Loading...
14-0058 (MECH)4 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 Dater 1/21/14 Application Number: �* 14-.00-000 8 . i Owner. Property Address: �"`50455 VIA SERENIDAD BLANCHAT MIKE APN: 772-390-023- - - -50455 VIA SERENIDAD Application description: MECHANICAL LA..QUINTA, CA :92253 D Property Zoning: LOW DENSITY RESIDENTIAL (972) 955,-1628 Application valuatiori: 10380 Contractor: Appli Jnt: Architect or Engineer: HYDES c ` QUINTA 42949 MADIO STREET C� '406VEPT INDIO, CA 92201 (760)360-2202 Lic. No. 906115 LICENSED CONTRACTOR'S DECLARATION'-'-"T _F`� 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 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ 1 have and will maintain a certificate of consent to self-insure for workers' compensation, as provided _ _ License Class: C20 C36 Li nse No.: 906115 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is _ L7 �,, issued. Date: " '—"';Contractor. . 7 _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor "-"�""'•`^'r �� - 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 NORGUARD INS - Policy Number CEWC468841 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 Iany . 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 tofile "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 syybjectto orker '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 Code, I shall f hwi ly • those provisions. 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/.'.D^_ate: A_pplicam:: 1 _ 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 Y WARNING: FAILURE TO SECURE WORKERS' 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, providedthat 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 •, (_ 1 I, as owner of the property, am exclusivelycontracting 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 a a9Dt[aote0st4i'censed • 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. - hereby affirm under penalty of perjury that there is aconstruction lending agency for the performance of the I certify that I have read this application 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.). city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this c un`y to enty n the above-mentioned property for inspectio rposes. Lender's Name: Name: - - r k. - - .�L3�/_^_ : --- _.� Dater Signature (Applicant-or Agent): !/ - Lender's Address: - LQPERMIT' • .. - Application Number" _ . . . 14-00000058 Permit MECHANICAL 2013 Additional desc . Permit Fee 83.42 Plan Check Fee .00^ Issue Date Valuation 0 Expiration Date 7/20/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1-00 11.9200 EA MECH APPL REP/ALT 11.92 1.00 35.7500 EA MECH CONDENSER/COMP 35.75 Special Notes and Comments FURNACE,INDOOR, COIL CONDENSING•UNIT 780 AFUE 13 SEER CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2010.CBC. ---------------------------------------------------------- ---- - ------------------------------- Other Other Fees . . . . . BLDG STDS ADMIN (SB1473) 1".00. PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 52.43 Fee summary Charged Paid Credited Due Permit Fee Total 83.42 .00 .00 83.42 Plan Check Total .00 .00 .00 .00 Other Fee Total 144.00 .00 .00 144.00 Grand Total 227..42 .00 .00 227.:42 LQPERMIT - .. Bun # Pertntit # Project Addtess:- A. P. Number. Contractor. Address: % Z K City, ST, Zip: Telephone: GCj _- State Lic. # Arch., Engr, Design: Address: City, ST, Zip: Telephone: State Lic. # Name of Contact person. Telephone# of Contact i'erson: # Submittal Plan Sets Structural Cafes. Truss Cafes. Energy Cafes. Flood plain plan Grading plan Sabcontactor List Grant Deed H.O.A. Approval INHOUSE:- Plannink Approval Pub. Wks. APpr School Fees &W, City of La Quinta Build'mg At Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quanta, CA 92253 - (760) 777-7012 Building Permit APPlication and Tracking Sheet S• l� ere/�� Owna'sName: / ice c��G Address. C) ! S�, . e.icj j h3', ST, Zip: Q G Z Z f t � ^T �S R / Telephone: 1c,, Project Description S hS C iQ 'ct ZZd� ' City Lic. #: ff Total Permit Fees JAIN 21-2014 CITY OF LA C►uli�t COMMUNITY DEVELOPMENT Construction Type: Occupancy: (circle one): New Add'n Alter Rept Demo Lftojjectpe # Stories: Value ol'Project: / o 8� APPLICANT: DO NOT WRITE BELOW THIS UNE Rec'd TRACIMG PERMIT FEES Plan Check submitted Item Amount Reviewed, ready for corrections Plan Check Deposit Called Contact Person Pian Chock Balance Plans picked up Construction Plans resubmitted Mechanical • Z"' Review, ready for corrections/issue Electrical Called Contact Person Plumbing Plans picked up S.M.L Pians resubmitted Grading Ji° Review, ready for eorreetious/rssae Developer -Impact Fee Called Contact Person A.LP.P. Date of permit issae . Total Permit Fees JAIN 21-2014 CITY OF LA C►uli�t COMMUNITY DEVELOPMENT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations' CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address- • Enforcement Agency: Dater 1. 7 50-455 Via Sere nidad La Quinta, CA 92253 • t ]an 21,'2014 �. Duct insulation Conditioned Floor b ti.� .� * a ; , � � � • y •, ray ^F g a i' i� ; ., } ACOP [3 HSPF [3R 6 (CZ 10;13) Served by system 7 • .® Condensing• Unit ` i� '� �� [3Resistance ❑ R $ (CZ 14-15) -yd' #:••!'Y' • i S _« _ f>•, �rf 7A . �_ *y ✓` . 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -IR -ALT -HVAC for each system. = + 2. Minimum Equipment Efficiencies: 13 SEER, •78% AFUE, 7.7HSPF for typical 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 CF -4R' y - Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations' CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address- • Enforcement Agency: Dater 1. Permit #: 50-455 Via Sere nidad La Quinta, CA 92253 • CityW La Quinta ]an 21,'2014 - Duct insulation Conditioned Floor Equipment Type1' List Minimum Efficiency2' requirement Area Thermostat ❑ Package Unit, ® Furnace ®.Indoor Coil. � ®-AFUE 78% ®SEER -13.0 • ACOP [3 HSPF [3R 6 (CZ 10;13) Served by system ® Setback If not already present, must be .® Condensing• Unit [3EER [3Resistance ❑ R $ (CZ 14-15) 1600 sf installed) ❑ Other r _ 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -IR -ALT -HVAC for each system. = + 2. Minimum Equipment Efficiencies: 13 SEER, •78% AFUE, 7.7HSPF for typical 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 CF -4R' forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF -1R and CF -611 shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: All HVAC Equipment ; , • CF -611 forms: MECH-04, MECH-21-HERS and (for.split systems) MECH-257HERS.1- . replaced CF -411 forms: MECH-21 and (for split systems) MECH-25 ..Condenser Coil and /or flit ff CF -6R forms: MECH-04, MECH-2I-HERS and ors split sems MECH-25-HERS ( P Y. ) Indoor Coil and,/or CF -4R forms: MECH-21 (for split systems).MECH-25 •Furnace � For Split Systems: Duct leakage._<,15 percent; RC, CCA 5 300 CFM/ton (Minimum Air Flow Requirement); TMAH .., '. •.� ' c- l spit -. r leak- t c �,�toat Packaged uc# Exempted from duct leakage testing if:. ' "•:. ` ❑ 1. -Duct system was documented to have been previously'sealed and confirmed through HERS verification, or ' [32. Duct systems with less than;40 linear feet in unconditioned space, or ❑ 3. Existing duct systems are constructed; insulated or sealed with asbestos Q:4. Theasystem�will not be Ducted'(ieDuctlessMinsplit System;)�(Alsoxempt�frcomRefrgerantChdrge) r 4 132. N64HVA System' RequirtedForms /i a:mkdS .F a+s.e..:a�:x,+.¢,.Trx.:.. .iRR•... '. Cut inor Chan eout withP,W A�<:,: .. 9 CFu6R forms MECH-04, M "WIU. HERS,; andj(forasplit systems) MECH,22=HERS, and new ducts :: all new x ar ( MEGW25 4ERS ' � r: r ductingPan"d all new MECH CF 4R forms MECH 20, and°(for split systems+) 22, and�MECH 25'- . `4 ~.dnF�.ut..• equipment) ���_ :.. ..,,.�x:.� �..� .•�� sa. For Split Sy t ms Duct''leak'—' .::. '< 6�percent RC;ICCAl>Fi350,CFM/toh''�FWD?"�sTMAH, STMS; and ether HSPP or3PSPP. .. :.:. �.ar. For Packaged Units: Duct leakage}< 6. percent [3 3. New. Ducts with/or without Required Forms: •' r 'a r, Replacement:..:::::.::;, .Includes replacing orinstalling all new unit CF forms: MECH=04„MECH-20-HERS, and (for split systems) MECH-25-HERS ' ducting and/or outdoor condensing: -6R and/or indoor coil and/or furnace .No or some CF -4R forms:•MECH;20 and (for split systems) MECH-25 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 replacingmore than 40 CF -6R forms: MECH-04, MECH-21-HERS .•. - linear feet of duct in _unconditioned space. CF -4R forms: MECH-21 + , 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). ? c . I certify that this Certificate of Compliance documentation is accurate and complete. +..• • ^' t ; 1 • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate'of _ t 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 consisfent'with the information documented on other applicable compliance J forms, worksheets;, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Mark Hyde Signature:•Mark Hyde Company: CERTIFIED COMFORT SYSTEMS INC Date: Jan 21, 2014. Address: 42-949 MADIO STREET License: 906115 '. City/State/Zip: INDIO'/ CA / 92201 Phone: (760) 360-2202 7 Reg`. 214-A0004797A-000000000-0000 Registration Date/Time: 2014/01/21 13:47:071, HERS Provider: Ca10ERTS, Inca {