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10-0755 (MECH)TA 4.4 t%aQ1o14 - '' - - P.O. BOX 1504VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 7774011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 8/12/10 Application Number: 10-00000755 Owner: Property Address: 47870 VIA LIVORNO ANDERSON EARL APN: 643-1.40-015-71 -26152 - 47870 VIA LIVORNO Application description: MECHANICAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL ( Application valuation: 10900 Contractor: _ Ni Applicant:Architect or Engineer: ESSER AIR CONDITIONING & HTG j A4_ P.O. BOX 1636 2010 R l///`� ,v �yl✓////////Af� CATHEDRAL CITY, CA 92235 (760)324-0 * 550 Lic. No.: 89046 GltlfOF1.AQUNT- " LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine d Professionals Code, and m -ic8 sn a is in full force and effect. LicenseCla 20 License 489046 Date:« • � �� �✓ :;'Contracto - OWNER -BUILDER DECLARATION herehy 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 t0 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).: (_) 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.). ( ) 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: LQPER 11T WORKER'S COMPENSATION DECLARATION 1 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 STATE FUND Policy Number 1891568-2009 I certify that, in tho performance of the work fnr whish 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 subi ct to the workers' compensation provisions of Section - 00 of the Labor Code I shall forthwi h c ply with those provisions. / 1 r"ete:.; 2 lv ;:Applicanr. Date: D _ 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 ab formation is correct. 1 agree to comply with all city and county ordinances and state laws relating to bui mg con ructio and hereby authorize representatives of this cou � enter upon the above-mentioned pro rty�forJinspect _Date:— Signature -(Applicant orAgen:,/ // Application Number . . 10-00000755 Permit .. . . . . . MECHANICAL Additional desc . Permit Fee . . 66.00 Plan Check Fee 16.50 Issue Date Valuation 0 Expiration Date 2/08/11 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=10'OK 18.00 2.00 1G.5000 EA mEcii 8/r 3-i rT4P/>1 nnK-c;00KRT1T ---------------------------------------------------------------------------- Special Notes and Comments REPLACE (2) EXISTING SYSTEMS WITH (2) 4 ' TON 16 SEER SPLIT AIR CONDITIONING AND " HEATING SYSTEMS.TO EXISTING.LOCATIONS... 2007 CODES. Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) .1.00 Fee summary Charged Paid Credited Due Permit Fee Total. 66.00. .00 .00 66.00: Plan Check.Total 16.50 .00 .00 16.50 Other Fee Total 1.00 •:00 .00 1.00 Grand Total 83.50 .00 .00 83"50 LQPERA11T Sim lificd Prescriptive Certificate ofCompliance: 2008 Residential HV4CAlterations CF IR ALT HVAC Climate Zones 10 to 15 ZUUrl Aestdential Compliartce Forms March 2010 Site Address: �Zd/ Vlk �fyo�Cuo Enforcement Agency: Date: u Permit #: Equipment T el List Minimum Efficienc z Duct insulation requirement Coaditi ned Moor Area Thermostat Packaged Unit _ Furnace AFUE Y4 • ® COP Over 40 ft of ducts added or J&Setback Indoor Coil WFER fZ__ ®HSPF replaced in unconditioned space Sery d by system (If not already - Condensing Unit iff EER _Jj E3Resistance R 6 (CZ 10-13) R 8 14-15) + sf present, must be Other (CZ ' t� installed) 1. Equipment Type: Choose the equipment being installed- if more than one system, use another CF -1 R-ALT-KVAC for each system. 2. l�nimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFfor typical residential systems. KERS VERIFICATION SUMMARY Listed below are four HVAC alteration Options. The installer decades what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy o1 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 fora: 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 'nnin signed. Be October 1, 2010, a registered copy of the CF -IR and CF -611 shall also be on site for ftral inspection. I. HVAC Changeout Required Forms: • All HVAC Equipment replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) IVECH- 25 -HERS CF4R forms: MECH- 21 and fors lit stems MECH-25 • Condenser Coil and/or • Indoor Coil and/or CF -6R fors: MECH-2I -HERS and (for split systems) MECH- 25-IIERS •• Furnace CF4R fors: 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 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 3. Existing ducts stems are constructed, insulated or sealed with asbestos LJ 2. New HVAC System Required Forms: with new CF -6R fors: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS • Cut s: al Chang outducting ducts: (all new ducting and all new equipment) CF4R fors: 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 either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ®3. New Ducts with Replacement Required Forms: • Includes replacing or installing all new ducting CF -6R fors: MECH-04, MECH-20-HERS,and (for spit systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF -4R fors: MECH-20 and (for split systems) MECH-25 coil and/or furnace. Not all equipment changed. For Split Systems: Duct leakage < 6 percent, RC, CCA > 300 CFNVton, TMAH For. Packaged Units: Duct leakage < 6 percent 73 4. New Ducting over 40 feet Required Forms: • Includes adding or replacing more than linear feet of duct in unconditioned s ace.. CF -6R fors: MECH-04, MEr CH -2I -HERS CF -4R forms: MECH-21 split s stem or packaged units: Duct.leakage < 15 percent EXCEPTION: Existin ducts stems constructed, insulated or sealed with asbestos. [For ntractor (Documentation Author's /Responsible'Designer's Declaration Statement) I certify that this Certificate of Compliance documentation is accurate and complete. I 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 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 umenteyon other applicable cog li ce forms, worksheets, calculations plans ands ecifications submitted to the enforcement agency for approval with the rmi li pation- Name: DAVID WILLIAMS Signature: Company: ESSER SERVICES INC. t D ae: Address: P.O. BOX 1636 License: 1 489046 City/State/Zip: CA'T'HEDRAL CITY,CA, 92235 Phone: ZUUrl Aestdential Compliartce Forms March 2010 n — - .. ... _ LUU(Y Residential ComplialWe Forms Murch 2010 lte'.4ddress: / Enforcement Agency: Da. e: Permit tl: ti ' Equipment T e' List Minimum Efficient Duct insulation requirement Conditioned Floor Area Thermostat ❑ Packaged Unit Furnace R1 AFUE/ ❑ cop Over 40 ft of ducts added or O'Setback PC Indoor Coil WSEER14� ❑ HSPF replaced in unconditioned space Served by system (l/'trut already IM -Condensing Unit hrEER❑Resistance ❑ R 6 (CZ 10-13) f ftp- sf present• must he - ❑ Other ❑ R 8 (CZ 14-15) installed) I. Equipment Type: Choose the equipment being installed: if more than one syslent, use unother CF -/R -ALT• HJ,ACfor each st.,stent. 2. Afinimum Equipment Efficiencies.- l3 SEER, 78% AFUE, 7.711SPFfor Iypic•al residential sislenu. 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 forms shall be lefl 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 CF4R forms (no hand filled CF4Rs allowed) are filled out and signed. Beginning m October 1, 2010, a registered co of the CF -1R and CF -6R shall also be on site for final ins ection. X1 . HVAC Changeout Required Forms: • All HVAC Equipment replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R fortes: MECH- 21 and fors lits stems) MECH-25 • Condenser Coil and/or • Indoor Coil and /or CF -6R forms: MECH-2I-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 t Exempted from duct leakage testing if- ❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS ventTtcation, or O 2. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existin& ducts stems are constructed, insulated or sealed with asbestos ❑ 2. New HVAC System ' , Required Forms: • Cut in or Changeout with new ducts: (all new ducting and 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 split systems)MECH-22, and MECH 25 For Split Systems: Duct leakage < 6 percent; RC, CCA > 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with Replacement Required Forms: • Includes replacing or installing all new ducting CF -6R 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-e5 coil and/or furnace. Not all equipment changed. For Split Systems: Duct leakage < 6 percent, RC, CCA >_ 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 eercent ❑ 4. New Ducting over 40 feet Re uired Forms: • Includes adding or replacing more than 40 CF -6R forms: MECH-04, MECH-2I-HERS CF -4R forms: MECH-21 linear feet ofduct in unconditioned space. For split system or packaged units: Duct leakage < 15 percent ❑ 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. • I 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 enefgy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts I and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the informati ocumented on other Vplicab -ompliance forms. worksheets. calculations- plans ands specifications submitted to the enforcement agency forapproval with t itarp1-cat'on Name: DAVID WILLIAMS Signature:, Company:A-71, Date: ESSER SERVICES INC. ,L v Address: , P.0 -BOX 1 6 3 6 License: tr / L City/State/Zip: C,<..:. -,T, 6� Phone: . 760. 324. 0550 LUU(Y Residential ComplialWe Forms Murch 2010 Bin # 0 / of >a Qi into Building & Safety Division P.O. Box 1504, 7&495 Calle Tampico La Quintal CA 92253 - (760) 777-7012 Permit Application and Tracking Sheet Permit # or LBuilding ProjectAddress:41Y7v Vt,+4g01-11P 4-QurN'fA- (A2tf) Owner's Name: L�frit-/�N�e'JWo� A. P. Number. Address: 41 V 7o V I * 4 d v t N n Legal Description: City, ST, Zip= Contractor: F.SSr. f— S= kVic-ES /14C . Telephone: - Address: Project Description: i o Pcrcd wo �'�vS ii�G City, ST, Zip: C,+7 i4r D Rq L e 11 y CA `i 2 z:5 s^515 r �wt�5 N o — 'ro d � �ur Telephone: 7 � 6�•32.4.oySo . �.: :..: ,;>:;. -;�-• -,. ...s-� .�r%' � ,� / / �/' p -r.F `-t S _ l t7 fi�i�/ /N�► o ej f State Lic. # : $ `� `/ 6 City Lia #- Arch., Engr., Designer: Address: City., ST, Zip: Telephone: p Construction Type: Occupancy: State Lic. #: y.Cx ' ;. _ Project" (circle one): New. Add'n Alter Repair Demo Name of Contact Person: '/} V i .D W t L L LA Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: %(� 'J z i 1 • 05-5-0 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Rec'd TRAC104G PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs• Called Contact Person Plan Check Balance. Title 24 CMCL 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.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3" Review, ready for eorrectionsfrssue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. A.ppr Date of permit issue School Fees Total Permit Fees