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10-0652 (MECH)rI P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 1Q-00000652 Property Address: 48720 AVENIDA FERNANDO APN: 658-310-008- - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 8963 Ta�/ 4 s(P Q" Architect or E i eer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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,Ad my License is in full force and effect. License CI ss: 20 C36 Li o.: 906115 Date: S �f Contractor OWNER- ITE. I hereby affirm under penalty of perjury that I am exempt rom 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:). (_) 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.). ( ) 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: LQPERAIIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/15/10 Owner: CLARK CHARLOTTE 48720 AVENIDA FERNANDO LA QUINTA, CA 92253 Contractor: D HYDES 77825 WILDCAT STRE JULPALM DESERT, CA 92 1 U 1 r 2010 (760)360-2202 Lic. No.: 906115 CITY OF LA QUINTA ----------------------------------------------- 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 DELOS INS Policy Number 02DKRM12004084 _ 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 worker 'compensation laws of California, a agree that, if I should become subject to the wor ers' mpensat.on provisions of Section 00 of the Labor Code, I shall forthwith comply h 1 se provisions. �- Date: / Applicant: WARNING: FAILURE -TO SECURE WORKERS' COMPENSATION ERAGE 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 hereb aut ize representatives of this ccou ty to 9fiter upon the above-mentioned property for inspe n purposes _Date: / %'Y Signature (Applicant or Agent): Application Number . . . . . 10-00000652 Permit . . . MECHANICAL Additional desc . . .Permit Fee . . 51.00 Plan Check Fee 12.75 Issue Date Valuation . . . . 0 Expiration Date 1/11/11 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00. 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 ----------------------------------------------------------------------- ------------------ - _ -----Special- Notes--and.-Comments -- - _- _ ----- - - - ---- TWO UNITS: 1. PKG UNIT CHANGE OUT 2. FURNACE AND u COIL CHANGE OUT SAME LOCATION 1. 14 SEER ' 2. 80%FURNACE 13 SEER COIL ONLY. - ---------------------------------------------------------------------------- I Other Fees . . . . . . .• BLDG STDS ADMIN (SB1473) 1.00 iFee summary Charged Paid Credited Due Permit Fee Total 51.00 00 .00 51.00 Plan Check Total 12.75 .00 .00 12.75 I Other Fee Total 1.00 .00 .00 1.00 Grand Total 64.75 .00 .00 64.75 LQPERMIT i flow Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC . Climate Zones 10 to 15 r.o—nom, J., Site Address:Enforcement f/� �-�ye�,G/ Agency: Date: 7--1 3 id Permit #: Conditioned Floor E ui ent T, ` List Minimum Efficiency' Duct insulation regutrement Area Thermostat ElPackaged Unit AFUE g�� COP Over 40 ft of ducts added or Setback ®Furnace LIndoor Coil densing L'nit SEER EER ® RSPF _ ®Resistance replaced in unconditioned space R 6 (CZ 10-13) ®R 8 jCZ 1,F 1j) Served by sy stem I / �U sf (lfnor already present. must be insta/1ed) er 1. Equoment Type_ Choose the equipment being installed: if more than one system, use another CF -I R ALT HYACfor each system. 2. Minimam Egzdpmenr 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 fad the work complexed 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 si ed. Beginning October 1, 2010, a registered coy of the CF -1R and CF -011 shall also be on site for final inspection. 1. HVAC Cbangeout Required Forms: 9uipm rep • All HVAC Equipment laced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R forms. MECH- 21 and (for split stems) MECH-25 • Condenser Coil and /or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS • Indoor Coil and/or CFVR forms: MECH- 21 and (for split systems) MECH-25 • Furnace For SpUt Systems: Duct leakage < 15 percent; RC, CCA >_ 300 CFM/ton(Minimum Air Flow Requirement), TMAH For Packaged Units: Duct.leakage < 15 percent Exempted from duct leakage testing if 1. Duct system 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 3. Existing duct systems are constructed, insulated or sealed with asbestos ® 2. New HVAC System Required Forms: • Cut in or Chang with new ducts: (all new ducticacti ng azrd all CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS new aern) s MCF-4R forms: 20-, and (for split systems)MECH H -22, and MEC25 For Split Systems. Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton; FWD, TMAH, SIMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ® 3. New Ducts with Replacement Required Forms: • Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS= (for split systems j MECH 25 -HERS and/or outdoor condensing unit and/or indoor CF -4R forms: MECH-20 and (for split systems) MECH-25 coil and/or fiance_ Not all equipment changed. For Split Systems: Duct leakage < 6 percent, RC, CCA >_ 300 CFM/tott, TMAH For Packaged Units: Duct leakage < 6 percent 4. New Ducting over 40 feet Required Forms: • Includes adding or replacing more than 40 linear feet of duct in unconditioned space. CF -6R forms: MECH-04, MECH-2I-HERS CFVR forms: MEC14-21 For split tem or packaged units: Duct leakage < 15 percent Ej 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. • 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. • 1 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 t and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the iirformaaon documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement aggncy for approval with the permit application. Name: Michael Hyde Signature: Comp- Hyde's Air Conditioning Dom: Address: 77-899 Wildcat Drive Licenw. 906115 City/state/Lip: palm Desert, CA 92211 Phone: (760) 360-2202 2008 Residential Compliance Forms March 2010 r Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC'Alteratioas CF-IR-ALT-HVAC ClimateZones 10 to 15 I rS&e=Ad&esws: EnforcementAgency: Date:�-77_13_)o Conditioned Floor 1 glint inculAtirm recruirernent Arm Thermostat. F-1 Packaged Unit� I Over 40 ft of ducts added or Setback MFtunace AFUEg^I COP replaced in unconditioned space I Served by system (fnotalready §Indoo;rColl ® EER ® HSPF _ R b (CZ 10-13)7C�f present mnt be Condng Unit EER ® Resistance R 8 ('CZ 14-15) Other 1. Equipment Type: Choose the equipment being installed: if more than one system, use another CF -IR ALT H6ACfor each system_ 2. M&amam Equipment Effidendes: !3 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 pick 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 fatal, 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 -;e„ A Reainnina October L 2010- a registered coov of the CF -IR and CF -6R shall also be on site for final insuection. 1. HVAC Chaugeout Required Forms: • All HVAC Equipment replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MECH- 21 and (for split stems) MECH-25 • Condenser Coil and/or • Indoor Coil and/or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MECH- 21 and (for split systems) MECH-25 • Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA >_ 300 CFM/ton(Minimuun Air Flow Requirement), T AAH For Packaged Units: Duct.leakage < 15 percent Exempted from duct leakage testing if: 1. Duct system 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 3. Existing duct systems are constructed, insulated or sealed with asbestos ® 2. New HVAC System Required Forms: • Cut in or Changeout with new CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-1-jERS, and MECH-25-HERS ducts: (all new ducting and all CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 new equipment) For Split Systems: Duct leakage < 6 percent; RC, GCA >_ 350 CFM/ton; FWD, TMAH, SIMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ® 3. New Ducts with Replacement Required Forms: • Includes replacing or installing a!1 new ducting CF -6R forms: MECH-04; MECH-20-HERS- and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF -4R forms: MECH-20 and (for split systems) MECH-25 coil and/or furnace. Not all equipment changed. For Split Systems: Duct leakage < 6 percent, RC, CCA >_ 300 CFM/ton, TMAH For Packaged Units: Dud leakage < 6 nercent 4. New Ducting over 40 feet Required Forms: • Includes adding or replacing more than 40 CF -6R forms: MECH-04, MECH 21 -HERS CF -4R forms: MEC14-21 linear feet of duct in unconditioned space. For splits stem or packaged units: Duct leakage < 15 percent EXCEPTION: Existmg 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. • 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. ' • 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. • The design natures identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets. calculations. plans and specificatin submitted to the enforcement agency for approval with the permit applicatioDe Name: Michael Hyde Signature: Company: Hyde's Air Conditioning Dam: Address: 77-899 Wildcat Drive License: 906115 City/Smdzip: palm Desert, CA 92211 Phone: (760) 360-2202 2008 Residential Compliance Forms March 2010 Bin # City of La Quinta Building at 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:'44— .72-o X ve ��� r --.e ,, Owner's Name: 4 111 / 0 A. P. Number: Address: '(-!e-72 Legal Description: Contractor: / /j,� City, ST, Zip:G,"-;i Z Telephone: Address:G Project Descriptio „ 4-11 1 G114 4�0__Ocj City,ST, Zi /IX Telephone: �4�/C G�� ✓ L'1 State Lic. #: ��/ City Lic. #: J� Arch., Engr., Designer: S� Address: City, ST, Zip: - Telephone: Construction Type: Occupancy: State Lie. #: Project type (circle one): New Add'n Alter Repair Demo . Name of Contact Person: Sq. Ft.: # Sto es: # Units: Telephone # of Contact Person: Estimated Value of Project: h APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMTT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Energy Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading. plan Zed Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. ILO.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review, ieady 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 r='