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14-0430 (MECH)Tjht 4 4 Q. P.O. BOX 1504" VOICE ( ) 760 777-7012 -' 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253' BUILDING &SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING .PERMIT Date: 4/14/14 Application Number: 14-00000430 Owner: Property Address: 48546 VIA. ENCANTO KOSONEN LEONARD D A'PN: 646-091-035- - - 1843 FAIRGREEN DR Application description: MECHANICAL FULLERTON, CA 92633 Prnpp.rty 7nnin0• Td3W DENSITY RESIDENTIAL f✓ n Application valuation: 11734 d • U J Contractor: r AP Applicant: Architect or Engineer: GENERAL. AIR CONDITIONING q 20?1j •31170 RESERVE DRIVE D THOUSAND PALMS, CA 92276 CI�AFd.AQUi11T (760)343-7488 FIiNANC Q PT �• LiC. No.:. 686310 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with - I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of th asiness and Professionals Code, and my License is in full force and effect. _ I have and .will maintain a certificate of. consent to self -insure for workers' compensation, as provided Licens ss: C20 License No.: 686310 for by Section 3700 of the Labor Code, for the performance of the work for which this permit .is �i_.,'._, issued. at1" e: t-1 ontractor: ��t �- 7G�^_ 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: 1 hereby affirm under penalty of perjury than am exempt from the Contractor's State License Law for the - Carrier ZENITH INS CO Policy Number Z071741503 following reason (Sec: 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ 1 certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance,'also, requires the applicant for the person in any manner so as to. become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensedpursuant to the provisions of the Contractor's State and agreethat, if.!.>hi5uId become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or / 3700 of the La r Code, I shall forthwith comply with those. provisions. - - 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).: Date. Applicant: a.�L (_ I 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, -AND SHALL - Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO. CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ., and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If; however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. one year of completion, the owner -builder willhave the burden of .proving that he or she did not build or improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. - property who builds or improves thereon, and who contracts for the projects with acontractorls) licensed ' - 1: Each person upon whose behalf this application is made; each person at whose request and for pursuant to the Contractors' State License Law.). - - whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. , B.&P.C. for this reason 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. - - - Date: Owner: 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 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 Icenify that I have read this appli tion and state that the above information is correct. 1 agree to comply with all : work for which this permit is issued (Sec. 3097, Civ. C.). - - city an ounty ordinances an tate laws relating to building construction, and hereby authorize representatives of t county to enter upo a above-mentioned property for inspection purposes. t Lender's Name: ., Date: 14 1� Signature (Applicant or Agent):'- �� _ Lender's Address: - - LQPERMIT Application Number . . . . . =14-00000430 Permit .. . MECHANICAL 2013 Additional desc . Permit Fee . . . 71.50 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 10/11/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE. 35.75 1.00 35:7.500 EA MECH CONDENSER/COMP 35.75 Special Notes and Comments HVAC CHANGE OUT - 15SEER/78AFUE, 5 TON SPLIT SYSTEM (2008 ENERGY] CARBON. MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 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 Bing 'City of La Quinta "Building 8i: Safety Division Permit # P.O. Box 1501,78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 % - I 'Building Permit Application and Tracking Sheet Project Address: t $S t �(o v i G �Vo Owner's Narime: Le o no v-8 K o so neer. A. P. Number: Address: Legal Description: City, ST, Zip: L,—QUr,CA (:�LZ Z53 Contractor: z et c,srd � Telephone; Sb4- Z(Z ?>::>:::<:: •::-::•.,;;: Address: 3 �p eSe �c v z Project Description: City, ST, Zip: (1nc�vs G .7Cz�m5, C—A CIL276 `aC G_ y � S \ 0�.,_AIC, co; I. Telephone: 7(,,p - 314 3 State Lic. # : (o$ (031 City Lie. #: Arch., Engr., Designer. Address: City, ST, Zips . Telephone: one: Constructionn Type: Occu P ancY Project a circle one): New Add'n Alter Repair Demo type ) S tate Lic. #: >F =" ?'s><` • ,:.-.;:•:,•:-:<:•-:: Name of Contact Person: Sq. Ft.: # Stories: 41 Units: Telephone *,of Contact Person: Estimated Value of Project: 3 t/ Submittal. Rcq'd Vt APPLICANT: DO NOT WRITE BELOW THIS LINE Rcc'd TRACIONG PERMIT FEES Plan SelS Plan Check submitted Item Amount Structural Calcs. Reviewed, ready foe 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 correclionsrissue Electrical Subcontactor List Called Contact Person Plumbing Grant Dccd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 31 d Review, ready for eorrectionsrssue Developer Impact Fee Planning Approval Called Contact Person '. A.I.P.P. Pub. Wks. Appr Date of permit issue ' Schodl Fees CA Total Pci mil Fecs Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 to 15 Site Address: Enforcement Agency: DIV: Permit #: SsLa. V � c E.r. k CAN O�- L,-- L+ lit I q Conditioned Floor E ui ment Typel List Minimum Efficiency 2 Duct insulation requirement Area Thermostat ❑ Packaged Unit P, Furnace )li(AFUE $�. ❑ COP Over 40 ft of ducts added or J8( Setback Indoor Coil jBCSEER 1 ❑ HSPF replaced in unconditioned space Served by sysem (If not already ,EQ Condensin Unit g ❑ EER ❑ Resistance ❑ R 6 (CZ 10-13) ❑ R 8 (CZ 14-15) sf present, must be installed) ❑Other 1. Equipment Type: Choose the equipment being installed, • if more than one system, use another CF -1R ALT -HVAC for each system. 2. Mmunum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPFfor typical residential systems. HERS VERIFICATION SUMMARY Listed below are four HVAC alteration Options. The installer decides whEl 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 fours 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 CF4Rs allowed) are filled out and signed. Begirining October 1, 2010, a re "stered copy of the CF -1R and CF -6R shall also be on site for final ins tion. M1. HVAC Changeout Required Forms: CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS • All HVAC Equipment replaced CF -4R forms: MECH-21 and (fors lit stems) MECH-25 • Condenser Coil and/or CF -6R forms: MECH-2I-HERS and (for split systems) MECH-25-HERS • Indoor Coil and/or CF -4R forms: MECH-21 and (for split systems) MECH-25 • Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA >_ 300 CFM/ton(Minimum Air Flow Requiremerr.), 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 CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS ducts: (all new ducting and all CF4R forms: 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, SIMS, 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 forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF -4R 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 ❑ 4. 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 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 confoun 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: S evcy\ Sc le Signature: z Company: - Date: 41 (,-+1 iy t,n er . s- v, � Address: � ` 3k1-70 11)eser'Vc l r License: �Pg.o310 City/State/Zip: +heus d oA n5 CA C1 zi)U Phone: 7(00._ 343- -24�R(? 2008 Residential Compliance Forms July 2010