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14-0710 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation:' Apply'sant: � 14-00000710 52225 AVENIDA VALLEJO 773-222-022-11 -000000- MECHANICAL COVE RESIDENTIAL 5250 Architect or Engineer: A4— - 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/29/14 Owner: REDEVELOPMENT AGENCY CITY OF L 78495 CALLE TAMPICO LA QUINTA, CA 92253 Contractor: GREENUP AIR CONDITIONING AND H PO BOX 7431 LA QUINTA, CA 92248 (760)771-2920 Lic. No.: 985406 -------------------------'' MAY -20W -4[D------- LICENSED CONTRACTOR'S DECLARATION WORKER'S C MP SATION DECLARATION I 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 followi Luaxi.9 Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. I have and will maintain a certificate of ionsent to@. fHsCF r rr,AA������1j rtpensatio as provided License Class: C20 License No.: 985406 for by Section 3700 of the Labor C e, for the pef14!.j prA b041p1y for which t is permit is � �� r a 6 Date-5-2944Contractor: �% rr issued. uu�r`r�ss required _ 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 EXEMPT Policy Number EXEMPT following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit toI 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 subject 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 3700 of the Labor Code, I shall forthwith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 bycc . any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)•: # Datt`J Applicant: r �/� Q� .6 " d - (_ � 1 _ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and _ 1 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 • (_) 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, I—) 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 work for which this permit is issued (Sec. 3097, Civ: C.). , Lender's Name: Lender's Address: LQPER,MIT 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 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 �� er upon the above-mentioned property for inspection purpo s. Date:3 —M-14 Signature (Applicant or Agent): a � t1 n t•-�� Application Number . . . . 14-00000710 " Permit MECHANICAL•2013 Additional desc Permit Fee . . 71.50 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/25/14 Qty UnitY.Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.00 35.750.0_EA MECH CONDENSER/COMP 35.75 ---------------------------------------------------------------------------- Special Notes and Comments FURNACE,CONDENSER 13 SEER PER 2013 MECHANICAL CODES 2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODE. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . 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 .00 139.23 Grand Total 210-73 .00 .00 210.73 Bin # City of La Q uin to Building 8i Safety Division P.O. Box 1504, 78-495 Calle Tampico. La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �j Project Address: 5aa a J p vQn I \% JQ , Owner's Name: Cl t� L L. j V_V�Ct_ A. P. Number: Address: 77g q CIS ajj_.p —re, v Legal Description: City, ST, Zip: � Qks "1 aaSj -3 �^ \ Contractor: V qyn Ai `/ �n61110r-, Telephone:-7� — -7OI Address: PD. '-7L4-31 Project Description: City, ST, Zip: �� as 49zz, QY_-X Of (\-LLA-) Telephone t00--1`j 1--DC ? ; ea�P rsc State Lie. # :c1854Q City Lie. #:... Arch., Engr., Designer: Address: City, ST, Zip: Telephone: • ' <;:::;;::<:;:;:;:::<;s�:;< Construction Type: Occupancy: State Lie. #' Project Type (circle one): New Add'n Alter Repair Demo Name of Contact Person: cLr C-}J(e e.n..,.: Sq. Ft.:, (p(D0 I # Stories: # Units: Telephone # of Contact Person: -T(oD --N ( - O q a V Estimated Value of Project:00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES. Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Floodplain plan Plans resubmitted Mechanical Grading plan tad Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S:M.1. H.O.A. Approval Plans resubmitted Grading IN HOUSE: '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Galled Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC Climate Zones 10 - 15 Y;; -7 - Site Address: Enforcement Agency: Date: 7 Permit #: 52225 Avenida Vallejo,�La Quinta, CA 92253 City of La Quinta May 27, 2014 Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace ❑ Indoor Coil ❑ AFUE ® SEER 13.0 ❑ COP ® HSPF 7.7 ❑ R 6 (CZ 10-13) Served by system ® Setback If not already present, must be ® Condensing Unit (3EER [3 Resistance [3 R 8 (CZ 14-15) 1600 sf installed) ❑ Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF-1R-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-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 . 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 < 15 percent; 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 ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. The system will not be Ducted (ie. Ductless Mini-Split System) (Also Exempt from Refrigerant Charge) ❑ 2. New HVAC System Required Forms: • Cut in or Changeout with CF-6R'forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-22-HERS, and new ducts: (all new MECH-25-HERS ducting j= all new CF-4R forms: MECH-20, and (for split systems) MECH-22, and MECH-25 equipment) , 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/or without Required Forms: Replacement • Includes replacing or installing all new ducting and/or outdoor condensing unit CF-611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace. No or some CF-411 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 CF-6R forms: MECH-04, MECH-2I-HERS linear feet of duct 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 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: Brian Greenup Signature: Brian Greenup Company: GREENUP AIR CONDITIONING AND HEATING I Date: May 27, 2014 Address: P 0 BOX 7431 License: 985406 City/State/Zip: LA QUINTA / CA / 92248 Phone: (760) 625-6537 Reg: 214-A0037836A-000000000-0000 Registration Date/Time: 2014/05/27 11:59:19 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010