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10-1077 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00001077 Property Address: 52900 AVENIDA RAMIREZ APN: 773-323-008-19 -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application Valuation: 3600 BUILDING & SAFETY, DEPARTMENT BUILDING PERMIT. VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: -•10/20/10 Owner: LA QUINTA REDEVELOPMENT AGENCY 78495 CALLE TAMPICO LA QUINTA, CA 92253 - Contractor: n Applicant: Architect or Engineer: _ SPEEDY AIR CONDITIONING j D gyp` a 54685 AVENIDA HERRERA L� LA QUINTA, CA 92253 (760) 567-0133 OCT 22 ZUIo t Lic. No.: 834471 ! ` CITY'E q flUiN . „1 .y L r ----- =-�._ _ LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed 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 and Professionals 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 Licens Class: C20 nse . 834471 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate: ontraclor: _ 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 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 EXEMPT Policy Number EXEMPT 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 subject 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 3700 of th Labor Code, I shall forthwi6cplVwi ose pr isions. 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 (5500).: ate:. O '/(I pplicant:t� (_ 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 WARNING: FAI RE TO SECURE 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 AN EMPLOYER 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 ($100,000). 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 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.' , B.&P.C. for this reason _ 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. Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city a county ordinances and tate laws relating to building construction; and hereby authorize representatives of is county to enter upo eabove-mentioned property for inspection purposes Lender's Name: I- �}�— Date:ZO gnature (Applicant or Agent): • Lender's Address: LQPERMIT Application Number . . .. 10-00001077 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 38.00 Plan Check Fee 9.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/18/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 16.5000 EA MECH B/C >3-15HP/>jQ0K-500KBTU .16.50 1.00 6.5000 EA MECH AH <=10K CFM 6.50 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE OUT: 4T HEAT PUMP, SPLIT SYSTEM - 2007/2008 CALIFORNIA CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 38.00 .00 .00 38.00 Plan Check Total 9.50 .00 .00 9.50 Other Fee Total 1.00 .00 00 1.00, Grand Total 48.50 .00 .00 48.50" . LQPERMIT - . Cerdfleate 10 Warc aaataAberry, O Packaged Unit the O FurMpeOAF E_ O COP Over 40 ft of ducts added or RSdoor Coil OSEER-, A O HSPF rept m unconditioned space densing Unit O EER O Rtsistan7a-ce 016 (C2 /0-13) O Other © R 8 (CZ m-15). I Fgnrpment 1)P Chowte CF -IR -ALT -HVAC Floor Q Setback Served by system (911« a/rea6 . sf tit Rau be t e:ra/teeq e' equ$tm 8 firstalfed, jmore than Onerystenr, use another CF-lR-ALr-Hr,4C system. 2. Muala mtE4no dISS=1t 78%ApUE. 7.7HSPFfortyp(ca/rrddenpalrystems. HERS VERIFICATION SUMMARY i istejd below ate four HVAC alteration picks one of the qVr Wiatt optiml� me HERS installer d= what work is being dant and thattuust.bo oottducxod. A 91. faros t ba [eft Rio. mat. installer. i hie a cepr t; tomo flout ,the r trait tltitr vtoilt fi won tbls WIX _ k &rd t&e r�k Wn*t�od.11Y dW utVcctor also-vcdfit2 dW fttfi: appropriate CIa6R and ftM&WCF4R fates (no hand Mod= t>;Ilaiwod) ate �Qed out trod sigOgd: Qeelnalal! October 1.20111 a .,.iA�:Q.w _...-. -m- . . - _ _ . fl 1. HVAC Ch -- w.•. otos•. • All HVAC Equipment replaced C Pm and(fes fid. CF4& forms" 24 itd for go 6YOMM MEM25 • Condenser Cal and /Or • Indoor Coil and /or CFVR forms: MECH-2I-HERS attd(far sp!{t ) MECH- 25403LS • Furnace CF4R forms: MECH= 21 and (for q6 syatetls) MECH-25 For SRQt $ysdetss QW. leakage < 15 R=cut; RC. CCA ? 300 CPMr�taaEMinitnum Au Flow B For Pa ). • Utitts: Duct leakage < 15 pa+oeltt Exempted from duet leakage testing if d I. fhict system was documei"to 'tlre been previously seated and confirmed 0.2. Duct systems with tens than 40 linear fort in uncooditiotedgwcr « HERS verihcauoa, « O 3. duct « mos O 2. New HVAC Svatem ,. its."". � i•.,,.,.ti•.,.r..a •••�•••�• • Cut in or Chattgom Vd* am ducts: (ell new dueling andCly6R forms MBCH.N. MECH► ( syseesns) TECH 22-HEKS. Md WM-154I9kS new egtdpimisu) CF49 & m . It4$C a&% and 000111 b tysttms W22, and M M 25 For Split Systems: pact leakage < 6 pix cent; RC, CCA >_ 350 CF For Packa ed Units: Duct f ' g ' MAOO' FWD, .1H. STM • ttut� ai>imt HSPP or PSPP.. C3 3: 'N& Duets With RC6ucarnmt v.....rY.. • Includes.t> farting or insWing, aU new dtrctiltg CF -6R forms: MECH-04, MECH-20-H�.R.S.and (fbr.tpTit syr) Mf H-2 andw dtttdow•'condd unit and 0o indoor CF -4R forms: (iifECR-20 and (for split systems) MFCH45 Coil tudror fitmaft Not A equiPment danr� _ For O 4. Mew D .ober tl'et orms: • Includes adding or replacing more than 40 linear feet of duct in uhawditioned space. CF -6R forms: MECH.04, MECH-21-HERS CF -41K founts: MECH-2t Pbr spl t sySfem of packliged uWW. Duct leakaze < 15 tiercent Contractor (Documentstlon Author's /f�espo a Designer's Declaration tarilent) • 1 eerily that this Certificate of Compliance docurt�ttation is accurate and complete. • 1 am eligible under Division 3 of the Calitatnia Business and Professions Code to aoexpt responsibility for the design identified on this Certificate of Compliance, • 1 certify that the c—V feat -es and performance specifications for the design identified on this Cetifucate of Comptia-ice conform to the requirethertts of Title 24, Parts I and 6 of the tralifomia Code of Regulations. • The deign fe*-w identified on this Certifaatte of Comphatpe ate == Mt with the infboW ion dopmuc rated on other applttabte compliance role ts, worksttoeb. calculati2%. plans and specifications submitted to the enforcz„rst.� r ..,.,....,.i ...., _----- Company: City/Statc/Z 2008 Residential Compliance Fornts March 2010 BID MEMO JOB �D •� • • OF ADDENDA: /�•j / ,� BID # • • ADDRESS . / r,' .y DATE} r ` "' e,5o.� �f.• �i`(3'V,�r � r.T•PE'�'>.. ia. 6 Y+'+� �• 4i�T .r•7t•s Ik +'4'.; H .i�� �"r'4 )" i4r+°q l pr .�I NCLUDED �,iAit a' �7_. t+.•t .,., ..`� w.�, � ���f-f.L.f, ';, r$?�;'.-3'=-:u�,�-.,•"'�'i "ar sy'y"' 5�.�, t�'ta Jtf,' 7,r' .,Clan �jF.���irv?`;3�.'.e>K it :xF�L7 7 S FIRM RECEIVED BY:' t PREPOIED BY _ x ADDRESS '" ^�: r-, r �.; APPROVED BY ry v PHONE 7 elo WORKOF n _�r • • • • .�: 1:i vJ X� �'� .- f r..i �.'.!-��...st ...r,�L„ . 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'TAX • • DELIVERY .y r�EXCLUDEDM`; .: .. .'"'� �.''r ski.. �.;�t �i r t �•.•..ii•}�.," y^ .�• g i y#^� r i �`<i fi 'i "' e,5o.� �f.• �i`(3'V,�r � r.T•PE'�'>.. ia. 6 Y+'+� �• 4i�T .r•7t•s Ik +'4'.; H .i�� �"r'4 )" i4r+°q l pr .�I NCLUDED �,iAit a' �7_. t+.•t .,., ..`� w.�, � ���f-f.L.f, ';, r$?�;'.-3'=-:u�,�-.,•"'�'i "ar sy'y"' 5�.�, t�'ta Jtf,' 7,r' .,Clan �jF.���irv?`;3�.'.e>K it :xF�L7 7 S RECEIVED BY:' t Ole ry 11101 n _�r f �t ,,,+. s - .. -.. .. .,:. ... > r. . •.r<•�. »`,'. ......i .f . ,-u .tai. <x ,r �' I'3.... � :awyy • a YSy � ,~ 7T<.:.. a� ;,K '� t f... f3,, � 4' '� d k« Y r. <n ,lt f•;Vr, .: C• j .�° x" t V: f: iL�.rMt _ Y tii _ ..f i .,t'�. sV �- ,t - � .s• �: +. 4 'fs J =¢ ,e 3 �i .f' sr •� �' � cfSar•�� :��f" .. � .a L i:. x..•f r y "ay 3,k Y` � M`i if -.. 3 � * � qtr ?c+.i<• .'t. ys� %�� - �..,;. .'.,.� ....��1- .,-..r'"'.r_d'..ls. •... .''ry .�'f �, •1 � `�*: v,._,.rn'0. 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'.i%.�%���j`-'tit?7.. >�rtlw4ivj li,:x!<:.,�•.Y.�'s x�!.•,•'t-.r�!"+;r"iZ{.� .�f�.[��'. PI ACKNOWLEDGEMENT c(— O �D OF ADDENDA: /�•j / ,� _. ..,._',. _ _ ;iQi - -• - :,. 'TAX DELIVERY .y r�EXCLUDEDM`; .: .. .'"'� �.''r ski.. �.;�t �i r t �•.•..ii•}�.," y^ .�• g i y#^� r i �`<i fi 'i "' e,5o.� �f.• �i`(3'V,�r � r.T•PE'�'>.. ia. 6 Y+'+� �• 4i�T .r•7t•s Ik +'4'.; H .i�� �"r'4 )" i4r+°q l pr .�I NCLUDED �,iAit a' �7_. t+.•t .,., ..`� w.�, � ���f-f.L.f, ';, r$?�;'.-3'=-:u�,�-.,•"'�'i "ar sy'y"' 5�.�, t�'ta Jtf,' 7,r' .,Clan �jF.���irv?`;3�.'.e>K it :xF�L7 7 S RECEIVED BY:' t D8120 BID MEMO .drrn MADE IN USA Bin # City of La Quint a . 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 Permit #n - 1() ` U ` Project Address: QQQ aZ,,,o , Owner's Name: G A. P. Number: Address: Legal Description: City, ST, Zip: Contractor:Telephoner ;. •c Address: 54-696 Project Description: City, ST, Zip: Telephone: State Lic. # : 8344-71' City Lic. #; Arch., Engr., Designer. Address: City., ST, Zip: Telephone: w>. ; >�• : ���s w Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 3iOQ� APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Tide 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" 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:- 3.A Review, ready for correctionsAssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees P. �J CITY OF LA QUINTA BUILDING & SAFETY DEPARTMENT (760) 777-7012 INSPECTION-REQUESLLINE (760)'777.;7'1-53 VQ C OF LA QUINTA REDEVEL. APODY A/C & HEATING Petm1�2-t4�13 1077;, � � IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 52-900 AVENIDA RAMIREZ HVAC CHANGE OUT: 4T HEAT PUMP, SPLIT SYSTEM - 2007/2008 CALIFORNIA CODES TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS U/G PLUMBING / WASTE U/G ELECTRICAL/ GROUNDING FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED MUUr NAIL/ h'M OKAY TO WRAP ROUGH ELECTRIC ' ani inu Di i innainir_ COVER NO WORK UNTIL ABOVE SIGNED 'INTERIOR GYP. BD. DRYWALL EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE. INTERCEPTOR MASONRY INSPECTIONS FOOTINGS/ STEEL BOND BEAM POOL /,SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER (ALARMS/ BARRIERS DECK BONDING FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. , FINAL/ JOB COMPLETED - I ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING J .tttt< '?. ,'r�+-PsF 4 .' '��v;-}.ti`T,,,,'r +'�'4 can.^/"_.++^+• ��' E+rr. �"zcy3tK'- Y,_;'7 '�e;aY' R`�' t F •�4 +-., tei S',. L ri s Yt `-✓fir "t. �, t ,7 Ml y ' 52580 Avenida.Carranza WORK ORDER La a Ouinta CA, 92253 Amount Paid 012 3-0) (760) 56.4-9963Ck#/C.C./Ref# ' . (760)771-9310 Fax ,_. Lic# 857079' Air Conditioning & Heating .Co Billie Name L Job Name r :. �, �' (r Street- Street : �;• . �'�Cr-,,: Ci State Zi Ci State Zi c 7% Gam-- rr 2��`-3 Phone' Phone a DATE/—I -J.0 Auth# Caller Name & Phone 1 = Tech# [nits. Code Reason for Call: ( )Reg Prem 1/% Operational.. Non -Operational Diagnosis: O Maintenance Program offered O Stickeron Equipment/Stat Cond., FAU, Coil, Package, Comp - Make Mod # Ouote ry Ser. # Authorized Work Performed: Filter size . Press.Lo Hi OAT Amp:Comp . Cond-Fan Cond- FAU Coil Package, Com - 9 P Make Mod Set. # ( l Filter size I Press.Lo ; • :Hi. OAT . Amp`£ornp Cond Fan Cond.; FAU, Coil, Package, Comp 9 Make Isdlai � Mod r`y Ser. �l Filte►'size O .- / 5 3 5 -col t Press.Lo' Hi OAT. --�- Amp.Comp Cond.Fan ' f� c,� L J\ VVVV a TUNEUP. CHECKLIST. (.) Filter O Stat QTY PARTIP.O. P ITEM: f.,.'. ` (�'j Drain O in. tan motor ' i ( .) Elect. {,) Out tan motor - ( ) Amps' O Sells ! ) Refrigerant . (') Pulley i ( )Oil Leaks ' (} Compressor # (.) Air Flow . ()Temp drop ( ) Pres. Contr. ( ) Contactor S { ) Blower Wheel( ) Control TOTAL A Winter On1Y [/`f ' It is understood that the obligation to pay for goods and•servicmdescribed herein is secured : {) Bumers ( )Safety,. ` "` b 'ttie equipment merit and.parts on the default non -amens of the bu er. Labor erformed•b i P Y q P (, P Y ) Y, P Y '. { } Pilot {) HT exchanger ; r ALDCO warranted for 1 year except for electrical work, refrigerant leaks, roof leaks or unless I { ) Gas.Valve -'• Thermocou le-�' authorized different) in writing b ALDCO. ALDCO is-notonsible for an mold deter- ! 1 P tt� 4.. Y' n9.Y P Y PAYMENT DUE t tion and/or infestation whether pre-existing or subsequent 4o service.. Material, parts and , a equipment warranted by manufacturer's or suppliers wriftei warranty only. Multiple refriger-� IMMEDIATELY ant leaks may occur in systems, therefore, making it difficut to detect them: Line isolations, if requested and contracted, are performed to. help find these. leaks. All work. and charges on: this work order are on a fiat rate (lu;sum basisunless soecifcally noted otherwise. RETURN TOP COPY -� CUSTOMER SIGNATURE a�'LLC[ r: ': DATE ���G: i4,9