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10-1033 (MECH)Y P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00001033 Property Address: 55116 OAK TREE APN: 775 -161 -014 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2000 Architect or Engineer: ,,.)/,a ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury t t I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine s d Profe o Is Code, and my License is in full force and effect. _ License) Class: C20 I JicenseNo.: 791121 C actor: DER 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).: (_) 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 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, 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: ,^X" Lender's Address: / f LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/04/10 Owner: DALE OH 55-116 OAK TREE _ LA QUINTA, CA 92R. r nT Contractor: L I 11 z� T-0 ip UNIVERSAL 'MECHANCAIe___ 74698 CANDLEWOOD IDRIVECd`y'�,1y.„•%i i 4*iA PALM DESERT, CA 929_ (760)851-9679 Lic. No.: 791121 ------------------ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty 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. 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 EXEMPT Policy Number EXEMPT I c=at, in the p ormance of the work for which this permit is issued, I shall not employ any person in any man o.as to become subject to the workers' compensation laws of California, and agree that, if I s ou become subject orkers' compensation provisions of Section 3700 of the Labor C e, I hall forthw' co y with those provisions. WARNING: FAILURE TO S RE MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. 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 thea ve information is correct. I agree to comply with all city and county ordinances a state laws relating to building nstruction, and here t o 'ze representatives of thi un�';:;Siunpature the above-mentioned pro a tion purpos Date: J9::; (Applicant or 6ntl: Application Number ... . . . 10-00001033 Permit . . . MECHANICAL Additional desc . Permit Fee 24.00 Plan Check Fee 6.00 Issue Date . . Valuation . . . . 0 Expiration Date 4/02/11 Qty Unit Charge Per Extension BASE FEE. 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGEOUT INSTALLING NEW FURNACE - 80 AFUE. 2007 CODES. ----------------------------------------------------------------------------- Other Fees . . . . . . . . .. BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 24.00 .00 .00 24.00 Plan Check Total 6.00 .00 .00 6.00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 31.00 .00 .00 31.00 LQPERMIT Sim lifted Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -1R -ALT -HVAC Climate Zones 10 to 15 Site Address:,� b �� En orcement A en ��' Date: Permit tl: �o- Equipment T List Minimum Efficienc 2 Duct insulation requirement Conditioned Floor Area Thermostat ❑ ackaged Unit Z-Fumace ❑ AFUEJ ❑COP Over 40 ft of ducts added or ❑ Setback Indoor Coil ❑SEER ❑ HSPF replaced in unconditioned space Served by system pjnot already ❑ Condensing Unit ❑ EER ❑ Resistance ❑ R 6 (CZ 10-13) sf present. must be ❑ Other ❑ R 8 (CZ 14-15) installed) 1. Equipment Type: Choose the equipment being installed: ijmore than one system, use another CF -1 R-ALT-HVi1 Cjor each system. 2. Minimum Equipment Ef)t'ciencles: 13 SEER, 78%AFUE, 7.7HSPFfortypical 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 fortes 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 forret was in fact the work completed by the installer. The inspector also verifies that each appropriate CF -6R and registered CF4R forms (no hand filled CF-4Rs allowed) are filled out and signed. Beginning October 1 2010 a registered copy of the CF -1R and CF -611 shall also be on site for final Inspection. HVAC Changeout Required Forms: • All HVAC Equipment replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -411 forms: MECH- 21 and fors litsystems). MECH-25 • Condenser Coil and/or • Indoor Coil and/or CF -6R forms: 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 Units: Duct leakage < 15 percent Exempted trout 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 ducts stems are constructed, insulated or sealed with asbestos ❑ 2. New HVAC System Required Forms: • Cut in or Changeout with new CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS ducts: (all new ducting and all CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 new equipment) For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD,.TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage <6 percent ❑ 3. New Ducts with Replacement— -7Reg~Farm`s: • Includes replacing or installing all new ducting CF -611 forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF4R forms: MECH-20 and (for split systems) MECH-25 coil and/or furnace. Not all equipment changed. For Split Systems: Duct leakage < 6 percent, RC, CCA >_ 300 CFMhon, TMAH For Packaged Units: Duct leakage < 6 percent ❑ 4. New Ducting over 40 feet Required Forms: • Includes adding or replacing more than 40 linear feet of duct in unconditioned space. CF-611forms: MECH-04, MECH-2I-HERS CF4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing ducts stems constructed,insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • 1 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. 1 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 I and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the info tion)umenlon other applicable compliance forms, worksheets, calculations, lans ands cifications submitted to the enfar menta enc fora roval with e ion. Name: 01 vrer5 6# Lt l,rol -iG/s' L�f Si a Company: Date: )0 _q `L Q Address: _74 ! $ 5`S-,,//����K License: City/State/Zip: �' C•�-- �('LL Phone: �6� l' — 67 ZUUrs Kestaential Compliance Forms March 2010 Bin # 0ty of La Quinta Building 8T Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # l� PrqjectAddress:!991 16 GAIL-ireC Owner's Name: •Df-�1e A. P. Number: Address: 9S 0& Legal Description: Contractor: vL P,1 ✓'Q /'S Pr1 e° C -4A4 i Lh- City, ST, Zip: I--�i—�u n A .••.4.x e�.<�,: Telephone. 60 q g '-) I s s s Ue }$v 2 Address: 23SS a�e ; t6 P Project Description:. City, ST, Zip: A40111 6,_5 e -r+ G14- y 2-.>— ZTelephone: Telephone:9 M State Lic. # : Q l I Zi City Lic. #; Arch., Engr., Designer. Address: City., ST, Zip: Telephone: ;� �,� :�'�x , r ,�:.;• � fir' v. r':'rx y:: r,.: s�:d s..: d...\• Construction Type: Occupancy: State Lic. #:% Project a circle one New Add'n Alter Repair Demo J type ) 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 It"'d TRACKING PERMIT FEES Plan Seta Plan Check submitted Item Amount Structural Coles. Reviewed, ready for corrections Plan Check Deposit Truss Colts. Called Contact Person Plan Check Balance Tide 24 Coles. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2q° 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 IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees .r„ irx/• �1 �: ax.-rn.. �..r:tt:. r.. .. - : .. M ..:.. � ,.-. .-v:7. � d r .. :.. i �. � � . �<: ,,: r.�re ej= DAVE •STEAVENS Inspection. Services O�o7- %Cod PROJECTQLPj0,P1pPJ.MASS ADDRESS BLDG. PERMIT* ENGINEERa��l.xt;t� `�AJc�tt* :trJG, INSPECTION TYPE Page I of 2: _ PROJECT # o 00 A d 3 CLIENT 'P(A LJE.S'i 4 o DATE l U G "%- 100 O ARCHITECT GQ(,3Pi A ee-w tT',e-TU- z`. CONTRACTOR L)ZL MA - i7(a C� r► C� INSPECTION REPORT �Oc.4��A�+�c.> C...c�"c�.'t'.c�►Jg' ��©x� Scw.':�S©�J F'I'B=- fix?- 3-O�, �%c.GS -3)E�'v-1 Cts �.C,��. r k'�- s �sr. , r, a 1 C r� ta,J c:> F PPt,.i�TtOn� �� n�S"tP.c.lL�AT1t�r.i AS ;Dt)Z ZrCaO `79gS' -xiZoE Loc -i - N0te%-J�t�c�11 �►P.. i2iat�S *l`l LEVZc.MA ltd ,�►A• -b 61-cs M. QseP-tW t+ "zN'K . —Zaz5- LO --S Not-eis P-t•A t tJ�� t u�5 - t'1 t_.��.Ic.TM f� �►t4 Ott Ltd - Jj , Wew- -4u.) su+- I I b-- P -r -A 74 "0, A, �o � s - I S► � t,.� rJc�'�� '1118 Z + A ioy Oi1t( inti-3E� 2 a c.sPTPA btA, �U1�S"�1 1 ►JC�Tb�I '$ lltr\ , t�r,Att Ce l - c cx.s i-iubres - l�. '�► %Pt. t3 \yo +�, l�005- 1TLr~ oct -A b ► , -:LL40C - r�, le#�M ! �,�. Rod-1�1 �,tn,�t,:•1 �$ ���;. rr, I (1, 0Ak/-MEC' A)As -60 IR -F -A2 tJg e-, H-ELoc-N,-E IX tOtPrH I l►A. iZ6, •1� �c+�c,-�� ��6 tb,A, 11,=/ 14 R�EFI(� C'.Ft��►2-��vcS-tJo�z�.: t�`.` ��.EPT•-1�1yD�A• t�D�-l5 Le.���+� �+�►. •. L8 &4Z -re -Ce "MAS 3D'ALOCSRobs-I1 Lt.wcrN b(P" tl ('06S-I`i+rLQJr.T"k ye biA 0 ►A • Fza tis - '+LCO fcTM 3" s LW. QEfl2 5c,,:r.A - aLo_-S ' l be-r')TtA %A. R0*V5 -lS (-LOOT t l8+, 0 to , CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the reported work, unless otherwise noted, substantially complies with approved plans, specifications and applicable sections of the building' codes. This report covers e locations of the work inspected only and does not constitute engineering opinion or project control. CERT No. d �� i� `1'g' � INSPECTOR NAME �...(Print�Clearly),� DATE H I CGT. 0CO!!) INSPECTOR SIGNATURI - Y Page _� of DAVE STEAVENS Inspection Services PROJECT Q q FkMP (or l /PHR15C PROJECT # ;?000-0-3 ADDRESS CSA V-Ir/Z.c t- CLIENT tA sJ t✓ST 4oA. BLDG. PERMIT # ENGINEER SAWokv- t a C - INSPECTION TYPE DATE �3 0c -C. a0c>0 ARCHITECT Go c QR AQr-A+Tcc't'-2t CONTRACTOR­�\t L MiAt a PAQ 5: % tr �t INSPECTION REPORT �ot.t-oWc0Ca L0C.A'ik0,.��, (= renxK Str"PSo0 E T�F'-tr't?. 4-O;Z. HocCS APPuco cioQ k QoT St —r, -Q-- IN Li e 'Q L-0CA-r Io hJ S n tr Iz UCS J6-rM 6 C*C-cp �a 5-09 a: loy, k\6 . 11>;3, OArlT�2 rrk - F�H��S 5�2�.�.as A09 AN)CROZ 0,T5--r/6I-(7' ABox Low�% MAg.-3Gi1- I•�A�v.�ca p6 -t' Zoa� `�-0 3l.vc..kCS --Covv�k7, C,��' � 1 S'{ - i3 elb""' ;I — L - --I — L - 0^f s - k3'J - k)o tt. 7 N W h -U •- 4 A t t -.t w1y PAT- Zoo F To jt� WC dr- - C-:00194- tcC- ��'�"t�.�. cow^ J c.e Tc A -r 'aEt\� CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the reported work, unless otherwise noted, `("`substantially complies with approved plans, specifications and applicable sections of the building codes. This report covers the locations of the work inspected only and does not constitute engineering opinion or project control. ( CERT. NO.©�S9 3�% f� " Jy INSPECTOR NAME (Print Clearly) DATE (� OC." �, oZ VU t� INSPECTOR SIGNATUR