09-1026 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:09-00001026
<
Property Address:
56174 PEBBLE BEACH
APN:
775-132-018- -
Application description:
MECHANICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
1515
Tu!t 4 4 Q"
Applicant: Architect or Engineer:
/A,
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------- -----------------------
LICENSED CONTRACTOR'S DECLARATION
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 d Professionals Code, and my License is in full force and effect.
Licens (,Glass: C20 icense No.: 794315
i3• 0 >i tractor:
OWNER -BUILDER DECLARATION
1 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, 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.).
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 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:
LQPERMIT
Owner:
EUGENE THOMPSON
56174 PEBBLE BEACH
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/23/09 .
Contractor:
DOVE AIR INC
69749 RISUENO ROAD
CATHEDRAL CITY, CA 92
(760) 327-1890
Lic. No.: 794315
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm underpenalty 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.
1 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 EXEMPT Policy Number EXEMPT
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 b Fome subject to the workers' compensation provisions of Section
3700 of the Labor Cod (ialI forthwio comply with those provisions.
o`j A icant: /j
WARNING: FAIL E 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 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 information is correct. I 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 upo - he above-mentioned propert f insp�ection p oses.
Pde:7 -23'tl f ignature (Applicant or Agent): Z2v1NJ
Application Number . . . . . 09-00001026
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . . . 33.00
Plan Check Fee
8.25
Issue Date . . .
Valuation . . .
. 0
Expiration Date 3/22/10
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 3.5 TON GAS PAC UNIT ON ONE.
STORY ROOF. 2007 CODES.
-----------------_----------------------------------------
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
LQPERMIT
Project Tit]
c.' rFw
Ptvjc�t AdamtDocumentation Author.Telephone MteCompliance Method (Prescriptive) Daly.
C�icriate Zone Fa f«vmm(ACcxy Use nary
10 t Alternative Cad P
. C P ackage Method: (check one) C — D D (Alternative) .
P adage D choices TOC re tWAS rater d
For P f d caLon and/or dice c testing ( C' -I R page 3). .
ackage D Ahairativc see Apperldix:B Poobbtes Y-.1 4
GENE; ]T0,Oyt&U.UO
Total Uonditioned Floor.II CFA
Maximum Allowed West.Facin Igen ' Awe ( ulg Ndgbt; R
Maximum Allowed Total F $ On Products Per nblo 15143,6r ISI -C• (5%X CFA
�estratior. Products Per Tabk 15l4j or l5l.0 _
(200% X CFAj ft
✓ D Buc'iding ( one or more
) S FAYaradd'mfaxxLrationfll.out__ MnIdfactiltY �ldddioa Aiber$tion
WS-4R,•Fioa Maizimuin AUovred Arca.W
for AWiti and 83.3, for AiterationS, a lcsleeet and see Section 832 .
Number of Stories` -.
:.Floor Constiuction Type: Niuub � oWf
DRwa
W
Front Qrieutation.=__ Noah / South / gastP woU °ne or both)
North acct circk•one).. c orieutaboa in deg�ecs fco¢i
.� `' 13. -' DIANT BARkR freaulioa in ct;nate zooms
Z. t E
OP --AGUE SU1�gACS IlYCLIID�JG OPAOUE Dc�O
ComponCut .
�YPe
(walk
Prame Assembly U-
Rool;Floor, factor(for Joist . RoofRadcant
Siab.F.d °
cavity Contiuuotis• App 0 i p�h
_.Doocr e. ()filood Insulation Insulatku >i��ma �ts
orM Value :R Value. askinblles c Refu�ericc y N (attiq.vram
etc.
I) Sec Joint.AppeccdixdY in Section 1V.2,4V3 .and IVA; *Wh is the basis for U -factor crita ion• i 1 -factors can not
exceed p�saiptive value to show equivalence to R -values:.
CERTIFICATE OF COMPLIANCE: RESIDENTIAL. (Page 4'of 4 CI<'
»3 IR
Project Title
Date
SPECIAL FEATURiITS NOT REOUIRING VER
HERS iFiCATION (add extra sheets if necessarvl
Indicate whia special features are
part of
reseri tiverrfetl►od. thcs PWJed.."e list below anly.tep"Fents special features relevant to the
Feature. R
f
O
Metal Framedwalls
u�red Fo
CF=1R•
IT
Radiant Barriers
CF -1R
D
Exterior Shades
WS -4R ..
❑
: Cool Roof.
N/A; Attach
❑
Dedicated Hydronic Heatmg
Forms.
Perfo mance
system
RcOuire& A
O
Combined Hydronie System
Perormanoe
ired•A
❑
Gas Cooling
Performance .
O
Buried Duds
R uiied.
TU • Indicate
❑
KitchenPipe Insulation
Sed Section 5X
is Resi
O'
' Multiple Water Heaters Per
See T0105-13
Dwclling.Uirit
Perl'ormamtce
O .
Central Water H
attach Run to F
Performance
�i
Servin Multi le Dwel .
attach Ria to Fo
❑
Non=NAECA Large Water
Heater
❑
Indirect FVatet Heater
Table 5=13 0
Performance. Cal
attach Rtin to F
❑
Instantaneous Gas Water Heater
Performance lCal
attach Run to F
❑
Solar Water H
Heating Sym
'Ce Table 5-13
PesformanM Cal
attach Rim to Fo
❑
Wood Stove Bdiler
•Performance Cal '
attach Run to F
rms rta Uc�ble Description
CLRC Label to.. . -
Calcutwoh
Attar _stun to Forms,
Calculation
ttac6 Run.to Forms.
Ca}ctrlation '
on build' lens.
2 Distri-bution
dential•MaauaL
or use • .
Calculation and
arms.
G�lculation and
rms.. .
r use
ailaation and
ortns •
or use.
Cal( and
Dema .
or use
culation and
eulation and
Dims •
SPECIAL FEATURES REpUIItING HERS RATER R]FICATION .
Ladd extra sheets rf eecxssan•11"ndreate to.the HERS Rater which credits are part of this
veriproject and need '
fication.
Feature R uired'Forms . fa licmbl Description
Duct scalingCh-6R 4 of 12
❑ Refrigerant Charge ' CF -6R paft 5 of 12
❑ Therm )static Ex ansioti Valva ... CX=6k art.6 of 12
'Residential Compliance Forms March 2U05
March 2005
CERTFCATE OF COMPLIANCE. RESIDNA(Page
2 of 4)
CF-IRl
1
s, jJ6�.rS�� c1.23�0`1
3 Project Tale
Date
FENESf RAT10N PRODUCT'S -
V -11A _YO R AND SHGC
'� ❑ FENFS'TRATIONMAXiM(.1M
ALLOWED AREA WO
Additions and Alterations. RKSHEET WS-4R—must be included .forNew .Cbnsiruction,
Fenestration
(Front, Left, Ones- .
Exterior.
Rear, Right, talion, AniJ
li `
uSouroc'
Swizig/ vComgse` 7
t S ' We U -factor . SHGC"
•/ box if WS -3R is
included
.
-------------
L7 .
❑
Vtitedtothowest-Ore'vediii
1) skylights ace now included in A
Wed -facing feaeshatibn aira if li❑
when the pitch is less than li 12. See' S T 3C and in
1' f Section 3.23
acry direction
2): Enter of Q�e Resideatial.Mea1 '
values m this column am tither WRC Rated value or from Smndaus aeiault Table 116A.
3) Tndicc�tte soucoe either ftom N.FRC
or Table 116A,
amn FR- NFRC
.4). Enter values in this col5)
from Staebards Default Table
1 source either 1 l6B or. adjusted SHGC from
' Ecom NFRC or Table 11tB. • � ..
le
WS 31L
'
..
Shading Devices are defined in Table 3-3 in the Residential
7) See Section 32.4. in the Residential Manual: ' Manual and spa WS -3R to calculate Exterior Shading devices,
HVAC SYSTEN�S
E<NiPmeat Minimum Distil 'on'
Z)'P� andcih' EfficiencY Typo
. and.IJocation Dud or
AFtIE a
t boner eoc eoe R Value PiPiaB ?haniosmt
Configuration
rti w Tym
it or
Cooling'Equcpment • Minimum
Type and Capacity' Efficienheatcy Duat.Location Duct
orifi
'[�
Configuration
3 O1^ aui etc. Value
March 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) C&M
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
required.
Vol
Sealed Ducts all climate zones Installer testing and certification and HERS rater field, verification required.)
0 TXVs, readily accessible (climate zones -2 and 8-15 only)
(Installer testing and certification and HERS Rater field verification required.)
0 Refrigerant Charge (climate zones 2 and 8-1'5 only) (Installer testing and. certification and HERS Rater field .
verification required.)
VK '
,3 [Alternative to Sealed Ducts and Refrigerant Charge fMs (See Package D Alternative Package Features for
Project Climate Zone in the R.M.Appendix B Table 151-C. Footnotes 7-14.
OR
For additions and alterations, duct systems that are not documented to have been previously
0 sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the.
Residential ACM Manual and dud systems with more than 40 linear feet in unconditioned
aces shall meet the requirements of Section 15 m and duct -insulation requirements of Package D.
WAlLK Jt1kA'l'llVU SYSTEMS
Nvstems serving single dwelling units
Water Heater
T e/Fuel Type
Distribution
Type
Number
in System
box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per
FCheck
[7not
dwelling unit. If the water heater is a storage type, 50 gallons is the maximum capacity and recirculation system is
Standby'
Loss %
allowed.
❑
Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential
Manual. NQ water heating calculations are required,and the system -complies autornaticall .
Check box if system does not meet criteria of "Standard" system,'and does not comply with the Preapproved
O
Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the
submittal.
O
Check box to verify that a time control is required for a recirculating system.pump for a system serving multiple
units . .
Nvstems serving single dwelling units
Water Heater
T e/Fuel Type
Distribution
Type
Number
in System
Rated
'(Wor
Btu/hr
Tank
Capacity
Mons
Energy
Factor orExternal
Thermal
Efficient
Standby'
Loss %
Tank
Insulation
R -Value
System serving -multiple dwelling units
Water Heater
Type
Distribution
Type
Number
in System
I putt
(kir or
Btulbr)
Tank
Capacity
Wllons
Energy
Factor orExternal
Thermal
Efficient
Standby'
Loss % .
Tank
Insulation
R -Value
i. 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
Pipe Insulation (kitchen lines > 3/4 inches) All hot water pipes from the heating source to the kitchen fixtures that are Y44
inches or greater in diameter shall be thermally insulated as specified by Section 150 0) 2 A or 150 6) 2 B.
Residential Compliance Forms ' ' March 2005
act .:ci cvvo rvn o: is a•nn a.a VulClca auiiya.i�c�� gal y
wv V a) V V L
Bin ff
QY .sof 14 Quinta
Buildin; 8t Safety Division
P.O. Box 1$04,'78-495 Calle Tampico
La Quina, CA 92253'- (•760). 777-7012
Building 'Permit Application and 'Tracking. Sheet .
Permit #
q`�
'ProjeetAddress: 5 I C y C C
Owner's Name:
r 1 r
A. P. Number:
Address:
Legal Vescription
Contractor: 6 .� _ f
City, ST, Zip: LZ
�.
Telephou
Address;
n o a A
ST, Zip: IZ 6C a' - . 91-0 3 I
Telephone:76 0 U
Project Desarip tion;kr 1,City,
c
6k 01'J c f id
State i.ic. # : 9j '31 FCity I.ic #:
Arch., Engr., Designer:
Address:
City, Sf, 'Lip:
elepliune:
",tate Lie. #:
Name of Contact Persron: �� r L j", ��r� y
'Telephone # of Contact Person: 6 O 8 0 r , R.3 09
Contraction Type: Occupancy:
Project ty[>e(eircla one): New Add'n Anter .Repair Demo
S9r ' #Stories: #Units:
Estimated Valve of Project
APPLICANT: I)Q:NO_T—W- TE BELOYV THIS UNE
Ji
Submittal
Plan Sell
R 'd '
Ree!d
FitA( iC11HG ..
PlAn Check submitped
PERMTf FEES
Item Amount
StructurafCalcL.
Reviewed, ready for corrections
Plan Check Deposit
Tress Cala.
Energy Cales-
Called Contact Person
Plans Oickcd up
Plan Check Iiaince
Construction
Flood pialu.plau
Plans resubmitted
Mechanical
Grading.plan'
Sa Review, ready for eorrectiowAssae
Electrical '
Swbcoutactor Ust
Collid Cowtact Person
Plwntbing
Grant Deed
Plans pi6kcd up
g rl L
t{.O.A. Approval
. {'laat i•"tult ed'
l'.raditig
IN HOUSE:-
J<Revlew, ready for correetionliasue
Developer Impact Fee '
Planning Approval
Called Contatt Person
Pub. Wks. Appr
Date of permit Lssee
School Fees
Total Peroat Fees