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09-0962 (MECH)P.O.BOX 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 Application Number.,, Q9-,00000962-- Property 2--Property Address: �' 47625 VIA" MONTIGO APN: 643-120-030-258 -26152 Application. description:. MECHANICAL Property Zoning:, LOW DENSITY RESIDENTIAL Application valuation: 9758 Applicant: Ta�/440" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: Ak Owner: HANDLE: 47625 ' LA QUI] Contract( PALM D; 42081 PALM D: (760) 3, Lic. N, VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/09/09 ---------------------------------------------------------=---------------------- 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 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 Y se No.: 374937 S-9���5�/ (4 ate: ontractor.. _ 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 bySection3700 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 STATE FUND Policy Number 238-0()04656-08 ' . 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 become subject to the workers' compensation laws of California, permit to file a signedstatement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencingwith Section 7000) of Division 3 of the Business and Professions Code) or and agree that, if I should become subject to the. workers' compensation provisions of Section ,3700 of the Labor Code; I shall forthwith c ply with those provisions. p� 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 IS5001.: scant` �✓/i- 1 —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 WARNING: FAI�'URE 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 will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1 _ 1 1, 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. , B.&P.C. for this reason Date: , Owner: CONSTRUCTION LENDING AGENCY Thereby 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: �T; LQPERMIT ' 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 i ! y authorize representatives of this county toenter upon the above-mentioned property for inspection purp ' Date: � Signa t (Applicant or Agen`tl: Z ?- Application Number 09=00000962 Permit . . . MECHANICAL Additional desc . Permit Fee 33.00 n PlaCheck Fee 8.25, Issue Date . . . Valu ation 0 ' Expiration Date 3/08/1.0 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 (1) EXISTING SYSTEM WITH (1) . LENNOX 4 TON SYSTEM. 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 Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Version 03-10-06 This form can only be used on projects being verified by CaICERTS certified raters. Project Title: Date: © CaICERTS 2005 FRANK HANDLER 09/08/09 ...:EnforcemenrA enc Use Ont Project Address: Climate Zone: Building Permit # 47-625 VIA MONTIGO/LA CCU INTA• 15 .t 't �g, ,' r Documentation Author: Telephone: elan check Date e KimberlyGarcia 760-564-3388 Company Name: Field check Date h Palm Desert Air Conditioning & Heating Company IMPORTANT: This CF -1 R -ALT form is only for use when an HVAC -only alteration is made to an existing home V Use one form for each system beingaltered. This is,s stem # 1 of 1 systems altered in this house. Check.all lines that appy. Check only lines that apply. Scope of Alterations: 1 ❑ n Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2 EI Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 El n outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 4 EI coolingor heatingcoil is to be installed or replaced. Duct Sealingand/or TXV(RCA) to be determined. Continue to next line. 5 ❑ More than 40 feet of new or replacement duct are to be installed in unconditioned space. Duct sealing to be determined. ❑ Check here if the entire duct system is also to be new or replaced. Continue to next line.. - 6 ❑ . If none of lines 1-5 are checked, neither Duct Sealingnor TXV(RCA) are required. Go to Section 5 e, Section 1 - Duct Sealing(Onlyif an of Lines 1 2 3 4 or 5 are checked. Ski if Line 6 is checked. 7 ❑ This system is in Climate Zone 1, 3, 4, 5, 6, 7, or 8. No duct sealingis required. Go to Section 2. 8 ❑ This system has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Section 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. �* No duct sealingis required. Attach previous CF -4R form. Go to Section 2. u 10 ❑ This ducts stem is sealed or insulated with asbestos. No duct sealingis required: Go to Section 2.'! Note: If the entire ducts stem is to be new or replaced, Lines 11-14 do notapply. _ 11 ❑ In Climate Zones 2 12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct sealingand TXV if applicable). 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 ANQ EER 12 condenser will be installed with TXV(RCA) AND added duct insulation R-4 wrapon existing ducts, R-8 new ducts in lieu of duct sealing. Go to Section 2. ' 13 ❑ In Climate Zones 9, 10, .11, 13, 14, or 15: An SEER 14 AND. EER 12 condenser will be installed with TXV(RCA) AND a 0.92 AFUE furnace will be installed in lieu of duct sealing. Go to Section 2.' 14 ❑ In Climate Zones 2, 9, 11, 12, 14 or 16: An SEER 14 At9Q EER 12 condenser will be installed with TXV(RCA) ND an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 15 Q None of lines 7-14 above are checked. Duct Sealing is Required. Continue. Section 2 - TXV(RCA) (Onlyif Lines 3 or 4 are checked, otherwise of to Section 3 16 ❑ The system beingaltered is a package unit. No TXV(RCA) is required. Go to Section 3. 17 ❑ This system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV(RCA) is required. Go to Section 3. 18 ❑ This system is in Climate Zone 1 3 4 5 6 or 7. No TXV(RCA) is required. Go to Section 3. 19 ❑ This system is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑ This system is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) is required. Go to Section 3. 21 O This system is in Climate Zone 2 or 8-15 and line 11, 16 or 17 is not checked. TXV(RCA) is required. Go to Section 3. Section 3 - HERS Rater verification 22 17 If line 15 is checked, HERS verification is required for Duct Sealing. 23 B If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification is required for TXV(RCA). 24 ❑ If line 12, 13 or 14 are checked, HERS verification is required for 12 EER. Section 4 - Equipment Efficiencies 25 ❑ If lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List in Section 6. Section 5- Duct R -Values 26 ❑ If more than 40 feet of duct is beinginstalled or replaced, duct R -value must meet or exceed Package D requirements. 27 ❑ If less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R-4.2 Section 6 -see next page Page 1 o 2 www.calcerts.com . r Version 03-10-06 This form can only be used on projects being verified by CaICERTS certified raters. Project Title: Date: © CaICERTS 2005 FRANK HANDLER 09/08/09 ...:EnforcemenrA enc Use Ont Project Address: Climate Zone: Building Permit # 47-625 VIA MONTIGO/LA CCU INTA• 15 .t 't �g, ,' r Documentation Author: Telephone: elan check Date e KimberlyGarcia 760-564-3388 Company Name: Field check Date h Palm Desert Air Conditioning & Heating Company IMPORTANT: This CF -1 R -ALT form is only for use when an HVAC -only alteration is made to an existing home V Use one form for each system beingaltered. This is,s stem # 1 of 1 systems altered in this house. Check.all lines that appy. Check only lines that apply. Scope of Alterations: 1 ❑ n Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2 EI Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 El n outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 4 EI coolingor heatingcoil is to be installed or replaced. Duct Sealingand/or TXV(RCA) to be determined. Continue to next line. 5 ❑ More than 40 feet of new or replacement duct are to be installed in unconditioned space. Duct sealing to be determined. ❑ Check here if the entire duct system is also to be new or replaced. Continue to next line.. - 6 ❑ . If none of lines 1-5 are checked, neither Duct Sealingnor TXV(RCA) are required. Go to Section 5 e, Section 1 - Duct Sealing(Onlyif an of Lines 1 2 3 4 or 5 are checked. Ski if Line 6 is checked. 7 ❑ This system is in Climate Zone 1, 3, 4, 5, 6, 7, or 8. No duct sealingis required. Go to Section 2. 8 ❑ This system has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Section 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater. �* No duct sealingis required. Attach previous CF -4R form. Go to Section 2. u 10 ❑ This ducts stem is sealed or insulated with asbestos. No duct sealingis required: Go to Section 2.'! Note: If the entire ducts stem is to be new or replaced, Lines 11-14 do notapply. _ 11 ❑ In Climate Zones 2 12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct sealingand TXV if applicable). 12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 ANQ EER 12 condenser will be installed with TXV(RCA) AND added duct insulation R-4 wrapon existing ducts, R-8 new ducts in lieu of duct sealing. Go to Section 2. ' 13 ❑ In Climate Zones 9, 10, .11, 13, 14, or 15: An SEER 14 AND. EER 12 condenser will be installed with TXV(RCA) AND a 0.92 AFUE furnace will be installed in lieu of duct sealing. Go to Section 2.' 14 ❑ In Climate Zones 2, 9, 11, 12, 14 or 16: An SEER 14 At9Q EER 12 condenser will be installed with TXV(RCA) ND an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 15 Q None of lines 7-14 above are checked. Duct Sealing is Required. Continue. Section 2 - TXV(RCA) (Onlyif Lines 3 or 4 are checked, otherwise of to Section 3 16 ❑ The system beingaltered is a package unit. No TXV(RCA) is required. Go to Section 3. 17 ❑ This system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV(RCA) is required. Go to Section 3. 18 ❑ This system is in Climate Zone 1 3 4 5 6 or 7. No TXV(RCA) is required. Go to Section 3. 19 ❑ This system is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑ This system is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) is required. Go to Section 3. 21 O This system is in Climate Zone 2 or 8-15 and line 11, 16 or 17 is not checked. TXV(RCA) is required. Go to Section 3. Section 3 - HERS Rater verification 22 17 If line 15 is checked, HERS verification is required for Duct Sealing. 23 B If line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification is required for TXV(RCA). 24 ❑ If line 12, 13 or 14 are checked, HERS verification is required for 12 EER. Section 4 - Equipment Efficiencies 25 ❑ If lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List in Section 6. Section 5- Duct R -Values 26 ❑ If more than 40 feet of duct is beinginstalled or replaced, duct R -value must meet or exceed Package D requirements. 27 ❑ If less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R-4.2 Section 6 -see next page Page 1 o 2 www.calcerts.com . r Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Project Title: FRANK HANDLER Date: 09/08/09 ©CaICERTS2005 IMPORTANT: This CF -1 R -ALT form is only for use when an HVAC -only alteration is: made to an existing home Use one form for each system being altered. This is system # 1 of 1 systems altered, in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equipment must match type/location and meet or exceed etriciencies/R-values. 28' Configuration: ® Split system ❑ Package Unit 29 ❑ Air Handler OGas furnace, AFUE: a0% ❑Heatpump FAU ❑Hycronic FAU ❑Other 30 0 Heat Exchanger 31 ❑ Outdoor Condensing Unit ®A/C ❑Heatpump lEfficiency SEER/HSPF: 18.00 I N/A EER if re d : 32 0 Cooling or heating coil ®A/C ❑Heatpump ❑Hydronic 33 ❑ Ducts Location: Length (ft): R -value: All mandatory measures apply to any altered component. See MF -1 R - ALT form. Compliance Statement: This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certiticate has been signed by the individual with overall project responsibility. The undersigned recognizes that compliance using duct sealing, verification of refrigerant charge, and TXV require installer testing and certification and verification by an approved HERS eater. Home Owner or Authorized Agent Documentation Author Name: Name: Kimberly Garcia Address: Company Name: Palm Desert Air Conditioning & Heating Company City/State/Zip: Address: 42-081 Beacon Hill Phone: City/State/Zip: Palm Desert, CA 92211 Phone: (760) 346-0677 Signature: Signature: Enforcement Agency (Building Department) Notes/Co ments: Name: Title: Department: Phone #: Fax #: Signature or Stamp: Required forms: CF -1 R -ALT: by anyone. Required at time of permit application. Copies to home owner, enforcersent agency, HERS rater. CF -6R -ALT: by installing contractor. Required to close permit. Copies to home owner, enforcement agency, HERS rater. CF4R-ALT: by HERS rater. Required to close permit. Copies to home owner, enforcement agency, installer. The CF -4R forms for a sample group shall not be released until all testing and verification is completed and passed for the entire group. vcisiun Uo-1U-Uo Page 2 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com I. Bin # Qty of La QuInt'a Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit Project Address: 47-625 VIA MONTIGO Owner's Name: FRANK HANDLER A. P. Number: Address: 47-625 VIA MONTIGO Legal Description: City, ST, Zip: LA QUINTA, CA 92253 Contractor: Palm Desert Air Conditioning & Heating C&npany 'Telephone: r Address: 42081 Beacon Hill Project Description: City, ST, Zip: Palm Desert, CA, 92211 LACE (1) EXISTING SYSTEM Telephone: (760) 346-0677 EMIMMI WITH (1) LENNOX 4 TON State Lic. # : 374937 City Lic. 100886 SYSTEM. Arch., Engr., Designer: Address: City., ST, Zip: Telephone:Construction State Lic. #: Type: Occupancy: Project typ e (circle on New Add'n,/, 'Alter) Repair Demo Name of Contact Person: Kimberly Garcia Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: (760) 346-0677 Estimated Value of Project: $9,758.00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Reqld Rec!d TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. 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 corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees