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10-0895 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: r 10100000895 Property Address: 79607 MORNING-GLORY CT APN: 604-452-013-21 -25691 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2000 . BUILDING "& SAFETY DEPARTMENT BUILDING PERMIT Owner: BERNARD BARRETT 79-607 MORNING GLORY COURT LA QUINTA, CA 92253" VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 9/13/10 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: 1-4 LQPERMIT 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 co or i as and state r to building construction, and hereby authorize representatives of this'c my�tyo�ente�r up, the abo e- do d e for inspection purposes. D/tte �'v 53tanatur ( IiGani or Contractor: _ V Applicant: Architect or Engineer: \�` � TELFORDJONES , INC. 9 25920 IRIS. AVE, STE 13A-400 O�A MORENO VALLEY, CA 92551 (951)486-0337 ` LiC. No.: 856936 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION , I hereby affirm under penalty of perjury that I am It 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 an onals 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 Lic a Class: B- -C2 - license No.: 856936 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ntractor: issued. -V-. 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 STATE FUND Policy Number 0059112009 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 a0jvict 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 f the Labor Code, I t ith comply with 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).: D te: pplica t: (_) 1, 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 URE 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 EMP 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 ($1 ,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, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. 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.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) 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 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: 1-4 LQPERMIT 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 co or i as and state r to building construction, and hereby authorize representatives of this'c my�tyo�ente�r up, the abo e- do d e for inspection purposes. D/tte �'v 53tanatur ( IiGani or I - 46 Application Number . . . . . 10-00000895 Permit -MECHANICAL Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25' Issue Date . . . . Valuation . . . 0 Expiration Date 3/12/11 Qty Unit Charge. Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 ---------------------------------------------------------------------------- Special Notes and Comments CHANGE OUT 2 A/C CONDENSERS/COIL, LIKE FOR LIKE. 17 SEER. 2007 CODES. ---------------------=---------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) -------- 1.00 Fee summary Charged ----------- ---- Paid Credited - ----- ---------- --------- Due ----------------- Permit Fee Total 33.00 7 .00 .00 33.00 Plan Check Total 8.25 .00 .00 8.25 Other Fee Total 1.00 .00 .00 1.00 Grand Total 42.25 .00 .00 42.25 LQPERMIT Sim lified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 to 15 Site Address: Enforc ent Agency: p �w� rs�— / Permit #: Type' 2 Conditioned Floor Equipment List Minimum Efticienc Duct insulation requirement Area Thermostat ❑ Packaged Unit ❑ Face �_ ❑ COP Over 40 ft of ducts added or etback W'1gd�or Coil ER ❑ HSPF replaced in unconditioned space Served by system (tfnor already Condensing Unit ❑ EER ❑ Resistance ❑ R 6 (CZ 10-13) sf present, must be ❑ Other ❑ R 8 (CZ 14-15) installed) /. Equipment Type.` Choose the equipment being installed; if more than one system, use another CF -1 R -ALT -HVAC jor 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 verities that each appropriate CF -61Z and registered CF -41Z forms (no hand filled CF-4Rs allowed) are filled out and sign . Beginning October 1, 2010, a registered copy of the CF -IR and CF -6R shall also 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 • Condenser Coil and/or CF -4R forms: MECH- 21 and fors lits stems MECFI-25 • 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 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 ducts stems are constructed, insulated or sealed with asbestos 112. New HVAC System Required Forms: • Cut in or Changeout with new ducts: (all new ducting and all CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS new equipment) CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with/or without Replacement Required Forms: • Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor coil CF -4R forms: MECH-20 and (for split systems) MECH-25 and/or furnace. No or some 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 uired Forms: • Includes adding or replacing more than 40 linear feet of duct in unconditioned space. CF -6R 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) • 1 certify 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 Compliance. • I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of'ritle 24, Parts 1 and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the information documente n plicable compliance forms, worksheets. calculations, plans ands specifications submitted to the enforcement a enc for a roval with e e t a ' t' Name: Signatu Company: Date: Address's /iLicense: C/ City/State/Zip: Phone: 44,,.,.1. 'ntn Bin # Qty of La Quinia Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Q G�� lO " D Project Address:7374lAt6 jfg COwner's Name: &OA40, A. P. Number:;?Q� Address: ��--��T Legal Description: Z4 %!Z d��� City, ST, Zip: Contractor: �i�� Telephone: Address: IA9?Zf y� v Project Description: _ / C ex City, ST, Zip -MOA" hone: Telephone: cin State Lic. # : 7V� City Lic. Arch., Engr., Designer: l Address: City, ST, Zip: Telephone: State Lic. #• Name of Contact Person: -11 � Construction n T o e• S /� Occupancy: Type: an cY: Project type (circle one): New Add'n Alter epai Demo Sq. Ft.:.Z,570 # Stories: # Units: ze Telephone # of Contact Person: .907 433,17 Estimated Value of Project: 41 AAQ9 APPLICANT: DO NOT WRITE BELOW THIS LINE /17 # 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 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 21' 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 1�