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10-0419 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:10-000004=1:9- Property Address: 53470 AVENIDA RAMIREZ APN:774-082-026-14' -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 4000 Applicant: Tityl, 4 4v " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: =IA 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 License No.: 878533 Date Co actor• WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury tha 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 theprovisionsof the Contractor's State License Law (Chapter 9 Icommencing 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.). (_ I 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 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: HARDIE HUGH 53470 AVENIDA RAMIREZ LA'QUINTA, CA 92253 (760)564-9127 -----,-.Contractor: DIAL ONE'S ONE HOUR A/C 2712 E. LA CADENA DRIVE RIVERSIDE, CA 92507 (951)276-9744 Lic. No.: 878533 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/13/10 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 foby 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 whiT this permit is issued. My workers' compensation insurance carrier andolic n are: P Y 1�0( Carrier %S.(o.to AMO Number WSD500334900 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 become subject to the workers' compensation provisions of Section 3700 of the Labor.Code, I shall forthwith comply with those provisions. WARNING: FAILURE TO SECURE WORKE S' COrIPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PERALJIV 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. I' . 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 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 for inspection purpoWs. Application Number 10-00000419 Permit MECHANICAL - Additional desc . Permit Fee 33.00 Plan Check Fee 8.25 Issue Date Valuation . . . 0 Expiration Date 11/09/10 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 ------•-�__-- . -- ---- ..-----------•-_.__.�-... _---- REPLACE '/ "CHANGE "OUT' (3) TON "HEAT PUMP -& --- --- -_._ ------ AIR HANDLER WITH DISCONNECT BOX SAME LOCATION. ----- 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 I Simplified Prescriptive Cerdiicate of Compliance: 2008RrslAetttitol ANVACAttemdons CF -IR -ALT -HV Climale Zones 10 to 15 Site Addrew. E"jorceaeent Dote: - 41 Penuit p: ifinuid Floor Equipmcntcj List Mmim EfficiencV2 Duct insulation requirement Area Thermostat ❑ Packaged Unit ❑ Furnace ❑ AFUE ❑ COP Over 40 ft of duds added or �� back ❑ .WoorConde Coil EER ❑ HSPF replaced in uncmcditioned space system ((jrrer already ❑ Gondol Uni 13 13 EER ❑Resistance p R 6 (CZ 1 R-13) sf present, nrau be �Oth � ❑ R $ (CZ l4 -l3) 4umltedJ I Egalprreetrt •e C he be1n btrlaNed t egmpaterrr g , jmwr t rr core syaMem, use another CF -I R ALT-NYACfor each system. 2, Arfalmum Egrrlptreent Mkienoa: 13 SEER, 78% AFM 7.7HSPFlbr np/ev! residemlal systema HERS VERIFICATION SUMMARY Ustod below are four HVAC olecranon Options. The installer decides what work is being done and picks one of the appropriate Options. Each Optionlists the HERS measures that must be conducted A copy of the forms stroll 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 Conn was in fad the work completed by the installer. The inspector also verifies that each appropriate CF -6R and registered CF -4R forms (no band filled CF-4Rs allowed) are filled an and siignpd Beginning October 1, 2010, a reglitered copy of the CF -l8 and CF -611 shall also be do site for final insuertioo 5a'l. HVAC Cbsueeout I Reouired Forma: l • All HVAC Equipment replacedI CF -6R forms: MECH-04, MECH-2l-HERS and (for split systems) MECH- 25 -HERS CF4R forms: MECH- 21 and (for split syste nsl IMRCH-25 • Condenser Coil and /or CF -6R ferns: MECH-2J-HERS and (forsplit systems) MECH- 25 -HERS • Indoor Col and /or CF -4R forms: MECt1- 2I and (for split systems) MECH-TS • Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA >_ 300 CFMIM(Minimum Air Flow Requirement), TMAH For Packaged Units: Dud leakage < 15 percent Exempted from duct leakage testing if: ❑ 1. Duct system was documented to have been previously seated and confirmed through HERS verification, or ❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existing dud systems are constructed, insulated or sealed with asbestos ❑ 2- New HVAC System I Required Forms: • Cul in or Chmrgwd with new CF -611 forms: MECH-04, INCH -20-i ,and (for split systems) MECH-22-HERS, and MECH-25-HERS ducts: (all new ductingMd all CF 4R for rtus MECH 20-, or tt new enuinrntmtl andf( qA sysieaisNMECH-22+ and MECH 25 For Split Systems: Duct leakage < 6 patent; RC, CCA 2:350 CFM/ton, FWD, TMAH, SIMS, mW either HS" or PSPP. For Packaged Units: Duct leakage < 6 percent Q 3. New Ducts with Replacement I Required Forms: • Includes replacing or installing all new ducting I CF -6R forms: MECH-04, IVIECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor I CF4R forms: MECH-20 and (for split systems) MECH-25 coil and(or.furnace. Not all eouinment chanped. For Split Systems: Duct leakage < 6 percent, RC, CCA > 300 CFMhon, TMAH For Packaged Units: Duct leaks <6 percent ,04-NewDuethmover 0 feet_ I Required Forms: • Includes adding or replacing mora than 40 CF -6R forms: ME -CH -04, MECH-2I-HERS C174R .forms: MECW21 linear feet of dud in unconditioned For split system or packaged units: Duct lealuage < 15 plea at ❑ EXCEPTION: Existing duct systems constructed. insulated or sealed with asbestos. Contractor (Documentation Author's. /Responslble Designer's Declaration Statement) • 1 certify that this Conificeto of Compliance documentation is accurate and complete. • 1 um eligible under Division 3 of the California Business end Professions Code to occcpt teapouaibility for rhe design identdted on this Cerittrate of Comptianoe. • 1 cerci(} thal the energy featuro and performance opacifications for the design identified on this Cori fiune of Compliw= conform to the requirmmnu orriitle 24. Pans i and 6 orthc California code ofReguWk m • The design fcolurea identifxd on dila Certificate of compliance we coasistad with the information doctmrenied on otha applitaWe complianm forms, workahala, mlculatl am and i scat' submitted to the raformtwm en for oaf with �o it Name: fy t n c:a,•r� .a• �� 2008 Residential Compliance Faints blanch 2010 Bin # City of La Quinta Building &' Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico LAO La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: Owner's Name: a A. P. Number: 'Y)N"%V e,—� Address: �.Y1 Ir 2 Legal Description: City, ST, Zip: Contractor: � Telephoner 'a s` SAW • ��• •••• �:: 04 Address:Icx� Project Description: City, ST, Zip: LCL - la , Z Telephone: , p r:c>�:3� {.�;;:Q;•.{;.•., ,...�xnj'n<» State Lic. # : `�� 3'�j CZO City Lic. Arch., Engr., Designer: Address: City, ST, Zip:. Telephone: �• � � �:•�<�3y. Construction Type: Occupancy: State Lic. #:J r,.��;:• s�' Project type circle one): New Add'n Alter Repair ' Demo Name of Contact Person: ���� 2� Sq. Ft.: tori # Units: Telephone # of Contact Person: _ - 7 Estimated Value of Project: � 0� . APPLICANT: DO NOT WRITE. BELOW THIS LINE # Submittal Req'd Recd 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 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2pd 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:- 1rd 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