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12-0817 (MECH)P.O: BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-00000817.1 Property Address: 43665 PISCES CT APN: 609-470-071-9 -23773 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 9280 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: ZANESCO CHRISTOPHER J 43665 PISCES COURT LA QUINTA, CA'92253 Contractor: Applicant: Architect or Engineer: HYDES 42949 MADIO STREET INDIO, CA 92201 (760)360-2202 �D Lic. No.: 906115 ' VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/23/12 ,,TV OF IAQUIPITA --------------------------------------------- - - - - -- - LICENSED CONTRACTOR'S DECLARATION 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. Lic nse Class: C20 CC36 License No.: 906115 Date: �' L tractor: O NER-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 (5500).: 1 _ 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, 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.). 1 _ ) 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:IL r ` LQPERMIT WORKER'S COMPENS ION I hereby affirm under penalty of perjury one of the following declarations: 1 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. YJ 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 andpolicy number are: Carrier NORGUARD'INS Policy Number CEWC243358 I certify that, in the performance of the work for which this permit is issued, 1 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 3700 of th •Labor Code, I shall orth ith comp with those provisions. /p1v mate: _r—_' _' plicant: WARNING: FAI RE TO SECURE WORKERS' 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 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 construction, and hereby authorize representatives oI his county to enter upon the above-mentioned property for inspection purposes. �r ate:gna re (Applicant or Agent): Application Number . . . . . 12-00000817 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 40.50 Plan Check Fee 10.13 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/19/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 Special Notes and Comments HVAC CHANGE -OUT: INSTALL NEW FURNACE, CONDENSER, INDOOR COIL. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . BLDG STDS ADMIN.(SB1473) 1.00 Fee summary Charged Paid 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 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 43-665 Pisces Court La Quinta, CA 92253 City of La Quinta Jul 23, 2012 + Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit p Furnace p'AFUE. 78% ❑ COP❑ R 5 (CZ 10-13) Served by system 0 Setback • Indoor Coil p SEER 13.0 ❑ HSPF ❑ R 8 (CZ 14-15) 1600 sf if not already present, must be • Condensing Unit [IEER ❑ Resistance 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-11111 and CF-6R 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 . 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 leakages<,15 percent; RC, CCA _< 300 CFM/ton (Minimum Air Flow Requirement), TMAH S FGF URRSI Exempted from duct leakage testi;dif:� , ,qi i'-.Duct system lovas documented to have been previously sealed and confirmed through HERS verification, or 2: Duct systems with less then.40.linear feet in unconditioned space, or ❑ 3. Existing duct systems are'constructed; insulated or sealed with asbestos ❑ 4.'The,systemy,will not be Ducted; Bin # Total Permit Fees I —� . City of La Quinta Building .& Safety Division Permit •#I n ILa P.O. Box 1504, 78-495 Calle Tampico ` Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Trackin Shee t Project Address:' 3,Mr Pl e� �u Owner's r ¢- Name: S A. P. Number: - - - Address: 3-, 6Cf /S c e :Ise�al .Description: /v City, ST, Zip: G C9n� ztor: / jj 1 Y 2 Sign s A. /c ZZ Telephone: Cg Gess: • Project Description: C` 4ity, ST, Zip: /U A I Telephone: 36Cj _�Z�Z State Lie. # : q (%(� �. City Lie. #: Arch., Engr., Designer: ---------------- Address: City, ST, Zip: Telephone: ' Construction Type: Occupancy: p �' State Lie. #: Name of Contact Person: Project type (circle one): New Add'n Alter Repair' eP � Demo Telephone # of Contact Person: Sq. Ft.: # Stories: # Units: Estimated Value of Project: �d APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'drReviewed, TRACKING Plan Sets PERMIT FEES submitted Structural Cafes. Item ady for correctionsPlan Amount Calcs.ct Check DepositTruss Person Plan Check Balance Energy Calcs. upConstruction Flood plain plan itted Grading, plan' Mechanical 2" Review, ready for correctionsrssue Subcontactor List Electrical Called Contact Person Grant Deed Plumbing picked up SALL l s resubmitted IP],ans Grading WFee.s view, ready for'Corrections/issue Developer- Impact Fee al Called Contact Person A.LP.P. Date of permit issue Total Permit Fees I —� .