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11-0690 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 1--i1-00000690,,_ Property Address: -,-,--79925-HORSESHOE-RD APN: 649-071-031-28 -2180 Application description: MECHANICAL' Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1150 Applicant: T414 ,t440" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: ALFORD RONALD D 79925 HORSSESHOE ROAD LA QUINTA, CA 92253 �(� �; }►,� 2 2� 11 1 Contractor: u i1 BEST IN THE WEST VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/24/11 ,�frL9iNi�. 255 N. EL CIELO, 140-125 GIfY �' PALM SPRINGS, CA 92262 0 (760)343-1002 ,\ Lic. No'.: 826714 UC TRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury the licen d under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Busin nd nals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License I s: C20_C38 License No.: 826714 ate:' �� ri[ractor: 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 Sectiun 3700 of the Labor - Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the insurance carrier and policy number are: Carrier STATE FUND Policy Number 1932774-2010 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of for which this permit is issued, I shall not employ any 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 person in any manner so as ecome s iect to the workers' compensation laws of California, and agree that, if I shout co s to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or ^ 370 of the Labor Cod comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by �(/1� _ �, any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: n� �'y' — icant: (_ 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.). (_ 1 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.). I—) I am exempt under Sec. , BAP.C. foi 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: o IF LQPERMIT WARNING: FAILLFIRE 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 Ouinta, 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 a information is correct. I agree to comply with all city and county ordinances and state laws relating to buil g c , a hereby authorize representatives of thi�y ounty to enter upon a above-mentioned pr ur oses. 63t(J^ ` r'" nature (Applicant or Agent): Application Number . . . . . :11-00000690 Permit . . . MECHANICAL Additional desc Permit Fee . . . 24.00 Plan Check Fee 6.•00 Issue Date . . . . Valuation 0 Expiration Date .12/21/11 Qty . Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 ----=-------7--------------------------------------------------------------- Special Notes and Comments REPLACE HEAT PUMP, AIR HANDLER. 2010 CODES. ----------------------------------------------------- Other Fees . . . BLDG ------------- STDS ADMIN (SB1473) ---------- 1.00 Fee summary Charged ---------- Paid Credited - Due ' ----------------- Permit Fee Total 24.00 .00 .0.0 24.00 Plan Check Total 6.00 .00 .00 6.00 Other Fee Total 1.00 .00 .00 1..00 Grand Total 31.00 .00 .00 31.00 LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAlterations CF-lR-ALT-HVAC Climate Zones 30 - 15 Site Address: Enforcement Agency: Date: Permit #: 79925 Horseshoe La Quinta, CA 92253 City of La Quinta )un 24;.2011 Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit PI Furnace C] Indoor Coil ❑ AFUE [I SEER ❑ COP E]HSPF R 6 (CZ SO3) El -1 Served by system 2 Setback If not already present, must be (-]Condensing Unit ❑ EER ❑ Resistance R 8 (CZ 14-15) 800 sf 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-611 and registered CF-411 forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF-IR and CF-6111 shall also be on site for final inspection. © 1. HVAC Changeout Required Forms: .All HVAC Equipment CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF-4R forms: MECH-21 and (for split systems) MECH-25 . Condenser Coil and /or . Indoor Coil and /or CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS . Furnace ' CF-411 forms: MECH-21 and (for split systems) MECH-25 For Split Systems: Duct leakage.<15 percent; RC, CCA <_ 300 CFM/tan (Minimum Air Flow Requirement), TMAH C.. L d Units. Duct 1 k '�.. i C t a r-v�-�w�avgcv-v�eimrQucc �cac'a gc::, x��cr coil Exempted from duct leakage testing i:f: -.❑ 1.-Duct system was documented to have been previously sealed and confirmed through HERS verification, or 0 2. Duct systems with less than`40 linear feet in unconditioned space, or 3. Existing duct systems are constructed, insulated or sealed with asbestos ❑:4. The system will not be Ducted•(ie. Ductless Mini .Split System) (Also Exerrxpt from.Refri.gerant Charge) ❑ 2. NewrHVAG`System Requiter) Porins _ v . Cut in..or Ch`angeout with^ new ducts '`(all new ? > CF 6R-,farms MECH-04 MECH 20 HERS; and`(for, split systems) MECH 22 HERS and MECH=25-HERS f duct6d.and. all new�� CF 4R formers MECH 20 and (for split systemsf MECH-22 and h}ECH.25 s rr: x. Aji 44. For Split SystetnS. DucC leakage z 6 percent, RC CCA >35fl CFM/ton FWD, TMraH, SIMS, and'eith r HSPF or`PSPP. For Packaged units: tinct Leakage„< 5,pement:' ❑ 3. New:Ducbi.>: th/or withotif .::: Required Forms: Replacement . Includes replacing or installing all new ducting and/or outdoor condensing..unitalid/or indoor CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS coil and/or furnace. No or some. equipment CF-411 forms: MECH-20 and (for split systems) MECH-25 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 CF-6R forms: MECH-04, MECH-2I-HERS linear feet of duct in unconditioned space. CF-4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing duct systems 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 I and 6 of the California Code of Regulations. . The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Richard Weaver Jr Signature: Richard Weaver Jr Company: BEST IN THE WEST Date: Jun 24, 2011 Address: 1188 ADOBE WAY License: 826714 City/State/Zip: PALM SPRINGS / CA / 92262 Phone: (760) 322-0202 Reg: 211-A0030712A-00000000-0000 Registration Date/Time: 2011/06/24 11:50:26 HERS Provider: CalCERTS, Inc_ 2008 Residential Compliance Forms July 2010 Bin # City of La Quinta Building a Safety Division Box 1504, 78-495 Calle Tampico La Quinta, CA 92253- (760) 777-7012 Building Permit Application and Tracking Sheet Permit #P.O. bq0 tk Project Address: 192W� w� s -X o , J2J Owner's Name: WR -,-v- At gikA A. P. Number: Address: 92 S a fly OL Legal Description: Contractor. 7- !ij �Sv rQ City, ST, Zip: L .Z 3 Telephone: %� Address:25Y/ }, gL . j- Project Description: City, ST, Zip: J 2� S ��9' 92 uo �- /C ►�N E�-P" Tel �0 313 -/0 -07 -- -/Q•dZState State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Sta ic. #: - `� '; Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'ri Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person:,7 t© 3 43 f o O 2-- Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE tl Submittal Req'd Recd TRACIMG PERMTI 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 21 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:- 'rd 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