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10-0750 (MECH)
4'4 P.O. BOX 1504 Q", VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153. BUILDING PERMIT Date: 8/11/10 Application* Number: 10-000007b0` Owner: Property Address: "47090 VIA LORCA HIGDON,GENE APN: 643-160-058-156 -26152 - 47-090 VIA LORCA Application description: MECHANICAL LA QUINTA, CA 92253 Property Zoning: T.nw.nFNSTTY,RESIDENTIAL ( Application valuation: 4500 Contractor: Applicant: Architect or Engineer: CHAFFIN AIR 36665 CATHEDRAL. CANYON 7 2�i© r� CATHEDRAL CITY, CA 9223 (760.) 328-3400 Lic. No.: 661464 r ,., s 4{ri:ftiJ A ---------------- LI�Pessionals TRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION - I hereby affirm under penalty of perjury that 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 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-C38 License No.: 661464 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is 121 a... _ issued. _-DTate: -1 ;ContI 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 DESERT EMPIRE Poli Number WKN1367552 following reason (Sec. 7031 .5, Business and Professions Code:. Any city or county that requires a permit to _ I certifythat, in the performance of ork 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 t ome 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 me subject to the workers' compensation 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 Co s all 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 - gkk\\ Zo-1 -0 - any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred. dollars ($500).: "Date.. Appjican ` - (_ 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 WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply town 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 (_ I 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 apermit 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 contractor(s) 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, ( 1 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 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 enction, o`n 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 buildiand hereby authorize representatives of this county to enter upon0e-above-mentioned pro erurposes. Lender's Name: kk12J Date: �f) Signature (Applicant or Agent Lender's Address:. LQPERMIT • ' Application Number 10-00000750 Permit MECHANICAL - Additional desc'. Permit Fee 33.00 Plan Check Fee. 8.25 Issue Date . . . . Valuation 0, Expiration Date 2/07/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 1.00 9.0000 EA MEC'H B/C .<=.3HP/lUUn HTU 0.00 - ---------------------------------------------------------------------------- Special Notes and Comments CHANGE OUT CONDENSING UNIT 13 SEER & COIL,UPGRADE. --------------------- 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 " Site Address: 0 RC) Uro y `" �r /� /A V -G Enjoret gear Da Permit #: V U y�,�-�v� laL l Equipment T O Packaged Unit List Minimum Efficienc 2 Duct insulation requirement Condittcned Floor Area Thermostat ,Setback ❑ Furnace ❑ AFUE_ ❑ COP Over 40 It of ducts added or Indoor Coil Unit OSEER1-A O HSPF replaced to unconditioned space O R 6 10-13) Served b system et a 0 (7f not already .191'Condensing ❑ EER ❑Resistance (CZ ( sf present, must be O Other O R 8 (CZ 14-15) installed) 1. Equipment Type: Choose the equipment being installed. ijmore than one system, use another CF -1 R -ALT -HVAC jor each system. 2. Minimum Equipment EJyieleneles: 13 SEER, 78%AFUE, 7.7HSPFjortypical 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 J.orms 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 fort wa:, in fact the work completed by the installer. The inspector also verifies that each appropriate CF -6R and registered CF4R forms (no hand filled CF4!s allowed) are filled out and signed. Beginning October 1 2010 a registered copy of the CF -111 and CF -6R shall also be on site for final Inspection. ❑ 1. HVAC Changeout Required Forms: • All HVAC Equipment replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -411 forms: MECH; 21 and for split systems), WCH-2 • Condenser Coil and /or • Indoor Coil and/or CF -6R forms: MECH-2l-HERS and (for split systems) MECH- 25=HERE • Furnace CF4R 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 fix�rom duct leakage testing iE ❑p 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 ❑ 3. Existing ducts stems are constructed, insulated or sealed with asbestos ❑ 2. New HVAC System Required Forms: with new • Cut in or 11 new eoutducting ducts: (all new ducting rad all CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS new equipment) CF -4R forms: MECH 20- and for lits stems MECH-22, and MECH 25 � ( split y ) For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, STMS, and eijter HSPP or PSPP.. For Packaged Units: Duct leakage < 6 percent 0 3. New Ducts with Replacement `Requllftrais`. • Includes replacing or installing all new ducting CF -6I1 forms: MECH-04, MECH-20-HERS,and (for split .systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF4R forms: MECH-20 and (for split systems) MECH-25 coil and/or furnace. Not all equipment clanged. 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 Linear feet of duct in unconditioned space.. CF -6R forms: MECH-04, MECH-2I-HERS CF4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent O EXCEPTION: Existing ducts stems constructed,insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) •. 1 certify 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 idemified on this Certificate of Compliance. • 1 certify that the energy features and performance specifications for the design identified on this Certificate of Compliance to conform the requirements of Title 24, Parts I and 6 of the California Code of Regulations. • i"h,: design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, Rtions, plans2andH s ificattons submitted to the enforcement forapproval with the it application. Nam Comp Date:1n1\� ` 9 rY S�Signature: Address: �V1 License:CtI.5 bo City/State/Zip: �D ^I 2213 Phone -iso 32 3�60 -urfiFruurice rarms March 2010 Bin # Qty 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 Permit # b " �0 Project Address: y ., '�(� `A LOyL� Owner's Name: (2V l/ l•i'O A. P. Number: Address: Li `1--0 U l YLG% Legal Description: City, ST, Zip: G(L)V\ Contractor: (" �.�� 1ti� Telephone:' --- 3Address: Address: Project Description: City, ST, Zip: C- ,k,-, ' Telephone:` 60 3 a$ 3q ate. V G y\ - State Lie. # :6e �q !LklQ� City Lie. #; Arch., Engr., Designer Address: City., ST, Zip: Telephone: State Lie. #: ' Name of Contact Person: vel A .Q V�„ Construction Type: Occupncy: Project type (circle one): New. Add'n Alter Repair Demo Sq. Ft.: - # Stories: # Units: Telephone # of Contact Person: 0 3).?) Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE ie Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Caned Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2id Review, ready for correctionvIssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees n