Loading...
12-0705 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO - LA QUINTA, CALIFORNIA 92253 Application Number: 12-0-0000705 Property Address: 8`0823 SPANISH BAY APN: 775-310-048- - - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL, Application valuation: 15500 Annlirnnt- Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION 414 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: JIM 'TAYLOR, - 0 80823.SPANISH BAY LA QUINTA, CA 92253 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 and Professionals Code, and my License is in full force and effect. License Class: C20 Lice ire No.: . 374937 Dater =' ontractor:� 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 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 exemptunderSec. , 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 _ Contractor: PALM DESERT AIR COND 42081 BEACON HILL PALM DESERT, CA 9221 (760)346-0677 LiC. No.: 374937 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/26/12 r WORKER'S COMPENSATION DECLARATION _ I herebyaffirm 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. 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 CHARTIS CASUALT Policy Number WC001605716 — 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 ofVlpe Labor Code, I shall forthwith comply it those provisions. te: Applicant: 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, indemnity and hold harmless the City of La Quints, 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. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property yffor vinspection purp ate:' 2 G 17 igtl:nature (Applicant or. Agen�6 .z r LQPERMIT Application Number. . . . . . . 12-00000705 Permit MECHANICAL Additional desc .. Permit Fee 66.00 Plan Check Fee 16.50 Issue Date . . . . Valuation 0 Expiration Date 12/23/12 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE'<=100K 18.00 2.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 33.00 --------------------------------"-------------------------------------------- Special Notes and Comments REPLACE (2) AIR CONDITIONING SPLIT SYSTEMS, FURNACES, INDOOR COILS, CONDENSERS. 2010 CODES. --------------------------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) .1.00 Fee summary Charged Paid Credited --- Due ----------------- -----.----- Permit Fee Total 66.00 .00 .00 66.00 Plan Check Total 16.50 .00 .00 16.50 Other Fee Total 1.00 .00 .00 1.00 Grand Total 83.50 .00 .00 83.50 LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: - Permit #: 80-823 SPANISH BAY (SYSTEM 1)'La Quinta, CA 92253 City of La Quinta Jun 25, 2012 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit '❑ p Furnace 0 AFUE 78%0 COP❑ R 6 (CZ 10-13) Served by system 0 Setback' [0 Indoor Coil p SEER 13.0 C3HSPF ❑ R 8 ( CZ 14-15) 2000 sf If not already present, must be p Condensing Unit ❑EER ❑Resistance installed) ❑ Other 1. 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 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. D 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: ❑ 17Duct 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 0'4. The systemlwill not be Ducted'(ie.-DuctlessLMini-Split:S_ystem)•(Also-Exempt,fromfRefrigera nt Charge) ❑ 2. New:HVAC System Required Forms:,. F" .Cut in•(or Changeout with; - new ducts: (all new /; ducting 'null � ' k t� -... �, CF 6R•.forms:',MECH-04, MECH-20-HERS'/and,(for split systems) MECH-22-HERS and MECHr25HERS --` 'tom - ne,w CF 4R,forms::MECH 20, and (for split systems) MECH-22, and`MECH;25,`�` equipment) - I f .,ti .4> ,,�E.-*9 '..::. 1 ' ref .: i� tl r For Split Systems:, Duct leakage ,<s6'percent; RC, CCA,>_ 350 CFM/ton FWD ,TMAH STMS and either. HSPP o'r.PSPP. For Packaged Units:'Duct leakageK 6 percent 2i r' ` ,' - '1,' —41 ❑ 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 -611 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 r ❑ 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: Karl Brown Signature: Karl Brown Company: PALM DESERT AIR CONDITIONING CO INC Date: Jun 25, 2012 Address: 42-081 BEACON HILL - License: 374937 City/State/Zip: PALM DESERT / CA/ 92211 Phone: (760) 346-0677 LReg:212-A0033172A-00000000-0000 Registration-Date/Time: 2012/06/25 15:23:16 #HERS Provider: Ca10ERTs, Inc. 2008 Residential�Compliance-Forms-' `�'- "�'""' -July-2010^" Simplified. Prescriptive Certificate of Compliance: 2008 Residential HVACA/terations CF-lR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date:. - Permit #: .80-823 SPANISH BAY (SYSTEM 2) La Quinta,.CA 92253 - City of La Quinta Jun 25, 2012 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit . 0 Furnace [a AFUE 78%- ❑ COP I p R 6 PCZ 10-13) ' Served by system 0 Setback p Indoor Coil O SEER .13.0 ❑ HSPF ❑ R 8 (CZ 14-I5) 1' 1600 sf If not already present, must be [0 Condensing Unit ❑ EER ❑ Resistance installed) ❑ Other ' 1. 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, Z7HSPF 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 -1111 and CF -611 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 . Indoor Coil and /or CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS . Furnace CF -4R forms: MECH-21 and (for split systems) MECH-25 For Split Systems: Duct leakage-< 15 percent; RC, CCA _< 300 CFM/ton (Minimum Air Flow Requirement), TMAH Exempted from duct leakage testing if:. '.p 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 13'4. The systemtwill not be Ducted�(ie.:DuctlesslMini-Split=System),(Also:Exempt.from Refrigerant?Charge) ❑ 2. New HVAC System ' .r.. 4 j,. + ' Required Forms: P; ,,� :4, - , � },7 . Cut in(or Changeout withi new ducts: (all new ,� ' ducting , • ; -". ` , ' CF -6R fo sms: MECH-04; CH -20 HERand(fo�r split sy terns) MECH, 22'HERS, and Fr - MECH-25-HERS . and all ne,w equipment) CF -4R forms: MECH 20; and (for split systems) MECH=22 and'MECH=25 ; I �z."±r, For Split Systems: leakage <l6'percent; RC; CCA >_'350 CFM/ton, FWD, TMAH, STMS 7and'either HSPP or-PSPP 77%i,'1.t,. -Duct— _ - - , For Packaged UnIM'DUCt leakage <,6 percent,= ' " "^ ❑ 3. New Ducts with/or without i, Required Forms: ' Replacement - . Includes replacing or installing allrnew - 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 40CF-6R forms: MECH-04„MECH-21LHERS 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: Karl Brown Signature: Karl Brown Company: PALM DESERT AIR CONDITIONING CO INC Date: Jun 25, 2012 Address: 42-081 BEACON HILL License: 374937 City/State/Zip: PALM DESERT/ CA/ 92211 Phone: (760) 346-0677 y Reg: 212-A0033175A-00000_000-00_0_0_ Registration Date/Time: 2012/06/25 15:26:34 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms, � _'•'July 2010 • I 0 'P.O. Boz15.04.- 781495 Calle Tampico,:• La,Quinta,-California 92211 a Tel ,(760.)'777-7.012 • Fax: (766)17-741`12 Website: www.La4uinta.Org • Email: Building@La=Wnta.Org. ` ot,;�° Bin #: , I Permit #: Buildin Perrhit.A Iication & Track• - . ung Sheet Project Address: 80-823 SPANISH BAY Owner's Name:, TAYLOR, JIM A.P. Number: Address: 80-823 SPANISH BAY Legal Description: City,"State, Zip: LA QUINTA, CA 92253 - - - - Contractor: Palm Desert Air Conditioning & Heating Company Telephone: (773) 447-7481 Address: 42-081 Beacon Hill Project Description: City,, State;: Zip: Palm Desert, CA 92211+ REPLACE (2) AIR CONDITIONING SPLIT SYSTEMS. ' ' ' , Telephone No.:�(760) 346-0677 State: Lic. #: 374937: City Lic. #: 100886 Arch./Engr./Designer: Address: City; State',Zip: Telephone. No-.: _. }: �� . ," .. Construction Type: Occupancy: Stater L•ic. #: Project Type: O. New.-'® Add'n *.-D, Alt'e-rr:-D Repair D' Demo Name of Contact.Person: KARL BROWN `Sq. Ft.: H #Stories: " #Units: .Contact Telephone No.: (760) 346-0677 Estimated Value:of;P.,rojecf $15,500.00 APPLICANT .DO:.NOT-WRITE.BELOW THIS: LINE # Submittal . Req'd- Recd Tracking P...ermit Fee's Plan Sets Plan.Check Submitted' Item Amount Structural Cales. Reviewed, Ready for Corrections, Plan Check Deposit Truss Ca.lcs. Called Contact Person Plan Check Balance, Tide 24 Calcs. r. Plans Picked Up Construction Flood Plain Plan ' Plans. Resubmitted Mechanical Grading Plan 2nd Review, Ready for Corrections - Electrical Subcontractor List Called:Contact Person Plumbing Grant_ Deed Plans Picked` Up S.M.1: H.Q.A. Approval, _Plans.,Resubmitted Grading, IN HOUSE 3 ° Review, Ready for.Corrections Developerlmpact Fee. Plan,riing.Approval Called Contact, Person 'AI.PP. , Pub. Works Appel Date of Permit Issue ' School. Fees ` i " 'Total Permit Fee's.