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09-0469 (MECH)P.O. BOX 1504 78-495ICALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T46t 4 44 Q" - Application Number: 09-00000469 Property Address: 54245 AVENIDA HERRERA APN: 774-213-023-12 -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 2600 Applicant: Architect or Engineer: 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 and Professionals Code, and my License is in full force and effect. License Class: C20 License No.: 752180 Dater 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 - 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 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 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.). ( ) 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: REDEVELOPMENT AGENCY 78495 CALLE TAMPICO LA QUINTA, CA 92253 Contractor: PRIORITY ONE -A/C &� P.O. BOX 1681 PALM DESERT, CA 922 (760)773-0811 Lic. No.: 752180 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 CITY OF L Date: 5/13/09 WORKER'S COMPENSATION DECL\RATION I hereby affirm under penalty of perjury one of the following declarations: .//I have and will maintain a certificate of consent to self -insure f>e s' 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 %korkers' 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 NORGUARD INS Policy Number ROWC013690 _ 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 e, I shall forthwith comply with those provisions. Date: ►� q Applicant: WARNING: FAILURE TO SECURE WOaE'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINLTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. IN ADDITION COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODEST, 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 Ouinta, 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. 1 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. DaterJ Signature (Applicant or Agent Application Number . . . . . 09-00000469 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation 0 Expiration Date 11/09/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 ' ---------------------------------------------------------------------------- Special Notes and Comments REPLACE HEAT PUMP CAN COIL 13 SEER (INDOOR SECTION ONLY) ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged - -- ---------- ---------- Paid Credited ---------- ---------- Due -------------- Permit Fee Total 33.00 .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 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 10A 1 CF-1RA . Project Title Date uil�dtin�e Duct systems that are documented to have been previously sealed as confirmed through field verification and diagnostic testing in accordance with 2rocedures in the Residential_ ACM Manual. 2 N �p Project Address 3 0 1 Ducts stems with less than 40 linear feet of ducts in unconditioned space. U rY1 Refrigerant Charge c.. CF -4R pages -3 and 4 of.8 . law" D) �' S Ll. -eldChclJ' -nat Documentation Author Telephone Compliance Method (Prescriptive — HVAC and/or Duct Climate Zone n6forcementency�U:only System Alteration - § 152 (b) 1 C, D and E' EXCEPTIONS If any of the following three exceptions are ✓, the duct system is exempt from sealed ducts. # ✓ Exce tions 1 0 Duct systems that are documented to have been previously sealed as confirmed through field verification and diagnostic testing in accordance with 2rocedures in the Residential_ ACM Manual. 2 0 Existing ducts stems that are extended, which are constructed, insulated or sealed with asbestos. 3 0 1 Ducts stems with less than 40 linear feet of ducts in unconditioned space. HVAC SYSTEMS Heating Equipment Type Minimum and Capacity (furnace, heat Efficiency pump, boiler, etc.) (AFUE or HSPF) Distribution Type and Location (ducts, attic, etc.) Configuration Duct or Piping Thermostat Type (split or R -Value package) and Capacity (A/C, heat : Efficiency Duct Location . Duct R -Value Thermostat Type (split or 0 L 1 R (SEER or (attic, etc.) package) EER as indicated in Table 8-3 of Residential Compliance Manual (climate zones 2 and 9-16 only) (Installer testing and certification and HERS Rater field verification required.) EER . Cooling Equipment Type Minimum Configuration and Capacity (A/C, heat : Efficiency Duct Location . Duct R -Value Thermostat Type (split or pump, evap. cooling) (SEER or (attic, etc.) package) EER as indicated in Table 8-3 of Residential Compliance Manual (climate zones 2 and 9-16 only) (Installer testing and certification and HERS Rater field verification required.) EER . U rY1 Refrigerant Charge CF -6R pages 5 .and 6 of 12 CF -4R pages -3 and 4 of.8 . D) �' S Ll. CF76R page 8 of 12 CF -4R pages 5 of 8 SEALED DUCTS, REFRIGERANT CHARGE (TXV) AND EER The prescriptive requirement for either a refrigerant charge or a TXV does apply to packaged units. Before the permit can be finalized, a signed CF -4R must be provided to.the building department for any of the following ✓ compliance requirements: ✓ Compliance -Requirements ❑ Sealed Ducts (climate zones 2 and 9-16) (Installer'testing and certification and HERS rater field verification required.) ❑ TXV (climate zones 2 and 8-15 only) (Installer, testing and certification and HERS Rater field verification required.) E] Refrigerant Charge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verification required.) ❑ EER as indicated in Table 8-3 of Residential Compliance Manual (climate zones 2 and 9-16 only) (Installer testing and certification and HERS Rater field verification required.) SPECIAL FEATURES REOUIRING HERS RATER VERIFICATION A ✓ indicates which. compliance requirements are part of this project and need HERS rater verification. ✓ Compliance Requirements Installer Forms (if applicable) HERS Rater Forms (if applicable) ❑ Duct Sealing CF -6R page 4 of 1.2 CF -41K page 1 of 8 0 Thermostatic Expansion Valve (TXV) CF -6R pages 5 and 6 of 12 CF -4R pages 3 of 8 ❑ Refrigerant Charge CF -6R pages 5 .and 6 of 12 CF -4R pages -3 and 4 of.8 . 0 EER CF76R page 8 of 12 CF -4R pages 5 of 8 Bin # Oty of LQ Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # sLa Project Address: 9 Li e $ Q Owner's Name: .� J A. P. Number: Address: rj Lj - Lj i, itVt e(Zfl_p-{LR Legal Description: City, ST, Zip: C tJ}'Z2 S 3 Contractor: ea Telephone: t`?%%h's' Address: P - , �c�k 40 Project Description: City, ST, Zip: iY� pn �� 17YY.�-(� L ems, : /�� Telephone: 7160 �� }� ii `Y:.:i�>,yi •$�;:y`•:{: {.i;4J:':\ }}i: n,':Z{Y'i }'r is i X::;r�..,;•„ :::.:::: f::>.:;?..::a; — �� 1 — State Lic. # : `7 Z 1 City Lie. C. Arch., Engr., Designer: LY Address: City., ST, Zip: Telephone: P :?<:< a<.>�:;•;:.>:,>:;..`•r :4';`' <» .:>;�s <`<t,.'s>s;.�; ss:#`scf;f`• ywy`' Construction Type: Occupancy: State Lic. #: Projecttype(circleone)• New Add'n Alter Repair Demo' Name of Contact Person:. Sq. Ft.: #: Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE. BELOW THIS LINE # Submittal Plan Sets' Req'd Rec'•d TRACKING PERMIT FEES Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Flan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"' Review, ready for correctionslissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up. S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3rd Reyiew,.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