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11-0279 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, .CALIFORNIA 92253 Application Number: 'R ! 11-00000279 _ Property Address:. 48650 VISTA~ESTRELLA APN: 649-570-004- - - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 6333 Applicant: • Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: HALE,RITCHIE 46650 VISTA ESTRELLA -LA QUINTA, CA 92253 Contractor: ' PALM DESERT AIR CONE) 42081 BEACON HILL VOICE (760) 777-7012 FAX (760)•777-7011 INSPECTIONS (760) 777-7153 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: f� LQPERMIT 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 isnot commenced within 180 days from date of issuance of such permit,'or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city a50 county ordinances and state laws relating'to building construction; and hereby, authorize representatives of county to enter upon the above-mentioned property for inspection pu ses. Dater ature (APPlicant or Agent/7 PALM DESERT, CA 92211 ('760)3477 \/ " Lic. No:;:: 374937 ------------------------------------------------------------------------------------------------- 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 and Professionals 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.: 374937 - for by Section 3700 of the Labor.Code, for the performance of the work for which this permit is . / a f( � f ontracIpr+---� ��%. - issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor /ate: 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 FIRST COMP INS Policy Number 010111WC ' 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 soas 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 should become 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 �• that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by 3700 of the'Labor Code, I shall forthwith ply with those provisions. �. G - co any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:._ Dater pplicarnc� (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work; and, 10 , ` the structure is not intended or 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 UPTO'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 (_) I, 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'fo_ r 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; (_) 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 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: f� LQPERMIT 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 isnot commenced within 180 days from date of issuance of such permit,'or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city a50 county ordinances and state laws relating'to building construction; and hereby, authorize representatives of county to enter upon the above-mentioned property for inspection pu ses. Dater ature (APPlicant or Agent/7 Application Number 11=000.00279 Permit 'MECHANICAL Additional desc . Permit Fee .31.50 Plan Check Fee 7:88 Issue Date Valuation . . . 0 Expiration Date .9/17/11 Qty Unit Charge Per. Extension BASE 'FEE 15.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 Special Notes and Comments CHANGE OUT 1 AIR CONDITIONING CONDENSER & EVAPORATIVE COIL. ,2010 COTr2S ----------------.---_--------------------------------------------- Other Fees.. . . . . . BLDG STDS ADMIN (SB1473) ----------- 1.00 Fee summary Charged Paid. Credited Due - ----- - - - - - -- - - ------ - - - - -- - - - - -- ..Permit Fee Total - 31.50 .00 .00 31.50 Plan Check Total .7.88 .00 .00 7.88 Other Fee Total 1.00 .00 .00 1.00 Grand.Total 40.38. .00 :.00 40.38. LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC CF-IR-ALT-HVAC Alterations Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 48-650 VISTA ESTRELLA La Quinta, CA 92253 City of La Quinta Mar 18; 2011 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ❑ Furnace LTJ Indoor Coil ' ❑ AFUE [J SEER 13.0 ❑ COP ❑ HSPF ❑ R 6 (CZ 10-13) Served by system p Setback. If not already present, a Condensing Unit ❑ EER ❑ Resistance ❑ R 8 (CZ 14-15) 2000 sf must be installed) ❑ Other 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-IR 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-2I-HERS and (for split systems) MECH-25-HERS • Furnace CF-411 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 Exempted from duct leagage 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. Exist ngFduc ystems are�constru�cted insulated osealed with�asbestos . > ❑ 2. NeviiHVAc I'; Required lForm k ?r� " ` »'� " T System,�yr' ,> . Cut iri or-.-,Changeout.�� with newlducts: all new du`ct�nglall ^� -� CF,�6R forms: MECH-04, MECH-20-HERS, nd (for split systems) MEC 22-HERS, and MECH-25 HERS` r - - �.� �. .- SCF-4formsMECCH�20„andl(fbr splitsystems) MECHr22, andiMECH-25 new equipment). a -, T fii4 Y; 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 than 40 linear feet of duct in CF-6R forms: MECH-04, MECH-2I-HERS 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. • 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: Karl Brown Signature: Karl Brown Company: PALM DESERT AIR CONDITIONING CO INC Date: Mar 18, 2011 Address: 42-081 BEACON HILL License: 374937 City/State/Zip: PALM DESERT/ CA/ 92211 Phone: (760) 346-0677 Reg :Z211�_A00143b8Au0000A.000.”-00'OOj Registration Date/Time: 2011/03/18 15:19:49 HERS Provider:CCXfC'C`R�Inc. 2008 Residential Compliance Forms July 2010 r w ' •� ! S9 Rd. Bok`150..4 78-495 Calle Tamp co,,• La Quinta;,Calftrnia 92211 s 4QT01.1(760) 777-7012 `• Fax: (760).777 7112 • * 3, ;:... Website: wwwta=Quinta.Org , Email: Building@La-Quinta.Org d 'r BIn #' Fermlt#: ��_�? Building Permt.`Application &..Track. ing S'hee#. ; Project Ad"dre"ss:- 48-650 VISTA ESTRELLA-,• OWner's Name:' HALE, RITCHIE ' A.P. Number: " • Address: • • 48-650 VISTA ESTRELLA Legal Description: City, State; Zip:, LA QUINTA, CA 92253 Conradt,or Pal ` g & Heatin9ComPany T81ephone: - Address: 42-081 Beacon Hill Project Description-,. - Crty; $tate, Zip; Palm Desert, CA 92211 �r Y y Telephone: No.: (760) 346-0677 ;- �, i h•�I� 'REPLACE -ONE (1) AIR CONDITIONING"CONDENSER &� EVAPORATIVE'COIL� �. , " :. State: Lid,`#.' 374937 QW Lic. Mi 100886 `Arch./Engr /Designer . Cit .,.State; Zip: Tele hone No:: ,fAN ��$tr't 9 ; s .Construction Type: Occupancy: State::Lic°:#: £ ih"•- � Y , Project T.ype:' .0 New ®Add'n ... D Alter ." t7 Repair ; 0 Demo -Na mieof Gontact:Person` KARL BROWN _ 'Sq. Ft.:n # Stories:' . # Uriits: Contact Telephone No.: (760) 346-0677 of''Project Estimated Value oProject: $6,333:_ 00 APPLICANT':DO`NOT- MRITE,BELOWIHIS LINE # Submittal Req'd., . Rec'd Tracking » Permit Fee's. Plan sets _ Plan Check Submitf6d ' `. Item Amount . Structural Calcs: Reviewed, Ready for Corrections : Plan Check Deposit Truss Cali.. ` Called Contact Berson Plan Check Balance Title 24, Calcs. Plans Picked yp "' .Construction ' > Flood Plain Plan ' Plans: Resubmitted - Mechanical Grading Klan• 2rtd Review; Ready for Corrections Electrical -sub b6otriiAbrUst . ' Calied:Contact Person: Plumbing Grant: Deed. Plans, Picked.Up S.M.I. H.Q.A.,Approval Plans Resubmitted Grading ,. IN HOUSE 1131d Review; Ready for.Conections; ' Developer Impact'Fee' Planning..Approval Called.Contact Person `, A.I.P.P. Pub. Works Appel IIate of Permit Issue " School: Fees. • : k , •Total Permit: Fee's, ? , -e