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10-1290 (MECH)
P.O. BOX 1"504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 10--00001290-' Owner: Property Address: \ "-"54790--RIVI-ERA SOON LEE APN: 775-031-034- - - 54-790 RIVIERA Application description: MECHANICAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 4800 Contractor: Applicant: Architect or Engineer: PALOMA AIR CONDITIONI P.O. BOX 3501 PALM DESERT, CA 92261 I/t �•( (760) 347-1212 LiC. No.: 619091 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 3e usiness and Professionals Code, and my License is in full force and effect. License Class: s20 License No.: 619091 Date: "actor: 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 cityor 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.). - (_ 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 _ 1 I am exempt under Sec. , BAP.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penaltyofperjury 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 .Date: 11/24/10 � a - i NOV 2 7 20 0 CITY OF LA s,1tllNliR J 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 SOUTHERN INS CO Policy Number WSIO02303402 I certify that, in the performance of the work for which this permit is issued, I shall not employ any pPr.qnn in any manner so as to become subject to the worker.' compensation laws of California, and agree that 'iffII� should become subject to the workers' compensation provisions of Section 37Q(Wt112�/ ber o e, I shall forthwith comply with those provisions. Data: / b (,� Ap 'cant: WARNING: FAIL E 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 ahe bbswt�jaws relating to building construction, and hereby authorize representatives of this county tX er tfi7q/i tWe-mentioned prop roses. Date: / Signal re re (Applicant or Agent): LQPERMIT Application Number . . . . . .10-00001290 Permit . . . MECHANICAL Additional desc . Permit Fee 33.00 Plan Check. Fee`. 8.25 Issue Date Valuation . . . . 0 Expiration Date 5/23/11 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 ----------------- HVAC CHANGE OUT TO 3 TON SYSTEM. 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 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC CF-lR-ALT-HVAC Alterations Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 54-790 Riviera La Quinta, CA 92253 City of La Quinta Nov 23, 2010 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit E0 Furnace © AFUE 78% ❑ COP' ❑ R 6 (CZ 10-13) Served by system © Setback R Indoor Coil p SEER 13.0 E]HSPF El R 8 (CZ 14-15) 900 sf If not already present, * Condensing Unit [:1 EER E] Resistance must be installed) ❑ Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -IR -ALT -HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for 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 -411 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. 8 1. HVAC Changeout Required Forms: . All HVAC Equipment CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF -4R forms: MECH-21 and (for split systems) MECH-25 . Condenser Coil and /or . Indoor Coil and /or CF -6R forms: MECH-04, 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; Packa;gedUnits Duct :leakage*< 15 percent Exempted from,du ct,leagagejtestingQ-f ,• . [3 1 Duet system was documenteclAo have been previously sealed and confirmed through HERS verification, or ..p 2 Duct systems:witFi'less than 461inear feet in unconditioned space, or 3Existing duct systems are tonstructed,+msulated or._sealed_:with asbestos ❑ 2.'A e-W.HVAC "` Required,Forms - ` z� `>^4 ;� y� r Y�v.��- Systems . Cut in or Changeout� with new ducts (all * CF; 6R forms MECH 04, MECH 2O -HERS, and (for split systems) MECH 22 -HERS, and, .. ducting MECH 25;,z ; ,` s i x "f new and all CF 4R forms MECH 20, and ffor�split systems) MECH 22, -and MECH 25 new a u` ment " For;Spht Systems :Duct leakage z 6 percent, RC,'.CCA > 350 CFM%ton;, FWD; TMAH; STMS; and either;HSPP or PSPP. ,. .. For'Packaged;Umts Duct feaka.9 1 .-percent ❑ 3. -New Ducts with/or withoutl , ' Required Forms: Replacement • :;; ; • Includes replacing or installing all; new ducting and/or outdoor CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS condensing unit and/or indoor.toil..CF-411 forms: MECH-20 and (for split systems) MECH-25 and/or furnace. No or some equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA z 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent ❑ 4. New Ducting over 40 feet Required Forms: . Includes adding or replacing more CF -611 forms: MECH-04, MECH-2I-HERS than 40 linear feet of duct in CF -411 forms: MECH-21 unconditioned space. For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing duct systems 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. • 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. • 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 1 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: Herman Paredes Signature: Herman Paredes Company: PALOMA AIR CONDITIONING Date: Nov 23, 2010 Address: P O BOX 3501 License: 619091 City/State/Zip: PALM DESERT / CA / 92261 Phone: (760) 347-1212 Reg: 210-A0027155A-00000000-0000 Registration Date/Time: 2010/11/23 18:31:14 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 4 . ... 4. � ,. ... Bin # Q"! Of La Quinto 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 # q0 1 Project Address: O 2 (�� Owner's Name: 00 L Lep A. P. Number: Address: S L/ ,P V� Legal Description: City, ST, Zip: . Contractor: I" a V� �Q C Telephone: - W,111=11011 "3' 11 Address: 0 Project Description: City, ST, Zip: �/i t (.19 Telephone: `7 In ' State Lic. # 16 1? J City Lic. #: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: " State Lic. #:"��" .. • ,..: ,.. .Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add,n Alter Repair Demo Sq. Ft.:#Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Set 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 V Review, ready for corrections/issue Electrical Subcontsetor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees