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10-0771 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00000771 Property Address: 78169 CRIMSON CT. APN: 604 -024 -025 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1500 Applicant: ei,y T4'!t 4 4 Q" Architect or Engineer: 41N ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B -C10- - License No.: 856936 ntractor: 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 ($500).: 1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ' 1 _) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon,,and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1 _ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: CHRISTIANSEN MICHAEL J 48400 PRAIRIE DR PALM DESERT, CA 92260 Contractor: TELFORDJONES, INC. 25920 IRIS AVE, STE 13A-400 MORENO VALLEY, CA 92553,. (951)486-0337 Lic. No.: 856936 �Cl� VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/17/10 A �- WORKER'SCOMPE�­�t OhLDECLARAT4O�.. I hereby affirm under penalty of perjury one of the fo�mgilogs^ _ I have and will maintain a certificate of conserr t0 sg1tAr sGiAt r, ckRrs' compen i ?as provided for by Section 3700 of the Labor Code, for the ptafce:iw,,wr&mi.} c permit is issued. ""�>`'•1,t0 VII have and will maintain workers' compensation insurance, as ree Irr$"tiy Section 370 of the Labor Code, for the performance of the work for which this permit is issue worker compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 0059112009 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 370 or Code, 1 sh comply with those provisions. D A Ilcant: • WARNING: FAI RE TO S E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMP O 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'"y authorize representatives of this county to enter upon the above-mentioned pro arty for inspec ' pur e . --�'9 D e- S' ature (Applicant or gent): Application Number . . Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 33.00 Issue Date . . . . Expiration Date . . 2/13/11 10-00000771 Plan Check Fee . . .8.25 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 ------------------------------------7--------------------------------------- Special Notes and Comments INSTALL FAU-HEAT PUMP SAME LOCATION 13 SEER R410A 5 KW. 2007 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total ---------- 33.00 ---------- .00 ---------- .00 33.00 Plan Check Total 8.25 .00 .00 8.25 Other Fee Total 1.00 .00 .00 1.00 Grand Total 42.25 .00 .00 42.25 LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 to 15 �idU�'1� C����.G� Zvi • Sjyj.sQ � Enflc me genet': Date: � Permit #: Conditioned Floor Equipment T el List Minimum Efficiency Z Duct insulation requirement Area Thermostat ❑ Packaged Unit ❑ Furnace ❑ AFS� ❑ COP Over 40 ft of ducts added or ❑ Setback 11Indoor Coil &SEERC- ❑ HSPF replaced in unconditioned space Served by system (If not already ❑ ensing Unit ❑EER _ ❑Resistance ❑ R 6 (CZ 10-13) ❑ R 8 (CZ 14-15) sf present. must be installed) Othe T/�l.�/� /. 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 -6R and registered CF -4R forms (no hand filled CF4Rs allowed) are filled out and sign eginning October], 2010, a registered copy of the CF -IR and CF -6111 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 -411 forms: MECH- 21 and fors lits stems MECH-25 • Condenser Coil and /or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS • Indoor Coil and/or CF -411 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 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, or ❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existing ducts stems are constructed, insulated or sealed with asbestos ❑ 2. New HVAC System Required Forms: • Cut in or Changeout with new CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS ducts: (all new ducting and all CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 new equipment) 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 Replacement Required Forms: • Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor coil CF -4R forms: MECH-20 and (for split systems) MECH-25 and/or furnace. No or some 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 Forms: 'Required • Includes adding or replacing more than 40 CF -611 forms: MECH-04, MECH-21-HERS CF -4R forms: MECH-21 linear feet of duct in unconditioned space. 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 I and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the information documente n plicable compliance forms, worksheets, calculations, plans ands specifications submitted to the enforcement agency forapproval with e e t a t Name: Signatu Company: _ Date: Addresc�3 � Q Licenser , City/State/Zip: / %/W .r�- Phone: ')nnQ Alf -L, 171)rn S I D E P R O P E R T Y L 1 N E PERMIT NO. SITE PLAN NAME /V,142 PHONE.rr) SITE ADDRESS06tf 1g2 _crop 53 ASSESSORS PARCEL NUMBER�D�fD�`Q'�f Provide North Arrow REAR PROPERTY LINE FRONT PROPERTY LINE ;4.1 Qq 04 /04 Pn 1 of 9 S I. D E P R O P E R T Y L I N E Bin # Qty Of La Quint 3 Building 8r 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:42104%-1*1 ele Owner's Name: *11v*W, a1101&7A A. P. Number: Address: A10 GwiT Legal Description: �6 City, ST, Zip: `� Contractor: Telephone: Address: v Project Description:_ vO City, ST, Zip: h ne: Telephone: P `Lic. State Lic.# : YVC� City #; T �yfv Arch., Engr., Designer: (a04 . Q24_ 40 - Address: City, ST, Zip: Telephone: ancY : Construction Type: Occupancy: State Lic. #: S ..................................................... Demo Add' Alter a air D m Project a circle one : New n R P J tY P � ) Name of Contact Person: Sq. Ft.: # Stories: '- # Units: ,��� 7 Telephone # of Contact Person: G�.� 7' Estimated Value of Project: zSvCJ 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 21d 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