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11-0868 (MECH)r P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Appljcation.Number.� Property Address: APN: Application description Property Zoning: Application valuation: Applicant: ii -0.0000868 _'i 51890 AVENIDA MORALES 773-152-009-16 -000000- MECHANICAL COVE RESIDENTIAL 7000 Tit�l 4 4 Qgmz Architect or Engineer: 0A BUILDING & SAFETY DEPARTMENT BUILDING PERMIT --------- - - - - -- LICENSED CONTRACTOR'S DECLARATION 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 m License 'is in full force and effect. License Clas : C2/0 License No.: '632 Date: G r_Contiactor. OWNER -BUILDER EC RATION I hereby affirm under penalty of perjury that I am exempt from th Co rector's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: 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 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/12/11 Owner: ROBERT SWAYER 51890 AVENIDA MORALES LA QUINTA, CA 92253 %A n f �1[1 Contractor: '' ' r - RELIABLE APPLIANCE SERVICE<U a 324 COOGAN WAY EL CAJON, CA 92020 CITY�?�c.�i:►irit'N7� (800)767-4090 Lic. No.: 962632 --------------------------------.--------------— 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 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 SENTINEL INS Policy Number 57WECDD8485 _ .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 orkers' compensation laws of California, and agree that, if I should become subject to the rk s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comp .wit those provisions. (Datei LO /Applicant: - WARNING: FAILURE TO SECURE WORKERS' CO SATION 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 actor 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 co t. I agree to comply with all city and county ordinances and state laws relating to building construction, and re 6 horize representatives of this counts qto nter upon the above-mentioned property for i spe ion pur Date. !C -Signature (Applicant -or Agent): ' Application Number 11-00000868 Permit . . . MECHANICAL Additional desc . Permit Fee 40.50- Plan.Check Fee .10.13 Issue Date Valuation 0 Expiration Date 2/08/12 Qty Unit Charge Per Extension BASE FEE 15.00 1:00 9.0000 EA MECH FURNACE <=LOOK 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 --------------------------------------------------------------------- Special Notes and Comments REPLACEMENT OF A PACKAGE UNIT, ROOF TOP MOUNTED. 13.2 SEER BUILDING CODES 2010.' -------------- --------------------------------------- ------------------------ 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 51.63 Sirn' lefied Pi-eScri 'tive Certificate of Com liiace: 20013 Resideiitik/ HVAC Climate Zonfs90 to Is, ess: %%J� Enfoif rcement Agency: Date: CF=1R-ALT=f)IVA.0 Permit #. Equipment T Conditioned Floor List Minimum Efficiency Duct insulation reuirement Area Thermostat Packaged Unit O Furnace O AFUE 90.!� O COPZff Over 40 ft of ducts added or O Setback ❑ Indoor Coil ❑SEER O HSp replaced in unconditioned space S edby system Qfnot already O Condensing Unit O EER ,LL ❑ Resistance O R 6 (CZ 10-13). FesL- sf present. mus be ❑ Other OR 8 (CZ 14-15) installed) 1. Equipment Type: Choose the equipment being installed: if more.than one system, use another CF -1 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 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 CF4R forms (no hand filled CF4Rs allowed) are filled out and signed. Beginning October 1, 2010 a registered copy of the CF -1R and CF -6R shallalso be on site for final Inspection. 1: HVAC Changeout Required Forms: • All HVAC Equipment :replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25* HERS CF -4R forms: MECH- 21 and ifors lit 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 For Split Systems: Duct leakage < 15 percent; RC, CCA > 300.CFM/ton(Minimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent I:xempted from duct leakage testing if: O J 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 s: al Chang outducting with new CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS ducts: (all new ducting and all CF -4R fors: MECH 20-, and fors lits stems MECH-22, and MECH 25 new equipment) ( split y ) For Split Systems: Duct leakage < 6 percent; RC, CCA 2:350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage <6 percent ❑ 3. New Ducts with Replacement Requtred'Forms: • Includes replacing or installing all new ducting CF -61K forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF411 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 leakage < 6 percent ❑ 4. New Ducting over 40 feet Required Forms: • Includes addine or replacing more than 40 linear feet of duct in unconditioned s ace. CF -611 forms: MECH-04, MECH-2I-HERS 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 certiN, 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 Compiiance. I certifi 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 Califomia Code of Regulations. • I h,: de>ign features identif ed on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets. calculat'ons, plans and specifications submitted to the enforcement a enc fora roval with the permit application. Name: 140�,?,— Signature: Comnanv, *4�m, .1-1 Address: City/Statc/Lip: 2008 Residential Compliance Forms March 2010 0 Bin # City of La Quinta . Building 8L Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Per 't # Pro ect Address: / Owner's Name: et' ) Q' A. P. Number: Address: Legal Description: Contractor: f%� City, ST, Zip; L Tele hone , _ Address: 32 /,J Project Description: City, ST, Zip: C `/Ci17 Telephone 8� l0� ©???':<i<:.<::»;s:->}:r?;<: '>z3'•7.;€^::>.<> City Lie. #; l�/C_^� Q , �J Li State Lie. # : Zt0 2 Arch., Engr., Designer: Address: City., ST, Zip: Telephone: State Lie. Name of Contact Person: (v?:>-:`:aN:>'#?:?":: ':<: >:<}:>••v};;:;.>;:;5 :::.:::::..::..:.,.;:.:::. �l���j Construction Type: Occupancy: Project type (circle one): New Add'n- Alter Repair. Sq. Ft.: # Stories: # Units: Demo Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd 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 2" Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.1. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3d Review, ready for correctionslssue . Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of.permit issue School Fees Total Permit Fees ^.