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10-1023 (MECH)I`�,. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00001023 Property Address: 79180 FOX RUN APN: 772-012-011-56 -25429 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1134 Applicant: Td�/ °F:w4" Architect or Engineer: P I A 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 a d Profess' nals Code, and my License is in full force and effect. License9Class: C20 LicenseNo.: 794315 Date: 1 ���' 0 tractor: 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).: (_) 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 arenot 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.). (_ 1 I, 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.). (_ 1 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: LQPERAIIT Owner: BECK DEAN A 79-180 FOX RUN LA QUINTA, CA 92253 Contractor: DOVE AIR INC 69749 RISUENO ROAD CATHEDRAL CITY, CA 92234 (760)327-1890 Lic. No.: 794315 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 9\ Date: 9/30/10 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 issued. 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 EXEMPT Policy Number EXEMPT I c=at, in the performance of the work for which this permit is issued, I 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 ecoma subject to the workers' compensation provisions of Section � ? 3700 of the Labor Co". shall forthwith ply with those provisions. aPlte: / _11-IDplicam: 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 nn 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 1 have read this application and state that the above information is correct. I agree to comply with all city an ounty ordinances and state laws relating to building construction, and hereby authorize representatives �f s county to enter upon the above-mentioned property r i spection pur es. Date: V Sig fure or Agent):_ Application Number . . . . . 10-00001023 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 21.50 Plan Check Fee 5.38 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/29/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.5000 EA MECH OTHER MECH EQUIPMENT 6.50 ---------------------------------------------------------------------------- Special Notes and Comments REPLACE EVAP COIL IN OUTDOOR MECHANICAL CLOSET. 2007 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged -------------------- Paid Credited -------------------- Due ----------------- Permit Fee Total 21.50 .00 .00 21.50 Plan Check Total 5.38 .00 .00 5.38 Other Fee Total 1.00 .00 .00 1.00 Grand Total 27.88 .00 .00 27.88 LQPERMIT Simplified Pi•escri tWe Certificate of-C.otu liance.: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 to 15 Site Addr`ess:�' 75 Enforcement Agency: Dat Permit #: 4 Forf2v+,j, 0 it L o- /o Conditioned Floor Equipment T r List Minimum Efficienc : Duct insulation requirement Area Thermostat ❑ Packaged Unit ❑ Furnace ❑ AFUE_ ❑ COP Over 40 ft of ducts added or ❑ Setback - -P Indoor Coil ❑SEER '❑ HSPF replaced in unconditioned space Served by system (If not already ❑ Condensing Unit O EER ❑Resistance ❑.R 6 (CZ 10./3) sf present, must be ❑ Other ❑ R 8 (CZ 14-15) Installed) !. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1 R -ALT -HVA Cfor each systema 1. Minimum EquipmentAftiencies.: /3:SEER•-78%AFUE, 7.7HSPFfortypica/residenti' 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 Optionlists the HERS measures that must 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 that 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: registered.copy of the CF4R and CF -W shall:also be on site for final inspection. 0 1. HVAC Changeout Re wired Forms: • All HVAC Equipment replaced CF -61( forms: MECH-04, MECH-21'-HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MECH- 21 and for split stems MECH-25 • Condenser Coil and /or • Indoor Coil and /or CF -6R forms:..MECH-2I-HERS and (for split.systeins) MECH- 25 -HERS CF-411forms: MECH- 21 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 lixempted from duct leakage testing if: ❑ l.. Duct system was documented to have been.previously sealed and.confirmed through HERS verification, or 4@L2. Duct systems with less than 40 linear.feet.in unconditioned space, or ❑ 3. Existing ducts stems are constructed,. instilated or sealed with asbestos ❑ 2. New HVAC System, Required Forms:' • Cut in orChangeout with new forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS ducts: (all new ducuctiMECH-25-HERSCF-6R (a CF -4R forts: MECH 20-, and (for split systems)MECH-22, and MECH 25 new equipment) For Split.Systems: Duct leakage < 6 percent; RC, CCA 2:350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged:Units: Duct leakage, <6.. rcent ❑ 3. New Ducts with Replacement " 'Rtq~ 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 CF -411 forms: MECH-20 and. (for split systems) MECH-25 . coil and/or fumace. Not all equipment:changed..- For Split Systems:.Duct: leakage. < 6..percent,,RC, CCA > 300 CFM/ton, TMAH For Packaged Units: Ducf•1 a <6-: nt ❑ 4. New Ducting over 40 feet R uired 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: Existing duct systems. constructed insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • 1 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 I and 6 of the California Code of -Regulations. • i'h< 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 it applicatijin. , Name:�.� e 0- ALI L4 Signature: Company: ®V T •IV Date: �. 0- 0 Address: kft�Chc� T License: / 3 ) r J City/Statc/Zip: C7 12 3 4 Phone: 2 2008 Residential Compliance Forms March 2010 ick .:ci cvuo r:vry 1•H1► La 5luinca uuita,LnQ/. iaxty......_.......................... .... ....,................._ 0.UUI"UUI $`" # City of La Quinta Building U Safety Division . P.O. Box 1504, 78-495 Calle Tampico La Quanta, CA 92253 - (760) 777-7012 Building Permit Application, and .Tracking Sheet . .Permit # 'Project Address:79 V X Owner's Name: i l' P Ly— A. P. Number: Address: Legal Vescriptic)w Contractor: .RD 0 V C _ SSC _ City, ST, zip: J1e SLnte, I'eleQhoue: Address: r 0 Project Description: %j G• P City, sr, Zip' C&:- 4 ptro l C' J, 0 t13 %f C - Zvi 0 v � e- Z O SE -T, Telephone: 710 311—W10 MEM State Lic. # : 1j ` �. City Lic. #:1035-F2 Arch., Engr., Designer: Address: City, ST, Lip: Telt phunc Constraotion Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Panic• of Contact Person: P04klj Sq. Ft.: # stones: # Units: 'Telephone # of Coatact Person: Estimated Value of Project:. APPLIOANT: DO NOT WEUTE SHOW THIS UNE ti Submittal Plan Sell Req'd Recd TRACKING Plata Boeck submitted PERMff FEES Item Amount Structural Calks.: Reviewed, ready for corrections Plan Cbeck Deposit Trass Cara. Called Contact Peraon Plau Check Balssce 'Energy C'alcs. "Pians bicked up Construction Flood plain plan . Plans rennbmitted Meebanieal Grading.plao V Review, ready for corrections/iasYe Eleetrical Subcoutactor List Called Contact Person P1atuWng Grant Deed Plans picked up S.M.L it.O.A. Approval Pians resubmitted Grading IN HOUSE:- r"' Review, ready for correctionslissue Developer Impact Fee Planning Approval Called VontaetPerson A.I.P.P. Pub. Wks. Appr Date of permit Issue School Fees Total Perot Fees