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08-1838 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00001838 Property Address: �' 56618 -RIVIERA APN: 762 -023 -002 - 62-023-002-Application-description: Application -description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 4800 T d-q� 4 4 Q" Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 17 Profess io als Co e, and my License is in full force and effect. License Clas : C10 C16 C2 Lic s N .: 4575 3-. ^ v t Date: ' / tJ Contractor: OWN R -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1, exe pt 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 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.). I—) 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 ISec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: WATTS, WILLIAM 56618 RIVIERA LA QUINTA, CA ( Contractor: PREFERRED PLUM P.O. BOX 5120 PALM SPRINGS, (760)322-3173 Lic. No.: 4575 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/12/08 92253 — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — --cr ----—--—— WORKER'S ---—--—— 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 DELOS INS CO Policy Number OIDKRM12002143 _ 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 be Sme subject to the r ers' mpensation provisions of Section 3700 of the Labor Code, I IIOf t.Ode, I fo thWlh P, WVth a PlOV1510wa provisio—Date��APPlicant, . WA ING: FAILURE TO SECURE WORKER$' COMPE SATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI S D 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. 12. 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 correc I agree to comply with all city and county ordinances and state laws relating to building c struction, and r y e representatives of this county to enter upon the above-mentioned property f nspe tion P Date:AAI_ Signature (Applicant -or Agent): i y Application Number . . . . . 08-00001838 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date Valuation . . . . 0 Expiration Date 5/11/09 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 REPLACE HEATING & AIR COOLING SYSTEM (5) TON 15 SEER ROOFTOP UNIT.SCREENED UNIT Fee summary Charged --------------------------- Paid Credited Due ---------- Permit Fee Total' 33.00 -------------------- .00 .00 33.00 Plan Check Total 8.25 .00 .00 8.25 Grand Total 41.25 .00 .00 41.25 LQPERMIT CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 1) CF -IR -A Project Title MIL&114 1 uJ /7 � Date i / / io leg ' Building Pemmit # Project Address .�� /�� / Lav/�✓r� 9aa� Documentation Author Telephone Plan Check:/ Date.. ; :. 3 ` U Duct systems with less than 40 linear feet of ducts in unconditioned space. Field Check/Date`' Compliance Method (Prescriptive — HVAC and/ Climate Zone Enforcement Agency Use'Onty or Duct System Alteration - § 152(b)IC, D, and E) HVAC SYSTEMS Heating Equipment Type Minimum Distribution Type Duct or Piping Thermostat Type Configuration and Capacity (furnace, heat Efficiency and Location (ducts, Insulation (setback) (split or package) pump, boiler, etc. (AFUE or HSPF) attic, etc. R -Value O Cooling Equipment Type and Capacity (A/C, heat pump, evap cooling) Minimum Duct Location Efficiency (attic, etc.) (SEER or EER) Duct Insulation Thermostat Type Configuration R -Value (setback) (split or package) ?e- ❑ Duct systems that are documented to have been previously sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual. G D Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos? 3 ❑ Duct systems with less than 40 linear feet of ducts in unconditioned space. SEALED DUCTS, REFRIGERANT CHARGE (TXV) AND EER Before the permit can be finalized, a signed CF -6R Form and CF -4R Form must be provided to the building department for any of the fnlinwinv comnliance renuirements that are ✓ ✓ Compliance Requirements Ek Baled Ducts (Climate Zones 2 and 9-16) - Installer testing and HERS Rater field verification required TXV (Climate Zones 2 and 8-15) - Installer testing and HERS Rater field verification required' ❑ Refrigerant Charge (Climate Zones 2 and 8-15) - Installer testing and HERS Rater field verification required' ❑ ALTERNTAVE to Duct Testing: High EER as indicated in Table 8-3 of the Residential Compliance Manual (SEE Table 8-3 for additional requirements and available Compliance Options) - Installer testing and HERS Rater field verification re uired ',The prescriptive requirement for either a refrigerant charge or a TXV does not apply to packaged units. EXCEPTIONS If anv of the fnllnwina three excentinns are ✓- the duct system is exemnt from sealed ducts # ✓ Exceptions 1 ❑ Duct systems that are documented to have been previously sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual. 2 ❑ Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos? 3 ❑ Duct systems with less than 40 linear feet of ducts in unconditioned space. Duct alterations are exempt from duct sealing ONLY if they meet Exception 2 above. SPECIAL FEATURES REQUIRING HERS RATING VERIFICATION A ✓ ;ndirntee which cmml;nnra rennirementc are nart of this nrniect and need HERS rater verification ✓ Compliance Requirements Installer Forms (if applicable) HERS Rater Forms (if applicable) ❑ Duct Sealing CF -6R pages 3 and 4 of 12 CF -4R page 1 of 8 Thermostatic Expansion Valve (TXV) CF -6R pages 3 and 5 of 12 CF -4R page 3 of 8 Re igerant Charge CF -6R pages 3, 5 and 6 of 12 CF -4R pages 3 and 4 of 8 igh EER CF -6R pages 3 and 8 of 12 CF -4R page 5 of 8 Bin # City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 -Building Permit Application and Tracking Sheet Permit # Project Address:' 7t/jj;r- 1�21 Owner's Name: A. P. Number: Address: -5—(�/g x/ Legal Description: City, ST, Zip: Preferred'Air Conditioning dba Contractor: preferred Plumbing.Heat in &Ai Telephone: •-: �: v° Address: PO Box 5120 Project Description: .490/z 6V/ OI A4' City,ST,Zip:pa'lm Springs, CA'92263 754;e, Telephone: ( 760 ) 3 2 2.'3173 jV/7"Akdzc % State Lie. #: 4 5 7 5 54 City Lie. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: b State Lie. #: Name of Contact Person: DQ /k,/ Construction Type: Occupancy: Project type (circle one): New Add'n er epair , Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: , 0 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING. PERMIT FEES Plan Sets Plan Check submitted Ite Amount Structural Cafes. Reviewed, ready for corrections Plar Check Deposit Truss Cafes. Called Contact Person Plar Check Balance Energy Cafes. Plans picked up Con tructlon Flood plain plan Plans. resubmitted Mec anical Grading. plan' 2"d Review, ready for'correctionsfissue Ele rical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Reyfew, ready for corrections/issue Dev toper Impact Fee Planning Approval Called Contact Person A.I..P. I.Pub.Wks.Appr Date of permit issue School Fees " Tota I Permit Fees