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14-0564 (MECH)r' P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000564 Property Address: 55483 OAK HILL APN: 775 -231 -031 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 9000 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: DOYLE PAMELA 55483 OAK HILL LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/02/14 Appli nt: Arch' ct r Engineer: LLBKNIGHT HEAT & AIR CO I4;0 C "` �� CQ'� OX i LA QUINTA, CA 92248 (760)772-4947 �. Lic. No.: 771254 �FP% LICENSED CONTRACTOR'S DECLARATION .WORKER'S COMPENSATIONDECLARATION hereby affirm under penalty of perjury that:l am licensed under provisions'of Chapter 9(commencing with I hereby affirm under penalty of perjury one of the following declarations: Section.7000) of Division 3 of the Business and Profe sionals 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:; C20 _ LicenseNo.:, 771254 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued- Date. ! Contractor: . _ I have andwill 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 OWNER-BUILDERr DEC LARATION insurance carrier and policy number are: '- I hereby affirm under penalty of perjury that I am exempt from the'Contractor's State License Law for the Carrier GUARD INS Policy Number BRWC910742 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I 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 should-becomZsubleco the workers' compensation provisions of Section License Law (Chapter (commencing with Section 7000) of Division 3 of theBusiness and Professions Code) or - 3700 of the Labor Cod shat omply with those provisions. 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 ($5001.: Dater Applicant s (_) I, as owner of the property, or my employees with wages as their sole compensation; will do the work, and ' the structureis notinterided or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' 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 CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does theworkhimself or herself through his or her own employees, provided that the DOLLARS 1$100,000). IN ADDITION. TO 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, INTEREST, 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 improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT (_) 1, 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 Lew'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. , BAP.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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 of La Qwnta, 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 1 have read this application and state that the above information is co r t. I agree to comply with all city and county ordinances and state laws relating to buildin onstA�ffurp by authorize representatives of this county to`enter upon the above-mentioned grope insp Date: �� ` (,�/Signature (Applicant or Agent . LQPERA1IT Application Number . . . . . 14-00000564 Permit . . . MECHANICAL 2013 Additional desc . . Permit Fee . . . . 83.42 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/29/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.00 11.9200 EA MECH APPL REP/ALT 11.92 1.00 35.7500 EA MECH CONDENSER/COMP 35.75 -----------7---------------------------------------------------------------- Special Notes and Comments REMOVE&REPLACE'FURNACE,INDOR COIL, &CONDENSING UNIT 16 SEER 4 TON 80%AFUE 2013 MECHANICAL CODES.2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 52.43. Fee summary Charged Paid Credited ------------------------------ Due --------------------------- Permit Fee Total 83.42 .00 .00 83.42 Plan Check Total .00 .00 .00 .00 Other Fee Total 144.00 .00 .00 144.00 Grand Total_ 227.42 .00 .00 227.42 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: 7Permit #: 55483 Oak Hill La Quinta, CA 92253 [City of La Quinta May 2, 2014 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit IN Furnace AFUE 22 ❑ COP ® Setback I& Indoor Coil SEER 13.0 ❑ HSPF ❑ R 6 (CZ 10-13) ❑ R g CZ 14-IS) Served by system 1600 sf If not already present, must be ® Condensing Unit El EER ❑ Resistance installed) ❑ Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF-1R-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-611 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 For- Packaged- Uniits, Due# leakage i 75 n of 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 Refrigerant Charge) ❑ 2. New HVAC System Required Forms: . Cut in or Changeoiit with CF 6R forms MECH 04; MECH 2O-HERS, and (for split systems) MECH `22 HERS, and new ducts: (all new Qr .: MECH 25-HERS` ,., ducting and all new �'c% ' 'CF 4R forms MECH-20, and (for split systems)=MECH-22 MECH 25 equipment) For Split'-Systems:- DuctLeakage c 6 percent; RC, CCA > 350 CFM/ton FWD, TMAH; STMS, and eitherHSPP or PSPP. For Packaged Umts Duct leakage'< 6 percent+ a11 7 113. New Ducts with/or without Re.q*oid 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-411 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: April Knight Signature: April Knight Company: ALL KNIGHT HEATING & AIR CONDITIONING INC Date: May 2, 2014 Address: P O BOX 5232 License: 771254 City/State/Zip: LA QUINTA / CA/ 92248 Phone: (760) 772-4947 • Reg: 214-AQ030E*36A-000000000-0000 Registration Date/Time: 2014/05/02 14:24:27 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 �ofLa -8 son PoLaw#so#,"SCWbramim i l�, iv,cw•r�maur2 Bdlrl,m:pem*App9Gdw and Tri .A. P. Nimibw. Addmm A r°0a _ Adkm Cl Tdwbm��o-�� a - smm -�-7 l a 5 ' 5 •e / ��Z - - o Anf6ZVN6 Ad&= C%6=24C . . oo MoldTdopbom Lice: Wor Adit Abet Bqa Dow. 0 Nave ofaa�ec 34� Ate: oo porMI NLW T IM mom ANA" a.e. MOMMLIMMO sanding J. 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