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14-0399 (MECH)r' i. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000399 Property Address: 52585 AVENIDA JUAREZ APN: 773 -244 -017 -ST -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: - ' 10415 Applicant: T4'!t 4 4 " BUILDING & SAFETY DEPARTMENT Architect or En ineer: 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: CC20 C 6 /t nseNo.: 906115 Ddt ` ontractor/.,(�%�_ t./ ' ✓ 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 _ 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.). I—) 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: PATRICK MATHEW 52585 AVENIDA JUAREZ LA QUINTA, CA 92253 ( Contractor: HYDES 42949 MADIO STREET INDIO, CA 92201 (760)360-2202 Lic. No.: 906115 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 •r, Date: 4/09/14 D1��1 1.11 1 Cly s Oifr'Al�;� 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 NORGUARD INS Policy Number CEWC468841 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[ sh�J{Jorth ith comp) ith those provisions. Dat '�� � A licant: /;%% � 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 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 thislco my to entJer yLp n the above-mentioned property for in/syye n p oses. Date: Sig azure (Applicant or Agent): LQPERMIT Application Number . . . . 14-00000399 Permit . . . MECHANICAL 2013 Additional desc . Permit Fee 71.50 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 10/06/14 Qty Unit -Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.00 35.7500 EA MECH CONDENSER/COMP 35.75 i ---=------------------------------------------------------------------------ Special Notes and Comments HVAC CHANGE OUT - 13SEER/78AFUE SYSTEM 12008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. 7 --------------------------------------------------------------- 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 LQPERMIT Bin # City of La Quinta Building a Safety Division Permit .# P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address:* I V 2� l rAq �a�e Owner's Name: A. P. Number: . Legal Description: Address: Z _ S8 Contractor: �ev �/ �(- / // City, ST, Zip: C % i Y e' 51 PrzS A,/c Telephone: Address: i� ` c 1 C7 �1c� Project Description: City, ST, Zip: DC7 — Ci Telephone: State Lic. # : q ('�(� �• City Lic. #:r�2 Asch., Engr., Designer: Address: ------------ City, ST, Zip: Telephone: State Lic. #: Construction Type: Occupancy: Name o�Contact :Sq•Ft•: Project type (circle one): New Add'n Alter Repair Demo TelephPerson: # Stories#Units: _ Estimated Value of Project: � TS APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACI{ING Plan Sets PERMIT FEES Plan Check submitted Structural Calcs. Item Amount Reviewed, ready for corrections Truss Calcs. Plan Check Deposit Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Flood plain plan Construction Plaos resubmitted - Grading, plan Mechanical 2od Review, ready for correciionstissue Electrical Subcontactor List Called Contact Person Grant Deed Plumbing Plans picked up H.O.A. Approval S.M.I. Plans resubmitted H SE Grading 3'd Review, ready for corrections/issue Developer Impact Fee 1 n Called Contact Person Pub. Wks, Appr A.LP.P. Date of permit issue School FW R 0 2014 Total Permit Fees Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 52-585 Avenida Juarez La Quinta, CA 92253 City of La Quinta Apr 8, 2014 Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace ®Indoor Coil ® AFUE 78% 10 SEER 13.0 13 COP (3sf HSPF ❑ R 6 (CZ 10-13) Served system ®Setback If not already present, must be ® Condensing Unit ❑ EER ❑ Rnceesista ❑ R 8 (CZ 14-15) 2000 installed) ❑ Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF-IR-ALT-HVAC fur 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-6R and registered CF-4R forms (no hand filled CF-4Rs allowed) are filled out and signed. Beginning October 1, 2010, a registered copy of the CF-111 and CF-6R 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 CF-6R forms: MECH-04, MECH-2I-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 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 thair ;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 Refrigerant Charge) ❑ 2."'. New HVAC System Require&.Forms: . Cut.in or;Changeout„with CF-6R°forms:aMECH 04,`MECH 2O=.;HERS;