The URL can be used to link to this page

MECH (10-0481)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00000481 Property Address: 79846 MISSION DR E APN: 649-750-014- - - Application description:, MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 3254 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: CATHY FLATHERS 79846 MISSION DRIVE EAST LA QUINTA, CA 92253 " VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 .Date: 6/07/10 Contractor: Lry Applicant: Architect or Engineer: PALM DESERT AIR CO 42081 BEACON'HILL rJ r t1 i PALM DESERT, CA 92 �h,1 (760)346-0677 U' 1 LiC. No.: 374937. C9"t�.(IF ? S>,�ti,14TA ------------------------------------------------------ -------------------- ----------------- LICENSED ---------- 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 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 Class: C20 . License N � . 74 93 7 = _ for by Section -3700 of the Labor Code, for the performance of the work for which this permit is -C issued. Date: � Y 4t::—L/ntractor: �< ��% 1 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 SOUTHERN INS Policy Number WSIO03802-01 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 theBusinessand Professions Code) or 3700 of th - Labor Code, I shall forthwith comp) j'th 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)•: Date: Applicanic—"-�!� 5 (_ 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' COMPENSATION 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, 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.l. - whose benefit work is performed under or pursuant to any permit issued as7 a result of this application, 1 _ 1 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 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 hereb ,authorize'repres' ntatives' ' of thi' unty to enter upon the above-mentioned property for inspection' purposes. .� Lender's Name: - /' //CS' ature (Applicant or AgenO+�� •/A ate:---��-`---ttt--,"*� Lender's Address: v. LQPERMIT Application Number . . . 10-00000481 Permit .`. . MECHANICAL. Additional desc . Permit Fee 33..00 Plan .Check Fee 8.25 Issue Date Valuation 0 Expiration Date -12/04/10_ 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 . (1) 3..0. TON SPLIT SYSTEM. 2007, CODES: ---------------------------------------------- Other Fees., BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 33.00 00 .00 33.00' Plan Check Total 8-25 - .00 .00 8.25 Other Fee Total 1.00 .00 .00 Grand Total . 42.25 0.0 ..00 42•.25 .. LQPERMIT .. . Prescriptive Certificate of Compliance: Residential CFA R -ALT Residential Alterations Page 1 of 1 Project Name: Climate Zone # of Stories FLATHERS, CATHY 15 1 General Information: Site Address: 79-846 MISSION DR. E., LA QUINTA, CA 92253 Date 6/4/10 Enforcement Agency: Building Type: El Single Family ❑ Multi Family Front Orientation: ❑ N ❑ E ❑ W ❑ S Project Type: ❑ Alteration (5 HVAC Replacement ❑ Duct Replacement ❑ Conditioned Floor Space (CFS): NOTE: This form is not to be used for new construction or additions. HVAC Systems — Heatin : Equipment Type Capacity AFUE HSPF Duct Insulation R -Value Thermostat Type Configuration (Split or Package) N/A N/A N/A N/A SET BACK SPLIT HVAC Systems-- Coolin : Equipment Type Capacity SEER EER Pipe Insulation R -Value Thermostat Type Configuration (Split or Package) AC CONDENSER 36,000 13.00 0.00 N/A SET BACK SPLIT HERS Verification Summary: Duct Sealing & Testing — HERS verification is required for this measure. ❑ Yes 0 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(010. ❑ Exception: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos. ❑ Yes 0 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. O Yes ❑ 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. O 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. El 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 exchan er) 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 EI 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(f)713. Documentation Author's Declaration Statement I certify that this Certificate of Compliance documentation is accurate and ropt6e. Name: KARL BROWN SignatureA, z_1______) Company. PALM DESERT AIR CONDITIONING & HEATING COM Date: 6/4/10 Address:42-081 BEACON HILL City, State, Zip Code: PALM DESERT, CA 92211 Phone: (760) 346-0677 Registration Number: Registration Date & Time: HERS Provider: 2008 Residential Compliance Forms PDAC January 2010 Bin # City of La Quinta Building 8i Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 1 Project Address: 79-846 MISSION DR. E. Owner's Name: CATHY FLATHERS A. P. Number: Address: 79-846 MISSION DR. E. Legal Description: City, ST, Zip: LA QUINTA, CA 92253 Contractor: PALM DESERT AIR CONDITIONING & HEATING 858 361 4211 Telephone:- - Address: 42081 Beacon Hill Project Description: City, ST, Zip: Palm Desert, CA 92211 REPLACE ONE 1 3.0 TON SPLIT Telephone: hone. (60 ) 3 6 0677 P 7 4 -MIN SYSTEM.- YSTEM.State StateLie. # : 374937 City Lic. #: 100886 Arch., Engr., Designer: Address: City,, ST, Zip: Telephone: hone: State Lie. #: Name of Contact Person: KARL BROWN Construction n T e: ancY Y Occupancy: P • Pro 'e ct type (cir cle one w : New Add'n P Alter Repair ear em J Demo Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: (760) 346-0677 Estimated Value of Project: $3,254 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 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd 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/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees