Loading...
12-0441 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA,'CALIFORNIA 92253. Application.Number: 12 - 0000044__l� Property Address: 54999 SOUTHERN HILLS APN: 775-181-005- - -. Application description: MECHANICAL BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SOO ROH 54999 SOUTHERN HILLS LA QUINTA, CA 92253. Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 7245 I�D VOICE (760)777-7012 FAX (760) 777-7011 .INSPECTIONS (760) 777-7153 Date: 4/23/12 Contractor: APR Applicant: Architect or Engineer: HYDES APR 2 0 1012 42949 MADIO STREET INDIO, CA 92201 C1 (760) 360-2202 FANC QUIPdT,q 1 !1, Lic. No:. 906115 ���PT, 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,a d 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 Licens Class: C20 C36 icens o.: 906115 - - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is _ issued: ate: • _ tractor: 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 CEWC243358 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to I certify that, 1n 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 subject to the workers' coppensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or, 3700 the Labor Code, I shall fo hw' 1 o y wi so1'e provisions. t - 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 thamfive 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: FAILURE TO SECURE WORKERS' 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 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.):APPLICANT ACKNOWLEDGEMENT. (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the ' 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at. whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,, 1 ) I am exempt under Sec. B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City Date: Owner: CONSTRUCTION LENDING AGENCY - I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the wort for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: ' Lender's Address: LQPERMIT 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. 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 unty-tto enter pon the above-mentioned property for inspectio wwosedhs. �S1 ture.(Appticant or Agent): -Application Number. 12-00000441 Permit MECHANICAL Additional desc_. Permit Fee 40.50 Plan Check Fee 10,13 Issue Date Valuation 0 Expiration Date 10/20/12 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 ; HVAC. CHANGE -OUT 4 TON, 14 .SEER PACKAGE UNIT 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 Total51.63 00 :00 51.63 LQPERMIT �. Simplified Prescriptive,Celrtificate of Compliance:. 2008:Residentia/ HVA. CAlterations" : `CF-1R=ALT-HVAC_ Climate Zones 10 -.15 i Site Address Enforcement Agency: Date: Permit #: 54-999. Southern Hllls'La',Quinta, CA 92253 City of La' Quints Apr 23, _2012 -• Duct insulation • :. Conditioned Floor Equ pment Typei List Minimurn Efficiency2;,• requirement " Area Thermostat 0< ackage Unit ❑Furnace Indoor Coil ® AFUE 78%; ® SEER; 13.Oi [],COP ❑ HSPF. - [1,116 (CZ 10-13) Served.by system p Setback If not-altdady present; must be ,0 ❑ Condensing Unit ❑EER i ❑Resistance : ❑R8 CZ 1415 !' ), ,� 0 sf installed). ❑Other �' il 11 1. Equipment Type: Choose the equipment being installed;"'if more than one system, use anotherCF=1 R-ALT=HVAC for each system. 2. Minimum Equipment Efficiencies: i13 SEER, .78.010 AFUE, 7.7HSPF for typical residential, systems. HERS VERIFICATIONSUMMARY. Listed below are FOUR HVAC alteration'Options. The installer decides.whatwork°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 finalinspection 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;py the installer: The inspector also _yer'ifies that each appropriate CF -6R and registered CF -4R forms (no hand filled CF-4Rs:allowed) are filled out andaigned.Beginning October:1,,2010, a.registered copy.of•the CF=3111: and CF -6111 shall also be on site final =inspection: m 1.,HVAC Changeout Required Forms All HVAC Equipment CF-6Rjform's: MECH-04,_MECH-21-HERSR's, HERS re.placed:... CF 4RCforms 'MKH-2,1 . C /or, CF 6R forms MECH 04, MECH=21 HERS .:IndoornGoil"anldand /or CF 4Rforms MECH 21: . Furnace:�'s.:... _ . For ..P"ackaged Units Duct leakage 015 pereent F Exemptedfrom:ductaeakage'testing`if' ;pal Duct,sysytem was documented to hare:been previously sealed and confirmed through' MS verlficatlon,:or p 2 Duet systems with less than;40„linear feet lin uncontlitlonedspace; or 33 E Existingduct systems aeconstructed insylated orsealed with asbestos Q 4 The system will not be Ducted (ie DuctleMMlm'°Splljt System) (iAlso Exempt from RefngerantrCharge) 2.: NewHVACaSystem ur-0 r Required Foams ” r WO:'m� a .:Cut m oe Changeout wlth� :new ducts' (all new CFl6R fo ms MECH 09 MECH 20 HER5�a d splits st s MECH-22¢H ( P Y ) �? r- T. Wo MECH 25-2HfiR5����� ductllin­v gi all new equipment) CF 4R forms MECH 2Oand (forsphtsystems)MEGH22 and3M C 25 �r ,- 4{�_ For Split Systems D�uctvleakage :,.. •:i.,y.: .�. s,{'" <�eh: aX" S:S,..6!"' "—'Du percent;±11C CCA > 350 CFM/ton; FWD TMAH SIMS, and either HSPP orPSPP. =' fj Ei"Ci�- For:iPacka ed Units ....<...r9 a leaka ex< 5' ercent? f ❑3NeKDucts with/or without' ° Required Forms: Replacement­� . Includes replacmg'or mstailing�all, new ducting and/or.outdoor cond�ens ng unit CF' -6R forms MECH 04, MECH 2O=HERS, and (for spilt systems):MECH 25, HERS and/or indoor coil;and/or fumaeeNo oraome. CF -4R forms MECH 2O;and (for'spht systems) MECH 25 . equipment changed` �. For.Split:Systems: IDU ctaeakage <'-6 peecent; RC; CCA 2:':300 CFM/ton; TMAH For Packaged Units:;Duct leakage < percent a. E ❑ 4: New Ducting over 40 feet i., Required Forms: . Includes adding'orreplacing more-than40 . CF -6R forms: MECH704; MECH-2.I-HERS linear feet of duct in unconditioned.space. CF-4R-forms:,MECH-21 For split system or -packaged Ju nits: Duct leakage.< 15 percent ; ❑ EXCEPTION:,,Existing.duct"sysEems constructed, insulated or sealed"with asbestos Contractor (DOCumentation Author's /Responsible Designer's Declaration -Statement) • I certify,that this Certificate of.Compliance documentation is accuiate 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 ihugy features andiperformance specifications for the design identified on this Certificate of Corripliance-conform to the requirements of Title 24, Parts'.1 and'6 of the California Code of Regulation`s:.-, • 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' ° Signatures Mdrk Hyde Company: CERTIFIED COMFORT SYSTEMS:INC. Date:,Apr 23; 2012 Address: 42-949 MADIO STREET i License: 906115 City/State/Zip: INDIO/ CA /,9220T,:Phone: (760) 360-2202 Bin # Permit # 1 1 rolect Address: — CI 'I 7 /,1 A. P. Nurnber: Legal Description: Contractor: Address: City, ST, Zip: h Telephone: zle7 -� State Lic. # : `166 Arch., End., Designer. Address: City, S'1', Zip: Telephone: Stale Lic. #: Name of Contact Person: 1'elephone # of Contact Person: # Submittal Plan Sets Structural Cafes. Truss Cafes. Energy Cafes. Flood plain plait Grading, plan Subcuntactor List Graaf Deed II.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees City of La' Qu►nta Building & Safety Division P,O: Box 1504, 78-495 Calle Tampico La: Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Owner's Name: Address: 4� City, S -T, Zip: / Telephone: �— Project Descripkion: A` City.L ic. #: LJf `LZ J—T? Construction Type: Occupancy: Project type (circle one): New Add", Alter Repair' llemo Sq. Ft.: #Stories: # Units: Estimated Value of I'rojeet: APPLICANT: DO NOT WRITE BELOW THIS LINE d Rec'd TRACKING Plan Check submitted PERMIT FEES Reviewed, ready for corrections Item Amount Plan Check Deposit Called Contact Person , P1311 -Check Valance Plans picked up Construction Plans resubmitted Mechanical 2" Review, ready for corrections'issue Electrical Called Contact Person Plumbing Plans picked up S.M.I. Plans resubmitted --�_ Grading 7id Review, ready for correctionsfissue Developer Impact Fee Called Contact Person A-I.P.P. Date of permit issue Total Permit Fees