07-1889 (MECH)P.O.' BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Applioation 'aaluotion:
Applicant:
;07-00001889,
49580 AVENIDA VISTA BONITA
773-350-005-5 -14496 -
MECHANICAL
LOW DENSITY RESIDENTIAL
1500
Architect or Engineer:
-----------------
LICENSED CONTRACTOR'S DECLARATION
4.4 "
VOICE (760) 777-7012.
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 77.7-7153
BUILDING PERMIT
Date: 6/28/07
Owner:
BOURBON FABIAN
49-580 AVE. VISTA BONITA
LA QUINTA, CA 92253-
I hereby affirm under penalty of perjury 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: B -C10 -C20- License No.: - 856936
Dater
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 a 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 ($500).:
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 .
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 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:
-LQPERDIIT
Contractor: 4
TELEFORDJONES,.INC.
25920 IRIS AVE, S,TE 1 A-.
MORENO VALLEY, CA 9255
(951)486-0337
Lic. No.: 856,936
- - - - - - -
WORKER'S COMPENSATION DECLARATIO
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 046-0014249
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 subj to the rs' compensation provisions of Section .
3700 of the La I shall fort co wit provisions.
Dat36W Appli nT. _
WARNING: FAILURE TO RKERS' 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 infor tion is correct. I agree to comply with all
city and county ordinances and state laws rela 'Idin ons ion, and authorize representatives
of this county to
too enter upon the above -me oned prop ction p S.
D .Signature-IAppli ant or
A
Application Number . . . . .. 07-0.0001889
- Permit . . ... . ...MECHANICAL
Additional desc .
Permit Fee . .. 42.00. Plan Check Fee
10.50
Issue'Date Valuation
0
Expiration Date 12/25/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 9.0000 EA MECH FURNACE <=100K.
9..00
1:009.0000 EA MECH APPL REP/ALT/ADD
9.00
1.00 9.0000 EA MECH B/C <=3Hp/100K BTU
9.UU
---- - - - - --
- Special Notes and Comments
HVAC CHANGE OUT - 14 SEER - 2005
ENERGY. PERMIT DOES NOT INCLUDE DUCT
,
ALTERATION. June 28, 2007 2:31:48 PM
AORTEGA
Fee summary Charged Paid Credited
Due
Permit Fee Total 42.00 .00 .00
42.00
Plan Check Total 10_.50 ..00 .00
10.50
Grand Total• .52.50 00 .00
52.50
LQPERMIT
CERTIFICATE OF COMPLIANCE: RESIDENTIAL• (Page,444) CF -1R
Project Tale
Date
SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra sheets if necessary)
Indicate which special features are part of this project. The list below only represents special faatures relevant to the
rescri tive method.
+!
❑
Feature
Metal Framed Walls
Required Forms if applicable)
Description
CF -IR
❑
Radiant Barriers
CF -1R
❑
Exterior Shades
WS -4R
❑
Cool Roof
N/A; Attach CRRC Label to
Forms.
❑
Dedicated Hydronic Heating
Performance. Calculation
S stem
Required; Attach Run to Forms.
❑
Combined Hydronic System
Performance Calculation
Required, Attach Run to Forms:
❑
Gas Cooling
Performance Calculation
Required. -
uired.Buried
Buri I Ducts
N/A; Indicate on buildin Ions. ,
❑
Kitchen Pipe Insulation
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
Servi 19 Multiple Dwellings
attach Run to'Forms.
Non-NAECA Large Water
Heater
CF -1R
❑
Indirect Water Heater
See Table 5-13 or use
Performance Calculation and
attach Run to Forms
❑
Instantaneous Gas Water Heater
See Table 5-13 or use
Performance Calculation and
attach Run.to Forms
❑
Solar Water Heating System
See Table 5-13 or use
Performance Calculation and
attach Run to Forms .
❑-
Wood Stove Boiler
Performance Calculation and .
attach Run to Forms
SPECLAL FEATURES REQ
'4G HERS RATER VERIFICATION
Ladd extra sheets if necessary Indicate to the HERS Rater which credits are part of this j'�ct and
verification.
prc need
✓ .
0
Feature
Duct Sealin
Required Forms if applicable) Descri tion
❑
Refrigerant Charge
CF -6R art 4 of 12
CF -6R vart 5 of 12
❑
Thermostatic Ex ansion Valve .
CF=6R part 6 of 12
1 1 .
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 34 4) CF -1R
1
t
Project Title Date
SEALED DUCTS and TXVs (or Alternative Measures)
A signed CF4R Form must be provided to the building department for each home for which the following. are
rPn,,; c A
U Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification re uira
❑ TXVs, readily accessible (climate zones 2 and 8-15 only)
(Installer testing and certification and HERS Rater field verification uired.
❑ Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verification. reauired.)
Alternative to Sealed Ducts and Refrigerant Charge fMs.(See Package D Alternative Package Features for
Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14.
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 fest in unconditioned
spaces shall meet the requirements of Section 150(m) and duct insulation requirements of'Package D.
WATER HEATING CVCTFMc
Water Neater
Type/Fuel
Rated
Input,
Distribution Number (W or
Type in S stem Balms(gallons))
❑
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 is the
fA 1,4
gallons maximum capacity and recirculation system is
riot allowed.
❑
Check box when using Preapproved Alternative Water Heating table, Table 54 in Chapter 5 in the Residential
Manual. No water heatingcalculations 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
Rv,dom CPrwino mv.4 .1e
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 for a recirculating system pump for a system serving multiple
units
gVC&MC
Carvin" cin.rin A...ell:.......-:a_
Water Neater
Type/Fuel
Rated
Input,
Distribution Number (W or
Type in S stem Balms(gallons))
Energy
Tank Factor' or
Capacity Thermal
(galEfficien
Tank
External
Standby' Insulation
Loss % R -Value
fA 1,4
Energy
Factor' or
Thermal
Efficiency
Standby'
Loss %
Tank
External
Insulation
R -Value
Rv,dom CPrwino mv.4 .1e
Wat H er
Distribution
Type
Number
in System
Rated.
Input
(kW or
Btu/hr)
Tank
Capacity
(gaeons
Energy
Factor' or
Thermal
Efficiency
Standby'
Loss %
Tank
External
Insulation
R -Value
1 Fnr small oac ctnronP .ase.
Les.,_., i__._�
c
_ __ ______ a — ------t,- -a I11Nul1 01 less Ulan 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'/a
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 March 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL .(Page 2 0= 4) CFJR
. Project Title Date
FENESTRATION'PRODUCTS — U=FACTOR'AND SHGC
✓ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS4R —must be included for New Construction,
Additions and Alterations.
Fenestration
#/Type/Pos.
(FrontLe Exterior
ft,Ztati
Shadin Overhan s6.7
Rear, Wight,Area U-factorSHGC •/ bo�f WS -3R isS li ht (f U-factor2 Source3. SHGC Sources* included
. ❑
13
❑
1) Skylights are now included in West -facing fenestration area if the s li is are tilted to the west ortilted in any direction:
When the pitch is less than 1:12. See §151(f)3C and in Section 3.2: 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 or Table I I6A,'"
4) Enter values in this column from NFRC or from Standards Default Table l 1613 or adjusted'SHGC from WS -3R
.5) Indicate source either 'fiom NFRC or Table 1.16B.
6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -311 to calculate Exterior Shading devices.
7) See Section 3.2.4 in the Residential Manual.
HVAC SYSTEMS -
Heating Equipment Minimum Distri ution
Type and Capacity Efficiency Type and Location Duct or Piping Thermostat, Configuration
fumace heat ojler etc. m bAFUE or HSP ducts aw etc.. R -Value
e it or package),
Cooling Equipment Minimum r T
Type and Capacity- -Efficiency Duct Location Duct 'Thermostat Configuration
eat nurrin. evan .roolj SEER or EER attic etc. R -Value
lit or. package)
Residential Compliance Forms
March 2005 •
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page'] of 4) CF -1R
Project Address
.40.99;� .yEmaW 764 - M2
Telephone
Documentation Author Telephone
Compliance Method (Prescriptive) Climate Zone
Date
Building Permit #
Plan Check / Date
Field Check / Date
Enforcement 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 -IR page 3)
For Package D Alternative see Appendix B Table 151-C Footnotes 7-14
GENERAL INFORMATION
Total Conditioned Floor Area (CFA ff
420 ft Average Ceiling Height: ft
Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 — (5% X CFA) ft
Maximum Allowed Total Fenestration Products PTable 151-B or 151-0 - (20% X CFA) ft
� ❑ Building Type: (check one or more)____n Single Family Multifamily Addition Alteration
(If adding fenestration 1511. out WS -4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2
for Additions and !i for Alterations.)
Number of Stories: Number of Dwelling Units:
Floor Construction Type: ./ 'sed Floor (circle one or both)
Front Orientation'. ./ South / East / West / All Orientations (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 Cavity Continuous
(Wood Insulation Insulation
or Metal R -Value R -Value
Assembly U -
factor (for
wood, metal
frame and mass
assemblies
Joint
Appendix
IV
Reference
Roof Radiant
Barrier Location/Comments
Installed (attic, garage,
Yes or No typical, etc.
t> See Joint A d' T17 EEL
ppen ix m ectron 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 Compliance Forms
March 2005
Bin #
�.
City of La Quinn-
B611ding 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.#
_
Project Address:t1h'
er's Name:
A. P. Number:
Address:
Legal Description: C5/47QCity,
Contractor. ��C
Address: 2D /�.S�' /�¢�/Qd
ST, Zip:
Telephone: - 6Z _: ,;W3 J
Project Description:
City, ST, Zip:
Telephone:
State Lic. # :
City Lic. #:
Arch., Engr., Designer:
Address:
W
City, ST, Zip:
Telephone: ; r
State Lic. #:
Name of Contact Person /C� �.�?`
Construction Type:. -' Occupancy:
Project type (circle one): New Aed'n Alter Repair •Demo
Sq. FL: '
# Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project: '
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 Calcs.
Plans picked up..
ConstruQtion
Flood plain plan .
Plans resubmitted ''
MechanLml
Grading.plan
2" Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing, .
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading. _
IN HOUSE:-
Review, ready for correctionshssue
Developer Impact Fee
Planning Approval'
Called Contact Person
A.LP.P. `
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees