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13-0364 (MECH)P.O. BOX 1504 78495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: < Applicant: T4ht °F a &Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 13-00000364 52630 AVENIDA HERRERA 773-294-007-17 -000000- MECHANICAL COVE RESIDENTIAL 9859 Architect or Engineer:. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 icommencing with Section 70001 of Division 3 of the Business and Professionals Code, and my License Is in full force and effect. License Class:.. C20 License Noe 686310 Date:, Contractor: 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 r 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 _ 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 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 are not 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. 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.). I am exempt under Sec. , B.&P.C. for this reason - - 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: ._ . _....... - .... . LQPERMrT Owner: JON BRUNSING 52360 AVENIDA HERRERA LA QUINTA, CA 92253 ( Contractor: GENERAL AIR CONDITIONING 31170 RESERVE DRIVE THOUSAND PALMS, CA 92276 (760)343-7488 Lic. No.: 686310 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 WORKER'S COMPENSATION DECLARATION Date: 3/26/13 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 ZENITH INS CO Policy Number Z071741502 _ I certify that, 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 become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dale: Applicant 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 ($100,0001. 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 Direclor of Building and Safety for a permit subject to the conditions and restrictions set forth on 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 of 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 tram 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 and county ordinances and stare laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date: Signature (Applicant or Agent): L Application Number 13-00000364 _ Permit . . . MECHANICAL Additional desc . Permit Fee 40.50 Plan Check Fee 10.13 Issue Date . . Valuation . . 0 Expiration Date 9/22/13 Qty Unit Charge Per' Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 Special Notes and Comments HVAC -.REPLACE 3.5 TON AIR CONDITIONING PACKAGE & 90K BTU FURNACE, 13 SEER/78 AFUE [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 Fee summary Charged Paid Credited Due Permii'Fee-Total 40.50 .00 .00 40.50 Plan Check Total 10.13 .00 .00 10.13 Other Fee Total 1.00 .00 '.00 1.00 Grand Total 51.63 .00 .00 51.63 LQPERMIT Simplified Prescriptive Certificate of Compliance: 2005 Residential HVAC Alterations CF -1R -ALT -HVAC Climate Zones 10 1:5 Site Addiriia `Eriforcemeht Agency: ate: Permit #6 52360 AVENIDA HERRERA La Quinta, CA 92253 City of La quinta :Mar 26, 2013 Duct insulation 'Conditioned Floor Equipment Type List Minimum Efficiency2 req9jirement Area Thermostat [3 Package Unit* 19 Furnace H AFUE 78% [3 COP E3 R 6 (CZ 10 13) Served by system Ser ®Setback 0 Indoor Coil iCM SEEP 13.0 :[3 �[3 HSPF R 8 (CZ 14-15) 11481 sf if not already present, must be IM Condensing Unit EER[3 [3 Resist a nce installed) 13 Qth�e . 1. Equipineht Type. *Yo—se the equipment`being installed; if more than one system, use another CF -IR -ALT -HVAC for each system. .2. Minimum Equipment Efficiencies,.,, 1.3 SEER, 78% AFqE,_ 7.7HSPF 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 -41K 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 -6R shall also ,be on.sitefor final inspection. 1.;*HVAC -Chajjg-qout, Required Forms: . All _HVAC E4Ui0 eW CF-61k forms: MECH-04, MECH-21-HERS"and'(f6rsplit systems) MECW25=HERS replaced CF -4R forms: MECH-21 and (for split systems) MECH-25 • Condenser Coil and /or • Indoor Coil and /or CF -6R forms: MECH-04, MECH-21-HERS and (for split systems) MECH-25-HERS • Furnace CF -4R forms: MECH-21 and (for split systems) MECH-25 For SplitSystems: D=,etk 15 percenq RC, CCA :5 300 CFM/ton (Minimum Air Flow Requirement), TMAH ------ - i ExemtWp,rb��:�u leakage testing,if 0 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or 0 2. Duct systems with less thin:40 linear feet in unconditioned space, or [] 3. Existing duct systems are constructed, insulated or sealed with asbestos w no be Ducted he. hLo,,,k�em frorrjRe p,� �r rpqtChqrge) 174- The system will jpq 13 2. New R equ, MOU W! I I tF'61kforms:;6k_H�04, MECH . Cut Ivor -20-HERS; and (lor;s0lli systems) MECHI-0`4�1i.,, d -n�w:A&5�'' new Mi�H-45,!HERS Avc ing=.'a 6 :MECH720, #or -22; and MECH-25 and split s� !CF,�4 R, forms: systems) M�CH o '� . -11.1 1 . - TJ , �_5. , lys " — �- 4� ,�, !�� ,, IDUct-leakage. <t6'6rcent;,RC, 'CCA :_t 350..CFM/,ton,-FWD,.,TMAH, STMS, an&either HSPP'or� PSPP. SPl!'t"S`V-5tefi_"1S_'. , -0 ,For —p _ -— For Packa%ed Units: Duct leakage,<,6 percent, 03. New Ducts with/or without' Required Forms: Replacement Includes* replacing or installing aTriew ducting and/or outdoor condensing unit CF -611 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..chainged., For Split Systems: Duct leakage < 6 percent;* RC, CCA ? 300 CFM/ton;- TMAH ... ... For, Packaged- Units: Duct leakage <,6 percent - 0 4. New -Ducting feet Required 'Forms : Inclod'es*adding df -replacing *m6rethain 40 CF -611 forms: MECH-04;-MECH-2I-HERS linear feet of duct in unconditioned space. CF -4R forms: MECH-21 . .. ..... . . ... for split *system or packaged units: Duct leakage < 15 percent [3 EXCEPTION: Existing duct systems c nstructed, insulated or sealed with asbestos. - CohtriiiLtbf-(DdtiUOientation 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. e 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 fprTs,.worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application.. Name: Danielle Garcia, .. . .... ... SI nature: Danielle Garcia Cornpa ny:, HARRISON ENTERPRISES INC..Date: Mar 26, 2013. .......... . . Add RESERVE DRIVE STE A License: 686310 City/State/Zip ,:THOUSANDPALMS / CA / 92276 Phone: (760)_343=7488_ . . Reg: 213-A0018049A-000000000-0000 Registration -303/26 12:56:30 :HERS'Provfd6r i 6a1-dERTS I I rc. 2008 Residential Compliance FormB July 201.0 P.&-BOX,1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000364 Property Address: 52630 AVENIDA HERRERA APN: 773-294-007-17 -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 9859 TdY �W VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 Applicant: Architect or Engineer: 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 and Professionals Code, and my License is in full force and effect. License Class: C20 License No.: 686310 Date: �3 Contractor: I --1i: 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).: 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 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 are not 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 1, 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 contractorls) licensed pursuant to the Contractors' State License Law.). I—) 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: LQPERMIT Owner: JON BRUNSING 52360 AVENIDA HERRERA LA QUINTA, CA 92253 (707)218-8179 Contractor: GENERAL AIR CONDITIONING 31170 RESERVE DRIVE THOUSAND PALMS, CA 92276 (760)343-7488 LiC. No.: 686310 Date: 3/26/13 p a a BAR 201 CITY OF LA QUINTA FINANCE DEPT. -----------7------------------7---------------- 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 ZENITH INS CO Policy Number Z071741502 _ I certify that, 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 become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 3 Z 13 Applicant: Sit 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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date: 7$ I'!> Signature (Applicant or Agent): S✓ LQPERMIT ` Application Number. 13-00000364 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 40.50 Plan Check Fee 10.13 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/22/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 ----------------------------------------------=----------------------------- Special Notes and Comments HVAC - REPLACE 3.5 TON AIR CONDITIONING PACKAGE & 90K BTU FURNACE, 13 SEER/78 AFUE [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 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 40.50 00 .00 40.50 Plan Check Total 10.13 .00 .00 10.13 Other Fee Total 1.00 .00 .00 1.00 .Grand Total 51.63 .00• .00 51.63 LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations-CF-IR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 52360 AVENIDA HERRERA La Quinta, CA 92253 City of La Qt I Mar 26, 2013 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace ® AFUE 78% ❑ COP ❑R 6 (CZ 10-13) Served by system ® Setback ® Indoor Coil ® SEER 13.0 E3HSPF ❑ R 8 (CZ 14-15) 1481 sf If not already present, must be ® Condensing Unit ❑ EER ❑ Resistance 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, 7.7HSPF 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-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 CF-IR and CF-611 shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: . All HVAC Equipment CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF-4R forms: MECH-21 and (for split systems) MECH-25 . Condenser Coil and /or . Indoor Coil and /or CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS . Furnace CF-4R forms: MECH-21 and (for split systems) MECH-25 For Split Systems: Duct leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH C...Duet leal.age i 19 ' p Rt Exempted from duct leakage testing if: ❑ 1. 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 ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. The system will not be Ducted (ie. Ductless Mini-Split System) (Also Exempt from Refrigerant Charge) 112. New HVAC System Required Forms: . Cut in or Changeout with new ducts: (all new U-611-forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-22-HERS, and ducting and all new, equipment) MECH-25-HERS CF-4R forms: MECH-20, and (for split systems) MECH-22, and MECH-25 For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, SIMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with/or without Required Forms: Replacement . Includes replacing or installing all new ducting and/or outdoor condensing unit 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-4R 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-6R forms: MECH-04, MECH-2I-HERS linear feet of duct in unconditioned space. CF-4R 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: Danielle Garcia Signature: Danielle Gomiu Company: HARRISON ENTERPRISES INC Date: Mar 26, 2013 Address: 31-170 RESERVE DRIVE STE A License: 686310 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488 Reg: 213-A0018049A-000000000-0000 2008 Residential Compliance Forms Registration Date/Time: 2013/03/26 12:56:30 HERS Provider: Ca10ERTS, Inc. July 2010 ..y i Birk# Cit}/ Of" La Qi1tnta Buflding 8r Safety Division" ' P.O. Box 1504, 78-495 Calle Tampfcd 14.Quinta, C4 92253 -:(760) 777-7012 Building Permit Application, and Tracking Sheet Pemilt # Project Address: 5-R—� H e ,=- Owner's Name:. A. P. Number. "5Z(o30 . Address: ' SZ3b0 AYe,Y1� �Q �rrex Legal Description: City, ST, Zip: L c. A Ci Z ZS Contractor. Cje, %cro�\ A�,r Lor.A\Ac�O.hzr Telephone: - Address:31 ��O �ery c Project Description: city, ST, Zip: T`novs �\ \ 4Z2 -7(o �e: acs 3. S fog-. AlC_ �.' ROS _VXv .' Telephone: State Lia # : City Lir, N; Arch, Engr., Designer Address: City, ST. Zip: ' Telephone: Construction Type: _ Occupancy: State Lic. M Project type (circle.onc): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Unit;: Telephone # of Contact Person: Estimated Value of Project: C{ as -9. co . APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Rcc'd : TRACMG PERMITFEES- Plan Sets Pian Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Plan Check Balance. Title 24 Cates. Plana picked up Construction Flood plain plan Plans resubmitted.'. Mechatitcal Giading plan 21j Review, ready for correctionsfissue . Electrical Subcoutattor List Called Contact Person Plumbing Grant Deed Plans picked up SALL H.O.A. Approval Plans resubmitted Grading IN $OUSE:- '^' Reylew, ready for corrections/issue Developer Impact Fee Planning Approval. Called Contact Person A.LP.P. " Pub. Wks. Appr Date of permit Issue School Fees I Total Permit Fees I y � t s DEMAND / CHECK REQUEST OF XXX Return check to requestor Mail check Name 1 Title of person requesting check MONIKA RADEVA, SECRETARY (( �j^�_,J, Department individual is associated with: ( COMMUNITY DEVELOPMENT DEPARTMENT�"i�N�r�t� J Check payable to: 705--S— ERIC JACOBY; IE INC. c/o General Air Conditioning 33.40 Amount: $ ame - (Vendor o.) $32.40 From Acct No. Project Number: 8!.DG. PERMIT 4 13-364 r for 52-630 AVENIDA HERRERA Check description and invoice number: The homeowner cancelled the job, the applicant°is requesting a refund. Under the 2010 CA Bldg. Code Section 10109.6, a refund of 80% of the Permit Fee & 100% of the Imapsat Fee is authorized. Please see the attached letter. atej�J� APPROVED FOR PAYMENT (Finance Department Use Only) BY: ACCOUNT NO. DESCRIPTION i ?fit` '' '� - �r �,, s ie'°'6^ t °1;•�.`;-.; _ _r—�-- '_�`�--- ---�+--�---�--^� i Qum&' �i DEMAND l CHECK REQUEST I XXX Return check to requestor Name / Title of person requesting check MONIKA RADEVA, SECRETARY Department individual is associated with: COMMUNITY DEVELOPMENT DEPARTMENT Mail check Check payable to: ERIC JACOBY; IE INC.c/o General Air Conditior)k8unt:$ 33.40 Name (Vendor o. $32.40 odt Acct No. BLDG. PERMIT # 13-363 Project Number: for 18-600 ALDEN CIRCLE, LQ Check description and invoice number: The homeowner cancelled the job, applicant is requesting a refund, under the 2010 CA Bldg. Code Section 10109.6, 80% of the Permit Fee R 100% of the Impact Fee ishould be refunded. Please see the attached letter and relevant paperwork. ate APPROVED FOR PAYMENT (Finance Department Use Only) BY dR f3—h BY ACCOUNT NO. DESCRIPTION Pl r >'dSj< , t W": s� �!� �. fis., A 3 XXX ....Return check to requestor Mail check Name /Title of person requesting check "MONIKA-RADEVA., SECRETARY i Department individual is assddi6d.with: .COMMUNITY DEVELOPMENT _DEPARTMENT . : w Check payable to:: °ERIC JACOBY; IE INC. c/o General- Air Conditionin 9 31,40 Amount $. =: (Name °` en" or o ": " $32.40 From..cct No. 91301Project Number.; BLDG. PERMIT #.,-13-364 -f 52=630 AVENIDA liERREP,A : Check:description and invoice number. 'The -homeowner cancel. -Ted il,ie" job, the: applicant %s requesti.na a._refund . Under the:=,2010 CA " Bldg. Code`�Secflon .10109 6; a refund of 80% 0f the Permst.:"Fee & 100%-6f the :Imapact"Fbe is authorized. Please -see -the 'attaqh6dw "letter-. May 3, 2013 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Eric Jacoby, owner IE Inc. c/o General Air Conditioning 5858 Dovetail Drive Agoura Hills, CA 91301 RE: Permit Refund Address: 52-630 Avenida Herrera Permit 13-364 Dear Mr. Jacoby, 4 a" Community Development Department Building Division PH;(760)777-7125 FAX (760) 777-7011 have reviewed your letter dated April 1.7, 201.3 requesting a refund to the Mechanical Permit 13-364 due to cancellation by the owner. Under the provisions of the 2010 California Building Code Section 10109.6 your request is hereby granted. An 80% refund of the Permit Fee and 100% of impact fee is authorized. Mechanical Permit of $40.50 x 80% refund ...... = $32.40 Acct. 101-5000-322.03-00 ,. Building Standards Fee of $1.00 x,100% refund = $1.00 Acct. 101-0000-203.06-00 Total Refund .................................................. = $33.40 Smcer:.ey�,, Burt Hanada Plans Examiner / Inspection Supervisor Permit Refund Request, Page 1 of 1 04/17/2013 To whom it may concern, APR 2,2 Z0113 CITY OF LA QU+nm+a PLMMNG DEPAP i ivitlLT The homeowner of this job canceled, so we would like to have a refund. We never installed the system. The permit # is: 13-00000364 Permit amount $51.63 Address: 52630 Avenida Herrera Please is iE, Inc., c o General A/C 5858 Dovetail Drive Agoura Hills, CA 91301 If you have any questions, please call my cell at: 818-262-1253. Th'a'rk:yo,u :Eric Jacoby M r CITY OF LA QUINTA BUILDING & SAFETY DEPARTMENT (760) 777-7012 INSPECTION REQUEST LINE F o� (760) 777-7153 � � : fr►r►r r�>�i r rxrcrl►rr' AIR CONDITIONING erm�I Number 3-364 PAST dN OB IN CONSPICUOUS PLACE INSPECTOR UST SIGN ALL APPLICABLE SPACES JOB ADDRESS 52630 AVENIDA HERRERA HVAC - REPLACE 3.5 TON AIR CONDITIONING PACKAGE & 90K BTU FURNACE,13 SEER/78 AFUE 12008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2010 CALIFORNIA BUILDING CODES. TYPE OF INSPECTION I DATE I INSP. SETBACKS j U/G PLUMBING / WASTE CONCRETE SLAB- I I DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF OKAY TO WRAP ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. (DRYWALL) GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS (FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-G UN ITE I SETBACKS IU/G PLUMBING U/G GAS 111G ELECTRICAL PRE -PLASTER ALARMS / BARRIERS DECK BONDING FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL PLUMBING (MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL I JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING