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14-0184 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000184 Property Address: 48875 VISTA APN: 649 -570 -022 - Application description: MECHANICAL Property Zoning: LOW DENSITY Application valuation:. 20000 Applicant: Tay/ BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ESTRELLA RESIDENTIAL Architect or Engineer: dI A 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. LicenSeClass: C20 License No.: 522775 Date: — � - (Cintractor. 4 �r s�1K /�v% %� /7`q 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 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).: 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 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, as owner of the property, am.exclusively contracting with licensed contractors to construct the project (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 contracts for the projects with a contractor(s) licensed pursuant to the Contractor's' '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: i LQPERMIT VOICE (760) 777-7012 lJ FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: SAUL A. ESCAMILLA 48875 VISTA ESTRELLA LA QUINTA, CA 92253 Contractor: SAN'S AIR CONDITIONING & 51530 JACKSON STREET COACHELLA, CA 92236 (760)398-4287 Lic. No.: 522775 Date: 2/24/14 G FEB 2 4 2014 ) OF LA WORKER'S COMPENSATION DECLARATION " I hereby affirm under penalty of perjury one of the following declarations: Ihave 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 of the work for which this permit is issued. _ I have and will maintain workers' compensation, insurance, as required by Section 3700 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 FIM Policy Number 9074503 _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, f I should become subject to the workers' compensation provisions of Section /� 3/700 of the if Code, I shall forthwith comply with those provisions. bi ta: —%/—I Applicant: WARNING: FAILURE TO SEC& ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. 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 180 days will subject permit to cancellation. I certify that I have read this a IIcat' on and state that the above information is correct. I agree to comply with all city and couniy ordinances d state laws relating to building construction, and hereby authorize representatives ofytF/��s county to enter up the above-mentioned propert r inspectio purposes. DBtep?:.L I � Signature (Applicant or Agent(: �� s Application Number . . . 14-00000184 Permit . . . MECHANICAL 2013 Additional desc . Permit Fee 214.50 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 8/23/14 Qty Unit Charge Per Extension 3.00 35.7500 EA MECH FURNACE 107.25 3.00 35.7500 EA MECH CONDENSER/COMP 107.25 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE OUT - 16SEER, CHANGE OUT (3) SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. Other Fees . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 -PLAN CHECK, MECHANICAL 142.98. Fee summary Charged Paid Credited Due Permit Fee Total 214.50 .00 .00 214.50 Plan Check Total .00 .00 .00 .00 Other Fee Total 234.55 .00. .00 234.55 Grand Total 449.05 .00 .00 449..05. LQPERMIT C N Bin # City of La Quinta Building 81" Safety Vvision P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # «vvv I� Project Address: ] ' S75 Ujs j�(2 br� 46j/a Owner's Number: Address: Legal Description: City, ST, Zip: i Contractor:<. �t h Tele `> Address: f -Y e e City, ST, Zip: 5 Telephone:. €<:i<::zaz:<'z State Lic. # City Lic. #; 14/1/1 Arch., Engr., Designer: Address: City., ST, Zip: Telephone: %'%`:<;>::':<::::>:;;::;;::::>:<>::::sa>,:<>.:;:::: p ::>;;.<:;<:<::::<>::<::::::; >>: Construction Type: Occupancy: State Lic. #: :;;::;;.;;.:.:;>. Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.:#Stories: # Units: Telephone # of Contact Person: stimated Value of Projec > 00 6 ------------------- APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Req'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan2°" 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 HOUSE:- '"' Review, ready for corrections/:ssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 to 15 Site Address:Enforcement 7C 14- Agency: Date. Permit #: , Conditioned Floor E ui ment T ' List Minimum Efficienc a Duct insulation requirement Area Thermostat ❑ Packaged Unit uace �m ❑ AFUE ❑ COP Over 40 ft of ducts added or ❑ Setback Q-CndoorCoil SEEIt� ❑ HSPF_ replaced in unconditioned space Served by system . (I notalread I y condensing Unit ❑ EER ❑ Resistance ❑ R 6 (CZ /0-13) sf present, must be ❑ Other ❑ R 8 (CZ 14-15) installed) 1. Equipment Type: Choose the equipment being installed: if more than one system, use another CF -1 R -ALT -HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFfortypical 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 CF4R forms (no hand filled CF4Rs 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 replaced CF-61kforms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MECH- 21 and fors lits stems MECH-25 • Condenser Coil and /or • Indoor Coil and /or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS • Furnace CF -4R 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 leakage testing if: Gel. 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 ducts stems are constructed, insulated or sealed with asbestos ❑ 2. New HVAC System Required Forms: with new CF -6R forms: MECH-04, MECH-20-HERS,and for lit • Cut in or Chang outducting ducts: (all new ducting and all ( split systems) MECH-22-HERS, and MECH-25-HERS CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 new equipment) 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 Replacement Required Forms: • Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF -4R forms: MECH-20 and (for split systems) MECH-25 coil and/or furnace. Not all 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 Requited Forms: • Includes adding or replacing more than 40 CF -6R forms: MECH-04, MECH-2I-HERS CF -4R forms: MECH-21 linear feet of duct in unconditioned space. For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing ducts stems constructed, insulated or sealed with'asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • 1 certify that this Certificate of Compliance documentation is accurate and complete. • 1 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 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 I and 6 of the Cal ifomia 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 th tmit appljcation. Name: /% Signature: Company: t Date: Address:s 6 02,e,�Oo �r;-41 7. License: _57�q ;2 775 City/State/Zip:I,,/0CC 11f Phone:7W 7 2008 Residential Compliance Forms March 2010 i Simplified Prescriptive Certificate of Compliance: 2008, Residential HVA C Alterations CF -IR -ALT -HVAC Climate Zones 10 to 15 Site Address: Z - 2 . r / �i S e Enforcement Agency: Date: Permit #: ' Conditioned Floor Equipment T List Minimum Efficiency 2 Duct insulation requirement Area Thermostat ❑ Packaged Unit ❑ A UE ❑COP Over 40 ft of ducts added or�um ❑Setback �ndoorCoil EER re lacedin uncoditioned s ace n Servedb system (fnotalready Eltondensing Unit ❑ EER _ ❑ Resistance ❑ R 6 (CZ 10-13) sf present, must be ❑ Other ❑ R 8 (CZ 14-15) . installed) 1. Equipment Type: Ch"oose the equipmeiri'being hisialled, if more than one system, use another CF -1 R-ALT-HVACjor each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFjortypical 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 CF4Rs allowed) are filled out and si ed. 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 replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MECH- 21 and fors lit stems MECH-25 • Condenser Coil and /or • Indoor Coil and /or CF-611forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS • Furnace CF -4R 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 leakage testing if: "previously �iDuct system was documented to have been sealed and confirmed through HERS verification, or ❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existing ducts stems are constructed, insulated or,sealed with asbestos ❑ 2. New HVAC System Re4uired'Forms: •Cut in or Changeout-with new CF=611 forms: MECH-04, MECH=10-HERS,and'(for split systems)'MECH-22-HERS, and MECH-25-HERS ducts: (all new ducting and all CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 new equipment) 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 Replacement Required Forms: • Includes replacing or installing all new ducting.. CF -6R forms_ MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF -4R forms: MECH-20 and (for split systems) MECH-25 coil and/or furnace. Not all equipment changed. For Split Systems: Duct leakage < 6 percent, RC, CCA >_ 300 CFM/toti, 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 unconditioned space. CF -6R forms: MECH-04, MECH-2I-HERS CF4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existin 'ducts stems 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 I and 6 of the California Code of Regulations. • 1'he 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: lC/,.//G Signature: a Company� � ate: Address:�u 57 S ��c G17 _SY�YIV-e:�e>< License: �a2277� City/State/Zip: G��/nt°r/�ti /A- Phone:�� 3Ef� 9,2 / 2008 Residential Compliance Forms March 2010 Simplified Prescriptive Certificate of compliance: 2008,Residential HVAC Alterations CF -1R -ALT -HVAC Climate Zones 10 to 15 Site Address: / ` �/ 7,(" Enforcement Agency:. f g Date: Permit #: Equipment T u List Minimum Efficiency 2 Duct insulation requirement Conditioned Floor Area. Thermostat ❑Packaged Unit , ,0 f umace❑ AFUE ❑COP Over 40 ft of ducts.added or ;. ❑Setback 8'ndoor Coil. �ER�I 1:1 HSPF unonditi replaced onespaceerveysystempInoralread . Y : . O'Condensing Unil❑ ❑ EER _m ❑ Resistance R 6 (CZ '10-13) sf present, must be ❑ Other I ❑ R 8 (CZ 14-15) installed) /. Equipment Type: Chdose the egiripnient being iit3ta//ed; ifmore than one system, use another CF-/R-ALT-HVACforeach system. 2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFfortypical 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 fisted 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 fortes"(no hand filled CF-4Rs allowed) are filled out and signed. Beginning October 1, 2010 a re tired copy of the CF -1R and'CF-6R'shslt'also be onsite for final Inspection. . HVAC Changeout Required'Forms: • All HVAC Equipment replaced CF -6R forms: MECH-04, MECH-21-HERS and (for split `systems) MECH- 25 -HERS CF-4R:fonts: MECH- 21 and (fors lit s stems)''MECH-25 • Condenser Coil and /or. • Indoor Coil and /or CF -611 forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS .. . CF -4R fortes: MECH- 21 and (for split •systems) MECH-25` • Furnace , For Split Systems: Duct leakage < 15 percent; RC, CCA > 300 CFM/ton(Minimum Air Flow Requirement), TMAH For Packaged' Units: Duct leakage < 15 percent 1 Fxempiedfro duct leakage testing if: Duct system was documented to have been 'previously sealed and confinied through HERS verification, or ❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existing ducts stems are constructed, insulated or sealed.with asbestos . _. . ❑ 2. New HVAC System Required Forms: • .Cutin 1 ne*,k d out g anile l CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS ducts: (all new ducting and all CF -4R forms: MECH 20-; and (for split systems)MECH-22, and MECH 25 new e' ui meat For Split Systems: Duct leakage < 6 percent; RC, CCA > 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP.,k . For Packaged Units: Duct leakage <6 percent ❑ 3. New Ducts with Replacement Required Forms: • Includes replacing or installing all new ducting CF -6R forms; MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS . and/or outdoor condensing unit and/or indoor CF4R forms: MECH-20 and(for split systems) MECH-25. coil and/or furnace. 'Not alf equipment changed For Split Systems Duct leakage < 6 percent, RC, CCA 2:300. CFM/toh, TMAH For'Packa ed [.66 Duct leak 'e <6 rcent ❑ 4. Neal Di cdh over`40`feet Required Forms: , • Includes adding. or replacing more than 40 ' linear feet of duct in unconditioned space. - CF -6R forms: MECH-04, MECH-2I-HERS CF -4R forms: MECH-21 For split system or packaged units: Duct leakage .< 15 percent ❑ EXCEPTION:'Existing ducts stems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • 1 certify that this Certificate of Compliance documentation is accurate and complete. • 1 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 cenifv that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts I and 6 of the Califomia 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 ands cifications submitted to the enforcement agency florapproval with, the pen. it application. Name: lJ / . Signature: Company: Date: Address: �9/F4sv0 71,1 -7- License: City/State/Zip: Phone: 7G O 31U" 2008 Residential Compliance Forms March 2010