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13-1491 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00001491 Property Address: 50115 DORAL ST APN: 770-070-019-57 Application description: MECHANICAL Property Zoning: MEDIUM DENSITY Application valuation: 16942 Applicant: TA*`it 4�a�w BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 ca INSPECTIONS (760) 777-7153 Owner: SKEESE JOHN -25389 - 50115 DORAL STREET LA QUINTA, CA 92253 RES ( Contractor: Architect or Engineer: PALM DESERT AIR COND 42081 BEACON HILL PALM DESERT, CA 92211 (760) 346-0677 Lic. No.: 374937 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 and P nals Code, and my License is in full force and effect. License Class: C20 License No.: 374937 Date: I,%yZ-I5Contractor: ER -BUILDER DECLARATION I hereby affirm under penalty of perjur at 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 155001.: (_ 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-builtler will have the burden of piuving 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(s) licensed pursuant to the Contractors' State License Law.). 1 _ 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 ISec. 3097, Civ. C.1. Lender's Name: Lender's Address: Date: 11/22/13 4 �riV 221013 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1ve 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 MID CENTURY Policy Number A09454905-12 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 su)ifctp the workers' compensation laws of California, and agree that, if I should bec t o e workers' compens tion provisions of Section 3700 of the Labor Code, all for i c mply i th rovisions. Date: _11 -Applicant: ,f WARNING: FAILURE TO SECURE WOR (E S' OMPENS 1 COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ALTIES AN CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION T HE 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. certify that I have read this application and state that the abo?insp ' n' co act. I agree to comply with all city and county ordinances and state laws relating to buildi nd h by author' resentatives of this c unty to enter upon the above-mentioned prope forurposes. I� 12�I Date:' Signature (Applicant or Agent): ' LQPERMIT !j, Application Number . . . . . 13-00001491 Permit . . . MECHANICAL 2013 Additional desc . . Permit Fee . . . . 83.42 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/21/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.00 11.9200 EA MECH APPL REP/ALT 11.92 1.00 35.7500 EA MECH CONDENSER/COMP 35.75 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE OUT (2) 13SEER/78AFUE SPLIT SYSTEMS.[2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2010 CALIFORNIA BUILDING CODES --------------7------------------------------------------------------------- Other Fees . . . . . . . . . PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 52.43 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 83.42 .00 .00 83.42 Plan Check Total .00 .00 .00 .00 Other Fee Total 143.00 .00 .00 143.00 Grand Total 226.42 .00 OG 226.42 LQPERMIT •t P.O. Box 1504.715 495 .Calle Tampico, La Quints; California 92211 ' Tel: (760) 777-7012 • Fax (760) 777-7112 _Gal �* p T_- Website: vwvw.La-Quinta.Org • Email: Building"@La-Quinta.Org c > cf�+ofY++� Bin #: Permit#: ��,�� �r Building Permit Application ,& Tracking Sheet Project Address: 50-115 DORAL ST. Owner's Name: SKEESE, JOHN A.P. Number: Address: 50-115 DORAL ST. Legal Description: City, State, Zip: LA QUINTA, CA 92253 Contractor. Palm Desert Air Conditioning & Heating Company Telephone: ( Address: 42-081 Beacon Hill Project Description: ' City, State, Zip: Palm Desert, CA 92211 REPLACE (2) AIR CONDITIONING SPLIT SYSTEMS. Telephone No:: (760) 346-0677 State: Lic. #: , 374937 City Lic.:#: 100886 Arch./Engr./Designer: Address: City, State, Zip: Telephone No.: � x a � , � . � °�� � Construction Type: Occupancy: State:.Lic. #: < Project Type: ❑ New • ® Add'n • 13Alter • O Repair • O Demo Name of Contact Person: KARL BROWN Sq. Ft.: # Stories: #Units: Contact Telephone No.: ( Estimated Value of Project: $16,942.00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed Tracking Permit Fee's Plan Sets Plan Check Submitted Item Amount Structural Calcs. Reviewed, Ready for Corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cates. Plans Picked Up Construction Flood Plain Plan Plans Resubmitted Mechanical Grading Plan 2nd Review, Ready for Corrections Electrical Subcontractor List Called Contact Person Plumbing Grant Deed Plans Picked Up S.M.I. KO:A. Approval Plans Resubmitted Grading IN HOUSE 3"d Review, Readyfor Corrections Developer Impact Fee Planning Approval Called Contact:Person A.LP.P. Pub. Works APpr'I Date of Permit Issue School Fees Total Permit Fee's Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 50-115 DORAL ST. (SYSTEM 2) La Quinta, CA 92253 City of La Quinta I Nov 5, 2013 Duct insulation Conditioned Floor Equipment Typel List MinimumEfficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace I@ Indoor Coil ® AFUE 78% ® SEER 13.0 ❑ COP [3HSPF ❑ R 6 (CZ 10-13) Served by system ® Setback If not already present, must be ® Condensing Unit [3 EER ❑ Resistance R 8CZ 14-15)EER ( 1400 sf installed) ❑ Other 1. Equipment Type: Choose the equipment being installed; if more than one systerr1 use another CF-IR-ALT-HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 7840 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 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-611 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-411 forms: MECH-21 and (for split systems) MECH-25 . Condenser Coil and /or CF-611 forms:"MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS . Indoor Coil and /or . 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 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 ❑ 4. The system will not be Ducted (ie. Ductless Mini-Split System) (Also Exempt from Refrigerant Charge) ❑ 2. New HVAC System Required Forms: . Cut in or Changeout with new ducts: (all new 1 CF-611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-22-HERS, and ducting and all new MECH-25-HERS CF-4R forms: MECH-20, and (for split systems) MECH-22, and MECH-25 equipment) For Split Systems: Duct leakage < 6 percent; RC, CCA > 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with/or without Required Forms: Replacement . Includes replacing or installing all new ducting and/or outdoor condensing unit CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace. No or some CF-4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA 2 300 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 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: Karl Brown Signature: Korl Brown Company: PALM DESERT AIR CONDITIONING CO INC Date: Nov 5, 2013 Address: 42-081 BEACON HILL License: 374937 City/State/Zip: PALM DESERT / CA/ 92211 Phone: (760) 346-0677 Reg: 213-A0083684A-000000000-0000 Registration Date/Time: 2013/11/05 12:52:59 HERS provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 50-115 DORAL ST. (SYSTEM 1) La Quinta, CA 92253 City of La Quinta Nov 5, 2013 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace ® AFUE 780/b ❑ COP ❑ R 6 PCZ 10-13) Served by system ® Setback ® Indoor Coil ® SEER 13.0 [3HSPF ❑ R 8 (CZ 14 IS) 1400 sf If not already present, must be ® Condensing Unit [3 EER [3 Resistance 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, 7801a 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 CF -411 forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF -111 and CF -611 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 Coll and /or • Indoor Coil and /or CF -611 forms: MECH-04, 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 Far. PaEkaged Units- Puc# leakage 4 19 4 p 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 ❑ 4. The system will not be Ducted (ie -Ductless Mini -Split System) (Also Exempt from Refrigerant Charge) ❑ 2. New HVAC System Required Forms: . Cut imor Changeout with, CF -6R forms: MECH-04, MECH-20-HERS,fand (for split systems) MECH-22-HERS, and new ducts: (all new MECH-25=HERS ' ducting and all new r' CF -4R for'ms: MECH 20, a+nd fors lit ( P systems)"MECH 22, and MECH-25 equipment ,�'1 , ,,. For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with/or without Required Forms: Replacement . Includes replacing or installing all new ducting and/or outdoor condensing unit CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace. No or some CF -4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA z 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 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: Karl Brown Signature: Karl Brown Company: PALM DESERT AIR CONDITIONING CO INC Date: Nov 5, 2013 Address: 42-081 BEACON HILL License: 374937 City/State/Zip: PALM DESERT/ CA/ 92211 Phone: (760) 346-0677 Reg: 213-AOOB367BA-000000000-0000 Registration Date/Time: 2013/11/05 12:47:45 ; HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010