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12-0885 (MECH)4 P.O. BOX 1504� VOICE (760) 777-7012 � . 78-495 CALLE TAMPICO 1a FAX (760) 777-7011 " LA QUINTA, CALIFORNIA 92253. �!' '�/ BUILDING & SAFETY DEPARTMENT �- INSPECTIONS (760) 777,7153 �./ BUILDING PERMIT - Date: 8/08/12 Application Number: 12-00000885 Owner: Property Address: 47840 VIA FIRENZE NEILON, RICHARD APN: 643=130-014-14 726152 - 47840 VIA FIRENZE Application description: MECHANICAL y LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 13000 Contractor: I'✓ "e_ Applicant: Architect or -Engineer. HYDES 42949 MADIO STREET INDIO, CA 92201 AUG 08 2�iz (760)360-2202 LI! lii Atli" �� L i c . No.: 906115 Cr LA £� t?4P7. LICENSED CONTRACTOR'S DECLARATION • - WORKER'S COMPENSATION DECLARATION 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 the Business 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 License Class: C20 C36 icense No.: 906115 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is l i• , - — issued. . Date: 'L Contractor: 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: -. I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier NORGUARD INS Policy Number CEWC356415 . following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to - _ I, 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 becom subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State - and agree that, if I should becomes , s. to th orkers' pensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, 1 II f wi wit ose 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).: Dal;— Applicant: " • (_ 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 WARNING: FAILURE TO SECURE WOR ERS' 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 will have the burden of proving that he or she did not build or improve for the purpose of sale.) N 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 a contractors) 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. , BAP.C. for this reason _ a 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. 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 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 construction, and hereby authorize representatives- of this county to enter upon the above-mentioned property for inspection pu os Lender's Name: ate: nature (Applicant or Agent): Lender's Address: LQPERMIT Application Number . . . 12-00000885 Permit '. MECHANICAL Additional desc, Permit Fee . . . 66.00 Plan Check Fee .16.50 Issue. Date Valuation 0 Expiration Date 2/04/13 Qty Unit Charge Per Extension • BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 16,5000 EA ,MECH B/C >3=15HP/>100K-500KBTU 33'.,00 Special Notes and Comments .-.HVAC CHANGE OUT - (2) 13SEER/78AFUE SPLIT SYSTEMS [2008.ENERGY] CARBON. MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION..2010 CALIFORNIA BUILDING CODES.. August 8, 2012 10:09:'45 AM AORTEGA Other Fees BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 66.00 .00 .00 66.00' Plan Check•Total 16.50 • .00 .00 16.50 'Other Fee Total 1.00 .00 .00: 1.00 Grand Total 83.50 .00 .00 83.50 LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations- CF -IR -ALT -HVAC Climate Zones 10 - 15 Site,Address: Enforcement Agency: Date: Permit #: - 47-840 Via Firenze(2) La Quinta, CA 92253 City of La Quinta Aug 8, 2012 Duct insulation - Conditioned Floor ' Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit • Furnace 0 AFUE 78% ❑ COP ❑ R 6 (CZ 10-13) Served by system 0 Setback p Indoor Coil 2 SEER 13.0 [1HSPF ❑ R 8 (CZ 14-15) 1400 sf If not already present must be • Condensing Unit ❑ EER ❑Resistance installed) ❑ Other I ' 1. 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, 7.7HSPF for 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 fie 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 CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF -1R and CF -611 shall also be on site for final inspection. © 1. HVAC Changeout Required Forms: . All HVAC Equipment CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF -4R forms: MECH-21 and (for split systems) MECH-25 . Condenser Coil and /or . Indoor Coil and /or CF -611 forms: MECH-041 MECH-2I-HERS and (for split systems) MECH-25-HERS Furnace CF-4R'forms: MECH-21 and (for split systems) MECH-25 . For Split Systems: Duct.leakagei. A5:percent; RC, CCA _< 300 CFM/ton (Minimum Air Flow Requiremem), TMAH Exempted _from duct leakage testing,jf . , 9;p1"'Duet system wes,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.r Existing, duct systems are constructed;. insulated or sealed with asbestos . ;;❑.4. Thesysteriivv,ill not be Ducted (ie:?Ductless�Mim:Spht System)(AIsoExempt fromRefrigerantsC6a;rge) ❑ 2. Nevv HVAC Sys'tem'. Required Forms r It V . Cut inF,or Changeout with new ducts; (all new ,' F;; 6R forms ,MECH 04' MECH 20 HERS and (for split systems) MECH=22 H_RS, and fix ^ - MECH2-5HER5 #}� x4`" ducting and all new'" �_ - s 4R'equip forms MECH 20 and (fo,r split systems) MECH :22, and;MECH 25 For SplitSystems 9Duct leakage ... -� <�6 perce'nt, RC, CCA1; 3.50 CFM/ton,�FWD TMAH, STM3, and either f S.PP:or'PSPP °` ` �� ' For, Packaged Units Duct wil I Jeakage < 6 percent'- _ - "• "� s ❑ 3 NewDucts with/or withou'f;= * Required Forms: ReglacementK Includes-replacing. or installing all -,,new ducting and/or outdoor condensing unit - CF -611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/orfurna6e3No or some CF -4R forms: MECH-20 and (for split systems) MECH-25 equipment changed.'`-:' For Split Systems: Duct leakage z::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 linear feet of duct in unconditioned space: • CF -4R forms: MECH-21 , For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed'with asbestos. h - 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 Complie nce conform to the requirements of Title 24, Parts I 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: Mark Hyde Signature: Mark Hyde Company: CERTIFIED COMFORT SYSTEMS INC Date: Aug 8, 2012 Address: 42-949 MADIO STREET License: 906115 City/State/Zip: INDIO / CA / 92201 Phone_ (760) 360-2202 L ?.. Reg: 212-AO04296OA-00000000-0000 Registration Date/Time: 2012/08/08 12:11:1.4 HERS ProviLder: CalCERTS, Inc. i 2008 Residential Compliance Forms July 2010 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 47-840 Via Firenze La Quinta, CA 92253 City of La Quinta Aug 8, 2)12 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit p Furnace p Indoor Coil'. @ AFUE 78% @ SEER 13.0 ❑ COP ❑ HSPF ❑ R 6 (CZ 10-13) Served by system 0 Settack If not a:+ready present, must be 2 Condensing Unit [:1 EER ❑ Resistance ❑ R 8 (CZ 14-15) 1200 sf installel) ❑ Other 1. 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, 7.7HSPF for typical residential systems.: . HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides lrhat 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 installer. The inspector also verifies that each appropriate CF -•5R and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1. 2010, a registered copy of the CF -111 and CF -611 shall also be on site for final inspection. 1. HVAC Changeout Required Forms: • All HVAC Equipment CF -6R forms: MECH-04, MECH-21-HERS and (for split systems) MECH-25-HERS replaced CF -4R forms: MECH-21 and (for split systems) MECH-25 • Condenser Coil and /or. CF -6R forms: MECH-04, 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 Requirement), TMAH Exempted from'duct leakage testing if ;,; 1 Ductsysterri was documented,to have been previously sealed and confirmed through HERS verification, or p 2. Duct systems witfi: less than;`40 linear feet in unconditioned space, or ❑ 3 Existing duct systems are constructed insulated or sealed with asbestos 4 :Thesysterrawill not be Ducted (ieDuctlessMmiSpht System)y(AIso.ExemptafromRefri9eant Charge) -fr-. 112; New:MVdC System... Required Form's .Cut ih�or Changeout with °:#'O.k ,F, ` ' rrct ` ,� ^ ,. CF 6R forms 04 MECH 20 HERS'�Ii, and (for�split systems). MECH ;22 H RS, and ,x,,,, new ducts -(all new ducting and all new x 4MECH ,tom,: �l€°;- }t" ix sl �:Y'"� & ,� �� MECH 25yHER5 - i. , , - �� �•_ CF (MECH 25= 4R forms 20; and fors lits stems MECH=22, and MECH ; ( P y ) equi pm �,� For Split Sy" tert ' .3Duct leakage;<�t6 percent„RC, .CCA > 3`50 CFM/ton,rFWD° TMAH STMS and either FF SPP or'`PSP.P ' v � em=u € a= -m ,� ,., For Packs ed Ur-its:`Duct leaksgel<s6 ercent� t 4� � .. ❑ 3.'New-.Ducts with%or:,without: T ,` Required Forms: Replacement ' �• _ o Includes -replacing or mstalling'All,thew ducting.and/or outdoor` condensing unit CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or.fueriace�No:or some CF -4R forms: MECH-20 and (for split systems) MECH-25 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 linear feet of duct in unconditioned space. CF -4R forms: MECH-21 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 idbntified 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 otter applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Mark Hyde Signature: Mark Hyde Company: CERTIFIED COMFORT SYSTEMS INC Date: Aug 8, 2012 Address: 42-949 MADIO STREET License: 906115 City/State/Zip: INDIO / CA"/ 92201 Phone: (760) 360-2202 . 4. Reg: 212-A0042958A-00000000-0000 Registration Date/Time: 2012/08/08 12:06:50 HERS Provider: CalCERTS, Inc'. 2008 Residential Compliance Forms July 2010 Bin # Permit .# 12 S'�S Project Address: t-� :z n 9 N O A. P. Number• l L� ` 1 Lye, � FRY, ST, Zip: Z ,1/O Telephone: 7 G Cj _ ZZ State Lie. # : q 0c, Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Telephone # of Contact Person:' # Submittal Plan Sets Structural Calcs. Truss Calcs. Energy Calcs. Flood plain plan Grading. plan .Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees City of La Quinta - Building .& Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet r d�Q ►1� Owner's Name: Address: ,r7 r O I City, ST, Zip: n 5 H./c i eleph, Project ZZd% I City Lic. #: Construction Type: an Occupancy: Project type (circle one): New Addfi Alter Repair. Demo Sq. Ft.: # Stories: # Units: Estimated Value ofProject: Ov 0 APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRACKING PERMIT FEES Plan Check submitted Item Amount Reviewed, ready for corrections Plan Check Deposit Called Contact Person Plan Cbeck Balance Plans picked up Construction Plans resubmitted Mechanical god Review, ready for correciionsrssue Electrical Called Contact Person Plumbing Plans picked up S.M.I. Plans resubmitted Grading Review, ready for corrections/issue Developer Impact Fee Called Contact Person A LP.P. Date of permit issue Total Permit Fees