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11-0645 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00000645 Property Address: 48111 CALLE SERANAS APN: 646 -110 -052 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 6800 . Applicant: TdY 4 4.QubA BUILDING & SAFETY DEPARTMENT ,BUILDING PERMIT Architect or Engineer: Owner: PFANNMULLER K 48111 CALLE S LA QUINTA, CA Contractor: AIR EXPERTS A VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 fUN13zo„ a Date:- 6/14/11 - JUN 3. -1 zo11 /14/11 PO BOX 94 LA QUINTA, CA 92247 (760)777-1724 1 �Pt LiC. No.: 725283 - -- - - - - - - - - - - - - - - - - - - -- ------------'-------------------------------'-----------------------------— LICENSED C NTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury hat I am lic sed 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 Busi ass and Pr f ssio_ nals 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 Class: C20 License No.: 725283 - for by Section 3.700 of the Labor Code,,for the performance of the work for which this permit is issued. ate: �� ontractor: �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 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 sheislicensed 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 ofnotmore than five hundred dollars 1$5001.: (_) 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 ISec. 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-builde( 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 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 insurance carrier and policy number are: Carrier GUARD INS GROUP Policy Number PAWC226751 I certify that, in the perf mance of M work for which this permit is issued, I shall not employ any person in any marine so as to be oma subject to the workers' compensation laws of California, and agree that, if I s ould beco e�subject to the workers' compensation provisions of Section 3700 of the Labor ode, I sh rthwith comply with those provisions. _ te:LQ j I (\ plicant: WARNING: FAIL RE 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 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 the�®r e infor tion is correct. I agree to comply with all city and county ordinances an state laws relating to buildonstru Ion, and hereby authorize representatives of this county to enter upo the above-mentioned propertyins 'on purposes. te::Q (lt' (� gnature (Applicant or Agent): .49 LQPERMIT Application Number . . . . . 11-00000645 Permit... MECHANICAL Additional desc . Permit Fee . . 40.50 P1an.Check Fee 10.13 Issue Date . . . . Valuation 0 Expiration Date 12/11/11 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 REPLACE 5 TON 16 SEER CONDENSING UNIT FURNACE & INDOOR COIL. 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 .49 LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: - Permit #• 48-111 Calle Seranas La Quinta, CA 92253 City of La Quinta Jun 9, 2011 ( - (o Dud insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit p Furnace 0 Indoor Coil 0 AFUE 78% o SEER 16.o ❑ COP ❑ HSPF ❑ R 6 (CZ 10-13) Served by system 0 Setback If not already present, must be p Condensing Unit ❑ EER ❑ Resistance ❑ R g (CZ 14-i5) 2000 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 -611 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 -111 and CF -611 shall also be on site for final inspection. 0 1. HVAC Changeout Required Forms: . All HVAC Equipment CF -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF -411 forms: MECH-21 and (for split systems) MECH-25 . Condenser Coil and /or . Indoor Coil and /or CF -611 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 For Split Systems: Duct leakage < 15percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH Exempted from duct leakage 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 [13. Existing dud systems are constructed, insulated or sealed with asbestos ❑ 4. The�systermw.ill not be Ducted: 0e. -Ductless -,Mini -Split System),(Also-Exempt,-from Refrigerant --Charge) ❑ 2. New HVAC System Required Forms: . V . Cut inror Changeout with; .f r , new duds: (all new i ducting and all new CF 6R':forrn MECH-04, MECH-20-HERS (for split systems) MECH-22 HERS, and MECH 25-HERS CF forms MECH 2a0, and (for split systems) MECH-22,"and MECH 25 ', equipment) ..!1 }}4R �i ti_ .r+�- •:avr r�+. r " j mks. 'r .rn For Split Systems: Duct leakage:< 6 percent; RC, CCA >_ 350 CFM/ton, FWD" .TMAH, STMS, and either HSPP o'r PSPP. ° a For Packaged Units: Duct leakage' < 6 percent ❑ 3. New Ducts with/or without Required Forms: Replacement j + . Includes replacing or installingall new ducting and/or outdoor condensing unit and/or indoor CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS coil and/or furnace. No or some equipment CF -411 forms: MECH-20 and (for split systems) MECH-25 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 dud 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 witfi: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: Paul Van VlymenSignature: Paul Van Vlymen Company: AIR EXPERTS AIR CONDITIONING -HEATING Date: Jun 9, 2011 Address: PO BOX 94 License: 725283 City/State/Zip: LA QUINTA / CA / 92247-0094 Phone: (760) 777-1724 Reg: 211-A0027789A-00000000-0000 Registration Date/Time: 2011/06/09 18:10:01 HERS Provider: CalCERTB, Inc. 2008 Residential Compliance Forms July 2010 Bin # City of La Quinta Building 8'r Safety Division P.O. Box 1504, 78-495 Calle Tamplco La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 5 ' I Project Address: �ij — C- fan 04S .' Owner's Name:P ) r•-, •til c..4 A. P. Number: Address: Legal Description: City, ST, Zip: Litce, C'12Z's Contractor. .� p� l l � 1T C- -' a t ' Telephone: s -I I. –G�� I — '1��I � ';:i��. �� � `°"` "^•'<.°; ,,.: _ .. '£ Address: O, a k Ct –\ Project Description: City, ST, Zip: � � �-t_l--�n� G� L� Gl 2z � � G� • �1 I l.P. S`C Telephoner CP 0'7–?—) I �72' r `` �# ,' „, ; State Lic. # : '�LS. L�� City Lic. #; Arch., Engr., Designer- esignerAddress: A Q Address: City, ST, Zip: Telephone: Construction Type: Occupancy: Project a circle one Nc Add' Alter Repair Demo State Lic. #: Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project:l,eg . APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal AReq'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cala Reviewed, ready for corrections Plan Check Deposit ' Truss Cala. Called Contact Person Plan Check Balance Title 24 Cala. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2". Review, ready for correctionsAssue 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 correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees -71