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09-0712 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 09 _00000712, Property Address: 78209 INDIGO DR APN: 604-021-026- - - Application description: MECHANICAL Property Zoning: MEDIUM DENSITY RES Application valuation: 5023 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 Class: C20-C43Li ense lo.: 276586 —� ,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).: (_ 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 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, 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 em 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: LQPERA11T Owner: DEBRA PATITZ 78209 INDIGO DR LA QUINTA, CA 92253 fil VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/07/09 Contractor: JULI v DESERT AIR CONDITION NG INC. O.8 2009 ! 590 WILLIAMS ROAD rr PALM SPRINGS, CA 92 CI�OF(,a (760)323-3383 FiNA,��Eiou�NTi4 T. Lic. No.: 276586 FP ----------------------------------------------- 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 INS CO OF WEST Policy Number WSD216397401 _ 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 hall forthwith comp) ith ose r isions. —.Da et °fApplicant: 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 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 upon the above-mentioned property action purposes. f-~ ^� Date: _ ^a �'�/ Signature or Agent): Application Number . . . . . 09-00000712 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/03/10 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 ---------------------------------------------------------------------------- Special Notes and Comments REPLACE 2.5 TON HEAT PUMP AND AIR HANDLER 13 SEER LIKE FOR LIKE. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged ------------------------------------- Paid Credited -------------------- Due Permit Fee Total 33.00 .00 .00 33.00 Plan Check Total 8.25 .00 .00 8.25 Other Fee Total 1.00 .00 .00 1.00 Grand Total 42.25 .00 .00 42.25 LQPERAIIT Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Version 03-10-06- This 3-10-06 This form. can only be used on projects being verified by CaICERTS certified raters. Page 2 of 2 www.calcerts.corn Project Title: r Date: /3 O10 413010 ©CaICERTS 2005 IMPORTANT:. This CF -1 R -ALT form is only for use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system # of _L_ systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. histelled equo rd Qwst match we/location and meet or exceed efticienGeslR-values. 28 /�orr��� oration: -pft system 0 Package UnA �., 29 lLr'NrHaNler Mas furnace, AFUE: OHeatpump FAU Mydronk: FAU OOVser 30 ❑ 31 I- Heat t=han -ger Outdoor Condensbig Unk LAIC effi Hide SEER/HSPF: EER d recid): 32 ❑ Coormg or heating coo DA/C 01-fealptimp OHydronic 33 ❑ Ducts ocsuon: Length (ft): R -value: All mandatory measures apply to any altered com onent. See MF -1 R - ALT form. Compliance Statement: This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the, California Code of Regulations, and the administrative regulations to implement them. This. certificate has been signed by the individual with overall project responsibility. The undersigned recognizes that compliance using duct sealing, verification of refrigerant charge, and TXV require installer testing and certcation and verification by an approved °HERS rater.. Home Owner or Authorized Agent Documentation Author Name: t°tl�L Address: %�'• .0`j1. Name: Jacqueline Zabik . Company Name: Desert Air Conditioning, Inc. City/StaterZip: j 3 Address: 590 Williams, Rd. Phone.: � City/State/Zip: Palm Springs, CA 92262 Phone: 760-32 83 Signature: Signature: Enforcement Agency (Building Department) Notes/ments: Name: Title: a Department: Phone #: Fax #: Signature or Stamp: Required forms: CF -IR -ALT: by anyone. Required at time of permit application. Copies to home owner, enforcement agency, HERS rater. CF -6R -ALT: by installing contractor. Required to close permit. Copies to home owner, enforcement agency, HERS rater. CF -4R -ALT: by HERS rater. Required to close permit. Copies to home owner, enforcement agency, installer. The CF -4R forms for a sample group shall not be released until all testin4 and verification is completed and passed for the entire group. Version 03-10-06- This 3-10-06 This form. can only be used on projects being verified by CaICERTS certified raters. Page 2 of 2 www.calcerts.corn •: Installation Certificate Prescriptive Method - HVAC -only Alteration CF -6R -ALT Project Title:` /rA,. - 1 eae-(/ 0 � g � Date[: 4A Q © 2005 CaICERTS 4 V (� / Enforcement Agency Use Onllr Project A�ddddressfs:1: q J Climate Zone: Building Permk#i Installing Contractor: ILJ Todd Shaw Telephone: - Pian check Date 323-3383 Company Name: Field check Date Desert Air Conditioning, Inc. IMPORTANT: This CF -6R form is only for use when an HVAC -only alterati n is made to an existing home Use one form for each system being altered. This is system #� of / systems altered in this house. Copies to: Homeowner, HERS Rater, and utidin Department List the specifications for the newly installed equipment. These must match the installed equipment exactly. Installed a ui ment must match typeflocation and meet or exceed efftciencieslR-values from CF -1R. Equipment T Manufacturer Model Number Efficient Load`* Ca aci '" Furnace AFUE Heat Exchanger N/A Heat Pump fan coil �nn � ^ � v � y� o� GC�V N/A Hydronic fan coil Other FAU Describe `:/A Package gas/AC AFUE SEER Package heatpump HSPF , SEER EER' 'A/C Condenser SEER Heatpump Condenser / 4$A/lO HSPF SEER Indoor DX coil EER" Hydronic coil Provide EER if needed for compliance (line 24 of CF -1 R -ALT). Installer must provide adequate documentation to verify EER In some cases the specific furnace may need to be verified in order to achieve a specific EER. In some cases a time delay relay and/or TXV may need to ve verified in order to achieve a specific EER: Loads are sensible for cooling. '" Capacities are sensible at design conditions for cooling and adjusted altitude, downflow, etc. output for heating. ❑ If TXV is required by the CF -1 R form (line 23 on CF -1 R ALT form), it has been installed and access has been provided for visual verification by HERS rater. Sampling is allowed for TXV verification. Entirely New Duct System: (Line 5 of CF -1 R ALT) ❑ For Entirely new duct systems, the required leakage is 6% rather than 15% for altered systems. The alternative to duct sealing by increasing the efficiency of the equipment is not an option for entirely new ducts stems. the undersigned, verify that the equipment listed above is:.1) the actual equipment installed in the home; 2) equal to or more efficient an required by the Certificate of Compliance (CF -IR -ALT Form); and 3) equipment that meets or exceeds the appropriate quirements for manufactured devices (Appliance Efficiency Standards), where applicable. the undersigned, verify that diagnostic test results listed on this form were performed in conformance with the requirements for mpliance`and that the newly installed or retrofitted mechanical system components conform with the Mandatory requirements [pecifiedin Section 150 a uilding Energy Efficiency Standards. dL 9 i ne Ins er : Date: Notes. ayc v� c Version 03-10-06 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Certificate of Compliance Prescriptive Method - HVAC -only Alteration Lor- I rc-ML V Project Title: Date: © CaICERTS 2005 5 / e,-1 e 6 613o� �;TildingPermit# Enforcement A en Use Only Project Address:: Climate Zone: 7'bt 15 Documentation Author: Telephone: Pian Check Date Jacqueline.Zabik 760-323-3383 Co any Name: Flaid Check Date Desert Air,Conditioning, Inc. IMPORTANT: This CF -1 R -ALT form is only for use when an HVAC -only alte tion is mace to an exisung Hume Use one form for each system beingaltered. This is system # of systems altered in this house. Check all lines that apply. Check only lines that apply. Scope of Alterations: 1 ❑ An Air Handier is to be installed or replaced. Dud sealing to be determined. Continue to next line. 2 A Furnace Heat exchanger is to be installed or replaced. Dud sealing to be determined. Continue to next line. 3 An outdoor condensing unitis to be Installed -or replaced. Dud Sealing and/or TXV(RCA) to be determined. Continue to next line. 4 A cooling or 6eadng coil is to be Installed or replaced. Dud Sealing and/or TXV(RCA) to be determined. Continue to next line. 5 ❑ More than 40 feet of new or replacement dud are to be Installed in Espace. Dud sealing to be determined. ❑ Check here If the entire dud system is also to be new or replaced. Continue to next line. 6 ❑ If none of lines 1-5 are checked, neither Dud Sealing nor TXV(RCA) are required. Go to Section 5. Section 1 - Duct Sealing (Only if any of Lines 1 2 '3 4 or 5 are checked. Skip if Line 6 is checked. 7 ❑ is system is in Climate Zone 1, 3, 4, 5, 6, 7, or 8. No duct sealing is required. Go to Section 2. 8 ❑ Thiss tem has less than 40 feet of duds in unconditioned space. No dud sealing is required. Go to Section 2. 9 ❑ This system was previously seated and tested, and was certified by a HERS rater. No duct sealing Is required. Attach previous CF -4R form. Go to Section 2. 10 ❑ This duct system Is sealed or insulated with asbestos. No dud sealing is required. Go to Section 2. Note: If the entire ducts stem is to be new or replaced, Lines 11-14 do not apply. 11 ❑ In Climate Zones 2 12 and 16: An 0.92 AFUE furnace will be Installed in lieu of dud sealing and TXV if applicable . 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 AND EER 12 condenser will be Installed with TXV(RCA) D added duct Insulation R-4 wrap on existing duds, R-8 new duds in lieu of dud sealing. Go to Section 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 QyD_ EER 12 condenser will be installed with TXV(RCA) AJNLJ a 0.92 AFUE furnace will be installed in lieu of dud sealing. Go to Section 2. 14 ❑ In Climate Zones 2, 9, 11, 12,14 or 16: An SEER 14 AM EER 12 condenser will be installed with TXV(RCA) D an 0.82 AFUE furnace will be installed with increased dud insulation in lieu of duct sealing. Go to Section 2. 15 None of lines 7-14 above are checked. Duct Seating Is Requlred. Continue. Section 2 - TXV(RCA) (Only if Lines 3 or 4 are checked; otherwise got to Section 3 16 ❑ hes sten being altered Is a package unit. No TXV(RCA) is required. Go to Section 3. 17 ❑ This system Is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV(RCA) is required. Go to Section 3. 18 ❑ Thiss tem is in Climate Zone 1 3 4 5 6 or 7. No TXV(RCA) is required. Go to Section 3. 19 ❑ rhissystern em is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑ .em is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) Is required. Go to Section 3. 21 is in Climate Zone 2 or 8-15 and line 11, 16 or 17 Is not checked. TXV(RCA) Is required. Go to Section 3. Section - HERS Rater verification 22f line 15 is checked, HERS verification Is required for Duct Sealing. 23 If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification Is required for TXV(RCA). 24 ❑ If line 12, 13 or 14 are checked, HERS verification is required for 12 EER. Section.4 - Equipment Efficiencies 25 ❑ If lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List in Section 6. Section 5- Duct R -Values 26 ❑ Ilf more than 40 feet of duct Is being installed or replaced, dud R -value must meet or exceed Package D requirements. 27 O Ilf less than 40 feet of duct is being installed or replaced, dud R -value must meet or exceed R-4.2 Section 6 - see next oaie Version 03-10-06 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Bin # 06( Of La Quints Building 8T Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: '7Is a 8 n� ; j Owner's Name: >ev c 5 A. P. Number: _ O 2l . ca -00 Address: t"''% d ,CA Legal Description: City, ST, Zip: 44j Contractor: Contr Desert Air Conditioning Inc. Telephone p Address: 590 Williams Rd Project Description: City, ST, Zip: P a l S M 40' Telephone: (760 323-3383 State Lic. #: 276586 City Lic. #; 3 6 3 Arch., Engr., Designer. Address: City, ST, Zip: Telephone: #>>: <i:::;>:<:'<«:^:> •:>:>::::::. ,•:::::::,:. :;:>•.; �.::..,..:<:<>:::::::>:.:<.> Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Todd Shaw Sq. Ft.: # Stories: # Units: Telephone # of Contact Person:( 7 6 0) 323-3383 Estimated Value of Project: v APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRACIONG PERMIT FEES Plan Check submitted Item Amount Coles. Reviewed, ready for corrections Plan Check Deposit FReq'd s. Called Contact Person Plan Check Balance• oles. Plans picked up Construction n plan Plans resubmitted Mechanical Grading plan 21" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees