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13-0939 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000939 Property Address: 49175 RANCHO APN: 649 -660 -003 - Application description: MECHANICAL Property Zoning: LOW DENSITY Application valuation: 1200 Applicant: c T4ht 477u�lGv 1/ , VOICE (760) 777-7012 t / / FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT U INSPECTIONS (760) 777-7153 POINTE RESIDENTIAL. Architect or Engineer: .A44 -- BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am lice ed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pro sionals Code, 5Vd my License is in full force and effect. License Class: C20 License 936600 Date. 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.). 1-1 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 contractorls) licensed pursuant to the Contractors' State License Law.). 1 _ I 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: OLITECH GORDON 46175 RANCHO POINT LA QUINTA, CA 92253 ( Contractor: BARNETT'S A/C 51390 AVENIDA NAVARRO LA QUINTA, CA 92253 (760)391-0350 Lic. No.: 936600 Date: 7/29/13 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 EXEMPT Policy Number EXEMPT 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 .�/f 1�- / 3700 of the Labor Code, I sl II forthwith co ply with those provisions. Date% ` r_ , � 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 1$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 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 above information is correct. I agree to comply with all city and county ordinances and state laws relating to building cons an ction, d ereby thonze representatives of this county to enter upon the above-mentioned property for i ection p o es. Date: Signature (Applicant or Agent): 4 -Application Number . . . . . 13-00000939 Permit . . . MECHANICAL 2013 Additional desc . . Permit Fee . . . . 11.92 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/25/14 Qty Unit Charge Per Extension 1.00 11.9200 EA MECH EVAP COOLER 11.92 ---------------------------------------------------------------------------- Special Notes and 'Comments REPLACE EVAPORATIVE COIL 2010 CODES APPROPVED PER J.J. July 29, 2013 10:22:24 AM pjuarez. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK,`MECHANICAL 11.92 Fee summary Charged Paid Credited Due Permit Fee Total 11.92 .00 .00 11.92 . Plan Check Total .00 .00 .00 .00 Other Fee Total 103.49 .00 .00 103.49 Grand Total 115.41 .00 .00 115.41 LQPERMIT Bin # City of La Quinta Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address:L — L 7S Owner's Name: A. P. Number: Address: as— D/r•% Legal Description: Contractor: j��A6 City, ST, Zip: Telephone: ">.:<%�>>;>°?€:sv}�%<:>:`>.'>�:4'>'•'>''<:%?>:: Address: 3 i'1�Ull/Y'U Project Description:747 City, ST, Zip: Z4UI>Vk 64 Telephone: :>.:..:;.:::>:<.;::<z:'i > :i%:;s <::`«< State Lie. #: City Lie. #; Arch., Engr., Designer: Address: City, ST, Zip: Telephone: P Construction Type: Occupancy: State Lie. #: eProJct tYPa circle one): New Add'n GV Repair Demo:«.... Name of Contact Person: �zr 3 t t-q­ Sq. Ft.: %a2o #Stories: # Units: Telephone # of Contact Person: 26©— -5--76— 7— 3-5'70 Estimated Value of Project: Idoo APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd 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 Calcs. Plans picked up , Construction Flood plain plan Plans resubmitted Mechanical Grading plan 21" Review, ready for corrections/issue Electrical Subcontactor 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 -Simolified-Prescriotive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 49175 rancho pointe La Quinta, CA 92253 City of La Quinta Jul 29, 2013 Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat 13 -Package Unit ❑ Furnace ® Indoor Coil ❑ AFUE -[3 [3SEER COP ❑ HSPF [3R 6 (CZ 10-13) Served by system IN Setback If not already present, must be p Condensing Unit [3 EER ❑ Resistance L3 R 8 (� 14-1S) 00 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. 1.2. Minimum Equipment Effircfencies: 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 -411 forms (no hand filled CF -411s allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF -111 and CF -6R shall also be on'site for final inspection. ® 1. HVAC Changeout Required Forms: . All HVAC Equipment CF -611 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 -611 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 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) (4150 Exempt -Charge) ❑ 2. New HVAC System Requited Forms: r.: . Cut injor Changeout with'''' f _�, CF 6R forms; MECH-04, MECH=20 HERS,, and (for split systems) MECH=227HERS, and new ducts': (all new J ducting-'an'd all new, f MECH-25-HERS u , jf + �• ) CF 4R forms:'MECH-20, MECH-25 equipment) ..� 7 and (for split systems) MECH-22, and }firs =) fu• _ :..}= _ ys+_ 4 _ ,�.. .�„ r{r' - - For Split Systems: Duct leakage <.6 percent; RC, CCA,.>_ 350 CFM/ton, FWD, TMAH, SIMS, and either HSPP & 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: Dud 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 dud in unconditioned space. CF -4R forms: MECH-21 For split system or packaged units: Dud leakage < 15 percent ❑ EXCEPTION: Existing dud 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: Scott Barnett Signature: Scott Barnett Company: BARNETT"S A/C Date: Jul 29, 2013 Address: P O BOX 741 License: 936600 City/State/Zip: LA QUINTA / CA / 92247 Phone: (760) 391-0350 Reg: 213-A0056788A-000000000-0000 2008 Residential Compliance Forms Registration Date/Time: 2013/07/29 12:51:01 HERS Provider: Ca10ERTS, Inc. July 2010