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12-0987 (MECH)
P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-00000987 Property Address: 50760 CYPRESS POINT DR APN: 770-110-055-50 -25389 Application description: MECHANICAL Property Zoning: MEDIUM DENSITY RES Application valuation: 7000 Tity/ 4 4 a" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: JIM ALLEN 50760 CYPRESS POINT DRIVE LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/27/12 Applicant: Architect or Engineer: PRIORITY ONE A/C & HEATING/o' 116272012 P.O. BOX 1681 PALM DESERT, CA 92261 C1 OF J 11 (760)773-0811 fi1►►1AN E �Q11IRj�,r; 1� Lic. No.: 752180 i yr ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 01 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. Lic lass: C20 License No.: 752180 - ate: - ontractor• OW R- ILDER DECLARATION I hereby affirm under penalty of perjury that I am ex pt om the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professio ode: 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 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. (_ 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 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 SOUTHERN INS CO Policy Number PWC00181212-12 _ 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 1 should become subject to the workers' compensation provisions of Section %� 3700 of the Labor Code, I shall fp hwith comply with those provisions. `� licant: —J WARNING: FAILURE TO SECURE WORKERS' CPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL E AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE CO 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 Quints, 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 citnd county ordinances and state laws relating to building construction, and hereby authorize representatives of i ounty to enter u on the above-mentioned prop ert r inspection oses. Date: u ignature (Applicant or Agent): Application Number . . . . . 12-00000987 Permit . . . MECHANICAL Additional desc . . Permit Fee 31.50 Plan Check Fee 7.88 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/23/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE -OUT: REPLACE CONDENSING UNIT. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited -------------------- Due ----------------- Permit Fee Total -------------------- 31.50 .00 .00 31.50 Plan Check Total 7.88 .00 .00 7.88 Other Fee Total 1.00 .00 .00 1.00 Grand Total 40.38 .00 .00 40.38 LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 50760 Cypress Point Dr. La Quinta, CA 92253 City of La Quinta Aug 24, 2012 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ❑ Furnace ❑ Indoor Coil ❑ AFUE p SEER 13.0 ❑ COP ❑ HSPF ❑ R 6 (CZ io-13) Served by system 0 Setback If not already present, must be p Condensing Unit [I EER ❑Resistance ❑ R 8CZ 14 -IS) ( 1600 sf installed) ❑ 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 -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 -1111 and CF -6111 shall also be on site for final inspection. D 1. HVAC Changeout Required Forms: . All HVAC Equipment CF -6R 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 -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: Duct leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH C..- Parskaged Units. Duet leakage .4 19 .,t p Exempted from duct leakage testing if: [11. 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: i . Cut in or Changeout with', new ducts: (all new CF -6R forms: MECH-04, MECH-20=HERS. and (for split systems) MECH-22-HERS, and ducting and all new, equipment) MECH-2S-HERS CF -4R forms: MECH-20, and (for split systems) MECH-22, and MECH-25' 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/or without Required Forms: Replacement . 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 -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 114. 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: Roy Meghnagi Signature: Roy Meghnogi Company: PRIORITY ONE AIR CONDITIONING AND HEATING Date: Aug 24, 2012 Address: P 0 BOX 1681 License: 752180 City/State/Zip: PALM DESERT / CA / 92261 Phone: (760) 773-0811 Reg: 212-AO04675OA-00000000-0000 Registration Date/Time: 2012/08/24 12:22:46 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 CaICERTS - CF -1R Registration I j' 1 of 1 Public Home Secure Home About Us Training Rater Directory — Forms Membership Benefits Events Industry Partners Job Placement Resources Yews To register for our monthly newsletter, please click here. Roy Meghnagi logged in [Logout] [Home) CONGRATULATIONS Your CF--IR-ALT-HVAC Registration is complete! You may want to print this page for your records. Site Address:: 50760 Cypress Point Dr. ILa Quinta, CA 92253 CEC Registration:;212-A0046750A-00000000-0000 CF -1R -ALT -HVAC: CLICK HERE TO DOWNLOAD ..................—._._...._......._._..__.._:................._.:..__...................._.._..........-.._.....:..................... _..----.._...................................-----.._...... _............................. -............ - ................ ... _ Assigned Company:.PRIORITY ONE AIR CONDITIONING AND HEATING CO Do you know your HERS Rater? If you do, you may want to send this CF -1R to them. CaICERTS Rater ID: OR My Rater Quick Select: --- Select From List j Every CaICERTS rater has a license number. If you need td find the rater by name [C6ck HERE] to search our directory. �SEND`CF 1 R�TO'HERS RAFTER, xyl (CLICK HERE) to do another OR you can [OPEN and EDIT] this project you just created. Copyright © 2010 CaICERTS, Inc. All rights reserved. Revised: January 11, 2010 [Terms and Conditions] [Privacy Statement] (Class Cancellation Policy) CaICERTS, Inc., 31 Natoma St Suite 120, Folsom, CA 95630 Office: 916-985-3400,Toll Free: 877 -HERS -11811, (877-437-7787) Fax: 916-985-3402 Contact Us nCCR[Mtti'0 "�`�' ¢tt511+ 8/24/2012 9:23 AM VA 16 City of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico t Ouinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit 4La 1� I Project Address: 5Q C\-( wner's Name: -3 1 Y,-, 0 11 ? t3 A. P. Number: Address: 15-0-760 CWUS5 C(31 -i Legal Description: C City, ST, Zip: 2—'R Contractor: (k, - n I oo -r- T 74Tclephonc: - Address: tProject Description: Cit)% ST, Zip:pn,bnC 12 Ntv-j �Ic--4eds*Sl Telephone: Stale Lic. City Lic. #a-&490�0 Arch., Engr., Designer: Address: City, ST, Zip:' Telephone: ...... . .. ... ... .......... Construction Type: Occupancy- State Lic. #: Projectq -pe(circleone)- Ne,.%- Add'n Alter Repair Demo Name of Contact Person: —FEstirnated Sq. Ft.: A Stories: 4 Units: Telephone # of Contact Person: Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE Submittal Rcq'd Rec'd 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 Cafes. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Revic.w, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN HOLISE:- — Review, ready for correctionstissuc Developer Impact FCC Planning Approval I Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees