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11-1259 (MECH)
P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: f_ 11-00001259 i, r Property Address: 79820 REMINGTON DR APN: 766-060-010-2 -000000- Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 7354 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: f� 6 rri cf�yca - - --- - - - - - - - - - - - - - - - - -"- - - - - - - - - - - - - - - - - - E:'.S`ti„ •i:_L�'"! LICENSEDCONTRACTOR'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 Busines d Professionals Code, and my License is in full force and effect. License Class: C20 -C43 el License No.: 276586 ntractor: 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).: (_) 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.). _ (_) 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 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: 1't+ Lender's Address: LQPERMIT Owner: GREG WASHER 79820 REMINGTON DRIVE LA QUINTA, CA 92253 Contractor: DESERT AIR CONDITIONING, INC. 590 WILLIAMS ROAD ALM SPRINGS, CA 92264 -.� 760)323-3383 ic. No.: 276586 201", OF VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/21/11 — - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - — WORKER'S COMPENSATION DECLARATION I h.r.17911IJunder 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. _114-1have 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 EVEREST NATL Policy Number 7600007908111 1 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 / 3700 of the L bor Code, I s fo h comply with those provisions. te: / L 'zy 1/ plicant: 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 ($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 informatio�herauthorize ree to comply with all city and county ordinances and state laws relating to build' struction, representatives �fof this u tty�"too enter upon the above-mentioned proper' for in sectio ^'�ignature (Applicant or Agent): Application Number . . . . . 11-00001259 Permit . . . MECHANICAL Additional desc . Permit Fee 40.50 Plan Check Fee.. 10.13 Issue Date . . . Valuation . . . . 0 Expiration Date 5/19/12 ` 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 REPLACE 5 TON HEAT PUMP & AIR HANDLER IN ATTIC. 2010 CODES. -------------------_------------------------------------------- Other Fees . . . . . . . BLDG.STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 40.50. .00 .0.0 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 11/21/2011 10:29 ' S 1 7603238983 DESERT AIR 79-820 RIMMMGTON DR La quint�-i, CA 92253 c;tY tof Le Equipment Type! List Minimum EfficiettcyZ Duct insulation requirement ❑ Package Unit I Furnace"' ❑ AFUE C] COP D Indoor Coil a SEER -14,,0 (� Condensing Unit: Q EER R HSPF _Z"7 ❑ R 6 (CZ 10-I3) [I, R 8 (CZ 14-15) 11 Other ❑ Resistance - PAGE 03/06 .T -HVAC ;•. _�- K. PernlIt #: NOV 21, 2011 Toned Floor Area Thermostat I by system 21 of ba a sf AT no air dy Present, must be E: niiRNAWn E9=WPm arrrP1tfNeACJes 23 SE 2B46 •, ••�� u.on onesyszemt Use dnbtlrer CF IR A4't-HVACfwltbcla sySlEYar, eR. �4FLL, 7.7HSPF for 4vicaf residendai sysmn9. HERS VERIFYCATRON SU14MARY Listed below are FOUR HVAC alteration Options. The installer decides whet work is being done and picks one of this appropriate OPtiom. Each Option fists the ITERS measures that must be condud'ed. A 6opy 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 wort 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 -4R forms (no hand filled CF -411s allowed) are filled out and signed."Inninig October 1, 2010, a registered aapr oft Ie CF-iIt and CF -GR shall also be on mine for final inspeCClan. EI T HVAC Changeout Required Forms: . Ali HVAC Equipment CF -6R fiorms: MECH-04, MECH-21-HERS and (for Split systems) MECH-25-tiERs replaced . CF -4t forrra_s: ML -CH -21 and (for split systems) MECH-25 - . Condenser Coil and /or CF -6R �: MECH 04, MECH-21-HERS and fors Tit • Indoor Coil and /car ( p systems) MECH-25-HERS . Furnace CF -4R forms: MECH-21 and (for split systems) MECH-25 Far Spilt Sysbettts: Duct leakage < 15 percent; RC, CCA 5 300 CRMl ton (Minimum Air Flow Requirement), TPA -H, -ment Exempted from duct leakage testing If: C] 1. Duct system was documented to have been previously sealed and confirmed through HERS_verfficatftin, or D 2• Duct systems with less than 40 linear fleet in unconditioned space, or © 3. Existing duct systems are constructed, Insulated or sealed with asbestos Q 4. The 111 not be Du (ie. MI geranhae) Cl 2- N eMOANAC Sy►*tem Req ui Mills, C f . • Cut In Chengeout wl !MECH-04 Mt{S new �' (alt new '' y r split Sy s) M@C ANHERS, died ducth� all n N CPNZ5 RS 9 p equipfora MECH (for spilt - MEC,A75�l For Split SVkbams: Duct leaks e C 6 9 PO ty KC, CCA 350 CFM/t6h, FWD, TMAH, Si MS, and either HSPF' or P5PP. For Packaged Unit,;; Duct leakage < 6 percent ❑ 3. New DvCft rv' h/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_ spilt systems),MECH=25-HERS and/or indoor coil .and/or fumace.,No or some CF -4R forms: MECH-20 and (for split systems) MECH-25 equipment Changed. For Split Syalems: Duct leakage < 6 pemCent; RC, CCA Z 300 CFM/ton, iMAH For Packaged Unito: Duct leakage < 6 percent - ❑ 4. New DuCting over 40 feet Required Formal: . Includes adding or replacing more than 40 CF -6R form,.: MtECH-04, MECH-2I-HERS . linear fleet of duct In unconditioned space. CF -411 Forms: MECH-21 For split my tell or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing dud systems constructed. Insulatpri nr cominei wn-i, s�r......r • I certify that this C¢rtlflCatC of Com Ilartee dberm T - - - —cUIWKuLNUNF .7WLCMf1r C) P entation Is accurate and wmplete, • I am eligible under Division 3 of the Cal fo nia Business and Professtorrc Code to accept responSlblllty for the design Identified on this Certificate'of Compllanoe. • I certify that the energy features and performance spadricmom for the design Idents ed on this Certscate of Comlifornia Code of Regulaticiris.pliance conform to the • The Iof dentified n th s Certificate or c mptlance are Consistent with the Information documented on other appNcable`compliance forms, worksheets, calculations, plans and spa.0ficabom submitted to the enforcement agency far approval with the per ap likable' on. Name: Jaepueline %talk signature: JaaQatadlae 7.ebik Company: DESERT AIR CONDITIONING INC _ ate': Nov 21, 201! Address: 590 WILUAIIS ROAD Lute': Ne. v 21, 2 C+ty/StateMiP: PALM SPRINGS / CA./ 92264._ -- Reg: 211-A0060503A-00000000-0000 Regi8tr&tion Datt/Time; 2011/11/21 13!37:13 FfER$ provider; 2008 Residential campii:zncn Forme Ca1tERTs, Inc. July 2010 11/21/2011 10:29 7603238983 DESERT AIR PAGE 02/06 Oty of .La Quints Blftng gt Safety Mtn Pefte N P.Q. Sox 15'04; 78-495 Cage Tamp M La QdW, CA 92253 - (760) 7',77-7012 Bu*ft Plumk APPHadw and Traddng Sheet _ r^ �vn Dr Owner's mmm S es A. P. NuyzOxr: i a Adds qty, ST, zip: 44 c 9aa .S- Oot►trxslor: � ie&�hase: • ' Address - _• Pttijccttion... _....... ---.... .........---..... .----•--- city. ST, Zip: � ••-•-----........ g�2b� - - .......:......... j r�aph�a � Degignor. i � Addres� - City. ST Zip: • 'Fdephan6: man Type: ttit��N�Y= • Stift Lit *: Project LyP4%isle ear): New AWn Altar Demo NtRpae of Caataet i'ersan�n S9• Ft.: Stories iniM 721e}rtgne 4 of Cas�imCt ip�� i�tianard Valuc ad Pr q�eat» 7 5 TI APPLICANT: DO NOT Wwm BROW THIS UNE >y Sabmtltar PAgvd Eters � YKRDtlri' PB16'S _ ( Pf:R 81lt7 Han Check sobmflted itaa Amom SR aettrral Cslcs Ke"emad, raft for cperwdoas pyo Cbeelt Depos;t 1� talcs CaRM Canaet Peraoq Plan Check Ralwnce- . 'Isae2+i tiara. Piwaaptcked ap Canstrecoon F'wd tw° Pran Pious runbmtttert KtcA nk;;4 cradlag piwe T! Rrvkw, rmdy 10r c9rt'loWmft ae BtecMw�t Submaomtor Ids! canoe CoaDetpumn pyot Grad Ong E'bats pldmd up XQ A, Approval Planarmbraltied Gratdius 1N Hm "v Rev -im sewdy for oor►nas-mut" Developer As" Fee PlAo lagApproval CAM Coatedpersms Peb.Wksc Appr Dateofpayaltlrsae - SrAoAtt�b •