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07-1558 (MECH)
P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00001558 Property Address: 79840 HORSESHOE RD APN: 649-061-016-17 -2180 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 6000 c&t�144Q" Applicant: Architect or Engineer: Pl, BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- ICE ED CONTR O S DECLARATION I hereby affirm under penalty of perjur that I m licensed der pr isions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bu ine and Profess' Is Co ,and my License is in full force and effect. License CI s: C20 874583 ate: �OContractor: 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 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 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 contractors) 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIO 3 AQLJ77-7153 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 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 EXEMPT Policy Number EXEMPT certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manners as 0 become sub' to the workers' compensation laws of California, and agree that, if I sh Id come subjec to he workers' compensation provisions of Section 3700 of the LabVORKERS' rth co ply with those provisions. e: %. 6 0;cant: WARNING: FAILURE TO SECURMPENSATION 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 ov informati i correct. I agree to comply with all City and cou y ordinances and state I ws relating to build' g onstructi , an hereby authorize representatives of this c �ty�jt enter upon the ve-mentioned grope r inspect; ur ses. rte.vT 6 S' ature (Applicant or Agentl: ate:1 5/24/( Owner: t7 �� MCMANUS JOHN T 2 -�� 79840 HORSESHOE RD_0. LA QUINTA, CA 92253 G) �bi I= C Contractor: a ALL ABOUT AIR PO BOX 5936 LA QUINTA, CA 92248 (760)578-7913 Lic. No.: 874583 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 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 EXEMPT Policy Number EXEMPT certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manners as 0 become sub' to the workers' compensation laws of California, and agree that, if I sh Id come subjec to he workers' compensation provisions of Section 3700 of the LabVORKERS' rth co ply with those provisions. e: %. 6 0;cant: WARNING: FAILURE TO SECURMPENSATION 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 ov informati i correct. I agree to comply with all City and cou y ordinances and state I ws relating to build' g onstructi , an hereby authorize representatives of this c �ty�jt enter upon the ve-mentioned grope r inspect; ur ses. rte.vT 6 S' ature (Applicant or Agentl: Application Number . . . . . 07-00001558 ' Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue.Date . . . . Valuation 0 Expiration Date 11/20/07 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 AIR CONDITIONER & HEATER Fee summary Charged --------------------=---------------- Paid Credited Due Permit Fee Total 33.00 -------------------- .00 .00 33.00 Plan Check Total 8.25 .00 .00 8.25 Grand Total 41.25 :00 .00 41•.25 s Certificate of Compliance Prescriptive Method,- HVAC -only Alteration CF -1 R -ALT Project Title:�joD n ,' 1 I � c r/ )a n vS `J Date* � 23 © CaICERTS 2005 Efforcement Agency n Project Address: 7qg (/p Arse 54P e 4e L/`! Qalk CA - 2 ClimateZo : Building Permit # D entation uthor: O'q'a2 Telepho e: 760-50-2A fo Ptah Check Date ompany N ov% k14 ield Check Date IMPORTANT: This CF -1 R -ALT form is only for use when an HVAC -only alt ration is made to an existing home Use one form for each system beim altered. This is system !-4 of s stems altered in this house. Check all lines that aooly. Check only lines that aooly. Scope erations: 1 ®' n Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2 ❑ mace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 6pautdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 4 A cooling or heating coil is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 5 ❑ More than 40 feet of new or replacement duct are to be installed in unconditioned space. Duct sealing to be determined. ❑ Check here if the entire duct system is also to be new or replaced. Continue to next line. 6 ❑ If none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA) are required. Go to Section 5. Section 1 - Dud Sealing (Only if any of Lines 1 2 3 4 or 5 are checked. Skip if Line 6 is checked. 7 ❑ This system is in Climate Zone 1, 3, 4, 5, 6, 7 or 8. No duct sealing is required. Go to Section 2. 8 ❑ This system has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Section 2. 9 ❑ This system was previousy sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach previous CF -411 forth. Go to Section 2. 10 ❑ is duct system is sealed or insulated with asbestos. No duct 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 duct sealing and TXV if applicable). 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 AhQ EER 12 condenser will be installed with TXV(RCA) D added duct insulation R4 wrap on existing ducts, R-8 new ducts in lieu of duct sealing. Go to Section 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 AND EER 12 condenser will be installed with TXV(RCA) D a 0.92 AFUE furnace will be installed in lieu of duct sealing. Go to Section 2. 14 ❑ In Climate Zones 2, 9, 11, 12, 14 or 16: An SEER 14 ANQ EER 12 condenser will be installed with TXV(RCA) MW an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 15 None of lines 7-14 above are checked. Duct Sealing is Required. Continue. Section 2 - TXV(RCA) (Only if Lines 3 or 4 are checked, otherwise got to Section 3 16 ❑ The system 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 ❑ This system is in Climate Zone 1 3 4 5 8 or 7. No TXV(RCA) is required. Go to Section 3. 19 ❑ This s stem is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑ s stem is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) Is required. Go to Section 3. 21 Kr is system 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. - KERS Rater verification 1Sectio 22ine 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 ❑ lit more than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed Package D requirements. 27 ❑ Ilf less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R-4.2 Section 6 - see next page Version 03-10-06 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.caloerts.com P T � Certificate of. Compliance Prescriptive Method - HVAC -only Alteration CF -1R -ALT Project Title: 0gelown61f; Dai/1G ? © 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 systems altered in this house. Section 6 - Minimum Requireme for Equipment to be Installed/Altered. match type/location and meet or exceed efficencies/R-vanes. =ion-. 28 Configuration: p6t system ❑ Package Und 29 Handler as furnace, AFUE: ❑Heatpump FAU ❑Hydronic FAU ❑Other 30 13 Heat HeatE�ha r 31 W. Outdoor Co Unit C ❑Heatpump 7ficle SEER/HSPF: ER d re 32 iK � coolino or heating cod QXr- ❑Hea wn ❑ tunic 33 ❑ Duds Vocatiom Length ft): R -value: All mandatory measures apply to any altered corn 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 certification and verification by an approved HERS rater. Home Owner or Authorized Agent Documenta . n Author Name / ',��J J4 !� n G/�r�#Kk��opl Name: ` a n /� Z Address: -P-19" Company Name: Lovr City/State/Zip: �-+ V, 9zz� Address: Po �o S� 3� Phone: City/State/Zip: �2Z Phone: Signature: Signature: Enforcement A ency (Buildina Department) Notes/C ments: Name: Title: Department:. Phone #: Fax # Signature or Stamp: Required forms: CF -1 R -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 Gose permit. Copies to home owner, enforcement agency, HERS rater. CF -4R -ALT: by HERS rater. Required to Gose permit. Copies to home owner, enforcement agency, installer. The CF -4R forms for a sample group shall not be released until all testing and verification is completed and passed for the entire qrouD. version us-iu-uo Page 2 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Bin # City of La Quinta Building ex Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # r^ 1'J Project Address:' 0' 0 'Owner's Name: A. P. Number: Address: Of vlQ /54- Gt o- C Legal Description: Contractor: ( !7 City, ST, Zip: Viol �ZL Telephone: Address: 13D s 3 Project Description: City, ST, zip: Q pf Z Z Telephone: Tff State Lic. # : '-( j' City'Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: `) [A s Construction Type: Occupancy: Project type (circle one): New Add 'n Alter Repair Demo Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKWG 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 Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading, plan 2°" Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- M 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