10-0770 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: �0P000'00770
Property Address: 48537 VIA AMISTAD
APN: , 646-122-016- - -
Application description: MECHANICAL'
Property Zoning: LOW DENSITY` RESIDENTIAL
Application valuation: 8175
Applicant:
Architect or Engineer:
A0
r
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Class: C20 C36 Li ens (vo.: 906115
Date:.. -7 -77
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, 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 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:
ARGYLE THOMAS
48537 VIA AMISTAD
LA QUINTA, CA. 92253
(760)771-2255
Contractor: U
HYDES
77825 WILDCAT STREET
PALM DESERT, CA 92211
(760)360-2202
Lic. No.: 906115
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/17/10
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 number are:
Carrier NORGUARD INS Policy Number CEWC133676
_ 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 Labor Code, I shall rthwit?M/ply vit ose provisions. I
/ •�
Coat,�p�.Applic,�t'
i
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 or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is notcommenced
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 aut rile representatives
of this county to enter upon the above-mentioned property for inspectio urposeg7�
Date: ��t6ignature.(Applicant orrgent):
LQPERMIT
Application Number . . . . . 10-00000770
Permit . . MECHANICAL
Additional desc'.
Permit Fee 40.50. Plan Check Fee
10.13
Issue Date . . . . Valuation . . .
0
Expiration Date. 2/13/11
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
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Special Notes and Comments
A/C AND HEATING CHANGE OUT 16 SEER ;
2007 CODES.
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Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473)
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
Climate Zones 10 to 15
SkeAddress-
�q- S3%
Certificate of Compliance- 2008 Residential HVAC
Pact azed unit
Furnace 6AFUIndoor CoilCondensing Unit
EeorcenzadAgency.
El COP I Over 40 ft of ducts added or
®HSPF I replaced in unconditioned space
Resistance ® R 6 (CZ 10-13)
R 8 (CZ 14-15)
CF-IR-ALT-HHYAC
Ccndiuoned Floor
Ates 1bemost,
10 Servedystem Setback
/ 6U � slw
1 —sf present ==be
ctsraf/ed)
L Eq -F -ad Type: Chogse the bei ouralled furore that One system, use another CF -I R ALT H;ACfor each system
2 Darrroiaria Egrrip„re a Eff-imdes- 13 SEER 78•/ AFUE. 7.7HSPF for typical residesztial systems
HERS VERIFICATION SUMMARY Listed below ate four HVAC al�sation
app�opr M Options. Each OFtion The Mstaller work is beizw done and
pick one of the Option lists the HERS mteastaes that InuSt be �tcted_ A he what shall be left on site for finial
and a copy given m the horaeowaer At fmal, the inspector verifies that the work listed on copy of the forms
installer. The inspector also verifies that each appropriate CB -6R a� this form was in fact the work completed by the
SiFlned
tegismred CF -4R forms (no hand Riled CF_4RS allowed) are filled out. and
October 1, ZO1Q a registered co of the CF -1R and CFValso be s� ahe on site for final i�pcoppQ
HVAC ChangeoutReq�ed Forms
• All 14VAC Equipment replaced l r -4K rotas: MECH-K MECH 21-BERS and (for split sysi emi) mia
CF -4R forts: MECH 21 and (for split systems) MECH 25
• Condenses Cott and/or
• Indoor Cod and /or CF -6R forms: MECH-2I-HERS and (for split systems) MECH_ 25 -HERS
• Furnace CF -4R futu>s: MECH- 21 and (for split systems) MECH 25
For Packaged reatCW < 15 percent; RG CCA > 300 CFM/ton(l►gitrirntan Air Flow R
Units: DuCtlealca�ge < 15 pert ern equireQrent), TMAH
Exempted t3om� leakage testing if
S`' was doarmeatmd to have been previously sealed and cued v or
Z Duct sysberrrs with less than 40 linear feet in unconditioned space, or
3• dtra are oonstntcoed insulated or sealed with asbestos
J 2 New HVAC System Requa,ed Forms.
• Cut in or Chanveout with new
ducts: (all new ducting and all CF -6R forms MEC -K MECH-20-HERS,and obr yput yy ) MECH 22-
mew CF -4R forms MECH 20-, and (for split systt )Iv¢,CH andME HES, and M H-2-1,HERS
For Spifit Systems: Duct NMCH 25
lie < 6 percent;
For Pada„Qed Units: Duct leakage < 6 perces
133. New Ducts with Rep}aeemetat
• hsdudes replacing or installing an sew ducting
a0011 od/� � cr- Not all aPpmment�ed
For Spilt Systems: Duct Ieakaye < 6 pest,
For Packaged Units: Duct Ieak�ae < 6 patter
0 4. New Dactmg over 40 feet
• indude;s adding or Rpm more than 40
linear feet ofd=
>_ 350CFM/tot; FWD, TMAH, SIMS and
. either HSPP or
Kequired Forms:
CF -6R forms: MECH-04 MECH_7A-E1ERs.ad (for In
CF -4R forms MECH 20 and (for split sysoe�) ) Z5Hr:lS
CCA > 300 GFM/tcm_ TMA 14
CF -6R forms: MECH-04. ME:CH 21 HERS
or padtaged units: Dutlrk< 15
.v7Tt%%r_ — _
CF -4R forms: MECH-21
COnt=acbor - --w w�+uurq, mSUM-ea or sealed with asbestos.
1 (Daume�of o thor`s spousible Desipaer'S Declar n Statement
• certify that the Cettifirr� of C ) .
_ Bance doaanenn On is accurate and compim
I am eligible under Division 1 certify that the ' s theand California Business and Professions Code m accept tespottsbr7fcy or to design identified on dts
• featuta perf�ce specifications for the design identified on this Certifcate of C I Certificate of Compliance.
Pmts I and 6 ofthe California Code of Regula ions. vtrrp twice m m the
• The desrr}r feaoues ideuaf• rod oa this Cadfk >E of Comyliattoe are consis�nt„ith ttu requimmm d7zde 24.
calatla8oi�s Plays acrd submitted m the a oroemestt for approral wRh manco o aDPlicable compliance forms, work
Name: Michael Hyde
Hyde's Air Conditioning
Adams 77-899 Wildcat Drive
city/State/Zip-,Palm Desert, CA 92211
2008 Residential Compliance Forms
Date:
906115
Phone: (760) 360-2202
March 2010
Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
.Permit.#
D�
Project Address:' q 33 7 l! iS1'Skd
Owner's Name:
A. P. Number:
Address: 0-77/-2-
: ...-, 77 / .--Z
Legal Description:
City, ST, Zip: , yi G Ci Z L
Contractor: G e S lel/
Address: -7 1-5
City, ST, Zip: fAl /�A 2 Z
Telephone: `7,j d -7 7 - ZZ
Project Description: �G h
S-ZCJiI/
h e4 1
Telephone:
City Lie.
State Lie. # : 6 l
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: Construction Type: Occupancy:
P cy:
State Lie. #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq. Ft: #Stories: # Units:
Telephone # of Contact Person: Estimated Value of Project: 7
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIMG
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
Construction
Energy Calcs.
Plans picked up
Flood plain plan
Plans resubmitted
Mechanical
Grading, plan
2' Review, ready for correctionsrssue
Electrical
Plumbing
Subcontactor List
Called Contact Person
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
Developer Impact Fee
IN HOUSE:-
3n1 Review, ready for corrections/'issue
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees