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12-0664 (MECH)` - t P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-00000664 Property Address: 78495 COYOTE CANYON CT APN:-- 770-240-002- - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 35188 T4ht °f 4 Q" Applicant: Architect or,Engineer: V� 0 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ----------------------------------------------------- LICR'SED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with - Section 7000) of Division 3 of the Business Psionals Code, and my License is in full force and effect. License Class: C20 License No.: 968141 ate: 46114AT ontra.or: . 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 (5500).: (_ 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.). (—) 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: CHRISTINA DURNAM 78495 COYOTE CANYON COURT LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/14/12 i1 f - Contractor: ' i� D' --®-�, DCS AIR CONDITIONING 1 f 72078 CORPORATE WAY, #10�J 2012 i THOUSAND PALMS, CA 92276 P (760) 343-5562®...1 LiC. No.. 968141 Irl- �1t:�"��rA ------------------ 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 ZENITH INS Policy Number Z071741501 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 sub' t to the workers' compensation laws of California, and agree that, if I should become subject the the compensation provisions of Section 3700 of th abor Code, I shall forthwith mpl with those provisions. Date: 6 4 pp" WARNING: FAI RE TO SECURE WORKERS' E ATION 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 issuanjsuchi or cessation of work for 180 days will subject permitto cancellation. I certify that I have read this application and state ormation is correct. I agree to comply with all city and county ordinances and state laws relatinruction, and hereby authorize representatives of�this county to enter up the above-mentionedection purposes. Date: B ignatue (Applicant or Agen Application Number . . 12-00000664 Permit MECHANICAL Additional desc . Permit Fee . . . . 91.50 Plan Check Fee 22.88 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/11/12 Qty Unit Charge Per. Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 3.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 49.50 ---------------------------------------------------------------------------- Special Notes and Comments 3 COMPLETE HVAC CHANGE -OUTS: CONDENSERS, FURNACES, COILS, 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 3.00 Fee summary Charged ----------------- Paid Credited Due -------------------- Permit Fee Total 91.50 -------------------- .00 .00 91.50 Plan Check Total 22.88 .00 .00 22.88 Other Fee Total 3.00 .00 .00 3.00 Grand Total 117.38 .00 .00 117.38 LQPERMIT Sim lified Prescriptive Certificate of Compliance: 2008 Residential B VACAkera&ns . CF M -ALT HVAC Climate Zones 10 to 15 S74e Addy Ont n.� 'v V` Jo D O� I Paw& #: , o 'on Floor meat i List Minimum Efficien Duct insulation requirement Area Thermostat jWPxnace Unit p� AFUE 907V BEER COP Over 40 ft of ducts added or laced in tmconditioned space Served by system notal mdy Mtrdoor Coil dealing Unit VD EER !J_ HSPFP Resistance 8R 6 (CZ 10-13) sf PMNX4 near be R 14-15) 9 Other !ll.�ll 8 (CZ 1. Equipment Type: Choose the equipment being installed,• fjmore than one system, use another CF -1R ALT•XYACjor each system. Z Minimum Equipment E,04dendes: 13 SEER, 78•/ AFUE, 7.7HSPFjor 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 good October 1, 2010 s rexistered copy of the CF -1R and CF -6R shall also be on site for final ins on. 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 for split stems N ECH-25 • Condenser Coil and /Or lit CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS • Indoor Coil and/or CF -4R forms: MEM- 21 and (for split systems) MECH 25 • Furnace For Split Systems: Dud leakage < 15 percent; RC, CCA > 300 CFMhDn(M nimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent Exempted from dud leakage testing if 1. Dud system was documented to have been previously sealed and confirmed through HERS verification, or 2. Dud systems with less than 40 linear feet in unconditioned space, or 3. Existing duct systems are constructed, insulated or sealed with asbestos E319 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 duds: (all new ducting and all CF4R forms: MECH 20-, and (for split systems)N ECH-22, and MEM 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 Duds with/or without Replacement Required Forms: • Includes replacing or iastailmg all new ducting CF -6R forms: MEM -04, MECH-20-HERS,and (for split systems) MECH-25-BM and/or outdoor condensing unit and/or indoor. coil CF -4R forms: MECH-20 and (for split systems) MECH-25 and/or firnace. No or some equipment changed. For Split Systems: Duct leakage < 6 percent, RC, CCA>_ 300 CFM/ton, TMAH For Pa ed Units: Duct leakage < 6 percent 4. New Ducting over 40 feet Required Forms: • Includes adding or replacing more than 40 CF -6R forms: MEM -04, MECH-2I-HERS CF -4R forms: MECH-21 linear feet of dud in unconditioned For split system or packaged units: Dud leakage < 15 percent EXCEPTION: 6isting duct systems constructr 4 insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • I cer* 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 responsibiilq for the design identified on this Certificate of Compliance. • i testify 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. on • The design feahtres identified on this Certificate of Compliance are consistent with the information documentedpticable compliance forms, worksheets, cal9gaII am cations submitted to the enforcement for with the li Name: Signature: Compal: GS . � j Daft- D1 Address: Phone: -1(ap 3t �3- SS& L City/State/Zrp: ThZU-60-d yj'"'Z CaICERTS - CF -1R Registrati k- Public Home Secure Home About Us Training Rater Directory Forms Membership Benefits Events Industry Partners News To register for our monthly newsletter, please click here. (. Page 1 of 1 LESLIE ROGAN logged in [Logout] [Home] CONGRATULATIONS Your CF -IR -ALT -HVAC Registration is complete! You may want to print this page for your records. Site Address: 78495 COYOTE CANYON CT La Quinta, CA 92253 CEC Registration: 212-A0027593A-00000000-0000 CF -1R -ALT -HVAC: CLICK HERE TO DOWNLOAD :signed Company: Energy Driven Solutions, Inc. [CLICK HERE] to do another Copyright © 2010 CaICERTS, Inc. All rights reserved. Revised: January 11, 2010 [Terms and Conditions] [Privacy Statement] [Class Cancellation Policy] CaICERTS, Inc., 31 Natoma St Suite 120, Folsom, CA 95630 Office: 916-985-3400,TollFree: 877-HERS-R8R,(877-437-7787) Fax: 916-985-3402 Contact Us 0 4 �., sB-Q)�' https://www.calcerts.com/public_cflR.cfin?project_id=190752 5/30/2012 CaICERTS - CF -1 R Registration Public Home Secure Home About Us Training Rater Directory Forms Membership Benefits Events Industry Partners News To register for our monthly newsletter, please click here. -, t 2,�: Page 1 of 1 J LESLIE ROGAN logged in [Logout] [Home) CONGRATULATIONS Your CF -IR -ALT -HVAC Registration is complete! You may want to print this page for your records. Site Address: 78495 COYOTE CANYON CT La Quinta, CA 92253 CEC Registration: 212-A0027595A-00000000-0000 CF -IR -ALT -HVAC: CLICK HERE TO DOWNLOAD ;signed Company: Energy Driven Solutions, Inc. [CLICK HERE] to do another Copyright © 2010 CaICERTS, Inc. All rights reserved. Revised: January 11, 2010 [Terms and Conditions] [Privacy Statement) [Class Cancellation Polity] CaICERTS, Inc., 31 Natoma St Suite 120, Folsom, CA 95630 Office: 916-985-3400,Toll Free: 877 -HERS -11811, (877-437-7787) Fax: 916-985-3402 Contact Us Ag4 4 4 BBB; https://www.calcerts.com/public_cflR.cfin?project_id=190754 5/30/2012 Ca10ERTS - CF -1 R Registration t ui r 3 Page 1 of 1 To register for our monthly newsletter, please click here. Copyright © 2010 Ca10ERTS, Inc. All rights reserved. Revised: January 11, 2010 (Terms and Conditions] [Privacy Statement] [Class Cancellation Policy] CaICERTS, Inc., 31 Natoma St Suite 120, Folsom, CA 95630 Office: 916-985-3400,Toll Free: 877 -HERS -11811, (877-437-7787) Fax: 916-985-3402 Contact Us 1� BB BL J sun mm mss https://www.calcerts.com/public_cflR.cftn?project_id=190756 5/30/2012 LESLIE ROGAN logged in [Logout] Public Home [Home] CONGRATULATIONS Secure Home Your CF -IR -ALT -HVAC Registration is complete! About Us You may want to print this page for your records. Training Site Address: 78495 COYOTE CANYON CT La Quinta, CA 92253 CEC Registration: 212-A0027596A-00000000-0000 Rater Directory CF -IR -ALT -HVAC: CLICK HERE TO DOWNLOAD Assigned Company: Energy Driven Solutions, Inc. Forms [CLICK HERE] td do another Membership Benefits , Events Industry Partners News To register for our monthly newsletter, please click here. Copyright © 2010 Ca10ERTS, Inc. All rights reserved. Revised: January 11, 2010 (Terms and Conditions] [Privacy Statement] [Class Cancellation Policy] CaICERTS, Inc., 31 Natoma St Suite 120, Folsom, CA 95630 Office: 916-985-3400,Toll Free: 877 -HERS -11811, (877-437-7787) Fax: 916-985-3402 Contact Us 1� BB BL J sun mm mss https://www.calcerts.com/public_cflR.cftn?project_id=190756 5/30/2012 Bin # City of La Quinta Building 8L Safety Division i,Q P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address:" t GODS C i V O N Owner's Name: 15 1 NPC 11 1 A P. Number: Address: X15 UVD1 OV VI Legal Description: City, ST, Zip: Contractor. FJ g1 V Address: �� O Telephone: Project Description: I I I City, ST, Zip Telephone: VAA, CA M I ; State Lic. # : City Lic. #; Arch., Fag., Designer. Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lie. #: Name of Contact Person: r11 v Project type (circle one): New Add'n Aher Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 'Tvy I Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calls. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Pian Check Balance Title 21 Calm. Pians picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'! Review, ready for correctionstissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`' Review, ready for correctionslissue Developer Impact Fee Planning Approval Called Contact Person AXP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees