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12-1447 (MECH)79760 Arnold Palmer T ' I IIIIIII VIII III VIII(III 24 P.O. BOX 1504 IE VOICE(760)777-7012 'Tit!t 4 78-495 CALLE TAMPICO FAX(760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS(760) 777-7153 BUILDING PERMIT Date: 12/19/12 Application Number: '-12-00001447 Owner: Property Address: 79760 ARNOLD PALMER ROBERT LINDSTROM D APN: 775-241-067- - - 79760 ARNOLD PALMER Application description: MECHANICAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 3000 ~' .19 1012 Contractor: CITY OF LA QUINTA Applicant: Architect or Engineer: ONE HOUR A/C & HTG FINANCE 7EPT 3030 MYERS STREET RIVERSIDE, CA 92503 (951)276-9744 Lic. No. : 878533 ----- -- -- -------`--- ---- -------------------------- -- ----- ---- --------------- - --------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000)of Division 3 of the Business and Profess' nals Code,and my License is in full force and effect. _ I have and will maintain a certificate of consent to self-insure for workers'compensation,as provided License Class: C20 License No.: 878533 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ate tractor: 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 workerscompensation OWNER-BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier EVEREST NATL Policy Number CA10001300121 following reason(Sec.7031.5,Business and Professions Code: Any city or county that requires a permit to _ I certify that,in the performance of the work for which this permit is issued,I shall not employ any construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for the person in any manner so as to become subject to the workers'compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that,if I should become subject to the workers'compensation provisions of Section License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 3700 of the Labor Code,I shall forthwith comply with those provisions. 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).: ate: plicant: , 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 WARNING: FAILURE TO SECURE WORKERS'CO P SATION COVERAGE IS UNLAWFUL,AND SHALL Contractors'State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees,provided that the DOLLARS($100,000). IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If,however,the building or improvement is sold within SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT 1_I I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044,Business and Professions Code: The Contractors'State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon,and who contracts for the projects with a contractor(s)licensed 1. Each person upon whose behalf this application is made,each person at whose request and for pursuant to the Contractors'State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, 1_I I am exempt under Sec. B.&P.C.for this reason 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. Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued(Sec.3097,Civ.C.). city and county ordinances and state laws relating to building construction,and hereby authorize representatives eDfale: his county to enter up the above-mentioned property for inspection.purposes. Lender's Name: ` —1' ignature(Applicant or Agent): Lender's Address: LQPERMIT Application Number . . . . . 12-00001447 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date Valuation 0 Expiration Date 6/17/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 'EA MECH FURNACE <=100K 9.00 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE-OUT: REPLACE 60000 BTU FURNACE IN ATTIC. 2010 CODES. ---------------------------------------------------------------------------- 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. LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVA C Alterations CF-M-ALT-HVAC Climate Zones 10 to 15 Site Address: 79760 Arnold Palmer La Quinta EnforcenrentAgeney:�goLaMhe Date:12-19-12 Permit#: Conditioned Floor Equipment T e' List Minimum Efficiency 2 Duct insulation requirement Area Thermostat Packaged Unit Over 40 ft of ducts added or x x Furnace �AFUE 8e% �COP �Setback laced in unconditioned space Served by system ( Indoor Coil EER HSPF re lfnot already Condensing Unit ®EER Resistance R 6 (CZ 10-13) tsoo sf present,must he Other R 8 (CZ 14-15) installed) 1.Equipment Type:Choose the equipment being installed;if more than one system, use another CF-IR-ALT-HVACfor 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-1R and CF-6R shall also be on site for final inspection. E]1.HVAC Changeout Required Forms: • All HVAC Equipment replaced CF-6R forms: MECH-04,MECH-2I-HERS and(for split systems)MECH-25-HERS CF-4R forms: MECH-21 and fors lits stems MECH-25 • Condenser Coil and/or • Indoor Coil and/or CF-6R forms: MECH-2I-HERS and(for split systems)MECH-25-HERS 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 For Packaged Units: Duct leakage< 15 percent Exempted from duct leakage testing if: 1.Duct system was documented to have been previously sealed and confirmed through HERS verification,or C 2.Duct systems with less than 40 linear feet in unconditioned space,or E]3.Existin ducts stems are constructed,insulated or sealed with asbestos 2.New HVAC System Required Forms: • Cut in or Changeout with new CF-6R forms: MECH-04,MECH-20-HERS,and(for split systems)MECH-22-HERS,and MECH-25-HERS ducts:(all new ducting and all 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 HSPP or PSPP. For Packaged Units:Duct leakage<6 percent Q 3.New Ducts with/or without 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 coil CF-4R forms:MECH-20 and(for split systems)MECH-25 and/or furnace. No or some equipment changed. For Split Systems:Duct leakage<6 percent,RC,CCA>300 CFM/ton,TMAH For Packaged Units: Duct leakage<6 percent 4.New Ducting over 40 feet Required Forms: • Includes adding or replacing more than 40 CF-6R forms: MECH-04,MECH-2l-HERS CF-4R forms: MECH-21 linear feet of duct in unconditioned space. For splits stem or packaged units: Duct leakage< 15 percent EXCEPTION:Existing ducts stems 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. • 1 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 andspecifications submitted to the enforcement a encv f r approval with the permit application. Name: Signature: Company:Dail One Date:1 2-19-12 Address:2712 E. La Cadena Dr License:878533 City/State/Zip:Riverside, CA 92507 Phone:951-26-9744 7OnR Aka -h Mln j Bin.# i City of La Quinta Building&T Safety Division Permit# P.O.Box 1504,"76-495 Calle Tampico La.Quinta,CA 92253-(760)777-7012 Building Permit Application and Tracking Sheet ProjectAddress: Q -11 Owners Name:. A- P.Number. ''I'l 5- _ o Address: (Qp Legal Description: City,ST,Zip: QUI%A6 , as Contractor. `fir~>�' Telephone: >�;. pa ` :x: Address: L'CaAel"r, Project Description: Cbc) T(k City,ST,Zap: 1 a.StS"IIT2 bl Telephon State Lic.#: 5 City Lie..#; Arch.,Engr.,Designer. P Address: City.,ST,Zip: Telephone: `a Construction Type:. Occupancy: State Lic.#; Project type(circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq.FL- #Stories: #Unit$-. Telephone#of Contact Person: Estimated Value of Project clt> APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACRING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calm Reviewed,ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cates. Pians picked up Construction' Flood plain plan Plans resubmitted.'. Mechanical Grading plan r,Review,ready for correctionsfissue Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A.Approval Plans resubmitted Grading IN HOUSE:- '^'Review,ready for eorrecti'nslissue Developer Impact Fee Planning Approval. Called Contact Person A.LP.P. Pub.Wks.Appr Date of permit issue School Fees Total Permit Fees IIIIIIIIIIIIIIIIIIIIIII 25 Page ( of IE DAVE STEAVENS Inspection Services. PROJECT W -4N wG s - F*, PROJECT # a 00 S"- 1'J ADDRESS 'I -.Moo A a o tt- Zl.rnE2 CLIENT kC�A w c:t--: No K DATE ca Mf�ZC-w' BLDG. PERMIT # ARCHITECT �ov3A FE r�cH . ENGINEER)u y,;� CONTRACTOR INSPECTION TYPE INSPECTION REPORT . ��•T,A �� a �� i_`t t.1 is r��.�� - e�,...�Lcz--�`' CERTIFICATION OF COMPLIANCE:To the best of our knowledge, all of the reported work, unless otherwise noted, substantially complies'with approved plans, specifications and applicable sections of the building codes.This report covers the locations of the work inspected only and does not constitute engineering opinion or project control. CERT.NO. O INSPECTOR NAME Print Clearty) DATE ., INSPECTOR SIGNATURy