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08-1408 (MECH)P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 " LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT _ INSPECTIONS (760) 777-7153 5 BUILDING PERMIT. C�— - -- i _ .� Date: ' 8/15/08 Application Number: f0870:0--0.014.08---Owner: - Property Address: <--52865 AVENIDA VILLA SUE MCCUNE , APN: 773-333-020-7 -000000- r 52865 AVENIDA VILLA ` Application description: MECHANICAL r` LA QUINTA, CA 92253 D Property Zoning: COVE RESIDENTIAL Application valuation: 3000 Contractor: �0 t-' / Applicant: Architect or, Engineer: PALM DESERT AIR9OND NC 42081 BEACON HILL pF / PALM DESERT, CA '92211 (760)346-0677 �F�FpTTq LiC. No.. 374937 - LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION ` I hereby affirm under penalty of perjury that'I am licensed 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 Business and Professionals de, 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 L' nse No.: 374937 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is _o��.- issued. te: / 7 O " ntractor: •� 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 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 238-0004656-07 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I 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 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 should become subject 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 Code, I shall forthwith c ly with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by o- y7 - any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: T ate: O / C� , A cant 1 - 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: FAIL E 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 1$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 (Sec. 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 is performed under or pursuant to any permit issued as a result of this application, (_ 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 workis not commenced within 180 days from date 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 aconstruction lending agency for the performance of the I certifythatI 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 an ounty ordinances an • tate laws relating to building construction, and her authorize representatives - - Of co my to e7,gnp.tue he •above-mentioned property for inspection purpos Lender's Name: Date ��C! (Applicant or Agent): Lender's Address: - - - LQPERMIT - . Application Number : . . . . •08-00001408 Permit . . . MECHANICAL - Additional,desc .. Permit Fee 24.00 Plan Check Fee 6.00 Issue Date Valuation' 0 Expiration Date 2/11/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 ------------------------------------------------------------------------------ S ecial Notes and Comments - PLACE 3.5 TON A/C CONDENSER UNIT Fee summary Charged Paid Credited Due, Permit Fee Total 24.00 .00'' .00 24.00 Plan Check `Total 6.00 .00 .00 .6.00 Grand Total 30.00 .00 .00 30.00 LQPERMIT - r`cr- ifirn4c of (.mmnlianr P Prpsr_rintive Method - HVAC -only Alteration CF -1 R -ALT Projec itle: D� D� ©CaICERTS 2005 Enforcement -,A "en ro)ect Ad ess: _ Climate Zone: 15 suilding:pemiir# Documentation Author: Kimberly Galindo Telephone: 230 / 3,33 Pian Check bate Company Name: Palm Desert Air Conditioning & Heating Company Field Check Date: IMPORTANT: This CF -1 R -ALT form is only for use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system # / of / systems altered in this house. Check all lines that apply Check only lines that apply. Scope of Alterations: 1 ❑ An Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2 ❑ A Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 n outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. ❑A cooling or heating coil is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 5 ❑ More than 40 feet of new or replacement duct are to be installed in unconditioned space. Duct sealing to be determined. ❑ Check here if the entire duct system is also to be new or replaced. Continue to next line. 6 ❑ If none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA) are required. Go to Section 5. Section 1 - Duct Sealing (Only if any of Lines 1 2 3 4 or 5 are checked. Skip if Line 6 is checked. 7 ❑ This system is in Climate Zone 1, 3, 4, 5 6, 7, or 8. No duct sealing is required. Go to Section 2. 8 ❑ This system has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Section 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. No duct sealing is required. Attach previous CF -4R form. Go to Section 2. 10 ❑ This ducts stem is sealed or insulated with asbestos. No duct sealing is required. Go to Section 2. Note: If the entire ducts stem is to be new or replaced, Lines 11-14 do not apply. 11 ❑ In Climate Zones 2 12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct sealin and TXV if applicable). 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 AbQ EER 12 condenser will be installed with TXV(RCA) AND added duct insulation R-4 wrap on existing ducts, R-8 new ducts in lieu of duct sealing. Go to Section 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 0MU EER 12 condenser will be installed with TXV(RCA) AND a 0.92 AFUE furnace will be installed in lieu of duct sealing. Go to Section 2. 14 ❑ In Climate Zones 2, 9, 11, 12, 14 or 16: An SEER 14 AbQ EER 12 condenser will be installed with TXV(RCA) ND an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 15 None of lines 7-14 above are checked. Duct Sealing is Required. Continue. SjKction 2 - TXV(RCA) Onl if Lines 3 or 4 are checked, otherwise got to Section 3 16 ❑ The system being altered is a package unit. No TXV(RCA) is required. Go to Section 3. 17 ❑ This system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV(RCA) is required. Go to Section 3. 18 ❑ This system is in Climate Zone 1 3 4 5 6 or 7. No TXV(RCA) is required. Go to Section 3. 19 ❑ This system is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑ This s stem is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) is required. Go to Section 3. 21 This system is in Climate Zone 2 or 8-15 and line 11, 16 or 17 is not checked. TXV(RCA) is required. Go to Section 3. tion 3 - HERS Rater verification 22)!P If line 15 is checked, HERS verification is required for Duct Sealing. 23\Mo If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification is required for TXV(RCA). 2 ❑ Ilf line 12, 13 or 14 are checked, HERS verification is required for 12 EER. Section 4 - Equipment Efficiencies 25 ❑ If lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List in Section 6. Section 5- Duct R -Values 26 ❑ than 40 feet of duct is bein installed or re laced, duct R -value must meet or exceed Packa e D uirements. 27 ❑ FIfmore ss than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R-4.2 Section 6 - see next page Version 03-10-06 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com ry n . a7r....a....t t� Drncrrintiva mothnd _ HVAC -only Alteration CF -1R -ALT Project Title: Date: l©CaICERTS �V/ 4� 2005 VAC -only alteration is made to an existing home IMPORTANT: This CF -1 R -ALT form is only for use when an HQ Use one form for each system being altered. This is system #_- of systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equ' ment must match typeAocatlon and meet or exceed efficiencies/R-values. 28 Configuration: it system ❑ Package Unit 29 ❑ Air Handler ❑Gas furnace, AFUE: ❑Heatpump FAU ❑Hydronic FAU ❑Other 30 ❑ Heat Exchanger 31 Outdoor Condensing Unit ctkc ❑Heatpump lEfficiency SEERMSPF: JEER if re d : 32 ❑ Cooling or heating coil❑AIC ❑Heatpump ❑Hydronic 33 ❑ Ducts Location: Length (fl): R -value: All mandatory measures apply to any altered component. See MF -1 R - ALT form. Compliance Statement: This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall project responsibility. The undersigned recognizes that compliance using duct sealing, verification of refrigerant charge, and TXV require installer testing and certification and verification by an approved HERS rater. Home Owner or Authorized Agent Documentation Author Name: Name: Kimberly Galindo Address: Company Name: Palm Desert Air Conditioning & Heating Company City/State/Zip: Address: 42-081 Beacon Hill Phone: City/State/Zip: Palm Desert, CA 92211 Phone: (760) 346-0677 . Signature: Signature: i Enforcement A enc(Building Department) Notes/Comments: Name: Title: Department: Phone #: Fax #: Signature or Stamp: Required forms: CF -1 R -ALT: by anyone. Required at time of permit application. Copies to home owner, enforcement agency, HERS rater. CF -6R -ALT: by installing contractor. Required to close permit. Copies to home owner, enforcement agency, HERS rater: CF -4R -ALT: by HERS rater. Required to close permit. Copies to home owner, enforcement agency, installer. The CF4R forms for a sample group shall not be released until all testing and verification is completed and passed for the entire group. Version l)3-1 U-Ub This form can only be used on projects being verified by CaICERTS certified raters. ...y.... ,.. www.calcerts.com Bin # Qty of La Quinta -Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # vv Project Address: aCAenLA&L.1z1///`!;d)Owner's Name: )du-,e, M(2ec4..,­� A. P. Number: Address: Legal Description: City, ST, Zip(ya - Ca t L&Ya' 9a,-ts - Contractor: e GGMPAblv Tele phone:7Kl9-,;0Y*/ PALM DESERT AIK UUNUI 1101411 Address: 42081 BEACON HILL PALM L)tbtm I , eA 9?2" 64Q7 City, ST, Zip: (760) 346-0677 Project Description: Telephone: State Lic. # : 1qq 3 -7 City Lic. #.-. Arch., Engr., Designer: Address: City., ST, Zip: Telephone: . . ;; State Lic. #: . . . . . . . . . . ...... X: X.%.roject Name of Contact Person: Construction Type: Occup aLqcy: P type (circle one): New Add'<� Iter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person:3Y6 A677 Estimated Value of Project: 3 4 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Caics. Reviewed, ready for corrections Plan Cbeck Deposit Truss Cales. Called Contact Person Plan Clreck Balance. Title 24 CaIcs.. Plans picked up Construction Flood plain plan Plans resubmitted Mechamical Grading plan 21' Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Gradirg IN HOUSE:- Review, ready for corrections/issue Develooer Impact Fee Planning Approval Called Contact Person A.I.P.E_ Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees