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10-0966 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10=00000966 Property Address: 80895 WEISKOPF APN: 762 -1,70 -004 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 6375 Applicant: aw T4ht Xroy " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: Ah� LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisio. s y of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, d mLicense is in full force and effect. License Class: C20 C36 No.: 906115 Date: -L�' 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 ($5001.: 1 _ I 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(s) licensed pursuant to the Contractors' State License Law.). ( 1 I am exempt under Sec. , B.&P.C. for this reason Date: Ownbr: 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: MADIA AUDREY 80895 WEISKOPF LA QUINTA, CA (760)771-9790 7 Contractor: HYDES 77825 WILDCAT S PALM DESERT, CA (760)360-2202 Lic. No.: 90611 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/20/10 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. 1 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 NORGUARD INS Policy'Number CEWC133676 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 shaa�lllltffortthhw/i co m wi h [hose pr visions. Date: Applicant: z;; 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 w" subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agre comply with all city and county ordinances and state laws relating to building co�pect- ructio and here ize representatives of this countytoenter upon the above-mentioned property to purposAs. Date: Signature (Applicant or Agentl: Application Number . . . . . 10-00000966 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 42.00 Plan Check Fee .. 10.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/19/11 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 APPL REP/ALT/ADD 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 ---------------------------------------------------------------------------- Special Notes and Comments A/C CHANGEOUT 16 SEER FUNACE AND INDOOR COIL CHANGE OUT. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) . 1.00 Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total ---------- 42.00 -------------------- .00 .00 42.00 Plan Check Total 10.50 .00 .00 10.50 Other Fee Total 1.00 .00 .00 1.00 Grand Total 53.50 .00 .00 53.50 LQPERMIT Simplified Prescriptive Cer6Heate Climate Zones 10 to 15 we -i �0 — H Residerrtia1 HVAC F.rr}brQ,> zMA&w.ey. Permit �: Li Furnace �nrz 0 AFUJEE/o I E3 COP I Over 40 ft of ducts added or I �� Indoor Coil SEER ' ®SPF I replaced in tmoondiitioned space Served by systtmr (Ijrmrdreadv Unit EER � I ® Resistance ORR 8 (CZ 10-13) I 7O sf presav¢ muse be 8 !CZ 14-15) bna 7e4 L EOZO-mom Type chowe ase equ n ou bwgg -walled ffmore d= one sysrw4 ecce awo&er CF -IR ALT-HVACfor each system. 2 Mmorarra Egrronzent E,faiarraie - i3 SFXX 78'/,4FUE. 7.7hVFfor typical residential sysm= HERS VERIFICATION SU DIARY Listed below are frna HVAC ah=ation Options The MOMHer decides what work is bems done and pads one of the appropriate Opbam Each Option fists the HERS meamses that mast be MMft=ed. A copy ofthe foams shall be left cans sct,fbrfinal inspection and a copy given to tax homeowner. At final, the inspector verifies that the walk Fisted on &is form was in fact the work completed by the =taller_ The iaspedW also verifies d%at each appropriate CF -6R and registered CF -4R forms (no hand Wed. CF-4Rs allowed) are filled ora and ed >iaisa October I, 2010. a replstered copy ofihe CF -IR and CF -6R shag also be on site fart =- --'-- HVAC • All HVAC Equipment replaced • Condenser Cog and/or • Indoor Cort and /or Forms. �� systems) CF -6R fomes: MECH-2I-HERS and (for split sysmms) MECi- 25 -HERS CF -4R foams: MECfi 21 and (for split sysbems) MECH 25 For Split Systems: Duct leakage < 15 perxaq RC, CCA >_ 300 CFM/ton(Wmi x= Air Flow For Packaged Units: Duca leakage < 15 percent ): E�temptod 5 oat dnct Ieakagge testing ¢ . I. Duct system was doa>meaxd to bave been previously sealed and confirmed t m'o HERS I-affication. or 2. Duct sysoeaas with less than 40 linear feet in tmeonditioned space, or ® 3- Erdsimg duct syst= are construcMd. ins l t d or 2 New HVAC Forms: • Cut in or Chaageoat with new due= (all new ducting a:MSM CF-6R foetus: MECH-04, MEC�2¢�� (� spHt systems) MECF�22- new e . tuent) CF -4R forms: MECH 20-, and (for split s)sttems)MECIi 22. asd ) mE 25 H- �' and MECF>r25-HERS For Split Sys'tEems: Dud < 6 percerq RC, CCA >_ 350 CFMftork FWD, For Aad Units: Duct leakage < 6 percent TMP` SIMS, and either Hsi?P or PSPP_ El I New Duds with Replacement Regtti red Forms: • Includes mph or installing aII new ducting CF -6R forms: MECH-K MM 20-HERSamd (for split systems) MECi�-ZS-HERS and/or otadoor cow mood and/or indoor CF -4R fomes: MECH 20 and ooil and/or furnace_ Not an (for spfrt systems) M For Split Systems: Duct leakage < 6 ped RC, CY:A 300 CFMfton, TMAH For Pa Units: Dud 1 < 6 4. New Da o over 40 feet aired Forms: • line r feet adding t n � CF -6R forms: MECH-04, MECH--2I-HERS CF -4R linear Ecce of deet in forms: MECEI-21 For spirt stem oar paelka-ed Duct leakage < 15 percent Contractor (DocameRtstion Authors /Respon ble Designer's Declaration Sta�ueat) • I certify that this CemfrcM of Compiia= docuzu=Mvn is acc uate and compkm • I am ell ble under Division 3 ofthe Cahftr& Bush= and prof for sioom Code W a� b0•rty for to daigrr ia�ed oa hb Cad&= of Compliance. • IC ertify thatthe erretgv features ander design ideafdled on this Ccrocam of C mqr *"= ofTnle 24, Pars i and 6 ofthe California Code oa�liaaoe ooaforrn to the • The des4P fe=w xkndfred on this Cadf=ft of Compliaace ars Consisoeat with the iafom=on subm teed to the enforccin= for wig Dir on oche applicable corrloiance fob wolksbom N ame: Michael Hyde signahser l company: 's Air Conditioning Atm 77-899 Wildcat Drive Ck-vJS=dz ' Palm Desert, CA 2008 ResiderrOW ComP4,,w Forms 906115 March 2010 Bin # City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Cape Tampico La Quim, CA 92253 - (760) 777-7012 Building Permit Application and Tracidng Sheet Penh # Project Address:' �0_- "� 1Ji� jS �Q OwneesName: All r( Ill A. P. Number Address: �C7 —9`6- _ I 5 KO Legal Description: Contractor:CO✓Y City, ST, Zip: . - 1-5-3 a�� Telephone: ©�- Address: .� --^ g `��' (;� i, �/y.VQi Projea Description:Iq 6f G µ� City. ST, Zip: '42, M CA -zZ-�I Telephone:4p—�d-22- - State Lia # : (�� J City Lic. #:� G Arch., Engr> Designer. Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lia #: Name of Contact Person -q. pro J type (circle oae): New Add'n Alter Repair Demo Ft: # Stories_ #Units: Telephone # of Contact Person: Estimatod Value of Project % S APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal RcWd Reed TRACING • PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cahn. Reviewed, ready for corrections Plan Check Deposit Trans Cafes. Called Contact Person Plan Check Balance Energy Cates Plans picked up Construction Flood Plain Plan Plans resabmitted Mechanical GMS plan 2" Review, ready for cors ationslissae Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up SALL SOA Approval Plans resubmitted Grading IN HOUSE. r"' Review, ready for corrections/issne Developer Impact Fee Planniag Approval Called Contact Person A JX.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fens