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13-0301 (MECH)fr P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13.-00000301 Property Address: 54180 OAK TREE APN: 775 -081 -010 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 7892 Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I ani 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 t s-AC20 License No.: 686310 . Date: 99 -I]' contractor: AAAn T v cl_` ,' OWNER -BUILDER DECLARAT16N ^ 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;tfiat 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 thathe 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 (5500).: as owner' of theproperty, 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 La,wdoes not apply to an owner of property who builds or improves thereon, and who;does the work.himself or herself tlirough'his or her own employees, provided that the improvements are not intended or offered for sale: If, however, the building or improvement is soldwithin 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.LicenseLaw does not apply to an owner of property who builds or improves thereon, and wh6contracts 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: LQPERM IT Owner: GARY LOGSDON 54180 OAK TREE LA QUINTA,. CA 92253 (503)805-2631 Contractor: GENERAL AIR CONDITIONING 31170 RESERVE DRIVE THOUSAND PALMS, CA 92276 (7.60.)343-7488 . Lic. No:: 686310 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/19/13 D � MAR -1 o 2013 CITY OF LA QUINTA FINANCE DEPT. I WORKER'S COMPENSATION DECLARATION I herebyWaffirm under penalty of: perjury one of the following declarations: . 11_ I-have-and-willmaintain 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 IENITH INS CO Policy Numter Z071741502 _ 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 shoulo:become subject to the workers' compensation provisions of Section 3900 of the Labor. Code, I shall forthwith comply with those provisions. , V-1 �iDDaat'er Applicant._a_M�aL 'WARNI'NG: FAILURE TOS CURE 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. .0 APPLICANT. ACKNOWLEDGEMENT IMPORTANT Application. is.hereby madeto:the Director of Building and Safety fora 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 per to cancellation. I certify that 1 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 upon the above-mentioned property for inspection purposes. D�3q I3 Signa�lApplicant or Agentl: s' Application,Number 13-700000301 Permit MECHANICAL Additional desc . Permit Fee . . . . 40.50 Plan Check Fee 10.13 Issue Date Valuation . . . . 0 Expiration Date 9/15/13. Qty Unit Charge Per.. -Extension BASE FEE - 15..00 1.00 9:000"0 EA MECH FURNACE"<=100K 9..00 1.00" 16.5000.'Ek, MECH B/C_>3-15HP/>100K-500KBTU 16:50 Special_Notes and Comments, HVAC;=CHANGE OUT - 3 :,5 ' TON1,AIR CONDITIONING PAC_KAGE-& 8:0K BTU FURNACE,. CARBON MONOXIDE ALARM.(S) TO BE,INSTALLED PRIW TO FiNAL INSPECTIONS. 2"01.0V" CALIFORNIA. BUILDING` CODES.. r^. -------------- ---------------------- --- Other .Fees' BLDG ;STDs ADMIN (SB1473) ' 1.00 Fee -summary. Charged Paid -Credited Due Permit Fee Total --- 40::50, 00 00 40.50 Plan ,To Check tal 1,0 13 :.00 0,0, 10.'13 -Other ..Fee Total ;1•:00 :0.6 .:00 1.00 Grand"Total 51.63 00- :00 51.63, it LQPERAI[T 03/19/2013 11:48AM 8187353575 ified -15 IPERMIT ERATERS PAGE 02/04:, HVAC cu,vi 1=911=11L M9Cf1Cjr: 54180 OAK TREE La Qulnta, CA 92253 City of La Quints vale: . Mar 19, 2013 Permit #• - Equipment Typel List Minimum Efficiencyz Duct Insulation Conditioned F oor a.registered copy of the CF -1111 ® 1. HVAC Changeout Required! Forms: requirement Area Thermostat ❑ Package Unit replaced CF -411 forms: MECH-21 and (for split systems) MECH-a5 • Condenser Coil and /or • Indoor Coll and /or CF_6R forms: MECH-04 MECH-21-HERS and (for split Systems) Iv ® Fumace ® Indoor Coil 11AFUE 78y2 ® SEER `" O COP ❑ HSPF 0 R 6 XZ 10-13) Served by sy em ® Setback IM Condensing Unit ❑EER p Resistance ❑ R t3 CZ 14-15 ) 2 4 sf If not already present, must be installed) ❑ Other c. wrmrmum rquIpmertr Ertrcyencker 13 SEER, 78% AFIIE 7.7HSPF for typical re5tdenllal systems. - - �. �r,.�•.,. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC :alteration Options. The instal and picks one of the appropriate Options. Each Option lists the HERS measures that er decides what work is being done must be c onducted. A copy of the forms shall be left on site for final Inspection and a copy given to the homeowner. At final, the Inspector v rifles that the work listed on this form was in fact the work Completed by the Installer. The Inspector also verifies that each app opriate CF -611 and registered CF -4R forms no hand filled CF-4Rs allowed) are filled out -and signed,beglnning October 1, 2010; and Cr -6R shall alto be on site for final Inspection. a.registered copy of the CF -1111 ® 1. HVAC Changeout Required! Forms: • All HVAC Equipment CF -611 forms: MECH-04, MECH-2I-HERS and (for Split systems) N ECH-25-HERS replaced CF -411 forms: MECH-21 and (for split systems) MECH-a5 • Condenser Coil and /or • Indoor Coll and /or CF_6R forms: MECH-04 MECH-21-HERS and (for split Systems) Iv ECH-25-HERS . Furnace CF -4R forms: MECH-21 and (for split systems) MECH-25 For Split System.-.�_s: Duct leakage..<,.15 percent; RC, CCA s 300 CFM/ton (Mtnlmum Air Flow eaulrementl- TMaH Exempted from duct leakage testln�:af: 0.1.:`puCt system was documehted to have been previously sealed and confirmed through HERS verification, or Q.2. Duct systems with less th6h 40 linear feet In unconditioned space, or E3 3: Existing duct'systems are constructed, insulated or sealed with asbestos p'4; The II not be Duct.. (ie.- teat ;..;:'. . 2. Nei Syft*n -IRequ Cut i ngeout wiW. +1 .:. new ;:(all new — ECH-04 r a HERS pllt sy ') EC ; ERS, dnd :Z�::1: •P:1 �V. Aa+ ducti all n _- .. ,,. :;,,::•� ;• f ;;� ,:�:; equip W ;F - ECH 0, fbr , it ' H». .Ms� Por Spfit` :.. FigiL - "FAll-PVS, : For li'acicaUnits::ISuct leakaue z �nerceiit` . Includes replacing or'Installing ;kIl: new ducting and/or outdoor c6ndensidd unit CF -6R forms: MECH-04, MECH-20-HERS, an (for split systems) MECH-25-HERS and/or indoor coil and/or furnace: °No or some CF -4R forms: MECH-20 and (for split System) 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 lRequired Forms: • Includes adding or replacing more than 40 CF -611 forms: MECH-04, MECH-2I-HERS linear, feet of duct in unconditioned space. I CF -411 forms: MECH-21 For split system or padcaged units.- Duct leakage < 15 percent EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos • I certify that this Certificate of Compliance documentation Is accurate and complete. • I am eligible under Division 3 of the Callfomia Business and Professions Code to accept responsibility for design identified on this Certificate of Compliance. • I certify that the energy features and performance specirications for the design identified on this Celtifica of Compliance conform to the requirements of Title 24, Pens 1 and 6 of the California Code of Regulations, • The design features Identified on this Certificate of Compllance are consistent with the Information clocurnonted an other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approv il with the permit application. Jame: Danielle Garcia Signature: Danielle Garcia 70 Mar 1 Meg: t1s-AVV1b5b4A-000000000-0000 Registration Date/Time: 2013/03/19 00:27;02 RS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Foams July 2010 Bin. # . .. Crts t}r of La Quin Bulf ,at Safety.DWon P.O.-Box 1504,•78-4MCalle Tampico La.Quints; CA 92253 (760) 777-7012 Building`R h Application and Tracking. Sheet Permit # Project Address: jy g'o Ocdk Owner s Name . y� ar A. P. Number. Address: S14 I Igo k tJ Tee— eeLegal LegalDescription: Contractor.GewNexle.� - a��c�v�� , City,.ST,Zip: QZZ53 Telephone:-503-$o5-Zfo31 .'�`.`.. • Address: 5W70 ® Project Description: city, ST, Zip:1 ��'sJ sa x• Ca�c�\virn.5 CIZz S3 lc�ce 3. S tri Ale ��- "'T V Telephone: Y Y' c� State Lie. # :, . x(03 (�- Ciry Lic. rf Arch, Engr., Designer. Address: City., ST. Zip: Telephone: j State Lic. #: Name of Contact Person: < Gonstruc ion.Type: Occupancy: ,. ? • , .. . ' Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: J # Unit$: Telephone # of Contact Person: •-Esiimaw valae of Project:: J 47 Sc•f2.00 APPLICANT:,DOMOT WRITE BELOW THIS LINE. . N Submittal Req'd Reed 11ACIC G PERMIT FEES Plan Sete 'Plan Check sn6mif44 Yum Amount Structural Calcs Reviewed, ready fo correetioos Plan Check Deposit. . Truss Calce. Called Conta4Persou. Plan Check Balance. Title 24 Cates. Plans picked.up- Caastraction Flood plain plan Plans resubmitted .' Mechanical Giading plan 2'! Rcvlew, ready.for correcGonsrissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans. picked up H.O.A. Approval Pians resubmitted' ;Grading N HOUSE:- ''"F:evlew. ready for, coRectiorislissue Developer Impact Fee Planning Approval. Called Couteet Person :A LP.P. Pub. Wks. ApprD ate of permlt,lssue School Fees Total Permit Fees August 22, 2013 TdY 4 �Q�wFILE COPY P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 Dayana Valdez C/o General Air conditioning & Heating 31 170 Reserve Drive . Thousand Palms, CA 92276 Ph: 760-343-7488 RE: Permit Extension Address: 54180 Oak Tree — Gary Logsdon Building Permit: 13-301 Dear Ms. Valdez: BUILDING & SAFETY DEPARTMENT (760)777-7012 FAX (760) 777-7011 I have reviewed your letter dated August .22, 2013, requesting a time extension for Mechanical work to the residence at 54180 Oak Tree. Permit status: Permit issued on: 03/19/2013 180 -day period: 09/15/2013 Extension date: 12/30/2013 Under the provisions of the 2010 California Residential Code Section R105.5, your request is hereby granted. Please be advised that your next inspection must be approved on or before Monday, December 30, 2013. Sincerely, Burt Hanada Plans Examiner / Inspection Supervisor Permit Extension Request Page 1 of 1 .GENERAL. *Air Conditlonng & `Heating-�k * �k August 22, 2013 Re; Permit #13-00000301 Homeowner; MR. GARY LOGSDON Property address: 54180 OAK TREE LA QUINTA, CA 92253 Could we please get an extension for the above mentioned permit/to November 2013, homeowner will return and schedule the final inspection then. Please advise, Thank you General Air Conditioning 31.-170 Reserve Drive • Thousand Palms, GA .92276 (760) 343-7488 • Fax (760) 343=7494 " www.callthegeneral.c6m