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09-0491 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA,. CALIFORNIA 92253 Application Number: 09-00000491 Property Address: 44450 OCOTILLO DR APN: 604-193-008-68 -24517 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL. Application Valuation: 28750 Applicant: I Architec or ineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION. I hereby affirm under penalty of perjury that licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bu si n ofessionals Code, and my License is in full force and effect. License Class: C20 -C36 LicenseNo.: 827420 Date: r Contracto . 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 ($5001.: (_ 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 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 _ 1 I am exempt under Sec. ,. B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 1 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: BENITEZ MARC D 44450 OCOTILLO RD LA QUINTA, CA 92253 (760)485-4337 Contractor: ALL SEASONS A/C, PLMBG P.O. BOX 1112 PALM DESERT, CA 92261 (760)568-2663 Lic. No.: 827420 VOICE (760) 777-7012 FAX (760):777-7011 INSPECTIONS (760) 777-7153 Date: 5/15/09 WORKER'S COMPENSATION DECLARATION 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 SOUTHERN INS Policy Number WS1000131201 I certify that, in the performa of the work for which this permit is issued, I. shall not employ any person in any manner s s t become subject to the workers' compensation laws of California, and agree that, if I sh I be ome subject to the workers' compensation provisions of Section 3377,070111 the Labor C d I all forthwith comply with those provisions. Date: �) IJ ,Iy�l/�Applicant: WARNING: FAILURE TO SECURE KERS' 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 rmation is correct. 1 agree to comply with all city and county ordinances and state laws relating to o str ction, and hereby authorize representatives of this count to en r upon the above-mentibned ope s coon purposes. w Data: Signature (Applicant or -Agent): Application Number 09-00000491 Permit . . . MECHANICAL .Additional desc . Permit Fee 51.00 Plan Check•Fee ". 12.'75 Issue Date . . . Valuation . . . . 0 Expiration Date 11/11/09 -Qty Unit Charge Per Extension. BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 0:0000 E,7, HECII D/C (-3HP/100K BTU, 19.00 ------------------------------------------------------------------=--------- Special Notes and Comments INSTALL TWO (2) 4 TON 17 SEER A/C SYSTEMS. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 51.00 00 .00 51.00 Plan Check Total 12.75 .00 .00 12.75 Other Fee Total 1.00 .00 00 1.00 Grand Total 64.75 .00 00 64.75 LQPERMIT Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Project Title: K—• I vll�l ii -L Z Date: © CaICERTS 2005 Enforcement A enc se'onf Project Address:U01 Qu(r-X t6-' 4 o CA ClNa`53 Climate Zone: Building Permit Documentation Author: Vl D Telephone: Plan Check Date. Company Name: ALL --ChiLmbt a6 Field Check Date IMPORTANT: This CF -1 R -ALT form is only for use when an HVAC -only al eration is made to an existing home Use one form for each system being altered. This is system # of systems altered in this house. Check all lines that aptly. Check only lines that apply. Scope of Alterations: 1 tR An Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2 E9 A Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 19 An outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 4 1� A cooling or heating coil is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 5 ❑ More than 40 feet of new or replacement dud are to be installed in unconditioned space. Duct sealing to be determined. ❑ Check here if the entire duct system is alsp to be new or replaced. Continue to next line. 6 ❑ Ilf none of lines 1-5 are checked neither Duct Sealing nor TXV(RCA) are Muired. Go to Section 5. Section 1 - Duct Sealing (Only if any of Lines 1 2 3 4 or 5 are checked. Skip if Line 6 is checked. 7 ❑ This system is in Climate Zone 1 3, 4, 5, 6, 7 or 8. No duct sealing is required. Go to Section 2. 8 ❑ This system has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Section 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach previous CF4R forth. Go to Section 2. 10 ❑ This ducts stem is seated or insulated with asbestos. No dud sealing is required. Go to Section 2. Note: If the entire ducts stem is to be new or replaced, Lines 11-14 do not apply. 11 ❑ In Climate Zones 2 12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct sealing and TXV if applicable). 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 AND EER 12 condenser will be installed with TXV(RCA) D added duct insulation RA wrap on existing ducts, R-8 new ducts in lieu of duct sealing. Go to Section 2. 1314 PAND In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 AND EER 12 condenser will be installed with TXV(RCA) a 0.92 AFUE furnace will be installed in lieu of dud sealing. Go to Section 2. 14 ❑ In Climate Zones 2, 9.) 1, 12, 14 or 16: An SEER 14 AND EER 12 condenser will be installed with TXVIRCA) D an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 15 ❑ None of lines 7-14 above are checked. Duct Sealing is Required. Continue. Section 2 - TXV(RCA) (Only if Lines 3 or 4 are checked, otherwise got to Section 3 16 ❑ The system beina altered is a package unit. No TXV(RCA) is required. Go to Section 3. 17 ❑ This system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV(RCA) is required. Go to Section 3. 18 ❑ This system is in Climate Zone 1 3 4 5 6 or 7. No TXV(RCA) is required. Go to Section 3. 19 ❑ This system is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑ Ris system is in Climate Zone 16 and line, 14 is checked and not line 16. TXV(RCA) is required. Go to Section 3. 21 V& IThis system is in Climate Zone 2 or 8-15 and line 11, 16 or 17 is not checked.. TXV(RCA),is required. Go to Section 3. Section 3 - HERS Rater verification 22 ❑ If line 15 is checked, HERS verification is required for Duct Sealing. 23 )q If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification is required for TXV(RCA). 24 ❑ If line 12, 13 or 14 are checked, HERS verification is required for 12 EER. Section 4 - E ui ment Efficiencies 25 If lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List in Section 6. Section 5- Duct R -Values 26 If mare than 40 feet of duct is beinginstalled or replaced, duct R -value must meet or exceed Package D requirements. 27 If less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R-4.2 Section 6 - see next page Version 03-10-06 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1R -ALT Project Title:_ M 2 ^^ �v C 1 ' 1 ` 1 1. ��,�,.. �--�-�2- T5_ate: ��- � © CaICERTS 2005�i IMPORTANT: This CF -1 R -ALT form is only for use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is s stem # oi, systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equipment must match type/location and meet or exceed efficiencies/R-values. 2$ , Configuration: O Split system O Package Unit 29 Air Handler IpGas furnace, AFUE:9b. OHeatpump FAU OHydronic FAU ❑Other 30 ❑ Heat Exchanger . 31 S Outdoor Condensina Unit VVC OHeatpump kfficiency SEER/HSPF: 17 JEER if re d 32 I[A Goofing or heating coil OA/C OHeatpump ❑Hydronic 33 ❑ Duds Location: Length (ft): R -value: All mandatory measures apply to any altered component. See MFA R -AL— form. Compliance Statement: This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall project responsibility. The undersigned recognizes that compliance using duct sealing, verification of refrigerant charge, and TXV require installer testing and certification and verification by an approved HERS rater Home Owner or Authorized Agent Documentation Author Name: v._ ......, m ., ... _.- . Name: Address: Company Name: Se >s tins +r' e.o ji+(r i City/State/Zip: Address: Phone: City/State/Zip: in�cXf�l CCry 9aa3 y Phone: �l (e0 g -Q Co - Signature: Signatur Enforcement Agency Buildin Department) Notes/ om Name: Title: Department: Phone #: Fax #: Signature or Stamp: Required forms: CF -1 R -ALT: by anyone. Required at time of permit application. Copies to home owner, enforcemeit agency, HERS rater. CF -6R -ALT: by installing contractor. Required to Gose permit. Copies to home owner, enforcement agency, HERS rater. CF4R-ALT: by HERS rater. Required to close permit. Copies to home owner, enforcement agency, installer. The CF4R forms for a sample group shall not be released until all testing and verification is completed and passed for the entire group. version uo-iu-uo Page 2 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com y Certificate of Compliance Prescrintive Method - HVAC -only Alteration • CF -1 R -AI T Project Title: � I j ► 1 f fc.//�� .. l-n&r(✓ &Yv 4 e_� Date: I y "- 09 © CaICERTS 2005 �* nforcement A_ enc- UsetOnl y- Wll Project Address: LP (DL), 4L4•4Sa Cco-hII Climate Zone: ewldmg�f d Documentation Author: I f��3 U ( ja Telephone: �(JO Plan check Dace ; tt �„ �, ZZ w is v6 i��'C r � , r 1 cfitst§ Company Name: ; k Sem s Pi r C6nd , e I Um heck Field Cyke Y �;,� IMPORTANT: This CFAR-ALT form is onlyforuse when an HVAC -only alteration is made to an existing homer Use one form for each system being altered. This is system # ' of systems altered in this house. Check all lines that apply. Check only lines that apply. Scope of Alterations: 1 An Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2 A Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 4 82(- A cooling or heating coil is to be installed or replaced. Duct Sealinb and/or TXV(RCA) to be determined. Continue to next line. 5 ❑ More than 40 feet of new or replacement duct are to be installed in unconditioned space. Duct sealing to be determined. ❑ Check here if the entire duct system is also to be new or replaced. Continue to next line. 6 ❑ If none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA) are required. Go to Section 5. Section 1 - Duct Sealing (Only if any of Lines 1 2, 3, 4 or 5 are checked. 'Skip if Line 6 is checked. 7 ❑ This system is in Climate Zone 1, 3, 4, 5 6, 7, or 8. No duct sealing is required. Go to Section 2. 8 ❑ This system has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Section 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach previous CF -4R for. Go to Section 2. 10 ❑ This ducts stem is sealed or insulated with asbestos. No duct sealing is required. Go to Section 2. Note: If the entire ducts stem is to be new or replaced, Lines 11-14 do not apply. 11 ❑ In Climate Zones 2,12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct sealingand TXV ifs livable . 12 13 In Climate Zones 10, 13 and 15: An SEER 14 Ab Q EER 12 condenser will be installed with TXV(RCA) D added duct insulation R-4 w-onexistin ducts, R-8 new duds in lieu of duct sealing. Go to Section 2. 13� In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 AHU EER 12 condenser will be installed with TXV(RCA) D a 0.92 AFUE furnace will be installed in lieu of duct sealing. Go to Section 2. 14 ❑ In Climate Zones 2, 9, 11, 12,14 or 16: An SEER 14 AbU EER 12 condenser will be installed with TXV[RCA) [AND an 0.82 AFUE furnace will be installed with increased dud insulation in lieu of dud sealing. Go to S'3ction 2. . 15 O None of lines 7-14 above are checked. Duct Sealing is Required. Continue. Section 2 - TXV(RCA) (Only if Lines 3 or 4 are checked, otherwise got to Section 3 16 ❑ The system being altered is a package unit. No TXV(RCA) is required. Go to Section 3. 17 ❑ This system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV(RCA) is required. Go to Section 3. '18 ❑ This s stem is in Climate Zone 1 3 4 5 6 or 7. No TXV(RCA) is required. 'Go to Section 3. 19 ❑ This system is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑ Dis s stem is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) is required. Go �o Section 3. 21 his system is in Climate Zone 2 or 8-15 and line 11, 16 or 17 is not checked. TXV(RCA) is required. Go to Section 3. Section 3 - HERS Rater verification 22 ❑ Ilf line 15 is checked, HERS verification is required for Duct Sealing. 23 if line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification is required for TXV(RCA). 24 ❑ Ilf line 12, 13 or 14 are checked, HERS verification is required for 12 EER. Section 4 - Equipment Efficiencies 25 ML Ilf lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List in Section 6. Section 5- Duct R -Values 26 If more than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed Package D uirements. Ilf 27 ❑ less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R-4.2 Section 6 -see next page I alul I V.2- w -w -Page.1:.of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1R -ALT Project Title: 11'1.2. (YiGi..rC. be.�-y t %-2-Z Date: • t t -i . 0 GY © CaICERTS 2005 IMPORTANT: This CF -1 R -ALT form is only for use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system # 1t of _D systems al-:ered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equipment must match type/location and meet or exceed effiaencies/R-values. 28 Configuration: O Split system. O Package a Unit 29 ❑ Air Handler as fumace, AFUE: OHeatpump FAU OHydronic F.>U OOther 30 ❑ Heat Exchanger _. .,.-. 31 i�— OutdoorCondensin Unit C OHeatpump lEfficiency SEER/HSPF: JEER if d:? 32Cooling b or heating coif OA/C OHeatpum OHydronic 33 Ducts I Length (ft): R -value: All mandatory measures apply to an m altered coonent. See MF -1 R - ALTform. Compliance Statement: This certificate of compliance lists the building features and specifications needed to comply with Title 34, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate ias been signed by the individual with overall project responsibility. The undersigned recognizes that compliance using duct sealing, verification of refrigerant charge, and TXV require installer testing and certification and verification by an approved HERS rater. Home Owner or Authorized Agent Documentation Author Name: Name: Address: City/State/Zip: Company Name: Ati_ &wsonv- Address: Cin. ` on ON . #D9 Phone: City/State/Zip: Phone: 2 -(/.?Signature: Signature: Notes/Co n Enforcement A en(Building Department) Name: Title: Department: . Phone #: Fax #: Signature or Stamp: Required forms: CF -1 R -ALT: by anyone. Required at time of permit application. Copies to home owner, enforcement Egencyr, HERS rater. CF -6R -ALT: by installing contractor. Requtrdd1o'ciose'permit. Copies to home owner; enforcement agency, HERS rater. CF -4R -ALT: by HERS rater. Required to close permit. Copies to home..owner,.enfomemmnt. agency. ingtaljeL.- Tbe.CF-4R fo1-s_for a sample group shall not be released until all testing and verification is completed and passed for the entire group. Var¢inn nz-IAsa - -- - -- Page 2 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Bin # Qty Of _a. Quinia• Building &r Safety MUM 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 y. L4 S 1] UCO c, Owner's Name: A. P. Number: Address: 44-ySOc o. hj t g Legal Description: Contractor: ►/-� ^ AL.L. �Q�SC(l S' id P(t)mb. City, ST, Zip: Lica. Q U I n 22-S 3 •f•>,t.>•:f�r•::.;• „�;:: Telephone: '7(p0 Lt aS - t {33 F' ri%�s :..<:...,�. ;. Project Description: Address: CCdVeAira_j OAAVI City, ST, Zip: QZdV1L.Gf4.l , CA c(2Z3 L( —1�5�� l l �Wc7 2 -gyp n l- Telephone: rl O 5 LP g 2 r: ,,: ,. �.'�;s,�:: ,,:,:;�<•.; ' talc - State Lia # : tfj Q City Lie. C Arch., Engr., Designer. (v Address: City., ST, Zip: Telephone: , " v1 r•r' gr �f.`i:?.'::�' :. fir•. � • . .: State Lie. #:£ Name of Contact Person: (—yam �tq.. N Construction Type: Occupancy: Project type (circle one): ew Add'n Alter Repair Demo Sq. Ft.:#Stories: # Units: Telephone # of Contact Person: T j(o'D `- t 2-(,p (e Estimated Value of Project: !�!) �j O. O APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets Pian Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 1.4 Coles. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan V. Review, ready for eorrections/issue Electrical Subcontactor List Called Contact Person TPlumbing Grant Deed Plans picked op S.M.L H.O.A. Approval Plans resubmitted Grading W HOUSE:- ''" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees