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13-0824 (MECH)O P.O. BOX 1504 44�VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/03/13 Application Number: 13-00000824 Owner: Property Address: 54100 AVENIDA JUAREZ COX ROY E & CANDI APN: 774-194-005-20 -000000- 54100 AVENIDA JUREZ Application description: MECHANICAL LA QUINTA, CA 9 3 Property Zoning: COVE RESIDENTIAL ( Application valuation: 8875 JULry - Contractor: JO3 2013 Applicant: Architect or Engineer: DES 42949 MADIO ST ET CIY1�OflAQUINTA INDIO, CA 92201 FINANCE DEPT. (760)360-2202 LiC. No..:: 90 ----------------- LICENSED CONTRACTOR'S DECLARATIO I hereby affirm under penalty of perjury that 1 am licensed u r provisions of Chapt'br 9 (commencing with Section 7000) of Division 3 of the Business and Professio Code, an my Li, i nse is in full force and'effect. License Class: C20 C36 License N 115 ate:— -;Contractor:�� . OWN R -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 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 E 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.). ( ) I am exempt under Sec. , BAP.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 --————————————————————————————————————————————— 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. ,6 1 .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 CEWC356415 fii certify that, in the performance of the work for which this perm' is issued, I shall not employ any �! person in any manner so as to become subject to the worke compensation laws of California, and agree that, if I should become subject to the worker 'compensation provisions of Section 3700 of the Labor Code, I s fort with comp) hose provisions. . !� Applicant: , WARNING: FAILURE TO SECURE WOR RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CROW' L 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 cor ct. I agree to comply th all city and county ordinances and state laws relating to building construction, and reby authorize repres atives of this county to enter upon the above-mentioned property for inspectio r as. D�arte Signature (Applicant or Agent): -11410 C/ Application Number . . . . . 13-00000824 Permit . . . MECHANICAL 2013 Additional desc . Permit Fee . . . . 71.50 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 12/30/13 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 = 16 SEER/80 AFUE 3 TON HVAC SPLIT SYSTEM. [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2010 CALIFORNIA BUILDING.CODES. --------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 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 139.23 .00 .00 139.23 Grand Total 210.73 .00 .00 210.73 LQPERMIT - _ , Bin # Permit # Project Address:' A. P. Number: Contractor: V 2v �� r J Address: City, ST, Zip: �G Telephone: State Lic. # : q UG Arch., Engr., Designer. Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Telephone # of Contact Person: L� ,-, -( ro;-- # Submittal Req'd Plan Sets Structural Calcs. Truss Calcs. Energy Calcs. Flood plain plan Grading. plan' Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees City of La Quinta Building .& Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Z111og(5 �CAareZ Owner's Name: gel' J Address: ` l vv - City, ST, Zip: L 5� f n.5 H.1c Telephone: Project Description: City Lic_ #: '-i Y P, 14s -.&Q ✓ Total Permit Fees Construction Type: Occupancy: Project type (circle one): New Add' Alter Repair' Demo Sq. Ft: # Stories: # Units: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE Rec'd TRACKING . PERMIT FEES Plan Check submitted Item Amount Reviewed, ready for corrections Plan Check Deposit Called Contact Person Plan Check Balance Plans picked up Construction Plans resubmitted Mechanical god Review, ready for corrections/issue Electrical Called Contact Person Plumbing ans picked up S.M.I. resubmitted EtPlans Grading Review, ready for corrections/issue Developer Impact Fee Called Contact Person A -I P P Date of permit issue Total Permit Fees Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 54-100 Avenida Juarez La Quinta, CA 92253 City of La Quinta Jul 1, 2013 Duct insulation Conditioned Floor Equipment Typei List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace ❑ Indoor Coil ❑ AFUE ® SEER 16.0 ❑ COP ® HSPF 7.7 ❑ R 6 (CZ 10-13) Served by system ® Setback If not already present, must be ® Condensing Unit E3 EER [3 Resistance ❑ R g CZ 14-15) 1200 sf 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-611 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-611 shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: . All HVAC Equipment CF-611 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-611 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 -e 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH FGF Packaged Units" IN leakage * 4 15 --4 PeFee44 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 E3 4. The system will not be Ducted (ie, Ductless: Mini-Split System) (Also Exempt from Refrigerant Charge) ❑ 2. New`HVAC System Required Forms: . Cut in'or Changeout with: CF-6R forms: MECH-04, MECH-20-HERS and (for split systems) MECH722-HERS, and new ducts: (all new ?` ducting and all new/f, HERS i 3 CF74R forms: MECH-20, and (for split systems) MECH-22, and MECH-25 For Split Systems:. Duct leakage <6 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 ❑ 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 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: Mark Hyde Signature: Mark Hyde Company: CERTIFIED COMFORT SYSTEMS INC Date: Jul 1, 2013 Address: 42-949 MADIO STREET License: 906115 City/State/Zip: INDIO / CA / 92201 Phone: (760) 360-2202 Reg: 213-A0048635A-000000000-0000 Registration Date/Time: 2013/07/01 18:02:32 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010