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14-0263 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000263 Property Address: 77349 AVENIDA APN: 658 -161 -002 - Application description: MECHANICAL Property Zoning: MEDIUM DENSITY Application valuation: 8300 Applicant: c&ty/ 4 �� VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/12/14 Owner: FERNANDO JB ROBERTS - - 77349 AVENIDA FERNANDO _ LA QUINTA, CA 92253 r �_ RES ( L' Contractor. 1Ni� �'f 211, 1 Architect or Engineer: 1� l� ONE HOUR A/C & HTG 3030 MYERS STREET CITYrJe QUIN ol RIVERSIDE, CA 92503 �'Iit1�7�epr (951)276-9744 Lic. No.: 878533 ------------------------------------------------------------------------------------------------- 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 Business and Professionals Code, and my License is in full force and effect. License Class:� /C20License No.: 878533 Dater►10`1 Contractor: 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 (5500).: (_ 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 witl 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: ` 1'/ Lender's Address LQPERMIT 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. • jtave 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 INS CO OF WEST Policy Number WVE502266101 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 I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: 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 (5100,000). 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 hereby authorize representatives of this county to enter upon the above-mentioned property for inspection rposes. Date:3'va-\A Signature (Applicant or Agent): / Application Number . . . . . 14-00000263 Permit . . . MECHANICAL 2013 Additional desc . . Permit Fee 71.50 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 9/08/14 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 - 13SEER/80AFUE SYSTEM AND DUCT WORK (2008 ENERGY] CARBON " MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 47.66 Fee summary Charged Permit Fee Total 71.50 Plan Check Total .00 Other Fee Total 138.23 Grand Total 209.73 LQPERMIT Paid Credited Due .00 .00 71.50 .00 .00 .00 .00 .00 138.23 .00 .,00 209.73 Bin N Qty Of La Qtinto Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit !# 4--� Projict Address: TRACKING Owner's Name: , A. P. Number. Cabs ...- k tp •--oo2 Address:' "� v p t p Legal Description-. City, ST, Zip; Contractor:Rll�kAAMe- Item Amount Address: Project Description: City, ST, Zip: C r Ci. (C, Telephone i'. W/1 State LiC.'Jt : City Lie. ff, Called Contact Person Arch., 6ngn, Designer. .�k U C -A- Address: Title 24 Calcs. City, ST, Zip: Pians.picked up Telephone: State Lic.#: «„ : f �` ConstructionT e: Occupancy: YP Project type circle one New Add'n . Alter Repair Demo Nanic of Contact Person: Plans resubmitted Sq. Ft.: 11 Stories: #Units: Telephone #;of Contact Person: Estimated Value of Project.A APPLICANT: DO NOT WPJTE BELOW THIS LINT: N Submittal Req'd Rec'd TRACKING PERMIT PEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plait Cireck Deposit . Truss Cafes. Called Contact Person Plan Check Valance Title 24 Calcs. Pians.picked up Construction Flood plain plan Plans resubmitted Mechanical Grading pian 2'' Review, ready for eorreclioasfissue Electrical Subcon (actor List Called Contact Person Plumbing Grant Deed flans picked up S.M.I. II.O.A.Appro%lal Plans resuUmlticd Grading M 110USE:- ' 0 Review, ready for eorrectionstissue Developer Impact Fee Planning Approval Called Contact Person A-I.P,P. Pub. Wks. Appr Date of permit issue School Pees Total Permit Fccs Sim lined Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 to 15 SiloAddress:77349 Avenida Fernando Enforcement Agency: CityofLO Date:3-12-14 Permit #: Conditioned Floor E ui ment Type' List Minimum Efficiency2 Duct insulation requirement Area Thermostat x Packaged Unit Furnace X AFUE60X XEER E3 cop Over 40 ft of ducts added or re laced in unconditioned space Served by system ©Setback (if not ulnudy x Indoor Coil 13 HSPF 8 R 6 (CZ 10-13) 1900 sf present. must he X Condensing Unit 13 EER Resistance LJ R 8 (CZ 14-I5) installed) Other 1. Equipment Type: Choose the equipment being installed, if more than one system, use another CF -1 R-ALT-HVACjor each system. 2. Minimum Equipment EJJlciencies: 13 SEER, 78%AFUE, 7.7HSPFfor 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 -611 and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and si ned.-Beginning October 1 2010 a registered copy of the CF -1R and CF -611 shall also be on site for final inspection. El 1. HVAC Chan eout Required Forms: • All HVAC Equipment replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF-411forms: MECH- 21 and fors lit stems MECH-25 • Condenser Coil and /or CF -611 forms: MECH-2l-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 < 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: I. 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 E32. 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-HERS, and MECH-25-HERS ducts: (all new ducting WW all CF -411 forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 new equipment) 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/or without Replacement Required Forms: • Includes replacing or installing all 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 coil CF4R forms: MECH-20 and (for split systems) MECH-25 and/or furnace. No or some equipment changed For Split Systems: Duct leakage < 6 percent, RC, CCA >_ 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent 4. New Ducting over 40 feet Re uired Forms: • Includes adding or replacing more than 40 CF -6R forms: MECH-04, MECH-2I-HERS CF -4R forms: MECH-21 linear feet of duct in unconditioned s ace. For split s stem or packaged units: Duct leakage < 15 percent EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • 1 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 ComplioA�eonfoto the requirements ofTitle 24, Pans I and 6 ofthe Califomia Code of Regulations. • Thc design features identified on this Certificate of Compliance are consistent with the information docume on of compliance forms, worksheets, calculations plans ands ificationv submitted to the enforcement a enc fora rova! with the Name:Jane Recktenwald Signature: Company: Ballard Inc., Rightime Air Da D°tei3-12-2014 Address:3030 Myers St License: 878533 City/State/Zip: Riverside, CA 92503 Phone: 951-276-9744 MAR Ao%-;donlint l'nrnnlinnno Fnrme Unreh Min