Loading...
10-1061 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: " Application description: Property Zoning: Application valuation: Applicant*t t 10-00001061 47380 VIA KORON 643-100-017-196 -26152 - MECHANICAL LOW DENSITY RESIDENTIAL 7200 Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: C20 censeNo.: 374937 Date: !�/ 3 Convact0r- I 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 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 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.). ( 1 I am exempt under Sec. , BAP.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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: • 10/13/10 Owner: VANDENAKKER PETER 47380 VIA KORAN LA QUINTA, CA 92253 ( D. e Contractor: PALM DESERT AIR COND C C OCT 13 2010 42081 BEACON HILL PALM DESERT,. CA 92211 CITY OF LA QUINTA (760)346-0677 `INACEr��� Lic. No.: 374937 —' 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 SOUTHERN INS Policy Number WSIO036802-01 _ 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 tot workers' compensation provisions of Section " / /P377f00 of the Labor Code, I shall forthwith c ly with those provisions. - - Date: /6 � /Applicant----_T==r 5 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 ($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 building construction, and hereby authorize representatives .of this coounnttQytoo ennter upon the above-mentioned property for inspection urposes. Dater Signature (Applicant or Agent):��� . Application Number 10-00001061 Permit . . . .• MECHANICAL Additional desc - Permit Fee . . 42.00 Plan Check Fee 10.50 Issue Date Valuation 0 Expiration Date 4/11/11 Qty_ Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.44,. 9.0000 DA MECH ADPL KEY/ALT/AUL) 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 -------- Special Notes and Comments -------------------- ------ 'FURNACE , INDOOR COIL, & CONDENSING UNIT CHANGE OUT 16.50 SSER 2007 CODES. Other Fees BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited .Due.• Permit Fee Total 42.00 .00 .00 42.00 Plan Check Total 10.50 .00 .00 10.50 Other Fee Total 1.00 .00 .00 1.00 Grand Total 53.50 .00 .00 53.50 LQPERMTT - - - Sim lifted Prescri ive-Certificate of Com fiance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones, 10 to 15 VANUEN AKKER, PETER Svstem•1 Site Address: 47-380 VIA KORON, LA QUINTA, CA 9253 Enforcement Agen City of La Quina Date: 10/13/2010 , Permit A Equipment Type' List Minimum Efficient Duct insulation requirement Conditioned Floor Area Thermostat Packaged Unit ® Furnace o ®AFUE 8Q /o ❑ COP Over 40 ft of ducts added or d ®Setback ® Indoor Coil ® SEER 16.50 ❑ HSPF replaced in unconditioned space Served by system not already ® Condensing.Unit ® EER 13.00 0 Resistance ❑ R 6 (CZ 10-13) sf present, must be ❑ Other. ❑ R 8 (CZ 14-15) installed) 1. Equipment Type: Chocue the equipment being installed; if more than one system, use another CF -1 R4LT--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 beconducted. 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 -6R and registered CFAR forms.(no hand filled CF-4Rs allowed).a. filled out and signed. Beginning .October 1,2010, a rezistered copy of the CF -1R and.CF-fit shall also be on site.for fatal _'_ ection. ®1. HVAC Cbangeout Required Forms; ® All HVAC Equipment replaced CF -6R forms: MECH-04, MECH-21-F{ERS and (for split systems) MECH- 25 -HERS CFAR'forms: MECH- 21 and forsplit-systems) MECH-25 ® Condenser Coil and /or ® Indoor Coil and;/or CF -6R forms: MECH-21 -HERS and (for split systems) MECH- 25 -HERS ® Furnace CF -4R forms: MECH- 21 and (for split systems) MECH-25 For Split Systems: Duct leakage < 15 percent; RC, CCA > 300 CFM/ton(Minimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent Exempted firom duct leakage testing if 0 1. Duct system was documented to have -been previously sealed;and confumed!through HERS verification, or 0.2. Duct systems .with lessthan .40'linear feet in unconditioned space, or 0 3.. Existin ductsystems.ace; constructed, insulated or sealed with. asbestos ❑ 2. New HVAC S stem - Required'Forms: ❑ Cut in or Changeout with new ducts: (all new ducting:.all CF -6R fommis: MECH-04, MECH-20-HER:S,aiid (for split systems) MECH-22-HERS, and MECH-25-HERS new equipment) CF -4R forms: MECH 20-, and (for split systems)MECH-22,_and MECH 25 For Split Systems: Duct leakage < 6 percent; RC, CCA > 350 CFM/ton,..FWD, TMAH, STMS, and.e they NSPP>or PSPP. For Packaged Units .Duct leakage < 6. ercent 113. New Ducts with/or without Replacement Required Forms: ❑ Includes,replacing.or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS;an&(f6r split systems) MECH-25=HERS and/or outdoor condensing unit and/or indoor coil CFAR forms: MECH-20 and (for split systems) MECH 25 and/or furnace. No, or some equipment changed. For. `Split. Systems: Duct leakage < 6 percent, RC, CCA >_ 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent ❑ 4. New Ductin ;over 40 feet Required Forms: ❑ Includes adding or replacing more than linear feet ofduct inunconditioned .space. CF-6R forms: MECH-04, MECH-2I -HERS CF -4R forms: MECH-21 For split system. or packaged units: Duct leakage < 15 percent 0 EXCEPTION: Existing:duct systems constructed insulated or scaled with.asbestos. Contractor (Documentation Author's. /Responsible Designer's Declaration Statement). ® Icertify that this Certificate of Compliance.documentation is accurate and complete. ® .1 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'onthis Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the CaliforniaCodeof Regulations. ® The design features ideirtificd:on. this_C cate_of_Compliance are -consistent with4he-informationdocumented-on-otherapplicable-compliance-fbtm-worisheets, calculations, plans and specifications submitted to the enforcement agency for . approval with the ' _ ication Name: KARL BROWN . ISignature: Company: Palm Desert Air Conditioning & Heating Company Date: 10/13/2010 Address' 42-081 Beacon Hill License: 374937 City/state/zip: Paim Desert, CA 92211 Phone: (760) 346=0677 z vvonesiaennat t,ompuance Norms March 2010 1 NR� �. 44 P:La Quinta California 92'11 - Q..Box 1504.78=495 .Calle Tampico, • ' - Tel: (760) 777-701.2 • Fax: (760) 777-7112 --GEM.41A,DESERT -- 'Website.: www.La-Quin'ta:Org-• Email: Building;;@La4,Ui.nta.Org.. '.r?e, Ox1'�w rt Permit #: 80.1"ding POfthit.Application & Tracking Sheet Peoject.Address: 47-380 VIA KORON Owner's Name: VANDEN AKKEF, PETER A.P.-Number: Address: 47-380 VIA KORON Legal Description: City, State, Zip: LA QUINTA, CA 9253 Contractor- Palm Desert Air Conditioning & Heating Company Telephone.: ( Address: 42-081 Beacon Hill Project• Description: t City;,Statel'29.- Palm Desert, CA 92211 REPLACE ONE (1). AIR CONDITIONING SPLIT SYSTEM. r ; - Telephone -'No.: -( 0677SSW State: Lic. M 374937 City Lic. #: 100886 Arch'./EngrJuesigner: : Address:, City, State; Zip:,y Telephone No:: { P 7f is�9 ��.O.., &A a �a{,,_y''jy�( N " pa�1��_ b' w iPYn �Y n..114 i. ✓'C.-`. i..' ,Construction Type: -7 Occupancy: State: .Lic # n �t "4 � ° _ t ti ,:- Project.Type 13 N'ew,• ® Add?.! • 0 Alter • O Repair-• O Demo - Name of C- KARL BROWN 'Sq. Ft.: # Stories: #: Units: 'Contact Telephone No.: (760) 346-0677 Estimated Value of Project!". $7,200.00 APPLICANT: DONOT WRITE BELOW THIS LINE # . • . Submittal Req'4 Recd Tracking Permit Fee's Plan sets Plan Check Submitted Item Amount " Structural Calcs._ Reviewed; Ready for Corrections Plan Check Deposit Truss Calis '; ,Called Contact Person Plan Check Balance . - Title 24.Calcs. 9 , Plans Picked Up Construction Flood,Piain,Plan, • Plans, Resubmitted Mechanical Grading Plan, -2nd'Review, Ready foe Corr'ect'ions Electrical, ` Subcontractor'.List Called,ContectPeiison Plumbing , GranMee'd Plans Picked,Up S.M.I. • ; H.Q.A: Approval Plans Resubmitted Grading IN HOU$E 3t0 Review; .Ready for Corrections Developer Inpact Fee Plan. ning,Approyal Called Contact -Person- A.I.P.P. ' Pub. Works Appel Date of Permit Issue 'School Fees `' Total Permit Fee's