09-0371 (MECH)t ,
P.O. BOX 1504 ,!' 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: • 4/27/09
.Application Number: 09=00000371 Owner:
Property Address: 4.8135 VIA HERMOSA FORD PAULA "
APN: 646-100-004- - - 48135 VIA HERMOSA
Application description: MECHANICAL - LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 8700
Contractor:
Applicant: Architect or Engineer: r ESSER AIR CONDITIONING ATG
P.O. BOX 1636
CATHEDRAL CITY; CA 92 G
(760)324-0550
Lic. No.: 489046
APR 2 7 2U09
-___--------=------------------------ __
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATIO-��
.I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: I -
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' compen a provided
License CI ss: 20 License No.: 489046 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
l,► qE vt� issued.
�Date:�� -1 Con_vactorti' L �✓ � t711� i � � _ 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
OWNER -BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of parjury that 1 am exempt from the Contractor's State License Law for the Carrier STATE FUND ` Policy Number 1891568-2009
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to- _ I certify that, In the peifutmarice 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 a signed 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 (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or - 3700 of the Labor Code, I shall 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 tDater •Z
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Applicant: '/"%
(_) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and - a
.the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
- - Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND 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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN -
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 -
- (_) 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.). - _ r whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_) 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 com�gW with all
work for which this permit is issued (Sec. 3097, Civ: C.). - _ - .q - city and county ordinances and state laws relating to buildi true ' , and hereby authorize r �sentatives of this cc my o enter upon the above-mentioned prope for i e rp s.. -
Lender's Name: -
'Date: �� T l Signature.(Applican_t or Agent):' - .
Lender's Address: -
LQPERMIT
r -Application Number . . . 09-00000371 -
- -
Permit . . . . _ MECHANICAL
r
Additional desc
;.
Permit• Fee:..-.' .. ._ 33.00 Plan Check Fee
8.25
Issue Date,_. Valuation . . .
0;
+- Expiration Date 10/24/09,
- 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 HEATING & AIR
CONDITIONING SYSTEM WITH TRANE 15 SEER
SYSTEM TO.SAME LOCATION.
------------------ ----- ------------- ---------------------------.--
Other Fees BLDG STDS ADMIN (SB1473)
1.00 - -
Fee summary: Charged .Paid Credited
Due
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
r
LQPER 11T
'
CERTIFICATE OF COMPLIANCE; RESIDENTIAL .
ag91 of 5
CF -TR
Project Title q
Date -
: ry
Project Address
Documentation
'
Author
Telephone
r
Compliance Method (Prescriptive).
Climate Zone
-r
Alternative Component Package Method: (check. one) C D D..(Alternative)
Package C and Package D choices require HERS rates field verificauon and/or diagnostic testing (see CF -1R page 3)
For Package D Alternative see Appendix B Table 151-C Footnotes 8..-14 in;tiie Residential Compliance Manual (RCM
)
GENERAL INFORMATION
Total Conditioned Floor Area (CFA) onlfe
'.
Average Ceiling Height:. b ft .-
Chock, AWiicablo Boxes
Building Type: (check one or morel' Single. Family ./Multifamily Addition Alteration(If adding fenestration fill -out W'SAIi Fenestration Maximum Allowed: Area Worksheet and see Section 8:3.2-.
for Additions and 8:3.3 for Alterations in the RCM.)
•
Maximum, Allowed Total Fenestration Area . fe(from"WSr4R)
Maximum Allowed West Facing Fenestration Area 1 (from WS -4R)
• Number of Stories: _ Numberof Dwelling Units: ="
• Floor Construction Type: .Slab/Raised Floor (circle one or both)
• Front Orientation: North / South / Fast / West: All Orientations (input front orientation' in degrees
from True North and circle one).
El RADIANT BARRIER (check box if required in climate zones 2, 4 8-15),
OPAQUE SURFAdes INCLUDING OPAQUE DOORS
Component
Type (Wall,
Roof, Floor,
Slab Edge,
Doors
Frame
'Type:
(Wood or
Metal
Assembly. U-
� -factor."for wood,
Cavity ' Continuous metal fi-ame andAppendix
Insulation - = insulation- - - mass
R -Value . R -Value. assemblies
Joint
IV �' ;:
Referencetypical,
=
r
Location
Comments
(attic, garage,
etc.
1) See Joint.Appendix IV in Section IV.2, IV..3, and IVA, which is the basis for the U -factor criterion. 0 -factors can not exceed
prescriptive value to show equivalence to R=values.
2) This column is for the Inspector to verify installation of roof radiant barrier.
Residential Compliance Forms December 2005.
CERTIFICATE_ OF COMPLIANCE: RESIDENTIAL'—- 2 of 5). CF4.R
Project Title Date 1
FENESTRATION PRODUCTS — U -FACTOR AND SHGC
1 FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R — must be included for New
Construction, Additions, and Alterations.
Fenestration
#/TypelPos. {Front, Orieti-.
Left, Rear, Right; tation, Area U -factor
S li t N S, E Wt,. ft) U -factor' Source'SHGC°
;. Exterior
Shading/Overhangs6. 7
SHGC ✓ box if WS -3R is
Source included
O
J I��G`r
D
0
.a
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 §1,5.1(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. Shad 'ing devices.
7) See Section 3.2.4 in the Residential Manual.-
RVAC SYSTEMS
Heating Equipment
Type and .Capacity
furnace heat pump,boiler, etc.
Minimum Distribution.
Efficiency Type and Location Duct or. Piping ' Thermostat Configuration
AFUEorHSPF(ducts,,attic etc. R -Value s litor ada
J I��G`r
t7 �1Gi�f�j�. ✓ t.t l
rto �
Cooling Equipment
Type and Capacity
(A/C, heat pump, evap.
-cooling)
Minimum
Efficiency Distribution
(SEER or Type and Location Duct or Piping Thermostat Configuration
EER ducts suit, etc. ` R -Value Type (split or package)
o" Itt/,W Loi
rto �
Residential Compliance Forms December 2005
se
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 5)
Project Title Date
A s't ' ed 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.)
❑ TXVs, readily.accessible (climate zones 2 and 8-15 only)
Installer.testin . and certification and HERS Rater field verification t uired.
❑ 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 fTXVs (See Package'D Alternative Package Features for
Pro'ect Climate Zone in the RMAppendix B Table 1517C Footnotes 7-14.
OR
No ducts installed.
- ❑ New ducts from existing space conditioning not.exceedin 40ft.'in len
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(i.n)
and duct insulation r uirements 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 heater is a stoLaLe type, 50 gallons is the maximum capacity and recirculation system is not allowed.
❑ Check box when using. Preapproyed Alternative Water Heating table, Table 5-4 in Chapter 5 in 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 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 fora recirculating system oumn for..a system serving multiple units
Systems serving single dwel
ing units (See RM Table 5-4, Alternative Water Heating Systems for recirculationuir.
Wts
Water Heater
T uel T
.
RatedTank
Distribution Number .. Input r
(kw or
T in System Baimr
Energy
. Tank Factor or.
Capacity Thermal Standbys
ions Efficien Loss "/a
External .
Insulation
R Value
V..
. . . . . . . . .
Svstem serving multinle dwelling Ilrlift (CPr RPcidi-ntial lvfnnnal Curtin S,A '21
Water. Heater
Type
Rated'
i
Distribution Number (kw or
in System, BW/hr(gallons)
Energy
Tank Factor' or
Capacity Thermal
Efficiency
Tank
External
Standby' Insulation
'Loss.. % R -Value
1). For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btulhr), 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, Theimal
Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Theimal 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 asspecified by Section 150 (j) 2 A or 150 0) 2 B.
Residential Compliance Forms December 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page -4 of 5) 'CF -1
Project Title p�
Date `< tiZ
SPECIAL FEATURES REQ
URUNG BUILDING OFFICAL or HERS RATER'VERIFICATIOIV
Indicate which special features are parts -'of this project The list below only represents special features relevant to the prescriptive method.
(Check Annlicahle. hrnree)
U. ,''s IWater heater distribution credits �.
Residential Compliance Forms December 2005
Building Official
HERS Rater
Verification of
HERS Rater
Diagnostic
Category
Special Features
Verification
Testing
Measure
Ducts
_777.7
❑
> _ t
900% of ducts in crawlspace/basement
Y,
Buried duds
❑
-'
�}
Y.
Diagnostic supply dud location, surface area, and R -value
❑.b
_,..
Dud increased R -value
..s__w.
Y
Dud leakage
a
Ducts in attic with radiant barriers
x rx
Y
Less than 12 It. of dud outside conditioned space
❑"_-�#
_
Y
Non-standard dud location
ksv""a W.
Supply registers within two ft of floor
❑
Envelope
�.
Air retarding wrap
'
Cool roof
Exterior shades
❑
U. fl ;.
n. _ a __
High thermal mass
❑
r�.i.�a:
"S4;` = :r
Inter -zone ventilation
❑,
sY _
Metal framed walls
❑>>r5
V _
Non default vent heights
:.:
Quality insulation installation
❑Y..
-
Radiant barrier
❑
Y
'Reduced infiltration (blower door). May also require mechanical ventilation.
❑
Solar gain targeting (for sunspaces)
Sunspace with interzone surfaces
❑.
ZA
in�
Vent area greater than 10%
HVAC Equipment
❑
`f
jh
Y
Adequate air flow
❑
��
Y.
Air conditioner size
❑
fir'>s
Y
Air handler fan power
❑
Y
High EER
❑'"
a€�:a
Hydronicheating systems
❑
ap"'.'_
Y
Mechanical ventilation
. ❑
p{V4ul
Y
Refrigerant charge
❑
Y
Thermostatic expansion valve (TXV)
Zonal control
Water Heater
:> ss,
Combined hydronic
❑
High.EF for existing water heaters
❑
t : -T ; +.r
Non-NAECA water heater
❑i
X. N4.!_
Non-standard water heaters (whtunit) .
U. ,''s IWater heater distribution credits �.
Residential Compliance Forms December 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 5.of 5) : CF7.11k'
ProjectTitle '
3 Date .. ,.
_Special Remarkss�
r
'COMPLIANCE STATENWNT
. r This certificate of compliance. lists the building features and specifications neededb comply whh'Title124,
Parts 1, 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,, yerification of refrigerant charge. and I3CVs; insulation installation
`. ,quality, and building -envelope sealing require installer'testing and certification.and field verification by: an
4 approved HERS rater. {, f t
• Desi ner o �°�' - • . k � _ r• s • r �
Owner , (per Business and. Professions Code Documentat►On Author
>` Name: i Name:
3>1040 1,4
Title/Firm: ` = Title/Firm.
Lt • Address. +
� � Address: �
7a) 104-
Telephoner Telephone:
. -
y r, License #: License #: (if applicable) L ,
(signature) _ (date) (signature) {date)
Enforcement Agency it
t
r�
t
� .i+la•' 3' amu. 1^is' ' "�Rv:v�'?•'�vF " -.35
rrNnIl� �,' X ,.e�- a `_ _ 'F _ ''`'+gx k"' --•Y moi. ..
x
+Fg
a
r Residential Compliance. ForinsDeeember.2005
; 1' ; • ° '
X in #
City of is Quinta
Building 8i Safety Division
Permit # ` P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
1— 3 Building Permit Application and Tracking Sheet
Project Address:! V//+ b k!'it7`p4' Owner's Name: /,9vLX fp Zj�
A. P. Number:
L
Address: �i (J 7 VI't / P. M":✓+
Legal Description:
AA
City, ST, Zip: L.+
Contractor: ESSER SERVICES INC.
Telephone: - -
-
Address: BANKSIDE DR STE C
Project Description:, h tc; f w fT/t1 4...#vwl A14.....
City, ST, Zip: CATHEDRAL CITY CA 92235
Telephone:
760 24 055'0
.r
State Lic. # :. 489046
City Lic. #: 2641
C,.1!j/ o A)
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telene:
P h 0
State to Lic. #•
Construction ton TY e• occupancy:
P P c Y
Project ct type (circle one New Adan Alter Repair Demo
,.
Name of Contact Person:
Sq. Ft.;
#Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project: 1? ? C9
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 Chick Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for corrections/issue
Electrital
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
Develcper Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total:Permit Fees
7
COMPLIANCE STATEMENT'
R . 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 theindividual with overall design responsibility.The undersigned recognizes that
j ...'� compliance using duct design, duct sealing, verification of refrigerant charge and TX -Vs, insulation installation
quality, and .building envelope sealing require installer testing and certification.and field verification by an.
approved HERS rater. pr
S
Desi ner or Owner per Business and Professions Code).. Documentation Author
• Name: Name: ;a
' Title/Firm: " z Title/Firm:
Address { Address
's Telephone:. Telephone: x"
i
#: License
License #: (if applicable) r F y
r t. ... ,l
(signature) (date) (signature); (date)
Enforcement Agency .k ,. " -' y �`� {
• i . iI.+yam . T i
s
, .: � w -�. r �:: � - i t bow �i4 nt ` �.t-, u, ra�'�.; z -y... �zr. sy •K• s n u .r � - ,
104
CER'T'IFICATE
OF COMPLIANCE RESIDENTIAL"
(Page 5 `of 5) CF -IR
�..
Project Title
Date, rr'
y.
Special
Remarks.
7
COMPLIANCE STATEMENT'
R . 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 theindividual with overall design responsibility.The undersigned recognizes that
j ...'� compliance using duct design, duct sealing, verification of refrigerant charge and TX -Vs, insulation installation
quality, and .building envelope sealing require installer testing and certification.and field verification by an.
approved HERS rater. pr
S
Desi ner or Owner per Business and Professions Code).. Documentation Author
• Name: Name: ;a
' Title/Firm: " z Title/Firm:
Address { Address
's Telephone:. Telephone: x"
i
#: License
License #: (if applicable) r F y
r t. ... ,l
(signature) (date) (signature); (date)
Enforcement Agency .k ,. " -' y �`� {
• i . iI.+yam . T i
s
, .: � w -�. r �:: � - i t bow �i4 nt ` �.t-, u, ra�'�.; z -y... �zr. sy •K• s n u .r � - ,
104