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MECH (14-0202)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000202 Property Address: 43695 MILAN CT APN: 609-552-008-27 -28458 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 8750 Applicant: c&14t 4 4 Q*& Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 -C38 ^ License 967982 )Dat®e: 2� Contractorf l/ 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).: 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 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 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 4 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/27/14 Owner: MARGE MILLER 43695 MILAN COURT LA QUINTA, CA 92253D A `. (310)283-2349 n Contractor: FEB 2 7 20% BEST IN THE WEST 255 N. EL CIELO, 140-125 CIT'YOFLAQUINTA PALM SPRINGS' CA 92262 FINAKE DEPT. (760)343-1002 Lic. No.: 967982 ------------------ 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 slued. 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 NORGUARD Policy Number BEWC337354 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 I should become subject to the workers' compensation provisions of Section 7-771'q 1 3700 of the Labor Code, I f with with provisions. Date" `'7 /'q 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 ($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 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 ionand hereby authorize representatives of this county to enter upon the above-mentioned property r tigrr purposes. Date Signature (Applicant or Agent) LQPERMIT Application Number . . . . . 14-00000202 Y� Permit . . . MECHANICAL 2013 Additional•desc . Permit Fee . 71.50 Plan Check Fee .00 Issue Date . . Valuation . . . . 0 Expiration Date ., 8/26/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.00 35.7500 EA MECH,CONDENSER/COMP 35.75 ------- Special Notes and Comments HVAC CHANGE OUT - 13SEER/78AFUE SPLIT SYSTEM (2008 ENERGY] CARBON MONOXIDE ' ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. -----------------------------------------'--------------------- Other Fees . . . . . . . PERMIT ISSUANCE M/P/E ---------- -- 90.57 PLAN CHECK, MECHANICAL 47.66 Fee summary Charged Paid Credited Due Permit Fee Total 71.50 .00 .00 71.50 Plan Check Total .00 .00 .00 .00 Other Fee Total 138.23 .00 .00 138.23 _ Grand Total 209.73 .00 .00 209.73 LQPERMIT _ Y� s,n. # Of La Qut*n: to Building st Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 -:(760) 777-7012 Building Permit Applicadon'and Tracking Sheet Permit# Project Address: 43 -coq 5 M1 •I Ayi C 4: Owner's Name:. i A. P. Number. Address: (4 3 - 7 I�A i la pl Legal Description: City, ST, Zip:Le, C,4 Contractor. JL-jS*. �/� iv?� Telephone-SIO-1T3-ZP4I Address: Z57 N EI �t°� roi140-125'ProjecxDescription: �evv,Ov2 G City, ST, Zip: in --�ep Z S 40FtNt CCh' C t1 Telephone: 760 -3Y 3-/00Z UK�- Yli°v✓ l-5��.� v►� �� State Lic. # : 7 9 City Lic, #; If Arch., Engr., Designer. Address: City., ST. Zip: Telephone: Construction Type:. Occupancy: State Lic. #: Project type (circle one): Now Add'n Al Repair Demo Name of Contact Person: Sq. Ft.: Z OOU # Stories: # Unit: I Telephone # of Contact Person: Estimated Value of Project: O 7 5 d E-0 APPLICANT: DO NOT WRITE BELOW THIS UNE H Submittal Rcq'd Recd TRACKING PERMiTFEES- Plan Sets Plan Cheek submitted Item Amount StroctutW Calcs. Reviewed, ready for corrections Plan Check Deposit, Truss Calcs. Called Contact Person Plan Check Balance ' Title 24 Calm Plans picked up Construction Flood plain plan Plans resubmitted. , Mechanical Grading plan 2`! Review, ready for rnrrectionshssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up &NLL H.O.A. Approval Pians resubmitted Grading EY HOUSE:. ''" Review; ready for eorrectionslissae Developer Impact Fee Planning Approval Called Contact Person w AXP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 43695 Milan.Ct La Quinta, CA 92253 City of La Quinta ]an 14, 2014 -• Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat ` ❑ Package Unit ® Furnace ® AFUE 78% ❑ COP ❑ R 6 (CZ 10-13) Served by system ® Setback ' ® Indoor Coil ® SEER 13.0 ❑ HSPF RN Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 43695 Milan.Ct La Quinta, CA 92253 City of La Quinta ]an 14, 2014 -• Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat ` ❑ Package Unit ® Furnace ® AFUE 78% ❑ COP ❑ R 6 (CZ 10-13) Served by system ® Setback ' ® Indoor Coil ® SEER 13.0 ❑ HSPF (3R 8 (CZ 14-15) 2400 sf If not already present, must be ® Condensing Unit [3 EER [3 Resistance 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 -4R forms (no hand filled CF-4Rs allowed) are filled out and signed.Beg inning October 1, 2010, a registered copy of the CF -111 and CF -611 shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: - • All HVAC Equipment CF -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF -4R 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 leakages<.15;percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH , Fear. P....L. NAd 11.-:•... M.—; 1....1....'.:..,1 � C nt p 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 thari;40 linear feet in unconditioned space, or ❑ 13. Existing duct systems are constructed Insulated or sealed with asbestos ❑'4 The syste well not be Ducted (le Ductless ,Im Split,System:)(AisowExemptf0o Refrigerant Charge) ❑ 2. New"HVAC Sytetetn Require#�Fortnss ��x'r-e* ;t . Cut inlorrChangeout with* w�� 's �"' '� CF.'6Riforms MECH 04, MECH 20. HERS, andi(for split 'stems),M22 HERS; and new ducts k(all new ducting,allnew t _ MECH 25 HERS a'�`� w �t�"f x j CF -4R forms MECH 20 and (for split systems) MECH 22„and,MECH 25: equipment) ;_:. k �r�:>u°•?-�' , For Split Systems D.yct leakagef,<t6 percenPtf.RC ,CCAS>�350-CFM/ton�»FWD,'TMAH; STMS;'and eltlier,�HSPP`or'PSPP. -. For -Packaged ,Units:, Duct leakageF<?6 pe'rcent ;+t•. ❑ 3 New4Ducts with/or without Y', Required Forms: t Replacement,* -R K, N . Includes replacing or.installing.all"new ducting and/or outdoor c6ndensing unit CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furna&"No or some CF -4R 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: Duct leakage < 6 percent ❑ 4. New Ducting over 40 feet Required Forms: . Includes adding or replacing more than 40 CF -611 forms: MECH-04, MECH-2I-HERS linear feet of duct in unconditioned space. CF -4R -forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent • ❑ 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 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 I Me 24, Parts I and 6 Of LhU CallfbMld 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: Richard C Weaver Sr Signature: Richard C.Weaver Sr Company: BEST IN THE WEST AIR CONDITIONING & HEATING INC Date: ]an.14, 2014 Address: 255 N ELCIELO ROAD #140-125 License: 967982 City/State/Zip: PALM SPRINGS / CA / 92262 Phone: (760) 343-1002-' .- . Reg: 214-A0003038A-000000000-0000. Registration Date/Time: 2014/0.1/14 19:11:06 HERS Provider: CalCERTS, Inc_ 2008 Residential Compliance Forms - July 2010 • f ' y ti 1, J! ' "",�?•.�, of T WEST Air Conditioning I beatin 9 r ' - 255 N El Cielo Rd, PMB 125 . Palm Springs, CA 92262 760-M-1002 www.gotcoolair.com ' Invoice- , Date :Due Date Summary:::, Tech:. z •Job'Date:-"'.. 3851-27117 8/23/2013 8/21/2013 INSTALLATION t. DAVID_ 7/24/2013 . ' Bill To: 4.- Job Name: Marge Miller r Marge Miller 43695 Milan Ct • '. "` 43695 Milan Ct ` Bella Vista t Bella Vista - La Quinta,' CA 92253 t- s La Quinta, CA 92253 - 310-283-2349- CELL 310-540-1195- MARGE • 310-283-2349- CELL 310-540-1195- HOME Item Code Description Hrs/e Ston Bryant split 16seer- $8725 , Brian brown: 238-1460 for access!!! Pretest- 439 loss, ring open M Final -214 loss, ring 1 ---PASS �• > 7/24/2013 WED 4:48 PM> Wendy: completer - .• System has a 25: split. . Pressures •are not good(. Removed old system and installed new 5 ton split system.- Performed title 24(pass),`1' moved furnace forward for better air flow, fabricated''sheet metal modifications,., - new flue pipe, electrical and relocated condensate' line. Installed newt-statjand - :. CO -detector. System.cooling good. -.77 J 7/24/2013 = 1.00 - - 5191:35 HR ' 5191.35 7/24/2013 locking access caps for R41 Oa system' 2.00 , ' 4.92 EA ; 9.84 7/24/2013 furnace 1.00' 748.00, 748.00 7/24/2013 'condenser - , ` 1.00 1419.00 �. 1419.00 7/24/2013 coil 1.00 '' ' 615.00 - ' ' .615.00 7/24/2013 honeywell pro 4000 programable 572 with bitw -1.00 25.00 EA :' -25.00 name on front - Model # TH4110D1007 PRO 4000 , 7/24/2013 permit + title 24 for la quinta `' 1.00 367.88 EA 367.88 7/24/2013 misc gas piping needed for small install V 1.00 15.00 15.00 - 7/24/2013 misc sheet metal for small jobs •- F 1.00 - t �" 15.00 EA 15.00 7/24/2013 carbon monoxide detector for in home�use ;. 1.00 15.00 EA 15.00 7/24/2013 Welding material for blower housings and misc-, 1.00 10.00 EA 10.00 metal items • ' 7/24/2013 misc electrical for small things 1.00 15.00 -EA 15.00 7/24/2013 small flue pipe kit for fau install ; ' 1.00 -. "6.00 EA 6.00 Y-} 7/24/2013' extra small copper kit (mainly swamp 1.00 :'.5.00 PR ;;,,�. , -• 5.00 ,cooler+refrigeration) ? a 7/24/2013. 20x25x1,ECONOMY FILTER BASE ` . 1.00- 34.54 EA - y _ 34.54 ;. Page 1 of 2 1 J. •r. 1,