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11-0797 (MECH)#---. - 5j"i P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11x00000797 Property Address: 7858SAGUARO DR APN: 646-313-008-108 -000000- Application description: MECHANICAL Property Zoning: MEDIUM DENSITY RES Application valuation: 1447 Applicant: = Architect or Engineer: h. 4 e(P Qu&& BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: KIRK KAREN 78585 SAGUARO DRIVE LA QUINTA, CA 92253 Contractor: DOVE AIR INC 69749 RISUENO ROAD CATHEDRAL CITY,. CA (760)327=1890 Lic. No.:.794315 92, VOICE,(760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/25/11 ---------------------------------------------- LICENSED CONTRACTOR'S DECLARATION - - WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions. of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: -� " Section 7000) of Division 3 of the Business and. Professionals Cod 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 License Class: C20 .Lice o.: 794315 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is T Z _ f -/ ` ate:' 1 ontractor: — 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 ' /// OWNER -BUILDER DECLARATION insurance carrier and policy number are: , I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier EXEMPT Policy Number EXEMPT - "for following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit toI certify that, in the performance of the work 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 as to 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 - and agree that, if I should beco subject tot e)workers' compensation provisions of Section " License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the abor Code, I, orthwith co' y wit those provisions. ' that he or she isexempttherefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by . wt ^.. any applicant.for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ' pplicant: (_ 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 - WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 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 PENALTIES AND 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 _ 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, (_ 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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 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 consction, and hereby authorize representatives of this county to enter upon th bove-mentioned property for in ection pur ses. I'll : I (Si ture (Applicant or Agent): Application Number . . . . . 11-0000079.7 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 31.50 Plan Check Fee 7.88 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/21/12 . Qty Unit Charge Per Extension BASE FEE 15.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 ---------------------------------------------------------------------------- Special Notes and Comments REPLACE 3.TON HEAT. PUMP CONDENSER IN SAME LOCATION. 2010, CODES, -------------------------------- ------------------------------------------- Other Fees BLDG STDS ADMIN (SB1473) 1.00 Fee summary. Charged Paid Credited Due Permit Fee Total 31.50 .00 .00 31:50 Plan ..Check Total 7.88 .00 .00 7.88 Other Fee=Total 1.00 00 :00 1.00. Grand Total 40'.38'. 00 00 40.38 LQPERMIT ici �isuuo raw o: 1♦ 1.}UUI!VUi _. ;; me Bin # City of is Quintd Building a Safety Division . P -O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Budding Permit Application and .Tracking Sheet Permit # Q� Project Address: 5 S Ar 0Owner's 0(. Name: 1C A. P. Number: Address: % Ssi S_ S 4 UA ✓V 14 Legal Description Contractor: .'D G r rtn City, ST, Zip: LQ : n `'/ U 53 I'elcphoue: Project Descriptions Address; (9 R City, ST, Zip:��%�dc� ,%� 27,`3 Telephone: b y a. – g State Lic. # : , 113 City Lie. #: 0. 3 519 Arch., Eagn, Designer: YVwt C0'N �6S�s61'\ p C —� ..,� ti tQ % A 0 Vni 0 Address: City, ST, Gip: Teiepliene: ;tate Lie. #: Constriction Type: Occupancy- Project type (circle ane): New Add'n Alter Repair Demo Name of Contact PCrson: Sq. Ft.: #Stories: # Uuits: Telephone # of Contact Person: Zia 0�61–dQDLEstimated Value of Project:. Oen Mom APPLICANT: DO NOT WRITE BELOW THIS UNE ti Submittal Plan Sets Req'd Req'd TRAI KING Mi (heti submitted PERMT FEES Iteta Amount Structural Cates.: Reviewed, ready for corrections Plan Check Deposit Trass Cales. Called Contact Person Ptaa' Check Baia.ace Energy Cates. Plans picked up Consr motion Flood plain plan Plans reaubmttted Meehsnieal • Grading.plan V Review, ready for eorrectioas/issue Electrical Subcoutactor List Called Contact Person Planthtng Grant Deed Plans picked up g bI L li.O.A. Approval Plaas resubtuitted l:radlrig IN HOUSE:- '' Review, ready for correcfioosliasue Developer Impact Fee Planniag Approval Called Contact Person Pub. Wks. Appr Date of permit issac School Fees — Total Permit Fees Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit fit: 78585 Saguaro RD La Quinta, CA 92253 City of La Quinta l3ul23,2011 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ❑ Furnace ❑ Indoor Coil ❑ AFUE p SEER13.0 ❑ COP 2 HSPF ❑ R 6 (CZ 10-13) R 8 Served by system Q sf `J Setback If not already present, must be 0 Condensing Unit ElEER [:1Resistan e [1 (CZ 14-I S) installed) ❑ Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF-1R-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-111 and CF-611 shall also be on site for final inspection. D 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 CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS . Indoor Coil and /or CF-4R forms: MECH-21 and (for split systems) MECH-25 . Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH Exempted from duct leakage testing if: ❑ 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 713. Existing duct systems are constructed, insulated or sealed with asbestos 1­14. The system will not be Ducted (ie..Ductiess,Mini-Split:System)3(Also Exempt from Refrigerant Charge) ❑ 2. New`'HVAC System Required Forms: it . Cut rotor Chan eout with;' � ; new ducts: (all new CF 6R forms MECH-04, MECH-20and;(for split systems) MECH-22-HERS and MECH-25-HERS all new CF-4R forms • MECH 20, andi(for split systems) MECH-22, aha MECH 25 s ` : a equipment) tr�idA r' For Split Systems: Duct leakage<°6 percent; RCI CCA'>_''350 CFM/ton; FWD, TMAH, STMS, and either HSPP or PSPP. ` For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with/or without Required Forms: Replacement . Includes replacing or installing all new ducting and/or outdoor condensing unit and/or indoor CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS coil and/or furnace. No or some equipment CF-4R forms: MECH-20 and (for split systems) MECH-25 changed. For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent ❑ 4. New Ducting over 40 feet Required Forms: . Includes adding or replacing more than 40 7-6R forms: MECH-04, MECH-2I-HERS linear feet of duct in unconditioned space. CF-4R forms: 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 /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: Gary Laster Signature: Gary Laster Company: DOVE AIR INC Date: Jul 23, 2011 Address: 68-749 RISUENO ROAD License: 794315 City/State/Zip: CATHEDRAL CITY / CA / 92234 Phone: ( Reg: 211-AO03697OA-00000000-0000 Registration Date/Time: 2011/07/23 14:02:46 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010