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09-1046 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00001046 Property Address: 48542 VIA ENCANTO APN: 646-091-037- - - Application description: MECHANICAL Property Zoning: 'LOW DENSITY RESIDENTIAL Application valuation: 5000 Applicant: ° Architect or Engineer:. "Aa 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: GENOVESE THOMASP P O BOX 381 LA QUINTA, CA 92253 Contractor: HYDES 77825 WILDCAT STREET PALM DESERT, CA 92211 VOICE (760) 777-7012 FAX (760) 777-7011 . INSPECTIONS (760) 777-7153 Date: 9/30/09 D (760)360-2202.- ------------------------------------- LICENSED 760)360-2202. 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'ofthe Business ofession s Code, and m�License s in full force and effect.LicenseClass: C20 C36icense �c : Date: � � r C nthactor. [/¢• OWNER- 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 Division3 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, as owner of the property, or my employees with wages as their sole compensation, willdo 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.). f_ 1 I am exempt under Sec. , BAP.C. for this reason Date: Owner: Lic. No.: 906115 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 DELOS INS Policy Number 02DKRM12004084 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 forthwitl o ply with.those provisions. ` t Date93`0-09 Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENS I N 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 apermit 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 ofLaQuinta, 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 f h f kf 180d 'll b' within 180 days from date of issuance o suc permit, or cessation o wor or ays. wi su lett CONSTRUCTION LENDING AGENCY - permit to cancellation. ' I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.).. city and county ordinances and state laws relating to building conytruction, and hereby authorize representatives of this county to to�/e�ntter upon the above-mentioned prop fo in pecti urposes. Lender's Name: _ Date: ( "7r ' 0 /Signatu_re (Applicant or Agent): " Lender's. Address: LQPERMIT 7 Application Number' 09-00001046 Permit MECHANICAL - Additional desc p". Permit Fee . . . .. 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/29/10 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 CONDENSING UNIT, FURNACE AND COIL. 2007 CODES. ----------------------------------- -- 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 P CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 1 of 1) CF -IR -A Project Title Date Building Permit 4 T� ��L �1��6� O �l 2 Project Address � I 3 2D Documentation Author Telephone Plan Check / Date CF -4R page 5 of 8 Field Check / Date Compliance Method (Prescriptive - HVAC and/ Climate Zone Enforcement A&2ncy Use Only or Duct System Alteration - § 152(b)1C, D, and E) HVAC SYSTEMS Heating Equipment Type Minimum and Capacity (furnace, heat Efficiency pump, boiler, etc. (AFUE or HSPF) Distribution Type and Location (ducts, attic, etc. Duct or Piping Insulation R -Value Thermostat Tvpe Configuration (setback) (split or package) Ire -C- D 49 — Duct systems that are documented to have been previously sealed as confirmed through fielc verification and diagnostic testing in accordance with procedures in the Residential ACM Manual. 2 ❑ Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos.' 3 2D ❑ Duct systems with less than 40 linear feet of ducts in unconditioned space. CF -6R pages 3 and 8 of 12 CF -4R page 5 of 8 Cooling Equipment Type and Capacity (A/C, heat Rump, evap cooling)(attic, Minimum Efficiency Duct Location Duct Insulation Thermostat Type Configuration etc.) R -Value (setback) (SEER or EER) ) (split or package) C h �K 10 1 ❑ — Duct systems that are documented to have been previously sealed as confirmed through fielc verification and diagnostic testing in accordance with procedures in the Residential ACM Manual. 2 ❑ SEALED DUCTS, REFRIGERANT CHARGE (TXV) AND EER Before the permit can be finalized, a signed CF -6R Form and CF -4R Form must be provided to the build: ng department for any of the following compliance reouirements that are ✓ : ✓ Compliance Requirements Qftl Sealed Ducts (Climate Zones 2 and 9-16) - Installer testing and HERS Rater field verification required TXV (Climate Zones 2 and 8-15) - Installer testing and HERS Rater field verification required' Refrigerant Charge (Climate Zones 2 and 8-15) - Installer testing and HERS Rater field verification required' ❑ ALTERNTAVE to Duct Testing: High EER as indicated in Table 8-3 of the Residential Complian= Manual (SEE Table .8-3 for additional requirements and available Compliance Options) - Installer testing and HERS Rater field verification required 1 IIG FI V;bLA IN«VU ioyunerr,eut Wr euner a rerrigerant charge or a -I XV does not apply to packaged units. EXCEPTIONS If any of the following three exceptions are ✓ the ducts stem is exempt from sealed ducts # ✓ Exceptions 1 ❑ — Duct systems that are documented to have been previously sealed as confirmed through fielc verification and diagnostic testing in accordance with procedures in the Residential ACM Manual. 2 ❑ Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos.' 3 2D ❑ Duct systems with less than 40 linear feet of ducts in unconditioned space. uct alterations are exempt from duct sealing ONLY if they meet Exception 2 above. SPECIAL FEATURES REQUIRING HERS RATING VERIFICATION A ✓ indicates which comoliance reouirementc are nart of this nrniPrt %nrJ —A uPve ✓ Compliance Requirements -- -- -•-• •� �� v la— vwLLL%.at1V11. Installer Forms (ifapplicable) HERS Rater Forms (if applicable) Duct Sealing CF -6R pages 3 and 4 of 12 CF -4R page 1 of 8 Thermostatic Expansion Valve (TXV) CF -6R pages 3 and 5 of 12 CF -4R page 3 of 8 Refrigerant Charge CF -6R pages 3, 5 and 6 of 12 CF -4R pages 3 and 4 of 8 ❑ High EER CF -6R pages 3 and 8 of 12 CF -4R page 5 of 8 ll: Bin # City of La Quinta Building at Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit .# I c ` 1 Project Address: -� �� Owner's Name: p 0-) �� O>✓ A. P. Number: Address: _,5 a Legal Description: Contracto City, Telephoner FI 9 Project Description: "City, ST, Zip: 0 t Telepho(e1 lb -)o a .✓ o . d,v. ✓ t,HfyL� d- G �� State Lie. #q City Lie. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Name of Contact Person: Telephone # of Contact Person: Estimated Value of Project: P 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 CheckBalance Energy 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:- ''" Review, ready for eorrectionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees