Loading...
10-0789 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00000789 Property Address: 79910 CITRUS APN: 772 -240 -014 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 3000 Applicant: T---�440" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION 1 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: C20 Li nse No.: 843977 ate:�3. a j Dj ctor 12 Q 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 ($500).: (_ 1 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 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 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: LQPERMIT Owner: PROTIUM REO 1 701 CORPORATE CEN RALEIGH, NC 27607 Contractor: VISTA AIR CONDITI 84512 CALLE CATHR COACHELLA, CA 922 (7601485-0959 LiC. No.: 843977 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/23/10 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. 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 permitisissued. My workers' compensation insurance carrier and policy number are: Carrier EXEMPT Policy Number EXEMPT 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 co y with th a provisions. a6 te:��C cant: OL 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 ($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 ouinta, 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 c unty ordinances and state laws relating to building construction, and hereby authorize representatives of thi ounty to entt/e��r upon the above-mentioned property for inspection\R►urposes. 15'ate: �,�`Sign e (Applicant or Agent): e ms^ �X @ �� Application Number . . . . . 10-000007-89 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 30.50 Plan Check Fee 7.63 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/19/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 1.00 6.5000 EA MECH OTHER MECH EQUIPMENT 6.50 ----------------------------------------------------------_------------------ Special Notes and Comments INSTALL EVAP COIL & CONDENSING SECTION, 5 TON, 13 SEER. 2007 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged ----------------- Paid Credited Due -------------------- Permit Fee Total 30.50 ------------------=- .00 .00 30.50 Plan Check Total 7.63 .00 .00 7.63 Other Fee Total 1.00 .00 .00 1.00 Grand Total 39.13 .00 .00 39.13 LQPERMIT 4 P. 1 3i_m lified PrescriOn Certificate of Com karate: 2008 Residential SVACA&eradons CF -IR -ALT -HVAC Climate Zones 10 to 15 N Site Address:_ En orrernerttAgeetey. Date Pprmil P O 3- 0 /0-7� Conditioned Floor Equipment T ' List Minimum Efficiency' Duct kmastion Mw=xAt Area Thermostat Padwged Furnace Unit Q AFM ' Q COP over 40 R of ducts added or © Setback / ndoor Coil Condensing Unit QSFOL Q &SPF ____ Q Resistance laced in unconditioned space R6 (CZ 10.13) Served by system sr (diet aheady present, ~ be ©EER R 8 (CZ 14-13) a Other 1. Equipment Ope: Choose the equipment being irrstohed., if more than orre system, use another CF -1R ALT --HVAC jar each sycrte7u- 2. Mamhmm Eoub > iad E,O'%iendes: 13 SEEK 78'96 AFU& 7.7HSPF for rypied residential systems. HERS VERIFICATION SUMMARY Listed below are four HVAC alteration Options. The installer decides what wort is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted A ropy of the forms shall be left on site for final inspection and a copy given to the bomteowner. At final. the inspector verifies first the work Iteral on this form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF -6R and rcgimcd CF -4R farms (no hand filled CF-4Rs allowed) arc filed out and si iS October 1, 2010, a copy of the CF -1R and CF -6R shall also be on site for fimi ins n. r0 1. HVAC Chao t Required Forms: • All HVAC Equipment replaced CF -6R forms: MECH-04. MECK 21 -HERS and (for spilt systems) h�i- 2S.HM CF -4R forms:- MDCH- 21 and far split MECH-25 • Condenser Coil and /or • Indoor Coil and /or CF -6R forms: NWW2I -ITERS and (for split system) MECH- 254fERS • Furnace CF -4R forms: MECH- 21 and (for split systems) MECH-25 For Split Systems: Duct leakage < 15 percent; RC; CCA 2! 300 CFMhon(M'mirnum Air Flow Requirement). TMM For Packaged Units: Duct leakage < 15 percent Exempted from duct leakage testing if BI . Duct system was documented to have been previously seated and conformed through HER$ verifictation, or 2_ Duct systems with less than 40 linear feet in unconditioned space, or 3. Existirm duct rue constructc4 instllsed or sealed with asbestos 2. New HVAC System Required Forms: • Cut in or ChwWout whh new dricb- (all new ducting and all CF -6R forms MECH-04, MECH-24-HERS,and (for split VstEms) MECN 224MM and MECH-25-HERS taw a ent CF -4R forms: MECIi 20-. and (for split sysrems)MECH-22, and MECH 25 For SPIHt Systems: Duct leakage < 6 percent; RC, CCA?! 350 CFM/ton, FWD, TMAK STMS, and either HSpp or PSPP. For Packaged Units: Duct leakage < 6 percad Q 3. New Duets with Replacement Required Forms: • Includes repladn or installing all new ducting CF -6R forms: MECH-04, MEt31-20.HFjLs,aod (for split systems) M&--H-25-HERS and/or outdooroonderuing unit and(or indoor CF -4R forms: NlECH-20 and (tar split systems) MECH-25 coil and/or Rm=. Not all equipment charged. For Split Systems: Duet leakage < 6 percent RC, CCA 2t 300 CFM(trin, TMAH For Packaged Units: Duct e < 6 EM=t Lj 4. New DucI t l over 40 feet Re uired Forms: • I ove es adding or replacing trthan 40 linearnear feet of duct in unconditionedunconditionedCF-6R PM I forms: M MH -04. MECH 2fours: MECH-21 CF -4R fouMECH 21 Icor splitWstmm or packaged units: Duct leakage < IS peri = EXCEMON: Existing duct g=s anS ructed, insulated or sealed with asbestos. Contractor (Docuutentatioa Author's /Responsible Designer's Declaration Statement) * 1 certify that this Certificate of Compliance documentation is accurate and compietr- • I em digdele under Divisum 3 of the California Business and Professions Code to nooept responsibility for the design identified. on this Cafftea w of Compliance. • I txrtify Orat the emargy+ feeuues rad pnrfoanw= speeaftcations for the design idcntificd on this (kttifurte of C=wl&= confoum to the mqui=cros of Tuk 24, Pans t end 6 ofthe California Code of Regulatiow. • The design Statures idexdified on this Certificate of Compliance are consatem with the information dwwwnted on other applicable compliance foram, wafthcCts, 'orlcul late and specifications submitted to the enfom moa agmcy fora val with tht it tMication. Name: Signature Company:` S � Cc � � Data l C, Address: 1 l n ro License: 7 City/State2ip: �\ Q Phone: G - 3 20M Residential Compliance Forms March 2010 •0 Bin # City of La Quinta Building 8r Safety Division -76 (� Box 1504, 78-495 Calle Tampicol' La Quinta, CA 92253 - (760) 777-7012 — J h o Building Permit Application and Tracking Sheet Permit #P.O. 1 �q p Project Address: IZCt - q)IDOwner's Name: A. P. Number: •Address: Legal Description: City, ST, Zip: l.-, e Contractor: S Q + 4+ ,Telephone: •, - Address: Project Description: City, ST, Zip: 'felepho e:7wJ3 -State Lie. # : q96 3. City Lic. #; Arch., Engr., Designer. 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.: # Stories: # Units: Telephone # of Contact Person: 00 Estimated Value of Project: o0. APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Ree'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"' Review, ready for correctionstissue Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review, ready for correctionsftue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 2760-71