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MECH (10-0696)54125 Avenida Madero 10-0696 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00000696 Property Address: 54125 AVENIDA MADERO APN: 774-192-017-6 -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 6650 • ty/ 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: FRANE KAREN M 54-125 AVENIDA MADERO LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 D Q _ 28/10 z ,iUL A.;`` Zoe C! © LAQUINTA I Contractor: Applicant: Architect or Engineer: J ANTHONY PLUMBING HEAT/AIR 68743 PEREZ, #D-26 DP CATHEDRAL CITY, CA 92234 (760)328-8096 r Lic. No.: 777794 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions f Chapter (commencing with I I hereby affirm under penalty of perjury one of the following declarations: Section 70001 of Division 3 of the Business and Professionals Code, and m Lic 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 -C36 ® License No.: 94 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is 65t;. ' 16 ractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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.). (_) 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.). (_ 1 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: < LQPERMIT 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 STATE FUND Policy Number 1932451 _ 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 -V California, and agree that, if I should become subject to the workers' compensation provi ' of Section / % 00 of t e Labor Code - shall fo comply wi those rovisions atm e: r/ a 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 (5100,0001. 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 w'all city and county ordinances an ,state laws relating to building constructio and her authorize repre tives of s countY to a er upon a above-mentioned property in n pur D L d 'nature (Applicant or Agent) r e LQPERMIT Application.Number . . . . . 10-00000696 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . Valuation . . . . 0 Expiration Date 1/24/11 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 INSTALL 4 TON 14 SEER UPFLOW SPLIT HVAC SYSTEM. 2007 CODES. -------------------------------------------------- Other Fees . . . . . -------------------------- . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged -------------------------------------' Paid Credited -------------------- Due , Permit Fee Total 33.00 .00 .00 3.3.00 Plan Check Total 8.25 .00 .00 8.25 Other Fee Total 1.00 .00 .00 .1.00 Grand Total 42.25 .00 .00 .42.25 c Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 to 15 r e Addie / t ` AVG L(l V En or ement A g cy: o " G• Date: -7 Permit #: Conditioned Floor Equipment T t List Minimum Efficienc Z Duct insulation requirement Area Thermostat ❑ Packaged Unit Furnace ❑AFUE O COP Over 40 ft of ducts added or ❑Setback $ indoor Coil .t51SEERl _ ❑ HSPF re placed in unconditioned space Served by system (1I not already Y In Condensing Unit ❑ EER _ ❑ Resistance ❑ R 6 (CZ 10-13) sf present, must be ❑ Other ❑ R 8 (CZ 14-15) installed) 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -I R -ALT -HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFfortypical residential systems. HERS VERIFICATION SUMMARY Listed below are four HVAC alteration Options. The installer decides what wont 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 fort was in fact the work completed by the installer. The inspector also verifies that each appropriate CF -6R and registered CF4R forts (no hand filled CF-4Rs allowed) are filled out and si ed. Beginning October 1 2010 a registered co of the CF -IR and CF -6R shall also be on site for final Inspection. 1. HVAC Changeout Required Forms: • HVAC Equipment replac 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 • Furnace CF -4R forms: MECH- 21 and (for split systems) MECH-25 or ct 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 ❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existing ducts stems are constructed, insulated or sealed with asbestos ❑ 2. New HVAC System Required Forms: • Cut in or Changeout with new ducts: (all new ducting and all CF -6R forts: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS new equipment) 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 O 3. New Ducts with 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 CF -4R forms: MECH-20 and (for split systems) MECH-25 coil and/or furnace. Not all equipment changed. For Split Systems: Duct leakage < 6 percent, RC, CCA > 300 CFM/ton, TMAH For Packaged Units: Duct leaks e < 6 percent ❑ 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-2I-HERS CF -4R forms: MECH-21 For split system 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. • 1 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 I and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the information docume n other apPIica m forms, worksheets, calculations, plans ands cifications submitted to the enforc menta enc forapproval with th atio Name:C • 1 KISO Signature: c. .► CATI/J A-/ Arz cou lzl ►t Date' 7 1 AdZZ- 6 K A S[ % o \ License: —7% 'lr J "'I 1 City/Statc/Zip.U /`S c_ -Z--7 Phone 60 2008 Residential Compliance Forms March 2010 it 2008 Building Energy Efficiency Standards Residential HVAC Alterations La Quinta, CA (Climate Zone 15) BUSINESS AND PROFESSIONS CODE SECTION 7110 Willful or deliberate disregard and violation of the building laws, including the California Building Code, and local permit requirements constitutes a cause for disciplinary action from the Contractors State License Board working in conjunction with the local building department. This action may consist of fines up to $5,000 per violation or suspension/revocation of a contractor's license. WHEN IS A PERMIT REQUIRED? A written construction permit shall be obtained from the enforcement agency prior to the erection, construction, reconstruction, installation, relocation, or alteration of any mechanical system, except as permitted in Appendix Chapter 1, Section 112.2 of the 2007 California Mechanical Code. Projects requiring permits include, but are not limited to: • New HVAC installation • Relocation of an existing HVAC unit • HVAC Changeout • Adding or replacing more than 40ft ducting • Replacement of furnace, coil, FAU, or condenser 2008 BUILDING ENERGY EFFICIENCY STANDARDS (Title 24 Part 6) REOUIREMENTS INCLUDE: 1. Heating equipment must have a minimum 78% AFUE (Exception: Wall & floor furnaces; room heaters). 2. Central air conditioners & heat pumps less than 65,000 Btu/hr must have a minimum 13 SEER. 3. Newly installed or replaced ducts must have a minimum insulation value of R4.2. When more than 40 ft of ducting will be installed or replaced, the duct insulation value must be R-6 (CZ 10-13), or R-8 (CZ 14 and 15). 4. A setback type thermostat (24 hr clock with four set points) is required for all alterations. 5. New or replacement ducts must meet the mandatory requirements of Section 150(m): • All joints and openings in the in the HVAC system must be sealed. • Only UL 181, UL 181A, or UL 181B approved tapes or mastic shall be used to seal duct openings. • Connections of metals ducts and the inner core of flex ducts shall be mechanically fastened. Flex ducts must be connected using a metal sleeve/coupling. • Flex ducts that are suspended must be supported every 4ft. max for horizontal runs with no more than 2" of sag between supports and 6 ft. max for vertical runs. WHEN IS HERS VERIFICATION REQUIRED AND WHAT FORMS ARE REQUIRED? HERS verification is required for all HVAC alterations in Climate Zone 10-15. A HERS rater is a special inspector for the building department. The building inspector may also request to be on site to witness testing by the contractor and/or HERS rater. The installer picks one of the four options on the CF -IR -ALT -HVAC Form that describe the work being conducted. Each option lists the forms required to be at the job site for final inspection. • CF -6R Forms shall be completed and submitted by the installing contractor for final inspection.• • CF -4R Forms shall be completed, registered with an approved HERS Provider (cannot be completed by hand), and submitted by the HERS Rater for final inspection effective January 1, 2010. DESCRIPTION OF HERS TESTS BELOW (Full descriptions found in Residential Appendix RA3 and Residential Manual) Duct sealing — The installer is to insure leakage of the HVAC system is less than 6% for new air conditioning system (new equipment and all new ducts) or 15%, 60% reduction, seal all accessible leaks, etc. for alterations to existing HVAC systems. When the contractor uses the option to seal all accessible leaks, all easily movable objects must be moved to seal existing ducting. New ducting installed by the contractor is not allowed to have any leaks even if it is no longer accessible. In example 3 of the CF -IR "all new ducts" means that all the ducting was changed. The original boots, plenums, etc. do not need to be changed. Cooling Coil Airflow (CCA) — There are two different minimum air flow requirements that must be met. These are 300 CFM and . 350 CFM. The minimum 300 CFM per ton of cooling is required in order to conduct a refrigerant charge test. For new HVAC systems (new equipment and new ducts) the HVAC system must move a minimum 350 CFM of air for each ton of cooling. Refrigerant Charge (RC) — The installer is required to verify the charge is correct. If the outside temperature is below 55 degrees then the weigh in method must be used by the installer. When the weigh in method is used the HERS rater must retest when the temperature is 55 and above. A charge indicator display (CID) can be used in place of conducting an RC; manufacturers are currently developing this device. Temperature Measurement Access Holes (TMAH) — Installer must drill and mark holes to measure temperature split. Hole for the placement of a Static Pressure Probe (HSPP) or Permanently installed Static Pressure Probe (PSPP) -Either the installer must drill and mark holes to measure static pressure or a permanently installed pressure probe must be installed and marked. Saturation Temperature Measurement Sensors (STMS) — Permanently installed type K thermocouple are installed on the indoor and outdoor coil so that the HERS rater can verify charge without attaching gauges. Instructions are found in Ch 4 of the Res. Manual. Fan Watt Draw (FWD) — Installer verifies that the furnace fan watt draw is less than 0.58 Watts/CFM. NOTE: The CF-6R-MECH-04 is required for all HVAC alterations. * For Final inspection ALL compliance forms (CF-1Rs, CF-6Rs, and CF4Rs) shall be registered with an approved HERS Provider for building permit applications submitted on or after October 1, 2010. Bin # City of La Quinta Building 8r 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 Adaress:5 L-I Zt✓ 4 lI'c QOwner's Name: pN NS A. P. Number: Address: S—[ (Z5 AUe NADEVO Legal Description: ' ' 1 Contractor: ANvl 1.- % g, %!l' Address C / I City, ST, Zip:CA 001 l ZZ 53 Tele hoe -q p CX / Z ( . . Project Description:2 City, ST, Zip: { U Telephone 3 Z ( State Lic. # : —M t ') City Lie. Arch., Engr., Designer. Address: City., ST, Zip: Telephone: State Lie. #: Name of Contact Person, Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories:#Units: Telephone # of Contact Person: Estimated Value of Project: 6Jr , APPLICANT: DO NOT WRITE BELOW THIS LINE 4 Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Tide 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue 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 corrections/lasue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees