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11-0397 (MECH)• P.O. BOX \504 78-495 CALL.E TAMPICO LA QUINTAL, CALIFORNIA 92253 c&-t!t °F 4 Q" Application Number: 11-00000397 Property Address: 53365 AVENIDA CARRANZA APN: 774-075-019-7 -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 6500 Applicant: Archi tectEngineer: 7 C - BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licens under provisions of Chapter 9 (commencing with . Section 7000) of Division 3 of the Business and Prof ovals Code, and my License is in full force and effect. \ License Class: 13 License No.: 884275 `Date: [ Contractor: 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 155001.: (_) 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.). (_) 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 1 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 Owner: CIMINERA VIVIAN 53365 AVENIDA CARRANZA. LA QUINTA, CA 92253 ( VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/18/11 Contractor: _ HOPKINS, DAVID 269 LITTON AVENUE COLTON, CA 92324 r!J (951)522-5218 >( Lic. No.: 884275 AD13 18 201, ----------------------- -------- -��,w� 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 DELOS INS Policy Number WC001290782 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 beco a subject to the workers' compensation laws of California, com and aggee that, if I should bebject to the workers' compensation provisions of Section / a 3700 of the Labor Code s I th ith comply with those provisions. Date: �` �y Applicant: r 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 infor tion is correct. I agree to comply with all city and county ordinances and state laws relating to building consyVtion, and hereby authorize representatives of this cou�ter upon the above-mentioned propercti n purposes. Date: ��� �� Signature (Applicant or Agent): Application Number . . . . . 11-00000397 Permit . . . MECHANICAL Additional desc . Permit Fee 33.00 Plan Check Fee 8.25 Issue Date Valuation . . . . 0 Expiration Date 10/15/11 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 (4)TON A/C PACKED UNIT SPIT SYSTEM CHANGE OUT. -------------------------------------------=-------------------------------- 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 1.00 Grand Total 42.25 .00 00 42.25 LQPERMIT Sian •.ljfied Prescriptive Certificate of Com liance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC i e Zones 10 to 15 Site Address -Psnfnrcement.Agency: Date: Perinit.�: Conditibncd'zFlitor:. _ quipmcni-Typcl List Minimum Efficiency Duct insulat:inn•re uirement Area . Thcrmiisiat Packaged Unit ❑ Furnace ©�tCFUE_ ❑ Op Over e !i of noels added or replaced in unconditioned spacc Served by system ���/ I�Seta.. rra (If not cdrenrA� ❑ Indoor Coil SEER_ � 0 HSPF ❑,Condensing Unit ❑LEER . ❑ Resistance ❑ R H (CZ (LOIi sl' pr�srirr. musi he E9 Other P 14-15) ❑ R 11 (CZ /4 -ISI insccdled) 1: Equipment Type: Choose [lie equipment being installed: trnwre than one .ci•siem.tise another CF -1 R -ALT -HVAC for each si'slem. 2. Minimum Equipment.Effciencies: 13 SEER, 78%AFUE..7.7HSPFforlypic•al'residential .+stems. HERS VERIFICATION SUMMARY Listed below are four HVAC alteration Opti6ns. The installer decides what work is Ming doiye,and picks one of rhe appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the•forms shall -he left ori -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 inst cr. The inspector also verifies that each appropriate CF -6R and registered CF -4R forms (no hand filled CF-4Rs allowed) are Filled out and si * ed. Be ginnin October 1, 2010, a registered coey of .the CF -1R and CF -611 shall also be on site for final ins ection. 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 -411 forms: MECH- 21 and (fors lits stems) MECH-25 • Condenser Coil and /or • Indoor Coil and/or CF -6R forms' MECH-2I-HERS and (forsplit systems) MECH- 25 -HERS + Furnace CF -411 forms: MECH- 21 and (forsplit systems) MECH-25 For Split Systems: Duct leakage < 1.5 percent; RC, CCA > 300 CFM/ton(Minimttm 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 scaled and confirmed through HERS verification. or ❑ 2. Duct systems with less Than 40 finear feet in unconditioned space. or ❑ 3. Existing ducts litems are constructed, insulated or seated with asbesips ❑ 2. New HVAC System Required Forms: • Cut in or Changcoul with new CF -611 forms: MECH-04; MECH-20-HERS.and (for split systems) BEECH -22 -HERS; and:M.'EC.H-:2.5=HERS duels: (all new ducting and al CF -4R forms: MECH 20-, and (forsplit systems)MECH'-22, and MECH 25 new equipment) For Split Systems: Duct'leakage < 6 percent; RC, CCA > 350'&M/tan, FWD, TMAH, STMS, and e'ither.HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with Replacement Required Forms: Includes reptacing.or installing all new. ducting CF -6R forms: MECH-04, MECH-20-fiERS.and (forsplit systems)..MECH-2;5-:HERS and/or Outdoor condensing unit and/or indoor CF -411 forms: MECH-20 and (for split systems) MECH-25 coil and/or, furnace. Not all equipment changed. For Split Systems: Ductaeakage.< 6 percent, RC, CCA > 300 CFM/ton, TMAH For Packs ed Units:. Duct leakage < 6. percent ❑' 4...New Ducting over 40feet Re uired'Forms: • Includes adding or -replacing more than 40 CF -6R forms: MECH-04. MECH-2I-HERS CF -4R lbrms.: MECH-21 linear 1•eci ol•duci in unconditioned space. For split system or ;packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing ducts stems constructed• insulated or scaled with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • 1 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 responsihi lily fdr the design identified on this Ccrtifucateto Cimtplianec. • .1 certify that the energy featun:s and performance specifications for the design identified on this Certificate ol`Oompliance conform to the ruquircmcriis of Titte 34. Parts I and -6 of the California Code of Regulations. • The design featun.Ns'identified on this Certif Bate of Compliance are consistent with the inforrimation documc on -other applicable compliance forms -.worksheets. calculations. plj4_ands ccifications suhmitted to the enforcement agency farqpproval with the pernpil,I' alion. Name: AJ C-0 t DP401J 7 Signature: Company: - Date: Address: Zeal �� R � License: 4,0196 L( Z•-7�- Cily/Slate/Zip: CA. 23 Phone: • S �zZ r. .. ....... Adnrr to W110 Community Action Partn&rship - Riverside County Weatherization Building Assessment and Job Order Sheet American Recovery and Reinvestment Act of 2009 (ARRA) Customer VE U_T_- A- I e L Gin T -AT e g Phone ( '7.6 Q ) S6 V- 6R -z -B' Address 34 t)>a D,4 City L,4: QUZip Code Ins ector: .Fred Lopez Phone: 951 235.9738 ci E v v Contract Prices Assessment & Diagnostics S Quantity, g MIP, N/F s Locations, Dimensions, Specific Repairs & Instructions �U See Notes =MUPTRIN- 1 $65.00 Unit Assessment with Attic, Existing R -Value CAP Riv' .., / L GZ� ! r "�rr A $40.00 Unit Assessmentw/6Attic CAP Riv 2 No max. at this time. Energy Audit Contractor B $40.00 Modified icor re+vxd dwellings) CAP Riv 3 $65.00 Combustion Appliance Safety Pre -Test CAP Riv C $65.00 Combustion Appliance Safety Post -Test Contractor 4 s7o.o0 Slower Door . Pre Contractor D $70.00 Blower Door -Post Contractor 5 $50.00 Duct Test -Pre Contractor E $50.00 Duct Test-* Post Contractor NIM- Inade nate CVA - YES Unable to Vent D er - YES Deferral Form - YES Other - YES Lead Safe Wx Needed - YES ARproximate Sq.. Footage - /37 Year Home Built - Pre 79 Lead Form in File - YES Living Area Open Comb. BTU's - Heater. Broiler: Oven: Other. Range/Cooktop Burners Total: HWH: D er: Total BTU's = 4B � v IA6 s e 1 $60.00 Carbon Monoxide Llth $120 max. • First Floor Location 1 - MECarbon Monoxide Lith • Second FI. or Other Location 2- 2. $700°00 Coolin .Re aic - MultiVnit.CentralS stem $1,568.00 Coolin' .Re eit. = AIC.FAUIS'llt'S s. C C td F $ trA S. ' B ' • $700:00. Cobilng Repair ..A/C WaIIAMndow, C $700'.00 lCoolfrio Rd air. -. Eva orative Cdoler' ' Coolin 4e I:,oneldweBin :S ;:F.00ta 'e.to CooC.Dirttensions of Win./Wa11'O enin - BTU:'s:Re wired': 3 $1,418.00 Cooling Replacement - Multi Unit Central Sys. Model # D $3,134.00 Cooling Replacement - A/C FAU Split Sys. Model # E $1,418.00 Cooling Replacement • A/C Wall/Window F $1,305.00 Cooling, Relacement - Eva .Roof G $1,112.00 Cooling Replacement - Evap. Wall/Window 4 '$1,568:00 HeaESburce'Re air . Multi-UnitcantralS tem. . H $1,565.00 HS.Re air - Exterior WaitDirect,Ven I Interior Wall.&Floor Furnace J $2,200.00' . HS Repair. - FAU K $1,46800 HS Repair - Mobile Home Furnace L 32,137.00 HS. Repair - Other -Types- Not Listed" Discribe Unit - M $3,027.00 'HS Re .air - Package Dual Pack N $2137.00 HS Re air - Wood:Fueled Heat Source Re I. - U floiv - YES. Downf iiv.- YES + "'.6 $3,134.00 Heat Source Replacement • Multi Unit CtriSys. O $3,134.00 Floor Furnace P $4.131.00 HS Re 1. - .FAU Split System O 1 $2,934.00 HS Re I. - Mobile Home Fumace MH Decal # or Model # . R $4.274.00 HS Re 1. Other Types Not Listed $6,055.00 HS Re I. - Pack a a Dual Pack T $4,274:00 HS Re L - Wood Fueled 6 $300.00 Range Hoods, WaidCellln Mounts B -•S E e- 7 $ $65.00 Thermostat - Manual U $142.00 Thermostat Programmable 8 1 Water Heater Repr - Multi Unit Ctrl. Sys., Elect., $580.00 Nat/Propane V $750.00 Water Heater Repr - Mobile Home 9 • Water Heater Rep[ - Multi Unit Ctrl. Sys., Electric, $1,163.00 Nat/Propane W $1.500.00 Water Heater Rapt - Mobile Home MH Decal # or Model # - Gallons - r 1 Vo HWH Door Opening W x H- z lSt it fE . t4 ogYR u _ e uQea, , egi7i: _, i A. St4,...:e"teed$ iria . it •bel tfbotity_Ag 1 j Per Ln. Ft. 1.75 Caulking - Mobile Home Price max. $90.00. Ft. A Per Ln. Ft. 1.75 Caulking - Multi Unit Price max. $45.00 FI. B Per Ln. FL 1.75 Caulkin • single Price max. $75.00 FL 2 $30.00 • Cover Plate'Gaskets T Per Joint $3157 $1977 max per Duct Repairs and Replacements Indicate Problem(s) Location & Size of.Duc s - 4 Location 3 Size of Duct(s) - $200100 Doo,Ezterlon(AILTypes)'.RepalrylndlcateR#"Iem C $430.00 Door, Exterior (All Types) Repl. - W x H x Thickness :3641100. `Slidln tGlass D'oor•>.Re'r:72'.'x80";andlsmaller , Z Ci D $770.01) Slidin :Glass.Door:- Re r: Greatenthan:72'.'x80" E $770.00. Slidln Glass Door - Replacement 72"x80" F $1,603.00 Sliding Glass Door - Repl. Greater than 72"x80" 6 $472.00 Glass. Replacement Location ik Size(s) - Locatlon B Size(s) - 7a $36.00 Roof Mastic 7b $30.00 Combustion Air Venting 7c $120.00 One Vent Jupper or lower 7d $150.00 Two Vents (upper and lower 7e $19.00 Eaye Vent 7f $75.00 Turbine Vent 7 $5.00 Vent Screen 7h $50.00 Dormer Vent 71 $55.00 Dryer Vent - Opening Only 7 $25.00 Dryer Vent • Vent Only .7k $3600 -. `' WaU;12e air to e' oint com ound' Taste 71 ; $36:00 ` Wall Re air stucco. aitch,. I ood 7m $19.00 Shower Adapter 7n $55.00 Shower Diverter Valve 70 $16.00 Shower Handle 7 .$34.00 Threshold Door Frt- Back- Side. Garage- Other - 7q $83.00 Hln a Lid for Disappearing Stair Cover Tr $102.00 New Attic Access Incl. w1stripping 8. Insulation 7s Attic Access Door (including weather stripping $44.00 and insulation) Replace if Broken only. Size 7t ; _Cost of'materiel + - :1 hr.'1Jic:wockec FCoor e:airfor.Mo6ile.Home'WaterHeater.• 7 $22.00 Door Shoe Fri. Back- Side- Garai e- Other- Tv Per Ln. Fl. .39 Backer Rod 7w Per Ln. Ft. 1.94 Glazing Compound - Linear Feet, sash to sash. 7x $15.00 Seal Under Sink Kitchen . YES Mstr. Bath - YES Bath 1- YES Bath 2 -YES Bath 3 - 7 Solid Con Half Uts Door (includes 24" thru 36", 1318" or 1 '/.") Ilncludts door sealant, new hinges, new door entry $222.00 handle/IoeksetJ ILocation - 7z Solid Core Half Ute Door (includes 24" thru 36", 1 3/8" or 1 %") (Includes door sealant, now hinges, now door entry $276.00 dlelfockset) Location - 7aa Door Entry Handle/Lockset/Deadbolt - Renters $52.00 only, unless door installed and existing lockset 7bb $54.00 5" Back set latch bolt 7cc $40.00 Hinges 3 -1IY' or 4" loose pin 7dd $42.00 Hinges 3 -1/2" or 4" locking in lee $48.00 Double Door Slide Bolt 711 Per Ln. Ft. 3.55 Door or window casing • Linear Footage Location. 7 . Repl. A8 $94.00 Doorjamb stock othervriss $5.00 Ln. Fl I II Repl. All $/09.00 7hh , odwrvise $5.00 Ln. Fl Doorjamb stock, rabbeted jamb 70 Per Ln: -Ft.- . 3.55 boorStoo Ln. FL 7 j $19.00 Striker Plate regular € t 7kk $28.00 Striker Plate, safe or map type 711 $48.00 Lockset Brace 7mm Cost of material + Kitchen Cabinet repairs b retrofits must be associated with 1 hr. wx. worker. the erowatwment of a range, cook top or previously installed . 7nn Cost of Mal + 1 hr. Knob and tubo wiring "Notice of Survey by Electrical Electrician Gen. Contractor- and Installation of simple over current protection Resid. Wage per CSD d PEP ' loo Cost of material + 1 hr, wx. worker. Minor roof repairs ?pp Cost of materiel + Mobile Home Skirting 1 hr. wx. worker. 7 $60.00 Vent Cover Interior- Evap. Cooler or A/C 8 POO Weathe . rstripping Hinged yLlcltl 1211GaA A, f TVt- Not to exceed 2.10 per Ln. Ft. Weatherstripping Other Ln. Ft. B ' .. $557.60 , Window Repair Price Max. Per Dwellin 5 C $1,114.00 Window Replacement Price Per Dwelling) 2 1 a' 61i7ri. $76.00 CFL's Hard Wire A $8.00 CFVs • Thread Based '• 2 Per Sq. Ft. 0.95 Duct Insulation 3 $7.50 Faucet Restrictor r .. B $32.00 Handheld Showerhead, Low Flow S t., C $24.00 Low Flow Shower Head Z° { r••'2 Per Sq. Ft. 0.77 Ceiling Insulation - R11 PerSq. Ft. 0.95 R19 Per Sq. Ft. 1105 R30 Per Sq. Ft. 1.25 R38 $653:00 CoolIKgAePair, EvaporAt]44.�ooierl $1,300.00 Cooling Re I. Evap. Cooler Roof A $1.112.00 Cooling Re 1. Evap. Cooler Window/Wall — 5 $325.00 Floor Foundation Venting — 6 Per Sq. Ft. 1.65 Floor Insulation Over 36" Clearance B Per Sq. Ft. 2.00 Floor Insulation Under 36" Clearance 7 per Sq. Ft. .95 Kneewall Insulation RI 1 C 1 Per Sq. FL 1'.05 Kneewall Insulation R19 8 Per Sq. Ft. 12.40 Storm Windows – Fixed, Glass Glazing D Per Sq. Ft. 18.40 Storm Windows – Fixed, Polycarbonate • E Per Sq. Ft. 13.90 Storm Windows – Operable, Glass Glazing F Per Sq. Ft. 21.40 Storm Windows – Operable, Polycarbonate 9 $142.00 Thermostat - Programmable — 9 Shadescreons — 10 Shutters — 13 Timer Electric Water Heater —13b Tinted Window Film 11;, S ... 15 Wall Insulation 16 Permits - Actual Cost 17 HERS Rater The maximum average allowable per home is $6500. Exceeding this amount requires a written approval from the manager. MM ........ ....... ns "eOld.1w me Kin has n, .t'! 43 I D il MoRdim i. , PA �%d .0 AmPaWlArn iconc Signature: zj SI nature: Fred Lopez, Inspector Godwin Alrr)ua, Manager 04/18/2011 08:52 7607777011 LA QUINTA BLDG DEPT PAGE 01/01 Bin City of La Quinta ' Building 8r Safety Dhdsion Permit # P.O. Bax 1504, 78-495 Calle Tampico , La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project address: X3365 NUWiIbA C'A Z2A.1zA 'Owncr'sNamc, \/,VIWJ A- P.Number. Address: 5336,5 fltl6,J%DA 6e AQP r_A Legal Description: City, ST, Zip: L &,SQA 4.22 63 Contrgctor 7� �%�� NoPiC�'NS 'fol hone: Addre$s: 2.� L r 1' -c -O.1 A Project Description: City. ST, zip: (A. qi ? ' N kA r PJ w\ P Telephone: J51-522-52($ C LAA,_)(,t. State Lie. # : V$ -f 275 Arch., Esngr., Designer: ' Address: City., ST, Zip: Telephone: Construction Type: Oetxipattey: Project type (circle one): Now Add'n Alter Rc*r Demo State Lie. #, Name of Contact Person: D& t)i C) �40PAi ,` S Sq. Ft.: ( (,00 # Stories: u Units: Telephone 4 of Contact person: �($! - 5L2 - SZI$ Estimated Value of project; C Sid APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal R 'd Read TRACIMG PERMIT FEES Pita Sets Plan Check submitted Item Amount Structural CaEp Reviewed, ready for corrections Plan Check Deposit Tress Cales. Called Contact Person Plan Cheek Balance. Title 24 Cates. Plans picked up Constraedou Flood plain plan Plans resubmitted Mechanical Grading plan 2� Review, ready 1br correctioWssue Eleetrtetl Subcontactor List Called Contact penon Plumbing Grant Deed Plaut peeked up g.1►71 �, A.U.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for eorrectiontAstne Developer Impact Fee Planning Approval Called Contact Person A.Mr. Pub. Wks. Appr bdt of permit issue School Fea Total Permlt Feet