06-1465 (MECH)P.O. BOX 1504
.78-495 CA'LLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT.
EApplication Number: 06-00001465 Owner:
Property Address: 78710 VIA MEWDIA FOLQUET MAL3A
APN: 646-.050-043 - 18710 VIA MELODIA
Application description: MECHANICAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 7000
-Contractor:
Applicant: Architect or Engineer: - - J & J INCORPORATED
P.O. BOX 966
PALM DESERT, CA 92260
1760)346-4477
' Lic. No:: 596456
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty oUperjury-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: C20 License No" 596456
Date: Y !l Contractor: lJ�1V� I >)W
OWNER -BUILDER DECLARATION
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 andProfessionsCode: 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 tothe 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 ($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 _ 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 contractorls) licensed
pursuant to the Contractors' State License Law.). -
1 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 (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address: - -
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/11/06
APR 112006' U
CITY OF LA QUINTA
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, STATE FUND Policy Number 1769525-2006
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person many manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should become subject .tothe workers' compensation provisions of Section -
/ 13/700 of the Labor Code, I shall forthwith comply with those provisions. - -
'Date:Applicant: ----1-� .. _..
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 permitsubject 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. -
1 certify that I have read this application and state that the above information is correct: [.agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned propAp%for inspection purposes.
Application Number 06-00001465
Permit . . . MECHANICAL
Additional desc .
Permit Fee 30.50
Plan Check
Fee
3.75
Issue Date
Valuation
0
Expiration Date .. 10/.08/06
t
Qty Unit Charge Per
BASE
FEE
..Extension
15.00
i.00 9:.0000 EA MECH
APPL REP/ALT/ADD
9.00
1.00 6.5000 EA MECH
AH <=10K CFM '.
-----------------------
6.50'
------------------------
Special Notes and Comments
REPLACE A/C & HEAT SYSTEM WITH 13
SEER/80% AFUE:
Fee summary Charged
Paid Credited
Due
Permit Fee .Total 30.50
.001,
-----------
.00
:30.50
Plan. Check Total 3.75
.00
00
3..75
Grand Total 34.25.
.00
. 00 •
34.25
LQPERM[T -
.
Bin #
Cit of LaQuinta
Y
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 #
((�o�
Project Address:
Owner's Name:
A P. Number:
Address:�j
Legal Description: '
City, ST, Zip: Z7
Contractor:
Telephone:
Address: T
Project Description:.
City, ST, Zip: Z ZQ
Telephone:
State Lie. # :
City'Lic.
Arch., Engr., Designer: '
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person:Sq.
Construction Type: Occupancy:
Project type (circle -one): New Add' Alte Repair Demo
Ft.:
#Stories: # Units: f
Telephone# of Contact Person:
Estimated Value -of Project: qV 1V r-
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 Calcs.
Called Contact Person
Plan Check Balance '
Energy Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading, plan
..
2nd Review, ready for correctionstiissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading '
IN HOUSE:-
7id 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
•r )) r 3 + tr �g L ? ,
+�r�.i"• � rt 5?�tti f � r i, f a;r(! , l;N, � '{if{��[t •. •t `'
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Y RTI
GATE QF COMPLIANCE: RESEDENTIAke,l of 4),' CF=1R`,
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PcojecfTitle a
Y (/fIl��.i ( .1'I.K'�►r C !S •.r 1t ',.ej { !: +est S• ,".. .
` Pr6lectAddressy ,
! {?� r p [-.,1(130dingPermit,A,. I - •_ _
Documentation Author < TZele .hone r,(A]�jJ Plan Check /Date , f/
t Compliance Method resen five ' y Field Check /,Date
A iLa
' P Enforcement Agency Use Only '
•t
' ✓. -Alternative Component Package Method: (check'one)Ia't "t D (Alternative)' '
Package C and Pac 't ' q . ,
g kage D choicesI�g uire HERS'i'ater field verification and/or diagnostic testing (see CF -1 R page 3)
For Package D Alternative see Appendix B Table 1511C Footnotes.?
GENERAL INFORMATION
r Total'Conditioned Floor Area (CFA) fe ':Average Ceiling Height ft' *" 1 • '
,xMi&imurri Al ,c;' West.Facmg FSnestiation'Products Per Table 151-B or,' 151 C - (5%ti:X CFA)'. yam.:. ft
Maxum 4 wed'Total Fenestration Products Per Table 151-B'or 151 C _" (20% X
EL. uilding Type (check one or` more)' .. Single Family Multifamily ' Addition r ,Alteration
s adding fenestration fill out WS-4R,nestration Maximum Allowed Area'Worksheet`and see Section 8.3.2 `
.for Additions and 8.3 for
an 3 Ali
erations.)
Number of Stones. Number of Dwelling Units
Floor Constriction Type:. Slab/Raised Floor (circle one or both)
Front Orientation: ...North /.South / East / West / All Orientations (inputfrogt orientation in -degrees from'True
fi North and circle one).
✓ 0 RADIANT,BARRIER (reguired'in climate zones 2 4 8-151'
OPAQUE SURFACES INCLUDING OPAQUE DOORS.,=
t+:
Component:
'Type:(Wall;
Roof, Floor,
Slab Edge,.,(Wood
, Doors)
.
Frame'
Type
'or Metal)
' !
Cavity. ;•
Insulation '
R -Value '
• •
Continuous'
Insulation
R -Value
Assembly U- ,
factor (for t
wood, metal
frame and mass
assemblies)' `
'Joint • �
- ,;App'ndji'
IV.,: "'
Reference'.
'' •
•Roof Radiant '
.''s'.Barrier Location/Comments
Installed (attic, garage,
, .'Yes or No typical, etc.
1) 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.
' ria o - •. s
J.
9 fi .t � �Mtsr}f'. ' fit. � `, !}: r ., .ry(;yt t � y � •1- r+
+s " e p `Res>denhal Compliance Porins
.ti tt �.-..:! y `�."� t3Yt, Fr! -y� i°c•t ,' .r � r - r r,.} i. +r�� .i l; +rot lt.r.,,vxf
March 2005,
j^�!,.>h`}1! 'fit Ji }•`'1 : +` � t + ,i ?i =7 t k{1,, l� �. t?1{r),� Y �� '�1` y �. `. Yt '�..
44 � . {y �'vY-
i.i•r,
•r
I t ri' A ', 5x ! • Y ,F . 4J ,� t i v d 'C f > I ,
:� �.G:t , ..k+ t.�,. t. ':'yr k '1 • ,Y•,..�:.9�i
If
✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R —must be include d for New Construction,
Additions and Alterations.
Fenestration
#/Type/Pos.
(Front, Left, Orien-.
Rear, Right, tation,'. ' Area U -factor SHGC
Skylight)NSE Wr ft' U -factor' Source SHGC4 Sources
Exterior .
Shading/Overhangs'
v1' box if WS -3R is
included
Distribution
and Location Duct or Piping' Thermostat.' _ Configuration
(ducattic etc. R -Value Type (split or package)
13
❑.
13
❑.
CERTIFICATE
.OF COMPLIANCE:PRESIDENTIAL•y(Page 2 of4)r .: CF`1R
•. ?CM
�Y � '.i:,
v" a'�� ♦ meq' n�q � � i '``�, �'.- .
y� t..� 7Y r•
f ,.,. ., � - ' ( P,t.
�i" 1'z 1. � ty r ,P.•, r
Project =Title;:% Q
; Date : Li
-
...
IA
FENESTRATION PRODUCTS — U -FACTOR AND SHGC
✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS -4R —must be include d for New Construction,
Additions and Alterations.
Fenestration
#/Type/Pos.
(Front, Left, Orien-.
Rear, Right, tation,'. ' Area U -factor SHGC
Skylight)NSE Wr ft' U -factor' Source SHGC4 Sources
Exterior .
Shading/Overhangs'
v1' box if WS -3R is
included
Distribution
and Location Duct or Piping' Thermostat.' _ Configuration
(ducattic etc. R -Value Type (split or package)
13
❑.
13
❑.
yWiLa auF new gym, uuuu n •rrost-tawlig renestrarron area a me sKyugnts are tilted to the west or tilted in any direction
.when the pitch,is less than 1:1.2. 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 of:Table 116A,
4) Enter values in this column from NERC or from Standards Default Table I I 6 or adjusted S14GC from WS -3k.-
5) Indicate source' either from NFRC.or, Table I I6B. '
6) Shading Devices are defned in Table 3-3 in the Residential Manual and see WS -311 to,calculate Exterior Shading devices.
7) See Section 3.2:.4 is the Residential Manual.
HVAC SYSTEMS
Heating Equipment
Type and Capacity �
fumace heat pump,b6iler, etc.
',,,Minimum
-'.EfficiencyType
AFUE.or HSPF)
Distribution
and Location Duct or Piping' Thermostat.' _ Configuration
(ducattic etc. R -Value Type (split or package)
Duct Thermostat Configuration
R -Value.'. T e s litor cka e
�. , P�
Cooling Equipment Minimum
Type and Capacity -Efficiency' Duct Location ',
A/C heat pump,eVap.coolin SEER or EER attic etc.
(3 %. ...
Duct Thermostat Configuration
R -Value.'. T e s litor cka e
�. , P�
a Residential Compliance Forms'
March 2005.' '
REY ;7,
a.t 4 ` �t�- p'°i t t ��"- .r�� t 5},i+.
�{ r
�It- � 3t44+
!t :
est, ryR�; CERTIFICATE QFCOI�IP=LIA
tn�i�;.,✓tv ti,.ft .,,err •Nt7#,Sty}ri n�„5.,.1y+• f f rye r•KsYa.t .. �. 5 :•
< _ s:• ft< .. t.} r..� •p.Y : v.T .i t •='iib;Y}f J j„µ'j�:C ( - lr.a r•Y ..r.. ,, "• . p%,i.:. f�' ; i- - • '•f '.T .y -x '; � if z r rs$ r
�
: r•Mi:Jr7in�+i
. � � Pro ect "Tale ; t: -, ' .; • •� D _. � ^ ' `:., y.,x.
rr�,+�3:�..>� ;�:otY1f��' ;�,V , "'"1 4-• l atel;: ( 6 1 :V•In '���Ir
SEALED DUCTS and TXVs (or Alternative Measures) Y
A signed.CF-4R Form must be, provided to the building department for each home for which the -following: are
required. :,; <�
}• A ��t� f t dsf i}
�
` � �4n7 7 j. to �� fijr Ft}.
RESIDENTIAL`,.'. (PaQe,r3 csfy'41 s s`?zC^Ft<� R'�-°rm a
tn�i�;.,✓tv ti,.ft .,,err •Nt7#,Sty}ri n�„5.,.1y+• f f rye r•KsYa.t .. �. 5 :•
< _ s:• ft< .. t.} r..� •p.Y : v.T .i t •='iib;Y}f J j„µ'j�:C ( - lr.a r•Y ..r.. ,, "• . p%,i.:. f�' ; i- - • '•f '.T .y -x '; � if z r rs$ r
�
: r•Mi:Jr7in�+i
. � � Pro ect "Tale ; t: -, ' .; • •� D _. � ^ ' `:., y.,x.
rr�,+�3:�..>� ;�:otY1f��' ;�,V , "'"1 4-• l atel;: ( 6 1 :V•In '���Ir
SEALED DUCTS and TXVs (or Alternative Measures) Y
A signed.CF-4R Form must be, provided to the building department for each home for which the -following: are
required. :,; <�
❑ Alternative 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.
OR
For additions and alterations, duct systems that are not documented to have been previously
sealed as c6nfirmed4hro6gh 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 there airements of Section 150(m) and duct insulation requirements of Package D.
WAILf K IILA11NU JYbIEMN
Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired 'water heater per .
❑
Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification r uired. ,,
❑ :
TXVs, readily accessible'(clirriate'zones 2 and 8-15 only),;
r :
Installer: testing and ceitification and HERS Rater field verification re uired.
❑
Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
Tank
verificationrequired.)
❑ Alternative 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.
OR
For additions and alterations, duct systems that are not documented to have been previously
sealed as c6nfirmed4hro6gh 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 there airements of Section 150(m) and duct insulation requirements of Package D.
WAILf K IILA11NU JYbIEMN
u•NLCuAa NCR vuIr 3INIYIC uwrumv unnv- - . • ..
'
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 opacity and recirculation system is
Tank
not allowed.
r :
Check box when using Preapproved •Alternative Water Heating table, Table 5-4 in Chapter 5;in the Residential
'calculations
.
Inputs
Manual. No water" heatiri are required, and the system corn lies autoinaticall '
Tank
Check box,if systeni'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
'
Water Heater
submittal.
❑
Check box to vefify=thata time control is required for a recirculating system pump for a'system serving multiple'':
Capacity, .:
units
u•NLCuAa NCR vuIr 3INIYIC uwrumv unnv- - . • ..
'
Rated
Enety .
Ene
Tank
-,,Tank,
r :
.
Inputs
Inputs
Tank
Factror�r,
o
Water Heater
External
Water Heater
.Distribution
Number•
kw
, ( or
Capacity, .:
Thermal ••
,Standby'.
'. Insulation
T e/Fuel e
T e
in S stem
scum,(gallons)
Efficiency.-
'Loss M
R -Value
S
# 1. ' •For small. gas;storage water.heaters.(rated inputs of less thanor equal to 75,000'Btu/hr),-,electric resistance, and heat t
f ,,pump water;heaters,'listEnO&Tactor For large gas storage'water"heaters (rated mput'of greater than 75',000F
' z Btu/hr);1cst.Rated'Inpgt; Recovery Efficcency Thermal Efficiency and Standby Loss For instantaneous gas water
heaters,, st Rated Input and Thermal:Efficiencies
' Pibe t`nsulationr s t c ri•
(kitchen dines`>�3/4 inches) All hot water pipes from the heatmg.sourceto'the kitchen fixtures that are"/4
inches orgreater m diameter shall be thermally insulated as specified by Section 150 (j) 2`A or 150 (j) 2.B.
Residential Compliance Forms' e
March 2005
Rated
Enety .
Tank
;F
.
Inputs
,
Factor or `
External
Water Heater
Distribution'
Number
�_ (kW or
r<,Tank
Capacity' `.'tThenmal
Standby!
Insulation '
T e-
k a
:, T e a
- . •
m S stem.
'i> Btumr)'
'Efficienc'
Loss %
R -Value
# 1. ' •For small. gas;storage water.heaters.(rated inputs of less thanor equal to 75,000'Btu/hr),-,electric resistance, and heat t
f ,,pump water;heaters,'listEnO&Tactor For large gas storage'water"heaters (rated mput'of greater than 75',000F
' z Btu/hr);1cst.Rated'Inpgt; Recovery Efficcency Thermal Efficiency and Standby Loss For instantaneous gas water
heaters,, st Rated Input and Thermal:Efficiencies
' Pibe t`nsulationr s t c ri•
(kitchen dines`>�3/4 inches) All hot water pipes from the heatmg.sourceto'the kitchen fixtures that are"/4
inches orgreater m diameter shall be thermally insulated as specified by Section 150 (j) 2`A or 150 (j) 2.B.
Residential Compliance Forms' e
March 2005
J ' '_.. '? t ` v .•.
CERTIFICATE OYCOMPLIANCE: RESIDENTIAL (Page 4 of,4j
- r y. p,+f.' t 3t4.}{1� <R 1..«r -`. '.r ;r a ,. {'Ji * rr ,y'} r •y ?i S r ',` 't}
P%lecfTit1e `' A. ///JJJ Date
( •y t.'. - . rte`.
SPECIAJ `TEATURES'NOT REQUIRING HERS VERIFICATION (add: extra"sheets if necessary)
Indicate which special, features are part of this project. •.The list below only represents- special features,releva t. to the
rescri five
method.-
Feature
ethod.`
SPECIA]
(add extra
verification
:ATURES REOUIRING:'HERS RATER VERIFICATION
s if riecessarv) Indicate to the HERS Rater whicH credit's are part oft this project and need '
✓ Feature
Feature
Regaired Forms if applicable).
Descri tion
❑
Metal Framed Walls'`
CF -IR
CF -6R part 6. of 12
❑
Radiant Barriers
CF -1R
❑
Exterior Shades .
WS74R
❑
Cool Roof
N/A; Attach CRRC Label to
Forms.
❑'
.Dedicated Hydronic Heating.
Performance Calculation
System
Required; Attach Run to Forms.
❑
: -
Combined Hydronic System
Performance Calculation -
Required; Attach Run to Forms.
Q
Gas Cooling
Performance Calculation
1
Required.
❑
Buried Ducts
N/A; Indicate on building plans.'..
.
❑
'Kitchen Pipe'lnsulation
See Section 5.6.2 Distribution
Systems in Residential Manual.
Multiple Water Heaters Per
See Table 5-13 or use
❑ .
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 .'.
CF -1R
Heater
•
See Table, 5,43 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 Heatirig.Systeme`':' t-
Performance Calculation -and '
'
attach Run to Forms
❑
Wood Stove Boiler ' '
Performance Calculation and
attach Run to Forms'.
SPECIA]
(add extra
verification
:ATURES REOUIRING:'HERS RATER VERIFICATION
s if riecessarv) Indicate to the HERS Rater whicH credit's are part oft this project and need '
✓ Feature
R uired Forms' if a ' licable Descri' tioti •. `-
-mPuct SealingCF=6R
art 4 of 12°'
❑ Refrigerant Charge
CF -6R art5 of 12.. ' '
❑ Thermostatic Ex ansion' Valve
CF -6R part 6. of 12