Loading...
14-0468 (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: 4/21/14 Application Number: .14-00000468 Owner: Property Address: 48230 VISTA DE NOPAL LYNN VON TEMPSEY .APN: 646-110-008- - - 48230 VISTA DE NOPAL ' Application description: MECHANICAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL ( Application valuation: 9245 D 1(J7 Contractor: )f Applicant: Architect or Engineer: PREFERRED PLUMBING HTG / APIC 2 P.O. BOX 5120 PALM SPRINGS, CA 92263 CITy�c (760) 322-317.3 F�QUHrTA, Lic.,No.: 457554 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION - hereby affirm under penalty of perjury. that 1 am licensed under provisions of Chapter 9 (commencing with - (.hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Busine pod 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: C10 C16 C2 i nse o.: 457554 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date. ctor: �P 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 `\ WNER-BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that Te xempt from the Contractor's State License Law for the Carrier EVEREST NATL Policy Number 7600006445141 - 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 b ome 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 bec subject to the work s' m nsation 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 s forth rth cc Y it t e visions., that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by /` —`" y/y / p�� any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).: Date ���/_�ss/Applican7 • .Nr�— �`TG (._ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and /yL the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' CONIPENSATIO COVERAGE IS UNLAWFUL, AND SHALL S A Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIENQX L 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 (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, (_ 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 I certify that 1. have read this application and state that the a v information is corr *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 buildi onstructio d h eb au orize representatives Lender's Name: _ Lender's Address: ,r t LQPERMIT of this county to enter upon the above-mentioned propert or insp ti pur s Date: ice. Signature (Ap`plicant-or.e,. Application Number 14-00000468 Permit . . . MECHANICAL 2013 Additional desc , Permit Fee . . . . 83.42 Plan Check Fee .00 Issue Date Valuation . . 0 Expiration Date 10/18/14 Qty Unit Charge Per Extension* 1.00 35.7500 EA MECH FURNACE 35.75 1.00 11.9200 EA -MECH APPL REP/ALT 11.92 1.00 35.7500 EA MECH CONDENSER/COMP 35.75 Special Notes and Comments - REPLACE FURNACE INDOOR COIL & CONDESING UNIT 5 TON 13 SEER PER 2013 CMC CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. -------------------------------------------------- Other Fees . . BLDG STDS ADMIN (SB1473) 1.00 - PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 52.43 Fee summary "Charged Paid Credited - Due ----------------- ---------- Permit Fee Total 83.42 .00 .00 83.42. Plan Check Total .00 .00. .00 .00 Other Fee Total .-144.00 .00 :00 144.00 Grand Total 227.42 .00 .00 227.42 LQPERMIT 5.;1 iifled Prescriptive Certificate of Com fiance: 2005 Residential hVACAlterations CF -IR -ALT -HVAC Climate Zones 10 to 15 Enfor erne. ency: i � �,J Date;/ Permit #: C N 1 pp ZI / Equipment T er List Minimum Efficienc 2 Duct insulation requirement Conditionea Floor Area Thermostat ❑ Packaged Unit INOFOver umace 1 ❑ COP 40 ft of ducts added or Setback door Coil R replaced in unconditioned space ❑ HSPFI ❑ R 6 (CZ 10-13) Served b system sf (1 not already Y be ondensing Unit ❑ ER ❑ Resistance present, mart ❑ Other [I. ❑ R.9 (CZ 14-15) installed) Equipment Type: Choose the equipment being installed; if more than one system, use another CF -IR ALT-BVAC for each system 2. Mutimum Equipment Efficiencies: 13 SEER, 78% AFIIE, 7.7HSPFfor typical residential systems HERS VE CATION 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 sball 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 -1R 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-21-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 -6R forms: 14ECH-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 CFl Nton(Minimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent Exempted from duct leakage testing if ❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or 112. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existing duct ' stems are constructed, insulated or sealed with asbestos 112. New HVAC System Required Forms: • Cutin or al Chang outcacti with new 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 fors lit stems new equipment) ( P sY )MECH-22, and MECH 25 For Split Systems: Duct leakage < 6 percent; RC, CCA > 3 50 CFM/ton, FWD, TMAH, ME, and either HSPP or PSPR For Packaged Units: Duct leakage < 6.percent El 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 CFMhon, TMAH For Packaged Units: Duct leakage <_6 percent ❑ 4. New Ducting over 40 feet Required 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 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. o I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Tide 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 er a iplicable compliance forms, worksheets, calculations, z1ans and specifications submitted to the enforcement agency for a roval with the; 4.o Name: A rF1 D� �� Signature: Company E �� ZE Q (�C ! M l . r f '15ate: �l Address To 12_6 Licenser —y .F10 `{!�� pp City/StatelZip: ` ,� L I_�L ���� �� �� /e Phone: �Ca� ;96 3 — t7 ?