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11-0481 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 11-00000481 54529 TANGLEWOOD 775 -051 -002 - MECHANICAL LOW DENSITY RESIDENTIAL 7600 Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: TIMOTHY DEMAKIS 54529 TANGLEWOOD LA QUINTA, CA 92253 Contractor: HYDES VOICE (760)777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/09/11 im MAY G 9 2011 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 anowner of property who builds or improves thereon, and who contracts for the projects Willi a cuntractor(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 APPLICANT ACKNOWLEDGEMENT I - 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 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'workis 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 hereby authorize representatives of this ounty to enter upon a above-mentioned property for �inspecties. aPte: 9-' nature (Applicant or Agent):!/ 77825 WILDCAT STREE LI f PALM DESERT, CA 922 1 Ipl. ( (760)360-2202 Lic. No.: 906115 CITYOFI.A�UINTA FINANCEOEPT. ----------- ----------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION ' hereby affirm under penalty of perjury that 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 Business and Professionals Code,,�pd 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 ' Lice 'Class: C20 C36 Licen -No.: 906115 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is `. .i y ntractor: 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: ' I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier NORGUARD INS Policy Number CEWC133676 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to - I certify that, in the performance 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 so 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 I should become ubject 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 370Q.the Labor Code, , all f tj�u th comply 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 ($500).: ate: % plicant: - - 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 WARNING: FAIL RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ANDSHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereoA, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ' 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 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 anowner of property who builds or improves thereon, and who contracts for the projects Willi a cuntractor(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 APPLICANT ACKNOWLEDGEMENT I - 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 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'workis 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 hereby authorize representatives of this ounty to enter upon a above-mentioned property for �inspecties. aPte: 9-' nature (Applicant or Agent):!/ Application Number . . . . . 11-00000481 Permit MECHANICAL Additional desc . Permit Fee 40.50 Plan Check Fee 10.13 Issue.Date . . . . Valuation 0 Expiration Date 11/05/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000. EA MECH FURNACE <=100K 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-5.00KBTU 16.50 Special Notes and Comments . HVAC CHANGE OUT 16 SEER UNIT, 3.5 TON, CONDENSER LOCATED ON ROOF. 2010 CODES. . ------------------------------------------------- Other Fees . . . BLDG STDS ADMIN (SB1473) 1.00 ..Fee summary Charged Paid Credited' ---------------------------------------------------------- Due Permit Fee Total 40.50 .00 .00 40.50 Plan Check Total 10.13 .00 .00 10.13 Other Fee Total 1.00 .00 .00 1.00 Grand Total 51.63 :00 .00' 51.63 LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-1R-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 54-529 Tanglewood La Quinta, CA 92253 City of La Quinta May 9, 2011 Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit 2 Furnace * Indoor Coil 0 AFUE 78% p SEER 13,0 ❑ COP E-] HSPF E)R 5 (CZ 10-13) Served by system 2 Setback If not already present, Q Condensing Unit ❑EER ❑ Resistance ❑ R 8 (CZ 14-15) 1600 sf must be installed) ❑ Other 1. Equipment Type. Choose the equipment being installed; if more than one system, use another CF-ZR-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 cn 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-IR 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 . e - V-1 For Split Systems: Duct leakage <15 percent; RC, CCA 5 300 CFM/ton (Minimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage'< 15 percent Exempted'from duct leagage 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 ducystes are Eon'structed insulated=orsealed with asbestos E:)r3. Existing t sm ❑ 2. New HVAC II t Required Forms:11�c`'M t f3 C i f rt System. 1,,. ,,—" lam, tF _ 9`,s -M•-.. . Cut in or Changeout with new'ducts: (all new ducting 'i. 1 x ,,*..-- CF 6R,forms MECH-04, MECH 20 HERS, and (for split systems) MECH 22 HERS,,1and s MECH 25'HERS �• ' t Land! ; new equipment)` ' , E' r` �x CSF 4R for eMECH+20, and (or split system's )MRW22, and MECH X25 • �� For Split Systems: Duct leakage <.6 percent;.RCXCA�>_m350 CFM/ton,`FWD, TMAH,-STMS, and either HSPP or PSPP. For, Packaged,Units: Duct leakage <'6 percent ❑ 3. New Ducts,with/or withoutl F Required Forms: Replacement . Includes replacing or installing all; new ducting and/or outdoor ),*. ` condensing unit and/or indoor coil CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS 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 linear feet of duct in CF-6R forms: MECH-04, MECH-2I-HERS 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: Mark Hyde Signature: Mark Hyde Company: CERTIFIED COMFORT SYSTEMS INC Date: May 9, 2011 Address: 77-825 WILDCAT DRIVE License: 906115 City/State/Zip: PALM DESERT / CA / 92211 Phone: (760) 360-2202 Reg: 211-A0022318A-00000000-0000 Registration Date/Time: 2011/05/09 17:31:34 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 M Bin # City of La Quinta Building a 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:' 15— l , 5-2q 6,h (./Xcj A. P. Number. Owner's Name: /t^? Address: S2N yl f Legal Description: city, ST, Zip: Contractor. G e r�I P r Address: - -7 7,95 G. City, ST, Zip: / rt 1�'I �Gise r C C( ZZ U elephone: �U -77 —: Project Description: Telephone: ZZ0Z City Lic. #: G— State Lie. # : 106 (j Arch., Engr., Designs: Address: City, ST, Zip: Telephone: Consttup ion Type:an Occup cY: State Lic. #: Project type (circle one): New Add'u Alter Repair' Demo Name of Contact Person: Sq. Ft: #Stories: # Units: Telephone # of Contact Person: Estimated Value of Project 6C)o APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Reed TRACIMG . PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Truss Calcs. Reviewed, ready for corrections Called Contact Person Plan Check Deposit Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan' 2" Review, ready for correctiouslissue Electrical Subcontactor List Called Contact Person Plumbing S.M.L Grading Grant Deed Plans picked up H.O.A. Approval Plans resubmitted IN HOUSE:- 3rd Review, ready for corrections/issue Developer Impact Fee Planning Approval I Called Contact Person A.U.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees