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13-0802 (MECH)ky_ 44 P.O. BOX 1504 ^' VOICE (760) 77777012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 6/26/13 Application Number: 13-00000802 Property Address: 54425 AVENIDA JUAREZ APN: 774-232-019-8 -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 7343 - Applicant: Architect or En eer: --=------------------------------------------------ LICENSED CONTRACTOR'S DECLARATION 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 d Professionals Code, and my License is in full force and effect. License Class: C10 C16 C2 Li nse 7554 Date: , r Contractor: . / (OWNE 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).: (_ I 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 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: YORK PAULETTE L 54425 AVENIDA JUAREZ LA QUINTA, CA 92253 ( Contractor: PREFERRED PLUMBING HTG P.O. BOX 5120 PALM SPRINGS, CA 92263 (760)322-3173 Lic. No.: 457554 ----------------------------------------------— 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 EVEREST NATL Policy Number 7600006445131 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 bec a subject to the workers' co nation provisions of Section 3700 of the Labor Code, I s I forthw' h comply with- o e pr visi S. /J 79 _ F - ````Date.'-"� �C CApplicant: _ IARN NG: AILURE TO SECURE WORKERS' COMPENSAT N COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND Cl IL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. IN ADDITION TO THE COST OF' PENSATION, 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 7ov/information i/torr ct. ee to comply with all city and county ordinances and state laws relating to buil ng construction, d he a au bye representatives of this cou y to enter upon the above-mentioned proper y fK insp tion pu os s -- Da tEC ignature (Applicant or an Application Number' . . . . . 13-00000802 Permit . . . MECHANICAL 2013 Additional desc . . Permit Fee . . . . 71.50 Plan Check Fee .00 Issue Date . . . . Valuation_ . . . . 0 , Expiration Date 12/23/13 Qty Unit Charge Per Extension' 1.00 35.7500 EA MECH FURNACE 35.75 1.00 35.7500 EA MECH CONDENSER/COMP 35.75 --------------------------------------------------------- ------------------ a Special Notes and Comments HVAC CHANGE OUT - 4 TON 13SEER/ 80 AFUE PACKAGED UNIT 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 .0,0 139.23 Grand Total .210.73 .00 .00 210.73 5 LQPERMIT Bin # Citof LaQ'Inta Building l_ Safety Division -P.O. Box 1504, 78-495 Calle Tampico Permit # .. .. La Quinta, CA 92253 - (760) 777-7012 �Lrilding Permit Application and Tracking Sheet . F " ~ -' K /1 ✓� U cz Owner's Name: Project Address:` .. A. P. Number; .: Address: S�L`v�S� �} ✓E 'd V�/� �Z Legal Deci�ipao •:r^'-„ti;i` City, S T, Zip: L/� Qt/t /1�!/ C a a 3 pprey"r~r ecA�t<_<:C'onditioning Con�raeto �'+..: ; ; dba Telephone: % t.. v. :Pr:e'f� > eco" P.lumbin Heatin &A” Add�es�' PO ':Bo` 5=T?y.`0.' Project Description: City;ipp'ar:.''CA. 92263 /C [5 1/3 s /tLKi¢G� U/V/ r Telephone:LE:76:Q:) "3h•2�`3'1`73 SON St�feLica#; CityLic.#:02c1�1 Arch,; EAl: Designs r : Tdleplione; Construction T3 ie: Occupancy: StateLiF _#_::-•."::"`.`-r< `':<.:;<`AMMERM 7 PirojecGtype (circle one) New Add'n Alter Repair Demo N. arnq of.Cpl last Pe o :' � Lim V&W5 Sq. Ft. #Stories: #Units: Te7ephiine-"#.`o W tactEersoii::;"%(DD '9U3 --05"3; Estimated Value of Projmt: APPLICANT: DO NOT WRITE BELOW THIS LINE Snbiriittal.. ., 'Req'd - Itee'd TRACKING ; PETtMYT FEES Plan Check feBmitted It Amount .• .Structpra7:C1 Reviewed, ready for corrections Flai Cbeck Deposit Truss Calcs..: Called Contact Person PlaT Check Balance E�gi gy 16cs. °• : : Plans picked up Con itruction Flood plain plaq-" !. '. Plans.resubmitted Me anical Grad[ng plan'•' '.. 2"d Review, ready foi'correctionsfssue Ele Ical ,S ubcoiitactor.I,ist Called Contact Pergon Pltu ibing Grant Deed." " Plans picked up S.ML $U A, A�propal . Plans resubmitted Gra ling Review, ready for corrections/issue Dev toper Impact Fee PlanniggApprbval. Called Contact Person A.I..P. Pnb.Wks.4ppr ' Date of permit issue 8ehool Fees ' .a :>' Tots I Permit Fees Sim lifted `1Prescri tive Certificate of Com fiance: 2005 Residential RVACA terations CF -IR -ALT -HVAC Climate Zones 10 to 15 sue A q,c, Y AkNI l�oS[ Enfo;cement A encs.• , A �at //�(�J, • (_ �r Permit #: �JVA� ttaf, O� `(/ bnditi ned Floor Ecltlipment Type List Minimum Efficienc 2 Duct insulation requirement Area Thermostat ackaged Unit er 40 ft of ducts added or ❑ Furnace AFUE ❑ COP t�e etback ❑ Indoor Coil laced in unconditioned space Served b s stemER HSPF y Qf not already R6 CZ 10-13 ❑ Condensing Unit 1�'1`ER �L❑ Resistance ( sf present, must be ❑ Other R 8 (CZ 14 -IS) insta!!ed) 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1 R -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 -6R and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and si . Beginning October 1, 2010, a registered CoEy of the CF -1R and CF -6R shall also be on site for final inspection. 1. HVAC Changeout Required Forms: • All HVAC Equipment replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MECH- 21 and fors lits stems MECH-25 a Condenser Coil and/or • Indoor Coil and/or CF -6R forms: MECH-2I-HERS and (for split systems) Iv1ECH- 25 -HERS CF4R forms: MECH- 21 and (for split systems) MECH-25 • Pomace For Split Systems: Duct leakage < 15 percent; RC, CCA > 300 CFM/ton(Ivlinimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent Exempted from duct leakage testing if: ❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, OT ❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 2. New HVAC System Required Forms: Cutin orChangeout with new ducts: (all new ducting and all CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS new equipment) CFVR 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 Replacement Required Forms: P Includes replacing or installing all new ducting CF -6R fomes: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF4R forms: MECH-20 and (for split systems) MECH-25 coil and/or furnace. Not all equipment changed. For Split Systems: Duct leakage < 6 percent, RC, CCA > 300 CFM/ton, TMAH For Packaged Units: Duct leaka e < 6 percent ❑ 4. New Ducting over 40 feet Re uired Forms: • Includes adding or replacingmore than 40 linear feet of duct in unconditioned space. CF -6R for forms: MECH-04, MECH-2I-HERS 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. o 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 coo rm 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 inform on documented on other plica le compliance forms, w s eels, calculations, laps ands ecificatious submitted to the enforcement agency forapproval with ennil ati Name: �, ''� F� L � � � � ,� Signature: Company; ���� �' �T Date: Address: License: j� �® I z 0 L+ ®,1 7 5-5L+ /� q City/State/Zip: �. 0G S CA- . 1 ZZ J Phone: `0 w �� ' 1