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09-1095 (MECH),7 r P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00001095 Property Address: 48221 CALLE APN: 646 -092 -011 - Application description: MECHANICAL Property Zoning: LOW DENSITY Application valuation: 7800 Applica 211) Tuvl 4 4 Q" FLORISTAS RESIDENTIAL Architect or Engineer: (/v� ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: C20�L' /ense No.: 374937 Date:./t'/' ' `� O Contract -�� .46— i 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.). ( 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: LQPERMIT Owner: GARD ANN 48221 CALLE FLORISTAS LA QUINTA, CA 92253 ( Contractor: PALM DESERT AIR CONE 42081 BEACON HILL PALM DESERT, CA 9221 (760)346-0677 Lic. No.: 374937 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/14/09 --------------------------------------------- WORKER'S COMPENSATION DECLARATION N; 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 STATE FUND Policy Number 238-0004656-08 — 1 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 /37000 of the Labor Code, I shall forthwith comply with those provisions. Date: / � / 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 ($100,000). 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 160 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 purpo�/ 7 / Date: dSignature (Applicant or A9eriTY.---­iiL--_____-t�7 �// Application Number . . . . . 09-00001095 Permit . . . MECHANICAL Additional desc . . Permit Fee 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/12/10 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 EXISTING CONDENSER,FURNACE, & COIL 14.50 SEER EER 12.00. ---------------------------------------------------------------------------- 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 Prescriptive Method — HVAC Only - Alteration CF -1 R-PDAC Project Title: Date: ANN GARD 10/14/2009 Enforcemen;Agency Use "Only . F Project Address: Climate Zone: Building Permit No 48-221 CALLE LAS FLORISTAS. LA QUINTA 15 - T...a` Documentation Author: Telephone Number: Plan Check Date:• Annalu Lopez 760-346-0677 '' Company Name: Fiild,Check Date: Palm Desert Air Conditioning & Heating Company IMPORTANT: This CF-1R-PDAC form is only for use when an HVAC only alteration is made on an existing home. Use one form for each system being altered. This is system number 1 of i systems being altered in this house. Section 1 — HVAC System: 1 Configuration: 0 Split System O Package Unit 2 O An Air Handler is to be installed or replaced. 3 O A Furnace with a Heat Exchanger is to be installed or replaced. . AFUE: 80% 4 O An Outdoor Condensing Unit is to be installed or replaced. 4a O Air Conditioning SEER: 14.50 EER: 12.00 4b O Heat Pump SEER: EER: HSPF: 5 O A Cooling or Heating Coil is to be installed or replaced. O Air Conditioning O Heat Pump 6 O More than 40 feet of new or replacement duct work are to be installed in unconditioned space. 6a O Entire duct system was replaced. 7 O No items in this section are checked; go to section 6. Section 2 — Duct Sealing Exceptions: 8 O , This system was previously sealed and tested, and was certified by a HERS rater. Attach previous CF -4R form. 9 O This system is in Climate Zone 1, 3, 4, 5, 6, 7 or 8. 10 O This system is sealed or insulated with asbestos. 11 O This system has less than 40 feet of ducts in unconditioned space. 12 O This system is in Climate Zone 10, 13 or 15: An SEER 14 AND EER12 or greater condenser will be installed with TXV (RCA) verification AND added duct insulation (R-4 wrap on existing ducts or R-8 on new ducts). 13 O This system is in Climate Zone 10, 13 or 15: An SEER 14 AND EER12 or greater condenser will be installed with TXV (RCA) verification AND a 92% or greater furnace will be installed. 14 O No items in this section are checked, duct sealing is required. Continue. Section 3 — TXV (RCA) Verification: (Only if lines 4 or 5 are checked, otherwise go to section 4.) 15 O This system is a package unit. No TXV (RCA) verification is required. 16 Q( No items in this section are checked, TXV (RCA) verification is required. Continue. Section 4 — HERS Rater Verification: 17 O If line 14 is checked, HERS verification is required for duct sealing. 18 0 If lines 12, 13 or 16 are checked AND line 15 is not checked, HERS verification is required for TXV (RCA). Section 5 — Equipment Efficiencies: 19 O If Iinesl2 or 13 are checked, upgraded equipment efficiencies are required in section 1. Section 6 — Duct R -Values: 20 O If more than 40 feet of duct work is being installed or replaced, duct R -value must meet or exceed Package D requirements. 21 O If less than 40 feet of duct work is being installed or replaced, duct R -value must meet or exceed R-4.2. 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. Docu n �ature Document uthor d ress 42-081 Beacon Hill, Palm Desert, CA 92211 Bin # Qty of La Quinta Building Br Safety Divlslon P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 0,00,V Project Address: 48-221 CALLE LAS FLORISTAS Owner's Name: ANN GARD A. P. Number: Address: 48-221 CALLE LAS FLORISTAS Legal Description: City, ST, Zip: LA QUINTA, CA 92253 Contractor: Palm Desert Air Conditioning& Heating Company 9 P Y Tele hone: his `f <?#`•`:'%ti k%fs" s>.:x:::..>.•::.r:. .•».;: Address: 42081 Beacon Hill Project Description: City, ST, Zip: Palm Desert, CA 92211 REPLACE EXISTING Telephone: (760) 346 0677 p «4>•:;::>:t ::,3.<:> : <:>:::> s<:«<::«::. .><.<<v:;::F:; :.: Y.•i4 i}iii}:Y.v}i 3i:•i:!4'•F iii:•i;i:::d.'•;;r,..;,v:' CONDENSER FURNACE & COIL. State Lic. # : 374937 City Lie. C 100886 Arch., Engr., Designer: Address: City., ST, Zip: Telephone: `><>:'s<:::?:z::>>:;:>.<'.;s<:>:sss>:«:s>> }}.. ::.,y�f;:.:..i,:::::::::........:...:....:.... ;�;;;:>;;..:_;<:;.y;r�:;.;4:.:::,.::.;. Construction Type: Occupancy: YP State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Annalu Lopez Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: ( Estimated Value of Project: $7,800.00 APPLICANT: DO NOT WRITE BELOW THIS LINE # 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 Title 24 Calcs. 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 S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`a Review, ready for corrections/issue Developer Impact Fee ' Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees