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10-0612 (MECH)P.O. BOX 1504 78-495 CALLS TAMPICO LA QUIN.TA, CALIFORNIA 92253 e�-, • t 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 10-00000612 Owner: Property Address: 52500 DEL GATO DR MURPHY _RESIDENCE APN: 770-2.90-002— - - 5250D DEL GATO Application description: MECHANICAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL ( hApplication valuation: 5300 Applicant: Architect or Engineer: It4 ----------- ---- - 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 Bu ' ess and Professionals Code, and my.Uoense ivin full'force and effect, License Class: C2C2/i0✓� LicensaiI .. 686310 Date: ~1 / Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I em exempt from'the Contractor's State License Law for the following reason (See. 7031.5, Business and Professions Code: Any city or county thatrequires a permit to construct, after, improve, demolish, or repair any structure, prior to itsissuance,>also requires the applicant for the permit.to file,a signed statement:thet he or she is.licensed pursuant to the,provisions of the Conte ect ith or's`Ste[e License, Law (Chapter 9 (commencing wSection ,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,ofnot more than five'hundred dollars (5600):: (_) 1, as owner of the property, or my employees with wages as: their sole compensation will.do the work;,.and the structure -is not;intended,oroffered"for sale (Sec.'.7044,,Business and Professions Code: The Contractors' Stat. License Law does not apply to an owner of propertywho:builds or, "improves thereon,. and.who does the work himself or herself through his or,her own employees, provided that the improvements are not1ritended'or- offered"tor safe. If, however, the building or improvement is sold within one;yearOf.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, as owner of the property; am:exclusively contracting with, licensed contractors.to construct the project (Sec. 7044, Business and Professions CoderThe Contractors' State License Law.does not applyto an owner of property who builds or improves thereon,:and who con_ racts.fo_ r the projects with a contractor(s) licensed pursuant to the Contractors' Stat License Law.). (_ 1 I am exempt under; Sec. , B.BP:C.-for this reason bete: Owner: CONSTRUCTION LENDING AGENCY I herebyaffirm.uriderpenalty of perjury that there'is a construction lending agency for the performance,of•the work,for which this permit is issued (See.,3097, CIv..CJ. Lender's Name: Lender's -Address: LQPERMIT VOICE (760) 777-7012: FAX (760) 777-7011 INSPECTIONS. (760) 777-7153 Date: 7/08/10 _Contractors GENERAL AIR CONDITIONIN 31170 RESERVE DRIVEq;�IFi A GiiY t 4p I THOUSAND. PALMS., CA (760),343-7488 Lic. No.: 686310 ---------------------------------------------- 'WORKER'S COMPENSATION DECLARATION Thereby affirm under penalty, of perjury one of the following declarations: _ I have andwill maintain a certificate.of consent to self -insure for workers' compensation, as provided forby,Section 3700 of''the Labor Code, for the performance of the workfor 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 PREFERRED EMPL, Policy Number WKN1295355 I certify that,.in the performanceiof the work for which.this permit is issued, l shall not, employ any persomin anyman ner so.as.to become,.subject to the workers' compensation laws: of California, and agree that, Wf should become subject to the:workers' compensation provisions of Section 3700of the La Code, I,sh I forthwith CoMA with those provisions. Date APPlican: Jcl IF v WARNING: FAILURE TO SECURE W ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE&UP TO ONE HUNDRED THOUSAND DOLLARS (9100;000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES A&PROVIDED FOR,IN. SECTION 3708 OF THE.LASOR CODE, INTEREST;,AND ATTORNEY'S FEES: APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and:Safety fore piermit,subject to the conditions and restrictions set forth onthis application. I. Each persomupon whose behalf thisapplicationis made, each.person at whose request -:and for whose benefit work is performed under or pursuant to any permit issued as a result•oUthis application, the owner; and the applicant, each agrees to,;and,shall defend, indemnify and hold harmless.the,City of La Quints, its officers, agents and employees for any act or omission related to the work being performed under or following issuancethi of's 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'cessationof work for 180 days will subject permit to cancellation. I, certify that I have read this application and:stat:that the above information is correct: I agree to comply with all city and county ordinances and state laws relating ilding constructign;.and-hereby a' orize representatives of this ; my to enterIupon the above-mentioned 'o rty for iaA purpoLses: Dat II� Signature,(Applicantor Agent) r�, Application Number ' , ' ' ' 10-0000,06122 Permit ' ' ' . ' ' MECHANICAL Additional,desc ' ` Permit ' . ' ' 24-00 Plan {hecknee . - 6'00 Issue Date - . - ' Valuation . ' . ' O Expiration Date ' ' 1/04/11 Qty Unit Charge Per Extension BASE FEE 15'00 i_ 00 9'0000 EA k8CH B/C <~Mp/lVOKBTU 9'00 ---------------------------------------------- Special Notes and Comments --------------- --_-----_-_-------- SPLIT ��� -3 TON 18 -----SEER�20� 'O7'ODES' -^--'- --- ------------------- ---------------- Otber Fees - ' ' ' ` ------- ' ' ' ' BLDG -------------------------- STDo ADMIN (q81473} -_------- l'OO Fee summary Paid --------------------- Credited _ ---------- Doe -__-_-~---------_ ---------- Permit Fee'Total 24'00 '00 'OO � 34'00 Plan Check Total 6`00_ 'OV. 'OD 6'0 other Fee Total 1,00 .00 .00 1.00 Grand Total n00 O 00 3I00 | IF_@I .4 01,1m 0 g Sim lified Prescriptive Certificate of Com :liances 2008 Residential HVAC Alterations MlR-ALT-HVAC Climate Zones 10,to .15 Site Address: 6&h E orceas t envyD .IbA ti. e• l Permit#. Conditioned Floor Eui" ment'T e List Minimum Efcien2 Duct insulation requirement Area Thermostat "- - •:-Jnit ❑.AF'UE [3 COP Over 40 ft of ducts added or or Coil ❑SEER ❑ HSPF replaced in:unconditioned space Served by system (7notalready drCondensing Unit, ❑ EER D Resistance ❑ R 6 (CZ 1 ¢13) sf present mast be ❑ Other ❑ R 8 (CZ'14-15) installed); L t gqulpment Type.: Choose the equipment.beft installed; if more than:one system, use another CF -1R ALT HVACfo' r edch.system. 1,.M nImum Equipment Efficiencies: 13 SEER, 7836 AFUE, 7.7HSPFjor tyvical'residential systems. HERS VERIFICATION SUMMARY Listed below'ate four HVAC'alteration Options. The installer decides what work is being done and picks one of the appropriate Options. EachDptionlists the HERS" measures that must belconducted. A copy of the forms'shall be left on site forfinal inspection and a copy given to the homeowner: At final, the inspector verifies,that the,work listed on -this forst was in fact the work completed by the installer. P,e inspector also verifies thateach appropriate CF-61taMrggistered CF4R forms (no hand filled,C74Rs,allowed) are filled out and si&jWg:2eglnnina October,l 2010 aTegistered,copy of the CF -1R and CF -6R shall also be on slte'for final Inspeedon. HVAC'Chan¢eout ' Reauired-Forms: • All HVAC Equipment replaced, �I cr-6xtormss MHCH-04, MECH 2I -HERS and(forsplit systems) MECH- 2"5=HERS I E9 Pra_Av f .,,,� ururu_.1,r -..a �t _,:. , . __. • Condenser Coil and/or • Indoor Coil_and "/or CF -6R forms: MECH-214MRS and'(forsplit systems) MECH- 25 -HERS CF4R forms: MECH- 21 and' (for split systems) MECH-25 • Furnace For Split Systems: Duct leakage -<1 -5 percent; RC, CCA >_ 300 CFM/ton(Mmimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage.< 15 percent Exempte&from duct'leakage:testing4f:' 131 . Duct;system was documented to -have been previously sealed and -confirmed through'HERS`verification, or ❑ 2. Ductsystems with lessthan 40 linear feetriii:unconditioned space, or ❑ 3. Existing duct,systems are constructed,: insulated or sealed with asbestos ❑ 2. New HVAC System Required Forme:, Cut in, or Changeoutng new ducts: "(all new ducting gg¢ all CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems)MECH-22-HERS, and MECM5-HERS CF -4R new equipment) ,foni►s: MECH 20-, and (for split systems)MECH-22, and MECH 25 For Spfft:Systems: Duct leakage <6 percent; RC, CCA >_ 350 CFMIton, FWD, TlvMAH,',STIv1:S, and either HSPP or PSPP.. For Packaged Units:-Duct:leakage. < 6 percent - • Includes replacing or'installing all new ducting CF -6R forms: MECH-04;.MECH-20-HERSAnd.(for split _systems) MECH-25-HERS and%or outdoor condensing unit and/or"indoor- CF4R forms: MECH-20 and (for split systems)14IECH=25 coil and/or furnace. Not all equipment,changed. For Split Systems: Duct leakage,<6;percent, RC, CCA>_ 300 CFM/ton, TMAH For'Paeka ed Units! Duct 1 e <,6 percent ❑ 4. New Ducga over 40 feet Re uiredForms: • includes adding or replacing ,more than 40 CF -611 forms: MECH-04, MECH-2I-HERS CF-4R.forms: MEC14.21 linear ,feet of duct in unconditioned ace. For split system or packaged units: Duct leakage I'S percent 13 EXCEPT < IOM.Existine duct,systems constructed insulated nr sealed with sachei tm Contractor (Documentation Author's LResponsible.Desigagr'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 responsrbility,for thedesign identified on:this Certificate of Compliance. • Tcertify that the energy, features and perfotmance specifications,forthe'design,identified'on this Certificakeof Complianceiconform to the requirementspfTitle 24, ,Parts'l and 6: oftheZalifornia.Code;ofRegulation& • design hfi fimpliace,ar orsithrmatondocumetehother applicable compliance forms, worksheets, calcua s,lens andsifications submttted to the enforcementagency fnr approval with il on. 'Name::�i1, 0 _ (i i-rx \ rs C Signature: _ Company 0s _ 'IL A Date: Address: 1-2 1 t''l.^ ., \� .� I License:" Bin # ` .City Of La Q uinta Bddhlg:BT Safety Dtvtston Permit # P.O. Box 1504, 78-495 Calle Tampt o La Qulnw, CA 92253 - (760) 777-70.12 , Building Permit Aplication and Trackrng Sleet l Project Address: 5p7- Ownei'sName: (� f A P. Number Address: ��s Legal Description: City, ST, Zip: Contractor Telephone: .. Address: I 1 (' . Project°Description: ( A4 !SIOLA City, ST, Zip: 1 J Telephone: • 34L�fc State Lic: #` : ity!Lic. # !� Arch., Eng., Designer. Address: City, ST, Zip: Telephones . Construction Type: Occupancy: State Lia #: Project type (circle one): New Add'n Alter Repair Demo- Name of Contact•Person: Sq.. Ft ; stories: # Units: Telephone # of Contact Person: -' Estimated Value of Pmject: APPLICAINT: DO NOT WRITE. BELOW THIS LINE # Submittal Req'd Recd TRACKING . PERMIT FEES Plan Sets ..Plan Check`submitted Item Amount Structural Calca, Reviewed, ready for corrections Plan Check Deposit Truss des. Called ContactTerson plan Cheek Balance. 'Title 24 Calca; - Plans picked up Construction Flood plain plan Plans•resubmitted Mechanical Gradingplan 2*! Review, ready for correctiouMssue Electrical Subcontactor List Called Contact Person Plumbing ' . Grant-Deed Plans picked up. - S.M.I, ' MOA. Approval Plans resubmitted Grading" IN HOUSE:- '"' Review, ready for correctionslissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees ^ Total Permit Fees