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13-1643 (MECH)T. \. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00001643 Property Address: 78890 SKYWARD WY APN: 609-480-056-10 -23773 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 9380 T4hf a BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: ------------------- LICENSED CONTRACTOR'S DECLARATION 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 s`. C20 C36 License No.: 906115 Date: Contractor: 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).: (_) 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.). 1 _ 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.). (_ 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 Owner: DAN YAILLEN 78890 SKYWARD WAY LA QUINTA, CA 92253 (760)567-5277 . Contractor: HYDES 42949 MADIO STREET INDIO, CA 92201 (760)360-2202 Lic. No.: 906115 I VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/18/13 uEE a 2013 /61 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm 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. ✓ 11 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 NORGUARD INS Policy Number CEWC468841 _ 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 of the Later Code, I shall forthwith comply with those provisions. Date: 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, 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 dr 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. I 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 up o above-mentioned property for inspection purposes. Date: Signature (Applicant or Agent): T Application Number . . . . . 13-00001643 Permit MECHANICAL 2013 Additional desc . Permit Fee . . 71.50 Plan Check Fee .00 Issue Date . . Valuation . . . . 0 Expiration Date .6/16/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.00 35.7500 EA MECH CONDENSER/COMP 35.75 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE OUT - 18SEER/78AFUE, 4 TON SPLIT SYSTEM (2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2010 CALIFORNIA BUILDING CODES. Other Fees . . . . . I . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, -MECHANICAL 47.66 Fee summary Charged Paid Credited -Due Permit Fee Total 71.50 .00 .00 71.50 Plan Check Total .00 .00 .00 .00 Other Fee Total 139.23 .00 .00• 1.39.23 Grand Total 210.73 .00 .00 210.73 LQPERMIT # APPLICANT.* DO NOT WPJM 13ELOW THIS LINE 'Project Adder - ' --7 3 q 0� A- R Number; Phu Check submitted Legal Description: Reviewed, ready for C'orreddons contractor evj/.4 - Addrt=. C, city. 4 Telephone:- '6c, State Lic. chity Am k, EW, Designen- construction Address: --------- Qvs -ST, Zip: Meehanied, Telephone: City of La Quints BwIdm9 & Safety Division P.O. Box 1904, 78-495 Calle Tampico La Quinta, CA 92253 - (7160) 777-7012 Building Permit Application and 'Tracking Sheet 4_6,( OvmeesName: Aftew. 9 cql City, S -T, Zip: A C7 .5 A Telephone. -PwjectDesc4tjm- . ......................... M MELLAUSUIAMOUT Stale Lic. #.- ype:. OCCWdUCY-- Name of ConW Pelson: Project type (circleone New Add u Alter Repair* Alter Demo Telephone* ' Sq. Ft.: Contact i),—. Unitz. of Can • Estimated Value ' Submittal Plan sets . ---7— Struct=W Cak& Truss Calm Energy C21,cL .--7-- Flow plan Plan Subcontactur List Grant Deed ELOJL Approval IN HOUS&- Pbnni*ApprovW Pub- Wks. Appr School Fe6s 4 -.W - Total Permit Fees I I APPLICANT.* DO NOT WPJM 13ELOW THIS LINE RWd TRACENG Phu Check submitted PERbM Reviewed, ready for C'orreddons Item Amount - Plan Check Deposit Called CRUtUtFason Plan Plans picked up construction Plans resubmitted --------- Meehanied, 21d ReWcws rtady for correed.wam, Electrical Called Contact NMR ------- -------- 10" Plumbing Plans picked up -------- &KL 77 Plans resubmitted Grading Review, ready forcorn ectiOnslissue Develop—LuPactPee CWtId Pawn AJ.P.P. Date of p --.it issue Total Permit Fees I I t Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 78-890 Skyward Way La Quinta, CA 92253 City of La Quinta. Dec 16, 2013 - Duct insulation • Conditioned Floor Equipment Typel' List Minimum Efficiency? requirement Area Thermostat ❑ Package Unit ® Furnace ® Indoor Coil 0 AFUE 78% ® SEER 1 0 ❑ COP ❑ HSPF ❑ R 6 (CZ 10-13) R 8 Served by system 1600 sf 0 Setback . If not already present, must be ® CondensingUnit ❑EER ❑Resistance ❑ (CZ 14-15) 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 -1R and CF -6R 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 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','. percent; percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement),-TMAH F9F Packaged "nits-- Duet,izaka Exempted from duct leakage testirig if: ' .❑ 1:-Ddct 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 duct systems areconstructed, insulated or sealed with asbestos ❑'4. The�system;will not be Ducted (�e-Ductless Mini,Spht System)x(AIsoAExempt fromrRefrigerant Charge) ❑ 2. Nei�HVAC System Re quiredForms ,, .Cut in ori Changeout withs F CF6R form. r� a x r x MECH 20 HERS, and (for split systems) MECH 22 HERS, and new ducts `r(all new ducting and all new # ,MECH-04, MECH'25{HERS tab>k ,r aIN Fr L rrns MECH20,and ffdr split systems) MECH2;�andMEH125a,�i - equipment) ,, .f4R �A For Sp it Systems Duct leakage�c56 percent; RC;;CCA > 350 CFM/ton FWD, TMAH, SIMS, and either HSPP'or`PSPP. For Packaged Uriits:' Duct leakage < 6 percent ❑ 3. New.Ducts c&':W without. ,: Required Forms: Replacement • Includes replacing or installing al,l. 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 furnaceNo or some CF -4R forms: MECH-20 and (for split systems) MECH=25 equipment changed. f• 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-21-HERS linear feet of duct in unconditioned space. CF -4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent [3 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: Dec 16, 2013 Address: 42-949 MADIO STREET = License: 906115 City/State/Zip: INDIO / CA / 92201 Phone: (760)':2160r,2202 Reg: 213-A0093718A-000000000-0000 Registration Date/Time: 2013/12/16 14:27:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 V t Reg: 213-A0093718A-000000000-0000 Registration Date/Time: 2013/12/16 14:27:48 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 V