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13-0065 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000065 Property Address: 78224 CALLE LAS RAMBLAS APN: 770-014-014-1 - -29586 - Application description: MECHANICAL Property Zoning: HIGH DENSITY RESIDENTIAL Application valuation: 13187 Applicant: /11-3rchitect or Engineer: LICENSED CONTRACTOR'S DECLARATION 4fG�itiGV VOICE (760) 777-7012 SC�NNE� FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 1/22/13 Owner: LALONDE, BRIAN &AMY 78224 CALLE LAS RAMBLAS LA QUINTA, CA 92253 ( 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.: 686310 Date: ( 22 1� 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 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 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(sl licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , 8.&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 Contractor: p GENERAL AIR CONDITIO 31170 RESERVE DRIVE THOUSAND PALMS, CA 97 JAN 2 2 201 (760)343-7488 Lic. No.: 686310 e.rrlIVA 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 ZENITH INS CO Policy Number Z071741502 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, I shall forthwith comply with those provisions. Date: ZZ Applicant: 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. C 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 thisco n�ter upon the above-mentioned propert for inspection purposes. Date ZZ 13Signature (Applicant or Agentl: Application Number . . . . . •13-00000065 Permit .. . . MECHANICAL Additional desc . Permit Fee . . . . 40.50 Plan Check Fee 10.13 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/21/13 Qty Unit,Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 ---------------------------------------------------------------------------- Special Notes and Comments REPLACE (1) (4) TON A/C CONDESONG UNIT , INDOOR COIL, 40K BTU FURNACE. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 40.50 .00 .00 40.50 Plan Check Total 10.13 .00 .00 10.13 Other Fee Total, 1.00 .00 .00 1.00 Grand Total 51.63 .00 .00 51.63 Bin. N City. of La Quina B(d*g & Safety Division P.O. Box 1504,'78-495 Cane Tampico La.Qdnta, CA 92253 - (760) 777-7012 Building Permit Application'and Tracking Sheet Permft # Pr6jectAddtess:.7 8 ZZ4 Cell e. Lcsamb a Owner's Name:. A P. Number Address: '7 8 Z Zcj Cc-I� c- Lc. s R c r^6k ks.5 Legal Description: City, ST, Zap. LG ��,�� C A 9 27-53 • Contractor. Y L1 l -Ar . 'nnzno Telephone: Address: 3 J\ 7l7 Project Description: R 1Q Ll } a r Q G L City, ST, Zip: n fo,\4 ZZ7(o 9D 18 -TQ 'Pur act Telephone: '%60�-3i43-1112$; rrns State Lia # : {v$b 3 16 Arch.. Eagr., Designer. Address: City, ST. Zip. Telephone: State Lic. #: Name of Contact Person: Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: B Stories: f1 Units: Estimated Value of Project I a7. co Telephone i of Contact Petsort: APPLICANT: q Submittal Req'd Recd DO NOT WRITE BELOW THIS LINE TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calm Reviewed, ready for corrections Plan Check Deposit. Truss Cales. Called Contact Person Pias Check Balance Mde 2/ Calm Plass picked up Construction Flood plain plan Grading plan Plans resubmltied . . Z`! Review, ready for correctionskssue Meeharilcal Electrical Subconteetor List Called Contact Person Plumbing Grant Deed Pians picked up S.M L H.O.A. Approval IN LiOUSE:- Plans resubmitted Review; ready for eorrecdonsAnue Grading Developer Impact Fee Planning Approval . Called Contact Person A.I.P. Pub. WW. Appr • Date of permit Issue School Fees Total permit Fees Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAlterations CF-lR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 78224 CALLE LAS RAMBLAS La Quinta, CA 92253 City of La Quint a ]an 21, 2013 Equipment Typel List Minimum Efficiency2 Duct insulation requirement Conditioned Floor Area Thermostat ❑ Package Unit ® Furnace ® Indoor Coil ® AFUE 78% ® SEER -13.0 ❑ COP � HSPF ❑ R 6 (CZ 10-13) Served by system ® Setback If not already present, must be ® Condensing Unit p EER ❑ Resistance 0 R 8 (CZ 14-15) 2412 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 Efirfciencles: 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-4R 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 CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH725-HERS replaced CF-4R forms: MECH-21 and (for split systems) MECH-25 • Condenser Coil and /or • Indoor Coil and /or CF-6R fo'rms: 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/ton (Minimum Air Flow Requirement), TMAH Exempted from duct leakage testirfg; if:: . Q-1: Duct system w`— docurrie :0-i to have been previously sealed and confirmed through HERS verification, or . p*2. Duct systems with less thai::40 linear feet in unconditioned space, or 0-3. Existing duct systems are zpbstructed, insulated or sealed with asbestos Q 4: The system will not be Ducted (ie---[ u HessMini-S IIt system)f(Aha,Exempt4rpm,11efpgerant Gitarge) ❑ 2. New6HVAC`sjrstetn RequiFed folu }.y ?.:;;:. - rig . Cut in o1- Ghangeout wr MESH split systems) MECti2 HERS and new duz:ts (all newForms;MECH-04 Y2flHERS;andfifor ductmgd all newfCt 25�FFERSa�� s�� ' �� "' e ui mepf ,r=; fi forrt�s .MECH 20 and {€or split systemsP9EGH 2 MECif 25 For Split Systems ''Duct leakage c_6 percent RC CC'Az 350 CFM/ton'FWDrNtAH, SIMS, and'etther HSPP or PSPP. _.. For Packaged Units: Duct leakage::<:;;b!percent 0. 3..New;D.ucts'vrrEh/or withoutz; :. Required Forms: . Includes replacing or installing. allew ducting and/or outdoor ciinderisiKq unit CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or fui nace3;No .or some CF-411 forms: MECH-20 and (for split systems) MECH-25 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 CF-6R forms: MECH-04, MECH-2I-HERS linear feet of duct in unconditioned space. CF-411 forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent p EXCEPTION: Existing dud 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 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 other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Danielle Garcia Signature: bnnielle 6orclo Company: HARRISON ENTERPRISES INC Date: )an 21, 2013 Address: 31-170 RESERVE DRIVE STE A License: 686310 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488 Reg: 213-A0004229A-000000000-0000 Registration Date/Time: 2013/01/21 22:45:42 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms July 2010