Loading...
BMCH2014-1129Applicant: PREFERRED AIR CONDITIONING DBA P 0 BOX 5120 PALM SPRINGS, CA 92263 T4tit44-v QuIOrw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 14.5SEER/80AFUE SPLIT SYSTEM 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 Professions Code, and my License is in full force and effect. License,Class: C36, C16, C30, C20 Licens No.: 457554 Dat �C a� %�l Con4a ' r IVC OWNER -BUILDER DEC TION 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).: (_) 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.). (_) 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 am exempt under Sec. B.0.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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/28/2014 Owner: SYDNEY BROWN o c 54535 WING:=D FOOT LA QUINTA, CA 92253 Z CD rn m � � rn o t� � o0 Contractor: o c PREFERRED AIR CONDITIONING DBA v a P O BOX 5120 9 PALM SPRINGS, CA 92263 . C (760)863-0832 Llc. No.: 457554 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 Sectior 3700 of the Labor Code, for the performance of the work for which this permit is issue 1. _,X -have and will maintain workers' compensation insurance, as required by Secti` n 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insirance carrier and policy number are: Carrier: Policy Number: I certify that in the performar re of the work for which this permit is issued, I shall not employ any person in any manrer 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 Secion 37 0 of the La r C I shall forthwith comply with those provisions. Da L Applicant- 't �� WARNING: FAILURE TO SECURE WORKEF.S' COM N COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($300,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT A•:KNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the. conditions and restrictions set forth Dn this application. 1. Each person upon whose behalf thi: 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 d ate of issuance of such permit, or cessation of work for 180 days will subject permit to zancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and coun-y ordinances and state laws relating to building construction, and hereby authorize repr=sentatives of this cit to enter upo above• mentioned. property for inspection purposes. Date:///Q/'n-// Signature (Applicant or Age t 78495 CALLE TAM PICO LA QUINTA, CALIFORNIA 92253 Application Number: YMCH2O14-1129 Property Address: 54535 WINGED FOOT APN: 775110014 Application Description: HVAC CHANGE OUT - Property Zoning: Application Valuation: $9,995.00 Applicant: PREFERRED AIR CONDITIONING DBA P 0 BOX 5120 PALM SPRINGS, CA 92263 T4tit44-v QuIOrw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 14.5SEER/80AFUE SPLIT SYSTEM 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 Professions Code, and my License is in full force and effect. License,Class: C36, C16, C30, C20 Licens No.: 457554 Dat �C a� %�l Con4a ' r IVC OWNER -BUILDER DEC TION 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).: (_) 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.). (_) 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 am exempt under Sec. B.0.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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/28/2014 Owner: SYDNEY BROWN o c 54535 WING:=D FOOT LA QUINTA, CA 92253 Z CD rn m � � rn o t� � o0 Contractor: o c PREFERRED AIR CONDITIONING DBA v a P O BOX 5120 9 PALM SPRINGS, CA 92263 . C (760)863-0832 Llc. No.: 457554 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 Sectior 3700 of the Labor Code, for the performance of the work for which this permit is issue 1. _,X -have and will maintain workers' compensation insurance, as required by Secti` n 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insirance carrier and policy number are: Carrier: Policy Number: I certify that in the performar re of the work for which this permit is issued, I shall not employ any person in any manrer 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 Secion 37 0 of the La r C I shall forthwith comply with those provisions. Da L Applicant- 't �� WARNING: FAILURE TO SECURE WORKEF.S' COM N COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($300,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT A•:KNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the. conditions and restrictions set forth Dn this application. 1. Each person upon whose behalf thi: 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 d ate of issuance of such permit, or cessation of work for 180 days will subject permit to zancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and coun-y ordinances and state laws relating to building construction, and hereby authorize repr=sentatives of this cit to enter upo above• mentioned. property for inspection purposes. Date:///Q/'n-// Signature (Applicant or Age t Description: HVAC CHANGE OUT - 14.5SEER/80AFUE SPLIT SYSTEM '� NAMES r:`'� * - _ �ADDRESSI T7QUINTA Type: MECHANICAL • Subtype: Status: SUBMITTED Applied: 10/28/2014 SKH Approved: Parcel No: 775110014 Site Address: 54535 WINGED FOOT,LA QUINTA,CA 92253 Subdivision: 28149 Block: Lot: 14 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $9,995.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 ' No. Unites: 0 - 92253 Details:.- ADDITIONAL SITES IF CHRONOLOGY CONDITIONS -;NAMETYPEs%"�^t '� NAMES r:`'� * - _ �ADDRESSI T7QUINTA STATE rZIPPHONE' FAX EMAIL R'APPLICANT CITY.. PREFERRED AIR CONDITIONING DBA P O BOX 5120 M SPRINGS CA 92263 (760)485-5649 ONTRACTOR PREFERRED AIR CONDITIONING DBA P O BOX 5120 M SPRINGS CA 92263 (760)485-5649 OWNER SYDNEY BROWN 54535 WINGED FOOT CA 92253 (760)485-5649 Printed: Tuesday, October 28, 2014 3:08:23 PM ' 1 of 2 SYSTEMS .iia, .• _ . .. .'? r" �. � .1r. : s. r. hi DESCRIPTION 4 ACCO UNT r } BSAS SB1473 FEE 101-0000-20306 Total Paid forBUILDING STANDARDS ADMIN Printed: Tuesday, October 28, 2014 3:08:23 PM ' 1 of 2 SYSTEMS t Description: HVAC CHANGE OUT - 14.5SEER/90AFUE SPLIT SYSTEM Type: MECHANICAL Subtype: Status: APPROVED Applied: 10/28/2014 SKH Approved: 10/28/2014 SKH Parcel No: 775110014 Site Address: 54535 WINGED FOOT LA QUINTACA 92253 Subdivision: 28149 Block: Lot: 14 Issued: Lot Sq Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $9,995.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 STATE Details: HVAC CHANGE OUT - 14.5SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. CHRONOLOGY CONDITIONS CONTACTS NAMETYP -',,.NAME ;;0Kti AbDRE��Sl t: CITY' STATE PHON0,:-+1'j �_ FAX EMAIL 7, APPLICANT PREFERRED AIR CONDITIONING DBA P 0 BOX 5120 PALM SPRINGS CA 92263 (760)485-5649 CONTRACTOR PREFERRED AIR CONDITIONING DBA P 0 BOX 5120 PALM SPRINGS CA 92263 (760)485-5649 OWNER SYDNEY BROWN 54535 WINGED FOOT LA QU I NTA CA 92253 (760)485-5649 FINANCIAL INFORMATION CLTD :`.ti.QTY ..AMOUNT �PAID", "PAID DATE �RECEIPT.# CHECK # METHOD DESCRIPTION _41ACCOUNT�jf'.';,' !BY r r.J, BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 6r Printed: Tuesday, October 28, 2014 3:13:09 PM 1 of 2 C6?WSYSTEMS OF PARENT PROJECTS mmmmm� BOND INFORMATION f CLTD'," Z,DESCRIPTIOI41 ACCOUNT :,.QTY AMOUN P A I D A'- PAID DATE, RECEIPT METHOD.�, PAID BY Y HVACCHANGEOUT- 101-0000-42402 0 $72.52 $0.00 SPLIT -SYSTEM HVACCHANGEOUT- 101-0000-42600 0 $36.26 $0.00 SPLIT -SYSTEM PC Total Paid forCHANGEOUT: $108.78 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS: $201.63 $0.00 PARENT PROJECTS mmmmm� BOND INFORMATION f Sitllplified Prescriptive Certificate of Compliance: 2008 Residential HVACAlterations C&' -IR -ALT -HVAC Climate Zones 10 to 15 Site Address: aj�Enf ceme ency: 'Dale: Permit #: �� c .1 loODvl4 r went 1 e' List Minimum Efficiency' Duct insulation requirement Area Thermostat ❑ Packaged Unit L2E ac Over 40 ft of ducts added or WER _ ❑COP Setback or Cor Coil •S ❑ HSPF replaced in unconditioned space Served by system (Ifnoralready densing Unit ❑ Resistance ❑ R 6 (CZ 10-13) �(} S' present, must be er ❑ R 8 (CZ -14r]5) installed) ipment Type: Choose the equipment being installed," if more than one system, use another CF -IR ALT -HVAC for each system. imum Equipment Efficiencies: 13 SEER, 78% AFEa ; 7.7HSPFfor typical residential systems. VERMCATION SUIV MARY Listed below are four HVAC alteration Options" The installer decides what work is being done and ne 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 on 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 r. The inspector also verifies that each appropriate CF -6R and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and Be ' October 1, 2010, a re istered copy of the CF -1R and CF -6R shall also be on site for final ins ection. IVAC Changeout Required Forms: o All HVAC Equipment replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CFAR forms: MECH- 21 and (fors lit stems) MECH-25 a Condenser Coil and /or 0 Indoor Coil and /or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS o Furnace CF -4R forms: MECH- 21 and (for split systems) MECH-25 For Split Systems: Duct leakage < 15 percent; RC, CCA> 300 CFM/ton(N nimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent 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. Existina duct systems are constructed, insulated or sealed with asbestos ❑ 2. New HVAC System I Required Forms: o Cut in or Changeout with new CF -6R forms: 1%oIECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS ducts: (all new ducting and all CF -4R forms: MECH 20-, and fors lit stems new equipment) ( p sy )MECH-22, and MECH 25 For Split Systems: Duct leakage < 6 percent; RC, CCA > 350 CBNton, FWD, TMAH, STMS, and either HSPP or PSPP For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with Forms: Includes.replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF -4R forms: MECH-20 and (for split systems) MECH-25 coil and/or furnace. Not all equipment changed. For Split Systems: Duct leakage <6 percent, RC, CCA> 300 CFNVton, TMAH For Packaged Units: Duct leakage < 6 nercent ❑ 4. New Ducting over 40 feet Forms: a Includes adding or replacing more than 40 CF 6R forms: MECH-04, MECH-2I-HERS CF -4R forms: MECH-21 linear feet of duct in unconditioned s ce. 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) o I certify that this Certificate of Compliance documentation is accurate and complete. o 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 r Applicable compliance forms, worksheets, calculations, laps ands ifications submitted to the enforcement agency for approval with the Varve:Signature: peStiorys . ` � — 9F R—E V 6`�i d L . a ai ' r ate: Address. ,,��qq �� �V License: City/State/Zip: /)� Phone: (� �CaC - �CBJ i 3 2 City ®f La QuAnta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Ouinta. CA 92253 - (7601 777-7012 Project Ad -dr i3Llilding Permit Application and Wracking Sheet Fo 0 Owner's Namd: e5ypN . /✓ Ro A. P. Number'. Address: Legal DescziptioiZ� => .` r_Gon it137ng dba Coniraetbi:. , t: :P�:e'fe�ri^:e:�;Pliimbin Heatin &Ai City, ST, Zip: LA QI!!�7% f az oZ.S�•3 Telephone: 76e %� �S S tI0 Project Description: Ad&css.. }? 0 <°.`B q . ° Q °:.. :5°=s City;s';ZpPari�OP_-gs:: CA. 9226 �C G!� "CdVOC7USZ'7Q �/4 Telephone:`.(:7.6:00=`�Q�..-0S3a• f f�MO �tl. DR►�i7i✓G'" L'41 / State Lic: #i: 4::7:55:4` City Lic. #: Arch... Address: City,.ST; Zip:;.:; State Constrgction Type: Occupancy: Praject`type (circle on New Add''n Alter Repair Demo Name.of:ConactPeF;gp.s?� /9 T Sq. Ft : # Stories: # Units: ;...:::.Zr i .:.:.::.:: Telephone:#-O;Crnif r{tl3erson;:; �a0 glo 3 0Ir,3a Estimaied Value of Project 9' 9 << < - > `>: `t . -• APPLICANT: DO NOT WRITE BELOW THIS LINE # .$ubmitta[ ; .::=:geg'd .. . Recd TRACKING ; YERMYT FEES PIan:Set :.:' Plan Checkfi8mitted IteAmount .StructpraL alis.... Reviewed, ready for corrections Pla Check Deposit Called Contact Person ria Check Balance Energy Ca1cs.:: Plans ticked up Con truction Flood il plan, Plans.resubmitted Me anical ;ra. ing.plan' ' -.. : Z"d Review, ready fo�'correctionsrssue Ele Ical $ube6pitaetor.L1st Called Contact Person Plu b ng GrantDeed. Plans picked up S.MI. �O A Approval Plans resubmitted Gra W;HOUSE:= Review, ready for corrections/issue Dev to}er Impact Fee Ylsnniag Approval-. Called Contact Person A.4. ...Pub. Wks. Appr Date of permit issue Sehool Fecs ' Tot Plrmit Fees •