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07-1622 (MECH)P.O. BOX 1504 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 )__ Date: 6_/01/07 Application Number: 07-00001622: _- Owner: Property Address: 78560 VILLETA DR CHRIS & JERRY LIDGAREL APN: 604-143-018-203 -23269 - 78560 VILLETA DRIVE'" D Application description: MECHANICAL LA QUINTA, CA 92253 �► Property Zoning: LOW DENSITY RESIDENTIAL ' Application valuation: 9800 JUN • - fV 11001 Contractor: _ rr Applicant:. Architect or Engineer: PALM DESERT AIR CONDI T ONING"1ry0F (,A. Prw QuWrA 42081 BEACON HILL ANCEipLppr ' PALM DESERT,,CA`92211 •r) (760)34.6-0677 s Lic. No.: 374937 s • LICENSED CONTRACTOR'S DECLARATION - ' WORKER'S COMPENSATION DECLARATION 1 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 Cass: C2 0 - License No.: 3 74 93 7 �l Date; o�V"O \ Cq�icaetor: _ 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 bySection 3700 of the Labor ' 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 STATE FUND Policy Number 1795546-2007 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires apermit to _ 1 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 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 - 3700 of the Labor Code, I shall forthwith comply with 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 a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: e: 9 Ap cant: . J (_ ). I, as owner of the property, or my employees with wages as theirsole compensation, will do the work, and . _ . • the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAIL (CURE WORKER OMPENSATION 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 wilt have the burden of proving that he or.she did not build or improve for the purpose of sale.). - APPLICANT ACKNOWLEDGEMENT ' 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 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 L 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, urider 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 I certify that I have read this 11 t* nand state'that the above information is correct. I agree to comply with all " work for which this permit isrissued (Sec. 3097, Civ. C.). _ city and c unty ordinances and st a laws relating to building construction, and hereby authorize representatives ' of thi ounty to enter upon th bove-mentioned property for inspection purposes. Lender's Name: •,�(\••11�n" ' ate: "Ili—\'d Sig ure (Applicant or Agent): �J - - 'Lender's Address: _ •" . - - LQPERMIT .. - �. .. `Certificate of.Compliance `Prescriptive Method -MAC-only AIteration• CF -1R -ALT Proj T' le:_9/ Pro-ect Address: 00e Dale: �a� Climate Zon ©CaICERTS 2005- Enforcement Agency Use Only Building Permit # DO tation Au Telepho :7� Plan check Date Co ame, Field Check Date IMPORTANT: This CF -1 R -ALT form is only for use when an HV only alteration is made town existing home Use one fomi for each system being altered. This is s stem # � . of systems altered in this house. Check all linea that aonly: Check only lines that cooly Scope of Alterations: 1 ❑ n Air Handler is to be installed or replaced. Duct sealingto be determined. Continue to next line. 2 � Furnace Heat exchanger is to be installed or replaced. Duct sealing to be determined: Continue to next line. 3 � n outdoor condensing unit is to be installed or replaced. Duct Sealing and/or TXV(RCA) to be determined. Continue to next line. 4 cooling or heatingcog is to be installed or replaced., Duct Sealingand/or TXV RCA to be determined. Continue to next line. 5 ' ❑ ore than 40 feet of new or replacement duct are to be installed In unconditioned space, Duct sealing to be determined. ❑ Check here if the t:ntire 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 required. Go to Section' 5. Section 1 - Duct Sealin(Only if any of Lines 1 2 3 4 or 5 are checked. Skip if Line 6 is checked. 7 ❑ This system is in Climate Zone 1, 3, 4 5, 6, 7, or 8. No duct sealing 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. No duct sealing is required. Attach previous CF -4R form. Go to Section 2. .10 ❑ I This duct system 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 re laced; -Lines 11-14 do notapply. 11 ❑ In Climate Zones 2 12 and 16: An 0.92 AFUE furnace will be Installed In lieu of duct sealing and TXV If a livable . 12'0 In Climate Zones 10, 13 and, 15: An SEER 14 AtIREER 12 condenser will be installed with TXV(RCA) I AND added duct Insulation R-4 on e)dstng ducts, R-6 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 fumace will be installed in lieu of duct sealing. Go to Section 2. 14 ❑ in Climate Zones 2, 9,111, 12, 14 or 16: An SEER 14 ANQ EER 12 condenser will be installed with TXV(RCA) ND an 0.82 AFUE furnace will be Installed with Increased duct insulation In lieu of duct sealing. Go to Section 2. 15 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 r uired. 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) isrequired; . Go to Section 3. 18 ❑ This system is in Climate Zone 1, 3 4 5--6. or 7. No TXV(RCA) Is required. Go to Section 3. ' 19 iss stem Is in Climate Zone 16 and line 141s not checked. No TXV(RCA) is required. Go to Section 3. H13his 20 s stem is in Climate Zone 16 and line 14 is checked and not line 16. TXV RCA Ia ulred. Go to Section 3. 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. . Sectio 3 - HERS Rater verification t 22 If line 15 is checked, HERS verification Is required for Duct Sealing., 23 24 ❑ If line 12; 13, 14, 20 or 21 are checked and not line 16 or 17, HERS verification Is required for TXV(RCA). If line 12-13 or 14 are checked, HERS verification Is required for 12 EER. Section 4 - E ui ment Efficiencies 25 ❑ If 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 ❑ 11flesSthan 40 feet of duct is being Installed or replaced: duct R -value must meet or exceed R4.2 Section 6 -see next page Version 03-10-06 Page 1 of 2 This form can only be used on projects being verified by CaICERTS certified raters.. www.calcerts.com, ' Certificate of Compliance Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Pro' Ti Date: © CaICERTS 2005 IMPORTA is CF-,tIVALT form is 96yrfor use when an HVAC-pnly att ration is made to an existing home Use one f for each stem being a red. This Is system #__L_ 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 efri iancies/R-vaAies. 28 Con iguratiowia:%lit system ❑ Package unit 29 ❑ Air Handler t=as famaoe, AFUE: CHeatpump FAU ❑Hydropic FAU 00ther 301•B Heat Excha er 31 (�T OtAdoor Condensky Unit TMC ❑Heatpump kfriciency SEER/HSPF• EER d d: 32,A�? .. coormg or heatN con MC ❑Heat OH rw*- . 33 ❑ Duds ocatbn:- Lergth (ft): -yaUe- All mandato measures apply to any altered component.* See MF -1 R - 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 A o%2d Agent Documentation Author Name: Name: Address: City/State/Zip: Company NqvDESERT AIR CONDITIONING COMPANY 42081 BEACON HILL Address: PALM DL :. , L;A 922113107 Phone: City/State/Zip: Phone: Signature: Signature: Enforcement A en(Building De artment Notes/Comments: Name: Title: Department: Phone #: Fax #: Signature or Stamp:. Required forms: CF -1 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 ag ency, installer. The CF -4R fors for a sample group shall not be released until all testing and verification is completed and passed for the entire group. Version 03-10-06 This form can only be used on projects.being verified by CaICERTS certified raters. 0( . rage t of z www.calcerts.com Bin # s, City of La Quinta 'Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico B La Quinta, CA 92253 - (760) 777-7012 ullding Permit Application and Tracking Sheet Permit # Project Address: -Owner's Nam A. P. Number: Address: Legal Description: PALM DESERT AIR CONDITIONI COMPANY Contractor: , ,42081 BEACON HILL tr blur "II Address: (760) 346-0677 City, ST, Z' . 9� Tele hon //��'`''s '><'•.«'•'S»>3z€?" #>' `•.' >' Project Description: C/ City, ST, Zip: Telephone: :::>i::::::Ei:>:::a>it'asizii; >:>:':::::»>?>::::»>::::>:>;:> 'Lm. State Lic. # : 9� City #.:»; Arch., Engr., Designer: , y Address: City", ST, Zip: Telephone:Construction .;:>:. State Lic. #: '"'''? • ::. Name of Contact Person: Type: Occupancy: project type (circle one): New Add'n Alter epair Demo �. Sq. Ft.: # Stories: # Units: Telephone # of Contact Perso Q43 y6 -D6 Estimated Value of Project /! a �d APPLICANT: DO NOT WRITE BELOW THIS LINE. # Submittal Req'd RWd 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 HOUSE:- '"' 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 Li LTotalrmit Fees J 12