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11-0280 (MECH)4 P.O. BOX 1504 �^' VOICE 760 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/21/11 Application Number: 11-00000280 Owner: Property Address: 49930 COACHELLA DR O' CONNEL DAN APN: 646-260-003- - - 49930 COACHELLA DRIVE e Application description: MECHANICAL LA QUINTA, CA 92253 Ii Property Zoning: LOW DENSITY RESIDENTIAL ( Application valuation: 30002011 Contractor: Applicant: Architect or Engineer: BEST IN THE WEST r F I AQ aUI'47A PP 9 LE s ✓ (; < 0 R. 255 N. EL CIELO, 140-125 ';'=��' ��'C� /�' " PALM SPRINGS, CA 92262 I (760)343-1002 Lic. No.: 826714 LICENSED ACTOR'S DECLARATION I hereby affirm under penalty of perjury that I i icensed uter provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a e nal Code, and my License is in full force and effect. License Class: C20 -C38 /L' enseNo.: 826714 Date: 3" T-4" / 4ontractor 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).: (_) 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, 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.). (_) 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 STATE FUND Policy Number 1932774-2010 I certify that, in the performance of the for which this permit is issued, I shall not employ any person in any manner so as to o su o the workers' compensation laws of California, and agree that, if I should be m t he compensation provisions of Section 3700/ of the Labor Code, I ly with those provisions. Date: (Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSA-OVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS f$1 00,000). 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. 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 abov info i is orrect. 1 agree to comply with all city and county ordinances and state laws relating to building o nd ereby authorize representatives of this county to enter upon the above-mentioned property pe urp as. Date( Signature (Applicant or Agent): FY .. 14 6. Application Number . . . . . 11-00000280 Permit . . . MECHANICAL Additional desc . Permit Fee 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/17/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9:00 ---------------------------------------------------------------------------- Special Notes and Comments CONDENSER UNIT CHANGE OUT & EVAP. COIL LIKE FOR LIKE 3 TON 13 SEER. -----------------=---------------------------------------------------------- Other.Fees '.,BLDG STDS.ADMIN (SB1473) 1.00 Fee summary Charged ------------------------------------- Paid Credited ---------=---------- Due Permit Fee Total 33.0.0 .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 Sim plified Prescriptive Certificate of Compliance: 2008 Residential HVAC CF -IR -ALT -HVAC Alterations Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 49930 Coachella Or La Quinta, CA 92253 City of La Quinta Mar 21, 2011 Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit [] Furnace Indoor ❑ AFUE ❑ COP R 6 (CZ 10-13) Served system Cj Setback (�I Coil 0 SEER 13.0 ❑ HSPF 0 0 R 8 (CZ 14-15) 1200 sf If not already present Q Condensing Unit ❑ EER ❑ Resistance must be installed) I._I Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CFIR-ALT-HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUNNARY 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.Beg inning October 1, 2010, a registered copy of the CF -IR and CF-bR shall also be on site for final inspection. e 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 < iS percent; RC, CCA 5 300 CFM/ton (Minimum Air Flow Requirement), TMAH For Packaged Units: Dud leakage,-- 15 percent Exempted from duct leagage testing if: ❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or C 2. Duct systems with less than:40 linear feet in unconditioned space, or [} 3. Existing duct.isystems are constructed irisulated4or7sealed with asbe tos [:12. New HVAi:l: Required Forms' fly'APOn ` trs SYstem,t .,0--- . Cut m or ChangeoutY r5, . b , 6R €orms MECH 04, MECH-20 HERS, and (far split systerns)MECH �2 HERS andt with nQva_i3ucts (ally new ductrirg arm a� 1 `NkECH2n i r CF -4R farms ani fors flitsers N(E p Y Cf�22 ,atedsMECH new equipment} r:.:=:{.Hr:< .'. s _.araC• rear s r.. „ For Split Systems:. Duct leakage < 6::pefceht; RC, CCA > 350 CFM/ton, FWD, TMAH, SIMS, and either HSPF or PSPP. For Packaged:alnits: Duct leakage"`' '. 6 percent ❑ 3. Neib `Ducts vvet6"/or without::: Required Forms: Replacement .Includes replacing or installing a®: new ducting and/or outdoor -" condensing unit and/or indoor coil CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or furnace. No or some CF -4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. for Split Systems: Dud leakage < 6 percent; RC, CCA >_ 300 CFM/ton, TMAK For Packaged Units: Duct leakage < 6 percent i 7 4. New Ducting over 40 feet Required Forms: . Includes adding or replacing more CF -6R forms: MECH-04, MECH-2I-HERS than 40 linear feet of duct in CF -4R forms: MECH-21 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. . 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. 1 citify 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 Ccxnpliance are consistent with the information documented on other applicable compliance forms, worksheets, cala--lattoris, plans and sper_ifk—ations submitted to the ei:forcement agent; for approval with the permit application. Name: Wendy Stewart Signature: Wendy 5tewart Company: BEST IN THE WEST Date: Mar 21, 2011 Address: 1188 ADOBE WAY License: 826714 City/state/Zip: BALM SPRINGS / CA / 92262 Phone: (760) 322-0202 Reg: 211-A0014521A-00000000-0000 Registration Date/Time: 2011/03/21 12:42:37 HERS Provider: CalCERTS, Inc. 200E Residential Compliance Forms. ;7uly 2010 eek J� Bin # City of La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico t La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # O Project Address: Y / 736) 604&4_,1111f k>0C__ Owner's Name: I&NA),o- C A. P. Number: Address: l 430 &e1A4 /#_ Legal Description: Contractor: ^7' - � �,Sy /Q City, ST, Zip: LJY� 7 Z Telephone: ` Address: 's�(J�L �pryhe12- Project Description: City, ST, Zip-)D,4zCg Telephone: Xa- 3; /O 0 2 - State State Lic. # 71 C Lic. #: Arch., Engr., Designer: Z4 % -4 14s— 3 70 c -q r Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: 1 Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft: # Stories: # Units: Telephone # of Contact Person: ei 3 3'J cc 2-- Estimated Value of Project: x000 ' APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'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 Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctionslissue Electrical Subcoutactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''" Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees