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10-0875 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253. i Application Number: 10-00000875 Property Address: 78352 CALLE LAS RAMBLAS APN: 770-015-023-2 -29586 - Application description: MECHANICAL Property Zoning: MEDIUM DENSITY RES Application valuation: 7000 Applicant: T4ht 4 XP Q" Architect or Engineer: Ok BUILDING & SAFETY DEPARTMENT BUILDING PERMIT V11fice d under provisions DECLARATION I hereby affirm under penalty of perjury at ed under provisions of Chapter9 (commencing with Section 70�/�J0) of Division 3 of the Bu Hesssionals Code, and my License is in full force and effect. License Cj6ss:I C 2 0 License No.: 7y8_ —_ Date:' u Contractor V 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 _) 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 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 contractor(s) licensed pursuant to the Contractors' State License Law.). I ) 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: FRANK & EOSA M 78352 CALLE LAS LA QUINTA, CA 9 Contractor: L AIR EXPERTS R CO PO BOX 94 LA QUINTA, CA 9224 (760)777-1724 Lic. No.: 725283 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Sep' ONG�- H�%0 tiq �� fpI.,-, . 7 Date: 9/08./10 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 EXEMPT Policy Number EXEMPT I certify that, in the performanc ork for which this permit is issued, I shall not employ any Person in any manner so to become ubject to the workers' compensation laws of California, a d agree that, if I shou d become lect to the workers' compensation provisions of Section 00 of the Labor Code, I shat rthwith comply with those provisions. gyp_' } Date: �Qicait: WAR NG: 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 nd void if work is not commenced within 180 days from date of issuance of permit, or ces ation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state th t the above inf ation is correct. I agree to comply with all city and cou y rdinances and state laws relating to uilding co r ction, and hereby authorize representatives of thi enter upon the above-mentioned propert f , n- ctio Date: torSignature -(Applicantor-Agent): Application Number . . . . . 10-00000875 Permit . . . MECHANICAL Additional desc . Permit Fee 24.00 Plan Check Fee 6.00 Issue Date Valuation . . . . 0 ,Expiration Date 3/07/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE -<=100K 9.00 ----------------------------------------------------------------------------- Special Notes and Comments REPLACE A/C -HEATING SYSTEM ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged ------------------------------------- Paid Credited -------------------- Due Permit Fee Total 24.00 .00 .00 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 I e G I Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAllerations CF -IR -ALT -HVAC Climate Zones 10 to 15 Site Address: Enforcement Agency: Date: Permit #: n w S lJ� 1 G Con tioned Floor Equipment Type' List Minimum EfficiencY2 Duct insulation requirement Area Thermostat Packaged Uniturnace �/�E fJ © COP Over 40 ft of duds added or etback n r Coil ER HSP- ced in unconditioned space ffR6 (CZ10-13) Served by system � sf afnot ah-eady present, mutt be Unit 3=0ther ER ElResistance S (CZ 14-15) installed) 1. Equipment Type: Choose the equipment being installed if more than one system, use another CF -1R ALT -HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78.0 AFU& 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 fad the work completed by the installer. The inspector also verifies that each appropriate CF -6R and registered CF4R forms (no hand filled CF4Rs allowed) are filled out and signeBeginningOctober 1, 2010, a registered copy of the CF -1R and CF -6R shall also be on site for final inspection. . HVAC Chingeout Required Forms: • All HVAC Equipment replaced CF -6R forms: MECH-04, MECI3-21-HERS and (for split systems) MECH- 25 -HERS CF4R forms: MECH- 21 and for split stems) MECH-25 • Condenser Coil and/or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS • Indoor Coil and/or CF -4R forms: MECH- 21 and (for split systems) MECH-25 • Furnace 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. 8 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 El 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) CF4R forms: MECH 2O-, and (for split systems)MECH-22, and MECH 25 For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, SIMS, and either HSPP or PSPR For Packaged Units: Duct leakage < 6 percent 3. New .Dmcts with Replacement Required Forms: • :Includes replacing or installing all new ducting CF -6R fortus:- MECH-04, MECi-I-20-IIERS,and (for split systems) MECH-25-1-1E RS and/or outdoor condensing unit and/or indoor CF4R forms: ME -CII -20 and (for split systems) MECH-25 coil and/or iaritace. Not all equipment changed For Split Systems: Duct leakage < 6 percent, RC, CCA >_ 300 CFM/ton, TMAH For Packa ed Units: Duct leakage < 6 percent LJ 4. New Ducting over 40 feet Rc aired Forms: • Includes adding or replacing more lhstr 40 linear feet of duct in unconditioned s arc. f Cr -6R forms: MECH-04, MECH-2I-HERS CF -4R forms: ?413 -CH -21 , For split s stern or packaged units: Duct leakage < .15 percent EXCEPTION: Existi2g duct astems constructed, insulated or sealed with achestos. Co"tr-actor (Documentation Author's /Responsible Design er's Dec.►araban ctafennenf) .• 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 info - n oc m rented on other applicable compliance fors, worksheets, calcul fans andspecifications submitted to the enforcement a ency for approval wi thepe ' application. Nome: V&^/ Signature: 1 Company: /� ^ ' / 1 tL vxP� A,Iz CaiwS/ nd�W —/ r4-Tt Date: C� /A I o Address: � z dx % 4 r License: -7Z ! ZT2 �City/State/Zip:LA--t u -7—A 2 Z 2 L Phone: -7la0 '7 7-7 I� 2 .M Bin # City of La Quinta Building &r Safety Dh4slon P.O. Box 1504, 78.495 Calle Tampico la Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet PemVt # �4 .0�I Project Address: Owner's Name: 6U UC T— A. P. Number: Address:7,d� Legal Description: Contractor: le es City, ST, Zip: /—)I-. C�U�N Z Z Telephone: Project Description: Address: o City, ST, Zip: L4 04 22 Telephone: 76G —7-2-7172 State Lic. # : 7 City Lia #; Arch., Engr., Designer. Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Name of Contact Person: Project type (circle one): New Add'n Alter Repair Demo Sq. FL: J # Stories: # Units: Telephone # of Contact Person: Q' Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Caies. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Pian Check Balance Tide 24 Calc& Plans picked up Construction Flood plain plan Plaits resubmitted Mechanical Grading plan 2" Review, ready for correctionsAssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrcctionsliissuc Developer Impact Fee Planning Approval Called Contact Person AXP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees