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14-0462 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: App 'ca t: 14-00000462 54908 RIVIERA 775 -153 -086 - MECHANICAL �Tliotyl °F 4 Q" LOW DENSITY RESIDENTIAL 8175 Architect or Engineer: BUILDING & SAFETY DEPARTMENT .r . BUILDING PERMIT -------------------------------------------------- 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 Prof ssionals Code, and my License is in full force and effect. License Class: 20 6 License No.: 906115 Date: Contractor: 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).: 1 _ 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 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 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: - Lender's Address: . LQPERMIT Owner: BRADBURY MANON 54908 RIVIERA LA QUINTA, CA 92253 (760)238-8230 Contractor: HYDES 42949 MADIO S INDIO, CA 922 (760) 36 0 -22 02 Lic. No..: 906 VOICE (760) 777-7012 FAX (760) 777 ,%011 INSPECTIONS (760) 777-7153 Date: 4/18j14 ----------------------------------------------— 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 NORGUARD INS Policy Number CEWC468841 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 subjct to the kers' compensation laws of California, and agree that, if I should become subjec the 4_oAs' compensation provisions of Section ,�P0 o the Labor Code, I shall f wi omply ith se provisions. Date: "[7 L Applicant: WARNING: FAILURE TO SECURE WORKERS' COM ENSATION 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. Y 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 comp with all city and county ordinances and state laws relating to building constructs n, and hereby authorize repr natives of this co ty to.enter the above-mentioned property for i pe n purposes. Date:Sig ature (Applicant or Agent): ^i ' Application Number 14-00000462 Permit . . . MECHANICAL 2013 s Additional desc . Permit Fee . . . 83.42 Plan Check Fee .00 Issue"Date . . . . Valuation . . 0 Expiration Date 10/15/14 "Qty. Unit.Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.00 11.9200 EA MECH APPL REP/ALT 11.92 1.00 35.7500 EA MECH CONDENSER/COMP 35.75 ------------------------------=--------------------------------------------- Special Notes and Comments CONDENSING UNIT , FURNACE, & COIL CHANGE OUT 78°s"AFUE 13 SEER. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. -_----------------_-------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) - 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 52.43 Fee summary Charged Paid Credited Due Permit Fee Total 83.42.00 00 83.42 Plan Check Total .00 .00 .00 .00 Other Fee Total 144.00 .00 .00 144.00 Grand Total 227.42 .00 .00 227.42 LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 54-908 Riviera La Quinta, CA 92253 City of La Quinta Apr 17, 2014 Dud insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace, ® Indoor Coil ® AFUE 78% ® SEER 13.0❑ ❑ COP HSPF ❑ R 6 (CZ 10-13) Served by system ®Setback If not already present, must be ® Condensing Unit ❑ EER ❑ Resistance ❑ R 8 (CZ 14-15) 1600 sf 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-4R forms (no hand filled CF-4Rs allowed) are filled out and signed. Beginning October 1, 2010, a registered copy of the CF-111 and CF-611 shall also be on site for final inspection. ® 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 CF-6R forms: MECH-04, 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 ..t ' Units, Duet lealkage < 15 FOF Pael...ged p 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 ❑ 4. The system will not be Ducted (ie: Ductless Mini-Split System) (Also Exempt from Refrigerant Charge) ❑ 2. New HVAC System Required; Forms: .Cut in or Changeout with CF 6R forms MECH 04 MECH 20 HERS; entl (fo split systems) ;M .CHw22 HERS, and new duds ,Gall new MECH 25;HER5 '` ducting and:all new 25 CF 4R'forms MECH-20, and (for split systems) MECH-22, and MECH 4 tf equipment)Y� s For Split Systems Duct leakage'< 6;percent; RC, CCA > 350 CerFM/ton, FWD, TMAH; STMS and eithefr HSPP'or PSPP} -.-., .. ',r•5 n 9i '4 tt�+r tl2 i,. ,A 'k f + r ,Y .. A 1 th " For Packaged Un sa;.Ductaeakage < 6 percents t 113. New:Du cts with/or withoutuired:Forms :- 1,4 Replacement . Includes.replacing'or installing all-..new ducting and/or.outdoor condensing unit CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace' "No or some CF-4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage.< 6 percent; RC, CCA >_300 CFM/ton, TMAH . For Packaged Units: Dud 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 linear feet of duct in unconditioned space. CF-4R forms: MECH-21 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: Mark Hyde Signature: Mark Hyde Company: CERTIFIED COMFORT SYSTEMS INC Date: Apr 17, 2014 Address: 42-949 MADIO STREET License: 906115 City/State/Zip: INDIO / CA / 92201 Phone: (760) 360-2202 _ Reg: 214-A0026994A-900000000-0000 Registration Date/Time: 2014/04/17 15:47:37 2008 Residential Compliance Forms HERS Provider: CalCERTS, Inc. July 2010 t Bin # City of La Quetta Building 8t Safety Division Permit.# P.O. Box 1504, 78-495 Calle Tampito La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address:'G0 1" ie Owner's Name: A. P. Number: Ct 0Yl /� �� Address: Legal Description: "' City, ST, Zip: �, �' % (� —L I S3 t•i Contractor: � / f- e' Telephone: Address: —` Z 1 K �� Project Description: City, ST, Zip: i l� A Telephone: 6c, State Lic. # : ('%� �. City Lic. #: i 2Z Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: A M- P cY: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft: 4 # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE TRACKING # Submittal Req'd RecdFCheck ' PERMIT FEES Plan Sets mittedItem Structural Calcs. Amount ,reay for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Eriergy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading, plan 2' Review, ready for correctionsrssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. A.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3' Review, ready for corrections/issue DeveloperImpact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks, Appr Date of permit issue School Fees Total Permit Fees