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14-0231 (MECH)w P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000231 Property Address: 54361 OAK HILL APN: 775-061-003- - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application. valuation: 6200 Applicant: Ti4t 4 4 Q" Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: BRIAN BAILEY _ 54361 OAK HILL LA QUINTA, CA 92253 I hereby affirm under penalty of perjury thatI am.licensed under provisions of�Chapter 9 (commencing with. _ Section 700 0) of Division -3 of the Business and Professionals Code, and my license is in full force and effect. " Lic* class C20 Lice 968138 Date. Q Contractor: ` 1OWNER-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,rimprove, 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 She applicant to a civil penalty ot. notmore-than five hundred "dollars -($500).: 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 contractor(s) licensed pursuantto 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: LQPERD1IT VOICE (760) 777-7012 FAX.(760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/04/14 Contractor: ..► n 4 FIRST CHOICE A/C & H • G �1 79747 CASSIA•ST LA-QUINTA, CA 92253 CI11f OF tAQIfINTA (760) 989-2369 FIAl4! 103, LiC.-No.:'_968138 ----------------------------------------_------— WORKER'S COMPENSATION DECLARATION - I hereby affirm under penalty of perjury one of.the following declarations: - I have and will maintain acertificate 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 bySection 3700 of the Labor Code, for the performance of the work for -which thispermit is issued:'s MVworkers'- compensation insurance carrier and policy number are: Carrier EXERT Policy Number EXEMPT l 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 subject to -the workers' compensation provisions of Section ,/�� 3700 of the -Labor Code, I Illf rihwith cd S� -ose provisions. Dale: (/3?�;/y Appl✓ic/ant:.... WARNING: FAILURE TO SECURE WORKERS. COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES-AND•CIVIL FINES UP TO ONEHUNDREDTHOUSAND 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 restrictioris'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 notcommenced 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 an tate laws relating to building construction, and hereby au horize representatives of �,thhi//this county to enter upo a above-mentioned property for i t o purposes. Iaie:� Signature (Applicant or Agent): Application Number . . . . . 14-00000231 Permit . . . MECHANICAL 2013 Additional desc . Permit Fee . . . . 71.50 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/31/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.00 35.7.500 EA MECH CONDENSER/COMP 35.75 Special Notes and Comments °HVAC:°:CHANGE OUT,-?-L13SEER/78AFUE aSPLIT' SYSTEM•,. [2008 ENERGY]' :CARBON MONOXIDE• ALARk,' f . TO BE 'INSTALLED PRIOR `TO' FINAL INSPECTION. 2013"CALIF6RNIA BUILDING CODES.... I ----------------- ------ ----------------------------- 7-- ----------- 7_ ------------------ ---------------- Other'Fees Other'Fees . . BLDG S.TDS'ADMI,N "(SB1473) 1-00 PERMIT ISSUANCE M/P/E 90".57 PLAN.CHECK, MECHANICAL 47.66 Fee summary Charged" Paid. Credited z. Due Permit Fee -Total 71.50 00 00 71.50 .Plan Check.Total .00' .00 .00 .00 ' Other Fee.: -,Total 139.-13 .:0.0 .00 139.23 ' Grand Total 210.73 .00 00: 210:.73 LQPERMIT Qin # City of La.. Quin' to Building &r Safety, Division Box 1504, 78-05 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #P.O. tq., Project Address: _ L� Owner's Name: 21 1 A. P. Number: Address: LL- Legal Description: City, ST, Zip:li 92253 Contractor: ST telephone: P Address: _ ��� Project Description: y. VX ' _ City, ST, Zip: 196(14074 Telephon State Lic. # :-q6al3oCity Lic. #: Arch., Engr, Designer: Address: City,, ST, Zip: Telephone: P ,...::.:::.:::;::::::::•:,,:.: Construction Type: Occupancy: State L c . -Project type circle one : NewAdd n Alter Repair Dem Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 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 Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan god Review,.ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing. Grant Decd Plans.picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Reyiew, 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 u Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 54-361 Oak Hill, La Quinta, CA 92253 City of La Quinta I Mar 4, 2014 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace ❑ Indoor Coil W AFUE 78% ® SEER= 13 COP ❑ HSPFIf [3R 6 (CZ'10-13) Served by system 1500 sf ®Setback not already present must be ® Condensing Unit ❑ EER ❑ Resistance [3 R 8 (CZ 14-15) 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 fact the work completed by the installer. The inspector also verifies that each appropriate CF-611 and registered CF-4R 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-6R shall also be on site for final inspection. ® 1. HVAC Changeout Required forms: . All HVAC Equipment CF-6R 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 CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS . Indoor Coil and /or CF-4R forms: MECH-21 and (for split systems) MECH-25 . Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH Ge... Paeltage d UR'ItS. Duet leakage < 19 pere•en.E Exempted from duct leakage testing if: [11. 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 Refrigerant Charge) ❑ 2. New HVAC System Required Forms: . Cut in or C-hangeouVwith ^°` -` y'"' �_ CF 6R forms -,MECH 04 eMECH 20 HERS, and'(for split systems): MECH 22 HERS, and new ducts.,z(all new. w r, ductin ,-lj_d all new MECH 25" HERS `; a�°. _ f r °� MECH 22, and 25:a equipment) CF 4R forms MECH-20, and (for split systems) ;MECH For Split Systems �.uct leakag-ex< 61percent, RC, CCA'>,350 CFM/ton, FWD, TMAH,RSTMS;:and eittf rt�HSPPtor�PSPP� `l s k6 .Duct 1'eaka e< eccent ,� For Packaged­9 r Opti. ❑ 3. New Ducts witH/or without < Required.Forms::'` Replacement . Includes replacing,:or installing all new ducting and/or outdoor condensing unit CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace. No or some CF-4R 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-6R 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 California 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 California 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: Atila Both Signature: Atila Both Company: FIRST CHOICE A / C & HEATING INC Date: Mar 4, 2014 Address: 79-747 CASSIA STREET License: 968138 City/State/Zip: LA QUINTA / CA / 92253 Phone: (760) 989-2369 Reg: 214-A0014944A-000000000-0000 Registration Date/Time: 2014/03/04 12:37:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010