Loading...
12-1266 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:12-00001266 Property Address:-- 48275 VISTA••CALICO ' APN: 649-530-003- - - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL • Application valuation: 1241 T4t!t BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: ' Architect or Engineer: , - . �- ._ r NSA • Owner: JANZEN RESIDENCE 48-275 VISTA CALICO LA QUINTA, CA 92253 - " Contractor: DOVE AIR INC VOICEr 777 12 FAX (760) 7-7011 . INSPECTIONS (760) 777-7153 • r -- . Date: 10/23/12 OCT]D 2 4 2012 �J CITY OF LA QUINTA FINANCE DEPT. 69749 RISUENO ROAD CATHEDRAL CITY,,, CA 92234 (760)3.27-1890 Lic. No.: 794315 ----------------------------- - LICENSED CONTRACTOR'S DECLARATION 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 an rofessi al s Code, and 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 Lic a No.: 794315 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is - • 1 - Date: 1!6e0(1 (1 V Contractor: tT.- issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor • "� n_ - 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 EXEMPT Policy Number .EXEMPT 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 shoulb ome 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 Labor all forth omp with those provisions. Code,d - that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by �- ,t - - , �O� any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: aDate: 23.1 L Applicant: '. 1—) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is notintendedor offered for sale (Sec. 7044, Business and Professions Code: The ' 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, 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. - 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 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. ,.BAP.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. r ' -� Date: Owner: 2. Any permit issued as a result of this application becomes null and void if work isnot 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 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 nstructio `and hereby authorize representatives - - of this county to enter upon the above-mentioned property, inspecti urpose Lender's Name: - r„ iDate:�U. ).� ' Signature (Applicantor Agent): Lender's Address: LQPERMIT Application Number . . . . 12-00001266 Permit MECHANICAL Additional desc . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date Valuation '0 Expiration Date-. 4/21/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9:0000 EA `MECH APPL REP/ALT/ADD 9.00 -----Special Notes and -Comments - REPLACE INDOOR COIL -IN ATTIC. 2010 CODES ---------------------------------------------------------------------------- Other Fees . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 24.00. .00 .00 24.0'0• Plan Check Total 6.00 .00 .00 6.00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 31.00 .00 .00 31.00 LQPERMIT _ - - Y Simplified Prescriptive Certificate of Compliance: 2008'Residentiai-HVAC Alterations CF-lR-ALT-HVAC Climate Zones 10 - 15 ' Site Address: Enforcement Agency: Date: Permit #: 48275 Vista Calico.La Quinta, CA 92253 City of La Quinta - Oct 23, :2012 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit; ❑ Furnace IM Indoor Coil [3AFUE [3 SEER [3COP . ❑ HSPF [3R 6 (CZ 10-13) Served by system ® Setback If no` already present, must, be ❑Condensing Unit [3 EER [3 Resistance R 8 (CZ 14-15) 13) 1600 sf.. insta'led ' E3ther 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 C= -61k 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 -1111 and CF -6111 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-' CF -6R forms: MECH-04, MECH-21:HERS and (for split systems) MECH-25-HERS . Indoor Coil and /or CF -4R forms MECH-21 and (for split systems) MECH-25 • Furnace r-,- For Split Systems: Duct leakage",.< 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH For- Parskaged IlRits, P-4 1-414;4@4 • , Exempted from duct leakage testing -if: ❑ 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. �; •_ ' ❑ 3. Existing duct systems are constructed, -insulated or sealed with asbestos ; ❑ 4. The s_ Stem4will not be Ducfed`(ie_ Ductless Mini -S lit->System),(Also Exempt 1rom,,Ref rigerant,Cha .rge) ❑ 2 NevJ. HVAC Sys9tem Re Forms F Require q w • . Cut mfor Changeout with' new ducts:.' all new ( Y ` ' ' + 41 $' w , CF 6R forms ;MECH-04, MECH;20 HERS and (for split systems) MECH-22 HERS, and MECH 251HERS ,� ` i �(*4£` �� * ,► 1 .^ .. ducting and all new �, . �� equipment) _. , +�w '�P` CF-4R'forms IMECH 20 and (for split systems) MECH-22 and MECH �. ,<' +r`+ 7 r �� n - rxrr i _, .• v 3� _. For, Split Systemsi,Duct leakage;<;6 percent RC :CCA,Z- 350 CFM/ton„FWD TMAH, SIMS, and either HSPP or'PSPP. ,,,. leakage <'6 perces ` For Packaged Units: Duct lea ❑ 3. New;Duct§'with/or without'', Required Forms:a . —�•.,.. ; ` ., d,� R'eplac'ement'A : s• A .. Includes replacing or installing all new ducting and/or outdoor condensing unit CF -6R forms: MECH-04, MECH-20-HERS, and (for spit systems) MECH-25-HERS and/or indoor coil and/or furnace. No or some CF -4R forms: MECH-20 and (for split systems) MECF-25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA z 300 CFM/ton, TMAH” s� For Packaged Units:'Ductleakage- < 6 percent ❑ 4. New Ducting over 40 feet Required Forms: . Includes adding or replacing more than 40 CF -61R forms: MECH-04, MECH-2I-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) - • 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. - '' • 1 , • 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: Gary Laster Signature: Gary Laster Company: DOVE AIRINC . ' Data: Oct 23, 2012 r' Address:, 68-749 RISUENO ROAD License: 794315_ - " J lPhcme: City/State/Zip: CATHEDRAL CITY,/ CA / 92234 (760) 327-1890 Reg: 212=A0059318A-000000000-0000' Registration Date/Time: 2012/10/23 18:18:56 , HERS Provider: CalCERTS, Inc. ,2008 Residential Compliance Forms' +•�r r July'2010 l �i cvuo r_vry o: is r�u► i,a �uiuca auiic�auc�� �acpY _ - _ ...__--_^......_._ - - R 'd Recd TRAC MNG ,. PERMIT FEES Bin # , City :of La Quinta BuW4 at Safety Division Item Amount P.O. Box 1 t04, 78.495 Calle Tampico r Permit # La Quinta, CA 91253.- 1760).777-7012 Building Permit Tracking. Sheet Plan CheckDeposit Application and . -Project Address: , J� Qf. Q Owner's Name: G 30 A. P. Number: Address: 01 �..� S 6'1A C J . Plans picked up Legal Description: City, ST, Zip: h A V LZ rJ. Contractor: o ,,,r z c_ Tcicphou : C Address; - i �a� k U _ . Project Description: R �� L 6f CO -S-- ' V Review, ready for eorrectiow/issue City, ST, Zip: Ca ` a Ci Telephone: ` O $0 PlainUng State l.ic. # City Lic #: a 5' Plans picked up Arch., &mgr., Designer: H.O.A. Approval Address: tlass resubiuiueed Grading City; Sf, Zip: '" 44vilew, ready for correctiowiasue Tciepltone: Constriction Type: Occupancy. ;tate Lie. #: Called Contact Person Project tyje(circle one): New. Add'n .meter .Repair Demo Name of Contact Person: p Sq. Ft.: # Stories: W Units: l i'eleppone llof Contact Person: — &limited Value of Project: qL 0 d _...... APPUCANT: DO•NOT WNTE MOW THIS LINE ii Submittal R 'd Recd TRAC MNG ,. PERMIT FEES Pian Sets Puri Cluck submit0d Item Amount Structural Calls.• Reviewed, ready for corrections Plan CheckDeposit Truss Calls. Called Contact Person Plan Check 11211 to Energy Calcs. Plans picked up Construction Flood plaln.plan . Plans rcanbmitted Mfechanieal Grading.plan' V Review, ready for eorrectiow/issue Elcetrical . Subcoutactor Lint Called Contact Person PlainUng Grant Deed Plans picked up H.O.A. Approval tlass resubiuiueed Grading IN HOUSE:- '" 44vilew, ready for correctiowiasue Developer. Impact Fee Planning Approval Called Contact Person AdT.P. Pub. Wks. Appr Date of permit tout. School Fees _...... :. _...._ ....... Total Penult Fees