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13-1278 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00001278 Property Address: 48630 CAPISTRANO WY APN: 646-390-032- - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 20000 Tib- . -t444" Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Cl ss: C20 6 Licen -No.: 906115 I Date: 0 (Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am 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 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 contractors) licensed pursuant to the Contractors' State License Law.)., ( ) 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: ROBIN MARCUS 48630 CAPISTRANO WAY LA QUINTA, CA 92253 ( Contractor: HYDES 42949 MADIO STREET INDIO, CA 92201 (760)360-2202 Lic- No.: 906115 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/08/13 tocr03 Y013 LA 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 NORGUARD INS Policy Number CEWC468841 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 5c�,3700 of the Labor 1 a fo ith com with those provisions. Date: v /Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 omthis 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. I certify that I have read this application and state that the above information is correct. I agree to comply with all Pity and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enterr ron the above-mentioned property for inspecti urposes. Dat/�� /Siiggnature (Applicant or Agent): �� Application Number . . . . . 13-00001278 Permit_ . . . . MECHANICAL 2013 Additional desc 3 Permit Fee 143.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . - 4/06/14 - Qty Unit Charge Per Extension 2.00 35.7500 EA MECH FURNACE 71.50 2.00 35.7500 EA MECH CONDENSER/COMP 71.50 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE OUT - 13 SEER/78 AFUE, (2) SYSTEMS, (1) 2 TON & (1) 4 TON SPLIT SYSTEM (2008 ENERGY] CARBON 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 95.32 Fee summary Charged Paid Credited ----------------- Due ---------------------------------------- Permit Fee Total 143.00 .00 .00 143.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 186.89 .00 .00 186.89 Grand Total 329.89 .00 .00 329.89 LQPERMIT Bin City of La Quinta . Building or Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet, Permit # L(Z� Project Address:• L �7 owner's Name: A. P. Number: Address: 0 P 1 5 v o n© � Legal Daxzioon:�. PW, ST, Zap: �Z77j / g Telephone: �"? �� � Contractor. eY tl �t d W .� �.542 Address:• "[ Z �! Nt d � C" ir1 jt/r City. ST, iip: C! Z..Z d . Telephon= �j d — ZZbZ In State Lie. # : q C76 J. city Lia #: ArcIL, Ew, Desiguer Address: City, ST, Zip: Telephone: Construction Type: OCWPancy: State Lia # Projecttype (circle one): New Ad&u. Aber Repair • Demo Name of Contact Person: Sq. Ft: # Stories: # Emits: Telephone # of Contact Person:- Fsftated Value ofProject t APPLICANT: DO NOT WRITE BELOW THIS UNE l Req'd Reed TRACMG . PERr*M FEES F Plan heck submitted Item Amount l Calcs. Reviewed, readyforcorrecAoss Plan Check Deposit tes. Called Contest Person Plan Check Balaace Energy Cales. Plans picked rap Contra iou Flood plain plan Plans resubmitted Mt�nlcsl Grading plan- 2'' Review, ready for correctioaifitsue Electrical Subcontactor List Called Contact Person Plumbing Gnat Dad Plans picked up S.1VLL SOA Approval Plans resubmitted Grading IN DOUSE:- '"' Review, ready for correetionslissae Developer•lmpact Fee Plannigg Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 'Cl'( Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 48-630 Capistrano way La Quinta, CA 92253 City of La Quinta Oct 7, 2013 Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace ® AFUE 7�% Q COP 19 Setback 0 Indoor Coil IO SEER 13.0_ O HSPF ® R 6 (CZ 10-13) Served by system If not already present, must be ® Condensing Unit l3 EER O Resistance _ d R 8 (CZ 14-15) sf 1600 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. MiAlFE um Jtyr3 i FCrn' EsEisl rc`as: 13 SEER, 78% AFUE, 7.711SFF,br typical residential systems. HERS VERI ICfaTIO.N��5'irR 'f I iSt2d t`YE*v+t' —are Hsi C ai:eP [ion Options. The installer derides what Mork 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 co;np,!el.Ld by ;he irlstall r. The inspector a.!so venfzs that. each appropriate CF -6R and rC91_tered CF -411 forms (no hand filled C:--4Rs a%,Yured) are filed out asst: 5Ey'r£d.iiS €ysd•r 3?tS E?C:0bp—r !, 2010, a regiSeCred copy of the C. -IR and Cie -6R shalt also be ors:Aria-far hispection. -- �l 1. Ii19AC Cltat�g�.r�ut t?scguired Forms: o All HVAC Equipment CF -6f; fora; -is: MECH-04, -ME H-21-1-REF,S and (for split N lLCH-2_5-HERS replaced CF -4R forms: MECH-21 and (for split 5ysterns) MECH-25 . Condenser Coil and /or 1CF_6R forms MrCH G^,, MEC ? 21-t!ERS and (for split Systems) M[CH-25 HERS . Indoor Coil and /or CF -4R forms: MECH-21 and (for split systems) MECH-25 . Furnace _ .... _ __.»._.�.__....._...._ Fqr a;2#i€ €:?tS3 =: D,vti !ess:ay^z?rt < i 5 �?e'Geslt; %C, CCAS 3Gu Cl lel; + ie (' ii: f zzuF' �" '7'! «'.r f—Ze'q* 3irer?zeili), T �s 1Fi �5` :^¢.�.�l: i'.�`r.t�cic;•v'-,,-,. L�::st•-!z.".l<3C:a:: a-L_perc.xe # J Exempted from duct leakage testing if: O 1. Duct system was docome me l `t; have been. prev:;cj:;_ !y seated and cOnfirined through HERS verification, or O 2. Dut., systems with less 1,"an 40 'in: 3r f 21" iia •_ v i�i f-neCt space, or [13. Existing duct systems are constructed, insuiatcd or sealed with asbestos ❑ 4. The system,wilf not be Ducted (ie. Ductless ft! tT S f'.it Sys er+i) (A!soaExernpt from PWrigerant Charge) 2. roe' %v' H°.''_C s si:: 3 i Rx v lied a o7 �7s y �= „�V _ a eft y� ry _".1.✓7 ! ��.. i - a'T x- W !f Ot `.l{�:)i c'SLS: ` tt �-,) �ci- �:2 a. � v lsf _ t, =v.: t� p; -r`: t ECtt t n its ZaGt �lJe _ �� 1EC `-22 H PS and new duels: gall new MECI 12 HERS rY +' •. i �� ducting`a Edd all new r, .: �: �< ?: , t v r�°�3 CF 4R tornis: �tECN 23 3 d (for . �! sisLerls� "4E..*f 22 a d h1ECH-25 x ; egviprrlentl ' _ c� For pi -T For Pa04'c3ged Ut it.s: Duct fait ,ge'< 6 percent El J. fGiv-1 Dit..•.s iie':'al:%iD;'xY'ihi;rift Required FC?r..7S. Replacement ICF . Includes repiacing or installing a9l.new�_-- ducting and/or outdoor rbnde-tsing' unit -6R ;orros. -MEC H-04, MEECH-2 -HERS, and (for split systct,ls) Via+ CiH-25-HERS and/or indoor coil and/or furnace. No or sonie CF -411 forms: MECH-20 and (for sp!lt.systems) MECH-25 equipment changed. For Sra._ .�j _ _�...:. ^tu:' . ;! j•i ' c. ,_ri it'' R CCA .- 5i"� i�Iitrir 1, : i1r1-tH For Pa cn;-,;g _d 'plus: Duct ;!mkage < 6 percent 114. %'clw Dggr th%g eve 2.0 feet _ �1Rey13r'c'a Foo—ns: 14 F-'^'`_;:,',_. 9Fc l;- �a MECH-2z-HERS. . e IneludeS , ±.r; ,„«zan�»n .� linear f< t oS du --i `ryY + space. �C °R fcs'. Mi_CH-21 _ For s0ii'syLzrr; o-- leakage <15 percent _ .:, O EXCEPTION: Existing dr.,=-` cy5t'Fryis crl--=-suci-e:l ns_>!atr 1 or �alcd with asbestos. - a I cet'iif y trivt e,:TQ complete. . lam e lig>tls _nu, e: D,'AsSoun _ of ,.._ _.. , , _s _.._ Cc: k� to 1ret_ :c ..,._ , !:Uri.a:e of Compliance. e I certify glop t'` mcrg ;iJr:f--.,, pep : - - cs-� _- _-;!_ ,..'- [f'L.. _... _-� •�A t�`._ .. _fu`?L:.it' -,f C:rin7:=3P4fr oa form to the '!`.:f... 'r..a.. ,.p n..j...l--ttof^•5.' fon11$, i._`:1 _ r,n tion. __ .. . _ e Name: MarkHyde_ jSignatu��;.A.rk!+,de ^_.,..` `- - --j Date Ont i, 2413 Auer 5: n, 2. g N Id ;iz S -f aFL"fLiccrt �e:_905_l 15 CityjSt'atelLfr�Ilvi3i0 % CCA J 92201 ._ R": 21.3-A00'i 2 il'Jttl :.�V:1 20013 Rei.dc-,`..,.:? Ct:':;-_ ce:. '�-J--_.. �. 'c,,. _ �. .."i ._. :f)') is 'i. `!i' ~<<. -- .'•i, "c;Eta Y;.'-'- �'=-. .. .......... _, .!_:.:. July 2010 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 48-630 Capistrano way(2) La Quinta, CA 92253 City of La Quinta Oct 7, 2013 Duct insulation Conditioned Floor Equipment Typel .List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit IN Furnace 8 Indoor Coil ® AFUE 78% ® SEER 13.0 ❑ COP ❑ HSPF ❑ R 6 (CZ 10-13) Served by system ® Setback If not already present, must be ® Condensing Unit [3 EER ❑ Resistance [3 R 8 (CZ 14-15) 800 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-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-111 and CF-611 shall also be on 'site for final inspection. ® 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-4R 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:5 300 CFM/ton (Minimum Air Flow Requirement), TMAH tie- o....!.:.. ..a Units, Quist leakage 4 15 p nt 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 system will not be Ducted (ie. Ductless Mini-Split System).(Also Exempt from Refrigerant Charge) ❑ 2. New HVAC System Required Forms: . Cut in or Changeout with. CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-22-HERS, and new ducts: (all new MECH-25-HERS ducting and all new CF-4R forms: MECH-20, and (for split systems) MECH-22, and MECH-25 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/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'a: 300 CFM/ton, TMAH For Packaged Units: Puct leakage < 6 percent ❑ 4. New Ducting over 40 feet Required Forms: . Includes adding or replacing more than 40 CF-611 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: Mark Hyde Signature: Mark Hyde Company: CERTIFIED COMFORT SYSTEMS INC Date:.Oct 7, 2013 Address: 42-949 MADIO STREET License: 906115 City/State/Zip: INDIO / CA / 92201 Phone: (760) 360-2202 Reg: 213-A0076290A-000000000-0000 Registration Date/Time: 2013/10/07 16:10:29 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 Desert Sands Unified School District Notice: 82-879 Highway 111 Indio, CA 92201 Document Cannot Be Duplicated 619-775-3500 CERTIFICATE OF COMPLIANCE Date 2/13/96 No. 14143 .Owner Name T.D. Desert Devleopment No. 48630 City La Quinta Tract # 27840 Type of Development Comments By Street Capistrano Way Lot# 117 Single Family Residence APN # 646-390-009 Jurisdiction La Quinta zip 92253 Permit # Log # Study Area 123 Square Footage 2572 No. of Units 1 At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement rriobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Government Code 53080 in the amount of 1.72 X 2,572 or $ 4,423.84 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. w is� _ Fees Paid By T.D. Desert Development Telephone 771=1'941 Name on the check �. Dolores A. Ballesteros 4w Superintendent `4�.;. Fee collected /exempted by Pauline Pearson Payment Received $4,423.84 Signature P. ip� AA R'J, tRAA fxql� Check No. 7881 Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting