Loading...
07-0590 (MECH)P.O. BOX 1504:^ VOICE 760 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 1 y BUILDING & SAFETY DEPARTMENT: INSPECTIONS (760),777-7153 BUILDING PERMIT Date: 2/22/'07 Application Number: 07-00000590 .. - 4 '' Owner:' 1 '• Property Address_:. 47540 VIA MONTESSA " LEO GOODMAN `APN: •' • 643-.120-008-236 -26152 - 47540 VIA MONTESSA Application description: MECHANICAL ` LA:QUINTA, CA 92253 `Property Zoning: ' ' LOW.DENSITY RESIDENTIAL Application valuation: 4800 1 'Contractor: F�� 2 L��1 r ' A/d111 Architect or Engineer: PALM DESERT` AIR CON IT ONI9_ 42081 BEACON' HILL UIN CITY®F1�4 4 • PALM DESERT, CA 922 1 �'iNC DEQ A ' (760)34: 374 ' ,677 Lic: No.: 374937 --------------- '� .. 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 00) 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 - . Lice Class: C20 License No.: 374937 - - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is _ issued. 'Dati C ractor:. - _ • , , - 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 STATE FUND Policy Number 1795546-2007 • 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 mariner so as to become 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 become subject to the workers'compensetion provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profe'ssions Code) or Y3700 of the L or.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 , a�^ • - any applicant for a permit subjects the applicant to a civil. penalty of not more than five hundred dollars ($5001.: - - ate. •i pp61 licant:- ( 11, as owner of the property, or my employees with wages as their sole compensation, will do the work, and - - - - - R the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: - The • WARNING: FAI URE TO SECURE WORK '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.). APPLICANT ACKNOWLEDGEMENT ,• (_ h 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 e - 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 contractor(s) licensed 1:* Each person upon. whose behalf this application is made, each person at whose request and for i ' 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 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 Quinta, its officers, agents and employees -for any Iact or omission related to thework be 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 applic ion 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.1. ;'r cityhisntyyobn'ter mordnances and ate laws relating to building construction, and hereby authorize representatives - of upon eabove-mentioned property for inspection purposes. Lender's Name:D� S' azure (Applicant or Agent): - - . Lender's Address: - LQPERMIT . •. • • - ,1 - y Ap'plication�Number 07-00000590 Permit . . . MECHANICAL Additional desc . Permit -Fee- 33.00 Plan Check'Fee 8.25 Issue Date Valuation 0 Expiration Date 8/21/07 Qty Unit Charge. Per' Extension BASE FEE 15.00 1.001, 9.0000 EA MECH FURNACE <=100K 9.00 9.0000 EA- MECH B/C <=3HP/100K BTU 9.00 Special NOte6 and Comments REPLACE FURNACE & COIL Fee summary Charged Paid 'Credited Due' Permit Fee Total 33.00 .00 .00 33.00 Plan Check Total 8.25 .00 .00 8.25 Grand Total 41.25 .00 .00 41.25 ',a LQPERMIT Bin City of La Quinta Building 8L Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �C �0 Project Address: / Owner's N Q' Address: A. P. Number: Legal Description: City, ST, Zi ~ c v" Contractor a T Address: .O' p . lfk'tY::i: Y::f:S:`::f:v:r:<lf:::>i.'c'::< 4 Telephone: _% % • O :; >:;:•:;:::; :::::;:v;„ :.:v... Project Description: City, ST, Zip. /J ✓�/ - ;;:.. • • .^ nNJIC'}!vj:�:<}ri<..z .n; � •i:4::: f : ni: State Lic. # : City Lic. Arch., Engr., Designer: Address: City, ST, Zip: c.srf>:�f:«::;f: �:f;:>.s:#:>::f:<::::t<.•;fff:;f:� Telephone: f:,:,::;;:,;:f;:: ;fs>;:>; :. �<::, State Lic. #: ><.b ..;..f;f..,.:.,r+ .ff r: Name of Contact Person:Sq. Construction Type: Project type (circle one): New Add' Alt Repair Demo Ft.: # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG 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 Calcs. Plans picked up Construct -on 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 ce Prescriptive Method - HVAC my Alteration CF -1 R -ALT Certificate of Compllan P r jele: Date: _ 0 ©CaICERTS 2005 Pt Enforcement Agency Use Onl roject Addr ss: (mate Zone: Building Permit # - Telephone _pJ Plan Check Date Docume ation Auth U% Field Check Date o ame: IMPORTANT: This CF -1 R -ALT form is only for use w n n HVAC • my alteration is made to an existing home I Icp nnp form for each system being altered This is system # of l systems altered in this house. Scope of Alterations: 1 ❑ R'r ler is to be installed or replaced. Duct sealin to be determined. Continue to next line. 2 eat exchanger is to be installed or replace. Duct sealing to be determined. Continue to next line. 3 condensing untt is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 4 r heatin toll is to be installed or re laced. Duct Sealin and/or TXV RCA to be determined. Continue to next line. 5 ❑ feet of new or replacement duct are to be installed in ��ngonditioned 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 ❑ es 1-5 are checked, neither Duct Sealingnor TXV(RCA) are required. Go to Section 5. Section 1 - Duct Sealin Onl if an of Lines 1 2 3 4 or 5 are checked. Skip if Line 6 is checked. 7 ❑ This system is in Climate Zone 1, 3, 4, 5, 6, 7 or S. No duct sealing is 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 sealing is required. Attach previous CF 4R form. Go to Section 2. 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 not apply. 11 ❑ In Climate Zones 2 12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct sealin and TXV if a licable . 12 ❑In Climate Zones 10, 13 and 15: An SEER 14 MQ EER 12 condenser will be installed with TXV(RCA) AND added duct insulation R4 wrap on existing ducts, R-8 new ducts in lieu of duct sealin . Go to Section 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 &Ha 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 ANQ EER 12 condenser will be installed with TXV(RCA) AND an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 15 None of lines 7-14 above are checked. Duct Sealing is Required. Continue. Section 2 - TXV RCA(Only if Lines 3 or 4 are checked, otherwise got to Section 3 16 ❑ [The s stem bein altered is a acka a unit. No TXV RCA is r uired. Go to Section 3.17 ❑ system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. TXV RCA is r uired. Go to Section 3. 18 ❑ s stem is in Climate Zone 1 3 4 5 6 or 7. No TXV RCA is uired. Go to Section 3. 19 ❑ s stem is in Climate Zone 16 and line 14 is not checked. No TXV(RCA) is required. Go to Section 3. 20 ❑ This s stem is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) is required. Go to Section 3. 21 1& 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. Sec 3 - HERS Rater verification ion 22 If line 15 is checked, HERS verification Is required for Duct Sealin . 23 ❑ 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, HER verification Is required for 12 EER. Section 4 - E ui ment 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 bein installed or replaced, duct R -value must meet or exceed Packa e 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 of 2 Version 03-10-06 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -11R -ALT Pro'ect ate: ©CaICERTS 2005 IMPORTANT: This CF -1 R T form is only for use when an HVAC-pnly alteration is made to an existing home Use one form for each system being altered. This is system # ( of 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 efficiencies/R-values. 28 Configurator . t system ❑ Package Unit 29 (3 AV Handler JgAs furnace, AFU ❑Heatpump FAU OHydronic FAU ❑Other 31) )w - Heal Exchanger 3 ❑ Outdoor Condensing Unit OA/C ❑Heatpump IlEfficiency SEER/HSPF: 1EER Bre d: 32 O Cooling or heating coil OA/C OHeatpump OHydronic 33 ❑ Duds Location: Length (H):JR-value: All mandatory measures apply to any altered component. See MF -1R -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 certificate 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 rater. Home Owner or Aulporized Agent Documentation Apthor Name: Name: _ Address: pa ame: City/State/Zip: Address: Phone: Phone: Signature: Signature: Enforcement Agency (Building Department) Notes/ o ment : 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, enforcement agency, HERS rater. CF -6R -ALT: by installing contractor. Required to close permit. Copies to home owner, enforcement agency, HERS rater. CF -4R -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 qroUD. Vulbiun uo-iu-uo Nage 2 of 2 This form can only be used on projects being verified by CaICERTS certified raters. www.calcerts.com 0