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13-1001 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:X13--00001.0.0.1.-7 Property Address: 80320 VIA VALEROSA APN: 777-250-015- - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2000 c&t�v 4 J BUILDING & SAFETY DEPARTMENT BUILDING PERMIT �•.� Owner: SANDERS JAMES TRUST 450 SILVER SPUR ROAD RCH PALOS VERDES Applicant: % -Architect or Engineer: c v A� 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 Business and Professionals Code, and my License is in full force and effect. I manse Class". C.20-4'35 rwcn,c No.: y9.554579 Date: "_. �c+.�,T6:ontract'r. OWNER -BUILDER DECLARATION I hereby 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 to 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).: (^ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the wnrk, 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 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 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: LQPERMIT Contractor: EXPRESS PLBG HEA 9245 DOWBY DRIVE SAN DIEGO, CA 92 (858)693-4079 Lic. No.: 954579 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 A 917177c; -D ° T11 AND M 122013 SU 1 1 CI`T`Y OF L:A QUINTA FINANCE DEPT ------------------ WORKER'S COMPENSATION DECLARATION Date: 8/09/13 I 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 3 7UU of the Labor Code, for the performance of the work for which this permit is issued. 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 SOUTHERN INS Policy Number•IWS100455101 certify that, .in the performyhall of the work for wf'fich this permit is issued, I shall not employ any person in any manner so become subject o the workers' com�pensation laws of California, and agree that, if I shouldome sub ject to a workerosr�I p>fnsation provisions of .Section 3700 of the Labor Code, forthwith c ply with Xe ovisions. 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 01 within 180 days from date of issuance of 4abovinformation essation of rk for 180 days will subj t permit to cancellation. certify that I have read this application and state that tis cor t. I agree to co ly h all city and county ordinances and state laws relating tobuon, and h by authorize r sen ives of this co my to enter upon the above-mentioned propen purpD4Qa�� Signature IAppticant or 9g'entl: i Application Number 13-00001001 _ Permit . . MECHANICAL 2013 Additional desc . Permit Fee 35.75 Plan Check Fee .00 Issue Date . . Valuation . . . 0 Expiration Date . 2/05/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH AIR HANDLER -35.75 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE OUT - 13 SEER, 2 TON A/C, REPLACE AIR HANDLER, (2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2010 CALIFORNIA BUILDING CODES. -------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) -------------- 1.00 PERMIT ISSUANCE M/P/E 90.57 - PLAN CHECK, MECHANICAL 11.92 Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee_ Total 35.75 .00 .00 35.75 Plan Check Total .00 .00 .00 .00 Other Fee Total 10.3.49 .00. 00 103.49 Grand Total 139.24 .00 .00 139.24 LQPERMIT Bin # Cit/ Of La QUinta Building 81• Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 13 �� ®� Project Address: U7 Z 195 cam_ Owner's Name: SaP A. P. Number: _777— � Address: 2 p 1/1 0 Legal Description: City, ST, Zip: Contractor: ! rile e hone: +. Address: � 2-4 9 Project Description: C LaMQ City, ST, Zip: S CA 9 9,1 Telephone: >#><:::>< :<: :n<::>#>?»>::: p � � SE'V State Lie. # : City Lie. #.-. Arch., Engr., Designer: Address: City, ST, Zip: Telephone::.... i'�ii:<:•:: i:•::ii'n:i v�jiin: i1:{:;:t: y::>.;rij::::ti::ii: ConstructionType: Occupancy: State Lie. #: Project type (circle one): New Add'n Alter Repai Demo Name of Contact Person: Sq. Ft.: 1 # Stories: #nt s: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd. 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 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 21" 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 J Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 to 15 Site Ad ress: fV 3W Y�a 4e Enforcement Agency: Date. Permit #: Equipment T ' List Minimum Efficiency' Duct insulation requirement Conditioned Floor Area Thermostat ❑ Packaged Unit ❑Furnace ❑AFUE ❑COP Over 40 ft of ducts added or d ❑Setback ❑ Indoor Coil ❑SEER ❑ HSPF replaced in unconditioned space Served by system (l(not already ❑ Condensing Unit ❑ EER ❑ Resistance ❑ R 6 (CZ 10-13) sf present. must be AEMIlier ❑ R 8 (CZ 14-15) installed) 1. Equipment Type: Choose the equipment being installed: if more than one system, use another CF -/R -ALT -HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFfortypical 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 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 CF4R forms (no hand filled CF4Rs allowed) are filled out and signed. Beginning October 1, 2010, a registered copy of the CF -IR 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 fors lits stems MECH-25 • Condenser Coil and/or • Indoor Coil and /or CF -611 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 Fxempled from duct leakage testing if: ❑ I. 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:' • Cut in or Chang 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 and all 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 2:350 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 CF411 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 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: Duct4eakage < 15 percent ❑ EXCEPTION: Existing ducts stems 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. • 1 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 Tide 24, Parts I and 6 of the Califomia Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the informatidocumented on her app] icabl mp / ce forms, worksheets. calculations, plans nd specifications submitted to the enforcement agency for approval with the rmit applicatio Name: Signature: Z"AL=�2� Company-� 14 Date: aAddress: License: 9r -q —7S City/Statc/Zip: �, V116 Phff—WS Q 2 2008 Residential Compliance Forms March 2010 � 7e1:858 -6Y3 -4U/5+ . E re s s 0x5'C)o695 8592 9245 ego, A 2 2026 San uiego, CA 92126 Plumbing, Heoting and Air Inc. southcai�expresspl�mbinghvaC.Com lic. # 954579 August 9, 2013 To may this mriy concerns I, Terry Watson, give our employee Sean Sandoval permission to sing all necessary paperwork to. pu11 city permits for our company. Express Pumbing, Heating and Air Inc. Regards,. Terry Watson President A C