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07-2329 (MECH)V P.O. BOX 1504. 78-495 CALLETAMPICO LA QUINTA;'CALIFORNIA 92253 Application Number:` .. • Property Address: _07-00002329-.___ 48610 PASEO TARAZO . ` '. APN: 646-082-064- - - Application description: MECHANICAL Property Zonina: LOW DENSITY RESTDENTTAT+. Application valuation: 6200 Applicant:-. Architect or Engineer: P [-A BUILDING & SAFETY DEPARTMENT .BUILDING PERMIT Owner: PALMER GEORGE A 49610 PASEO TARAZOIF LA QUINTA, CA 92253 IjitJ VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/17/07 U Lf 1(; 17 2007 Contractor: CITY OF LA C lj54A ' PALM DESERT AIR CONDITIONINL G "42081 BEACON HILL PALM DESERT, CA 92211 (760)346-0677 Lic. No.: 374937 ---------------------------.----------- LICENSED CONTRACTOR'S DECLARATION -----------------------------------------------— WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: -Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. I have and will maintain a certificate of consent to self:insure for workers' compensation, as provided License Class: C20 License No.: 374937 -. _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is qat ^-� •���tractor: issued. ( have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor / IK Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's State License'Law for the Carrier STATE FUND Policy Number- 1795546-2007 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forthwith comply with those provisions. 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).: licant:. (_) -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 WARNING: FA LURE TO SECURE WOR S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND " and who does the work himself or herself through his or her own employees, provided that the - DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT (' 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the - 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. " property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for ' pursuant to the Contractors' State License Law.). - - whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason 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 bein 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: I.QPERAI IT 9 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 an'o,state laws relating to building construction, and hereby authorize representatives of this /xcounty �Ito enter upo eabove-mentioned property for inspection purposes. ate: U ` ` ignature (Applicant or Agent): -... Application Number 07-00002329 Permit . . . MECHANICAL Additional desc . 4 Permit Fee 42.50 Plan Check Fee 7.88 Issue'Date' . Valuation 0 Expiration Date 2/13/08 Qty Unit Charge Per Extension BASE FEE 15.00 _. i, no:- i i , 0000 EA MECH 'FURNACE -100K. 11.00 1.00. 16-.500.0.EA MECH B/C >3-15HP/>100K-500KBTU 16.50 - Special Notes and Comments - ----------------------------------- REPLACE'(1) 5 TON 15 SEER SYSTEM Fee summary Charged Paid Credited Due ------------------------------------- Permit Fee Total 42.50 -------------------- .00 .00 42.50 Plan Check Total 7.88 .00 .00 7.88 .Grand Total 50.38 .00 .00 50.38 Bin # Qty of La Quinta Building 8r Safety Division Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #'' Project Address: Owner's N A. P. Number: Address: Legal Description: City, ST, Zi Contractor:PALM DESERT AIR CONDITIONING COMPANY telephone:,_ 420151 BEACON Mitt Address: PALM DESERT, CA 92211-5107 Project Description: City, ST, Zip: Q60) 346:00" Telephone: State Lic. City Lic. Arch., Engr., Designer: X/A Address: City., ST, Zip: Telephone: ILI Construction Type: Occupancy: State Lic. #:,3 Project type (circle one): New Add'n Repair Demo Sq. Ft.: I # Stories: Units: Name of Contact Person:ae?� Telephone # of Contact Person: � Estimated Value of Prnle'rt-- ' VQ 40r:') .�Cp APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc!d TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance. Tide 24 CaIcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'd. Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- "d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P, Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Certificate of Compliance Prescriptive Method - HVAC -only Alteration IAF -1 R -ALT Proje itle: A�& Date, C/ © CaICE RTS 2005 Enforcement en Use n fOje AAAss. � Climate Zone: Building Permit # Docu ation Autho Telephone(moi Plan Check Date C9fPP Name:n/ 7'� Field Check Date IMPORTANT: This CF -IR -ALT form is only�useAHVAC-only alt ration is made to En existing home Use one form for each system being altered. This is system # / of / systems altered in this house.. Check all lines that cooly. Check only lines that aooly. Scope of Alterations: 1 ❑ An Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2 ❑ A Fumace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 ❑ An outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 4 ❑ A cooling or heating coil is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 5 ❑ More than 40 feet of new or replacement duct are to be installed in unconditioned space. Duct sealing to be determined. ❑ Check here if the etttiM duct system is also to be new or replaced. Continue: to next line. 6 O If none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA) are required. Go to Section 5. Section 1 - Duct Sealin(Only if any of Lines 1 2 3 4 or 5 are checked. Skip if Line 6 is checked 7 ❑ Thiss stem is in Climate Zone 1, 3, 4, 5, 6, 7, or 8. No duct sealing is required. Go to Section 2. 8 ❑ This system has less than 40 feet of ducts in unconditioned.s ace. No duct sealing is uired.'Go to Section 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach previous CF4R form. Go to Section 2. 10 ❑ This duct system is sealed or insulated with asbestos. No duct sealing is required. Go to Section 2. Note: If the entire ducts stem is to be new or re laced; Lines 11-14 do not apply. 11 ❑ In Climate Zones 2 12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct sealing and TXV if applicaofe . 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 AhM EER 12 condenser will be installed with TXV(RCA) AND added duct insulation R4 wrap on existing ducts, R-8 new ducts in lieu of duct sealing. Go to Section 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 ANa EER 12 condenser will be installed with TXV(RCA� AND a 0.92 AFUE furnace will be installed in lieu of duct sealing. Go to Section 2. 14 ❑ In Climate Zones 2, 9, 11, 12, 14 or 16: An SEER 14 Aha EER 12 condenser will be installed with TXV(RCA) ND an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section F. 15 ❑ INone of lines 7-14 above are checked. Duct Sealing Is Required. Continue. Section 2 - TXV(RCA) (Only if. Lines 3 or 4 are checked, otherwise got to Section 3 16 ❑ The system being altered is a package unit. No TXV(RCA) is required. Go to Section 3. 17 ❑ This system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV(RCA) is required. Go to Section 3. 18 ❑ This system is in Climate Zone 1 3 4 5 6 or 7. No TXV(RCA) is required. Go to Section 3. 19 O Thiss stem is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑ This system is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) Is required. Go to Section 3. 21 ❑ IThis system is in Climate Zone 2 or 8-15 and line 11, 16 or 17 is not checked. TXV(RCA) Is required. Go to Section 3. Section 3 - HERS Rater verification 22 ❑If line 15 is checked. HERS verification is required for Duct Sealing. 23 ❑ If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification Is required for TXV(RCA). 24 ❑ . If line 12, 13 or 14 are checked, HERS verification Is required for 12 EER. Section 4 - Equipment Efficiencies 25 ❑ If lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List In Section 6. Section 5- Duct R -Values 26 ❑ If more than'40 feet of duct is being installed or replaced, duct R -value must meet or exceed Package D requirements. 27 ❑ lif less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R4.2 Section 6 - see next page Version 03-10-06 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com ti 9 Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1R -ALT Project W -Date: ©CaICERTS 2005 /w IMP ANT: This CF -1 R -ALT form is' only for use when an AC-onlyalteration is made to an existing home U e ne form for each system being altered. This is system # L of systems altered iii this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equipment must match type/location and meet or exceed efriciencies/R-values. 26 Configuration: plit system O Package Unit 29 ❑ AF Handler as furnace, AFUE OHeatpump FAU OHydronic FAU OCiher 30; Heat Exchanger 31Outdoor Condens Und C OHeatpump ktriciency SEER/HSPF i JEER if re d : 32;8v Coo[irg or heating coil C OHeatpump OH tunic 33 ❑ Ducts Vocatiory. I Length (ft): R7vatue: All mandatory measures apply to any altered component. See MF -1 R - ALT farm. Compliance Statement: This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the Califomia Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall project responsibility. The undersigned recognizes that compliance using duct sealing, verification of refrigerant. charge, and TXV require installer testing and certification and verification by an approved HERS rater. Home Owner or Authorized Agent Documentation Author Name: Name: /,,e.. Address: Company Name: PP.LtA. DESERT AIR CONDITIONING COMPANY City/State/Zip: Address: PALM DESERT, CA 92211-73107 (760) 346-0677 Phone: City/State/Zip: Phone: Signature: Signature: Enforcement Agency (Building Department) Notes/Com ents: Name: Title: Department: Phone #: Fax #: Signature or Stamp: Required forms: CF -IR -ALT: by anyone. Required at time of permit application. Copies to home owner, enforcement agency, HERS rater. CF -6R -ALT: by installing contractor. Required to close permit. Copies to home owner, enforcement agency, HERS rater. . CF=4R=AL-T:-by-HERS-rater.—Requ ired-to-close-permit-C-opies-to-home-owner,-enforcement-agency,-installer.—The-CF-4R-forms-for-a- sam le group shall not be released until all testing and verification is completed and passed for the entire group. vnlswn vo-iu-vo nage Z oT z This form can only be used on projects being verified by CaICERTS certified raters. www.r-alcerts.com