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14-0332 (MECH)C_ P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 14-00000332 55384 LAUREL 775 -181 -044 - MECHANICAL LOW DENSITY 9982 4� VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/27/14 Owner: VALLEY SUE HALEY - 558384 LAUREL VALLEY LA QUINTA, CA 92253 RESIDENTIAL ( — a Contractor: tmAR2nArchitect or Engineer: PREFERRED PLUMBING HTG A 914 % P.O. BOX 5120 PALM SPRINGS, CA 92263' CITY OF LA QUINTA (� (760) 322-3173 FIN4NCI:DEPT. V _ LiC. No.: 457554 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 Wiq) Professionals Code, and my License is in full force and effect. License Class: C10 C16 C2 Li se od 457554 Date: / Contractor: OER BUILDER DECLARATION I hereby affirm under penalty of perjury that I aWNm exam 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 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 ----------------------------------------------- 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—EVEREST NATL Policy Number 7600006445141 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 b oma subject to the workers' compensation laws of California, and agree that, if I should be a subject to ork ompensation provisions of Section 3700 of the Labor Code, I II fort with comply se ovisions. ,%/'.7'/ � b rte_ Dat Applicant:.�1 WARNING: FAILURE TO SECU WORKERS' OMPE ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT A D CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST 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 ' ormation is correc I agree to comply with all city and county ordinances and state laws relating to building truction, er y tho ize representatives of this county to enter upon the above-mentioned property f r ' spe Don urp at ! . �Signature (Applicant or Agent):. M r - Application Number . . . . . 14-00000332 Permit . . . MECHANICAL 2013 Additional desc . Permit Fee . . . . 71.50 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/23/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.00 35.7500 EA MECH CONDENSER/COMP 35.75 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE OUT - 15.5SEER/80AFUE SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. ------------------------------ --------------------------------------------- Other Fees . . . . . . . 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 138.23 .00 .00 138.23 Grand Total 209.73 .00 .00 209.73 Sim lified Prescri five Certificate of Compliance: 2008 Residential HVACAlterations CF -IR -ALT -HVAC Climate Zones 10 to 15 Irmo D_. *,L.. -a:_1/ -___i,_-_ T-. - Site Address:F54 66_ Enfor emen ency: V Permit #: L 711, Equipment T el List Minimum Efficiency s Duct insulation requirement (fonditiorted Floor Area Thermostat ❑ Packaged Unit umace FiJE � ❑ COP Over 40 ft of ducts added orSetback door Coil ER ❑ HSPF replaced in unconditioned space Seryed b system (If not already onden sing Unit EER '' 'q << ❑ R 6 (CZ 1013 ❑ Resistance -) ❑ R.8 (CZ 14-15) sf P resent must be installed) ❑ Other 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 CF4R 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 replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MBCH- 21 and (fors lits stems) MECH-25 • Condenser Coil and/or • Indoor Coil and/or CF -6R forms: MECH-2I-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 duct systems 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-HERS, and MECH-25-HERS new equipment) CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 For Split Systems: Duct leakage < 6 percent; RC, CCA > 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPR 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 ducts stems 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 er-nplicable compliance forms, worksheets, calculations, plans ands ifrcations submitted to the enforcement agency for approval with the ve do Name:A ,- —i I OjDoLe � Signature: Company� r � � � � f � � Ok?l ateAddress. �� Q �� 2V License: LI 5 City/State/Zip: ` LH /1A 77 6, Phone:'q&ej Irmo D_. *,L.. -a:_1/ -___i,_-_ T-. - Bin ff C11., v, ®f La Qu' rot a Building U_ Safety Dtv'islon - -P.O. Box 1504, 78495 Calle Tampico Permit # ? La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address:" -A I/E Owner's Namd: VA Y A. P. NO Address: 4F57-3 9 Al 41; u oe F Legal -De4 ' City, ST, zip: 1-4 476 1 At 7A .P; 0 .7 r e e hy 4ijhg 'dba" Contract0t:' * k, ?� '.: ' �i � *- -- UM Adftqps .0. Project Description: City'.8T. ..-".. q9P.i- CA* 92'263 Telloone:- .. ..: : *4 ..�..7 -32 State -7 City Lic. 2229 Arch ee Adcie&:: C "Y. , Tdleplione: •' 777-77; SW449; Arw I I) -e -e *C -ro &TIve, Co 95-1 Construction Type: . 1. . Occupancy: Nojecf type (circle on . e): New kd&n Alter Repair Demo Mq 0 ST. ER' BARAJAS Sq. Ft.-' # Stories: Units 863-083.2 Estimated Value of Poi ect w APPLICANT: M NOT WRITE BELOW THIS LINE $4 Fd Rec!d TRACKINGiPERMYT FEES -plan Plan Check ftiftitted it,] Amount I.Structuri Reviewed, ready for corrections Pla Check Deposit T.r.u$s-"cs_. Called Contact -Person Plaq Check Balance Plans bicked up Con truction Flood lood pJglii plk' Plans -resubmitted M4_wcal 2"d Review, resoyfoi*corrections/issue Ele seal $u6t6ftftictor. List: Called Contact Perjon Plu bin 9 Plans picked up ]E0_4_:Xpproyai I Plans resubmitted Gra 11ing Review, ready for corrections/iisue De Dev Loper Impact Fee PJA bnipj Appr'byal-. Called Contact Person f -P , ub Wks. AP p r Date of permit Issue UA T T L, P&m t Fe' i es