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12-0538 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-00000538 Property Address: 45400 COLDBROOK LN APN: 604-432-002-36 -23995 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 9400 Ta�v 4 4v 4" Applicant: Architect or Engineer: alp BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: JOSLYN BATIS 45400 COLDBROOK LANE LA QUINTA, CA 92253 D Contractor: ALL SEASONS A/C, P MB( P.O. BOX 1112 PALM DESERT, CA 9 61 2 (760)568-2663 Lic. No.: 827420 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777=7153 w u & MAY 15 2012 HTG CITY OF LA QuiNTA Date: 5/14/12 ------------------------------------------------------------------------------------------------- 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.: 827420 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is /Date: J — —12 C6ntraclian issued. 11 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor XCode, 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 ALWC124752 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,hall forthwith 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: plicant� / (_ 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 will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ 1 1, 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 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, indemnity 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 struction, and hereby authorize representatives o is county tntp upon the above-mentioned property inspection purposes. -- ate: JJ— (/ / ignature (Applicant or Agen Application Number . . . 12-00000538 Permit MECHANICAL Additional desc . Permit Fee . . . . 40.50 Plan Check Fee 10.13 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/10/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00` 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE -OUT: INSTALL NEW 4 TON SYSTEM, FURNACE, CONDENSER, INDOOR COIL. 2010 CODES. ------------------------------------------ --------------------------------- Other,Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited ---------= ------ --- ---------- Due ----------------- ---------- Permit Fee Total 40.50 .00 .00 40.50 Plan Check Total 10.13 .00 .00 10.13 Other Fee Total 1.00 .00 .00 1.00 Grand Total. 51.63 ..00 .00 51.63 LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC Climate Zones 10 - IS Site Address: Enforcement Agency: Date: Permit #: 45400 Coldbrook Lane La Quinta, CA 92253 City of La Quinta May 14, 2012 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit m Furnace ® AFUE 78% ❑ COP ❑ R 6 (CZ 10-13) Served by system m Setback p Indoor Coil © SEER 13.0 [1HSPF ❑ R 8 (CZ 14-15) 1600 sf If not already present, must be m Condensing Unit [:]EER ❑ Resistance installed) ❑ Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF-ZR-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-6111 and registered CF-411 forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF-1111 and CF-6111 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 • Indoor Coil and /or CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS • Furnace CF-4R forms: MECH-21 and (for split systems) MECH-25 For Split Systems: Duct leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH 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 ❑ 4. The system will not be Ducted (ie. Ductless.Mini-Split--System),(Also_Exempt,fromJRefrigerantCharge) 4r ❑ 2. New HVAC System Required Forms: i1 )'~ (r . Cut infor Changeout with;�' f ` ' CF 6R forms: MECH-041 MECH-20-HERS, and•(for split systems) MECH-22-HERS, and new ducts: (all new ductingapdall new MECHr25HERS .r? CF-4Rforms:MECH-20, ad (for split systems) MECH-22, and ME6-25 equipment) /j V . For Split Systems: Duct leakage•c6 percent; RC, CCA,>_ 350 CFM/ton; FWD, TMAH, STMS, and either HSPP or PSPP. " For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with/or without Required Forms: Replacement . Includes replacing or installing 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 furnace. 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: Duct leakage < 6 percent 114. 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 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 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: David Beale Signature: David Beale Company: ALL SEASONS AIR CONDITIONING PLUMBING & HEATING INC Date: May 14, 2012 Address: 73605 DINAH SHORE DR STE 1310M License: 827420 City/State/Zip: PALM DESERT / CA / 92211 Phone: (760) 568-2663 Reg: 212-A0024295A-00000000-0000 Registration Date/Time: 2012/05/14 16:06:04 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 ML ►� SWASO-eA mn�s- F"As"M --, AIR CONDITIONING, PLUMBING & HEATING Proposal & Acceptance May 11, 2012 Joslyn Batis 45400 Coldbrook Lane La Quinta, CA 92253 ��Alftl{QR17�`+ Tues to the E:tpertg Bid to install a new 4 -ton 14.5 SEER Carrier complete air conditioning and heating system. We will remove and recycle existing equipment. We will set the new furnace, evaporative coil, and high efficiency air filter, tying into the existing refrigeration lines. We will reconfigure some ductwork to make the system run more efficiently. We will set the new condenser with a new service disconnect, tying into the existing refrigeration lines and electrical. We will install a new digital thermostat. We will pull the necessary permits and perform a duct test and refrigeration verification test. This bid includes a five year labor warranty and a ten year parts and compressor warranty. It will also include a one year maintenance agreement. Complete installed price $9,400.00 Deposit received $940.00 Remaining balance due $8,460.00 *This system qualifies for an IID residential rebate. We will provide you with all of the necessary paperwork to apply for this rebate, and IID will remit payment to you directly. 73605 Dinah Shore Drive, Suite 1310M, Palm Desert, CA 92211 ,(760)568-2663 Fax(760)202-3067 License # 827420 www.allseasonsys.com Bin # City Of La Quintd Building 8T 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: Owner's Name: i C L+iS A. P. Number: Address: _l O0 1 r Legal Description: City, ST, Zip: ZS a Contractor:�V �� Telephone--- ,,.•; fi,..;�,,.;,,;.f,; Address: fln 1.2� Project Description: CL Via 2 J �--. n �1 �n I /� y� �}�7� City, ST, Zip: I I I' { l-�C'-��1if -4 C l 22-bl Telephone: -........... &,^!, State Lie. # : City Lie. #; Arch., Engr., Designer: Address: City., ST, Zip: Telephone:::: State Lie. #: Name of Contact Person: Construction Type: Occupancy: : Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: QC) APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance.. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2". Review, ready for corrections/issue Electrical Subcontactor 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 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