Loading...
13-1444 (MECH)PI.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00001444 Property Address: 49350 RIO ARENOSO APN: 646 -320 -043 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 17036 Applicant: Architect or Engineer: VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT 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. LicenseClass: C20 LicenseNo.: 686310 D!�11' - te: 11113113 ConVactor: f - 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 const ruct, 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).: 1, 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, 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—) I am exempt under Sec. _, BAP.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 JSec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner RUSS MACKENZIE 49350 RIO ARENOSO LA QUINTA, CA 92253 (760)777-1986 Contractor: D GENERAL AIR CONDII:f 31170 RESERVE DRIVI THOUSAND PALMS, CA 9: (760)343-7488 Lic. No.: 686310 ­ NOV .13 2013 76 FINANC15 DEPY. Date: 11/13/13 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 !E��issued. l h�'ve 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 ZENITH INS CO — Policy Number Z071741503 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Y.etw. elcanl: 57,zz�� pp 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, indemnity 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 of this county to ante he above-mentioned property for inspection purposes. 1�� - D I 1 63 )-13 Signature JApplicant or Agent): SIZZi., I . Application Number . . . . . 13-00001444 Permit . ... . . . MECHANICAL 2013 Additional desc Permit Fee . . . . 143.00 Plan Check Fee .00 Issue Date valuation 0 Expiration Date 5/12/14 Qty Unit Charge Per Extension 2.00 35.7500 EA MECH FURNACE 71.50 2.00 35.7500 F -A MECH CONDENSER/COMP 71.50 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE OUT - 15SEER/78AFUE, REPLACE (2) 3 TON HVAC SPLIT SYSTEMS [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2010 CALIFORNIA BUILDING CODES. ----------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 95.32 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 143.00 .00 .00 143.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 186.89 .00 .00 186.89 Grand Total 329.89 .00 .00 329.89 LQPERMIT Din # City of La Quint -a Building 8rSafety -Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 14 Owner's Name: -�QS5 A. P. Number: Address: 44 q 3 50 Arc:n o so, Legal Description: City,STZiP: CA qz 25-3 e - Contractor: Telephone:. - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address: - :3N\ -IC) . Project Description: City,ST,Zip: CA CkZ.-Z-7U Telephone: -;,C)Y-- -e�yv, StateLic.#: (08(0310 City Lic. Arch., Engr., Designer: Address: City, ST, Zip: Telephone: X.N.* .......... State Lic. #: .. .. .... ---- -- Name of Contact Person: onstruction Type: Occupan'cy: Proj ect type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: 7-1—nits: # U Telephone #,of Contact Person: .----TEstimated Valueo'f Project: 60 APPLICANT: DO NOT WRITE BELOW THIS LINE N 'Submittal Rcq'd Rcc1d TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount* Structural CaIcs. Reviewed, ready for corrections* Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance. Title 24 CaIcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.1. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for correctionsrassue Developer Impact Fee Planning Approval Called Contact Person, A.I.P.P. Pub. Wks. Appr Date fpermitissue School Fees Total Permit Fees Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address: 7'Ninnforcement Agency: Date: Permit 49350 RIO ARENOSO La Quinta, CA 92253 1 City of La Quinta Nov 6, 2013 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat Package Unit Furnace • Indoor Coil 0AFUE 780/6 10 SEER Is,0 OCOP [3 HSPF [3 R 6 (CZ 10-13) Served by system I& Setback If not already present, must be • Condensing Unit [3 EER Ll Resistance R 8 (CZ 14-15) 2038 sf installed) [3 Other_ , - . I 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 SEEP, 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 -611 and registered CF -411 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 -611 shall also be on site for final inspection. IN 1. HVAC Changeout Required Forms: • All HVAC Equipment CF -6R forms: MECH-04, MECH-21-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-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 Requirement), TMAH Feir Paiskaged Unit—s- ------ Exempted from duct lea age testirig'-Ilff. bl."Durt'-systerri'lwas documeh:i:e::.d to have been previously sealed and confirmed through HERS verification, or 0 2. Duct syste�ms with tess tha"n'-AG.1inear feet in unco6ditioned space, or 0 3. Existing duct systems are ..... iistructed, insulated or sealed with asbestos 0.4. Th �rimill no be Dtiet6d Z=. e ge) 0 2. Nij�j��':SV Req-ui'-.' --s Cut in trigeout it new �-Jall ne . . . .......................... "&�,-4'-ECH VIF=QK�20�'HERS -04 ducti all ne ECH-20i. 6rsplit-s#W equi ----------- ys. emsv: u ea-, For Spi it S t 'it 'A age%-, AH or PM. W S, arid:""tfi'—,!':HSPP:' PSpP, For Package Units: Duct eakage -percen ... ......... [3 3. Required Forms: .Includes replacing or inst:alling ailFriew ducting and/or outdoor conclensini-glAinit CF -611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH45-HERS and/or indoor coil and/or fdrnai�i�::',-No or some CF -4R forms: MECH-20 and (for split systems) MECH-25 equipment changed For Split Systems: Duct leakage < 6 percent; RC, CCA 2: 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent [3 4. New Ducting over 40 feet Required Forms: Includes adding or replacing more than 40 CF -6R forms: MECH-04, MECH-21-HERS 1CF-4R linear feet of duct in unconditioned space. forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent E3 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 Compliance 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 other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Dayana Valdez ISignature: boyana Valdez - Company: HARRISON ENTERPRISES INC Date: Nov 6, 2013 Address: 31-170 RESERVE DRIVE STE A License: 686310 lPhone: iCity/State/Zip: THOUSAND PALMS / CA / 92276 (760) 343-7488 Reg: 213-AO084212A-000000000-0000. Registration Date/Time: 2013/11/06 21:16:13 2008 Residential Compliance Oorms HERS Provider: CalCERTS, Inc. July 2010 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC` Alterations CF -1R -ALT -HVAC Climate Zones 10. - 15 Site Address: Enforcement Agency: Date: Permit #: 49350 RIO ARENOSO La Quinta, CA 92253 City of La Quinta I Nov 6, 2013 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat L3 Package Unit I@ Furnace I&AFUE 78% [3COP_ [3 R 6 (CZ 10-13) Served by'systern N Setback • Indoor Coil 9 SEER 15.o [3 HSPF [3 R 8 (CZ 14-15) 2038 sf If not already present, must be • Condensing Unit LIEER_ QResistance installed) [3 Other I 1. Equipment Type. Choose the equipment being instalAed; if more than one system, use another CF -IR -ALT -HVAC for each system. 14 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 -611 and registered CF -411 forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF -1R a nd CF -6111 sha If a Iso be on site for fina I inspection. 1. HVAC Changeout Required Forms: • All HVAC EquipmenT CF -611 forms: MECH-04, MECH-21-HERS and (for split systems) MECH-25-HERS replaced CF -411 forms: MECH-21 and (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-4Rforms: MECH-21 and (for split systems) MECH-25 For Split Systems: Duct leakage�-.<:-15 percent; RC, CCA:s 300 CFM/ton (Minimum Air Flow Requirement), TMAH FeF Parikage-I Unit—s. -94--d- -1.5 pei;GeAt Exempted from duct leakage t�es 1JI."Du ct'. system -was docume6t6d to have been previously sealed and confirmed through HERS verification, or 0 2. Duct syste-ins with less th�n`:AO.linear feet in unconditioned space, or 0 3. Existing duct systems are,66nstructed, insulated or* sealed with asbestos 0A. 11.00 be Dtidid-(ie -ge) 1P E3 2. N&I~:S Requi, Cut in`���� an eout new ducti equi K:w For Split M I ba s ei SPP�� '�-�:FWW`TTMAK:�` an,&"T H or, .......... For Packag*6d' U6i ' D e- 0 3. New -D uc&.. ith/or Required Forms: Includes replacing or installing all'..new ducting and/or outdoor condensib'g.-Unit CF -611 forms: MEtH-04, MECH-20-HERS, and (for split systems) MECH-25-HE and/or indoor coil and/or fdrnai�L' , :No or some CF -4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA 2: 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent [3 4. New Ducting over 40 feet Required Forms: Includes adding or replacing more than 40 CF -6R forms: MECH-04, MECH-21-HERS 1CF-4R linear feet of duct in unconditioned space. forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent [3 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 Compliance conform to the requirements of Title 24, Parts I and 6 of the California Code of Regulations. I . � I • The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Dayana Valdez ISignature: boyana Valdez Company: HARRISON. ENTERPRISES INC Date: Nov 6, 2013 Address: 31-170 RESERVE DRIVE STE A License: 686310 - 1Phone: ,City/State/Zip: THOUSAND PALMS / CA / 92276 (760) 343-7488 Reg: 213-AO084213A-000000000-0000 Registration Date/Time: 2013/11/06 21:17:46 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010