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14-0941 (MECH)
54775 Avenida Alvarado IIIIIIIIIIIIIIIIIIII11 36 IE P.O. BOX 1504 - 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: 14-00000941 54775 AVENIDA ALVARADO 774-292-030-4 -000000- MECHANICAL COVE RESIDENTIAL 5000 cetty/4 4 atibisi Architect or Engineer: N.V-) BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: LOCKARD 54775 AVENIDA ALVARDO LA QUINTA, CA 92253 (760)771-0925 Contractor: CAVANAUGH ELECTRIC & AIR 83231 HIGHWAY 111 INDIO, CA 92201 (760)347-3608 Lic. No.: 286936 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/26/14 UCENSED CONTRACTOR'S DECLARATION 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 and Professionals Code, and my License is in full force and effect. License Class: C20 -C10 License No.: 286936 Date:4' Z5 J4 Contractor: Fie L/W"Y• 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 (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 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 am exempt under Sec. , 6.&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 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 TWIN CITY INS Policy Number 72 WECDW3521 _ 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 (.should become subject to the workers' compensation provisions of Section 3/700 of the Labor Code, I sha forthwithcomplywith th se provisions. Date:b'2J;14 Applicant: 6 Aom WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COV AGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE 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. APPUCANT 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 Quints, 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 construction, and hereby authorize representatives of this county to enter upon the above-mentioned propert for i •ectig0 purposes. Date:645:44f Signature (Applicant or Agent): Application Number 14-00000941 Permit Additional desc Permit Fee . . Issue Date . . Expiration Date Qty 1.00 1.00 1.00 Unit Charge 35.7500 11.9200 35.7500 MECHANICAL 2013 83.42 12/23/14 Per EA EA EA. Plan Check Fee . . Valuation . . . . MECH FURNACE MECH APPL REP/ALT MECH CONDENSER/COMP .00 0 Extension 35.75 11.92 35.75 Special Notes and Comments HVAC CHANGE OUT - 13SEER/737HSPF SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. Other Fees Fee summary Charged Permit Fee Total Plan Check Total Other Fee Total Grand Total LQPERMIT 83.42 .00 143.00 226.42 PERMIT ISSUANCE M/P/E PLAN CHECK, MECHANICAL Paid Credited .00 .00 .00 .00 .00 .00 .00 .00 90.57 52.43 Due 83.42 .00 143.00 226.42 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -1R -ALT -HVAC Climate Zones 10 - 15 Site Address: 54-775 avenida alvarado La Quinta, CA 92253 Enforcement Agency: City of La Quinta Date: Jun 25, 2014 Permit #: Equipment Typel List Minimum Ef lciency2 Duct insulation requirement Conditioned Floor Area Thermostat ER Package Unit ER Furnace 52 AFUE 52 COP Served by 52 Setback Q Indoor Coil 52 SEER 13,0 52 HSPF 7..7If 52 R 6 (CZ Ip -13) system 2000 sf not already present, must be 6 Condensing Unit I EER I Resistance R 8 (CZ 14-15) installed) Q Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -IR -ALT -HVAC 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems. for each system. 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. ' IR 1. HVAC Changeout Required Forms: CF -6R forms: MECH-04, MECH-21-HERS tems) MGL H_25 HERS • All HVAC Equipment replaced D^a (for cpl.t sy` CF -4R forms: MECH-21 • Condenser Coil and /or CF -6R forms: MECH-04, MECH-21-HERS • Indoor Coil and /or CF 4R forms: MECH-21 +4F^_ _plit .,_t _. MC! 4!_ 5 • Furnace 44 . _ ... .. _ .. , . - .... .,.. _ .. For Packaged Units: Duct eakage < 15 percent Exempted from duct leakage testing if: 62 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or R 2. Duct systems with less than 40 linear feet in unconditioned space, or IR 3. Existing duct systems are constructed, insulated or sealed with asbestos N 4. The system will not be Ducted (ie. Ductless Mini -Split System) (Also Exempt from Refrigerant Charge) 552 2. New HVACSystem Required Forms: _ . Cut in or,Changeout with new ducts: (all new ducting and all new equipment) CF -6R forms:'MECH-04, MECH-20-HERS, and (for split systems) MECH-22-HERS, and MECH-25-HERS / , / .1 f CF 4R forms: MECH 20, and (for -split systems)'MECH 22,fand MECH-25 - f i / f For Split Systems: Duct leakage < 6 percent; RC, CCA 2 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent') 1 _ ..< i. . J/_ , / r i / , -,, 52 3. New Ducts with/or without Replacement Required Forms: . Includes replacing or installing all new ducting and/or outdoor condensing unit and/or indoor coil and/or furnace. No or some equipment changed. CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS CF -4R forms: MECH-20 and (for split systems) MECH-25 For Split Systems: Duct leakage < 6 percent; RC, CCA .__ 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent IR 4. New Ducting over 40 feet Required Forms: • Includes adding or replacing more than 40 linear feet of duct in unconditioned space. CF -6R forms: MECH-04, MECH-21-HERS CF -4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent jX EXCEPTION: Existing duct 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 Califomia 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: Rod Cavanaugh 'Signature: Rod Cavanaugh Company: CAVANAUGH ELECTRIC Date: Jun 24, 2014 Address: 83-231 HIWAY 111 • License: 286936 City/State/Zip: INDIO / CA / 92201 Phone: (760) 347-3608 Reg: 214-A0047481B-000000000-0000 Registration Date/Time: 2014/06/24 18:11:49 HERS Provider: Ca10ERTS, Inc. July 2010 2008 Residential Compliance Forms Bin # City of La Quinta Building 8Z Safety Division • Permit # 4 -0tLa A4 --Building • P.O. Box 1504, 78-495 Calle Tampico . Quinta,. CA 92253 - (760) 777-7012. Permit Application and Tracking Sheet Project Address: 54_ 7%5 Avei/iRAbe/ado . 1 Owner's Name: ,eii'S, 5', Z oci ,4 r&• A. P. Number: Address: 54 — 775 Avers i1* A-1 va/-ado Legal. Description: • - City, ST, Zip: L4 -i i iribi- C4 9,2253. Contractor Ca arla rC Qi i lC l> / Telephone: %/-' %% - 09 5 _ • : ;:,a z:. `,„:„:„ :>:;- . ,...: <.. ..00.:§:::*,, ;<:>;,> :r r ,m . Address:roject Description: 93 311 .v} : l 11 . P J p ,Qe/3,2,-.E. eX8' //9 . _ Ciiy, ST, Zip: • !D PJ Telephone: - -' rtP iB ” 76,v 347 Oft :,...;>::., ?` :t:i'f 4 _i i,{.Fi: !Si4 N is ....... <:,.>:; :: _>::....:.::,:t Packa e d« conk' iM)A•7 State Lic. # : / , . / .City Lic. #; atilt . . _ Arch., Engr., Designer: Address: • City., ST, Zip: Telephone: eP ,,; <>>s' Construction Type: Occupancy: State Lic. #: - ;`":ry :' ::'` .ProJect type (circle one): New Add'n Alter Repair Demo'"..: Name of Contact Person: 470d Cava/134A. • Sq. Ft.: # Stories: # Units: Telephone #,of Contact Person: 740 : 5 7g -- O )4'7 Estimated Value of Project: sir 5j©tv APPLICANT: DO NOT WRITE BELOW THIS LINE • # Submittal • Req'd Rec'd TRACKING • PERMIT FEES. Plan Sets Plan Check submitted Item Amount Structural Calcs. • Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance . Title 24 Cates. Plans picked up Construction • • Flood plain plan Plans resubmitted Mechanical . Grading plan 2e. Review, ready for correctionsrssue - Electrical SubcontactorList Called Contact Person • Plumbing - Grant Deed Plans picked up • S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 7rd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. . Pub. Wks. Appr Date of permit issue School Fees 1 Total Permit Fees -