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13-0382 (MECH)i. P.O. BOX 1504 ^' f VOICE (760)777-7012 78-495 CALLE TAMPIC0 FAX (760) 777=7011 LA QUINTA, CALIFORNIA 92253 BUILDING &•SAFETY DEPARTMENT INSPECTIONS (760) 777-7'153 BUILDING PERMIT r n Date: 3/29/13 Application Number: 13-00000382 Owner: Property Address: 54049 OAK HILL PETE TESTA APN: 775-061-048- - - LA QUINTA, CA 922 3 Application description: MECHANICAL (760) 564-3740C� Z013 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 7000 CITY OF FINANCE QUINTA T Contractor: EPT. Applicant: Architect or Engineer: BEST IN THE WEST 255 N. EL CIELO, 140-125 PALM SPRINGS, CA 92262 (760)343-1002 Lic. No.: 826714 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I a J. and r provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business rofes 'ovals ode, and my License is in full force and effect. LicenseClass: C2%0�-C38 nse No.: 826714 Date!3Contra ctor-. 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 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 sate (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 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.). 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: LQPERn1IT ----------------------------------------------— WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 1 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. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor - �� ode, for the performance of the work for which this permit is issued. My workers' compensation L/ insurance carrier and policy number are: Carrier GUARD INS GRP Policy Number BEWC337354 I certify that, in the performan th rk for which this permit is issued, I shall not employ any person in any manner so ome s bject to the workers' compensation laws of California, and agree that, if I sh be m subje to the workers' compensation provisions of Section 3700 of theor comply with those provisions. Dated v L ! APPI' ant -. li 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 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 become voltl iflwork is not commenced. within 180 days from date of issuance of such Wcessationork for 180 days will subject permit to cancellation.I certify that I have read this application and state that the I agree to comply with all city and county ordinances and state laws relating to buil authorize representatives of this county to enter upon the above-mentioned propert o Dat?` ' signature (Applicant or Agent)! LQPERAI IT • Application Number . . . . . 13-00000382 Permit . . . MECHANICAL Additional desc . Permit Fee 31.50 Plan Check Fee 7.88 Issue Date Valuation . . . . 0 Expiration Date.. 9/25/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 16:5000 EA MECH.B/C >3-15HP/>100K-500KBTU 16.50 ------------------------------------------------------------------------ Special Notes and Comments HVAC CHANGE OUT - 133SEER/78AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2010 CALIFORNIA BUILDING CODES. Fee summary Charged Paid Credited Due Permit Fee Total 31.50 .00 .00 31..50` Plan Check Total 7.88 .00 -.00 7.88 Grand Total 39.38 `. .00. .00 39.38 LQPERAI IT Bin #` City of La• Quints Building U Safety Division - P.O. Box 1504, 78-495 Calle Tampico Quinta, CA 92253 - (760) 777-7012 -Building Permit Application and Tracking Sheet Permit # 2La Project Address:' Owner's Name:' A. P. Number: Address: Q� , Legal Description': Contractor: 3� 5 T . City, ST, Zip: Telephone5760S'6 _3 7.V0` Address: • /6 Project Description: City, ST, Zip: [ ' �•��, $ `� Telephone. State Lic. # : 910-7 CityLic. #: Arch., E., Designer: Address: ` City, ST, Zip: Telephone: e Construction Type: Occupancy: State Lic. #: Project type (circle one): New • Add'n Alter Repair . Demo Name of Contact Person: Sq. Ft.: # Stories: # Units' Telephone # of Contact Person: zo O O ,� Estimated Value of Project: ; . Q,Q!q i APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd 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 Cafes. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading. plan 2nd Review, ready for correctionsrssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted . Grading w 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 Y Total Permit Fees .• 4A'' 1 . Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 54049 Oak Hill La Quinta, CA 92253 City of La Quinta Mar 29, 2013 Equipment Typei List Minimum Efficiency2 Dud insulation requirement Conditioned Floor Area Thermostat ' ❑ Package Unit ® Furnace ® Indoor Coil ® AFUE 78% ® SEER 13,0 ❑ COP ❑ HSPF 0 R 6 (CZ 10-13) Served by system ®Setback If not already present, must be ® Condensing Unit ❑ EER ❑ Resistance [3 R 8 (CZ 14-15) 2000 sf installed) ❑ Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF-IR-ALT-HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fad the work completed by the installer. The inspector also verifies that each appropriate CF-6R and registered CF-411 forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF-111 and CF-6111 shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: • All HVAC Equipment CF-611 forms: MECH-04,'MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF-4R forms: MECH-21 and (for split systems) MECH-25 . • Condenser Coil and /or • Indoor Coil and /or CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS . Furnace CF-4R forms: MECH-21 and (for split systems) MECH-25 ` ' For Split Systems: Duct leakage < 15 percent; RC, CCA _< 300 CFM/ton (Minimum Air Flow Requirement), TMAH Exempted from duct leakage testing if: ❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or ❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. The system.will not be Ducted (ie. Ductless, Mini-Split System).(Also Exempt from m Refrigerant Charge) ❑ 2. New HVAC System Required Forms: Y f } ) v (^ U . Cut in+or Changeout with:. new duds: (all new - CF-6R forms: MECH-04, MECH-20-'HERS and (for split systems) MECH-22-HERS, and " dulling a all new f MECH=25=HERS CFS 4R forms: MECH-20, a d (for split sy terns) MECH-22 and MECH-25 ' J Ji equipment) �I J , 1�r`l. For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD_ , TMAH, STMS, and either HSPP or PSPP. T-- For For Packaged Units: Duct leakage` < 6 percent ❑ 3. New Ducts with/or without Required Forms: , Replacement ' . Includes replacing or installing all new ducting and/or outdoor condensing unit CF-611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS, and/or indoor coil and/or furnace. No or some CF-411 forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent ❑ 4. New Ducting over 40 feet Required Forms: . Includes adding or replacing more than 40 CF-611 forms: MECH-04, MECH-2I-HERS linear feet of duct in unconditioned space. . CF-4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation is accurate and complete. • I am eligible under Division 3 of the Califomia Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the Califomia Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Richard C Weaver Sr Signature: RichaM C Weaver Sr Company: BEST IN THE WEST AIR CONDITIONING & HEATING INC Date: Mar 29, 2013 Address: 255 N ELCIELO ROAD #140-125 License: 967982 - City/State/Zip: PALM SPRINGS/ CA/ 92262 Phone: (760) 343-1002 Reg: 213-A0018915A-000000000-0000, Registration Date/Timed 2013/03/29 11:16:28 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms July 2010 F ...