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11-0564 (MECH)P.O. BOX 1504 A-495 CALLE TAMPICO LA QUINTA, CALIFORNIA -92253 Application Number...- :-:11-00000564 Property Address: 56259 WINGED FOOT APN: 775-310-001- = - Application description: MECHANICAL Property Zoning: *LOW DENSITY RESIDENTIAL Application valuation: 16500 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ---------------------------------------------------- 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 Professionals C de, and my License is in full force and effect. License Class: C20 C36 ense No.: 906115' Date: JS=LAnu.ctor: 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.). I _ 1 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 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: KIPP DOWNING 56259 WINGED FOOT LA QUINTA,.CA 92253 Contractor: HYDES 77825 WILDCAT STREET VOICE (760) 777-7012 FAX (760)•777-7011 INSPECTIONS (760) 777-7153 . Date: 6/01/11 a P TUN! 0 120,11 1 CITY OF _' A 1.`lUNTA r: 1.114J1ii C.E 17a:_ F T. PALM DESERT, CA 92211 (760)360-2202 Lic. No.: 906115 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 d.yissued- '41 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 'NORGUARD INS Policy Number ' CEWC133676 _ I certify that, in the performance of the work for which this' permit is issued, l 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 sub'ec theWorkers' compensation provisions of Section - 3700 of the Labor Code, I shall to h h Slwith those provisions. -Date: C:y pticant: 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. I certify that I have. read this application and state that the above information is correct. I agr to� omply with all. city and co u ty ordi`nances and state laws relating to building construction, and he riz epresentatives of this co ty to ter upon the above-mentioned property for inspection purpo te: 'nature (Applicant or Agent): Simplified Prescriptive Certificate. of Compliance: 2008 Residential HVAC Alterations . —CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency:, ' ` 4 56-259 Winged Foot La Quinta, CA 92253 City of La Quinta May. 31,' 2011 y Ductinsulation Conditioned Floor EquipmentTypel Simplified Prescriptive Certificate. of Compliance: 2008 Residential HVAC Alterations . —CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency:, ' Date: Permit #: 56-259 Winged Foot La Quinta, CA 92253 City of La Quinta May. 31,' 2011 Ductinsulation Conditioned Floor EquipmentTypel List Minimum Efficiency2 requirement f, Area Thermostat �. t ❑ PackageUnit_ < p Furnace D AFUE 78% ❑ COP-E]R 6 (CZ 10-13) Served by system Setback , 0 Indoor Coil R Condensing Unit p SEER 13.0 ElEER ❑ HSPF E]Resistance E.3R 8 (CZ 14-15) 1600 sf if not already present,, must be instaf'ed) ❑ 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 Eff=iciencies: 13 -SEER, 78% AFUE, 7.7HSPF for typical residential systems. j 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 tha= the work Fisted 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 registe-ed copy of the CF -1111 and CF -611 shall also be on 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 Coil and /or CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25+ERS • Indoor Coil and /or Furnace '' CF -4R forms: MECH-21 and (for split systems) MECH-25 0 • r+ , •� For Split Systems: Duct leakage'&R15 percent; RC, CCA _< 300 CFM/ton (Minimum Air Flow. Requireme:nt),'TMAH ...i I1..:•e. f1, �F 1l.�1: ,c,- •1 C .,F ^. . .' FGF Parska r r , Exempted from duct leakage testirig%if:- , 1 Duet system°was documented to have been previously sealed and confirmed through HERS verification, or p 2. Duct systems with less thari'40 linear.feet in unconditioned space, or }:..:. ❑.3..Existing duct systems are constructed, insulated or sealed with asbestos p 4.,TheXsystemrwill not be Ducted (ie -DuctlessMimi--Split_SysA`tem)r(Als ofExerrpt-fro!:n eeffr_iger_ant Charge) I YDS-� -_ ❑ 2. Nevy'�HVACS stem Requir'ed'Forms �F"' . Cut in>!'or�Changeout with' ' I{i3�' V"'� r. 9 'CF -iEiZ5 new ducts:l(all new ducting and all new d"r t 6Riforms MECH-04, MECH..-20 HERS, and (for split systems) MECH, 2,2 and>MECH``-25yeHERS CF�4R"forms MECH 20, and"(for split sy�stems)'MECH 22,,and MECH425 �� �' „x' ri�:I equipment).:i_a'�s��� -1 t For SplitSystems;�Duct li ikage�d6Tpercent RC; CCA >+350 CFM/ton,�FWD,.aTMAH STMS and either HSPP--"6i PSPP. > �- i aa-�•+,�,P�s .� .- For Packaged Units: Duct leakage <6percent?•. —f- Duct 0.3'. New Ducts with/or without L' Required Forms: Replacement;��9;1k(; .Includes replacing or installing all`. -new ducting and/or outdoor condensing„unit and/or indoor CF -6R forms: MECH-04, MECH-20-HERS; and (for split systems)�MECH-25-HERS coil and/or furnace. No or some equipment CF -4R forms: MECH-20 and (for split systems) MECH-25 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: 1 - . 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. r • 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. . • • ' ;, 1?` s , • I certify that the energy features and performance specifications for the design identified on this Certificate of CompAance 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 ocher applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the. permit” application: Name: Mark Hyde ,' ' Signature: Mark Hyde -. Company: CERTIFIED COMFORT SYSTEMS INC Date:.May 31, 2011• Address: 77-825 WILDCAT DRIVE ' , _ License: 906115 City/State/Zip: PALM DESERT / CA / 92211 . Phone: (760) 360-2202 t i I i, Reg: 211-A0025975A-00000000-0000 Registration'Date/Time: 2011/05/31 14:41:22 HERS Prcwider:"Ca10ERTS,.Inc. - ' 2008 Residential Compliance Forms July 2010 i Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alteration's CF -1R -ALT -HVAC Climate Zones 10 - 15 - r Site Address: - Enforcement Agency: Date: Permit #: 56-259 Winged Foot(2) La Quinta, CA.92253 City -of La Quinta May 31, 2011 Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat' ❑ Package Unit , R Furnace W Indoor Coil p AFUE 7801d p SEER 13.0 ❑ COP ❑ HSPF ❑ R 6 (CZ 10-13) Served by system 9 Setback if not already present must be •p Condensing Unit E] EER ❑ Resistance E] R 8 (CZ 14-15) 2000 sf instaFed) ❑ Other i 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 ETrciencies: ,13 SEER, 78% AFUE, %,'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 onsite for final inspection and a copy given to the homeowner. At final, the inspector verifies tha: 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 registe-ed copy of the CF -111 and CF -611 shall also be on site for final inspection. { © 1. HVAC Changeout Required Forms: - s . All HVAC Equipment CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems),MECH-25-F.ERS replaced CF -4R forms: MECH-21 and (for split systems) MECH-25 . Condenser Coil and /or CF -6R forms: MECH-04, MECH-21-HERS•and (for split systems) MECH-25-I-ERS Indoor Coil and /or ! Furnace CF -4R forms: MECH-21 and (for split systems) MECH-25 . a For Split Systems: Duct leakage"<s15 percent; RC, CCA _< 300 CFM/ton (Minimum Air Flow Requirement), TMAH Exempted from.duct leaks a testiriif:'. P 9 9=, ''; d: Duct system was documented to have been previously sealed and confirmed through HERS verification, or, 1712. Duct systems with less th5n'S40 linear feet in unconditioned space, or p 3. Existing duct systems are constructed, insulated or sealed with asbestos ❑'4. Tfie_sy.,stemywill not be Ducted (i#DuctlessTMrni-,Split_System)�.(Aiso m." Exept fro mYRefrigerra�nt4C-harge) ' ❑ 2. New HVAC System Requied.Focros r,1 s ; (E? . Cut with in or;Chan eout " i, 9 . W, 3 u `..'%s+r, alk .-new ducts; (all new e ducting arid, all new a CF 6R46M MECH-04, ME6H-20 HERS aricl#6r split systems) MECH,22 iERS and,MECH=25 HERS t' 's-' CF'4R foams 1MECH 20, and,(fo'r split systems),MECH,22and„MECH 25Y'* , 1 equipment,).' 4 a risut.. For Split Systems Duct,leakage, 68perrcent RC CCA„> 350 CFM%ton, FWD, tTMAH ASTMS and either HSPP &• PSPP: "� r For Packaged Units: Ductleakage< 0•.3. New;Ducts with/or without° Required Forms: > , Replacements „�s•.x,'"�+c_` . Includes replacing or installing'MEnew ducting and/or outdoor condensi g�uuni0b_nd/or indoor CF -6R forms: MECH; 04, MECH-20-HERS, and (for split systems) MECH-25-HERS Coil and/or furnace. No or'some,equipment CF -4R forms: MECH-20 and (for split systems) MECH••25 changed. For Split Systems: Duct leakage < 6 percent;, RC, CCA'>_ 300.CFM/ton, TMAH , For Packaged Units: Duct leakage < 6 percent s ❑ 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. r • 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 Comp9ance 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 ocher applicable compliance ' forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. , Name: Mark Hyde 'Signature. Murk Hyde Company:. CERTIFIED COMFORT SYSTEMS INC _ Date: May 31, 2011 Address: 77-825 WILDCAT DRIVE } License: 906115 - City/State/Zip: PALM DESERT/ CA / 92211 - Phone: (760) 360-2202 Reg:'211-A0025979A-00000000-0000: Registration Date/Time: 2011/05/3'1 14:45:25 HERS Provider:'CalCERTS, Inc. 2008 Residential Compliance_ Forms July 2010 Bin # Permit # r 1\ �L Projed Address: A. P. Number: Contractor. C e r(�l Address: • City, ST, Zip: Telephone: State Lie. # : o ( 1 Arch-, Engr-, Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Telephone # of Contact Person: # i Submittal Plan Sets Structural Calcs. Truss Calm Energy Calcs. Flood plain plan Grading plan. Sabcontactor List Grant Deed IiO.A. Approval IN HOUSE:- Planning Approval Pub. Wks. Appr School Fees City of La Quinita Building .& Safety Division P.O. Box 1504, 78-49S Calle Tampico La Quinta, CA 92253 - (760) 777 -701 - Building Permit Application and Tracking Sheet L-/ 4R Q 0 Owner's Name: . Address: Cit3', ST, Zip: Telephone: 0 1r ( Project Description f it /I (/ /�► G v el ,7-Z Lic.•#: 0o sPe r. Total Permit Fees Construction Type: ,�paa�,_ Project type (circle one): New Add'n Alter Repair • Demo Sq. Ft.: #Stories: # Units: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE Recd TRACIMG . PERMIT FEES Plan Check submitted Item Amount Reviewed, ready for corrections Plan Check Deposit Called Contact Person Plan Check Balance Plans picked up Construction Plans resubmitted Mechanica'. 2" Review, ready for correcaonsrissue Electrical Called Contact Person Plumbing Plans picked up S.ML Plans resubmitted Grading Review, ready for corrections/issue Developer>rnpact Fee Called Contact Person A.LP.P. Date of permit issue Total Permit Fees