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09-1315 (MECH).. L P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00001315 Property Address: 55208 OAK TREE APN: 775 -161 -009 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 6000 Tavl 4 4 Q" Applicant: Architect or Engineer: ----------------------------------- CG TRACTOR'S DECLARATION I hereby affirm under penalty of perjury {Ar.t&si cense under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busi nals Code, and my License is in full force and effect. Licen lass: C20- 8 License No.: 826714 ' J Date: ��racto,(fZ��� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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)..- 1, 00).: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. rIf, 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 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: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 ISec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/30/09 Owner: SUNRISE DESERT PARTNERS D d a 76375 COUNTRY CLUB DR PALM DESERT, CA 92211 fn DEC 2 91009 Contractor: Iri IY OF Li BEST IN THE WEST F1��107Q- 255 N. EL CIELO, 140-125 PALM SPRINGS, CA 92262 (760)322-0202 Lic. No.: 826714 ------------------ 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. 1 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 STATE .FUND Policy Number 1932774-09 _ I certify that, in the performance of 1AG-975ilt for which this permit is issued, I shall not employ any person in any manner so 6 -Nome subject to the workers' compensation laws of California, and agree that, if I shou ec bj t to the workers' compensation provisions of Section 3700 of the Labor C f h comply with those provisions. plicant: 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 in or tion i rrect. I agree to comply with all city and county ordinances and state laws relating to ing const r ti hereby authorize representatives_ /of�/,c�,(p�unty to enter upo the above-mentioned operty for i o as. Datil.(! 1 50— nature (Applicant or A ntl: Application Number . . . . . 09-00001315 Permit . . . MECHANICAL Additional desc . Permit Fee 39.50 Plan Check Fee 9.88 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/28/10 QtyUnit 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 1.00 6.5000 EA _ MECH OTHER MECH EQUIPMENT 6-.50 Special Notes and Comments INSTALL NEW FURNACE EVAPORATIVE COIL AND CONDENSER. 2007 CODES. --------------------------------------------------- ------------------------ Other Fees . . . . BLDG STDS ADMIN (SB1473) 1.00'' Fee summary Charged Paid Credited Due Permit Fee Total •39.50 .00 00 39.50 Plan Check Total. 9.88 :00 .00 9.88 Other Fee Total 1.00 .00 .00 1.00 Grand Total 50.38 00 .00 50.38 �,,.►a...,�s —f t `~n limnrc Pro w-rintiwa Mpthnd - HVAC -only Alteration CF -1 R -ALT Project 751'�SeW I A' Date: /'7- 3e o °� © CaICERTS 2005 Eml@7a;ient Agency Usenn Project Address: '5�5 2z A4� Climate Zone: /Is Building Permit # Docu ion Author. Telephone: a -,7413 /00 Z-- Pian Check Date Cornwny Name: dl/2iSi� IV ILLS 7— Field Check Date IMPORTANT: This CF -1 R -ALT form is only for use when an HVAGonly alteration is made to an eodsting home Use one form for each system being altered. This is system If of systems altered in this house. nes dud apply- Check only lanes that allwLiL Scope of Alterations: 1 ❑ Atr Handler is to be installed or Dud.Seafi g to be determin d. Continue to nwd rna 2 Furnace Heat excthaiger is to be installed or replaced. Dud seafn9 to be determined. Continue to Cine. 3 ..in ouwow condensing unit is to be fry or replaced- Duct Seeing and/or TXV(RCA) to be determined Continue to next Gne 4 or heatingcan is to be instdW err Duct wWor TXV CA to be determined. Cormtinue to nerd finer 5 ❑ than 4o feet of new or nglaoernerd duct are to be installed in I Spme Duct ming to be determbred. ❑ Check here if the BOUM duct system is also to be new or replaced. Continue to next rine. 6 D f norte.of ones 1-5 are checked. neither Duct Sealing nor TXV(RCA) are reguked Go to Section 5. Section 1 - Dud Sealing On if any of tines 1 2 3 4 or 5 are checked. Sldp if line 6 is checked. 7 ❑ This wistern is in Climate Zone 1, 3 4, 5, 6, 7, or S. No dud seaGM is required. Go to Section 2- 8 ❑ This system has less than 40 fed of duds in unconditioned spaceL No duct.seaong is require& Go to Section 2- 9 ❑ Thissystem was previously sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach previous CF -4R form. Go to Section 2. 10 ❑ This dud system is sealed or insulated with asbestos. No duct 22ffM is required. Go to Section 2. Note- If the entire dud system is to be new or replaced, Lines 11-14 do not apply. 11 ❑ n Climate Zones 2.12 and 16: An 0.92 AFUE furnace vn"o be installed in Neu of dud seat" and TXV "d 12 ❑ n Climate Zones 10,13 and 15: An SEER 14 MMEER 12 Conderhser win be irstelied with TXV(RCA) added dud Insu�an �t on e4stiducts, R-8 new duds in fieu of dud sealing. Go to Sertiiarn 2- 13 ❑ n Comate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 MU EER 12 conderiser will be installed with TXV(RCA) a 0.92 AFUE furnace will be installed in Herr of duct sealing. Go to Section 2- 1 ❑ n Comate Zones Z 9, 11, 12, 14 or 16: An SEER 14 AM EER 12 canderhser will be installed with TXV(RCA) an 0.82 AFUE turnme wig be instefled with ink duct insulation in lieu ct � seaft. Go to Section 2. 15 of truces 7-14 above ams checked. Duct Searing Is Regidred. Continua S 'on 2 - TXV(RCA) if Lines 3 or 4 are checked, otherwise of to Section 3 16 ❑ The systern beirm altered Is a package unit. No TXV GA is rewiredL Go to Section 3. 17 ❑ This system is in Comate Zone 8'and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No -rXv(gqN is raquire& Go to Section 3. 18 ❑ is system is in Climate Zone 1 3 4 5 S. or 7. No TXV(RCA) is required. Go to Section 3. 19 ❑ This system is in Climate Zone 16 and race 14 is not checked. No TXV is required. Go to Section 3. 20 ❑ is in Climate Zone 16 and rine 14 s checked and not rine 16. TXV is Go to Section 3. 2 system is fn Comate Zone 2 or 8-15 and one 11,16 or 17 is not checked. TXV(RCA) is required. Go to Section 3. Sechon 3 - HERS Rater verification 22 rine 15 is checked. HERS verification is nKpdred for Duct Seating. 23 line 12, 13. 14.20 or 21 as checked and not ore 16 or 17, HERS verification is required for TXV(RCA). 24 ❑ rine 12,13 or 14 are checked: HERS verTication is requ6ed for 12 EER. Section 4.- Equipment Efficiencies 25 ❑ tirhes 11. 12, 13, 14 or 17 are checked. upgraded equipment are required. l ist in section S. Section 5- Dud R -Values 26 ❑ are than 40 fed of duct is being Installed or duct R -value must meet or exceed Package D requirements, 27 ❑ bf less than 4o feet of duct is being instaoed or replaced, duct R -value must meet or exceed R-4.2 Section 6 - see n®Q page Version 03-10.4)6 rays . u. This form can only be used on projects being verified by CalCERTS certified raters. www.calcerts.com Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R ALT Proje die: \ C ` V� Date: I/ -z - 3 ,0— O Q m CaICERTS 2005 IMPORT : This CF -1 R -ALT form is only for use when an WAC. -Only aiterati/ on is made to an e»ossting home Use one form for each system being altered. This is of I systOm altered in this house. Section 6. -Minimum Requirements for Equipment to be Installed/Attered. kid equipmerd must match tAmnocadon and meet or eaeed effdanaes/R-%VkWs. 2$ Canfturafi= D Spit system O Package Ar funraee, AFiJE OHe.V=p FAU OHydr.. FAU OOfher 29k13 7Gas 30 31 urdt o S�SPF_ 32 or hea&g cal OHeatpimp 1]Hydraiie 33 L;;m ft JRkus: AO mandatory measures apply to any altered component. See MF -1R -ALT form. Compliance Statement: This certificate of compliance fists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the Cafifomia Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall project responsibly. The undersigned recognizes that compliance using dud sealing, verification of refrigerant charge, and TXV require installer testing and certification and verification by an approved HERS rater. Home Owner or Authorized Agent Documentation Author Name: N 1 e_4AIA1 Address: S 5 2 o W ©A4CT1�'.- Com any Name: Com IAJ City/State Address Phone: City/ i Phone: 0 �2-lo49 Z Signature: Sign Enforcement ency (Buildina Department) tes/Comments: Name: Title: Department: Phone # Fax # Signature or Stamp: Required forms: CF 1R -ALT: by anyone. Required at time of permit application. Copies to home owner, enforcement agency. HERS rater. CF -6R -ALT: by installing contractor. Required to dose permit. Copies to home owner, enforcement agency, HERS rater. CF -4R -ALT: by HERS rater. Required to dose permit Copies to home owner, enforcement agency, installer. The CF -4R forms for a sample group shall not be released until all testing and verification is completed and passed for the entire group. Version 03-10-06 Nage z of z This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Bin # City Of La Quinta Building 8t Safety Division P.O. Box 1504, 78-495 Calfe Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # CA Project Address: S 5 z Owner's Name: A. P. Number: Address• S -2 -0? - -Legal Legal Description: City, ST, Zip: f pj Z7iS� Contractor:"•t::i Telephone: vst�L :„r::�•"?:cr;:c •.v Address: A% Project Description: '6114,4 v City, ST, Zip: f S, < Z Z Telephone: ?6 O -3q3-106)z State Lic. # : 7 City Lic. #.. Arch., Engr., Designer. Address: City., ST, Zip: Telephone:, State Lic. #:£ .: y •:. t .:. � ;vr;>'s: sf:'s>rukF Nrf Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: J/ Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 76 U 3 3 -/O O z— a 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 Tide 24 Calcs. Plans picked up Construction ' Flood plain plan Plans resubmitted Mechanical Grading plan 2i4 Review, ready for corrcction&rtssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Pians 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