CF -6R part 6 of 12 A