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14-0623 (MECH)4 P.O. BOX 1504 ^' VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 5/13/14 Application Number: 14-00000623 Owner: Property Address: 55518 OAK TREE ANDREW AND BATTI FILLAT APN: 775-231-015- - - 55518 OAK TREE Application description: MECHANICAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL (760) 831-0267 Application valuation: 42000 Contractor: LACE Applicant: Architect or Engineer: GENERAL AIR CONDITIONING 31170 RESERVE DRIVE 2194 THOUSAND PALMS, CA 92276 (760)343-7488 QUINfiALic. No.: 686310 EPT. LICENSED CONTRACTOR'S DECLARATION I 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 Code, and my -License is in full force and effect. License Class: C20 License No.: 686310 Date: s 11 1° i Contractor: <4 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the fallowing 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 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.). (_ I 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.l. 1 _ 1 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: .w Lender's Address: Y \.16 LQPERMIT ----------------------------------------------— WORKER'S COMPENSATION DECLARATION 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. jgg�pl 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 ZENITH INS CO Policy Number Z071741503 _ 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 the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 5 13 14 Applicant: 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 1$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 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. - c �— Date: Signature (Applicant or Agent): Jt.rwl � Application Number . . . . . 14-00000623 Permit . . . . . MECHANI_CAL 2013 Additional desc .. Permit Fee 143.00 Plan Check Fee .. .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/09/14 Qty Unit Charge Per Extension 2.00 35.7500 EA MECH FURNACE 71.50 2.00 35.7500 EA. MECH CONDENSER/COMP ------------------------------------------------------------ ------------------ 71.50 Permit . . . PLUMBING 2013 Addit-ional'desc . Permit Fee . . . . 23.84 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/09/14 Qty Unit Charge Per Extension 2.00 11.9200 EA PLBG WATER HEATER/VENT 23.84 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE OUT-- (1) 21SEER/78AFUE SYSTEM, (1) 23SEER/78AFUE AND (2) WATER HEATER CHANGE OUT - 50GALLON/GAS [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. -------------------------------------------------------------------.--------- Other Fees . . . . . . . . . PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 119.16 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 166.84 .00 .00 166.84 Plan Check Total .00 .00 .00 .00 . Other Fee Total 209.73 :00 .00 209.73 Grand Total 376.57 .00 .00 376.57 LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAIteradons CF -IR -ALT -HVAC Climate Zones 10 to 1S Site Address: Enforcement Agency: Dar Permit #: 5551 ,g alz_ 1 mere. C:Lj 04 511:111ti Conditioned Floor Equipment T eI List Minimum Efficient Z Duct insulation requirement Area Thermostat Packaged Unit ERFurnace INAFUE `%S Y EICOP Over 40 ft of ducts added or EM Setback Indoor Coil Condensing Unit SEERS E] EER Q HSPF _ Resistance replaced in unconditioned space _ R 6 (CZ 10-13) Served by system Z272 sf (Ifnot already present, must be R 8 (CZ 14-15) installed) Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1 R -ALT -HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFfor 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 -6R 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 1R and CF -6R shall also be on site for final inspection. 91. HVAC Changeout Required Forms: • All HVAC Equipment replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS CF4R forms: MECH-21 and (fors lits stems) MECH-25 • Condenser Coil and/or CF -6R forms: MECH-2I-HERS and (for split systems) MECH-25-HERS • Indoor Coil and/or CF -4R forms: MECH-21 and (for split systems) MECH-25 • Furnace 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 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 ..: 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 CF4R 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 Required Forms: • Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF -4R 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 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 CF -4R forms: MECH-21 linear feet of duct in unconditioned space. For splits stem 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. • 1 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 I 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: 9reuGh S_l,rN Signature: t ri Company: Geme Date:: 5 13 cz.k Jkr�r.ih 1 Address:License: 3(170 \�,)esevve �,r (08(0,310 City/State/Zip: hov50.�n eti�mS CA -gZ27e. Phone: 7G0-3`3-71488 2008 Residential Compliance Forms July 2010 gtdl^ Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAIterations CF -IR -ALT -HVAC Climate Zones 10 to 15 Site Address: Enforcement Agency: Date: Permit #: SSS\ alt C� �N Ok- La QQcry. 51 ►3) tr-► Conditioned Floor Equipment T et List Minimum Efficiency Z Duct insulation requirement Area Thermostat Ej Packaged Unit Furnace 59 AFUE]�%. � COP Over 40 fl of ducts added or � Setback Indoor Coil Condensing Unit E] SEER 2 EER HSPF Resistance replaced in unconditioned space R 6 (CZ 1-13) Served by system 22-72 s (Ifnot already present, must be R 8 (CZ 144-15) installed) M, Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1 R -ALT -HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPFfor 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 -6R 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 CF4R and CF -6R shall also be on site for final inspection. EN 1. HVAC Changeout Required Forms: CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS • All HVAC Equipment replaced CF -4R forms: MECH-21 and (fors lits stems) MECH-25 • Condenser Coil and/or CF -6R forms: MECH-2I-HERS and (for split systems) MECH-25-HERS • Indoor Coil and/or CF -4R forms: MECH-21 and (for split systems) MECH-25 • Furnace 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 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 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, SIMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ED 3. New Ducts with Replacement Required Forms: • Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF -4R 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 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 CF -4R forms: MECH-21 linear feet of duct in unconditioned space. split For split s stem or packaged units: Duct leakage < 15 percent Existing ducts stems 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. • 1 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 information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement a gency forapproval with the permit application. Name: Signature: SQL �2 I �5yv e -r\ Company: G �r 'ki Date: S113 114 ererco Address: 3 License: 68(, 3 O3W70eserv� City/State/Zip: " r�ooso- d a l S Cad C1Z22Se Phone: -ftp - 3�13_�yga 2008 Residential Compliance Forms July 2010 Prescriptiye;Certificate of Residential Alterations Project Name: .ice: Residential .. . Climate Zone: GF-1R-ALT-DHW • Page 1 of i' Permit M - General Information Site Address: S5S1 8 OG1` j,t-e- Enforcement Agency: C,3 0� Za 5j)-31 1 Building Type: MLSirile Family ❑ Multi Family I Project TypeJKReplacermnt or Chane Out of Water Heater WATER HEATING List newir• installed dater heaters and boilers for loth domestic hot water heaters (DWN) and hydronic space hearing. Ne,44Y installed DIM heaters and boilers must be gas. propane, or use the existing ael n . Water titerDistrit"ioType Numtxr M Tank Enagy Factor TYPdFUd Type Recirculatind System capacity('gal) T ennalEfficiency. E>;temai Tank wulatioa R -Value 0.0 V a +OrCIP-CICL" C- A Cl I (o 1. Indicate Type. (Storage Gas. Heat Punw. Instantaneous, etc.) 2. Recircu la ing systems serving nudtiple dwelling units shall ifwet the recirculation requirements of §156(n). rrquuirentenis do not allow the installation of a recirrulating water heating system jor single dwelling units. 3. The evernal water hewing tank and pipes shall be insulated to meet the rc uirernents o The Prescriptive. Contractor or Homeowner (Documentation AuthoestResponsible Building 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 building design identified on this Certificate of Compliance. • .1 certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform to the tequirements of Title 24, Part I and 6 of the California Code of Regulations. .. The building design features identified on this Certificate of Compliance am.consistent with the information provided to document this building design on the other applicable compliance forms, .worksheets, calculations. plans and spociGcations submitted to the enfomemert for val with this building permit lication- Nan= Signante: Company: Date: GeY�erc,\ A7\t- Cn�.d��0,^ i r �I13I1`1 Addncss: l�oense: . 3\1--)C) 1�eserve- �r G-15(0310 City/SUKOOp: Phone: Il�ovsc rd �o.\ms) CA C(-2 too -3y3-7488 Prescriptive: Certificate. of Cont Residential Alterations Pm•ect Name: Residential . CF -1R -ALT -D Pagc 1 of 3 Climate Zone: 15 Permit (#: General Information Site Address: S S 1 S lt'ep— Enforcement Agency: Ok� L- I Project Type: ❑ Re lacem tit or Chan a Out of Water Heater . WATER HEA'T'ING List nem4-v installed water heaters and boilers for both danesric hot water heaters (DWH) and h»dronic space heating. Newly installed DWH treaters and boilers must be gas. prWopane, or rtse the existing tl #)PC. Water Heater Type Number In Tank 8Y mor Type/firrl Type, 'nd System Capacity (gal) Mwrml Efficiency &temal Tank insulation R -Value CC `Recce. - J�G0.ra SO, 9a� -2ic. 1. Indicate 7}Pe (Storage Gas. Heat Ptump. Instantaneous, etc.) 2. Recirculating systems serving multiple dwelling units shall "meet the recirculation requirements of §/An). requirrnrentss do not allow the installation of a recirculating water heating system for single dxmdling runts. 3. The external water heating tank and pieg shall be insulated to meet the requirements o 1 The Prrescripti, Contractor or Homeowner (Documentation Author's/Respotasible Building Designer's Dedaration Statetueat) • 1 certify that this Certificate of Compliance documentation is accurate and complete. • 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • 1 certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24, Part I and 6 of the California Code of Regulations. • The building design features identified on this Certificate of Compliance arc consistent with the information provided to documrnt this building design on the other applicable compliance forms, .wodcsheeM calculaito m Plans and specifications submitted to the enforcement for approval with this buiiding permit lication- . Name: Signature: e -r Cr C;- Y- Dale: G er e.r t:.1, A -N CoA SI13Ily Address: License: x$(0310 City/Stata0p: Phone: �hovsc,�.8 ?6-�rl5, CA �1Zz�C, -7to0-SLI 3 -may R8 Bin # City of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tratking Sheet Dermic # .. l%`� 14- Project Address: _5S S) a Owner's Name: A -,Are -, 4 B cLw, 1 7'1 Q+ A. P. Number: Address: SSS) $ alz rem Legal Description: City, ST; Zip: 'L a Qu i r}G . CA q Zz S 3 Contractor: G e h ex co A-, v- C ,,\a�i o Telephone: '160 — $ 31- OZ(10'1 Address: • 311-70l�eServe: yr Project Descr ipti on: Re ,0.C'-- O Z+Or Cp,rn jot City, ST, Zip: ouSat,\ca ��a�rrt5 CA Ci 22S3 JAVAC S S+' Yrm � ' 4 +tov' C'\" leke Telephone: %(off � - 74188 3 .'•ip;;�;5i:�v!!:i:� }ii!•i:i•}; :;:< :;;;;>::<•r; >>i„>:>, <,,;;>s>; HVAC S s�c•m I 1 State Lic. # : (08(. -310 City Lie. #: L SO GcOV. -, Arch., Engr., Designer: LJa+eir is e }erS Address: City., ST, Zip: Telephone: :<:;-:::::: zf: :;<:;<>;;<:; Construction Type: Occupancy: State Lie. #: ( Project a circle one): New Addn Alter Re type ' air Demo J ) P Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 42t3UO APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rcq'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 2pd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.1. R.O.A. Approval Plans resubmitted Grading IN ROUSE:- '”' Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees