10-0823 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
,1'6 -0,000_082j -
1' -00000823'Property
Property Address: ' �
52221 AVENIDA VILLA
APN:
773-233-025-10 -000000-
Application description:
MECHANICAL
Property Zoning:
COVE RESIDENTIAL.
Applicotion voluotion:
6200
Applicant:
Architect or Engineer:
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 ,
BUILDING PERMIT
Date: 8/31/10
Owner,
JOHN JAMISON '
52-221 AVENIDA VILLA
LA QUINTA, CA 92253
Contractor:
HYDES
77825 WILDCAT STREET
PALM DESERT, CA 92211 O1 Z(J
(760)360-2202 ,
•,'� Lia. No.: 906115 ma
F LA QUINTA
r ?fCE 10EPT.
----------------------
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 C e, ay6 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
. 2
License CI s: 0 C36 Li s o.: 906115 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
i issued.
te: � ontractor: I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
,X
Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNER-BUIr6ER 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 CEWC133676 - -
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 workeer compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Codel or3700 of the Labor Code, I shall forthwit=corpa ose provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by �/d)
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: /L scant: —
(_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do•the work, and
the structure isnot intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATI 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 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 contractors) 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 -
Date: Owner-
CONSTRUCTION LENDING AGENCY
1 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: Q
Lender's Address: / �
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 agree to comply with all
city and county ordinances and state laws relating to building construction, and herebypifthorize representatives
of this/%c,ou ty t ennter upon the above-mentioned property for inspection pur
Date � o Si Lure (Applicant or Agent):
/ ` -�
LQPERMIT - %
Application Number 10-00000823
PermitMECHANICAL
Additional'desc -
Permit.Fee 33.00
Plan Check Fee
8.25
Issue Date
Valuation
0
' Expiration Date 2/27/11
Qty Unit Charge'.Per
Extension
BASE
FEE
15.00
1.00 9.0000 EA MECH
FURNACE <=100K
9.00
1.00 9.0000 EA MHCH
B/_C <=3HP/100K BTU
9.00
Special Notes and Comments
REPLACE HVAC COMPLETE SYSTEM, 13
SEER,
2007 CODES.
---------------------------
Other Fees. BLDG STDS ADMIN .(SB1473).
1.0.0
Fee summary Charged
Paid Credited
Due
Permit Fee Total .3.3.00
.00 .00
33.00
Plan Check Total 8.25
.00 .00
8.25
Other Fee Total 1.00.
.00 .00
1.00
Grand Total 42.25
.00 .00
42.25
LQPERMIT.
Simplified Prescriptive Certificate of Compliance_ 2008 ResidentW HVACAhe nMForrs CF -IR -ALT HVAC
Climate Zones 10 to 1s
l' �l0 �� Perm tl:
eat T '
List Minimum Efficiency'-
Duct insulation reQuizernent
Area
thermostat
Packaged Unrt
Furnace ®
Over 40 ft of darts added or
IndoorCOU
Condensing Unit
PGS ER HSFF-�
IM EER = Resistance
replaced is unconditioned space
I R 6 (t'Z 1 Q-13)
,® R 8 (CZ 14-15)
Served y soe�
I /V P
,
� mrac be
` m�mrleflD
I- E400nn3rlt TYP-Oow rfoe Ogtdjtmera being orsr M -A Pfmore tfam one system, = awVter GY-IK-ALT�ffVACjbr eadt S)stEm.
2. Mvo,h aorc E9rr0—ld E 13 SEER 78OZo AFUF 7.7HSPPFfor typical reridesrrial systems
HERS VERIFICATION SUM"RY Listed below are Erna HVAC ahcra lon Optiom The instaIIer decides what work is being done and
pies one of the ap;�opriate Options Each Option lists the HERS awes that most be M14vted_ A, oopy ofthe foams scan be lefton she for final
inspeefioa and a copy given to the homeowner. At final, the inspector verifies that the wa& Ssted an tins foam was in fact ibe w tnk completed by tint
installer_ The inspector also verifies that each appropriate CF -6R and r gisoer d CF -4R forms (no hand filled CF-4Rs
October I, 201 a co of the CF -IR sad CF -6R shag also be on site for gyral msner�eT are Med out and
�1- HVAC Chw4pout Requh-ed Forms: -
• All HVAC Egdpmeut replaced
• Condenser Cod and /or
• Indoor Cort and /or
. r,nvind
and
CF -6R forms: MECH-2I-HERS and (for split sysm ss) MECH- 2SMERS
CF -4R fomrs: MECH- 21 and (for split sys ms) MECH 25
ror apuc -`ysrxms: LMM tealmV < 15 percent- RC. CCA >_ 300 CFIvlfuda(MtnanamAa Flow Requir )�
For Padmged Unit: Duct leak W < 15 percent
ctesdog K-
I -
fI- Duct *U= was docti meated to have been previously sealed and confirmed thtough HERS v, oa
2 Duct sys0ems with less than 40 Procan feet in unconditioned space, m -
r9 t
3 2 New HVAC System Required Forms: ----
• Cm is or Changeout with new CF -6R farms:
( MECH-K MECH-2%HERS,amd (for spik yyso=s) MECFi-2�lil , ,d MECH-25-HERS
CF -R foraw MECH 20 and (for split sysoems)MECH 22, and MECH 25
'or SpFit Systems_ Duct lealmVe <6 pertxu, RC, CCA >_ 350 CFM/tot; FWD, TMA&, ST MS, and either Hspp or ME
,or Pmdbtpd Units: Duct leakage < 6 Denten
® 3. New Dads with Replacement
• hsdudes replacing or iustaIImg an thew h,ctmg
and/or outdoor condextsing mat and/or indoor
wit and/or fsnvace. Not aIl
For Split Systems: Duct leakage < 6 percent,
For ftckaged Units.: Duct leakage < 6 pence
M_ New Darling over 40 feet
• Inciudrs adding or replacing mese than 40
littear feet of duct h, d space,
Required Forms:
CF -6R forms MECH-04, MECH 20-AERSand (for split sysroeno MEM -Z4 F,RS
CF4R forms MECH-20 and (for spfit systems) MECH-25
Required Forms:
CF -6R fmrms- MECH-04 MECH-21 HERS CF -4R fon= MECH-21
For spfit s stem rpadded units: Duct leakage < 15 percent:
Coatmctttr (Documentation Author's /Responsible Desrguer's Declaration Sta ement)
• I certify than this Cer6fxm of Comte dour on is accmue and oomplem
• 2 eerafy thatthe Calffrntta � and Pcofessiom Code to accept amity for the design identified oa to CetCficate of Compliance.
" puftmiance specifications forte design identified on ft Cemficam of Camplrneem ft � of Tide 24.
Pars I and 6 of the California Codc ofRens
• The desin feattaes identified on oris Certs of Compliance ate consisieat with the ikon do—muted on other
apokabe
ealailado m and WecWtcubm subiniaed to ft.eaforecaart 0puggiano: ftnns, woe -b -m
Ivan Michael Hyde sigrtanae s
c°mPa"- Hyde's Air Conditioning
77-899 Wildcat Drive Lim 914
06115
City/SwOU: Palm Desert, CA 92211
3008 Residential Comp4ance Forms
Uarch 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
Permit .#
a�
Project Address:'
Owner's Name: 5O 4,4/ ,�/E H 1> 0"4.)
A. P. Number:
Address: _5-t- 1,1-
Legal Description:
City, ST, Zip: 1,4 ✓7 -
Contractor:
Contractor: 2�j C L� �fl
Telephone: 76,9
Address:
Project Descriptio
City, ST, Zip: /1W1,/ -f �iS `� �'
�n:
1,1/ C G �h� - O ✓�
Telephone: 7 6
Usti
/�
State Lic. # : ��/� City Lic. #:
Reviewed, ready for corrections
Arch., Engr., Designer:
Plan Check Deposit
Address:
City, ST, Zip:
APPI1f.ANT• nn ninT WRtTP Rm nw Tule i mic
#
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 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading.plan
2' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
'"' Review, ready for corrections/issue
Developer Dnpact Fee
Planning Approval
Called Contact Person
A Lp,p,
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees