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11-0511 (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: 5/17/11 , Application Number: , 11-00000511` Owner. Property Address: 78865. VIA VENTANA TIM VAN MECHELEN APN: 646-320-013- - - 78865 VIA VENTANA ' Application description: MECHANICAL LA QUINTA, CA 92253 " Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 7640 + ' Contractor: , Applicant: Architect or Engineer: ESSER AIR CONDITIONING & HTG Q.P.O. BOX 1636 CATHEDRAL- CITY, 'CA 9223 D ..' (760) 324-0550 .: . No.: 489046"MAX '1 -7 '2011 �I + - ^ rU LIf, '• Y OL INiA s p �i ----=' --------- --- ---- -- ------------- -- --- ---------rgr__-- _M - ' LICENSED CONTRACT6R'S DECLARATION 'i • F ^t-. WORKER'S COMPENSATI ION - -;,1` +' `.` ',;,� I hereby affirm under penalty of per' ry t at I'am licensed under provisions•of Chapter 9, (commencing wnh - ° I Hereby affirm under penalty ofperjury. one of the following declarations: e_ Section' 7000) of Division 3 of the Busine s and Professionals Code, d my License is in full force and effect.. "' _ * I' have and will maintain a certificate'of consent to self -insure for workers' compensation, as provided * License Class: C20 No.: 489046 - '� h'. " 'for by Section 3700 of the.Labor Code, for.the performance of the work for which this permit is •,'. t .. - - issued. t ..� .-. q - t/e: '1 11 Contrac� t - i- ,..1 I have and will maintain workers' compensatio- insurance, as required by Section 3700 of the Labor ..• - / _ } ; • Code,for the performance of the work for which this permit is issued. Mi workers' compensation `' f ,� - OWNER -BUILDER DECLARATION - insurance carrier and policy numtier are:; I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law—for the R :` Carrier MAINTSTAY BUSNS .. Policy Number MBS-SIP0051611' 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, f 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 mann to become subject to the workers' compensation laws of California, .permit to file a signed statement that heor she is licensed pursuant to the provisions of the Contractor's State'" ,'' and agree thaome subject to the workers' 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 L w' p ywi h -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 apermit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ' te: �1 I� _ is�,�I�or. � • - - (_ 1 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 r WARNING:, FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not.applytoan owner ofproperty who builds or improves thereon,. SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND - 7 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 1N. 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 1, 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 a contractor(s) licensed - 1 . Each person upon whose behalf thisapplicationis made, each person at whose request and for e ' 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. +. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the ' t I certify that I have read this application and state the th ov 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 b ding c nstruction, and her authorize representatives ` - - of this co my o enter upon t e above-mentioned pro arty fo inspecti pur es. Lender's Name: _ • - + (Applicant or Agee ' Lender's Address: ' LQPERMIT - - .Application Number . . . . . 11-00000511 s Permit MECHANICAL Additional,.desc Permit Fee . . . 40.50 Plan Check Fee 10.13 Issue Date Valuation 0 Expiration Date 11/13/11 Qty Unit Charge. Per Extension` BASE,FEE 15.00 1.:00 •9.0000 EA MECH FURNACE <=100K 9.00 - _ 1.00 16.5000 EA,-' MECH B/C >3-15HP/>100K-500KBTU 16.50 Special Notes and Comments INSTALL -NEW INDOOR COIL, FURNACE, " CONDENSER (13 SEER)..2010 CODES. Other Fees . , .. BLDG STDS ADMIN_.(SB1473) 1.00 Fee summary Charged. Paid .Credited Due Permit Fee Total 40.50' 00.> 00 40.50 Plan Check Total,.'..',10,.13 00 00 10.13• Other Fee Total` 1.00' .00 .0,0 1.00 Grand Total 51,.63 00 00 51.63 .." LQPERMIT • 4 � f • ,„ 4 V '' Certificate of Compliance: 2008 Residential HVAC °; CF -111 -ALT -HVAC ' Simplified Prescriptive Ce Alterations Climate Zones 10 - 1S ^ Site Address: 78865 VIA VENTANA La Quinta; CA 92253 Enforcement Agency:,- City of La Quinta Date: May 12, 2011 Permit #: Equipment Typel List,Minimum Efficiency2 Duct insulation'. requirement Conditioned Floor Area Thermostat ® Furnace i ❑ Package UnitCEER ® Indoor Coil ,,- 78% 13. ❑ COP ❑ HSPF . 0 R 6 (cZZ 10-13). Served by system ® Setback If not already present, ® Condensing Unit —� ❑Resistance ❑ R 8 (CZ 14-15) "1100 sl - must be installed) ❑ Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF1R-ALT-HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, Z7HSPF 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 -111 and CF -6R shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: . All HVAC Equipment CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced , CF -4R forms: MECH-21 and (for split systems) MECH-25 . Condenser Coil and /or . Indoor Coil and /or CF -6R forms: MECH-04, MECH-21-HERS and (for split systems) MECH-25-HERS . Furnace CF -4R forms: MECH-21 and fors lits stems MECH-25 ( p systems) , For Split Systems: Duct leakage < 15 percent; RC, CCA 5 300 CFM/ton (Minimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent •• - :. Exempted from duct leagage testing if: - k•. ❑ 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 r ❑ 3. Existing duct -systems are constructed; -insulated orsealed with asbestos - ❑ 2. New HVAC i RequiredTorms: System f „r!" .�.- -- - . Cut in or Changeout�"' with new ducts: (all''i j , CF -6R forms: MECH-04, MECH-20-HERS and fors lits stems MECH-22-HERS ando- � ( p y ) !1 new ducting all M -411 fo-HERS 6, l +�j / ,' ] CF -4R forms:•MECH2O; and (for split systems) MECH-22; new equipment) and.MECH.25 ri ►. 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/or without Required Forms:. Replacement . Includes replacing or installing all _ new ducting and/or outdoor condensing unit and/or indoor coil CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS 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 replacing more,CF-6R forms: MECH-04, MECH-2I-HERS. than 40 linear feet of duct in CF -4R forms: MECH-21 unconditioned space. _ 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. , a ,. • 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 documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Kevin Hampton r Signature: Kevin Hampton-: Company: ESSER SERVICES INC "a - _ Date: May 12, 2011 Address: P O BOX 1636 _ .. License: 489046 ' City/State/Zip: CATHEDRAL CITY/ CA/ 92235: .. �: Phone: (760) 324-0550 Reg: 211-A0023042A-00000000-0000 .Registrat_ion;Date/Time: 2011/05/12 16:15:42~ HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 s f rV . .� • ti Reg: 211-A0023042A-00000000-0000 .Registrat_ion;Date/Time: 2011/05/12 16:15:42~ HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 ti r; f rV . Reg: 211-A0023042A-00000000-0000 .Registrat_ion;Date/Time: 2011/05/12 16:15:42~ HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 rV . Reg: 211-A0023042A-00000000-0000 .Registrat_ion;Date/Time: 2011/05/12 16:15:42~ HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 Bin Qty of La C uin Building SZ• Safety Division P.O. Boy. 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 1 \� Project Address: t L) --(A owner'sName: -rim V.4d H bttie't� d A. P. Number. Address: ��ff(r vIJF Uc`P1'�i¢A% Legal Description: City, ST, Zip: 4+ �vlpl f/} Contractor: C,5 S c S= !fid i L' ES IA1 C . Telephone. - I:NIMUM . • < Address: vx PecDescription: 'Ae '( iiroC�✓ city, ST, Zip: CA %rit"D , c Cy -Ty) C',4, 1412.357 3 T d /(� c�/ t:�'L 14 C - Telephone: 76c,- 31 ft.6'iSG City Lic. C G_ VAJ iT4j 0) State Lic. # : �' $�j o `! Arch., Engr., Designer. Address: City., ST, Zip: Telephone: ..r . Construction Type: Occupancy: Project type circle one). New Add'n Alter Repair Demo State Lic• #: ..<.1. Name of Contact Person: DAV; Dwi t 1A Sq. Ft.: # Stories: # Units: Telephone # of Contact Person` 7(u 0 5-5-0 Estimated Value of Project: 6 .J APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd RecdTRACKING PERMIT FEES Plan Sets 'Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss des. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections issue Electrical Subcoutactor 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 correctionsrmue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue • School Fees Total Permit Fees