Loading...
13-0854 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000854 Property Address: 78815 BIRCHCREST CIR APN: 604-411-007-7 -23995 Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 6200 Ta!t BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: JOHN NELSON 78815 BIRCHCREST CIR LA QUINTA, CA 92253 ( Contractor: . Applicant: Architect or Engineer: PREFERRED PLUMBING HTG A/C P.O. BOX 5120 PALM SPRINGS, CA 92263 / (760)322-3173 LiC. No.: 457554 G _ _ 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 Businessand Professionals C and my License is in full force and effect. License Class: C10 C16 C2 // / 1 Lit ns os 457554 Date: © b h Contractor OWNER- UILDER DECLARATION I hereby affirm under penalty of perjury that Iexam 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 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.l. ( ) 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: LQPERD1IT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/10/13 F10 1013 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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. 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 EVEREST NATL Policy Number 7600006445131 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 shoul oma subject to the ers' compensation provisions of Section 3700 of the Labor Cod shall forth nth m th a prov(sio s. Da[X/r/ Z, __ V / — Applicant WAR: NG:�AILIIE' TO SECURE WORKE COM ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PCh(ALTIEq AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO TH T 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, 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. 1 certify that I have read this application and state that the abo information is correc agree to comply with all city and county ordinances and state laws relating to buildin nstruction�Purpo her y a horize representatives of this county to enter upon the above-mentioned property r insp Date: �% G� 3Signature (Applicant or Agent /II t� V Application Number 13-00000854 Permit . . . MECHANICAL 2013 Additional desc . Permit Fee . . . . 71.50 Plan Check Fee .00 Issue Date . . . . Valuation . . . 0 Expiration Date 1/06/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.00 35.7500 EA MECH CONDENSER/COMP 35.75 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE -OUT- 13 SEER,REPLACE (1) 5 _. TON HVAC CONDENSOR AND EVAPORATIVE COIL. (2008 ENERGY] CAROBON 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 47.66 Fee'summary Charged Paid Credited -------------------- Due ------------------------------------- Permit Fee Total 71.50 .00 .00 71.50 Plan Check Total .00 .00 .00 .00 Other Fee Total 139.23 .00 .00 139.23 _ Grand Total 210.73 .00 .00 210.73 0. LQPERMIT Bin # x City of La Quints Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit.# 3 y Pro"ectAddress:;. /...r...:=.... C/R. 7 8l..'�R�HcREST Owner`s Name: �a/.jA/ /i`6 San/ A- P. Number; . Address: 7 $'8,/-15" C/%� Legal'De' :; ;; _: ;` k , :,; _ City, ST, Zip: ,4R (/1,4 % c/� 9a :2J pre'ered Air:Conditinning dba Con taetor:.Pre'fer-r.-:e':d °Pa Um: h Heatin &A'i Tel ephone: % Ad&ess:'PQ: Project Description: City, ST;:Zp:Pa'l;:p'r°:ngs r:. CA,•92263 %z l/}G�' �ONDe'XJtd7e .9;vti0 Telephone.; 173. !S'�/ D�/1 i i ✓� 1� State Lie. ..# .; .: 4 5:7 '5'.4' Arch.; ti o.,--D' ign"' City Lic. #: c A 9 7G A) 3 5;6� Address:. City,ST; Telephone;. -:. ; :'.`'.: ,'.` :::''. ... State.Lip # :.'_ : Name of:Coact;.PeFsot 'TG'FF. L'E/� �CftlS Construction hype: Occupancy: Project; type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone.#; o;Coiitact]'erson X60 �p _Q �3� Estimated Value of Project: czOD APPLICANT: DO NOT WRITE BELOW THIS LINE Rgg'd Reed TRACKING; PERmrr FEES Plan Check Nftitted Ite Amount Structural Ce1Cs.. Reviewed, ready for corrections Plal Check Deposit : Truss Calcs. Called Contact Person Plai Check Balance Energy •tralcs.. Plans ticked up Con itruction Flood plait plan.: • ,. ''. Plans-resubmitted Me apical Gradingplan' ' .. 2°+ Review, ready for'correctlonsAssue Ele iral $ubeoiitactor hist Called Contact Person Plu bing Grantbecd Plans picked up S. L H>O.A. Appropal . Plans resubmitted Gra in IN:HOUSE:- 7ri Review, ready for corrections/issue Dev Joper Impact Fee PlannirgApprbval. Called Contact Person A.L I.P. Pub. Wks. Appr Date of permit Issue schooll:+ecs ' " Total Permit Fees . Sim lifted Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate1ones 10 to 15 ite . �s: E for einem! Ag n �A D�„je,; � Permit #: l � Conditioned Floor Equipment T e' List Minimum Efficiency,Duct insulation requirement Area Thermostat ❑ Packaged Unit ❑ AFUE ❑ COP Over 40 ft of ducts added or etback Odoormace Coil EER ❑ HSPF replaced in unconditioned space system (Ifnot already ndensin Unit g ER ❑ Resistance ❑ R 6 (CZ 10-13) ❑ R 8 (CZ 14-15) sf present, must 6e installed) ❑Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1 R -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 si Beginning October 1, 2010, a registered copy of the CF -1R and CF -6R shall also be on site for final ins ection. 1. HVAC Changeout Required Forms: • Al] HVAC Equipment replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MECH- 21 and fors lits stems MECH-25 • Condenser Coil and /or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS • Indoor Coil and/or CF -4R forms: MECH- 21 and (for split systems) MECH-25 o Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA> 300 CFM/tou(Minimum 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 ducts stems are constructed, insulated or sealed with asbestos ❑ 2. New HVAC System Required Forms: • Cut in or Changeout with new CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS ducts: (all new ducting and all CF -4R 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, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with Replacement Required Forms: e 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 CF -4R forms: MECH-20 and (for split systems) MECH-25 coil and/or furnace. Not all 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 CF -4R forms: MECH-21 linear feet of duct in unconditioned space. 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 con rm 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 inform on documented on other plica le compliance forms, w s eets, calculations, plans andspecifications submitted to the enforcement a enc f approval with enn j ti Name: `:f e Fr L ,::7A- Q F S Signature: .. Company; P22�� t —oPte•- Kl -6. 1MC' G4 T(lvG F 1 `� /a Date:. .� l J Address: T` 5-j 2 License' License: }-' ; e City/State/Zip: _P_ Q / _ 06 rJ C� • 1 Z,Z 0 3 Phone: `3rGO — ZZ '`-f3- 1'73