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MECH (12-0800)54820 Avenida Madero 12-0800 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: 112-000'008.00 f _ _ 54820 AVENIDA MADERO 774-265-004-21 -000000- MECHANICAL COVE RESIDENTIAL. 7900 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: ERLENBUSCH PETER M *NOT ON FILE. UNKNOWN, CA 99999 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/19/12 Illi 1 ..Date: Owner: CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance ofthe work for which this permit is issued ISec. 3097, Civ. C.). Lender's Name: .. Lender's Address: - - - - -- - - - LQPERMIT 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 the court_ tyy to enter upon the above-mentioned prope o ns ectil ses. ate: I1' Si ature (Applicant or Agent): - -I Contractor: Applicant: Architect or Engineer: - MAPLE LEAF PLBG HEAT/ ,IR P.O. BOX 3653 FINOF E QUINTA PALM DESERT, CA 92261 OF (760) 346-6758 `IPLic. No.: 481393 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION . I hereby affirm under penalty of perjury that 1 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 Professionals 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 las C20 -C36 License No.: 481393 _ for by Section 3700 of the'Labor Code, for the performance of the work for which this permit is . Date: y ~ ntractor. 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 . 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 ICW GROUP Policy Number wsb5002670-02 following reason ISec. 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 C I s all fo hwith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section.7031.5,b _ 1 1 1 Iti " any applicant for a permitsubjectsthe applicant to a civil penalty of not more than five hundred dollars ($500): ate: pplicant: 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' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds orimproves 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 _ 1 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 contractors) 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, (_ I I am exempt under Sec. , BAP.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 ..Date: Owner: CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance ofthe work for which this permit is issued ISec. 3097, Civ. C.). Lender's Name: .. Lender's Address: - - - - -- - - - LQPERMIT 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 the court_ tyy to enter upon the above-mentioned prope o ns ectil ses. ate: I1' Si ature (Applicant or Agent): - -I Application Number 12-00000800 Permit MECHANICAL Additional desc Permit Fee . . . . 40.50. Plan Check Fee': 10.13 Issue Date Valuation 0 Expiration Date 1/15/13 Qty Unit.Charge Per Extension BASE FEE. 15.00' 1.00 9.0000 EA MECH FURNACE <=100K 9.00.. 1.'00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 Special Notes and Comments HVAC CHANGE -OUT: REMOVE AND REPLACE 4 TON PACKAGE'UNIT ON.ROOF. PLATFORM TO BE EXTENDED TO ACCOMODATE REVERSED DUCTING. 2010 CODES. --------------------------------------- -.---------- Other'Fees . ... BLDG STDS'ADMIN (SB1473) _ 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 40.50 .00 .00 40.50 Plan Check Total 10.13 .00 .00 - 10.13 Other Fee Total 1.00 .00 .00 1.00 Grand Total. 51.•63 .00 :00 51.6,3 'LQPERMIT Prescriptive Certificate of Compliance: Residential CF -1R -ALT. Residential Alterations Page 1 of 1, Project Name: Climate Zone # of Stories (,a ur-c, - rr 5 . General Information: Site Address: 4- j 2C) cw / e ,/ Dat Enforcement Agency: Building Type: Single Family ❑ Multi Family Front Orientation: N ❑ E ❑ W ❑ S Project Type: ❑ Alteration j#HVAC Replacement ❑ Duct Replacement ❑ Conditioned Floor Space (CFS): NOTE: This form is not to be used for new construction or additions. HVAC Systems - Heatin : Duct Insulation Thermostat Configuration (Split Equipment Type Capacity AFUE HSPF R -Value Type or Package) HVAC Systems - Coolin : Pipe Insulation Thermostat Configuration (Split Equipment Type Capacity SEER EER R -Value Type or Package) z1ba:v 1 I I Yom,.•,.. l y N P HERS Verification Summa Duct Sealing & Testing - HERS verification is required for this measure. ❑ Yes ❑ No In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned space, the ducts are to be sealed per §152(b)1Dii and the newly installed ducts are to be insulated per §151(f)10. ❑ Exception: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos. ❑ Yes ❑ No In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the ducts are to be sealed per §152(b)1 Di. 1KYes ❑ No In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be sealed per §152(b)1 E. ❑ Exception: Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3: ❑ Exception: Duct systems with less than 40 linear feet in unconditioned space. ❑ Exception: Existing duct systems are constructed, insulated or sealed with asbestos. Refrigerant Charge - Split System - HERS verification is required for this measure. ❑ Yes ❑ No In Climate Zones 2 and 8-15, when the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system A/C or heat pump, cooling or heating coil, or the furnace heat exchanger) a refrigerant charge measurement shall be verified per 152 b 1 F. Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw 'The ventilation requirements of §150 o do not apply to existing residential homes. Ducted Split Systems — Air Conditioners and Heat Pumps: Airflow — HERS verification is required for this measure. ❑ Yes ❑ No In. Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is replaced, the airflow and fan watt draw shall be verified per 152 b 1 Ci to meet the requirements of §151(07B. Documentation Author's Declaration Statement certifv that this Certificate of Compliance documentation is accurate and complete. Name: 1 M6v , eco Signature: Company: C4,101A- 1. Date: Address: v adX J 3 City, State, Zip Code: ezi1vl-' bk."W _ 2- v Phone %4,O Registration Number: Registration Date & Time: HERS Provider: 2008 Residential Compliance Forms PDAC January 2010 Bin.# C( }r of La Quinta Budding ff 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 Address: _Q,Z jAveo,y, .Owne'sName:.Laur A. P. Number. ,— Q, ) Address: t{ ^ U i I L 2 f 1' `- Legal Description: Contractor. t/ 1h City, ST, Zip: n Telephone: 5 —27 s Address: v NQi 3 p 3 City, ST, Zip: . M rL jL - C R 2Z Project Description: v G ' , Lf 4v, r+G c Jvt - Telephon (pU 7 1 B% _ s C3 :% State Lic. 4: L4b 13q 3 City Lic. if.: Arch., Engr., Designer Address: City, ST, Zip: Telephone: .r State Lic. #: " ` ' Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft: #Stories: #Univ: Telephone # of Contact Person: Estimated Value of Project: 900 APPLICANT: DO NOT WRITE BELOW THIS UNE q Sabnilttal Rcq'd Recd TRACKING PERMIT FEES' Plan Sets Plan Check submitted Item Amouat Structural Cafes. Reviewed, ready for corrections Plan Check Deposit.Truss . C21cs Called Contact Person Plan Check Balance Title 24 Calci. Pians picked up Construction Flood plain plan Plans resubmitted.. Mechanical Grading plan 2" Review, ready for correctiouslissue Electrical Subeoutactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review; ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr - Date of permit Issue School Fees ' Total Permit Fees