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12-0774 (MECH)P.O. BOX 1504 J ANTHONY PLUMB EA ��IR�]] 78-495 CALLE TAMPICO LA QUINTA,-CALIFORNIA 92253 Application Number: 1�0:10 O'077j Property Address: 80967�SPAN�ISH BAY APN: 775-310-037- - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 7681 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: J ANTHONY PLUMB EA ��IR�]] JIM AMMERMAN 72216 NORTH SHO TRENY # 14 2012 80967 SPANISH BAY LA QUINTA, CA 92253 ' • Contractor' D VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/12/12 Applicant: Architect or Engineer: J ANTHONY PLUMB EA ��IR�]] 72216 NORTH SHO TRENY # 14 2012 THOUSAND PALMS,'CA (760) 328-8096 CITY OF LAQUINTA . Lic. No..: 77779 FINAMCEDEPT , CENSED CONTRACTOR'S DECLARATION . ., WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury t t I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000)of Division 3 of the 8 ine s and Professionals Code, and my License is in full force and effect.' - _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License lass C2 0 -C36 License No.: 777794 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Date: �� ntra r: - �{ issued. V` 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 WNER-BUILDER RATION insurance carrier and policy number are: , I hereby affirm under penalty of perjury that am exempt from the Contractor's State License Law for the Carrier GRANITE STATE Policy Number WC065255599 ' following reason (Sec. 7031 :5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the perfor nce of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner s as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State - and agree that, if 1 s d become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the L r II forthwith comp) with those provisions. 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 ($500j.: te: .� licant: (_ 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 WARNING: FAILURE TO SECURE W KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL . Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND w and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. one year of completion, the owner -builder will have the burden of proving thathe or she did not build or improve for the purpose of sale.). . (_) 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.). 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: LQPEPMIT 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 a y act or omission related to the work being performed under or following issuance of this permi 2. Any permit issued as a result of this application be omes null and void if work is not commenced within 180 days from date of issuance of such rmit, or cessation of work for 180 days will subject permit to cancellation. 1 certify that I have read this application and state t e ove inform ct. I agree to comply with all city and co}y�nty ordinanstate laws relati to nstruction, and here authorize representatives of this cotArty to/enter Mnua6the above-mentioned or for inspection purposes ire (Applicant or Application Number 12-00000774 Permit . . . MECHANICAL Additional desc . Permit Fee 48.00 -Plan Check Fee .-" 16.50 Issue "Date . . Valuation 0 Expiration Date 1/08/13. - Qty Unit Charge Per Extension BASE FEE 15.00 .00 9.0000 EA MECH FURNACE <=100K .00 2.00 -16.5000 EA MECH B/C >3-15HP/>i00K-500KBTU 33.00 Special Notes and Comments REPLACE (2) CONDENSERS, 4 TON & 5 TON AND INDOOR COILS. 2010 CODES. Other'Fees BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 48.00 00 .00 48.00 Plan Check Total 16.50, 00 00 16.50 Other Fee Total 1.00 .00 .00. 1.0.0 Grand Total 65.50 .00 .00 65.50 � IT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: #: 80967 SPANISH BAY Indio, CA 92201 City of Indio Jul 12, 2017Permit Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement • Area Thermostat ❑ Package Unit ❑ Furnace 0 Indoor Coil ❑ AFUE 0 SEER 13.0 ❑ COP ❑ HSPF ❑ R 6 (CZ 10-13) Served by system 0 Setback If not already present, must be 0 Condensing Unit [3 EER ❑ Resistance ❑ R 8 (CZ 14-15) 1800 sf 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 -411 forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF -1R and CF -6R shall also be on site for final inspection. 0 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 -411 forms: MECH-21 and (for split systems); MECH-25 ,e I _- For Split Systems: Duct leakage .< 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH POF Parskaged Units, leakage -; 15 per-eepk Exempted from duct leakage testing if: \[371 -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 04. The system will not be Ducted(ie DuctlessiMini-Split_System)�(AIso,Exempt.from,Refrigerant Charge) ' ❑ 2. New'HVAC System Required Forms :.0 . t ."� Vit.. _.af fes) . Cut infor,Changeout with ^ r F "1 ' �--• CF -6R forms. MECH-04 MECH-20 HERS and•(for split systems) MECH-22-HERS,.and "" ` new ducts: (all new, ducting and all ne lr ,„ MECH=25�HERS # �f I - .� r� -r CF 4R forms:•MECH-20, and (for split systems) MECW22, and MECH=25 KOO equipment) f. �a� �. 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 >t 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 ❑ 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: Kevin Robinson Signature: Kevin Robinson - Company: I ANTHONY PLUMBING HEATING & AIR CONDITIONING Date: Jul 12, 2012 Address: 72216 NORTH SHORE ST #101 License: 777794 - City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-2121 Reg: 212-A0036924A-00000000-0000 Registration Date/Time: 2012/07/12 11:43:52.. HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC Climate Zones 10 - 15 - Site Address: Enforcement Agency: Date:Permit #: 80967 SPANISH BAY Indio, CA 92201 City of Indio I Jul 12, 2017 1 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ❑ Furnace 0 Indoor Coil ❑ AFUE 0 SEER 13.0 ❑ COP [1HSPF ❑ R 6 (CZ 10-13) Served by system m Setback If not already present, must be 2 Condensing Unit ❑ EER ❑ Resistance ❑ R 8 (CZ 14-15) 1600 sf 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-1111 and CF-6111 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 f r, , For Split Systems: Duct leakage, <15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH -OF ae-,-4 15 peFeeot Exempted from duct leakage testing if: ,�[JT`Duct system was documented to have been previously sealed and confirmed through HERS verification, or [12. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 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,; x . , ,' J f. , -,.. '„ --d '--, CF 6R forms: MECH-04, MECH=20 HERS, and (for split systems) MECH-22' HERS, and"'"^ • new ducts:-(all new MECH=25-HERS _ ducting and all new 4 '` F -' CF 4R forms: MECH-20, and (for split systems) MECH-22, and MECH-25• equipment), ` '� �: Wit• -N�l [" ! ..rfr. _� E+. . �t �_ .f. , , 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- Y ❑.3.,New Ducts with/or without Required Forms: ,i Replacement . Includes replacing or installing all: new ducting and/or outdoor condensing unit CF-611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH'I'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: Kevin Robinson Signature: Kevin Robinson Company: J ANTHONY PLUMBING HEATING & AIR CONDITIONING Date: Jul 12, 2012 Address: 72216 NORTH SHORE ST #101 License: 777794 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-2121 Reg: 212-A0036923A-00000000-0000 Registration Date/Time: 2012/07/12 11:42:49 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 Bin. # h4iiwt # : Project Address: v 0q` 7 City Of: La. Qiiih�a.. WHO.- 9 Safety Division P.O. Box. 1504,'78-495 Calle Tampico L . La.Quinta, CA 92253 -:(760) 1777 7012 Building Permit Application• and Tracking Sheet 9Nf. Owner's Name:. Jim W m W% Pt P4 A P. Number. Address: Legal Description: City. ST, Zip: Contractor. Address: ?9M NORTH SHORE ST. STE 10j Telephone: -71.0 & Z.- /9 1— Project Description: City, ST, Zip: ..T MIUSAN MS; CA 92276 � • �„ e LyL / c7 iv C. DIV�- Telephone: [•� State Lia # : ? ?`? Arch, Bttgt'., Designer- esignerAddress: city Lie, #: VSD Address: City., ST. Zip: Telephone: State Lia #: Name of Contact Person:C&%L6 Construction Type: _ Occupancy: • Project type (circle one): New Add'n Alter Repair Demo. LU t Arws. Sq. FL: #Ston # Tn=7 Telephone # of Contact person: F.s<intabod Value of Project . -76 1/ APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Pian sets Req'd Reed TRACKING PERMIT FEES Plan Check submitted Item Amount SErgcturai Calm Reviewed, ready for corrections Plan Check Deposit. . Tres Calcs. Called Contact Person Plan Check Balance Title 24 Calle. Plans picked up Constmcdou Mood plain plan Plans resubmitted.'. Mecb,,,&al Girding plan Z'! Review, ready for correctionelssue Electrical Snbeoatector List Called Contact Person Plumbing Grant Deed. Plans picked up , H.O.A. Approval Plans resubmitted Grading FIN HOUSE-- ''a Review; ready for cormetionslissue Developer Impact Fee Planning Approval.Called Contact Person AXP.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees FAI