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11-1003 (MECH)
P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 - Application Number: 11=00001003'`,, .Property Address: 49871 VIA KATALINA APN: 649-500-015- - Application ;description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 10000 Applicant: . Architect or Engineer: 4 Qum BUILDING & SAFETY DEPARTMENT BUILDING PERMIT' VOICE (760) 777-7012. FAX (760) 777-7011 z . INSPECTIONS (760) 777-7153 Date: 9/16/11. Owner: PAT.KLEMENS 49871'VIA KATALINA LA QUINTA, CA 92253 Contractor: ALL SEASONS A/C, PLMBG & HT — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — - - - - - - - - - - - - LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury th .licensed under Bions of Ch pte 9 (commencing with Section 7000) of Division 3 of the Bu ss al Profession o ,and my Li s Shrfull force and effect. - License Class: C20 C36 Lic se No.: 4 ate: ir. /` tactor 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 1, 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 constructthe project (Sec. 7044,. Business and Professions' Code: The Contractors' State License Law does not apply to an owner of Orworty Who build* 9r jmprgyog thgreon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ ) 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 ' P.O.. BOX 1112 %vt -j� PALDESERT, CA 92261 1L_ (760) 568-2663 GI?Y OF f.AQU1Nr A Lic. No.: 827420 FINA,yicrz0F 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. 1 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 NORGUARD INS Policy Number ALWC124752 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner soa,% o become subject to the work 'compensation laws of California, and agree that, if i sh d be me subject t worker ' mpensation provisions of Section 3�700 of the Labor ode, I s II 1 rthwit ply t se provr ons. 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 1$100,0001. 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 p6elorMeo unser or pursuant to any permit Issueu as a WWII. ui. uns ayyiicadun, 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 190 days from date of issuance of such permit, or cessation of wo 0 days will subject .permit to cancellation. , I certify that I have read this application and state that the a information ' r ag a to comply with all city and county ordinances and state laws relating to b ' ing nstruction r by autho ' representatives - of this cou y t enter upon the above-mentioned pro rty fo 7 inspec ' pu se . Det :t� Siure (Applicant or Agent): Application Number 11-00001003 Permit MECHANICAL Additional desc . .10.13 Permit Fee 40.50 c Plan Check Fee Issue Date Valuation . . . . 0 Expiration Date 3/14/12 Qty Unit Charge Per Extension—+ • r - BASE FEE 1.5.00 1:00 9.0000 EA MECH FURNACE <=100K 9.00'", 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 r' Special Notes and Comments INSTALL NEW HVAC SYSTEM, FURNACE, INDOOR COIL & CONDENSING UNIT. 2010 CODES. Other Fees BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 40.50 .00 .00 40.50 Plan Check Total 10.13 .00 .00 10.13.. Other Fee Total, 1.00 .00 :00 1.00 Grand Total 51.63 .00 00 51.63 LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -1R -ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: ' 49871 Via Katalina La Quinta, CA 92253 City'of La Quinta Sep 14, e1011 Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit + p Furnace 2 Indoor Coil 0 AFUE 78% Ea SEER 13.0 ❑ COPH ElHSPF ❑ R 6 (CZ 10-13) 8 Served by system 1200 sf Set�ack ' If not already present,, must be p Condensing Unit ❑ EER E] Resistance E,]R (CZ 14-15) installed) ❑ Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -IR -ALT -HVAC foreach 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. 4 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 -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 -6111 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. 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 1713. Existing duct systems are constructed, insulated or sealed with,asbestos . ❑ 4. The system -will not be Ducted (ie„Ductless�Mini-Split-System).(Also,Exempt fromfRefrigerant�Charge) ❑ 2. New HVAC System Required Forms:` • - 4 _ }T• k ,., ( w, • Cut inior.Changeout with; 41 //,-[ ` r .: split MECH-22�-IERS, and MECH-25-HERS new ducts; (all new ducting all new CF 6R,forms;iMECH-04, MECH-20s�-HERSIand (for systems) �? CF -4 m MECH 20, and (for splitsyyster�n� )MECH-22, and MECj1H25 }t `fjf( equipment) pR'fors. ��jj� ,.,.,,. .... • • . For Split Systems: Duct leakage;<�6'percent; RC' CCT2:i350 CFM/ton; FWD,',TMAH, SIMS, and.eitl er_HSPP-or'PSPP. For Packaged Units: Duct leakage'< 6 percent ❑ 3. New Ducts with/or without Required Forms: + Replacement ' . Includes replacing or installing all new ducting and/or outdoor condensing unit and/or indoor Y CF -6R forms: MECH-04, MECH-20-HERS, and (for spilit systems) MECH-25-HERS coil and/or furnace. No or,some equipment CF -4R forms: MECH-20 and (for split systems) MECF-25 changed. s' 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: + o” . 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 Divisionof the California Business and Professions Code to accept responsibility for the design identified on this Certificate of .3 Compliance. I ' ' • 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 agency for approval with the permit application. ` Name: David Beale Signature: David Beale Company: ALL SEASONS AIR CONDITIONING PLUMBING & HEATING INC. Date: Sep 14, 2011 Address: 73605 DINAH SHORE DR STE 1310M License: 827420 City/State/Zip: PALM DESERT / CA / 92211 Phone: (760) 568-2663 Reg: 211-A0047607A-00000000-0000 Registration"Date./Time: 2011/09/14 11:13:28 HERS Provider: Ca10ERTS,-Inc. 2008 Residential Compliance Forms -*_a �- July 2010 . Bin # City of La Quinta Building ff Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 03 \ l0 Project Address: Owner's Name: A. P. Number: Address:49 9 11V ( A KA t� (nnI (/� Legal Description: City, ST, Zip: LQ 0 ( V1 tD- UT 1205 3 n Contractor: Y �� Telephone: . (. i�r::?i 1 `>;:s<:>;::»» 011 Address: Project Description: City, ST, Zip: p I w C 22—bi l Telephone: State Lic. # : City Lic. #; Arch., Engr., Designer: Address: City., ST, Zip: Telephone: p ':..... State Lic. :{ Name of Contact Person: n o struction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: t (S pC�J 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 V 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 corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees I otal Permit Fees b +rti •�,r ' Vii'` " a a