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11-0583 (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: -_ 11-00000583.. '52665-AVENIDA VALLEJO 773-292-019-7 -000000- MECHANICAL COVE RESIDENTIAL 4500 T d-�v 4 4 Q" Architect or Engineer: . :r JA BUILDING & SAFETY DEPARTMENT BUILDING PERMIT CENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perosin I am licensed under provisions of Chapter 9 (commencing with Sectiorn7 01 of Division 3 of theand Profe als Code, and my License is in full force and effect. L�iceln,e C ss: C20 License No.: 874583 yeceWLL Con tor: / OWNER -BUILDER DECLARA ON 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).: (_) 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.). (_) 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 contractors) licensed pursuant to the Contractors' State License Law.). (_ 1 1 am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 1 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: ti LQPERMIT Owner: MORGAN KERMIT J 2108 STRADELLA RD LOS ANGELES, CA 90077 Contractor: f' ALL ABOUT AIR PO BOX 5936 LA QUINTA, CA 92248 (760)578-7913 Lic. No.: 874583 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/06/11 WORKER'S COMPENSATION DECLARATION I hereby affirmunder penalty of perjury one of the following declarations: _ 1 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 E EMPT Policy Number EXEMPT I certify that, in the perform a of the work for which this permit is issued, I shall not employ any person in any manner s a to become subject to the workers' compensation laws of California, and agree that, if I sho Id ecome subject to the workers' compensation provisions of Section 3700 of the Lab r Co shall forth ith omply with those provisions. pe.: tn plicant: WARNING: FAILURE TO SECURE ORKERS' 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 ori 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 bove informati i correct. I agree to comply with all *andFordiinan�ces nd stat laws relating to u' ing constructio an hereby authorize representatives th ove-mentioned pr p rty for inspectio urre (Applicant or Agent) Application Number . . . . . 11-00000583 Permit . . MECHANICAL Additional desc . Permit Fee 40.50.-• Plan Check Fee 10.13 Issue Date .. . . . . Valuation 0 Expiration'Date 12/03/11 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-500KBTU 16.50 Special Notes and Comments CHANGE OUT.HVAC SYSTEM, NEW.3 TON SYSTEM. FURNACE, CONDENSER, (13 SEER), HEAT -PUMP, 2010 CODES. ------------- 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 Resideniial HVAC Alterations CF -IR -ALT -HVAC 'Climate Zones 10 to 15 Site Address: n !` Enforcement Agency: D e I Permit W Equipment ni List Minimum Efficienc Duct insulation requirement Conditioned Floor Area Thermostat ❑ Packaged Unit thumace door Coil ❑ AFUE ❑ COP Over 40 ft of ducts added or replaced in unconditioned space Served by -Setback ondensing Unit ❑SEER Q7i3PFF O EER I1 ❑ R 6 (CZ 10-13) system afnot already be ❑ Resistance sf present must ❑ Other I ❑ R8 (CZ /4-15) installed) /. Equipment Type: Choose the equipment being installed; i(more than one system, use another CF -I R -ALT -HVAC jor each system. 2. Minimum Equipment Efficiencies: /3 SEER, 78%AFUE, 7.7HSPFfortypical 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 -611 and registered CF -4R forms (no hand filled CF4Rs allowed) are filled out and signed. Beginning October It 201OLaregistered copy of the CF -1R and CF -6R shall also be on site for final Inspection. 1. HVAC Changeout Required Forms: • All H VAC Equipment replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF4R forms: MECH- 21 and fors lits stems MECH-25 • Condenser Coil and /or • Indoor Coil and/or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS • Furnace CF4R 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 For Packaged Units; Duct leakage < 15 percent Exempted from duct leakage testing if: O I. Duct system was documented to have been previously seated 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 [12. New HVAC System Required Forms: • Cut in or Chang 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 forms: MECH 20-, and (for split systes)MECH-22,. and MECH 25 new equipment) CF -41K tn 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 Replacement' Required Forms: • Includes replacing or installing all new ducting CF -6R fors: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF -4R forms: MECH-20 and (for split systems) MECH-25 coil and/or furnace. Not all 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 t in unconditionreplacing more than 40 linear feet of duct ed s ace. CF -6R fors: MECH-04, MECH-2I-HERS 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) • 1 certify that this Certificate of Compliance documentation is accurate and complete. • 1 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 Certi to of Compliance conform to the requirements of Title 24, Parts I and 6 of the California Code of Regulations. • 'be design features identified on this Certificate of Compliance ate consistent with the infonnati umented on othe app] cable compliance forms, worksheets, calculate s ificati Plans ands submitted to the enforcement a fora oval with the it a lication Name: QM v1 01 Z Signature: Company: ^ 0 . l`t1 Daze: ' n 4 �-C Address: V 0 _ V License: �T City/State/Zip:L (f Phone: /5 2008 Residential Compliance Forms March 2010 Bin # City of La Quinta Building at Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #5$3) Project Address: 2 C (I �p7��-84 Owner's Name: A. P. Number: Address: Legal Description: Contractor:Telephone: City, ST, Zip: Address: %v ©�^ 2� (p Project Description: City, ST, Zip: �� a,�% vl 6) 017- 17- Telephone: Telephone: State Lic. # :AMW $71f5_9,3 City Lia Arch., Engr., Designer: Address: City, ST, Zip: Telephone: #'v>x: ::•;;; ;;:;;:;:; ;: ;;;n:::;:;:: y.;;<.>:;::;r: 4;;r:Y:.,.,•';:h:yvii: ii:vi::;;r i'.:.'n:::�idu iA,; 2.v.in:�i:•ii::i::Siii,i2:�i:i: State Lic. # '<?>': 5:<rs<':r;;>:>;<:>l;;;:.,>:.;;;;;:.::.;v. :>..;.;.:...r>::•r:•: Name of Contact Person: omC 1 !n (G1 L Construction Type:. Occupancy:. Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stori Units: Telephone # of Contact Person: Estimated Value of oject: LJ APPLICANT: DO NOT WRITE BELOW THIS L # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for correctionsfissue 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