Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
MECH (11-1004)
P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: /-11-00001094- -11=00001004Property PropertyAddress: ---498aO—MISSION DR W APN: 649=500-002- - - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 8000 aF 7 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: WESTLY EINAR MICHAEL 49800 MISSION DRIVE WEST LA QUINTA, CA 92253 Contractor: Applicant: Architect or Engineer: ALL SEASONS A/C, PLMBG P.O. BOX 1112 PALM DESERT, CA 92261 (760)568-2663 VOICE (760) 777-7012 . FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/16/11 H G 2011 v...f CITY OF i A 4iJiNi� F9i+IA.Wit 'DEPT. /L LiC. No.: 827420 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed and provisions of apter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Bu d Professio ode, -and L' ense isin 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 icense N 2 420 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is p issued. �te ontract r: 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 NORGUARD INS Policy Number . ALWC124752 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 th,e work for which this permit is ' ued, I II 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 o be -� a subject to workers' mpens n 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 s Id become bject to ,kers' c n 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 ode. I shall hwith c with thAeLrovisi 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 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. , BAP.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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATIONS IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND1,4W INES 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 ' su le t permit to cancellation. I certify that I have read this application and state that the above' ation is correct. I e to c m wi I city and co my ordinances and state laws relating to buildi on city n, and hereby th ze re sentatives of ttni co ty enter upon the above-mentioned prope for inspect n purposes. d ale: nature (Applicant or Agentl: Application Number . . . 11-00001004 Permit MECHANICAL Additional desc . Permit Fee 40.50 Plan Check'Fee 10.13 Issue Date . . . Valuation . . . . 0 Expiration Date 3/14/12 - 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 INSTALL NEW HVAC SYSTEM, FURNACE, INDOOR COIL & CONDENSING UNIT. 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 10.1.3 Other Fee Total. 1.00 .00 _ .00 1.00 Grand Total 51.63 .00 .00 51.63 LQPERMIT 2011 �W '16 .15::42 ALL SEASONS ' 7602023067•» P' 1/1 Simplified laresCript;ve Certificate of„Compliance: 2008 Residential HVACAIteratlohYs CF -1 R-IR Climate Zones 10_15 Site Address:' Enforcement Agency: Date: ill: 49800 Mission Drive West La Qulhta, CA 92253 7Permit City of La Qulnta Sep 16, 2011 Equipment Typel List Minimum Efflciency2 Duct insulation requirement Conditioned Floor Area Thermostat ❑ Package Unit 0 Furnace ® Indoor Coll • 0 AFUE 78% 0 SEER �13� ❑ COP ❑ HSPF ❑ R 6 � 10-13) ❑ R 8 (CZ 14-15) Served by system 1200 sf Rl Setback If not already present, must be B Condensing Unit Q EER ❑ Resistance Installed) O other 1. Equipment Type: Choose the equipment being Installed; If more than one system, use another CF -1 R -ACT -HVAC for each system. 2, Minimum Equipment Efficiencies: 13 SEER, 78"ib 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 Optlons, 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 -4115 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. 0 1. HVAC Changeout Required Forms: -All HVAC Equipment CF -6R 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 Coll and /or CF -6R 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 leakage < 15 percent; RC, CCA 5 300 CFM/con (Minimum Air Flow Requirement), TMAH 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 duct systems are Constructed, Insulated or sealed with asbestos ❑ 4. The system will not be Ducted (le. Ductless Mlnl-Split System) (Also Exempt from Refrigerant Charge) LJ 2. New HVAC System Required Forms: . Cut In or Changeout with. new ducts: (all new CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-22-HERS, and MECH-25-HEIZS ducting,� all new CF -4R forms: MECH 20, and (for split systems) MECH-22, and MECH 25 equipment) For Split Systems: Duct leakage < 6 percent; RC, CCA Z 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged units: Duct leakage < 6 percent ❑ 3. New Ducts with/or without Required Forms: Replacement . Includes replacing or Installing all new ducting and/or outdoor Condensing unit and/or Indoor CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS toll and/or furnace. No or some, equipment CF -4R forms: MECH-20 and (for split systems) MECH-25 changed. For Split Systems: Duct leakage < 6 percent; RC, CCA 2 300 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 -6R 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 Me 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 Me California Code of Regulations. this - The design features Identified on, this Certificate of Compliance are consistent with the Information documented on other applicable compliance forms, worksheets, calculations, and specifications submitted to the enforcement agency for approval with the permit application. Name: David Beale Signature: David Beale Company: ALL SEASONS AIR CONDITIONING PLUMBING & HEATING INC . Date: Sep 16, 2011 Address: 73605 DINAH SHORE DR STE 1310M License: 827420 City/State/Zip: PALM DESERT/ CA/ 92211 Phone: (760) 568-2663 Reg: 211-A0048317A-00000000-0000 Regiotration Date/Time: 2011/09/16 18:56:13 HERS Provider: WCERTS, Inc. 2008 Rcoidential Compliance Forma July 2010 Bin # . City. Of b Qu(11 b , Building 8r Safety. Division ' P.O. Box 1504, 78-495 Calle Tampico La Quints,. CA 92253 - (760) 777-701.2 . Building Permit Application and Tracking Sheet Permit # `p� Project Address: Owner's Name: MA A. P. Number: Address: X71 rL�S 2 Legal Description: City, ST, Zip: Contractor: Tele hone: .Nr Project Description: Addressb �� \_m City, ST, Zip:06LMI, TelephoneJ_L,%=> _� '� <,� •;:.N:4,:...::.:':.;•hr•': ;��:n�f,:� State Lic. #". eD City Lic. Arch:, Engr., Designer: Address: City, ST, Zip: Telephone: State Lia #:?^> cPro1ect Name of Contact Person: Construction Type: Occupancy: type circle one)' New Add'n Alter Repair Demo Sq. FL: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: p p o APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Ree'd TRACKING PERMTT FEES Plan Sets Plan Check submitted Item Amount Structural Cala. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called, Contact Person Plan Check Balance Title 24Cala. Plans picked up Construction Flood plain plan Plans, resubmitted Mechanical Grading plan 2'! Review, ready for correctionstiissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Pians picked up S.M.I. H.O.A. Approval Pians resubmitted Grading IN HOUSE:- ''' Review, ready for correctionshatic Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees