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10-0790 (MECH)4 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 8/23/10 Application Number.10=00000 "1 Owner: Property Address: 48544­VIA--ENCANTO CHERREY AMANDA APN: 646-091-036- - 48544 VIA ENCANTO Application description: MECHANICAL LA QUINTA, CA 92253 PropertyZoning: LOW DENSITY RESIDENTIAL , . ( Application valuation: 6565 o Contractor: D 6 Applicant: Architect or Engineer: J ANTHONY PLUMBING HEAT/AI CC/ 72216 NORTH SHORE STREET, 0 THOUSAND PALMS, CA 92276 AUG 2 T (760)343-2121 1010 Lic. No.: 777794 CITyOF Fflygk EQuINtA 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. License Class: C20 -C36 License No.: 777794 I-. /.a 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 countythat 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).: (_ 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 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 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 pursuantto the Contractors' State License Law.). I _ 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: LQPERMIT WORKER'S COMPENSATION DECLARATION I 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 STATE FUND Policy Number 1932451 _ I 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' compe anon provisions of etion 3700 of the Labor Code, I shall, forthwith c mply with [h visions. µDate: � ���r Applicant: 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 1$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. Icertify 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 authoriz representatives of this county to enter upon the above-mentioned propert or foss a purposes. 1 �d�Date: Lw�3�USignature (Applicant orAgent • ".r Application Number 10-00000790 Permit MECHANICAL . Additional desc . Permit Fee 42.0.0 Plan Check Fee 10.50 Issue Date . . . Valuation 0 Expiration Date 2/19/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 .9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 ------------------=--------------------------------------------------------- Special Notes.and Comments A/C CHANGE OUT 5 TON 14 SEER UPFLOW SPLIT SYSTEM CHANGE OUT AND INDOOR COIL. 2007 CODES.. ---------------------------------------------------------------------------- Other Fees . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 42.00 .00 .00 42.00 Plan Check Total 10.50 .00 .00 10.50 Other Fee Total 1.00 .00 .00 1.00 Grand Total 53.50 .00 .00 53.50 LQPERAIIT of '15 VtA E tied 2008 Residentid*HV, Enforcement Agency: CF -IR -ALT -HVAC 0 Permit M 1> nagw wu, mace @r� �O o ❑COP Over 4011 of ducts added or jrtdoor Coil ®SEER ❑ HSPF replaced in unconditioned space Served by system Condensing Unit ❑ EER ❑ Resistance p R6 (CZ 10-13) sf Other ❑ R 8 (CZ 14-15) (1f net already present, must be lnstalledj 1. Equipment Type: Choose Hose being installed: f more than one system, use another CF -1 R -ALT - HVA C or each ment E j system. 2. Minimum Equijp jJfcietrcies: /3 SEER, 78Sb AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are four HVAC alteration Options. The installer decides what work picks one of the appropriate Options. Each Option lists the HERS measuree conducted. d s that must be inspection and n copy given to the homeowner. At A Dopy of t}ie fotvs shall be left on is being done final, the inspector verifies that the work listed on this form was in e•and final fact the work completed by the si B'ein 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 October 1 2010 a red copy of the CF -1R and CF -6R sha1C also be on site for ficial inspection. E3 1 HVAC Changeout Required Forms. • All HVAC.Equipment replaced Lr -ox totms: MECH-04, TECH -2I -HERS and (for split systems) MECH- 25 -BURS CF -4R forms: MECH- 21 and for splitsystems).MECH-25 • Condenser Coil and /or • Indoor Coil and/or CF -6R forms: 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 leakage < 15 percent; RC, CCA >_ 300 CFM/ton For Packaged Units: Duct leakage < 15 percent (Ivltntmtun Air Flow Requirement), TMAH Exempted from duct leakage testing if - 0 f❑ 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 ❑ 3. Existin duct systemsare oonstrucxed, insulated or sealed with asbestos ❑ 2. New HVAC System Required Forms: • Cut in or Changeout with new ducts: (all new ducting and all CF -6R forms: MECH-04, MECH-20-I3ERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS new equipment) CF -0R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, SIMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with Replacement Required Forms: • Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF -4R forms: MECH-20 and (for split systems) MECH-25 coil and/or furnace. Not all equipment changed. For Split Systems: Duct leakage < 6 percent, RC, CCA > 300 CFM/ton, TMAH For Packa ed Units: Duct leakage <6 percent ❑ 4. New Ducting over 40 feet geguired Forms: • Includes addin' or replacing morethan 40 linear feet of duct in unconditioned space. CF -6R forms: MECH-04, MECH-2I-HERS CF -4R fors: MECH-21 For split system or packaged' units: Duct leakage < 15 percent . ❑ EXCEPTION: Existing duct systems constructed,insulated or sealed with asbestos. Contractor (Documentation Author's /Responsiblb Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation is accurate and complete. • I at 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, Pans I and 6 of the Califomia 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; laic and specifications submitted to the enforcement for roval with the it lication. Name:' � � Signature: Company: J ANTHONY SERVICES Date: Address: 72216 NORTH SHORES THOUSAND PALMS, CA 92276 License: City/Statc/Zip: Phone -7 3 Z %. 2008 Residential Compliance Forms March 2010 Bin # Qty Of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # n Project Address: rD'4q G\)C6 .Owner's Name:. f 6 A t P t( -z'6 A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: J ANTHONV SERVICER Telephone6 ,�w � � �.. C v II ) Se�� Project Description: J "[ 72 NORTH SHORE ST. PTE 109 Address: THOUSAND PA City, ST, Zip: L.QL4/S PLAT Telephone. 3 L43 2—t gCA4AhGCOUT State Lic. #: Arch., Engr., Designer. Address: City., ST, Zip: Telephone: .i" State Lic. #: Name of Contact Person: Construction Type: Occur ancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 411�;S65 e APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACIGNGPERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2s° Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"° Reyiew, ready for correctionvissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Sees