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10-0785 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number. �10-00000785 � Property Address: 78553 SAN MARINO CT APN: 609-551-031-22 -28458 Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 8950 Applicant: Architect or Engineer: drp( • n �Iti �1 , BUILDING & SARE-TY DEPARTMENT BUILQING PERMIT t -------------------------------------------------- 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 icense No.: 906115 ontractor: 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).: (_ 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, Busines's 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 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/20/10 Owner: D d Q SLAUGHTER JAMES R 78-553 SAN MARINO COUR LA QUINTA, CA 92253 QU63 23 2010 r r CI_T OF ILA 01im,. Contractor: HYDES 77825 WILDCAT STREET PALM DESERT, CA 92211 (760)360-2202 Lic. No.: 906115 ----------------------------------------------- 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 NORGUARD INS Policy Number CEWC133676 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 tho p visions. ate:s' 2 3- ,cant: 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representat of this county to enter upon t above-mentioned property for inspection purpos Det(Applicant or Agent): Application Number . . . . . 10-00000785 Permit . . . MECHANICAL Additional desc . Permit Fee. . 39.50 Plan Check Fee 9.88 Issue Date . . Valuation . . . . 0 Expiration Date 2/16/11 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 B/C <=3HP/100K BTU 9..00 1.00 6.5000 EA MECH OTHER MECH EQUIPMENT 6.50 ---------------------------------------------------------------------------- Special Notes and Comments INSTALL NEW 5 TON 15 SEER SPLIT SYSTEM. 2007 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged ----------- Paid Credited Due - ----- ---------- Permit Fee Total ---------- 39.50 ---------- ---------- .00 .00 39.50 Plan Check Total 9.88 .00 .00 9.88 Other Fee Total 1.00 .00 .00 1.00 Grand Total 50.38 .00 .00 50.38• LQPERMIT Bin # City of La Quinta Building a Safety 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:' COLAr Owner's Name: J /rl a u A. P. Number: Address: 7 9-5-53 A,--/170 Ccs Legal Description: City, ST, Zip: Z4 i9al, h lt� C A ZZ J 7 Contractor: C� I {y' �7h4� 6. 54y,.15 : Telephone: Address: 7 Z� G✓y / a, V e— Project Description: /G h O Ll City, ST, Zip: G/ /%► �� e Zt-U� Telephone: 76o-3 6 0 —� (j State Lic. # City Lic. #: ZZ� Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type: Occupancy: . Project type (circle one): New Add'n Alter Repair Demo Sq. Ft: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: < APPUCANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd 'TRACKING PERMTr 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 Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading. plan god Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M L H.OA Approval Plans resubmitted Grading IN HOUSE: 3" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Simplified P five Certii icate of Compliance: 2008 Residual KYACAlteruoas ' CF -IR -ALT -HVAC Clitoste Zones 10 to 15 Si9eAd:6ress_ 7 _ S3 Ar Wor� _ � per* j,,, o ot~r�' -1G Conditioned Floor EgWP—Mew T ' List Minimum Efficiency'- Duct insulation requirement Area Thermostat Paolo Unit 0 AFLT: V0 ki E, COP Over 40 ft of ducts added or oil SEERI M © HSPF replacedin unconditioned space R 6 (CZ 10-13) I® Served by system not) sf I VMV be nsmg Lnit EER ) 3 ® Resistance Afti-erd R 8 (CZ 14-15) uumtledl Type: Chow dte equOn-a being ==Ued if ,Wore Ami one system we cmorlrer CF -I R ALT•-HVACfor each system Z Mbzfnarra F,grriPa-d : 13 SEER 7rlo AFUE. 7.7HSPF for typical residentid sistem HERS VERIFICATION SUMMARY Listed below are four HVAC almradon Picks one of the Options The -stall- docades what wont is being done and Picks appropriate Opdow- Each Option lists the HERS measures that must be conducted A copy ofihe fonas shall be left on site for final iurspeedon and a copy given to the homeowner. At final, the iaspeaur verifies that the wont listed on this form was in fact the want completed by the -= U- The inspector also verifies that each appropriaae CF -6R and registered CF -4R fates (no band filled CF-4Rs an fined out and1. October L 201 a co of the CF -IR and CF -6R shall also be on site for final -�) Inspection. HVAC CI�aeOut Required Forms: • All HVAC Equipment replaced CF -6R forms: MECH-K MECH 21 -HERS and (for split systems) MECH- 25 -HERS CF -4R fonr� MECH- 21 and for split MECH 25 • Condenses Cott and/or • Indoor Cort and/or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS • Furnace CF -4R ferns: MECH- 21 and (for split systems) MECH 25 For Split Sys: Dud leakage < 15 percent; RC, CCP. >_300 CFM/ton(Ivlinirnttm Air Flow Regtrirerneat) nvlAH For Pacli:aged Units-- Duct.lealcege < 15 percent Exempted firom duct leakage testing it. 1 • Duct system was documented to have been previously sealed and o,Mfn.,d through HERS vaificaum or Z Duct systems with less than 40 linear feet in unconditioned space, or 3. Existing duct sysmars areconstructed. insulated or sealed with asbestos Z New HVAC System Required Forms: • Cut in or C hangeout with new duets: (all new ducting and all CF -6R farms: MECH-04, MECH-M4MRS,and (for split Systems) MECH-ZZ-HERS, rad MECH-25-HERS newequionent) CF -4R forms IvIECH 20-, and (fbr split systaas)MECH 22, and MECH 25 For Split sYStiems-- Dud Ieakage < 6 percent; RC, CCA >_ 350 CFM/toni FWD, 7'MAH, SIMS For Pa its Un-- Duct leakage < 6 per cent v and either HSPP or PSPP. ® 3. New Duds with Replacemeat Required Forms: • Includes RPS or instaIIirrg all neva' dui CF -6R firms: MECH-Ok MECH 20-HERS-.aad (for split s),stears) MECH-25-HERS and/br old, condensing und and/or indoor CF -4R fvtms: MECH--20 and (for split syr) rg,(-1I-25 coil and/or furnace_ Not aD egirip� For Split Systems: Dud leakage < 6 percent, RC, CCA >_ 300 CFM/Wtt, TMAH For Padmged Units: Dud 1 be < 6 4. New Ducting over 40 feet aired Forms: • Indirdfs Wdmg am azre more thea 40 111IO larear feel of duct in rmooadifiornod �,� MECH-21 e- CF -6R forms: MECH-04, MECH-21-HERS CF -4R forms For split or padmged units: Duct leakage < 15 percent EXCEPT ION: duct sYsteCIS consnvcMd, insulated or sealed with asbestos, Contractor (Docamentadon AuthOes /Responsible Designer's Declaration Statement) • I certify that the Catid"rcam of Cotrtpla= doam>eination is atx ,= and complete • I am eligiile under Division 3 of the California Business and Professions Code m accept tesporsibi7ity far the design idearified on Ibis Certificate of Compliance. • 1 certify thu the a ,,W features and performance specificatiors for to desigi identified on this Certificam of C Pars l and 6 ofthe California Code ofRegulatiom °W Oe wafontti m the regime of Title 24, • The design . plant s identified an this Cert -ed of Compiianoe are corsisucm with the iafotmadon documenled on oth- applicable compliance fora--, wirrkah� raladadora via:-- rad ass submimed m the eoforametrt for approval with the vert applicariar dame: Michael Hyde Sigtatiauw c°� Hyde"r Conditioning '''� 77-899 Wildcat Drive 'Oe° ;k)2 City/Smto2ip: Palm Desert, CA 92211 r 3008 Residential Compliance Forms Manch 2010 Work Order IIIIIIIIIIIIIIIIIII Certified Comfort Systems, Inc. dba Hyde's Air Conditioning Job No: 220939 77-825 Wildcat i Palm Desert CA 92211-1137 760-360-2202 FAX: 760-360-3350 Service At: Customer # 108416 Bill To: Customer # 108416 Rating: Slaughter, Jim cell La Quinta CA 92253 La Quinta CA 92253 ADRIAN 9:00:00 AM Type: RES Source: FRIEND Open Balance: $7,800.00 Zone: LQ Map: Equipment Payment Method: Check, COD Warranties . Subdivision: Type Sys Mfg Model # Serial # Credit Limit: Parts Ends Labor Ends Skill: Tax: CA 10304RYXIF 0 1OYRCOMP Installation Customer Directions Bella Vista off Fred Warning & Instructions 5 ton 16 SEER Am Stnd $ 8950 + rebates paying w/ CC Work Sugg PNV 120274 Work Done Removed existing equipment and installed a new 5 ton 15 SEER American Standard split system. ARI# 3949990 Filters: Loc: *** 5 YEAR PARTS & LABOR, 10 YEAR COMPRESSOR AND 20 YEAR HEAT EXCHANGER WARRANTY*** Call Info Job Info Call No.: 220934 Booked by: Gina Job No.: 220934 Taken: 8/18/10 3:31 PM Type: FULL Booked Date: 8/19/10 Class: Installation Taken by: Gina Scheduled: 8/19/10 8:OOAM Sched by: Lisa Type: FULL Cust PO: Pri Level: 5 Ld Src: EXIST SalesPerson: Eq Age: LS Ref: Contact: Equipment: A/C Assignments Employee TaskCode Scheduled Time ADRIAN 9:00:00 AM LUISM 9:00:00 AM Equipment Warranties . Type Sys Mfg Model # Serial # Age Type Parts Ends Labor Ends COND 1 AS 4A7A5061E1000AA 10304RYXIF 0 1OYRCOMP 08/19/2020 Filters: Loc: COIL 1 AS 4XUC67/120 PNV 120274 0 5YR-P&L 08/19/2015 08/19/2015 Filters: Loc: FURNAC 1 AS AUD2D120ACV52AA 9161MLMIG 0 20YRHEXCH 08/19/2030 Filters: Loc: Agreements Type Agr No Status Sold By Start End Discount Last Visit Next Scheduled PPI 405354 Active 08/20/2010 08/19/2011 15 % P&L 2/2011 Service History Call # Date Tech Type Status Bal. Due Job # 220919 220919 08/18/2010 CLAUD NoCool Instructions: AC not cooling sched btw 1-5 cll M going Work Done: sold 5 ton 16 SEERS lit. Qtd $ 8950 + rebates