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14-0562 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 14-00000562 44850 CALLE PLACIDO 604-392-002-43 -25953 MECHANICAL LOW DENSITY RESIDENTIAL 13460 c&ht 4 4v Q" Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Class: C20 C36 License No.: 906115 Date: Contractor: e 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 rp..gnirP_C 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 1, 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, 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 Owner: BRIAN ROLF 44850 CALLE PLACIDO LA QUINTA, CA 92253 (425)829-4827 Contractor: HYDES 42949 MADIO STREET INDIO, CA 92201 (760)360-2202 Lic. No.: 906115 VOICE (760).777-70 - 12 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/.01/14 ?r MAY 116 2094 CITY of LA QUINTA FINANCE DEPT. ------------------ WORKER'S COMPENSATION DECLARATION 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 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 cubject to the workers'-compen3otion low3 of California, and agree that, if I should become subject to the workers' compensation provisions of Section ,377 ¢0y0 of the Labor Code, I shall forthwith comply with those provisions. Date:45 '!—tl applicant -. P," WARNING: FAILURE TO SECURERS' 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 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 employeesfor 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 construction, and hereby authorize representatives of this counntty do eomer on the above-mentioned propert r in pectin pur oses. Dat�i' 1 /• v, 1 Si nature (Applicant or Agent): - Application Number . . . .. . 14-00000562 Permit . . . MECHANICAL 2013 Additional desc . . Permit Fee 143.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/28/14 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 - (1) 13SEER/78AFUE SYSTEM AND (1)13SEER CONDENSOR/FURNACE [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES . - ---------------------------------------------------------------------------- Other Fees . . . . . . . . . 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 185.89 .00 .00 185.89 Grand Total 328.89 .00 .00 328.89 0 LQPERMIT r Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 44-850 Calle Placido La Quinta, CA 92253 City of La Quinta Apr 30, 2014 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit , ® Furnace ® 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 E3 Resistance [3 R 8 (CZ 14-15) 2000 sf installed) [3 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 fad 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-IR and CF-6111 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 CF-6R forms: MECH-04, 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 . Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH' Exempted from dud leakage testing if: ❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or ❑ 2. Duct systems with less tlan40 linear feet in unconditioned space, or ❑ 1 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-:r; CF-6R"forms iMECH 04, MECH 20 HERS; a and (for plitsysterms) MECH X22 HERS, and new duds:`(all ducting and'all new MEC HERS ;'x ° �,,; i :' '' CF 4R forms , MECH 20, and (for split systems),,MECH 22, and MECH-25 . equipment): _ ;,-�+, ,� s 7�.. �:. For Split Systems: Duct .+ leakage < 6 percent, RC, CCA > 350 CFM/ton,!FWD, TMAH,'STMS� and either H SPP or PSPP 4 - " For Packaged Units: Duct leakage"< 6 percentr h �y ,s; .•;. u; .. .d° �.: , ., _,. ,.. . t a ❑ 3. New, Ducts with/or. without Required, Forms . :,... Replacement .... k •:f: . Includes replacing; or installing aIL new ddcting:and/or outdoor condensing.-:unit CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/orindoorrcoil and/or furnace : No or some CF-4R forms: MECH-20 and,(for split systems) MECH-25 equipment than ed. For Split Systems: Dud 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 duct 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: Mark Hyde Signature: Mark Hyde Company: CERTIFIED COMFORT SYSTEMS INC Date: Apr 30, 2014 Address: 42-949 MADIO STREET License: 906115 City/State/Zip: INDIO / CA / 92201 Phone: (760) 360-2202 Reg: 214-A0029966A-000000000-0000 2008 Residential Compliance Forms Registration Date/Time: 2014/04/30 14:52:37 . HERS Provider: CalCERTS, Inc. July 2010 l; a — t Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 44-850 Calle Placido(2) La Quinta, CA 92253 City of La Quinta Apr 30, 2014 . ' Duct insulation Conditioned Floor Equipment Typel List Minimum Efriciency2 requirement . - Area Thermostat ❑ Package Unit t•' + ' ® Furnace ❑ Indoor Coil ❑ AFUE ® SEER- 13.0 ❑ COP ❑ HSPF ❑ R 6 (CZ 10-13) Served by system ®Setback If not already present, must be ®Condensin Unit 9 ❑ EER ❑ Resistance ❑ R $ (CZ 14-15) 600 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 -1R and CF -6R shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: ` .All HVAC Equipment r CF -6R forms: MECH-04, ^^_�� �+ �_^� EXEMPTED and (for split systems) _G1 'EXEMPTED replaced CF -4R forms: PA_Tl9GGH 21 EXEMPTED and (for split systems) ^^,. , & EXEMPTED • Condenser Coil and /or CF -6R forms: MECH-04, M=cw „ �_^� EXEMPTED_ and (for split systems) ^4_GH 29 V_^- • Indoor Coil and /or i EXEMPTED • Furnace CF -4R forms: � ,�3 EXEMPTED and (for split systems) ^^_c.� EXEMPTED ` For Split Systems: Duct leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH Exempted from duct leakage testing?if: 0.1. 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 03. Existing duct systems are'..". onstructed, insulated or sealed with asbestos ® 4. The system will not be Dued;.(ie. Ductless Mini -Split System) (Also Exempt from Refrigerant Charge) ❑ 2. New HVAC System Required Forms �bQt< . Cut m orrChandeout with new ducts ;all new :( J ducting CF 6R�forms MECH 04-M=ru,n u�o= EXEMPTED; and (forsplit systems) ^�_�� �� �_^_ .................... n EXEMPTED n fi.EXEMPTED and CF ^^=-�^ ^^,,,�� MGrnrtp: and all new ment p4Rwforms EXEMPTED; and {for split systems)x e ui q Pp )% ,� EXEMPTED For Spht Systems tDuct leakage < 6 percent SRC #CCAS>g 350 CFKM/tonrz FWD, TMAH SIMS, antl"e�therFjHSP3P�or`PSP,,P' rhiey oni'� ti Sd;i Ps�„'"L ..ta.�Y For,,Packaged..Unit"s: Duct 21 f'j� .�K . Ieakage,T�< 6 percent ❑ 3. New Ducts yr Required:.Forms: with/,or;,wittoui`.- Replacement i i> . Includes replacing or. installing all new ducting and/or outdoor CF=6R:forris: MECH-04, ^^_� ^ =D= EXEMPTED, and (for split systems) •p; -c„ m-,4_� EXEMPTED condensing unit and/or CF -4R forms: M,,�,� EXEMPTED and (for split systems) M_,m,g EXEMPTED . indoor coil and/or furnace. No or some i 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 Required Forms: over 40 feet i . Includes adding or replacing more than CF -6R forms: MECH-04, ,�„;�; EXEMPTED + ¢ 40 linear feet of duct in CF -4R forms: m�;-23 EXEMPTED 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 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: Apr 30,2014 Address: 42-949 MADIO STREET License: 906115 • 2008 Residential Compliance Forms f , July 2010 M Bin # Permit # City of La Quinta Building .ar Safety Division. P.O. Box 1504, 78-49S Calle Tampico La Quinta, G 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet" Project Address: °� gS�O C G Owner's Name: A P. Number. C /�� /' CtC% C1 / /; �-•� City, ST, Zip- Z— lX Q Z Z.! Legal Description: i / Contractor : %' /' �+ / e� �e1-kfl e j L,0, •• 4. 5 AIr ' Telephone: cl Address: % .Z C� N,, `tcr 105 City, ST, Zip: o Z Z d Project Descriptio : e iqq Telephone: State Lie. # q (`J(� j. City L•ic. #: Construction Type: „pas cy: Project type (circle one): New Add'u Alter Rcpair - Demo Arch., Engr., Designer. ' Address: City, ST, ip: lr Telephon "760 - j-oj-3 State Lic. #: Name of Contact Person Sq. Ft: #Stories: #Units: Estimated Value of Project BELOW THIS UNE Telephone # of Contact Person: APPLICANT: DO NOT WRITE # Submittal Req'd Recd TRAaU NG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs Reviewed, ready for correctionsPlan Check Deposit Trans Calcs. Called Contact Person plan Balance Energy mac- Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan' 2" Review, ready for corrections/ucsue Electrical Sabcontactor List Called Contact Person Plumbing Grant Deed Plans picked up SALL ELO.A_ Approval Plans resubmitted Grading INHOUSE:- '"' Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A i p.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 4-