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14-0767 (MECH)P.O. BOX 15,04 0, 78-495 CALLE TAMPfGp,,.. LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000767 Property Address: 52565 AVENIDA VALLEJO APN: 773-292-014-2 _000000 - Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 8000 Applican • _ Archi ct o Engineer: ----------`----- - --A-- BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICEN CONTRACTOR'S DECLARATION I hereby affirm under penalty of perju y t t I am ensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Buline and fessionals Code, and my License is in full force and effect. License la s: C20 LicenseNo.: 954337 >4��r Date: 1 Contractor: OWN ) -R ILDE DECLARATION I hereby affirm under penalty of perjury that I am exempt fraRYfte 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 155001.: (_) 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: LQPER11tIT Owner: MACNEIL ROBERT 52565 AVENIDA VALLEJO MORENO VALLEY, CA 92553 (760)396-7027 Contractor: ALL DAY HEATING &COOLING 83947 MOONLIT DRIVE COACHELLA, CA 92236 (760)834-1064 Lic. No.: 954337 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/04/14 4 ! e �)D JUN 0141 ?n CITY OF LA QUI NTA ! FIMAMCE DEPT 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. - 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 numb are: Carrier NORGUARD INS P 'cy umber MIWC460495 I certify that, in the perform nce of th ork for hich this permit is issued, I shall not employ any person in any manner s to beco a subj to the workers' compensation laws of California, and agree that, if I sho ecome bject t the workers' compensation provisions of Section 3700 of the Labor C , shall fo with c mply with those provisions. J Date: Applicants WARNIN : FAILURE TO SECURE WORKERS' COMP NS COVERAGE IS UNLAWFUL, AND SHALL" SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AVD 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 shallLendndsedemnify and hold harmless the City of La Quinta, its officers, agents and employees for anission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this applicat n becomvoid if work is not commenced within 180 days from date of issuance f s h permition of work for 180days will subject permit to cancellation.'`I certify that I have read this application and state tha th above i correct. I agree to comply with all city and county ordinances and state laws relating to it g con d hereby authorize representatives of this oun y to enter upon the above-mentioned pro rt for in eoses. Date y� ti Signature (Applicant or Agent) Application Number . . . . 14-000.00767 Permit MECHANICAL 2013 -Additional dese _ -Permit Fee . . . . 83.42 Plan Check Fee 00 Issue Date" Valuation .. 0 . Expiration Date .. 12/01/14 Qtyl Unit Charge •Per ;Extension' 1.00 11.9200 EA , MECH APPL REP/ALT 11.92 1.00 35.7500 EA MECH CONDENSER/COMP 35.75 1:00 35.7500, EA MECH AIR HANDLER 35.75 Special Notes and Comments. HVAC HEAT "PUMP SPLIT REPLACEMENT INDOOR. -COIL & HEAT PUMP. 2013 MECHANICAL CODES.CODE2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED`"PRIOR TO FINAL INSPECTION. ----------------------------------- - - - - -- - Other Fees BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E, 90.57 PLAN CHECK, MECHANICAL 40..52 Fee summary, Charged .•Paid Credited. Due „ Permit Fee Total 83.42 .00 .00 83.42 Plan Check -'Total .00' .00 .00 .00 Other Fee Total 132•:09 .00 .00 132.09 Grand Total 215.51 .00 00 215.51 Bin # City of La -Quin to Building 8L Safety Division Permit # P.O. Box 1504.,.78-495 Calle Tampico . U Quinta, CA 92253 - (760) 777-7012 1 Building Permit Application and Tracking Sheet Project Address: S-2, SZ S , c , Owner's Name: • o-6 �� e A. P. Number: Address:6­2,-_SG,;- � vp,�, Legal Description: City, ST, Zip: Ld Contractor: Tele e�t 2 —�+ Awl �-t {--t Coate pho3 6 �- Address: Project Description: City, ST, Zip:�- Telepho e:�-t-106 _< ::::<: ;x>,....::•;;:<>:z' State Lic. # : City Lie. #; yet rL 1 � Arch., Engr., Designer: Address: City, ST, Zip: L4 — Telephone: Occupancy: Construction Type: #• State Lie. ri.4:1r lv;::.. i� : i:� iii: .... •. Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: �� �� S��� Sq. Ft.: �L( #Stories: #Units: Telephone # of Contact Pe :1b Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT TEES. Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance Ti tic 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2' Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN ROUSE:- ''J Rcyiew, ready for corrcctionsrissue Developer Impact Fee — -Planning-Approval -Calltd-Contact-Person -AA.P. . Pub. Wks. Aper Date of permit issue School Fees Total Permit Fees I '�J Simplified Prescriptive Certificate of Com liance: 2008 Residential HVACAlterations CF -IR -ALT -HVAC, Climate Zones 10 to 15 Site Address: Enforcement Agency: Date: Permit #: ' 6 Equipment Type' List Minimum Efficienc a Duct insulation requirement Conditioned Floor Area Thermostat ❑ Packaged Unit ❑ Furnace ':le�� ❑ AFUE_ ❑ COP Over ft of ducts added or �L4etback door Coil ?"`"'� $BEER 5- ❑ HSPF e replaced in unconditioned space Served by system (If not already ondensing Unit Ether ❑ EER I2 ❑ Resistance ❑ R 6 (CZ 10-13) (��a sf present, must be ,L.. ❑ R 8 (CZ 14-15) installed) 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 si ed. Be innia October 1, 2010, a regi stered copy of the CF -1R and CF -6R shall also be on site for final inspection. 1. HVAC Changeout Required Forms: • All HVAC Equipment replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS ( CF -4R forms: MECH- 21 and fors lit stems MECH-25 • Condenser Coil and/or • Indoor Coil and /or CF -6R forms: MECH-2l-HERS and (for split systems) MECH- 25 -HERS • Furnace CF -4R 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: ❑ 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 ducts stems are constructed, insulated or sealed with asbestos ❑ 2. New HVAC System Required Forms: • Cut in or Changeout with new ducts: (all new ducting and all CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-14ERS, and MECH-25-HERS new equipment) CF -4R forms: MECH 20-, and (for split systems)MEC14-22, and MECH 25 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 forms: 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 or replacing more than 40 linear feet of duct in unconditioned space. CF -6R forms: 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. • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design ide tified on this Certificate of Compliance. conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. • I certify that the energy features and performance specifications for the design identified on this Certificate of Co mlot/rapplicable • The design features identified on this Certificate of Compliance are consistent with the information doe ted oncompliance forms, worksheets, calculations, plans ands specifications submitted to the enforcement enc for a roval with the rmi lication Name: V� , " tZ � Gtr e- -L Signature: Company: D e: Address: v C� �� 'I`�� �✓t L T �2. 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