09-1032 (MECH)P.O. BOX 1504 `
78-495 CALLE TAMPICO .
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
09-0000-1032' _-
,78290 VIA SEVILLA
604-201-011-11 -23971 -
MECHANICAL
LOW DENSITY RESIDENTIAL
2360
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
JAMES & GILLIAN JONES'.
78290 VIA SEVILLA
LA QUINTA, CA. 92253.
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/24/0,9
Contractor: 9
Architect or Engineer: DOVE AIR 'INC
69749 RISUENO,ROAD
CATHEDRAL CITY, CA 92234 n�yRn t
\/ (760)327-1890 r 200`j
N r Lic. No.: 794315'
CITY OF LA QUINTA
€ ?^li 'CE "}Fi'g
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
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:
' Section 7000) of Division 3 of the Business and rofessionals Code, and my License is in full force and effect._
1 have and will maintain a certificate of consent to self -insure for workers' compensation,. as provided_
License Class: C20 ense o.: 794315
for by Section 3700 of the Labor Code, for the performance -of the work for which this permit is
' Date: '� 1�- 8 S Contra
issued. 1
_ 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 perjury that I am exempt from the Contractor's State License Law for the
Carrier EX • MPT Policy Number EXEMPT
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 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�La�2lshall fo�,ld',ith c9mply with those provisions.
that she o exempt therefrom. and the basis for the alleged exemption. Any violation Section 7031:5
)by .: any applicant for a permit subjects the applicant to aciyil penalty of not more than five hundred dollars (S5001.:D
p li d
e��tl lic
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
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 thisapplication 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 th bove-mentioned property f�fispection rposes.
pan
Lender's Name: -
�' tY'� p
-
D e: S. (Applicant or Agent):
Lender's Address:
LQPERMIT
Application Number 09-00001032
Permit MECHANICAL
Additional desc .
Permit Fee 33.00 Plan Check Fee
8.25 .
Issue Date Valuation
0
Expiration Date 3/23/10
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 GAS FURNACE & EVAP.COIL UPFLOW
IN GARAGE
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 1.0.0 .00 :00
.1.00
Grand Total 42.25 .00 .00
42.25
LQPERMIT.. -
-
7.
CERT EFICA:TTE Or 'COMPI;xgNCE:. RESZUENTxA,I; a e l of 4 CI'-1IZ
.o
Project Title ate
D' 1171 v
pmjeet Address
�t `3� 1 9 BW,ding ft«mn
,r
Documentation Author Telephone Plan tk/Dart
Canplianco Method F'ddQ�od:/Daly
. (Prescriptive) . (�ihtate Zone • •
• - • t�taoai,a,c Ar;� the oay .
1
11 Alternative component'Packagc Method; (check one) C T_D D (Alternative).
Packago C and Pat gc D choices:rogtiireHERSrater >fi4Td verification and/or dwgnostictcsting (soe CA-IR.pagc 3): .
ForPadmgeDAkaiiWvcsee' Ap eiadix:B.Tab[c'151-CFoobtotesl=14
GENERAL INFO
ww. .
TOW Conditioned FloorArea qA
Maximum Allowed-West:Faein Fet�gstration' ii Average C�u"Iing Neigh_ (} "
Pei
Maximum Allowed Total Fcnesgtr ition PraluctsPe .Table 151-B or,151-C, 5 (0j X (FA �A} —
✓ [7 Build' --=-,_ft
" 7ypP c:6hock one or more).. Singlo Faiiu�y • MuItifaini
(ifaddingfcnation:fill.out WS -4 Fuiestruti 33' Addition Alteration.
Rr. oa Maximum Allowed Arta.Waizhed and sec Sation 83.Z
for Additions and $:3.3 for Alterations: .
Number, of Stories- 'Number ofDwdliri IJaits:
;FloorConstiicfioO g —.---�
Frost Orieatation. T'Pc' . S[ablRaised Floor Nido ode or bot6j
NoiYh and ci North/ /Fast/ Wed/ Urieatations: Cmput fct orientation in &dries from 'I}
'rcic one}.
IANT BARRIER fn�ouircd in climate zones 2 4.9-15)
O_PA?UE SIIIACPS IlYCLUDING OPA UE D0012S
Compon�t . Assembly U-•
')°pc(1't'at1, Frame f�doc for
Roo4 Floor, • Type. Cavity' Continaotts: w metal ' Joist . Roofltadiant ' .
SCab:Edge, (yf�ood ' Insumoa Insulation frl+ate and brass' ppendix $airier I.oc�tionJCociai, eats
Doors or M: R=Value :RYalue. innblies r Refetrnce y� (a�''`
I) Ste Joint.Appendix I V in Ser tionA V.Z, IV.3 and IVA, which:is the basis for the U -factor critcrioa. U -factors can not
exec d presaiptive: value.to.aow equivalence to R -values:.
Residential Compliance Forms :. ;lviarch 2005
CERTIFICATE OF' COMPLIANCE: RESIDE
x ky' NTrAL (Page z of 4) •
CF -IR . .
Tx X
Project Title
Date
FENES PATION PRODUCTS.- U-FACi'OR A SHGC
s
p 4' D FENESTRATIONMAMMUM ALLOWED AREA WORKS
Additions and Alterations.. HW WS-4R—must be included .forNewConstruction,
Fenestration
Al ypelPos.
(Front, Left, Orien- Egerior. .
Rear, Right, talion, Area Shading/C)verhangs.' 7.
li t N, S Wt U-fadorz U -factor SHf3C ./ box.if WS -3R is
Source? SH Source included
d.
i ❑
i) SlryIights are now includodln West facing fenestratibn siva ifthe s h' ❑.
when the pitch is less dian 1:12. See' S1' 3C and in �' a e tilted to the west•or ' in aW direction
2) Enter values m this col uma are either NFRC Rated Vali o� f the R6sidential.Maaual
3) Indicate source either from NFRC or Table 116', dais default Table 116A.
4) EnieIndic values in this columrr from NFRCor from Standards Default Table] 168 oradustpd SHQC from WS R.
)ndicte source either from NFRC or Table 11tiB.
Shading Devices are domed in Table 3-3 in the Residential Manual and
7 See Section 3.2A. in the Residential Manual• w WS -3R to calculate Exterior Shading devices.
HVAC SYSTEMS
��gEqutpment Minimt►m.
� and CaPacih' Efficiea •DistH ution.•. .. _ . .
heat bo�fl eoc °3' Tj+pe and Location Dud or Piping. Thixfaiostat Configuration
vir . AFUE oH$P .. duets atti R Value n guration
°"'.. oWit or packaw)
Cooligg Equipment Minimum
'type and CaP�itY' Efficiency Ducttocation Duct
heat m eva . 11 •or]F.>R Thetrnostat ConSguration
atti Value iitor
Residential Compliance Forms
March 2005
A
lei ei cuuo r_vry o: tt reu► 1.a Vu.L"La
...outt/ may y �uuai vuc
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Bin !f
Permit #
,�,
0�
Project Address:. -7 _ a q
City :� Qu'I ata
Building M Safety Division
P.O- Box 104,`78-495 Calle Tampico
La Qulnia, CA 92253 - (-760).777-7012
Building Permit Application and Trackin Sheet
eet .
�� j T k.. j T
V Ot Se V 1' Owner's Name: 60
l_> r i 4 d- ;1 k r,1..P J U i1 C
A. P. Number:
Address: -7 Q S'e d 01
Legal Description
City, ST, Zip: G ; CA-' Ce 2U 5.3
Contractor 0 v c
XWr,
Telophoue:
Address; R,; o
PmjoaiDescription:
City, ST, Zip: C
_Q1 3 4
w9_J COS L V
Telephone: ` 0 3 i 1-) o
... .. 6. a rG e �` ��� Fay �I le-
«State
StateHe. # : S
City Lia M l) 3 �rF5.
Arclt., Engr., Designer:
Address:
City, Sf, Zip:
Tcleplxnte:
",tate Lie. #:
Constriction Type: Occupancy:
Projeettyjte(eireieane): New Add'n Demo
Name of Contact Per�-an: S
/Alter
.:.Repair
gy,
#Stories:
# units:
Telephone#.ot:Contact Person: 7b o
Estimated Valueof.Project:.. _ c 3(9 0. 00
APPUCANT.
D0: KORT-WI TE BELOW THIS LINE
a
I Submittal
R 'a :
Reda
Lici<n+tc ..
PERAiRT FEES
Pian Sets
Pito Cheek submitted
Ytew
Autonnf
3truch►ral.Cales :
Reviewed, ready for corrections
Pian Check Deposit
Tress Calca.
Energy Cates,
Called Contact Person
%as picked up
Plan Check 13alartct
Co+utruetion .
Flood plain. plan .
Plans resubmitted
Mechanical
Grading, plan
V Review, ready for eorrectiou/isste
EYeetriesl`
Subcoutactor List
Called Coninet Person
Flaatbing
Grant Deed
Planslpic`ked 1.
7
IMA. Approval
.'lt lips i esubiailled ..
C.radldg
IN HOUSE:-
' i kvlew, ready for correctiousnuut
Developer Impact Fee:.
Pleasing Approval.
Called Contact Person
Pub. WI s Appr
Date of permit issue
School Fees
Total Permit Fees