13-1353 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00001353
Property Address: 44850 SEELEY DR
APN: 604-226-002-119 -23268 -
Application description: MECHANICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 11000
Applicant:
Tiht 4 VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 lcommencing with
section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: C20 LicenseNo.: 878533
Date' 'k7obntr
ATION
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
p rmit 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, 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, 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 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: -I. X
LQPERMIT
Date: 10/23/13
Owner:
MAGGIE LOCKRIDGE -
44850.SEELEY DRIVE
LA QUINTA, CA 92253
(
Contractor:
ONE HOUR A/C & HTG
3030 MYERS STREET
RIVERSIDE, CA 9250
(951)276-9744 OCT 2 8 2013
Lic. No.: 878533 IIE!
CITY OF L:AQ6U10W]TAj
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 WS CO OF WEST - __ Policy Number WVE502266100
,,!f:Z:,te�Pcertify 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 s ith comply with those provisions.
Date'AO-A Z '
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 ($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 and state laws relating to building ccnst:�S . d hereby authorize representatives
_Vn, an
of this dounty to enter upon the above-mentioned property for I n purposes.
Dati-:19 __)`�__IiSignature (Applicant or Ag:e�nt
Application Number . . . . . 13-00001353
Permit . . . . . . MECHANICAL 2013
Additional desc . .
Permit Fee . . . . 47.67 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 4/21/14
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
----------------------------------------------------------------------------
Special Notes and Comments
HVAC CHANGE OUT - 80AFUE FURNACE AND
COIL (2008 ENERGY) CARBON MONOXIDE
ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2010 CALIFORNIA BUILDING
CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . PERMIT ISSUANCE M/P/E
90.57
PLAN CHECK, MECHANICAL
28.60
Fee summary Charged Paid Credited
---------- ---------- ---------- ----------
Due
-----------------
Permit Fee Total 47.67 .00 .00
47.67
Plan Check Total .00 .00 .00
.00
Other Fee Total 119.17 .00 .00
119.17
Grand Total 166.84 .00 .00
166.84
LQPERMIT
SireAddraw
0"0
E icammi cy.
Dorm
paw& #.
Vb-X-E,-t;�
I
Conditioned Floor
FAU10mcat T�Val
List W; EfrwicnCV2
Duct insulation requirement
Ana
Thermostat
Q�mckegcd Unit
07, boil
Cudeming Unit
got
BR_
P
CHOSP=
Resistance.
;Ovc.r 40 ft ofdocts added or
�ccd
R 6 (CZ 10-13)
fflacedlouncondiflonedspace
Scriedbysystem
vknc� sf
ffilswdr-41
Pawcaumbe
that
R a (CZ14-15)
L Equ4nned 7yX* Chme the eWpvmt bft &Wajjej� #,mom Mon on otrum we modw CF-IR-ALr-HVACfbre=hj�wejn.
HM VERNICATION SUMMARY usted below am fm HvAc aiteration opdonL The butailler decides who work is being done and
Ftdw -9 Qfdw WwFinto OftiouL Each Option Lists the RM momsurcs that must be conducted. A copy of the famis shall be Id on she for ftd
inspection and a copy gl— to the homeowner. At final, the inspector verities that the work listed an this form was in kd the work coWleted by the
installer. The Inspector also verifies did each appmpriew CF -6R and n&Wed CF -41t fww (no hand filled CF4ft allowed) am filled out and
docd Bednalm October 1. 2010. a ew of the CF -IR and CF -61L than she be on site for and Inaveedim
15 1. IFVAC Changeout
Required Forms:
• All HVAC Wpatent replaced
CF-6Rfwm* MECH-04.MECH-21-HERSog(forsplilsyst=)UnBCH-254MW
CP4R f0mor. MPZH- 21 and (fbr split mmems) MECH-25
• Condense CoilawlJor
• bwoor Coil and/or
CF-Mforms: MECH-21-MM MEW. 2S.H=
�Fwnwe
CF -4R fbruis: MECH- 21 and (Ibr split ristem) ��145
or Split Systew. Duct leakage < 15 peizent, RC, CCA a 300 CFMAon(Minirnum Air Flow Requiremertt), TMAH
For Packnged Unitas Duct leakage < 15 p
halmse testive
c'
I. DW system Wes documented to have been previously scaW ad confirmed Olono HERS vanfication, or
2. Dcot mv, with I= Man 40 thm feet In unconditioned space. or
[Mi
3. doct onysmammms constructed. insulated or seated wlth usbastos
(32- New EIVAC System
Required Form—s:
9 Cal In or Chageout with now
docts: (all new dacting AM all
Mat fonns* UECH-04, MECH-20-HERSand (for split systevas) MECH-22-HEM and MBCH-25-HERS
new Evi
CF4R fortas: MECH 20-, and (fitr split qyatcuw)MECH-27,, and MECH 25
For Split System: Duct leakage -c 6 percent; RC, CCA 350 CFKftn, FWD, TMAFI, STMS. and either HSPP or PSPP.
For Packaged-Unft-Dud ipomppe < 6 pment -
(33. New Ducts wtib/or wilbout Repbeement
RequiredForms:
9 Includes replacing or hatatting an new dacting
CF -M f--. MMU -04. MECH-20-HERSAad (for split rystains) MECH-25-H=
andforautd coadenwag volt amiler Indoor cad
CF4R fornm hIECII-20 and (for split system) IdECH-25
saftr fWasce. No or socre equipment charWd.
Flar Split System: Duct leakage < 6 percent, RC� CCA 2:300 CFMhon, TMAH
For Packand Units: Dud leaknite < 6 woent
04-NewDuctinsover0feet Required Form
Wuft CM08 or repleft more don 40 CF-Qfam= MECK-W,MECH-21-FIM CF -a fornw: NMCH-21
thsear fed ofdact in unconditioned q=L
For split Vstem or packaged untts�. Duct leabV < 15 permt
LI EXCEMON: Existing duct ristorns corahwted. insulated or seded with asbestm
ContructDr (Documentation Author's /Responsible Designees Declorutlon Statement)
I=dIyftftCcrdfi=ofCwVH- dm=mcnafionIv&ccunaaodoor*ktg,
I am oll6blo uftft Divislon 3 of tM CaUterria $wj= and plarcideop Co& to weep japaiWily for ft &Wp idwtflod an this catilloft of ConIP11=06
ar* 'W do c -v fton" -d Parforawnce veciticulons for to dedp McWaW on this CcMcm*fCwqH&= confoun to tece;Wremento *Mto24,
ftUlacd6oflkCaUfandaCWoofReplattaw.
TbedutPftmmidoWfledonddsCwdfimefCoaVrwmamcmmlftdsithftimfcmmdondo--04on .*-s 0 compli=0 tbraw. woe4hect6
xiacHlenflow u&mIttod to tM enbromment asency Fier appro%al with dw vonzat
Nun= e Re=ckt9nwdald . I SWXIWC C PVI--"'
�7\IeVMX4 yXIADNA jQ&L Date'
Add= Men
C Phow
I— F— Uo" ?/Ill)
Bin #
-0ty of La Quinta
Bidding at Safety Diviison . .
P.O. Box 1504, 78-495 Calle Tampfco
La QAta, CA 92253 - (760) 777-7012
Building Permit Application and Traddng Sheet
Pemirt #
1_�5_1353
PmjoaAd&=: 44%6b
Owner's Name -
A. P. Number Lao - 2_X0_
Addr=. A4LRIE0
Legal Description:
City, ST, 7ip: co -a-1;
Contractor �Arouy
Add—
Tcicphont:
Project Description: gza��e_ C�Cob
T
City_ - 7ip�n�j U -q&
CA - V -t
_akelDal - I -QV\ no t.
Tcicphonc!3!��k=Lo �cij,\q
City Lic. 6:
Arch., EnSr. Designer
Addrtm-
city, ST� zip:
Telciphone:
StftLic.#:
Name of Contact Person:
nsezuction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. FL: # StoTics: Unlw.
Telephone 0 ofConlact Person:
Estimated Value ofPmjccr.
APPLICANT: DO NOT WRITE BELOW THIS LINE
Submittal Recild
Rec1d TRA CMG PERMT FEES
Plan Stu
Plan Check submitted item Amount"
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit
Tress Cales.
Called Contact Person Plan Check Balance.
71de2dr-21cs.
Plans picked up Coam cilon
Flood ptaln plan
Plans rent6itted MCC112DIC21
Grading plal
r Review, ready for corrcctionslissue Electrical
Suboontactor list
Called Contact Person Plumbing
Grant Deed
I Plans picked up &KI.
— H.O.& Approval
Plans rciubmitted Grading
— IN HOUSJZ�_�
m Review, ready for cormcdowdissue Developer Impact Fee
— PlaardagAmoval
Called Contact Person AJ.P.P.
Pub.WkLAppr
to orpermit Issue
School Fees
I'Votal
Permit Fees