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14-0093 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000093 Property Address: 48220 CASITAS DR APN: 649 -382 -038 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1546.4 Applicant: I�WpoTWOlt 4t�l�ftrcv BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: 01'r -1 ------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of. perjury that 1 am licensed under provisions of Chapter 9 (commencing. with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full forceand effect. License Class: C20 Ucense.No:: 878533 Dare Contr or*–/' Z NUU1� OWNER-BUI LDER' DECLARATI O N I hereby affirmunder penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031:5, Businessand 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 (8500).: (_ 11, 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'ownenof property whobuilds orrimproves thereon, and who does the work himself or herseWthrough 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 thepurpose: ofsale.): 1 _ 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;).1-1 I am exempt under Sec. B.&RC. 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 Owner: TEDDY AND AMY WHITE 48220 CASITA DRIVE LA QUINTA, CA 92253 ( Contractor: ONE HOUR A/C & HTG 3030 MYERS STREET RIVERSIDE', CA 9250 (9.51)27'6-9744 Lic. No..: 878533 VOICE (760) 777-7012 FAX (760) 777-1011 INSPECTIONS (760) 777-7153 Date: 1/30/14 ------------------ WORKER'&COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations:� 1 have and will maintain a certificate of consent to.self-insure for workers' compensation, as provided for b /Section,3700.of the Labor Code, for the performance of the work for which this permit is d. e and will maintain workers' compensation insurance, as required by Section 3700 of the'Lebor `_ Code, for the performance of the: work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier INS CO OF WEST Policy Number WVES02266161 QI certify that, in the performance of the work for,which this permit is issuedi 1 shall not employ any person in any manner so as to, become subject to the workers' compensation laws of California, and agree that, H I should become subject.to theworkers' compensation provisions of Section � .� 2. 3700 of the Labor,Code, I shall_fo- ith comply with,those provisions: Dm --e WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND, SHALL. SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL FINES. UP TO ONE.HUNDRED THOUSAND DOLLARS (i 100,0"00). IN ADDITION TO THE COST OF COMPENSATION„DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND.ATTORNEY'S,FEES. APPUCANT ACKNOWLEDGEMENT IMPORTANT Application Is hereby made tothe,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 anypermit issued asia 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 isnot 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 statethat the above information, is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of.this county to enter upon the above-mentioned property I r inspecti urposes. DatSignature (Applicant or Agentd- L 4 11 Application Number . . . . . 14-00000.0.93 Permit . . . MECHANICAL 2013 Additional desc . . Permit Fee . . . . 71..50 Plan Check :Fee .00 Issue Date . . . Valuation . . . . 0 Expiration Date . . 7/29/14 Qty Unit Charge Per Extension 1.0:0 35.7500 EA MECH FURNACE 35.75 1..00 35.7500 EA MECH CONDENSER/COMP ------------------------------------------------------------------------------- 35.75 Permit . . . MECHANICAL 20.13 Additional desc . Permit Fee . . . . 71.50 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/29/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.00 35..7.500 EA MECH CONDENSER/COMP 35.75 -------------------------------------------------------------- ----------------- Special Notes and Comments HVAC CHANGE OUT - (2)16SEER/80AFUE SPLIT SYSTEMS, [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2010 CALIFORNIA BUILDING CODES. -----------------_---------------------- ------- --------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 95.32 Fee summary Charged Paid Credited Due --------------------------------------------- Permit Fee Total 143.,00 .00 -.00 143.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 186.89 .00 .00 186.89 Grand Total 329.89 .00 .00 329.89 LQFERMrr Bin l;F .... City, of La Quin a. Bi#lding &I Safety DW On P Q. Box,1SQ1, 78.495 495-TOMco 14 QUMP, CA 922'53 - {7. d0) 77.740,12 Building Permlt.ApOication and'Tracking Sheet t'ermifs�f Project Address: ';.gD OwnWs-Narlic A-:,?. Numbs- 1. Q Address: _ .. 4, goi Desdiptiow: City, ST, Zip: ' S. �" _ Telephone �\ . Corifractor ` . R- \" O '. Addim: � - 1'io'ecGDesa Uon• —(gtJ City, SI?,'Zip: R.0 ,b , :Q . l\.< -q. Telcphonc:Cj 5., State Lic. City laic: & Arch:, Engr.,.Designer•; Address: City, ST,:Zp: Telephone: - ConsbvctionType:. Occupancy: State Lic. : Pr6jecv,type (circh: one); New AdO Alter Repair Demo Name of,ContactPerson:Sq: Et:: #.`Stories: H Units; "T'ciephon4 #mf Contact Prion: Estut ied' Value gf Pmjeu . l.�j 4 iv,,A 00 APPUCANT a30.NOT WRITEMELOW THIS LINE _ H' Submittal, Req'd Ree'd.. TRACMG Milt' IT FEES Plaa•Sets Plan.C.beck submitted Item Amount Structural Cates: Renewed, ready for correction P1aa Cyeck Dcposit Truss.Cala: Called.Contact Person Plan•Check-Batance. We 24.61cs. Ptans picked up Coastrnetioa FloodpOin plan Piantresubwitted Mechanical Grading pian 2" 116iew, ready•for correctionsfiuve Eiectri al Subcootaetorlht CAW ContsctPekson, Plumbing Grant Deed Plans picktd up HAA: Approval l lanx;resubmitted: Grading IN IYUUSE:= "d Rcvlew,�rcady for cormcdonsliasut Developer ImpactFte :Planing=Approval, .; Cf11e&ContsctPerson Pub. Wks. Appy Date.of permit issue Scbool.Y,ces Total term,, Fees Sim lifted Prescriptive Certificate of Compliance: 2008 Residential HVACAlteratiens CF -1 Climate Zones 10 to 15 SlreAddresr:48220 Casita Dr Enforo"""'4'gea"atyot LQ Dare:1-28-�4 PernilLp: Conditioned Floor Equipment Type' List Minimum Efiicienc: Duct insulation requirement Area Thermostat x Packaged Unit Furnace ❑x AFUEreK � COP C Over40'it of ducts added or laced in unconditioned space Served by system ©Setback (if not already x indoor Coil Condensing Unit x EER 1A ❑EER. PF Resistance fflR]' 6 (C210-13) ?tat of prr sIle must he 8 (C114 -IS) l+rsratled) Other 1. Equipment Type. Choose the equipment being installed.• if more than one system, use another CF -I R ALT-HVACfor each system. Z Minimum Equipatent Efficiencies: 13 SEER. 780AAFUE. 7.7HSPFjor typical residential systems. HERS VERIFICATION SUMMARY Listed below are,four HVAC alteration Options. The installer decides what work is being done sad picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the fonds shall be left on site for final inspectionand a copy given to the homeowner. At final, the inspector veriftes'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 CFAR forms (no hand filled CF41ts allowed) are filled out and signed. Beginning October 1 2010 a rc lstered copy of the CF -1R and CF -GR shall also be on site for final Inspection. 1. HVAC Chan eout Required Forms: • All HVAC Equipment.replaced CF -6R forms: MECH-04, MECH-2l-HERS and (for split systems) MECH- 25 -HERS. CF -4R forms: MECH- 21 and for split ems MECH-25 • Condenser Coil and /or CF -6R forms: MECH-2I-HERS and (for split systema) MECH- 25 -HERS • Indoor Coil and /or CF -4R forms: MECH- 21 and (for split systems) MECH-25 • Furnace For Split Systems: Duct leakage < 15 percent, RC, CCA 2:300 CFM/ton(Minitnum 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 duce systems art constructed, insulated or scaled with asbestos ❑ 2. New HVAC System Required Forms: • Cutin with new new eo CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, mW MECH-25-HERS (a l ti ducts: (all new ducting p� all CFAk forms: MECH 20-, and (for split systems)MECH-22, and'MECH 25 new equipment) For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, SIMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent 3. New Ducts with/or without Replacement R uired Forms: • includes replacing or,installing all now ducting CF -6R forms: MECH-04,.MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor:condensiag unit and/or indoor coil CF -4R forms:.MECH-20 and (for split systems) MECH-25 and/or f tmace. No or some equipment changed. For Split Systems: Duct leakage < 6 percent, RC, CCA 2:300 CFM/ton, TMAH For Packaged Units: Duct leaks < 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 CFAR forms: MECH-21 linear feet of duct.in unconditioned space. For splits tem or packaged units: Duct leakage < 15 percent Lj EXCEPTION: Existing duct stems constructed, insulated or.sealed with asbestos. Contractor (Documentation .Author's /Responsible Designer's Declarstlon:Statement) • 1 cenifyimi this Certintcate of compiianee documentation is accurate wid complete. • 1 am eligible wider Division 3 of the California Business.and Professions Code to accept respowibility for the "go identified on this Certificate of CompliiMm. • l certify that, the energy features and performance specifications for the design identified on this Certificate of Compliance coofotm to,the requirements of Title 24, Pates land 6 of the California Code of Regulatioaa. • The design features identified on this Certificate of Compliance are consistent withilie'information docurnented on other applicable compliance forma, worksheets, calculations. plans and specifications submitted to the enforcement amey for atipwyal with the' pomillopplication. Name. Jane Reektenwald signature: Company:Venvest Ballard, Inc. Dial One Date'1-28-2014 Address: 3030Myers St Lr"'se`878533 City/State/ZiliRiverside, CA 92503 Phonc:951-276-9744 I 711110 RoeiitonJinl !'mnn/ii,nra Fnrinp "nowk Will) Sim Uffed Prescri tive Certificate of Com fiance: 2008 Residential HEACAfteratkns CF -1 Climate Zones 10 to is Sire Addra . 48220 Casita Dr Bafamement Agene City of La DVrte: 1-28-14 Permit ll: Conditioned Floor Equipment Type' List Minimum Efficiency2 Duct insulation requirement Area Thermostat. x Packaged Unit Furnace OAFUE80x COP .Over 40 Q,of ducts added or laced in unconditioned space Served b system Y IM Setback net already x -Indoor Coil Condensing Unit. x EER ttm ❑EER HSPF Resistance R 6 {CZ 10-13) 2t6t sf f r present must be R.8 (CZ 14-15) installed) Other 1. Equipment Type: Cho ave the equipment being installed.ifm ore than our system, use another CF- IR-ALT-HYACfor each system. Z Minimum Equipment Eflioiencies: 13 SEER. 7Ar� AFUE, 7.7HSPFfor typical residential systems. HERS VERIFICATION SUMMARY Listed below.are four HVAC alteration Options. The installer decides what work is being bone and picks, oue 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'tisct the work completed by the installer. The inspector also verifies that, each appropriate CF -6R and registered CF4R forms (no hand filled CF-4Rs allowed) are filled out and signed. BeOnning. October 1 2010, a registered copy of the CF -IR gad CF -6R shall also be on site for final Inspection. ©1. HVAC Chan eout Required Forms: • All; HVAC Equipment replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 23 -HERS CF -4R forms: MECH- 21 and fors lit ems MECH-25 • Condenser Coil and/or CF-61tforms: MECH-21-HERS and (for split systems) MECH- 25 -HERS • Indoor Coil and/or CF -4R forms: MECH- 21 and (for split systems) MECH-25 • Furnace For Split Systems: Duct leakage < IS percent; RC, CCA*:! 300 CFM/ton(Minitnum Air Flow Requirement), TMAH For Packaged. Units: Duculeakage�< 15 percent - Exempted fmin duct leakage testing if 1. Duct system was:documented to have been previously sealed and conroned through HERS verification, or 2. Duct systems with less than 40 linear feet in unconditionedspace, or 3. Existin .duct systems amconsttucted. insulated or sealed with asbestos 0 2. New HVAC S stem Required. Forms: • Cut in or Changeout with new CF -61t forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HER9, and MECH-25-HERS ducts: (all new ducting md all CF4R forms: MECH 20-. and (for split systems)MECH-22, and MECH 25 new equipment) For Split Systems: Duct, leakage -< 6 percent; RC, CCA 2:350 CFM/ton, FWD, TMAH,.STMS,, and either HSPP or PSPP. For Packaged Unlit: 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 CF4R forms: MECH-20 and (for split systems) MECH-25 and/or furs m. No orsome 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 adding or replacing more than 40 CF -6R forms: MECH-04, MECH-2I-HERS CF4R fours. MECH-21 linear feet of duct in unconditioned space.. For splits tem or packaged units: Duct leakage < 15 percent Lj EXCEPTION: Existing ducts stems constructed. insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • t certify diet this Ccitificate of Compliance documentation is accurate and complete. • 1 am eligible under Division 3 of the California Business; and Professions Code to accept msponsibility,for d dlcsiga identified on this Certificato of Compliance. • 1 certify that the energy features and performance spwif cations for the design identified on this Certificate of Compliance conform to the mquimmeats of Title 24, Para 1 and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the information.documented on other applicable compliance foram, worksheets, calculations. plans and specifications submitted to the enforcemem agency for approval with the Permit application. Namc:Jane Reektenwald Signature: Company:Venvest Ballard, Inc. Dial One '1-28.2014 Address: 3030 Myers St License: 878533 City/Statelzip:Riverside, CA 92503 Phone:961-276-9744 in/:R t7rridonrinl Cm..nli..,a•u Fnr.►.e "Aft -A ?Alf#