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14-0206 (MECH)P.O. BOX 1504 78-495 CALLE TAMPIC.O. LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 14-00000206 51950 AVENIDA JUAREZ 773-155-010-15 -000000- MECHANICAL COVE RESIDENTIAL 6800 T4,hf 4 4 Qum& BUILDING & SAFETY DEPARTMENT Architect or Engineer: raw ------------------ LICENSED CONTRACTOR'S DECLARATION 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 frotpssionals Code, and my License is in full force and effect. Licen/ssee�JClaass: C20 -C38 % Licensee No.: 9/6677982 Date yL G W 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 ($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 ISec. 3097, Civ. C.). Lender's Name: Lender's Address: I \ Owner: CRAIG HUMPHREY 51950 AVENIDA JUAREZ LA QUINTA, CA 92253 ( Contractor: BEST IN THE WEST 255 N. EL CIELO, 140-125 PALM SPRTNGS, CA 92262 (760)343-1002 Lic. No.: 967982 ------------------------------- WORKER'S COMPENSATION DECLP I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure fo Section 3700 of the Labor Code, for the performance issued. I have and will maintain workers' compensation insurance, as rc Code, for the performance of the work for which this permit insurance carrier and policy number are: Carrier NORGUARD Policy Number BEWC3: I certify that, in the performance of the work for which this per person in any manner so as to become subject to the worker and agree that, if I should become subject to the workers' cc 3700 of the Labor Code, I shall forthwith comply with those Datekzywy Applicant: ® R (&�, Ll^ VOICE (760) 777-7012 FAX (760) 777-7011 SPECTIONS (760) 777-7153 Date: 2/27/14 FEB 2 ?09�1 / workers' compensation, as provided f the work for which this permit is aired by Section 3700 of the Labor, issued. My workers' compensation tit is issued, I shall not employ any compensation laws of California, npensation provisions of Section provisions. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAG IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP 10 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 FEEq. APPLICANT ACKNOWLEDGEN ENT _ IMPORTANT Application is hereby made to the Director of Building and Saf ty 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 p !rson at whose request and for whose benefit work is performed under or pursuant to any pern it issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, ndemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act ormission 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 ar d void if work is not commenced within 180 days from date of issuance of such permit, or cessi tion of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above informatior is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, i nd hereby authorize representatives of this /, ��county to enter upon the above-mentioned property for i pu p/se�S.. Date'.�LSignature (Applicant or Agent):V Application Number . . . . . 14-00000206 Permit . . . MECHANICAL 2013 Additional desc . . Permit Fee . . . . 71.50 Plan Check Fee .0 Issue Date Valuation . . . Expiration Date 8/26/14 Qty Unit Charge Per Extensio 1.00 35.7500 EA MECH FURNACE 35.7 1.00 35.7500 EA MECH CONDENSER/COMP 35.7 - -------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE OUT - 13SEER/7.7AFUE REPLACE 3.5 TON HEAT PUMP AND CONDENSOR [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 Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 71.50 00 .00 71.50 Plan Check Total .00 `.00 .00 .00 Other Fee Total 138.23 .00 .00 138.23 Grand Total 209.73 .00 .00 209.73 A'. - - --zo•- --- :i SiR I Oty Of La Qurhta Bul(ding ar Safety Divlslon Permit # P.O. Box 1504,78-495 Calle Tainp1w La.Quinta, CA 92253 - (760) 777-7012 l� + Building Permit Application and Tracking Sheet iProjertAddtrss: 5/ 5.Q i3tK ��ar�Z Owner's Name: A P. Number Address: �j I �'! 5 6 ?U 4 ✓' Legal Description: i City, ST, Zip: Lok C/� • ri Z Contractor. % 14e wev 41t: i t Cc Telephone: Address: z5! ti• / elU �� ZS Projeet Description: gWIC City, ST, Zip: Ci226Z 3.5 400 Aeal ' u►rl du C, Telephone: ?GO 343 - 00L. Slate Lia 96 City. Lie, fl; Arch, Engr., DesignerC4 MA� Address: City, ST, Zip: G.s•71::..,:.:..r arm '(CircleDemo I t I n: r •�u� i i # Submittal Plan Sets Structural Caie4. 1}sat Cabs. Mae 24 Calcs. . Flood Pin plan Giading plan Subcoatactor List Grant Deal H.O.A. Approval * IKOUSE:- Planning Approval. Pub. Wks. Appr School Fees APPLICANT: DO NOT WFWM BELOW THIS LINE Rsc'd TRAgMG P1aa Ckeek submittal Reviewed, ready for corrections Called Contact Person Planspickal up Plausresubmitted 2" Review, ready for correctioneasue Caped Coutaet person Plans pleked up Pians resubmitted �+ Re -view. ready for correcdonslissue PffitM[F FEES Item Aim otuxt Plan Check Deposit. . Plan Check Balance- alance_Plans Construction Mechanical Electrical Pinmbiug S M.L Grading Developer Impact Fee Cautd contact Person Date of permit Issue A.LP.P. Total Permit Fen. Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 51950 Ave Juarez La Quinta, CA 92253 City of La Quinta Jan 14, 2014 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace [3 Indoor Coil ❑AFUE ® SEER 13.0 ❑ COP ® HSPF 7.7 0 R 6 (CZ 10-13) Served by system ® Setback If not already present, must be ®Condensing Unitl 13EER [3Resistance 0 R 8 (CZ 14-15) 1402 sf installed) [3 Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -IR -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 -611 and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and signed.Beg inning October 1, 2010, a registered copy of the CF -111 and CF -6111 shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: . All HVAC Equipment CF -61R 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 5 300 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,from- Ref rig erant Charge) ❑ 2. New HVAC System Required Farms: _F 1 V .Cut in;or Changeout with", new ducts:(all new,�` CF-6R`forms: MECH-04, MECH-20 HERS/and (for split systems) MECH-22-HERS, and ductin all new '�j MECH-25-HERS - - + CFS 4R forms: MECH-20, and (for split-systemi) MECH-22, and MECH-25 , i equipment). For Split Systems: Duct leakage < 6 percent; RC; CCA->_ 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or'PSPP. For Packaged Units: Dud leakage < 6 percent - ❑ 3. New -Ducts with/or without Required Forms: Replacement I . 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: Dud leakage < 6 percent; RC, CCA >_ 300 CFM/tan, TMAH For Packaged Units: Duct leakage < 6 percent ❑ 4. 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 dud in unconditioned space. CF -4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing dud 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: Richard C Weaver Sr Signature: Richard C Weaver Sr Company: BEST IN THE WEST AIR CONDITIONING & HEATING INC Date: Jan 14, 2014 Address: 255 N ELCIELO ROAD #140-125 License: 967982 City/State/Zip: PALM SPRINGS / CA / 92262 Phone: (760) 343-1002 Reg: 214-A0003040A-000000000-0000 Registration Date/Time: 2014/01/14 19:13:21 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 <LEST� WEST Air. Conditioning 8 Heating 255 N El Cielo Rd, PMB 125 Palm Springs, CA 92262 760-343-1002 www.gotcoolair.com Work Order Date Summary: Tech: Start: 1598-27621 8/15/2013 INSTALLATION DAVID 09:00 AM Bill To: Job Name: Craig Humphrey Craig Humphrey 51950 Ave Juarez La Quinta, CA 92253 51950 Ave Juarez La Quinta, CA 92253 Description of • inv 27621 - install $6800 for 13seer, 3.5ton h/p split with lineset, filter grill tnt jason for access 449-0068!!! Installed Equip Install Date Model# Serial Equip. Warra Labor Warra Service Exp honeywell pro 4000 programable 5-2 with 8/13/2013 TH4110D1007 PRO bitw name on front 4000 Deposit: $6,800.00 Balance: -$6,800.00 All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon delays beyond our control. Purchaser agrees to pay all costs of collection, including attorneys fees. Signature Date