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13-1150 (MECH)7 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00001150 Property Address: 79744 OLYMPIA FIELDS APN: 775-051-042- - Application description: MECHANICAL Property -Zoning: LOW DENSITY RESIDENTIAL Application valuation; - 6000 414 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: WONG DAVID 79-744. OLYMPIA LA QUINTA, CA (760)698-8945 FIELDS 92253 Contractor: Applicant: Architect or Engineer: HYDES 42.949 MADIO STREET INDIO, CA 92201 (760)360-2202 Lic: No.: 906115 VOICE (760) 777-7012' FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/12/13, D Q � Qr--p i 2 2013 CITY OF LA QUINTA FINANCE DEPT. - ------------------------------------------------ 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 Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C20 C36 License No.:. 906115 .. for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. /I-/�_ Date: –tom Contractor:•/�J - - � ' _ 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 NORGUARD INS Policy Number CEWC468841 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for 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 become subject to the 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 Labor Code, I sZfoonh comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. -Any violation of Section 7031.5 by Z any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: —/1 Applicant: 1 _ I 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 W KERS' 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, 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. , BAP.C. for this reason - the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City Date: I 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 buildingconstruction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspecti urposes. I Date:�E/ _'/Sinature (Applicant or Agent): . L LQPERMIT Application Number . . . . . 13-00001150 Permit . . . MECHANICAL 2013 Additional desc . Permit Fee . . . 71.50 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 3/11/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.00 35.7500.EA MECH CONDENSER/COMP 35.75 --------------------------------------------------------------- Special Notes and Comments HVAC CHANGE OUT - 13 SEER/786 AFUE SPLIT SYSTEM (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 47.66 Fee summary Charged Paid Credited Due - Permit Fee Total 71.50 71.50 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 139.23 139.23 .00 .00 Grand Total 210.73 210.73 .00 • .00 S . L LQPERMIT Bin # Permit it Project Address: ' A. P. Number: Contractor: ev fl �(C FI Address: -------------------- City, ST, Zip: T City of La Quints Building 8L Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-701, Building Permit Application and Tracking Sheet f17 r's Name:ss:ST, Zip: e� elephone: 0 _7✓Z_v State Lic. # : q Cry%�1 Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Telephone # of Contact Person: # Submittal Plan Sets Structural Calcs. Truss Calcs. Energy Calcs. Flood plain plan Grading. plan Subcontactor List Grant Deed H.O.A. Approval ]IN HOUSE:- Planning Approval .Pub. Wks. APpr School Fees X15 A.IC•. Telephone: �%6 6—�� ✓f Project Description: 4 City Lic. #: `'f • cf -?_: ZZ!;? Total Permit Fees Construction Type: an Occupancy: P cy: Project type (circle one): New Add"ai Alter Repair P Demo Sq. Ft.:' # Stories: # Units: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRACKING. PERMIT FEES Plan Check submitted Item Amount Reviewed, ready for corrections Plan Check Deposit Called Contact Person Plan Check Balance Plans picked up Constructioc Plans resubmitted Mechanical 2'" Review, ready for correctionsrssue Electrical t Person Plumbing p S.M.I. Ecked itted Grading dy for corrections/issue Develo r Ipe mQact Fee t Person A LP.P. Date of permit issue Total Permit Fees I Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 79-744 Olympia Fields La Quinta, CA 92253 City of La Quinta Sep 11, ?013 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace ® Indoor Coil ® AFUE 78% ® SEER 13.0 ❑ COP ❑ HSPF p R 6 (CZ 10-13) R g Served by system Serve sf ® Setback If not aifeady present, must be ® Condensing Unit ❑ EER ❑ Resistance ❑ CZ 14 -IS (. ) . installed) ❑ Other ' 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CFI R -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 -1R and CF -6R shall also be on site for final inspection. ® 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 z.;j5 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requiremenq, TMAH Rt Exempted from dud leakage testing-.< f;: ❑ l.'Duct system was documented to have been previously sealed and confirmed through HERS verification, or [3 2. Duct systems with less than;40 linear feet in unconditioned space, or .' p 3. Existing duct systems are constructed, insulated or sealed with asbestos ; p'4. The not be Dulled (ie. Duciless,Mmi Split System,), AlsgAxemptft — Refr(gerantkC rge) system will . ^sS jf." 'W.` uK ❑ 2. New HVAC S sfem ,. k:-S.wb.... Y ..... Re wired Forms .. & q i -'., �` ` ..Gk"3,.I.r &'C B.,�!„' .:.. .. ......:.. t1 .. s.... ._. .. ..' .. _, ,. .`. $.�,... .:;. .Cut m��orCt%angeout with new duds (all new CF 6R�formsMECH-04 MECH2UHERS and(forspfit systems) MEC 22` HERS and 25 HERS .� , dudingFand all new MECH CF 4R forms MECH-20, andi(for split systems) MECH 22, and MECH 2b fr 5 f Y. equipment)..a�� � a._,• For Split Systems ":DucE'leakagpRm� .pereent,SRC SCCA � 350 CFM/ton FWD TMAH; STM.S, andrelfherFFePP"o IPSPP ,. < _, For Packaged Units: Duct leakag(W,.. percent' :::..` :. .. ❑ 3..,New:,;Ducts3with/or without;;;;':::: Required Forms: Replacement;".'s.!`.':r'`i:_>.._ - . Includes replacing or m'§talling all new ducting and/or outdoor condensing';unit CF -6R forms: MECH-04 MECH-20-HERS, and (for split systems) MECH-25=HERS and/or indoor coil and/or fumace_<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 >_ 300 CFM/ton; TMAH , For Packaged Units: Dud leakage < 6 percent ❑ 4: New Ducting over 40 feet Required Forms: . Includes adding or replacing more than 40 CF -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 id•antified on this Certificate of Compliance. " e 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. r • 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: Mark Hyde Signature: Mark Hyde ' Company: CERTIFIED COMFORT SYSTEMS INC Date: Sep 11, 2013 Address: 42-949 MADIO STREET License: 906115 , City/State/Zip: INDIO / CA / 92201 Phone: (760) 360-2202 y, - 44, • .. Reg: 213-A0069789A-000000000-0000 Registration'Date/Time: 2013/09/11 13:26:59 HERS Prodder: Ca10ERTS; Inc. 2008 Residential'Compliance Forms �� July 2010