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12-0266 (MECH)
P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11.2=0-0 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Property Address: 54645 AVENIDA RAMIREZ APN: 774-275-019-7 7000000 - Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application .valuation: 10700 Applicant:. Architect or,.Engineer: — - - — — ---------------------------------------------- LICENSED CONTRACTOR'S ---------------------- ------------------_LICENSEDCONTRACTOR'S DECLARATION I'heieby affirm under penalty of perjury that. l;ari -licensed under provisions of pj c9 (commencing with S Section 7000)of Division of the Bu s d Profess' Code, a icen is in full force and effect. License Class: C20'036: ticens o 21 0 ate.' Zont. ac r: OWNER-BUILDER.DECLARATION - - I hereby affirm:under penalty of :perjury that I arri exemptfrorn the Contracto_i's,State License Law forthe - - 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, priorto'its issuance, also requiresthe applicanr•for the , permit to file a signed statement that he orsheis licensed pursuant to the provisions of the :Contractor'sState Licenseiaw, (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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ' 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�fotsale'lSec.�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 irtended`oroffered for sale: tf;'however; the building or improvement is.sold within one year"of completion, the owner builder will have.ihe btirden.of proving. that he or she did. not build or improve for the purpose of sale.). (_ 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 6 contractors) licensed . pursuant�to•,the Contractors' State License Law.). I _ 1 I am exempt under Sec. BAP.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: SHURANCE JOAN 54645 AVENIDA RAMIREZ LA QUINTA, CA 92253 Contractor: O ALL SEASONS. A'/,C;. _ PL_ P.O. BOX 1112 PALM DESERT, CA 92.2,1 (760)568-2663 Lic. No.: 827420 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 & ..HTG T MAR 21 2012 OPL Date: 3/21/12 WORKER'S.COMPENSATION.DECLARATION hereby affirm under penalty of perjury one of thefollowingdeclarations: I have and -will mainiainp 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 insurancel'as required by Section 3700 of the Labor Code, for the performance of the Work for which this permit is issuad. .My workers' compensation insurancecarrier� dpolicy numtier are:= Carrier' NORGUARD` INS?`f Policy Number a ALWC124752., _. I certify. that; in the.performance:of the work;for which this permit,is issued, I:shall not employ any _ :�• ' person in any manner to..tiecome{subject to the wo s'- compensation, lawsof, California,_ and agree that, i should b come sub' t to,the.wor 'gin of Section e $700 of.the 'or Code;,) hall for'tjYG}�.(�th comply wi - se provisions.' WARNING: FAILURE TO-SECURE`WORKERS' COMPENSATION-COVERAGE'IS'UNLAWFUL, A ALL SUBJECT AN,EMPLOYER TO CRIMINAL PENALTIES•AND CIVIL FINES`UP TO ONE.HUNDREO THOU AND DOLLARS ($100,000). IN ADDITION•TCI THE COST.OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,'Y ,INTEREST,_AND ATTORNEY FEES. • . ••-APPLICANT ACKNOWLEDGEMENT. IMPORTANT Application is hereby made to the D.irector 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 whosiiequestand for, whose benefit work is performed under or pursuant to any. permit issued as a4esuli of this application, .. the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City ' of La Ouinta,.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 applicationbecomes null and void if work is not commenced within .180 days from date of issuance of such permit,,or cessation of work.for 180 da s• ill subject permit to cancellation: F a I certify that I have read this application and state that the ab mation is c I afire to co ly with all city and county dinances and state laws relating to buil ' g constr coon, an er ze pres rives /of/•tilts cou ty t enter upon the above-mentioned, prop y for insp tion pu o /Date: ignature (Applicant or Agent): Application Number . . . . . 12-00000266 Permit .. . . MECHANICAL Additional desc . Permit Fee . . . . 40.50 Plan -Check Fee 10.13 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/17/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00. 1.00 16.5000 FA MECH B/C >3-15HP/>10OK-50OKBTU. .16.50 Special Notes and Comments HVAC CHANGE -OUT, INSTALL NEW FURNACE, _, " INDOdk` COIt '& 'CONDENSER`. 2010 CODES. -------------.------ _------- - -- -- - - - -- -- --Other�Fees . . . .. BLDG STDS ADMIN (.SB1473) 1.•00 Fee .summary,. Charged --Paid _ Credited- Due. Permit Fee Total 4'0: 50 00'_00.40:. 50 Plan Check.Total 10.13 `.00 ".00 10.13 Other;: Fee` Total 1.00 .00. 00' - 1..00 - Grand: Total :51.63 . 00 . 00 � 51 ..63 r LQPERMIT - _ Simplified Prescriptive Certificate of Compliance: •2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10.- 15 -• t" - Site Address:Enforcement Agency: Date: " Permit #: 54645 Avenida Ramirez La Quinta, CA 92253 City of La Quinta Mar 19, 2012 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit m Furnace ❑ AFUE ❑ COP ❑ R 6 (CZ 10-13) Served by system ,® Setback • Indoor Coil © SEER 13.0 ® HSPF 7.7 El 8 (CZ 14-15) 1400 sf If not already present must be m Condensing g Unit [I EER [3 Resistance installed) ❑ Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1R -ALT -HVAC for each system. 2. Minimum Equipment Efflciencles: 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 Optionlists 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 -1111 and CF -611 shall also be on site for final inspection. m 1. HVAC Changeout Required Forms: • All HVAC Equipment CF -6R forms: MECH-04, MECH-21-HERS and (for split systems) MECH-25-HERS replaced CF -4R forms: MECH-21 111NOand (fonsplit systems) MECH-25 • Condenser Coil and /or • Indoor Coil and /or CF -6R forms: ME6-04, MECH-21-HERS and (for split systems) MECH-25-HERS Furnace CF -4R forms: MECH-21 and (for split systems) MECH-25 - • * For Split. Systems: Duct leakage 15 percent; RC, CCA 5 300 CFM/ton'(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�systemzwill not be Ducted,(ie_, uctlessfMini-Split System),(AlsoiExempt from ige ant,Charge) 132. NevHVAC System . Required Forms �s a;; "Pi", .Cut rotor Chati eout with # 9 .r. • �.� . fa $ �, , CF 61 forms MECH 20 HERS• and (for split systems) MECH7,22 HERS, and new ducts.;(all new ducting all new *' r N ,MECH-04, MECHf25HERS,.$ar°', i>'' 41116ems 22,'and MEC H 25r equipment) CF MECH 20 and•(forsplitgstems)'MECH For Split Systems:,'Duct leakage <6 percent, RCj`CCAt> 350 CFM/ton FWD�TMAH SIMS, and eitFier,HSPP7&,PSPP. For Packaged,Unitsr,Ducf leakage. < 6,'percent 47 $'6 ` `= ❑ 3: New Ducts with/or•;vvithout P. ' ' Required Forms: Replacement,'" ;" + . Includes replacing or installing -411 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. '4,. ` 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 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 l and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are .consistent with the informationdocumented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for. approval with the permit application. Name: David Beale Signature: David Beale Company: ALL SEASONS AIR CONDITIONING PLUMBING & HEATING INC Date: Mar 19, 2012 Address: 73605 DINAH SHORE.DR STE 1310M License: 827420 City/State/Zip: PALM DESERT /'CA / 92211 Phone: (760) 568-2663 Reg: 212-A0013687A-00000000-0000 Registration Date/Time: 2012/03/19 15:53:27 HERS Provider: Ca10ERTS, Inc. 2008 Residential ComplianceForms July 2010 Bin # , 0, City: Of LQ Qulnt;