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13-0899 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000899 Property Address: 79130 KRISTEN CT APN: 604-361-007-55 -27899 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 8700 Applicant: Ti-t!t 4 4 Q" Architect or Engineer - 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 License No.: 489046 Date: -712L Contractor. —�—-60 NER-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 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.). (_) 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: LQPERMIT Owner: SANTIAGO MAGONA 79130 KRISTEN CT, LA QUINTA, CA 92253 ( Contractor: ESSER AIR CONDITIO P.O. BOX 1636 CATHEDRAL CITY, CA (760)324-0550 Lic. No.: 489046 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/17/13 D & HTGJUL 17 2013 111111"I WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 CASTLEPOINT NTL Policy Number WSLTHPE90140303 1 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 Date7f.Code, I shall forthwith comply with those provisions. 7 3 Applicant: \> 1 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 (5100,000). 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. 21 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 I 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 �t'o�enter upon the -above-mentioned pr spection purposes. Date: r. 1 (-(1 Signature (Applicant or Agent): t LQPERMIT Application Number . . . . . 13-00000899 Permit MECHANICAL 2013 1' Additional desc . . Permit Fee . . . . 35.75 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/13/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE ---------------------------------------------------------------------------- 35.75 Permit . . . MECHANICAL 2013 Additional desc . Permit Fee 35.75 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/13/14 Qty Unit Charge Per Extension 1.00 .35.7500 EA MECH CONDENSER/COMP 35.75 ---------------------------------------------------------------------------- Special Notes and Comments HVAC/ FURNACE CHANGE OUT 5 TON 16.5 SEER 2010 CODES CARBON MONOXIDE ALARMS TO BE INSTALLED PRIOR TO FINAL INSPECTION 2010 CBC . ---------------------------------------------------------------------------- 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 t LQPERMIT Bin .# city�f La Quinta Bulitiing 8r Safety Division P.O. Box 1504,78-495 Calle Tampico [a.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �� a Project Address: %Q 13V K 1p5—f eh C+ Owner's Name:. �„�-} iG /� Q*k A. P. Number.Ij , . Address: 7 130 Kri sem- e4 - fLegal Legal Description: City, ST, Zip: LA (vt e • 427g,; Contractor. F, Sf r- (�N d4yN(4 Telephone: Address: PO 7� Project Description: Y City, ST, Zip:cata/E'i Cti iZ�� �i+T(/ Gtr �>�Jh l (/• eta Telephone?(i0 q, -Z#-0 �f0: ,19 State Lie. #: City Lie. #, Arch., Engr., Designer. Address: City, ST, Zip: Telephone: Construction Type:. Oxupancy: State Lie. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: Estimatod Value of Project: �7f�d • X APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Ree'd TRACIMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Strgcturai Cafes.Reviewed, ready for corrections Plan Check Deposit. . Truss CaIce• Called Contact Person Plan Check Balance Title 24 Cafes. Pians picked up Construction Flood plain plan Plans resubmitted Mecha" Giading plan 2`J Review, ready for correetionsRssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review; ready for torrectionslissuc Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees l �,�u.I < c�crrpuye certtttcafe.'of Compliance2008 Resideritial`FfVAC �lteratioirs Zones 10 to 15 CF -1 R -ALT -HVAC 0 Enjo. t gency: Date: Perm11 aK: ' 'Conditioned Floor Equipment T List Minimum Efficiency' Duct insulation re uirement Area ❑ Packaged Unit Thermostat Furnace ❑ AFUE �� ❑ COP Over 40 ft of ducts added or Setback ❑ Indoor Coil SEERS ❑ HSPF replaced to unconditioned space Served system Of not already Ef Condensing Unit ❑ EER ❑Resistance O R-6 (CZ 10-13)sf present must be ❑ Other O R 8 (CZ 14-15) installed) I EquipmenlTjpe: Choose the equipment being installed: ijmore than one.system, use another CF -1 R-ALT-HVdCjoreach system. 2. Minimum EquipmentEJftelendes: 13 SEER 7856AFUE. 7.711SPFjortypi6a/residential systems. HERS VERIFICATION SUMMARY Listed below are four HVAC alteration Options The installer decides what worts 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 (act the work completed by the installer. The inspector also verifies that each appropriate CF -6R and registered CF4R forms (ho hand filled CF4Rs allowed) are filled out and signed. innin October[, 2010, a registered COPY of the CF -111 and CF -6R shaU alto be on site for final inspection. ,13 1. HVAC Changeout R uired 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 ifor split stems MECH-25 • Condenser Coil and/or • Indoor Coil and/or CF -6R forms: MECH-21-HERS and (for split systems) MECH- 25 -HERS • Furnace CF4R forms: MECH- 21 and (for split systems) MECH-25 For Split Systems: Duct leakage < 15 percent; RC, CCA > 300 CFMIton(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 sterns are constructed, insulated or sealed with asbestos ❑ 2. New HVAC System Required Forms: • Cut in or Changeout with new CF -6R forms: MECH-04, MECH-20-HERS,and fa ducts: (all new ducting and all ( split systems) MECH-22-HERS, and MECH-25-HERS new equipment) CF4R fortes: MECH 20-, and (for split systeas)MECH-22, and MECH 25 For Split Systems: Duct leakage < 6 percent; RC, CCA > 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. rot- Packaged Units: Duct leakage <6 percent ❑ 3. New Ducts with Replacement RegUIlred 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 CF4R 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 rcent ❑ 4. New Dustin over 40 feet R aired Forms: • Include; adding or replacing more than 40 linear feet of duct in unconditioned s ace. JC�F-Wfonns: MECH-04, MECH-2I-HERS CF4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existingducts stems 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. • 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of compliance. r 1 serif♦• that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the roquiretrtents of Title 24; Parts 1 and 6 of the Cal ifomia Code of Regulations. f lc lation features i nu7;cd on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, woticsheets wlculacions, tans ands cifications submitted to the enforcementfora oval with the it application. _ncy�s%8 ✓ Signature: Company.:aC� Dat Add llf�JCC.. - City/Stat �ip: Ll.� �, �S- �(p 3 �/ License: !", Phone: -7i-A -2— 2008 Residential Compliance Forms March 2010