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13-1436 (MECH)P.O. BOX 1504 78*495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tityl 4 4 Qmbtk Architect or Engineer: -------------------------- UCI:S,�D ONTRAC _I I hereby affirm under penalty of perjury that I .. d under Section 7000) of Division 3 of the Busines�sand lessonals( License C�ss: C20 'ciate., 'if?'//3 I-Contrac,�r: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT rvisions of Chapter 9 (commencing with , and my License is in full force and effect. No.: 954337 I hereby a ffirm under penalty of perjury that I amfexempt/rom t6Ae Contractor's State License Law for the following reason (Sec. 7031.5, Business and Pro essionsjUo a: ny 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 lcommencing with Section 7000) of Division 3of 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 ($500).: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale ISec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractors) licensed pursuant to the Contractors' State License Law.). I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: SHIPLET BOB 55685 RIVIERA LA QUINTA, CA 92253 (209)484-1174 Contractor: ALL DAY HEATING & C 83947 MOONLIT DRIVE COACHELLA, CA 92236 (760)834-1064 Lic. No.: 954337 VOICE 17101777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/12/13 NOV 1 29 2013 A %MVg;C'Ty0F$. 7 J.� e .4 INACP "2- r4 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of th a 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 msur nce, as required by Section 3700 of the Labor Code, for the performance of the work for which his permit is issued. My workers' compensation insurance carrier and policy num r are,, Carrier NORGUARD INS Oi.y Number C4150495 n I certify that, in the performance i the work for hi this permit is issued, I shall not employ any person in any manner so as t ?e, ome subjec t the workers' compensation laws of California, hat, if I should bet and agree I Je subject'to tworkers'compensation provisions of Section 3700 of the Labor C�dXel " f rth 6 c pl with those,provisions. III , - — - 7 - - 3' Ap c 17 l5at;.� plit WARNING: FAILURE TO SECURE WORKERS' COMPEN ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AN 'CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST 0 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AN ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permif 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 omis 'on relate 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 oi work is not commenced within 180 days from date of issuance of such per i or cess jol of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the abo forma ' is orrect. I agree to comply with all city and county ordinances and state laws relating to building struc , and eby authorize representatives of this�ofntyjTenter upon the above-mentioned property spa o urposes. Date: sidnw re (Al5piicant or Agent):-' Application Number: _13_-'00001436' Property Address: 55685 RIVIERA APN: 775 -242 -002 - Application description: - MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 11500 Tityl 4 4 Qmbtk Architect or Engineer: -------------------------- UCI:S,�D ONTRAC _I I hereby affirm under penalty of perjury that I .. d under Section 7000) of Division 3 of the Busines�sand lessonals( License C�ss: C20 'ciate., 'if?'//3 I-Contrac,�r: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT rvisions of Chapter 9 (commencing with , and my License is in full force and effect. No.: 954337 I hereby a ffirm under penalty of perjury that I amfexempt/rom t6Ae Contractor's State License Law for the following reason (Sec. 7031.5, Business and Pro essionsjUo a: ny 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 lcommencing with Section 7000) of Division 3of 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 ($500).: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale ISec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractors) licensed pursuant to the Contractors' State License Law.). I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: SHIPLET BOB 55685 RIVIERA LA QUINTA, CA 92253 (209)484-1174 Contractor: ALL DAY HEATING & C 83947 MOONLIT DRIVE COACHELLA, CA 92236 (760)834-1064 Lic. No.: 954337 VOICE 17101777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/12/13 NOV 1 29 2013 A %MVg;C'Ty0F$. 7 J.� e .4 INACP "2- r4 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of th a 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 msur nce, as required by Section 3700 of the Labor Code, for the performance of the work for which his permit is issued. My workers' compensation insurance carrier and policy num r are,, Carrier NORGUARD INS Oi.y Number C4150495 n I certify that, in the performance i the work for hi this permit is issued, I shall not employ any person in any manner so as t ?e, ome subjec t the workers' compensation laws of California, hat, if I should bet and agree I Je subject'to tworkers'compensation provisions of Section 3700 of the Labor C�dXel " f rth 6 c pl with those,provisions. III , - — - 7 - - 3' Ap c 17 l5at;.� plit WARNING: FAILURE TO SECURE WORKERS' COMPEN ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AN 'CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST 0 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AN ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permif 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 omis 'on relate 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 oi work is not commenced within 180 days from date of issuance of such per i or cess jol of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the abo forma ' is orrect. I agree to comply with all city and county ordinances and state laws relating to building struc , and eby authorize representatives of this�ofntyjTenter upon the above-mentioned property spa o urposes. Date: sidnw re (Al5piicant or Agent):-' Application Number . . . . . 13-000.01436 Permit MECHANICAL 2013 Additional desc Permit Fee 166.84 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 5/11/14 Qty Unit Charge Per Extension 2.00 35.7500 EA MECH FURNACE 71.50 2.00 11.9200 EA MECH APPL REP/ALT 23.84-- ? nn 3q 7500 RA MECH AIR H-zLWT-nLFR 71.50 ------------------------------------------------------------- --------------- Special Notes and Comments (2) HVAC CHANGE OUT CONDENSER OUTSIDE FURNACE INSIDE ALSO.(2) COIL CHANGE OUTS. 16SEER[2008 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2010 CALIFORNIA BUILDING CODES. ------------ --------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 11.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 104.86 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 196.43 .00 .00 196.43 Grand Total 363.27 .00 .00 363.27' LQPERN11T r, Bin # Qty of La Quinta B uil�lng &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (�60) 777-7012 Building Permit Application -and Tracking Sheet Permit # Project Address: —0, Owner's Name: Sc, Z A. P. Number: Address: Legal Description: City, ST, Zip: 2 Contractor: telephoner�), Address: Project Description: tj p�.,f City, ST, Zip: Telepho6. State Lic. # S_L4 3 City Lic. #.. c-, Arch., Engr., Designer: Address: City., ST, Zip: Called Contact Person Telephone: State Lic. #: ........ . ................. Name of Contact Person: k C_ Z7 7e Construction Type: Occupancy: Project type (circle one): New Add'n Repair Demo Sq. Ft.: 4 Stories: #Units: Telephone #,of Contact Lers2 Ch -2 =D� OCIL Estimated Value of Project: APPLICANT: DO NOT WRITF Rr-i nwrt4i-q i irjr- N Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check. submitted Itcm Amount* Structural Calcs. Reviewed, ready for corrections Plan Check Dcp*sit Truss Calcs. Called Contact Person Plan Check Balance. Title 24.Calcs. Plans picke . d up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical SubcontaCtor List Called Contact Person Plumbing Grant Dced Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Reyiew, ready for corrections/issue Developer Impa-t Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees STATE OF CALIFORNIA 2008 RESIDENTIAL HVAC ALTERATIONS: CLIMATE ZONES 10 TO 15 CEC- CF -1R -ALT -HVAC (Revised 07/10) CALIFORNIA ENERGY COMMISSION Simplified Prescriptive Certificate of Compliance: 2008 Residential HVA C Alterations CF -1R -ALT -HV Climate Zones 10 to 15 Site A ddress: Enforcement Agency: Date- Permit Conditionec Floor Eq ipment Type' List Minimu Efficiency 2 Duct insulation requirement Area Thermostat 0 Packaged Unit Furnace 0 AFUE 0 COP Over 40 ft of ducts added or Setback t Indoor Coil OSEER 1 (.9 0 HSPF replaced in unconditioned space Served by system not already Condensing Unit 0 EER 0 Resistance OR 6 (CZ 10-13) Q-CsD sf present, must be Other 0 R 8 (CZ 14-15) installed) 1. Equipment Type: Choose the equipment being installed,- ifmore than one system, use another CF-1R-ALT-HVACjbr 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 forim 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 -IR and CF -6R shall also be on site for final inspection. 1. HVAC Changeout Required Forms: All HVAC Equipment replaced I CF -6R forms: MECH-04, MECH-2.1 -HERS and (for split systems) MECH- 25 -HERS CF4R forms: MECH-21 and (for split systems) MECH-25 Condenser Coil and/or Indoor Coil and/or CF-61tforms: MECH-21 -HERS and (for split systems) MECH-25-HERS CF-4Rforms: MECH-21 and (for split systems) MECH-25 Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA �� 300 CFNVton(Minimum Air Flow Requirementi, TMAH For Packaged Units: Duct leakage < 15 percent Exempted from duct leakage testing if - 0 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, ar 0 2. Duct systems with less than 40 linear feet in unconditioned space, or 0 3. Existing duct systems are constructed, insulated or sealed with asbestos 0 2. New HVAC S stem 1 Required Forms: 9 Cut in or Changeout with new ducts: (all new ducting nd all CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-224iERS, and MECH-25-HERS - 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, STMS, and either FSPP or PSPP. For Packaged Units: Duct leakage < 6 percent 113. 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 CFNVton, TMAH For Packaged Units: Duct leakage < 6 percent 0 4. New Ducting over 40 feet Required Forms: Includes adding or replacing more than 40 CF -6R forms: MECH-04, MECH-21 -HERS CF -4R forms: MECH-21 linear feet of duct in unconditioned space. For split system or packaged units: Duct leakage < 15 percent 0 EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) e I certify that this Certificate ofCompliance documentation is accurate and complete. 0 1 am eligible under Division 3 ofthe California Business and Professions Code to accept responsibility for the design identified on --his Certificate ofCompliance. I certify that the energy features and performance specifications for the design identified on this Certificate ofCompliance conforin to the requirements ofTitle 24, Parts I and 6 ofthe California Code ofRegulations. I The design featur es identified on this Certificate ofCompliance are consistent with the informatio d e red o/otrpplicable compliance forms, worksheets, n calculations, plans and specifications submitted to the enforcement agency for approval with the pe i pplicatjo tj P1 Name: t --i , 5—,� C Signature: \C Company: ate: Address: !�3 3 Licens4: 2008 Residential Compliance Forms July 2010 STATE OF CALIFORNIA 2008 RESIDENTIAL HVAC ALTERATIONS: CLIMATE ZONES 10 TO 15 CEC- CF -1R -ALT -HVAC (Revised 07/10) CALIFORNIA ENERGY COMMISSION Simplified Prescriptive Certificate of Compliance: 2008 Residential HVA CAlterations CF -IR -ALT -HVAC Climate Zones 10 to 15 I City/State/Zip: I-- <�,-v C�:,f -3 /� I PhonK-----,,,,) ' I 2008 Residential Compliance Forms July 2 010 STATE OF CALIFORNIA 2008 RESIDENTIAL HVAC ALTERATIONS: CLIMATE ZONES 10 TO 15 All, CEC- CF -1 R -ALT -HVAC (Revised 07/10) CALIFORNIA ENERGY COMMISSION Zim:ilifled rescriptive Certificate of Compliance: 2008 Residential HVA C Alterations CF-lR-ALT-HVAC Climate Zones 10 to 15 SileAddress: Enforcement Agency: Date- Permit ES_ -pi"i E Conditioned Floor Equipment Typel List Minimum Efficiency 2 Duct insulation requirement Area Thermostat 0 Packaged Unit Furnace 0 AFUE 0 COP Over 40 ft of ducts added or Setback �Ifnot Indoor Coil OSEER I (a 0 HSPF replaced in unconditioned space Served by systm already Condensing Unit 0 EER 0 Resistance OR 6 (CZ 10- 13) v)-00 sf present, must be Other 1 0 R 8 (CZ 14-15) installed) 1. Equipment Type: Choose the equipment being installed; ifmore than one system, use another CF-lR-ALT-HVACjbr 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 wha, 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 form; shall be left on site for final inspection and acopy given to the homeowner. At final, the inspector verifies that the work listed on this form was in flact the work completed by the installer. The inspector also verifies that each appropfiate 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 -IR and CF -6R shall also be on site for final inspection. 1. HVAC Chanigeout Required Forms: All HVAC Equipment replaced CF -6R forms: MECH-04, MECH-21 -14ERS and (for split systems) MECH- 25 -HERS CF4R forms: MECH-21 and (for split systems) MECH-25 Condenser Coil and /o r Indoor Coil and/or . CF-611forms: MECH-21 -HERS and (for split systems) MECH-25-HERS CF -4R forms: MECH-21 and (for split systems) MECH-25 Furnace I For Split Systems: Duct leakage < 15 percent; RC, CCA �! 300 CFIVVton(Minimum Air Flow Requirement -1, TMAH For Packaged Units: Duct leakage < 15 percent Exempted from duct leakage testing if: 0 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or 0 2. Duct systems with less than 40 linear feet in unconditioned space, or 0 3. Existing duct systems are constructed, insulated or sealed with asbestos 112. New HVAC System Required Forms: Cut in or Changeout with new ducts: (all new ducting 2nd all CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS 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, STMS, and either F -SPP or PSPP. For Packaged Units: Duct leakage < 6 percent 13 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 0 4. New Ducting over 40 feet Required Forms: Includes adding or replacing more than 40 CF-6Rfonns: MECH-04,MECH-21-HERS CF -411 forms: MECH-21 linear feet of duct in unconditioned space. For split system or packaged units: Duct leakage < 15 percent 0 EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) 0 1 certify that this Certificate of Compliance documentation is accurate and complete. 0 1 am eligible under Division 3 ofthe California Business and Professions Code to accept responsibility for the design identified on this Certificate ofCompliance. I certify that the energy features and performance specifications for the design identified on this Certificate ofCompliance conforn- to the requirements offitle 24, Parts I and 6 of the Cal ifornia Code of Regulations. The design features identified on this Certificate ofCompliance are consistent with the information d ented o compliance forms, worksheets, �Ip r6pplicabl- calculations, plans and specifications submitted to the enforcement agency f ith the peJit pplicatici approval w .or Name: Signature: Company: /04ate: Address: Licen 'ic 2008 Residential Compliance Forms July 2010 STATE OF CALIFORNIA 2008 RESIDENTIAL HVAC ALTERATIONS: CLIMATE ZONES 10 TO 15 rat, C EC- C F- 1 R -ALT -HVAC (Revised 07/10) CALIFORNIA ENERGY COMMISSION 7LEM:pfiffied rescriptive Certificate of Compliance: 2008 Residential HVA CA Iterations CF-IR-ALT-RVAC Climate Zones 10 to 15 City/State/Zip: 3,(-/ —TP—honL21 0� 8-t 2008 Residential Compliance Forms July 2 010