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10-0284 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/05/10 Application Number: 10-00000284 Owner: Property Address: 55196 OAK TREE EDMISTON LOLA APN: 775-161-010- - 55196 OAK TREE Application description: MECHANICAL . LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL (760) 771-3400 O Application valuation: 7000 4 Contractor: Applicant Architect or Engineer: PALM DESERT AIR COND CO I C ,4b 0 �Q 42081 BEACON HILL 'oQ / 1 PALM DESERT, CA 92211 ��j. v (760)346-0677 LiC. No.: 37493.7 ,t�`a•�v�ar --=-------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION [-hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals de, and my License is in full force and effect. License Cie s: C20 � y seNo.: 374937 t[ Date: l y� Contia6t;;F�Z? 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).: (_) 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 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 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: t r i 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.). f Lender's Name: Lender's Address: LQPERMIT' WORKER'S COMPENSATION DECLARATION 1 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 SOUTHERN INS Policy Number WSIO03802-01 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 should become subject to th workers' compensation provisions of Section 3700 of the Labor Code, I shall fortthh-wiitth co ith those provisions. Date: Applic 5 / 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 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 the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and reby authorize representatives of this c (t% enter upon the above-mentioned property �for yinspection p s Date:.! le Signature (Applicant or Agenfl'."'� 7� T Application Number . . . . . 10-00000284 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date Valuation 0 Expiration Date 10/02/10 ' Qty Unit Charge Per Extension BASE' FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.•00 1.00 9.0000 EA MECH B/C.<=3HP/100K BTU 9.00 ---------------------------------------------------------------------------- Special Notes and Comments ---- — - - - -" ------ ----- - . REPLACE ' ONE -(1) -.3 . 5 TON SPLIT "SYSTEM - -- - -. - - HVAC HEATING & COOLING SYSTEM 14.5 SEER.PER 2007 CODES. ------------------------------------------------ ----------------------------- Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 33.00 .00 .00 33.00 Plan Check Total 8.25 .00 .00 8.25 Other Fee Total 1.00 .00 .00 1.00 Grand Total 42.25 .00 .00 42.25 LQPERMIT Prescriptive Certificate of Compliance: Residential CF -1 R -ALT Residential Alterations Pagel of 1 Project Name: Climate Zone # of Stories i o �- 1 )5 - SGeneCeb General ral Information: Site Address: 7(P 0 4 r,, LtE. E_ Date Enforcement Agency:�S/i� Building Type iingle Family ❑ Multi Family Front Orientation: ❑ N ❑ E ❑ W ❑ S Project Type: ❑ Alteration 6"WAC Replacement ❑ Duct Replacement ❑ Conditioned Floor Space (CFS): NOTE: This form is not to be used for new construction or additions. HVAC S stems — Heatin : Duct Insulation Thermostat Configuration (Split Equipment Type Capacity AFUE HSPF R -Value Type or Package) 1:�� A UC)O HVAC Systems — Coolin : Pipe Insulation Thermostat Configuration (Split Equipment Type Capacity SEER EER R -Value Type or Package) eve 1 f_ VjOV6 1'o— a --HERS HERS Verification Summa : D ct Sealing & Testing — HERS verification is required for this measure. Yes El In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned space, the ducts are to be sealed per §152(b)1Dii and the newly installed ducts are to be insulated per §151(f)10. ❑ Exception: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos. ❑ Yes No In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the ducts are to be sealed per §152(b)1 Di. Poes ❑ No In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be sealed per §152(b)1 E. ❑ Exception: Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. ❑ Exception: Duct systems with less than 40 linear feet in unconditioned space. ❑ Exception: Existing duct systems are constructed, insulated or sealed with asbestos. Refrigerant Charge — Split System — HERS verification is required for this measure. 'Yes ❑ No In Climate Zones 2 and 8-15, when the existing HVAC equipment is replaced (including the replacement of the air I handler, outdoor condensing unit of a split system A/C or heat pump, cooling or heating coil, or the furnace heat exchanger) a refrigerant charge measurement shall be verified per §152 b 1 F. Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw The ventilation requirements of §150(o) do not apply to existing residential homes. Ducted Split Systems — Air Conditioners and Heat Pumps: Airflow — HERS verification is required for this measure. L] Yes f�" No In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is '"' \�\ replaced, the airflow and fan waft draw shall be verified per 152 b 1 Ci to meet the requirements of §151(07B. Documentation Author's Declaration Statement I certify that this Certificate of Compliance documentation is accurate. and complete. Name:�L— B PLi i3;n # City Of L2 Quintd Building 8r Safety Division Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ...P.O. Project Address: 55-196 OAK TREE Owner's Name: LOLA EDMISTON A. P. Number: Address: 55-196 OAK TREE Legal Description: Contractor: Palm Desert Air Conditioning &Heating Company City, ST, Zip: LA QUINTA, CA 92253 Telephone: 760-771-3400 Address: 42081 Beacon Hill Project Description: City, ST, Zip: Palm. Desert, CA92211 PLACE ONE 1 3.5 TON SPLIT .Telephone: (760) 346-0677 SYSTEM. State Lic. # : 374937 City Lic. #•: 100886 Arch., Engr., Designer: Address: City., ST, Zip: Telephone: State Lic. #:>::s:Y..:::::;<>:>:':::;:•<::':;;:.}:•}:'}'':;'}};; Construction Type: Occupancy: yP P cy: project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: KARL BROWN Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: (760) 346-0677 Estimated Value of Project: $7,000 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd 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 2" Review, ready for corrections/issue 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.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees