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12-0028 (MECH)r P.O. BOX 1504 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-0000002 8 v Property Address:7.8237 SAbt_TIMOTEO ST APN: 646-160-015- - Application description: MECHANICAL Property Zoning: .LOW DENSITY RESIDENTIAL Application valuation: 38326 Applicant: c&ty/ 4 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer ------------------ LICENSED CONTRACTOR'S DECLARATION •.I hereby affirmunder 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 -C43 License No.: 276586 XDate: 11` I L Contractor: OWNER -BUILDER DECLARATION 1 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.). (_ 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. 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 (Sec. 3097, Civ. C.). Lender''s Name: Lender's Address: LQPERMIT Owner: BURT 78237 SAN TIMOTEO S LA QUINTA, CA 92253 Contractor: L DESERT AIR CONDITIONING, 590 WILLIAMS ROAD PALM SPRINGS, CA 92264- .(760)323-3383 Lic. No.: 276586 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760).777-7153 Date: 1/11/12 JE201 , CITY AF P� Q A INC. 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 EVEREST NATL Policy Number 7600007908111 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 IshouldAecome subject to the workers' compensation provisions of Section 3700 of the Labor Cod ha rthwith comply with those provisions.. (Date: /- f�- iZ, Applicant: 14 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 Ouinta, 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 buildi construction, and hereby authorize representatives of this county to enter upon the above-mentioned propert i ction purposes. 'Date: I L Signature (Applicant or Agent): Application Number . . . . . 12-00000028 Permit MECHANICAL. Additional desc . Permit Fee . . . . 91.50 Plan Check Fee 22.88 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/09/12 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 3.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 49.50 ---------------------------------------------------------------------------- Special Notes and Comments (3) HVAC CHANGE OUT - 13SEER/78AFUE SPLIT SYSTEMS [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2010 CALIFORNIA BUILDING CODES. January 11; 2012 8:30:16 AM AORTEGA Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary' Charged Paid Credited Due Permit Fee"Total 91.50 .00 .00' 91.50 Plan Check Total 22.88 .00 .00'' 22.88 Other Fee Total 2.00 .00 .00 2.00 Grand Total 116.38 .00 .00 116.38 LQPERMIT 01/11/2012 08:01 7603238983 DESERT AIR PAGE 01/04 POMM rmjcd AM= 7T- ;i3U PO. &w 1504) 78-495 Caffe TanVkv La quinta, CA 92253 - (760) 777-7012 Building Permit Applkadon and Tracking Sheet 2 Ftwl FWD plan rambMit" $0963 Pen Total I-Itmit Few 01/11/2012, 08:01:•, 7603238983,.,•. DESERT AIR Of v— 1n- 15 PAGE 02/04 CF -1111 -AL lite Address: "B-237 SAN TIMOTEO 3 OF 3 La Quinta, CA 92253 Enfonoenkerkt Agency: City of La Qulnta Date, Permit Jan 11, 2012 Duct insulation Conditioned Floor :quipma_ntTypel Ust Minimum Effidency2 requirement Area Thermostat Package Unit 'Furnace 'r AF�E 7894 COP HSPF R 6 (CZ 10-13) Served by system Setback if not already present, must be .1 indoor Coil V SEER 13.0- R 8 (CZ 14_15) 1200 Sf ins'dlled) .0 condensing Unit EER Resistance other . r, EquIpMeM Type. moose we egurpmem ovmp ifowilev, it murk a,w, --V." —cru .,, _•• , -• • •- - •-• --- - - ?. Minimum Equipment ,EMdemles: 13 SEK 78% AFUC 7.7HSPF for typkaf residd rWel SYste+ns `IEVERIFICATION SUMMARY listed below are FOUR HVAC alteration Options. The installer decides what work is [being done RS -id picks one of the appropriate Options: Each Option lists the HERS measures that must be conducted. A copy of the forms shall _•P left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this °arm was In fact the work completed by the Installer, The Inspector also verifies that each appropriate CF -6R and registered CF -411 ':irms (no hand filled CF-4Rs allowed) are filled out and signed -Beginning October 1, 2010, a registered copy of the CF -1R i nd CF40 shall also be on site for final InspecMion. e 1. HVAC Chanseout Required Forms: All HVAC Equipment CF -0 forms: MECH-04, MECH-2I-HERS and (for spire syscemsl mr-Ln-co-nerd renlaced CF -411 forms: MECH-21 I11NOand (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 -411 forms: MECH-21 and (for split systems) MECH-25 Furnace i:or Split Systema: Duct leakage < 15 percent; RC, CCAS 300 CFM/ton (Minimum Air Flow Requirement), TMAH 1: Exempted from duct leakage testing if: 1. Duct SYSMrn 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 :i. Existing duct systems are constructed, Insulated or sealed with asbestos 4. The ,ystclta,lll not be Dulled (leuatles62M5tet(tAE_xerTpt•A vRef$geratxt barge) 2. NAC SYIa . Cut Ili Thangeaut new : (all new duct, all nl�-ww,, MECH-04, MECH„20,. (for :,or Split SyfbenZs: Duret leakage <'b pint; i ::or Packaged Units: Duct leakage < 6 percent split 3. New Duets rvltlt/or without1Required Forms:. 1 Replacement I 11 Includes replacing or Installing all new ducting and/or outdoor condensing unit CF -61t forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-Z"ERS and/or indoor col I and/or furnace. No or some CF -4k forms: MECH-20 and (for split systems) MECH-25 equipment chancmd. 1=or Split Systems- Duct leakage < 6 percent; RC, CCA i' 300 CFM/ton, TMAH 1 --or Padcaged Unitg: Duct leakage < 6 percent 4. New Ductirt!9 over 40 feet RegUired Forms: . Includes adding nor replacing more than 40 CF -6R forms: MECH-04, MECH-2I-HERS linear feet of duct in unconditioned space. CF -4k forms: MECH-21 r -or split system or packaged unil9: Duct leakage < 15 percent FMCFPTION: Existina duct Systems constructed, Insulated or sealed with asbestos. ,Contractor (pocumentatlion AlitnOr S /Kespvnsnte veWgners LocQara4v" aan.cma,ml • I certify that this Certificate of Compliance doarmentaUon 13 accurate and complete. • I am elialble under Division 3 of the California Business and Wezzlolis Code to accept responslt+llfty far the derlgn Identified on this Certificateof CompUance. • f certify that the energy features and pesformenee specifications forthe design identified on this Certificate Of CompftancC Corrforrn to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulatlons. rtf • The design features Idened on this Certificate of Compliance are consistent with the Information documented 4n other applicable compliance fwm--,, worksheets,, Calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. 'us•.....,.. ice,. —lina lrahlir SlanatVre: Jam Zabilt Cmmnanv: DESERT AIR CONDITIONING INC (Date: Jan 11, 2012 1 Reg: 212-A000l737A-00000000-0000 Registration Date/Time: 2012/01/11 11!09:34 2008 Rrxidentiai Compliance Foxmn I1 HERS Prcr idr..x: Ca10ERT.S, Inc. July 2010 01/11/2012;;08:01.., .7603238983 [ i Ilnt.p6fsed Prescl 2008:1 r• .e DESERT. `A•IR• i lace Address: ' atrorcemem Agent'[ VS -237 SAN TIMOTEO 2 OF 3 La Quinta, CA 92253 1 City of La Quinta. Duct insulation • Condltiorie ,:!qulpment 7ypel List Minimum Efficlency2 requirement Area package Unit 0 Furnace •' AFUE 78%. COP R 6 (CZ 10-13) Served by Indoor Coil, SEER 13.0 HSPF R B (CZ 14-15) sf Condensing Unit EER Resistanoe Other PAGE 03L04' ►tem ns • CF -1R -ALT -HVAC • pstite:Permit J!. Jan 11, 2012 :loot Thermostat vp Setback Stem ,rf not already presenk must be Installed) i . equipment Typo., C7toose the equipment t+ein*system, use or►otirer CF -I ft -ALT -WAC !br each system. Mlni^mron Equhwmfif Effidendes: 13 SEM, 78% ARIE, 7.7HSFF for typkal fesktntlal systEms. tjERS VERIFICATI•DN SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done nd •picks one of the- appropriate Options. Each Option lists the HERS measures that must be conducted. A Copy of the forms shall e left on site for final Inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this ,';rrm was In fact the work completed by the installer. The inspector also verifies that each appropriate CF -6R and registered CF -411 farms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered Copy of the CF -11R ; I Ind CF -6R shall also be on site for final inspection. 1. HVAC Changeout Required Forms: .. All HVAC Equlprrn:nt CF -6R fvrrrti5: MECH-04, MECH-2I-HERS and (for split systems) MECH-25=HERS replaced CF -4R form,,: MECH-21 I IINOand (for split systems) MECH-25 . Condenser Coil and /or CF -6R form>: MECH-04, MECH-2I-HERS and (for split Systems) MECH-25-HERS Indoor Coil and /ar CF -4R forms: MECH-21 and (for split systems) MECH-25 . Furnace_ I or Split Syste si Duct leakage < 15 rAment; RC, CCA:5 300 CFM/ton (Minimum Air Flaw Requirement), TMAH I I' 1::Xempted from duct leakage testing if: 1. Duct systcm was documented to have been previously sealed and confirmed through HERS verification, or . Duct syste-ms with less than 40 linear feet in unconditioned Space, or a. Existing duct systems are constructed, insulated or sealed with asbestos 4. The ill not be Ducted (ie. be eN. eraat _ rge) ,I � Y t 2- N AC S,�em Requl , Cut Inth angeout w� 'j�CH-04, Mr l�11ERS r split sy; ns) MEC/ HtltS, dnd new(all new ductiall n or o s MECi-25 ' Y J FP fD MECH�O, a(for sgflt-� e Icor Split Sy>g'tems: vucr iealtage <-. Por Packaged Units: Duct leakage 3. New Duets faith/or without < 6 percent . Includes replacing or Installing art new ducting and/or outdoor Condensing unit and/or indoor coil and/or furnace. No or some forms: MECM-04, MECH-20-HERS, and (for Split systems) MECH-25-HERS forms: MECH-20 and (for spilt systems) MECH-25 IFnr Split S'ystenriji: Duct leakage < 6 percent; RC, CCA >_ 300 CFM/ton, IMAM For Packaged Unlits: Duct leakage < 6 per;=,I a. mew Ducting over 40 feet Required Forms: . Inckides adding or replacing more than 40 CF -6R forms: MECH-04, MECH-2I-HERS linear feet of duct in unconditioned space. CF -411 forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent EXCEETION: Existing duct Systems Constructed, insulated or sealed with asbestos. . I certify that this Certificate of Compllanoe documentation Is accurate and Wmplete. • I am eligible under Dlvlslon 3 of the California Business and Professions Code to accept responsibgity for the deSl+.In Identified on this Certificate of Compliance. . I certify that the energy features and performance specifications for the design Identified an this Certtncate of Compaanc conform to the requirements of Tide 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 documerited on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Company: DESERT' AIR CONDITIONING INC Date: ]an 11, 2012 Address: 590 WIU-TAMS ROAD License: 276586 Req: ::12-A000171SA-00000000 0000 Registratiar< Date/Time: 2012/01/11 11:09:05 HERE Provider: CAICERTS, Inc. 2008 eesidentia) Compliance Forms July 2010 n>e 01/11/201;2;_ 0,8:01':;• ` 7603238983 DESERT •AIR PAGE '04/04 ilimplified enespiptwve c,or,Ancaxe- :Ilwnate 2one5�10 -•.15 ' iJbe Addrestzse Enforcement Agency: Date: Percwlit !tc TS -237 SAN TIMOTEO 1 OF 3 La Quinta, CA 92253 City of Le Quints Jan 11', 2012 Duct Insulation Conditioned Floor IqulpmentTypel hist Minimum Efflciency2 requirement Area . Thermostat Package Unit J Setback P Furnace %e AFUE 7139% COP R 6 (CZ 10-13) Served by system If not already pnesenk must be ,P Indoor Coll wr SEER .13.0 "SPF R 6 (CZ 14-15) 2000 sf instuffed) 10, Condensing Unit EER .Resistance Other i ; agylprnenf Type: Choose the equipment being installed; IF more than one system, use another CF -IR -ALT HVAC Ibr each system. ;. A!/n►,num Epofp rheo! 13 SFFR. T845 AFuC 7.7HSYFlbr pplcal reresid'entlofsystems. t (lets V1:RIF�CATION SUMMARY Li50ed below are FOUR HVAC alteration Options. The installer derides what work is being done a nd picks one of the: appropNate Options.' Each Option Ilsts'the HERS measures that must he conducted. A copy of the forms shall t e left or+ site for final Inspection and a copy given to the homeowner. At final, the inspector verifies chat the work listed on this ' f;hmrrt was In fact the work completed by t?ie hhstaller. T1he inspector also verifies that each appropriate CF -6R and registered CF -4R f;trms (no hand Alle�j CF-4Rs allowed) amp filled out and sl9ned.8eglnning October 1, 2010, a registered copy of the CF -IR ,,!!n cf-611t shall also be on slue forAnai inspection. 1- HVAC Changeout Required Forms: ..All HvAC Equipment CF -6R forms;: MECH-04, MECH-2I-HERS and (for Split systems) MECH-ZS-HE RS replaced CF -411 form: ML -CH -21 I IINOand (for split systems) MECH-25 Condenser Coil and /or CF -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MC -CH -25 -HERS . Indoor Coil and for CF -4R forms: MECH-21 and (for split systems) MECH-25 . Furnace or Split =MS: Duct leakage < 15 percent; RC, CCA < 300 CFM/ton (Minimum Air Flow Requirement), TMAH ':xempted from duct leakage testing If: 1. Duct sysWrn was documented to have been previously sealed and confirmed through HERS verification, or 2. Duct systm!ms with less than 40 linear feet in urxmditned space, or :1. Existing duct systems are constructed, Insulated or sealed with asbestos a. The I1 not be Ducted (le. xe erasaC e) . ��... aewc �..�• r ;rte &gP A� " ;. : - . 2. C r•Y!<br . Cut Ir angeout i new : (all new ducti all ne equip i --or split t svikeii k 13u MECH-04, M f HERS _r, split MECH,ZD, .. (for so s CH leer packaged Units: Duct leakage < 6 percent 3. New Ducts iMth/or without ms) MECHMN ERS, *nd (0 'MECr?I-25 MS, and Either HSPP of PSPP. • Includes replacing or Installing awl nvN MECH-25-HERS ducting and/or outdoor condensing unit CF -6R forms: MECH-04 MECH-20-HERS, and (for split systems) and/or indoor coil and/or furnace. No or some CF -411 forms- MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systenmfl: Dunt leakage < 6 percent; RC, CCA � 300 CFM/ton, TMAH For Packaged units: Duct leakage < 6 percent 4. New Duc Includes add' linear feet of g aver 40 feet or replacing more than 40 t in unconditioned space. For split syst rn Or Packaged Unita: Duet EXCEPTION: Existing duct systems Con 6R forms: MECH-04; MEL"-21-nW 4R forms: MECH-21 < 15 percent insulated or seated with asbestos, . I certify that this Certtflcate of Compliance doo,rnentatlon Is accurate end complete. . i am eligible under DK -Jon 3 of the CaltfOrM8 Business and Professions Code to accept responsiblllty for the design Identlflcd on this Certificate of Compliance. . I certify that the energy features and Perhxn.a = spedficatlons for the design lder u ed on this Certificate of Compliance eorForrn to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. . ribs design feathm:s Identified on this Certificate of Compllanoe are consistent with the Informarion documented on other applicable compliance forms, worksheet;:, calculations, plans and specifications submitted to the enforce hent agency for approval with the permit application- - _ -.,__-._�.._ - C:nn�►e..n• L�.�'-- 7....q. AIR CONDITIONING INC Reg: 112-A00017:32A-00000000-0000 Registration Date/Time: 2012/01/11 11:06:23 HERS Provider: Ca10ERTS. Inc. 2008 Reei.6entia:l Compliance Porm3 July 2010