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10-0554 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO. LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning:. . Application valuation: Applicant: 10-00000554 47935 VIA NICE 643-130-022-22 -26152 - MECHANICAL LOW DENSITY RESIDENTIAL 1000 Architect or Engineer: •414Qawiz. VOICE (760) 777-7012 FAX.(760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 6/22/10 Owner: D &.K COMERFORD FAMILY LTD PAR P O BOX 2590 APTOS, CA 9"5001. Contractor: BEST IN THE WEST 255 N. EL.CIELO, 140-125 PALM SPRINGS, CA 92262 (760)343-1002-: Lic.'No.: 826714 �r t C4"iY0 �.i Vwi�tY�A LQPERMIT ------- - - -- -- " LIC ED CONTRACTOR'S DECLARATION , " _ " - WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that am lice sed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: -' Section 7000) of Division 3 of the Busines an Pr Is Code; and 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 Class: C20 -C38 License No.: 826714 _- - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is `_A) ractor: _ issued. D(I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor . Coale, 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. STATE FUND Policy Number 1932774-09 " following reason (Sec. 7031.5. Business and Professions Code: Any city or'countythat requires a permit to _ I certify that; in the performance o •WoTk•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<ecolne subject 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 she d b co b- ct to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with:Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor de, h mply with 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 ($500).: - - D ( 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds 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 (_ )' I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject tothe" • 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, eachpersonat whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as. a result of this application, 1 _ 1 I 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 Quinta, 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 from date of issuance of.such it-6'Tc'sa�on 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 t th abov IR rmation is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relati to b ding cti nd hereby authorize representatives _ " oft ° county to enter upon above -menti ed pro - r i e urposes. Lender's Name:VX y Dat �� `� gnature (Applicant or —' Lender's Address: LQPERMIT Application Number . . . . . 10-00000554 Permit MECHANICAL Additional desc . Permit Fee . . . . 24.00 Plan Check Fee 6.00 . ..Issue Date . . . . Valuation . . . . 0 Expiration Date 12/19/10` Qty Unit Charge Per Extension BASE FEE 15..00 1.00 9.000.0 EA MECH B/C <=3HP/100K BTU 9.00 Special Notes and Comments REPLACE EVAP COIL 2.5 TON HORIZONTAL IN - ATTIC. 2007 CODES. -----------------_---------------------------------------------------------- Other.Fees . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total, 24.00 .00 .0.0 24.00 Plan.Check Total, 6.00 .00 .00. 6.00 Other Fee Total 1.00 -.00 .00 1.00 4 Grand Total 31.00 .00 00 31.00 LQPERMIT A Simnlified Prescrintive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 to t 0, nq" k P-0 &cc Site dress: / „ /` (/ Eni cement Agency. Dat : y �� � J- Permit f#: , /(� Conditioned Floor Equipment T et List Minimum Efficicricy 2 Duct insulation requirement Area Thermostat O Packaged Unit ❑ Furnace O AFUE_ O COP Over 40 ft of ducts added or+ O Setback ndoor Coil OSEER O HSPF replaced in unconditioned space Steed by system (1/unf ct/reuch D Condensing Unit ❑ EER O Resistance OR 6 (CZ 10-13) ❑ R 8 (CZ 14-151 d_ sr present. rrucct he inrrullee!) O Other 1. Equipment Type: Chuuse the equipment being installed. iij'rnure than ane nstem, use unother CF-IR-.ILT-11t!4Cfor each Xvstern. Or typical residential ststents. 2. ;lfirsimam Equipment Efficiencies: 13 SEER. 78%AFUF.. 7.711SPFfi 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 -4R forms (no hand Filled CF-4Rs allowed) are filled out and sigWd. Beginning October 1, 2010, a registered copy of the CF -111 and CF -611 shall also be on site for final inspection. HVAC Changeout Required Forms: CF -6R forms: MECH-04, MECH-2I -HERS and (for split systems) MECH- 25 -HERS • All HVAC Equipment re laced p CF -411 forms: MECH- 21 and (fors tits stems) MECH-25 • Condenser Coil and/or CF -6R Forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS • indoor Coil and/or CF -411 forms: MECH- 2I and ( for split systems) MECH-25 • Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA > 300 CFM/ton(Minimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent Exempted from duct leakage testing if- ❑ I. 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 O 3. ExistinE ducts stems are constructed, insulated or seated with asbestos ❑ 2. New HVAC System Required Forms: • Cut in or Changeout with new CF -611 forms: MECH-04. MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS ducts: (all new ducting and all CF4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 new 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 0 3. New Ducts with Replacement Required Forms: • includes replacing or installing all new ducting CF -611 forms: MECH-04; MECH-20-HERS.and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF4R 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 2:300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent O 4. New Ducting over 40 feet Required Forms: • 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 space. For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Exis ting; duct s stems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • 1 certify that this Cenificate of Compliance documentation is accurate and complete. • 1 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 certify that the energy features and Performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title -''t. Pans I and 6 of the California Code of Regulatiortts. on other appliLable compliance forms, worksheets. • The desi «fres identified on this Certificate of Compliance are consistent lith the info a6�24;alit- catcu w la andspecifications submitted to the enforcement a ren forapproval wit tion. Name. e r �yi2 J Signature: Compan i 'I& Date: - - ZZ Address: j / /13o(*License: City/Stat sip �" Phone: GUSfz13 hnr 2008 Residential Compliance Forms March 2010 Bin # City of La Quints Building 81 Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permitft Project Address:' Owner's Name: A. P. Number: Address: T - S_ Legal Description: City, ST, Zip:LQ Contractor. /I'v �LS Telephone: Address: Z S� y _ /L / �i�/p �2 Project Description: City, ST,Zip: �y ,�jyj /1 r ✓ S l p$- 9z Z Telephone: 6p State Lie. # : O Z6 7 / City Lie. #: Arc ., ngr., Designer: Address: City, ST, Zip: Telephone: State Lie. #: Name of Contact Person: Constrgction,Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value.of Project:. 1,e!940 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING . PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Cale& Plans picked up Construction Flood plain plan. Plans resubmitted Mechanical Grading• plan 2"" Review., ready for correctionsrissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`" Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees