Loading...
10-0214 (MECH)P.O. BOX 1504 ; 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:- 3/17/10 Application Number:30-0_-0000.21.4 Owner: Property 'Address: 7895`VIA�LIVORNO RHODES LARRY JOE APN: 643-140-022-78 -26152 - 47895 VIA LIVORNO Application description: MECHANICAL LA QUINTA, CA 92253 Property 7onin4: LOW _DENSITY RESIDENTIAL ��� +• Application valuation: 11400 - _..--- Applicant: - --- --Architect or En (neer. - _ GENERAL �R - pp -- - ~ 9 U R GOND TIONING 31170 ES RVE'f�ieIVE72 q4, THOUSAND S, CA 92240 j (760) 3 4 3-7 4194"i �t LiC. No. r3`0 `zt;1C4 111��� �E•�. LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that 1 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 Sof t Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain acertificate of consent to self -insure for workers' compensation, as provided License C ss: C20 -— License No.: 686310 for by Section 3700 of the Labor Code: for the performance of the work for which this permit is issued. te: act t I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code,, for the performance of the work for-whichthis permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: ' Ihereby affirm under penalty ofperjury that I am exempt from the Contractor's State License Law for the _ Carrier PREFERRED . EMPL Policy Number WKN1295355 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 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' compensation provisions of Section- License ectionLicense Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or - 3700 of the ab ICode, I sh II 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 jl�a,� /i ' any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date•: pplicant: - l- - Y Lr� (_) 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 Lawdoes 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.). . .I I • APPLICANT ACKNOWLEDGEMENT - (_ 1 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 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 acontractorls) 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, (_) 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 Date: Owner: - ` CONSTRUCTION LENDING AGENCY I hereby affirmunder 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 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 160 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 uilding construction, and hereby authorize representatives of this county to enter upon the bove-mentioned pro y for inspe ton purpose I ate: L Si ture (Applicant or Agent): Application Number 10-00000214 Permit MECHANICAL Additional desc . Permit Fee 33.00 Plan Check Fee 8.25 Issue.Date Valuation . . . . 0 Expiration Date 9/13/10 Qty Unit Charge Per Extension BASE -FEE 15.00 1.00 9.0000 EA MECH FURNACE'<=100K 9.00•. 9.00U0 EA MECH !i/C z=_3HP/ LOOK BTU - 9.00 --------------------------------------------------------------------- -Special Notes and Comments HVAC ' SYSTEM WITH. NEW CONDENSER -.. (13 SEER) FURNACE (80%)AFUE. 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 .. 44 I ucamA- i+p4-tiS 4- C + C L ,� p N • OC L O"► cz� T� L7 s'8 d GENERAI. Air Conditioning & Heating 31-170 Reserve Drive • Thousand Palms, CA 92276 (760) 343-7488 9 Fax (760) 343-7494 www.callthegeneral.com Residential C mfortl I Survey �� INSTALL DATE JOB# 3 CUSTOMER# n5 0. NAME 4 4 /F2 V A /7 Cj .P'es BILLING ADDRESS CITY 4 A- &U reef A. STATE �Y_ A- ZIP CODE g 2 - PHONE PHONE CELL FAX JOB ADDRESS CITY STATE ZIP CODE q &61S Z�) MAP PAGE NEW EQUIPMENT EXISTING EQUIPMENT o ^% CONDENSER - CONDENSER MODEL # L��\JCOIL �I � t\ CONDENSER SERIAL # FURNACE v ' PERMIT YES' NUJ THERMOSTAT C&000 WARRANT FILTRATION MISC PLATFORM SIZE % ❑ FINANCING DAYS 0 CREDIT CARD C.O.D.S! vz V4/11/ZU1V 11:ZV MA Ytsu:34374a4 GENERAL AIR CONDITIONING Io 001 d &l ( U d /_1 I- 1 I l L, UU\Oat�> Simplified Prescriptive Certificate of Compliance: 2008 Residential EVA CAfteradons CF -IR -ALT -HVAC Climate Zones 10 to 15 Site Address: �^ C Ert oreeme Agency: Date: Permit!!: ( SAY N I 141,- �- Equipment T ca List Minimum Efficiene Duct insulation reuirement Conditoned Floor area Thermostat 13PackageeddUnit oor Coil ❑ AF ❑SEER ❑ COP ❑ HSPF Over 40 ft of, ducts added or replaced in unconditioned Served by system ����..,,�� 13TR ck (tfnoralready Condensing Unit ❑ EER _spar 13 Resistance C7 R 6 (CZ 10-13) sf present miwsi be ❑ Other I ❑ R 8 (CZ 14-15) twilled) I. Equipment Type: Choose the equipment being installea(• if more than one system, use another CF -1R ALT -HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER 78'166 AFUE, 7.7HSPF for typical residential systems. HERS VERMCATION SUMMARY Listed below arc 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 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 CF -4R forts (no hand filled CF -4 allowed) are filled out and --Ks si October 1 20110 a reglirtered COPY of the CF -1R and CF -6R shall also be on site for final inspection. Iff 1. HVAC Changeout Required Forms: • All HVAC Equipment replaced CF -6R forms: MECH-04, MECH-21-14ERS and (for split systems) MECK- 25 -HERS CF -411 forms: MECH- 21 and for split stems MK14-25 • Condenser Coil and/or • Indoor Coil and/or CF -6R forms: MECH-2I.-HERS and (for split systems) MECH- 25-14ERS • Furnace CF -4R forms: MECH- 21 and (for split systems) MECH-25 For Split Systems: Duct leakage < 15 percent; RC, CCA > 300 CFNVton(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 scaled and confirmed through HERS verification, or ❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existing,duct Eystems are constructed, insulated or sealed with asbestos ❑ 2. New HVAC System Required Forms: • Cut in or Changeout with new CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS ducts: (all new ducting md all CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 new equipment) For Split Systems: Duct leakage < 6 percent; RC, CCA > 350 CFM/ton, FWD, TMAH, SIMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with Replacement R aired 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 CF -4R forms: 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 CFM/ton, TMAH For Packaged Units: Duct leaka e < 6 percent ❑ 4. New Ducting over 40 feet Required Formas: • Includes adding or replacing more than 40 CF -6R forms: MECH-04, MECH-2l-HERS CF -41K :errs: MECH-21 linear feet of duct in unconditioned Vace, For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing duct systems constructed., insulated or sealed with asbestos. Contractor (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 fcawres and perfonmmncc specifications for the design identified on thi's Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. W The design features identified on this Certificate of Compliance are conaistcnt with the information document0tvA other applicable compliance Forms, worksheets, calculatio lana and s ons submitted to the enforcement agency for approval w' e i s n. Name: Signature: Company: ate: 5 / ! Address: License: . City/State/Zip: Phone: --7100 Bin #, . ' . 4 y. . G Quinta ' ' of U, k � •, Building 8t Safetq.Div Ior� ° P.O. Box 1504, 78.495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and. Tracld Sheet Permit # ' "1 Project Address: f)rOwner's Name:. r A. P. Number: Address:. Legal Description: City, ST, Zip: �� &IY Contractor: Address:Z21 f� �'. Telephone• I A.10 MD..��'•: z•s Project Description: r eo City, ST, Zip: a 1 Telephone: - !�a• l State Lic. # : City Lic. #; Arch, Engr., Designer: Address: City., ST, Zip: Telephone:' State Lic. ..� ConstructionT e: Occu an Alter !,*epair Demoa?� proJ type one) New . Add t Name of Contact•Person: ( Sq. FL: #Storks: # Units: Telephone # of Contact Person: 3 7 Estimated Value of Project: 00 APPLICANT: DO. NOT WRITE. BELOW THIS LINE # Submittal Plan Sets Req d' Rec'•d TRACKING PERMIT FEES Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan'Check Balance Title 24 Calls. Plans picked up — Consiruetion Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for corrections issue Elect. cal Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up. S.MJ. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- M Review,.ready for correctionslissue Dev-doper Impact Fee Planning Approval Called Contact Person A.IP.P. Pub. Wks. Appr Date of permit issue School,Fees . Total Permit Fees