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14-0403 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 k` Application Number: 14-00000403 Property Address: 79564 LIGA APN: 772 -180 -044 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 11600 Tt*hf " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: C/� �� A"TZ- . A4- -------------------------------------------------- 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 my License is in full force and effect. License Class: C20 1JM, J;cens&I", 968138 X Date:Se�ntractor. l r ��!!!"' 4F OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that,) 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 ($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 1, 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.&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 Owner: MILLER GEORGE 79564 LIGA LA QUINTA, CA 92253 ( VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/09/14 Contractor: FIRST -CHOICE A/C & TING � Ih7 79747 CASSIA ST r ftL?r� f�. LA QUINTA, CA. 922 $3 n= (760)989-2369 Lic. No.: 968138 clrlro. Frv, �M,� ----------------------------------------------- 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 EXEMPT Policy Number EXEMPT 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 workers' compensation laws of California, and agree that, if I should becom subject to thew ers' compensation provisions of Section 3700 of the Labor Code, I s iths rose provisions. Date( Applicant: / 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, indemnity 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to buildin o struction, and hereb uthorize representatives of this.county ned ounty to enter upon the above-mentioproperty i ction Date:` Signature (Applicant or Agent): - . I Application Number 14-00000403 Permit . . . MECHANICAL 2013 Additional desc . Permit Fee 166.84 Plan Check Fee .00 �- Issue Date . . . . Valuation . . . . 0 Expiration Date 10/06/14 Qty Unit Charge Per Extension 2.00 35.7500 EA MECH FURNACE 71.50 2.00 11.9200 EA MECH APPL REP/ALT 23.84 2.00 35.7500 EA MECH CONDENSER/COMP 71.50 ----------------------------------------------------------------------------- Special Notes and Comments REPLACE (2) HVAC CHANGE OUT (1) 4 TON 16.5 SEER 78oAFUE13.1 EER;(1) 5 TON 16.5 13.0 EER BOTH WITH FURNACE & COILS. 2010 CBC 2013 CMCCARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. =----------------------------------------- ---------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) - 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 104.86 Fee summary' Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 166.84 .00 .00 166.84 Plan Check Total .00 .00 .00 .00 Other Fee Total 196.43 .00 .00 196.43 Grand :Total 363.27 .00 .00 363.27 LQPERA1IT Bin #City Permit # Project Address: _ of La Q uin to Building &r Safety Division P.O. Box 1504,78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet h le" Owner's Name: Ise A. P. Number: i Address: 9 Legal Description: City, ST, Zip: LIQ /N3 9s3 Contractor: �/ HV / Address: .. Telepho : � Project Description: 59or, g'V'f City, ST, Zip: 1W Telephon 6W CTdIV sme- State Lie. # : 6 City Lie. #; Arch., Engr., Designer- esignerAddress: Address: City, ST, Zip: . Telephone: P i�'r'Ak}'isyr};sj:::C�h.;.�:SijS`i:^^iv';: :•,r;::• >:>::.;.;.:...::;:>.•.:.:;:::.;:=;;::.;.>:::. .:<;;:.:;:;::::;;s::::>.7> :s»>::s>:,» :.:;:.:;<:::•: Construction Type: Occupancy: State Lie. ewroJe t type circle one :N Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: toe, tI Submittal Req'd APPLICANT: DO NOT WRITE BELOW THIS LINE Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan god Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN IiOUSE:- 3" 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 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 79-564 Liga La Quinta, CA 92253 City of La Quinta Apr 9, 2014 Dud insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit I@ Furnace ® Indoor Coil ® AFUE 78% ® SEER 13.0 ❑ COP ❑ HSPF ❑ R 6 (CZ 10-13) Served by system IM Setback If not already present, must be ® Condensing Unit ❑ EER ❑ Resistance ❑ R 8 (CZ 14-15) 1800 sf installed) t ❑ Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF-IR-ALT-HVAC for 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 verifies that each appropriate CF-6R and registered Cf-4R forms (no hand filled CF-4Rs allowed) are filled out and signed. Beginning October 1, 2010, a registered copy of the CF-111 and CF-611 shall also be on site for final inspection. IN 1. HVAC Changeout Required Forms: • All HVAC Equipment CF-611 forms: MECH-04, MECH-2.I-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 Coil 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: Dud leakage < 15 percent; RC, CCA <_ 300 CFM/Eon (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 (ie. Ductless Mini-Split System) (Also Exempt from Refrigerant Charge) ❑ 2. New HVAC System Required Forms: • Cut in or Changeout-with i f - � ' y ` ' " CF-6R`forms:-MACH-04, MECH-20 HERS, and (for split systems) MECF22-HERS, and new ducts: (all new ducti4A. all new MECHI25rHERS x25` CF-4R foams: MECH-20, a (for..#Iit systems) fM�ECH-22!and MECH `4 Ir equipment) For Split Systems:. Qrict leakage 4 &percent; RC, GCA >. 350 CFM/ton, FWD, TMAH,' SIMS, and either HSPP or•PSPP t For Packaged Units: Duct leakage < 6 per-ent,"7 j - ❑ 3. New Ducts with/or without Required Forms: Replacement i Includes-replacing-or installing all new - - --- - - - -- - - - - - - - _ ducting and/or outdoor condensing unit CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace. No or some CF-4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 300 CFM/tan, TMAH For Packaged Units: Duct leakage < 6 percent ❑ 4. New Ducting over 40 feet Required Forms: • Includes adding or replacing more than 40 CF-611 forms.: MECH-04, MECH-21-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 the 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 the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Atila Both Signature: Atria both Company: FIRST CHOICE A / C & HEATING INC Date: Apr 9, 2014 Address: 79-747 CASSIA STREET License: 968138 City/State/Zlp: LA QUINTA / CA / 92253 Phone: (760) 989-2369 Reg: 224-A002d064A-000000000-0000 Registration Date/Time: 2014/04/09 00:54:47 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 79-564 Liga La Quinta, CA 92253 City of La Quinta Apr 9, 2014 Dud insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace IN AFUE 78% ❑ COP13 R 6 (CZ IQ -23) Served by system ® Setback ® Indoor Coil ® SEER 13,0 [3HSPF ❑ R 8 (CZ 14-15) 1450 sf If not already present, must be ® Condensing Unit ❑ EER ❑ Resistance installed) ❑ Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -IR -ALF -HVAC for each system. 2. Minimum Equipment Effidencies: 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 verifies that each appropriate CF -611 and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and signed. Beginning October 1, 2010, a registered copy of the CF -111 and CF -6R shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: • All HVAC Equipment CF -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF -411 forms: MECH-21 and (for split systems) MECH-25 • Condenser Coil and /or • Indoor Coil and /or CF -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS • Furnace CF -411 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 Ler Parskaged Units. Did -A leakage 16 ..F ; p Exempted from duct leakage testing if: ❑ 1. Dud 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 (ie. Ductless Mini -Split System) (Also Exempt from Refrigerant Charge) ❑ 2. New HVAC System Required Forms: • Cut in or Chdngeout wlth� r �' CF-6Rformsl�MECH-04;"MEC_,Hf ii HERS,`and (for split systems) MECH-22 -HERS, and new ducts: (all new' ducting all new MECH,25-HERS &-4Rf6rms: equipment) MECH-20, and (for.?Iit sy ms) ECH-22,'and MECH-25' .. /. For Split Systems: 91!ct leakage,< 6ipercent; RC, C a 350 CFM/ton, FWD, TMAH, STMS, and either HSPF ar�PSPP. 1 } For Pack pged Uniis': Duct leakage: <'6 percent•? - ❑ 3. New Ducts with/or without Required Forms: Replacement -*'Includes replacing-or-installfng all-new ducting and/or outdoor condensing unit CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace. No or some CF -411 forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA ? 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent CI 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 the 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 the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Atila Both Signature: Atila so* Company: FIRST CHOICE A / C & HEATING INC Date: Apr 9, 2014 Address: 79-747 CASSIA STREET License: 968138 City/State/Zip: LA QUINTA / CA / 92253 Phone: (760) 989-2369 Reg: 224-A0024,0063A-000000000-0000 Registration Date/Time: 2014/04/09 00:52:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010