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09-0578 (MECH)
P.O. BOX 1504. �h^� 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253- BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012., FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: (_9_9=00000578= Owner: Property Address: 7884_5 XIA VENTANA FINER BILL APN: 646-320-015- - - 78845 VIA VENTANA Application description:- MECHANICAL LA QUINTA, CA 92253 Property Zoning: . LOW DENSITY RESIDENTIAL (760) 564-4622 O Application valuation: 7190 Applicant: Architect or Engineer: 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. - License Class: C20 License No.:. 374937. _ > Date: Contractor._ - 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 violationofSection 7031.5 by any applicant for a permit subjects the applicant to civil penalty of not more than five hundred dollars ($500).: 1, 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coder 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 contractorlsl. 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:' - - - - LQPERA11T Date: 6/04/09 Contractor: PALM DESERT AIR COND 'O.I C A' 42081 BEACON' HILL PALM-DESERT,CA 92211 (760)346-0677 LiC,. No.: 374937 WORKER'S COMPENSATION DECLARATION - \; Ihereby 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 ofthe work for which this permit is issued. ' I have and .will maintain workers', compensation insurance; as required by Section3700 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 238,-.0004656-08 I certify that, in the performance of the work for which this permit is issued,'I shall not employ any person in any manner sous to become subject to the workers' compensation laws of California, - and agree that;.if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comp5��„th [hose provisions. - t `Date. C`� C07 '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 180days will subject permit to cancellation. - - 9 certify that I have read this application and state that the above information incorrect. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection pur - Date: Signature (Applicant or Agee Application Number . . . . : 09-00000578 Permit . . . . MECHANICAL Additional desc Permit Fee 33.00 Plan Check Fee 8.25 Issue.Date. . . . Valuation 0 Expiration Date 12/01/09 Qty'. Unit Charge Per " Extension BASE FEE 15.00 _ '1.00 9.0000 EA MECH FURNACE <=100K 9.00 9.0000 EA MECH`.B/C <=3HP/100K BTU,. 9.00 Special Notes and Comments ------- - - - - - - REPLACE (1)EXISTING 3 TON SYSTEM WITH _ {1).3.TON-16.00 SEER -SYSTEM. : 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' - • � • - ' .£� .' a �, _ ,. ' Certificate of Compliance Prescriptive Method -HVAC-only Alteration CF -1 R -ALT Project Title: BILL FINER Y h a:.x'EfrforcementA en ruseonL a Project Title: BILL FINER Date: 06/04/09 _ ©CaICERTS 2005 a:.x'EfrforcementA en ruseonL a Project Address: - 78-845 VIA VENTANA/LA QUINTA Climate Zone: L 15 - g�Pei�m BuAdm'WIF WO TM 011 Documentation Author: Kimberly Garcia.. �' Telephone: 760-5644622��.` i?IantCheck(Date g �` a1 K" 4ro'. '3 Company Name:a �w Palm Desert Air Conditioning &Heating Company Field'check°Datega t °'0 i. IMPORTANT: This CF -IR -ALT form is only for use when an HVAC -only alteration is made to an existing home Use one form for each s stem being altered. This is s stem# 1. of 1 systems altered in this house. Check all lines that apply. Check only lines that aoniv. Scope of Alterations: 1 ❑ An Air Handler is to be installed or replaced. Duct sealing to be determined. Continue to next line. 2 ❑ A Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined. Continue to next line. 3 EI An outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 4 O A cooling or heating coil is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 5 ❑ More than 40 feet of new or replacement duct are to be installed in unconditioned space. Duct sealing to be determined. ❑ Check here if the entire duct system is also to be new or replaced. Continue to next line. 6 ❑ If none of lines 1-5 are checked, neither Duct Sealing nor TXV(RCA) are requited. Go to Section 5. Section 1.- Duct Sealing (Only if any of Lines 1 2 3 4 or 5 are checked' -Ski if Line 6 is checked. 7 ❑ is.s stem is in Climate Zone 1, 3, 4, 5 6, 7 or 8. No duct sealin is required. Go to Section 2. 8 ❑ This system has less than 40 feet of ducts in unconditioned space. No duct sealing is required. Go to Section 2. 9 ❑ This system was previously sealed and tested, and was certified by a HERS rater.' i No duct sealing is -required. Attach revious•CF-4R form. Go to Section'2. 10 ❑ This ducts stem is sealed or insulated with asbestos. No duct sealing is required. Go to Section 2. Note: If the entire ducts stem is to be new or replaced, Lines 11-14 do not apply. 11 ❑ In Climate Zones 2 12 and 16: An 0.92 AFUE furnace will be installed in lieu of duct sealing and TXV if applicable). .12 ❑ In Climate Zones 10, 13 and 15: An SEER 14 AhQ EER 12 condenser will be installed with TXV(RCA) D added duct insulation R-4 wrap on ea istin ducts, R-8 new ducts in lieu of duct sealing. Go to Section 2. 13 ❑ In Climate Zones 9, 10, 11, 13, 14, or 15, An SEER 14 AM EER 12 condenser will be installed with TXV(RCA) D a 0.92 AFUE furnace will be installed in lieu of duct sealing. Go to Section 2. _. 14 ❑ In Climate Zones 2, 9, 11, 12, 14 or. 16: An SEER 14 ANN EER 12 condenser will be installed with TXV(RCA) AND an 0.82 AFUE furnace will be installed with increased duct insulation in lieu of duct sealing. Go to Section 2. 150 None of lines 7-14 above are checked. Duct Sealing is Required. Continue. Section 2 - TXV(RCA) (Only if Lines. 3 or 4 are checked, otherwise got to Section 3 16 ❑ The system being altered is a package unit.' No TXV(RCA) is required. Go to Section 3. 17 ❑ This system is in Climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. " No TXV(RCA) is required. Go to Section 3. y 18 ❑ is s stem is in Climate Zone.1 3 4 5 6 or 7. No TXV RCA is required. Go to Section 3. ' 19 ❑ This s stem is in Climate Zone 16 and line 14 is not checked: No TXV(RCA) is required. Go to Section 3. 20 ❑ is s stem is in Climate Zone 16 and line 14 is checked and not line 16. TXV(RCA) is re • uired. Go to Section 3. 21 ❑O is system is in Climate Zone 2 or 8-15 and line 11, 16 or 17 is not checked. TXV(RCA) Is required. Go to Section 3. . Section 3 - HERS Rater verification 22 ❑O If line 15 is checked, HERS verification is required for Duct Sealing. 23 0 lif line 12, 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification is required for TXV(RCA). 24 ❑ If line 12, 13 or 14 are checked, HERS verification is required for 12 EER.'. Section 4 - Equipment Efficiencies.- 25 ❑ lif lines 11, 12, 13, 14 or 17 are checked, upgraded equipment efficiencies are required. List in Section 6. Section 5- Duct R -Values 26 ❑ If more than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed Package D requirements. 27 ❑ lif less than 40 feet of duct is being installed or replaced, duct R -value must meet or exceed R-4.2 Section 6 - see next page Version 03-10-06 Page 1 of 2 This form can only be used on projects being ver'ified by CaICERTS certified raters. '; WWW .calcerts.com Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1R -ALT Project Title:Date: BILL FINER 06/04/09 © CaICERTS 2005 IMPORTANT: This CF -1 R -ALT form is only for use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system # + of + systems altered in this house. Section 6 - Minimum Requirements for Equipment to be Installed/Altered. Installed equipment must match type/location and meet or exceed efiiciencies/R-values. 28 Configuration: 0 Split system ❑ Package Unit 29 ❑ Air Handler ®Gas fumace, AFUE: 80% ❑Heatpump FAU ❑Hydronlc FAU ❑Other 30 0 Heat Exchanner 31 0 Outdoor Condensinn Unit ®A/C ❑Heatpump lEfficlency SEER/HSPF: 16.00 WA ` EER d re d : 32 0 Cooling or heating col ®A/C ❑Heatpump ❑Hydronic 33 ❑ Ducts Location: Length (ft): R -value: All mandatory measures apply to any altered component. See WAR -ALT form. Compliance Statement: This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall project responsibility. The undersigned recognizes that compliance using duct sealing, verification of refrigerant charge, and TXV require installer testing and certification and verification by an approved HERS rater: Home Owner or Authorized Agent Documentation Author Name: Name: Kimberly Garcia . Address: Company Name:,, Palm Desert Air Conditioning 8r Heating Company City/State/Zip: Address: 42-081 Beacon Hill ' Phone: City/State/Zip: Palm Desert; CA 92211 Phone: (760) 346-0677 Signature: Signatur Enforcement Agency BuildingDepartment) Notes/Com a s: Name: i . Title: Department: . Phone #: Fax #: Signature or Stamp:, ' Required forms: CFA R -ALT: by anyone. Required at time of permit application. Copies to home owner, enforcement agency,,HERS rater. CF -6R -ALT: by installing contractor. Required to close permit. Copies to home owner, enforcement agency, HERS rater. CF -4R -ALT: by HERS rater. Required to close permit. Copies to home owner, enforcement agency, installer. The CF -4R forms for a sample group shall not be released until all testing and verification is completed and passed for the entire group, �;n # Cit/ Of La. Q[1inta "Building 8r Safety Division P.O. Box. 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 78-845 VIA VENTANA Owner's Name: BILL FINER A. P. Number: Address: 78-845 VIA VENTANA Legal Description: City, ST, Zip: LA QUINTA, CA 92253 Contractor: Palm Desert Air Conditioning &Heating Company 'Telephone: 760-564-4622 :v•..:.><.': �:' . : <.:>•;,<<;< ji:J 4i i ryvS�W rA: .}+j Address: 42081 Beacon Hill Project Description: City, ST, Zip: Palm' Desert, CA 92211 REPLACE 1 EXISTING 3 TON Telephone: (760) 346-0677 ri:}yi:v,;:} y?n,':.ti,f:?{ i:t:� �,!;.}: y:•iY.i ::...l<.:....::.f, •". ' i:;tii:.•; �:;••.:i: n:i.'•i:k�: sir:>:/„i:G:::!^v:: SYSTEM WITH 1 3 TON 16.00 State Lic. # : 374937 City Lic. #: 100886 SEER SYSTEM . Arch., Engr., Designer: - Address: City., ST, Zip: Telephone: »f>::>::s::>:::«::> `? > v:x. P :... i:;f.Y„•::r<.}:::ii�;i:`::>::ti6'{,:::4':L•?i' i.:f State Lic. # Construction Type: Occupancy: , Pro ect a circle one New Add n Alter Repair Demo Sq: Ft.:# Stoi es; #Units: Name of Contact Person: Kimberly Garcia Telephone # of Contact Person: (760) 346-0677 Estimated Value of Project: 7 l `9o, OO 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 Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. 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.I. H.O.A,.Approval Plans resubmitted Grading .IN ROUSE: 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 ,t,