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08-1135 (MECH)
P.O. BOX 1504, I T 44P 78-495 CALLE'TAMPICO LA QUINTA,;CALIFORNIA 92253:•: BUILDING & SAFETY DEPARTMENT' ( BUILDING PERMIT Application Number: 1 x_08-00001135_ I - Property Address: 78830 WAKEFIELD CIR APN: 604-433-018-75 -23995 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL . Application valuation: 4000 . Applicant: - Architect or Engineer: -------------------------------------------------- U NSED C TRACTOR'S DECLARATION I hereby affirm under penalty of perjury tha lic under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busi i als Code, and my License is in full force and effect. Licens lass: C20-1738 LicenseNo.: 826714 -,� Date: . Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's Sate 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 (5500).: (_ 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 offeied 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, 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 Contractors' State License Law.). _ _ ( ) 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: LQPERAIIT J" VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date:' 7/02/08 Owner: - SAN KHOO WONG 78830 WAKEFIELD LA QUINTA, CA 92253 (760)772-9345 Contractor: BEST IN THE WEST f 255 N. EL CIELO, 140-125 PALM SPRINGS, CA 92262 (760)32210202 Lic. No.: 826714 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have 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 FUND Policy Number 0023975-2007 _ I certify that, in the performanc ork-for which this permit is issued, I shall not employ any person in any manner so a to ct to the workers' compensation laws of California. and agree that, if ct t the workers' compensation provisions of Section 37�0�0/fo the Lab r Co hall th amply with those provisions. , ...Date: 7'-Z.Z/ pp, WARNING: FAILURE TO SECURE ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). 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 d void if work is not commenced within 180 days from date of issuance of such perm' r cessation f work for 180 days will subject permit to cancellation. I certify that I have read this epplication and state that the ab mauo orrect. I agree to comply with all city and county ordinances and state laws relating to buil ' ons[r an ereby authorize representatives of this counts to ente upon the above-mentioned prope f pur ses. Date: _ ~ ` Signature (Applicant or Agent): Certificate of ComDliante Prescriptive Method - HVAC -only Alteration CF -1 R -ALT Project Title: / ©i% Date: _ / ` 0� O CaICERTS 20050 Eniorcernerrt A se On Project Address: W Y30 Climate Zone, Building Permit # L)ocuprien tioryAuthor: Telephone: %Gv 302 Plan Check Date Com any Name: /Ai Field Check Date IMPORTANT: This CF -1 R -ALT form is only for use when an HVAC -only alteration is made to an eAsting home Use one form for each s stem being altered. This is system # of systems altered in this house. Check all Scope of lines that aonhL Check only lines that aooly. Alterations: 1 DLFumace ir Handier is to be installed or Duct seals to be determined. Continue to need line. 2 ❑ Heat exchanger is to be inst�led ar d Dusealing to be determined. Continue to need rum.3 utdoor condensing unit is to be installed or replaced. Dud Sealing and/or TXV(RCA) to be determir a Continuetonehd firms4 or cal is to be irmadled a d . Duart/or TXV CA to be determinedContinuetonerd fine. 5 Dthan 40 fees of new or repiwemerd duct are to be installed in unconditioned spam Dud sealing to be determined. ❑ Check here if the ruing dud system is also to be new or replaced. Continue to ned rine. 6 ❑ f none of fines 1-5 are checked, neither Dud Searing nor TXV CA are requiredl. Go to Section S. Section 1 - Dud Sealing On 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 dud sealing is requiredl. Go to Section 2- 8 8 D This systern has less than 40 feet of duds m uncarM'dioned spaca No dud sealing is required. Go to Section 2 9 D This system was previously sealed and tested, and was certified by a. HERS rater. No dud sealing is required Attach WeVio6s CF -4R form. Go to Section 2- 10 ❑ This duct -system is seated or insulated with asbestos. No duct sealling is required Go to Section 2 - Note: Note: If the entire dud system is to be new or replaced, Lines 11-14 do riot apply. 11 ❑ n Climate Zones 12 and 16: An 0.92 AFUE furnace will be installed in lieu dd duseal' and TXV if 12 ❑ n Climate Zones 10, 13 and 15: An SEER 14 AW EER 12 condenser vAll be installed with TXV(RCA) added dud insulation -4 wrap an existing duds, R-8 new duds in fim duct seating. Go to Section 2 13 ❑ n Climate Zones 9, 10, 11, 13, 14, or 15: An SEER 14 AM EER 12 condenser wdl be installed with TXV(RCA) a 0.92 AFUE tk umaee will be installed in lieu of dud sealing. Go to Section 2 14 D n Climate Zones 2, 9, 11, 12,14 or 16: An SEER 14 AM EER 12 vn D be irnst�led with TXVUtCA) an 0.82 AFUE furnace will be installed with increased duct insutation in Lieu of dud Go to Section 2 15 of lines 7-14 above are checked. Duet Searing is Required. Continue. Section 2 - TXV RCA) (Only if Lines 3 or 4 are checked, otherwise got to Section 3 16 ❑ The system bemg altered is a package uniL No PMRCA) is required, Go to Section 3- _17❑ 170 This system is in climate Zone 8 and a 14 SEER air conditioner or 0.82 AFUE furnace is being installed. No TXV RCA is required Go to Section 3. 180 em is in Climate Zone 1 3 4 5 6 or 7. No TXV RCA isrequired. Go to Section 3. 19 ❑ This system is in Climate Zone 16 and fine 14 is not checked. No TXV CA is required. Go to Serxion 3. 20 ❑ abis wrAan is in Climate Zone 16 and fria 14 is chid and not line 16. TXV(RCA)isrequbv& Go to Section 3. 21systan is in Climate Zone 2 or 8-15 and One 11, 16 or* 17 is not checked. TXV(RCA) is required. Go to Section 3. Section 3 - HERS Rater verification 22 X\ f fine 15 is checked. HERS verification is required for Duct Searing. 23 ❑ N fine 12, 13, 14, 20 or 21 are checked and not line 16 or 17. HERS verification is required for TXV(RCA). 24 D ff fine 12, 13 or 14 are checked, HERS verification is required for 12 EER. Section 4 - E ui ment Efficiencies 25 D Pf fines 11. 12, 13, 14 or 17 are checked. upgraded equipment efficiencies are required, Ust In Section 6 Section 5- Dud R -Values 26 ❑ mare than 40 fee; of dud is being insta>led or replaced, dud R -value must meet or exceed Package D requirements, 27 D less than 40 feet of duct is being instailed or replaced, dud R -value must meet or emceed R-4.2 Section 6 - see mend 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 Project Title: YtIke— 0,4!LtO r Date: 0Q I —061 ® CaICERTS 2005 IMPORTANT: This CFA R -ALT fdrm is only for use when an HVAC -only alteration is made to an existing home Use one form for each system being altered. This is system of systems altered in this house. Section 6 - Knimum Requirements for Equipment to be InstalledfAltered. to wud must match W and meet or emceed of k enaesf t -mss. 28 Corr spit system ❑ Package Unci 29 ❑ Ftarrdler Mas f nine, AFUE ❑Heamunp FAU ❑Hydrorre FAU ❑011ier 30 ❑ 31 ❑ c Uri ❑Fteatprrnp SEEMiSPF: if 32 ❑ a ow ❑ ❑Hydmnic —7 33 ❑kocEd— "' -vakw. All mandatory measures apply to arry altered component. See WAR -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 responsi�Tdy. 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 Authorized Agent Documentation Author Name: J% Kt��°0 k �D /� i l b 17 CompaQy Name: City ate2tp: :�- Address: 2S79 NOJz�- Phone: 7 ���y�T� � /� M. - Z2�, 2 ,- Y/1r k� Phone: -7 oZaZ Signature: Sig Enforcement Agency (BuildinaDepartment)of s: 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 dose permit. Copies to home owner, enforcement agency, HERS rater. CF -4R -ALT: by HERS rater. Required to dose permit Copies to home owner, enforcement agency, installer. The CF -4R forms for a -sample group shall not be released until all testing and verification is completed and passed for the entire arouo. Version 03-10-05 V c This form can only be used on projects being verified by CatCERTS certified raters. www.calcerts.com Bin # City of La Quin'ta'' Building U Safety Division' P.O. Box 1504,-,78-495.. Calle Tampico . . • La Quintal CA 92253 -. (760) 777-7012 Building Permit Application and Tracking Sheet „ " Permit .# '� � ,:' :'�` '" '° Project Address: °, Owner's Name:. 'A. P. Number: Address: Legal Description: City, ST, Zip: 9 ZZ Contractor: ff-5T N ,SIS Telephone:' 42)772-939-S Address:..aS�N �� do /�-� I —/Z5"" (� Pro ject Description: /V'vi" City, ST, Zip: /� ! /1/ /L C� Z- �l/ .6c/ Telephone: GU 11?G 600 /,JlR- lb /t/-. State Lic. # : ,?,�, City Lic: #:�D Arch., Engr., Designer: ' Address: - N • • City, ST, Zip: Telephone:" State Lic. #:. Name of Contact Person: Construction.Type: `Occupancy: Project type (circle one):.' New Ade'n�ZAlter epair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person:- a Estimated Value.of Project. L'O"! r- APPLICANT: DO NOT WRITE BELOW THIS LINE # ' Submittal Req'd Recd TRACM, G PERMIT FEES . Plan Sets Plan Check submitted Item + Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person ' Plan Check Balance'. Energy Calcs. Plans picked up = Construrlon ,' Flood plain plan. Plans resubmitted Mechanical Grading.plan ' ` 2°" Review; ready for correctionssue Electrical Subcontactor List Called Contact Person . Plumbing . Grant Deed a 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 1 A.LP.P. Pub. Wks. Appr Date of permit issue -School Fees ' ' Total Permit Fees