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12-0599 (MECH)P.O. OX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: 12-00000599 48050 PASO TIEMPO IN 646 -350 -021 - MECHANICAL LOW DENSITY RESIDENTIAL . 8500 VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT - Date: 5/3'1/12 Owner: ALESI LOUIS T - 48050 PASO TIEMPO LANE LA QUINTA, CA 92253 Architect or Engineer: 1 I P D p Contractor: �jQO n HYDES 42949 MADIO STREET INDIO, CA 92201 of LAQ1,11i�TA- (760) 360-2202 C11,4 0,tarF Lic. No.: 906115 LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that m licensed under provisions of Chapter 9 (commencing with I hereby.affirm under penalty of perjury one of the following declarations: Section 7 00) of ivision 3 of the Busin s a Professionals Code, and my License is in full force and effect. _ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided . Licens : C 0 C36 Li n e No.: 906 15 - for by.Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. /ate ntractor: 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 OJe UVAcity TIO _ insurance carrier and policy number are: I hereby affirm under penalty of perjury that I a froor's State License Law for the - Carrier NORGUARD INS Policy Number CEWC243358 following reason (Sec. 7031.5, Business and ProCor 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 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 - nd agree that, if I sho 1 come subjec to he workers' c en tion provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 7 0 of the Labor C shall forthwit __I o ply with rhos rovisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ��7/, any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Dat !/Ir pplicant: (_ I 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: AILURE TO SECURE WORK S' CO PENSATION J VERAGE 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 P LTI SAND 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, (_) I am exempt under Sec: , BAP.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 being performed under or following issuance of this permit.- Date: ermit.Date: • Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify tha I have read this application and"forinspec formation is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and co my o finances and state laws .r construction,And hereby authorize representatives rDa h5.]Wnal n the above -men c ' n rposes. Lender's Name: ure (Applicant o Lender's Address: LQPERMIT Application Number . . 12-00000599 Permit . . . MECHANICAL Additional desc . Permit Fee 40.50 Plan Check Fee 10.13 Issue Date Valuation 0 Expiration Date 11/27/•12 Qty Unit Charge -Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 -1. QQ 16.5000 FA i!4p.CiF :R /C 3=1_c;wP,/,1nnv-SnnWRTT7 16 Sn Special Notes and Comments HVAC CHANGE -OUT: INSTALL 5 TON SYSTEM, FURNACE, CONDENSER, INDOOR COIL. 2010 CODES. - ------------------------------------------------------------- --------------- Other Fees ... . . . . BLDG STDS.ADMIN (SB1473) 1.00 Fee summary _ChargedPaid Credited Due Permit Fee Total 40.50 .00 .00 40.50-. Plan Check Total 10.13 .00 :00 10.13 Other Fee Total -1.00 .00 .00 1.00 Grand Total 51.63 .00 .00. 51.63 LQPERMIT - - Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations- CF -1R -ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 48-050 paseo tiempo La Quinta, CA 92253 City of La Quinta May 29, 2012 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 - requirement Area Thermostat ❑ Package Unit - fornate • Indoor Coil ® AFUE 78% ®SEER 13.0 ❑ COP ❑ HSPF ❑ R 6 (CZ 10-13) Served by system ® Set Dack If not already present must be CondensingUnit ❑EER ❑Resistance ❑ R 8 (CZ 14-15) ��� sf installed ) Other 1: Equlpment Type: Choose the equipment'being installed; if more than one system, use another CF -IR -ALT -HVAC foreach 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 ithe 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 -61% shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: . All HVAC Equipment CF -6R forms: MECH-041 MECH-2I-HERS and (for split systems) MECH-25=HERS , replaced CF -4R forms: MECH-21 arid (for split systems) MECH-25 . Condenser Coil and /or . Indoor Coil and /or. CF -6R forms: MECH-04, MECH=21-HERS and (for split systems) MECH-25-HERS ' . Furnace , CF -411 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 Requiremert), TMAH Exempted from duct leakage testing, if: , f ❑ 1. Dud system was documented to have been previously sealed and confirmed through HERS verification; or + ❑ 2. Dud systems with less than 40 linear feet in unconditioned space, or ` ❑ 3. Existing dud systems are constructed, insulated or sealed with asbestos ❑ 4. The s star ydill not be Ducted (ie. a ;pi i ,S,pl�t�Systea (-P�Igo,E�e p • ftom R ,l iigeT�nt=�i rge) ❑ 2. Net0oAc System Requi ,q�d�F6rms:: �. «i two3, +�": ? .cut in or,CFiangeout wi M new ducts; (all new �'�'� ' �'t e 4 C 6 forms MECH-04 MCH -2 HE and. orspllt sy tefns) MEC H 22 HERS #nd MEC "�251HERS`* " ducting and all n w t' CF'vR'�-fgrms'MECH- 0, a'nd (� for sp.�it s stem-,) M CH -22, a�MEC =25 equiprrtent) _. �Tt� >Mt�t"; .fir -t1 . >• t For Split Systems:`•Duct?lEakag-e-'416 percent RC„CCAS 350;CFM%fala,rFWD, TMAH, SIMS, and -either: SPP or P PP. For Packaged Units: Duct leakagc 6 percent ❑ 3. New Ductswlth/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 z 300 CFM/ton, TMAH ' For Packaged Units: Duct leakage < 6 percent 114. 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 -41R, forms: MECH-21' ' For split system or packaged units: Dud 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 Complance 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 o: -her 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: May 29, 2012 Address: 42-949 MADIO STREET License: 906115 , City/State/Zip: INDIO / CA / 92201 Phone: (760) 360-2202 Reg: 212-AO02740OA-00000000=0000 Registration Date/Time: 2012/05/29 19:05:52, HERS Provider: Ca10ERTS, Inc: 2008 Residential Compliance Forms July 2010 Invoice Certified Comfort Systems, Inc. dba Hyde's Air Conditioning 42-949 Madio St. Indio CA 92201 760-360-2202 FAX: 760-360-3350 Account# 102868 Invoice # 334543. Date: 05/05/12 Service At: Louis Alesi Louis Alesi 48-050 Paso Tiempo 48-050 Paso Tiempo La Quinta CA 92253 La Quinta CA 92253 Service Date 05/05/12 PO # Job # 239540 Removed existing equipment and installed a new 5 ton 16 Seer American Standard heating and cooling system. ***5 YEAR LABOR AND 12 YEAR PARTS AND 20 YEAR HEAT EXCHANGER WARRANTY*** ARI#4586004 Description Of Service Quantity Unit Price Extended Price Tx JOB PER QUOTE • 1 $8,535.00 / $8,535.00 15SEER 5TON 410A COND 1 $0.00 $0.00 M#4A7A5061 El 000AA S#1 1425PRP2F 1 . 5 TON AMER STAND VS FURNACE 1 $0.00 $0.00 ' M#AUD2C100B9V5VBA S#12153YIDIG 1 . 5 TON UPFLOW EVAP COIL R410A TXV 1 $0.00 $0.00 M#4XUC1365/100 S#RDE220063 1 FOCUSPRO 5-1-1 PROG TSTAT 2H/2C 1 $0.00 $0.00 ' FOCUSPRO 5-1-1 PROG TSTAT 214/2C 1 Peak Performance 1 Unit (#408978) 1 $145.00 $145.00 Total $8,680.00 • • 5/2/2012 Deposit $800.00 Visa .************5565 Auth: 05091B 5/8/2012 Payment $7,880.00 Visa ************5565 Auth: 02030B 'Balance Due $0.00 ' Paid in Full. We appreciate your business! er».# City Of..La Qulnta Building 8T Safety Division P.O. Box 1504,78-495 Calle Tampico ta.Quinta, CA 92253 -:(760) 777-7012 Building Permit' Application'and Tracking Sheet Permit # �a Project Address: Owner's Name:. A P. Number Address: 8' >0 Legal Description: City, ST, Zip: . , g Z Z 5 . Contractor. �s Telephone z " �K.". Address: Project Description: City, ST, Zip: Telephone: " State Lia #: City Lie. # Arch., Engr., Designer Address: City, ST, Zip: Telephone: N State Lia #: Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Name of Contact Person: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Reed TRACMG PERMIT FEES" Plan Sets Plan Check submitted. Item Amount Strpduial Cafes. Reviewed, ready for corrections Plan Check Deposit. . Truss C2Ict• Called Contact Person Plan Check Balance. Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted.. Mechanical Grading plan 2id Review, ready for correctionsfissue Electrical Subcontador List Called Contact Person Plumbing Grant Deed Pians picked up SM,L ' 13 O A Approval Plans resubmitted Grading IN 110 USE-, 3"Review; ready for correctionsllssae Developer Impact Fee Planning Approval. Called Contact Person A.LP.P. Pub. Wks. Appr " Date of permit issue School Fees Total Permit Fees