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13-1426 (MECH)P.O. BOX 1504(77VOICE (760) 777-7012 78-495 CALLE TAMPICO " . FAX-(760):177-7014 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT. INSPECTIONS- (760) 777-7153 BUILDING PERMIT Date: 11/06/13 Application Numbe 1:3-=0-0'0 0 14 2 6 ,� Owner: Property Address: 4C49U45y.WASHINGTON ST WARD"CHRISTA LYNN APN: 646-170-007- - - 49045 WASHINGTON Application description: MECHANICAL LA •QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL ( Application valuation: 7380 Contractor: Applicant: ArchXtectr E iner. HYDES D Q 42949 MADIO STREET + INDIO, CA 92201"' /�`, �3 (760) 360-2202 �UN l/ �J Zo�� - LiC. No.; 906115 CFNAflICE pE 47A -- LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION ` I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty ofperjury one of the following declarations: - Section 7000) of Division 3 of the Business and Profession is Code, my License is in full force and effect. _ I' have and will maintain a certificate of consent to self -insure -for workers' compensation, as provided License I ss: C20 C36 - - Licen o.: 906115 for by Section 3700.of the Labor Code, for the performance of the'work for which this permit is - issued. Date: ♦ rt Contractor: _ - _ I. have and will maintain workers' compensation insurance, as required by Section 3,700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION - - insurance carrier and policy number are: - - - I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the • Carrier NORGUARD INS Policy Number CEWC468841 - following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to 1 certify that, in the performance of the work for which this permit is issued; I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant -for the - person in any manner so as to become s bject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that,,if I should become sub' t to a work rs'compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division -3 of the Business and Professions Code) or 7 0 of the Labor Code, I shall fo i those provisions. 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.: Date' -� Applicant: - - ( _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and �s "------------� - the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of propertywhobuilds or improves thereon, .SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that "the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN - improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT - - . (_ 1 1, as owner of the property, am exclusively contracting with licensed.contractors to construct the project (Seca IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. _ property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1- Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors'. State License Law.)- - - - whose benefit work isperformed under or.pursuant to any permit issued as a result of this application, I_) '1 am exempt under Sec. B.&P.C. for this reason the owner, and the applicant; each agrees to, and shall defend, indemnify and hold harmless the City ` of La Ouinta, its officers, agents and employees for -any act or omission related to the work being performed under or following issuance of this permit. - - Date: Owner: 2. Any permit issued as a result of this application becomes null and void if work'is not commenced " within 180 days fromdate of issuance of such permit,, or cessation of.work for 180'days. will subject CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is.correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). ' - 'city and county orpdinances and state laws relating to building construct' n, and hereby autho ' e.representatives . of this cou o e ter uppn the above-mentioned property for ins on oses: ' Lender's Name: - .' f CDate" —Signature -(Applicant or -Agent): Lender's Address: LQPERMIT Application Number 13-00001426 Permit . •. . MECHANICAL 2013 Additional desc . Permit Fee . . . . 71.50 Plan Check,Fee .00 Issue Date Valuation 0 Expiration Date 5/05/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.00 35.7500.EA. MECH CONDENSER/COMP 35.75 ------------------------------------------- i Special Notes and Comments -------------- HVAC CHANGE OUT 16 SEER 78% AFUE REPLACE 4 TON [2008 ENERGY].CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2010 CALIFORNIA BUILDING CODES. ---------------- Other'Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL` 47.66 Fee summary Charged Paid Credited Due ---- - - - - ---- Permit Fee Total 71:50- .00 .00 -- - - - - -- -- 71.50 Plan Check Total .00 - .00 00 .00 Other Fee Total 139.23 00 00 139.23 Grand Total210.73 :00 00 210.73 • o Bin #-- City of La- Quinta Building & Safety Division P.O. Box 1504, 78=495 cane Tampico La Quetta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet, Permit # Project Address: ✓ I [ `�� 77 n Owner's Name: G) A. P. Number: Legal Description: Comractor. � P_b- k t1 d W� 44 g Ale Address:ti q - G `-9 a L..a Pity. ST, Zip: Telephone: Address:- City, ST, Zip: f ' lct 11 I-NProject C 4 ci Description: G �- • �' dP 4 Telephone: 6a _ ZZdZ State Lie. # : q 0C j. City Lic #: Arch., F.W., Designer: Address City, ST, .Tap: - Telephone: State Lic. # Name of Contact Person Consttucbion Type:OccupancT. Pleject type (circle one): New Add'n Alter Repair' Demo Sq. Ft.:. # Stories # �:. Lj , I Estimated Value ofPmjecx 3,9Q Telephone# of Contact Person:: 7 APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal RWd Reed TRACIO�iG • PEW#= FEES Plan Sets Plan (heck submitted Item Amount Structural Calcs. Reviewed, ready for oorredions Plan Check Deposit buss Cales. Called Contact Person PL►a heck Balance Energy Calcs. Plans puked up construction Flood plain plan Plans resubmitted Mechanical Grading pian 2" Review, ready for eorrecdonsf ssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up ML SOA Approval : Plans resubmitted Grading INHOUSE-, &" Review, ready for correetionsfissue Devdoper-Impact Fee Planning Approval Called Contact Person A.U.P. Pub. Wks. APpr Date of permit issue School Fees Total Permit Fees 1 # _ ♦ � IJ y Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 - 1S Site Address: Enforcement Agency: Date: Permit #: 49-045 Washington La Quinta,' CA 92253 City of La Quinta Oct 30, 2013' Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 - requirement Area Thermostat ❑ Package Unit ® Furnace ® Indoor Coil H AFUE 78% ® SEER 13.0 ❑ COP ❑ HSPF ❑.R 6 (CZ 10-13) Served by system ® Setback If not already present, must be ® Condensing Unit [3EER [3 Resistance [3 R 8 (CZ 14-15)_ 1600 sf 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, 78% AFUE, Z7HSPF 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 -611 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 -611 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 CF -4R forms: MECH-21 and (for split systems) MECH-25 . Furnace For Split Systems: Duct leakage'.;;<;;15 percent; RC, CCA 5 300 CFM/ton (Minimum Air Flow Requirement), TMAH Exempted from duct leakage testingiE;. 1: Duct system was documenteto have been previously sealed and confirmed through HERS verification, or 0'f * d 13 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. The4system�w,ill not be Ducted (ie: Ductless Mini Split System) (Also Exempt from„Refngerrant Charge) ❑ 2. New HVAC System Required,,*Forms . Cut mior Changeout with ,P; �e .; s,.... .. CF 6R forms MECH-04, MECH 2O�HERS; andf(for split systems) MECH ,22 HERS, and new ducts '(all news ducting and all new 5 ?1, MECH 25 HERS! E d MECH <, t;� C,F�+4R forms MECH 20, a (for split systems) 22, and'MECH 'j3kale �"$, equipment);: . ,, *°`>,-....iN1.L+•......� 9`^'i�".r:, V,`e;.;; ForSplit Systems Duct leakages<i6 percent, RC, CCAS>r3S0 CFM/ton�F1ND; TMAH, SIMS; and`{either HSPP or PSPP. For Packaged Units: Duct leakage�< 6:percerit : . ; ❑ 3...New.Ducts;With/or without; ”;??!'^ Requ re Forms: Replacement . Includes replacing or installing all; new ducting and/or outdoor condens ri -`-' 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 -411 forms: MECH-20 and (for split systems) MECH-25 equipment 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: . Includes adding or replacing more than 40 CF -611 forms: MECH-04, MECH-2I-HERS linear feet of duct in unconditioned space. CF -411 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: Mark Hyde - Signature: Mark Hyde Company: CERTIFIED COMFORT SYSTEMS INC ? ' Date: Oct 30, 2013 _ Address: 42-949 MADIO STREET License: 906115 City/State/Zip: INDIO / CA / 92201 Phone: (760) 360-2202 Reg: 213-A0082510A-000000000-0000 Registration:,Date/Time: 2013/10/30 18:20:30 HERS -Provider: CalCERTS, Inc. 2008 Residential Compliance -Forms*,, July 2010