08-0963 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
44Q
"0 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: L._ 08-00000963
Property Address: 78715 VILLETA "DR
APN: 604-142-0.04-164 -23.269 -'
Application description: MECHANICAL
Property„Zoning: LOW DENSITY RESIDENTIAL
Application valuation: • 5000
Applicant: Architect or Engineer:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
JOHN MILLIGAN/TOMMY THOMAS
78715 VILLETA DRIVE
LA QUINTA, CA 92253
---------------------------------
Contractor:
Owner
I
JUN -052003
- ----------
------------------
CF �rPCILA QU/�T
int.._ A
Date
6/05/08
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
1 hereby affirm under penalty of perjury one of the following declarations:
• - 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' compensation, as provided
License Class: License No.:
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is -
issued.
Date: Contractor: -
_ 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 workerscompensation -
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier Policy Number -
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
-
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 sh Id 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
0 of ,the Labo Co e, 1 sha 'th comply with those provisions.
,t 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).:
ate:' V icant:
. 1 _ 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
WARNING: FAILU E'TO SECURE WO KERS' 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 CRIMIN 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 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, TEREST, 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
-
- -
'K/ improve for the purpose of sale.).
APPLICANT ACKNOWLEDGEMENT
(I _1 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.). -
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: KJ v caner:
2. - Any permit issued as a result of this application becomes null and veil. if Yyprk IS nQt 6gITlmenced
.
Wltfllft 'IHU 8ityii from date of issuance of such permit, or cessation of work for 180 days will subject
- - ONSTRUCTION LENDING AGENCY
permit to cancellation. .
' I hereby affirm under penalty of perjury that th a 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.).
cit�andd my ordinances and state laws relating to bui ing construction, and hereby authorize representatives
of t o nter upo eabove-mentioned gropeLender's
Name:.
ignature (Applicant or Agent)' -
•- Lender's Address:
-
LQPERMIT
Application Number 08-00000.963
Permit . . MECHANICAL
Additional desc .
Permit Fee . . . . 40.50
Plan Check
Fee
10.13 .
Issue DateValuation
0
.Expiration Date . . 12/02/08
.,
Uni.t_-Charge--. Per.- -- °--_
- - _ . ----_ _ __�- ----_
_-._--_.._Extension"-----____-
--
BASE
FEE
-
15.00
1.00 9.0000 EA MECH
FURNACE <=100K
9.00
1.00 16.5000 EA MECH
B/C >3-15HP/>100K-500KBTU
16.50
- ---
Special Notes and Comments
REPLACE HVAC SYSTEM, FURNACEG �; COIL, NEW
--------
-------
------
_
THERMOSTAT.
Fee summary Charged
Paid Credited
Due
Permit Fee Total.' 40.50
.00
.00,
40.50
Plan Check Total 10.13
.00
.00-
10.13
Grand Total 50.63
.00
.00
50.63
LQPERMIT
Alternative Component Package Method: (check one)C ' ` D �D (Alternative) `• y
Frame..
Type
(Wood or
Metal)
Package C and Package D choices require HERS rater, field verification and/or diagnostic testing (see CF -1R page 3)
Joint
Appendix
- IV
Reference
• For Package D Alternative see Appendix B Table 151-C Footnotes 8-14 in the Residential Compliance Manual (RCM) '.'
•
-
Location
Comments -
are,
(attic'tc
typical etc
•
.GENERAL INFORMATI Ys �'• ti
:' 4
Total Conditioned Floor Area (CFA) 1050 ft ' .'
;'!
Average Ceiling Height: �O $
Check Applicable Boxes
e�
Building Type: (check one or more) Single Family ' Multifamily . Addition Alteration `
(If adding fenestration fill -.out WS -4 , Fenestration Maximum Allowed Area Worksheet Section +,
and see 8.3.2
for Additions and 8.3.3 for Alterations in the RCM.)
4
• Maximum Allowed Total Fenestration Area f (from WS -4R) . +
• Maximum Allowed -West Facing Fenestration Area ftZ (from WS -4R) -
• ' .Number of Stories: i' Number of Dwelling Units:' �'
a
• Floor Construction T
• ype: Slab/Raised Floor (circle one or both) r -: ' • '.
• Front Orientation: North / South / East / West : All Orientations (input front orientation in degrees
+ '
r_
•
from True North and circle one):
-'4•
❑ _RADIANT BARRIER (check box if required in climate zones 2 4 8-15)
-
OPAQUE SURFACES INCLUDING OPAQUE DOORS,
A�
Component
Type (Wall,
Roof, Floor,
Slab Edge,
Doors)".
Frame..
Type
(Wood or
Metal)
Assembly U=
factor (for wood;
Cavity Continuous metal frame -and
Insulation' Insulation mass .
R -Value R -Value' assemblies).,
Joint
Appendix
- IV
Reference
�Ro'ofyRadiant�
? ` Barrier s
,?Instaled2 x
' Yes of No, ..
•
-
Location
Comments -
are,
(attic'tc
typical etc
• „
-
-
A�
F
,Y r
t .
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.
y 2) This column is for the Inspector to verify installation of roof radiant barrier. 1 `
y Residential Compliance Forms l 'December 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL ' (Page 3 of 5) -CF-1R
Project Title Date
SEALED DUCTS and TXVs (or Alternative Measures)
A si ned 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
❑ IAlternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Pro'ect Climate Zone in the RMAppendix B Table 151-C, Footnotes 7-14.
(1R ,
❑
❑ .
TXVs, 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 required.)
nD
Duct systems with more than 40 linear. feet in unconditioned spaces shall meet the requirements of Section 150(m)
❑ IAlternative to Sealed Ducts and Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Pro'ect Climate Zone in the RMAppendix B Table 151-C, Footnotes 7-14.
(1R ,
❑
No ducts installed:
❑ .
New ducts from existing space onditioning equipment, not exceeding 40ft. in len
❑
Foradditions 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 Pack a D.
WATER HEATING SYSTEMS
�1
❑
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 story &e type, 50 gallons is the maximum capacity and recirculation system is 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 corn lies 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.
❑
1 Check box to verify that a time control is required for a recirculating s stem pump for a system serving multiple units
7 YJLe111\ .lel -WHEY %I Huge flW0111nff nnlrc I\. VRA "1 "..1.10 C A A 1- n_._._... _ c .
Water Heater
Type/Fuel 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
Water Heater
'
Type
Distribution
Type
Number .
in S stem
Rated
Input'
(kw or
Btuthr(gallons)
Tank
Capacity
Energy
Factor' or
Thermal
Efficiency
Standby i
Loss %
Tank
External
Insulation
R -Value
1
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
t
s•4,
1.01�'l:C LiL"11\
� , •
U. CE ^STATEMENT' .. t �• 4 '� W.
� _ , ... •ter<�..,•, 1. � =,
This certificate'of compliance lists the building features and specifications 'needed fo comply with Title 24,
Parts I and 6 of the California Code of Regulations, and the administrative regulations to implement tfiem..'This
certificate has been signed by they individual with overall design r•esponsibility.'The undersigned recognizes that
compliance using 'duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation`
=�quality,`andbuilding envelope sealing require installer testing'and certification.and field verification by
4 approved HERS rater.. , > _ < "
4.
`
Designer or Owner( per Business and Professions Code . �. !', "�' 'c
Documentation Author
Name.'
r" Name: ;. ." .
Title/Firm:
Title/Firm: .
Address: Address: r . • ! .j �wr'
Telephoner Telephoner
License #: License #: (if applicable)
1 y y
• yL (signature) , + .� f
ure) "
(date) ' t
(signaure)' r y' (date)
Enforcement Agency ' - * 41
l: ii*
,
• t
t •.
Residential Compliance Forms
!
CERTIFICATE -OF COMPLIANCE: RESIDENTIAL
(Page 5 of 5)
f- CF -1R
Project.Title
Date
r
Special
.. . , .. .. � _
� ..- -
� .. _
-Remarks
. � F.-
".,,fir
t
s•4,
1.01�'l:C LiL"11\
� , •
U. CE ^STATEMENT' .. t �• 4 '� W.
� _ , ... •ter<�..,•, 1. � =,
This certificate'of compliance lists the building features and specifications 'needed fo comply with Title 24,
Parts I and 6 of the California Code of Regulations, and the administrative regulations to implement tfiem..'This
certificate has been signed by they individual with overall design r•esponsibility.'The undersigned recognizes that
compliance using 'duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation`
=�quality,`andbuilding envelope sealing require installer testing'and certification.and field verification by
4 approved HERS rater.. , > _ < "
4.
`
Designer or Owner( per Business and Professions Code . �. !', "�' 'c
Documentation Author
Name.'
r" Name: ;. ." .
Title/Firm:
Title/Firm: .
Address: Address: r . • ! .j �wr'
Telephoner Telephoner
License #: License #: (if applicable)
1 y y
• yL (signature) , + .� f
ure) "
(date) ' t
(signaure)' r y' (date)
Enforcement Agency ' - * 41
l: ii*
,
• t
t •.
Residential Compliance Forms
December 2005
.. . , .. .. � _
� ..- -
� .. _
� •
. � F.-
".,,fir
Bin #
-. •
Clty of Quanta
Building a 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: —Tg-V5 V`4(t Q
tSC. LA
Owner's Name:
A. P. Number:
-
Address: --6 7('; V ((' 4 N(
Legal Description:
City, ST, Zip: LcL kh, a C1q W5-3
Contractor: -re tea p e
Telephone: —71roO 3(40 `17
r.
Address: $3 96 .45 5 41
Project Description:
City, ST, Zip: J %C C(�aQ
�► `�1Q1 \ I V Q�,� , J .
Telephone: -7W 3 `W c4-J�(C
City Lic. #c
C1Q lA t It 11 A'>°.t.,l%
State Lic. #
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter, Repair Demo
Sq. Ft. # Stories: #Units:
Name of Contact Person: l'\A 04
Telephone # of Contact Person: -1 Ud a75 00aL(
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
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'
2nd 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 resubmittedGrading
IN HOUSE:-
''d 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
Ate , 3(('0- tm C q ste-C