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13-1429 (MECH)P.O. BOX 1504 . 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00001429 Property Address: 48241 CALLE FLORISTAS APN: 646-092-021- - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 13575 Tihf " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business Professionals Cod nd my License is in full force and effect. �Lice�nse Class: C10 C16 C2 'c s o . 457554 a6 te: � 7113 Contrac COW R -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 ($5001.: (_) 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 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(sl licensed pursuant to the Contractors' State License Law.). 1 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: READY ROBERT M *NOT ON FILE UNKNOWN, CA 99999 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/07/13 Contractor: D d PREFERRED PLUMBING /C P.O. BOX 5120 0 7 1013 PALM SPRINGS, CA 92 63 NOVY (760) 322-3173 COTyOF J LIC. NO.: 457554 ee�._.. ZQ�IlA!!n ----------------------------------------------- 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. .;4 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 EVEREST NATL Policy Number 7600006445131 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 come subject to the w rs' compensation provisions of Section V /�J =(-7y/3-/h7/-020 of the Labor Code, s4iall'forthwi p w' th se provis' ns. Date://�/� / App �cT" ant: a WARNING: FAILURE TO SE ' RE WORKERS` COM NSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA'LT4€ 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 buildin construction, and (y y authorize representatives of t, aunty to enter upon above-mentioned property r inspectio"p r�os Date;// t7 7 Signature (Applicant or Agent): ZZA- Application Number . . . . . 13-00001429 Permit . . . MECHANICAL 2013 Additional desc . . Permit Fee . . . . 71.50 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/06/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.00 35.7500 EA MECH CONDENSER/COMP 35.75 ---------------------------------------------------------------------------- Special.Notes and Comments HVAC CHANGE OUT - 13SEER/80AFUE, REPLACE (1) 5 TON HVAC SPLIT SYSTEM [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 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 47.66 Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 71.50 .00 .00 71.50 Plan Check Total .00 .00 .00 .00 Other Fee Total 139.23 .00 .00 139.23 Grand Total 210.73 .00 .00 210.73 LQPERMIT Bin # Permit-: City of La Q'U inta Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address:`:,.~ -t f :C ` 1 :. pa". lQjc 7 S Owner's Name: A P. Nti►riber :' Address: Lel gpi Y1 CA 11,e l5 T Legal Deczi�o:;� '?''F- :;; City, ST, Zip: UI it17A. C oZo� �3 re€"ere'c:'A}r;oi>ditioning Con etar.a,re'f'er'ed `-Plumbin dba Heat in &A'i Telephone: Address: Q.'.. Project Description: City:,$ ;ZiPPa7i ;:p..z<<hgsCA:'92263 12 �kkee-'eLl-IV O&WSAY2 Tel •(.7.5.,Cji)`3,2°:=3`1.73MMMMM �1'O b''Yl9-%>d7�Zfi%�!/� LG! State Lie: # :: ::4 ; 7 "; .::::,.: City Lie. #: 20W. 5w d Arch•;�Etigr.Designet :. Address: City,.S`T; Zip:;, : - • Telephone; .;. State, I ip: # :.'- Construction Type: Occupancy: Project type (circle one): New A.dd'n Alter Repair Demo Name .of:CpiactPe;sgip'`1< —&-?f t/cx/S Sq. Ft., #Stories: # Units: Telephone-# of;Co tactPerson; ;' Estimated value aproject: APPLICANT: DO NOT WRITE BELOW THIS LINE . -Req'd - Reced TRACKING i PERL Y FEES Plan Sets:.:'<:' :::' Plan Check ftift Itted Iten Amount :- IC ast. Reviewed, ready for corrections Pia Check Deposit Tt dss Calcs. `.: Called Contact Person Play Check Balance Energy •Calcs..' Plans Picked up Con traction Floodplain plati. Plans.resubmitted Me anical Grad[ngplan' ' , . rd Review, ready foi'correctioasAssue Ele ical !.S66e6htactor.1UA Called ContactPergon Plu bang 77777777-777. Grant Deed. Plans picked up S.M H.O.A..'Appropal . Plans resubmitted Gra ling IPT�OUSE:- ''d Review, ready for corrections/ssueINirmitFees oper Impact Fee Plsuning Apprbval. Called Contact Person AX.P. 'Pub. �'i'ks. Appr ' Date of permit issue School Fccs Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAlterations CF -IR -ALT -HVAC Climate Zones 10 to 15 S e ddress:` �� �_— En orc men gency: i 4 Date., Permit #: 7kzel Clon tion Flo -or Equipment T et List Minimum Efficiency2 Duct insulation requirement Area Thermostat ❑ Packaged Unit Over 40 ft of ducts added or Setback mace oor Coil �/ ER ❑ COP ❑ HSPF replaced in unconditioned space e e b system (If not already ondensing Unit ❑ EER _ ❑ Resistance 13R 6 (CZ 10-13) ❑ R.8 (CZ 14-15) sf present, must be installed) ❑ Other I. 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, 7.7HSPFfor 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 install6i. 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. Beginitung October 1, 2010, a registered copy of the CF -111 and CF -6R shall also be on site for final inspection. 1. HVAC Changeout Required Forms: • All HVAC Equipment replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R fors: MECH- 21 and (fors lits stems) MECH-25 • Condenser Coil and/or • Indoor Coil and/or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF4R fors: MECH- 21 and (for split systems) MECH-25 • Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA > 300 CFM/ton(Minitnum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent 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 ❑ 2. New HVAC System Required Forms: • Cut in or Changeout with new ducts: (all new ducting and all CF -6R forms: MECH-04, MECH-20-11ERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS CF4R fors: MECH 20-, and (for split systems)MECH-22, and MECH 25 new equipment) For Split Systems: Duct leakage < 6 percent; RC, CCA > 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with Replacement Required Forms: • Includes replacing or installing all new ducting CF -6R fors: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF4R forms: MECH-20 and (for split systems) MECH-25 coil and/or furnace. Not all equipment changed. For Split Systems: Duct leakage < 6 percent, RC, CCA >_ 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent 114. New Ducting over 40 feet Required 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 ducts stems 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 a enc for approval with the it a tion. Name:-j� P -F L,E t V G I S Signature: Company r� �� ^ LJ14 f l� ' I,. -TlNfe/i_ f Date: Address tNK 5ao License: License: Li S -7654 City/State/Zip: ' LM 6,'P-lllm(� C 63 Phone: 360 _/9& 3 - a g 3 2008 Residential Compliance Forms March 2010 HVAC Permit Checklist Comfort Consultant (RSP): `� Service Order #: I gqq-72- -- dz, Owner's Name: 14 I ►�° '� 1 Jobsite Address: Lg3L+l ����[ (A LA Qolt�(A Permit Application Declaration Page: ❑ Commercial esidential ❑ Single family residence ❑ Multi -family residence condominium ❑ Other: Name of Community: Location of new unit on/in structure: 6_'FZ6A!D Plot plan required?: Line of sight — screened / parapet / distance from lot line: Components to be: ❑ installed / ❑ replaced: "I�forlikr upgrade? (circle one) x1J Condenser >6 Size (tonnage): XFAU / Air Handler SEER: [3 Evaporative Coil ❑ EER: ❑ Package unit - PGE or HP ❑ Other: CF-IR-A Form: Project valuation: ,(ern 1 o Date Permit Needed at Jobsite: Other Information: