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13-0407 (MECH)
4 4 P.O. BOX 1504 SCA1I►NE� f�y VOICE (760) 77.7-7012 78-495 CALLE TAMPICO �''l�ll FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 4/04/13 Application Number: 13-00000407 Owner: Property Address: 49475 ALI CT OWEN MCGREAL APN: 649-630-076- - - 49475 ALI COURT Application description: MECHANICAL LA QUINTA, CA 92253 Property Zoning: LOW, DENSITY RESIDENTIAL (760) 342-2121 Application valuation: 3100 Contractor: ��-- Applicant: Architect or Engineer: J ANTHONY PLUMBING T/AI) A 72216 NORTH SHORE S 01 THOUSAND PALMS, CA 76 �n (760)343-2121 , Lu LiC. No.: 777794 t CIT! OF lA (1U1N7A FINANCE aEpT. '— LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business nd ProfessioAals Code, and my License is in full force and effect. License Cl ss: C20 C36 License No.: 77794 Date Contractor:`' V 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).: (_) 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 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.). (_ I 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: LQPE%NIIT 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 forby 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 WESCO INS Policy Number 3051016 1 certify that, in the Aperforme of the work for which this permit is issued, I shall not employ any person in any mato become subject to the workers' compensation laws of California, and agree that, icome subject to the workers' compensation provisions of Section 3700of the Labhe forthwith se provisions. D,�; Applic�:!.y1, 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 per it, or cessation of work for 180 days will subject permit to cancellation. 1 certify that 1 have read this application and statethat the b e information is correct. I agree to comply with all city and c un ordinances and state laws relating to b it n construction, and here a horize representatives of thi my enter upon the above-mentioned prope io Z Date. Signature (Applicant or Age i): IIIIIII I III III VIII (III 01 IE Application Number 13-00000407 Permit MECHANICAL Additional desc'. Permit'Fee... . ... 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation 0 Expiration Date 10/01/13 Qty Unit Charge. Per Extension' BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 ---------------------------------------------------------------------------- Other Fees . ... . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged --------------------------- ---------- Paid Credited -------------------- Due Permit Fee Total 24.00 .00 .00 24.00 Plan Check Total 6.00 00 .00 6.00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 31.00 .00 .00 31.00 LQvr RM IT Bin # City .-0 Qullltd.. BUIMW 1Z Safety Division P.O. Boz.1504,-78-495 Calle Tampico La-Quinta, CA 92253 - (760) 2'77-7012 Building Permit Application and Tracking Sheet P&,Wt # : �.' Project Address: Owner's Name:.©(VLW M C- A. P. Number. Address: SA-rVr T,egsl Description: City, ST, Zip: Contractor. Address: 722% NORTH SHORE ST. STE 101. Telephone: /,D 777 8190 Project Description: We 14cf r®� HALMS, CA 92276 City, ST. Zip:/ . Telephone:760 34Z 21 21 State Lic. #: 7 7 7 . City Lic ArdL. 13W.. Designer. Address: City, ST, Zip: Telephone: State Lia #: _ Construction Type:. Occupancy: Project type (circle one): New Add'a Aher Repair Demo Name of Contact Person: Sq. FL: # Stories: # Units: Telephone # of Contac Person:Fstimatod Value of Project: 6 OQ APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Raga Recd TRACUVG P13itMTF FEES Plan Sets Pian Cheek submitted Item Amount Structural Crlcs. Reviewed, ready for corrections Plan Check Deposit. . 'Russ Cates. Called Contact Person Plan Check Balance. Title 24 Calci.Plans picked up Constractlou Flood plata plan Plans resubmitted.. MecharilW Girding plan 21 Review, ready for eorcectionsrrssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up. S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review; ready for cormcdondissue Developer Impact Fee Planalug Approval Called Contact Person AJ.P.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: OWEN MCGREAL La Quinta, CA 92253 City of La Quinta Apr 4, 2013 Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ❑ Furnace [3 Indoor Coil ❑ AFUE 0 SEER 13.0 ❑ COP13 [3HSPF R 6 (CZ 10-13) Served by system ® Setback If not already present, must be 0 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 -611 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. 0 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 -411 forms: MECH-21 and (for split systems) MECH-25 • Condenser Coil and /or • Indoor Coil and /or CF -611 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 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 new ducts: (all new CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-22-HERS, and ducting and all new equipment) MECH-25-HERS CF -4R forms: MECH-20, and (for split systems) MECH-22, and MECH-25 For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with/or without Required Forms: Replacement . Includes replacing or installing all new ducting and/or outdoor condensing unit CF -611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace. No or some CF -411 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 -611 forms: MECH-04, MECH-21-HERS linear feet of dud In unconditioned space. CF -4R forms: MECH-21 For split system or packaged units: Dud leakage < 15 percent ❑ EXCEPTION: Existing dud 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: Kevin Robinson Signature: Kevin Robinson Company: ] ANTHONY PLUMBING HEATING & AIR CONDITIONING Date: Apr 4, 2013 Address: 72216 NORTH SHORE ST #101 License: 777794 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-2121 Reg: 213-A0020019A-000000000-0000 Registration Date/Time: 2013/04/04 11:56:53 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010