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14-0926 (MECH)P.O. BOX 1504 Tiht 4 tIGlGV 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 14-00000926 Owner: Property Address: 54797 INVERNESS GABLEMEN TOM APN: 775-091-048- - - 54797 INVERNESS Application description: MECHANICAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 12000 Contractor: Applica ' Architect or Engineer: VARGAS A/C & HEATING, P.O. BOX 470 1 92202 (760)760) 398-8- 8034 Lic. No.: 859195 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed u er provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and P fess' als Code, and my License is in full force and effect. License Class: C220 License No.: 859195 X Date:(c��zy//�.� Contractor: 7 / 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 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 tliat 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.). (_) 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 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/24/14 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. _ 1 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 MARKEL CO Policy Number MWC004613102 I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to beco a subject to the workers' compensation laws of California, and agree that, if I should beco ubject to the workers' compensation provisions of Section 3700 of the LaborCode orthwith comply with those provisions. DatelO�c Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,000). 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 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 application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building nstruction, and hereby authorize representatives of this county to enter upon the above-mentioned property r i pection purposes. i Date: Signature (Applicant or Agent): �. Application Number . . . . . 14-00000926 1 r Permit . . . MECHANICAL 2013 Additional desc . Permit Fee . . . . 143.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/21/14 Qty Unit Charge Per Extension 2.00 35.7500 EA MECH FURNACE 71.50 2.00 35.7500 EA MECH CONDENSER/COMP 71.50 ---------------------------------------------------------------------------- Special Notes and Comments REPLACE (1) 5 TON & (1) 3 TON HVAC/ FURNACE PACKAGED UNIT 78% 15 SEER 2013 MECHANICAL CODE2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES DESCRIPTION. ------------------------------------------------------ --------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 95.32 Fee summary Charged Paid Credited - - - - - - ------ - - - - ------ - - - - ------ - - - - ---- Due -- - - - - - - -- - - - - - - - Permit Fee Total 143.00 .00 .00 143.00 Plan Check Total .00 .00 .00 .00 - Other Fee Total 186.89 .00 .00 186.89 Grand Total 329.89 _.00. .00 329.89 LQPERMIT Bin # Oty Of La - QUlhta Building 8r Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking -Sheet Project Address: ,--79• % tivp/,ti Owner's Name: --/o—,. A. P. Number: Address: Legal Description: City, ST, Zip:�� Contractor: telephone: Address: -Project a� Description: l� City, ST, Zip: e-c2/9C,/,z Z ems!_C 9 3 •l � �G� l� �=Cy -v c�cJ Telephone: 76 p _ ....:.............:.......... Called Contact Person State Lie. # : -S (-J' 9 — City Lie. #; Arch., Engr., Designer: Title 24 Calcs. Address: City, ST, Zip: Tele hone: p Construction Type: Occupancy. Flood plain plan f. ..'--`:i. ..... ' State Lie. Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: u Estimated Value of Prc jec v` APPLICANT: DO NOT WRITE BELOW THIS LINE fr Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cala. 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 Decd 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 Total Permit Fees t -_ Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 54797 INVERNES La Quinta, CA 92253 City of La Quinta Jun 24, 2014 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ® Package Unit ❑ Furnace H AFUE 78% ❑ COP (3 R 6 (CZ 10-13) Served system ® Setback [3 Indoor Coil ® SEER 15.0 E3HSPF ❑ R 8 (CZ 14-15) ?� sf If not already present, must be [3 Condensing Unit ❑ EER ❑ Resistance 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 Efficiencles: 13 SEER, 78016 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-611 and registered CF-411 forms (no hand filled CF-411s 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, mr-gw-;ij _wr-p EXEMPTED and (fer. split systems) replaced CF-411forms: ,,SEC_,-;w--j-?? EXEMPTED • Condenser Coil and /or CF-611 forms: MECH-04, .._�� i wr=R EXEMPTED • Indoor Coil and /or CF-4R forms: "" EXEMPTED • Furnace 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 ® 2. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. The system will not be Ducted (ie. Ductless Mini-Split System) (Also Exempt from Refrigerant Charge) ❑ 2. New HVAC System Required Forms: .'Cut in' or.Changeout with CF-611 forms: MECH-04; EXEMPTED, and (for split systems) MECH-22-HERS, and new ducts: (all new MECH-25-HERS ducting and all new CF-4R forms: "",� ;iQ EXEMPTED, and (for split systems):MECH-22, and MECH-25 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/or without Required Forms: Replacement . Includes replacing or installing all new ducting and/or outdoor CF-611 forms: MECH-04, EXEMPTED, and (for split systems) MECH-25-HERS condensing unit and/or indoor coil CF-4R forms: mrw4-fig EXEMPTED and (for split systems) MECH-25 and/or furnace. No or some 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 CF-6111 forms: MECH-04, EXEMPTED than 40 linear feet of duct in unconditioned space. CF-4R forms: p4,,gGliel 21 EXEMPTED 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: MANNY VARGAS Signature: MANNY VARGAS Company: MANNY VARGAS A / C & HEATING Date: Jun 24, 2014 Address: P 0 BOX 470 License: 859195 City/State/Zip: INDIO / CA / 92202 Phone: (760) 398-8034 Reg( 214-AO1047187A-000000000-0000 Registration Date/Time: 2014/06/24 10:35:47 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 Prescriptive Certificate of --,n-114 ante: 2008 Site Address: 54797 INVERNES La Quinta, CA 92253 Typei List Minimum Efflciency2 Equipment ® Package Unit ® AFUEp.. ❑ COP ❑ Furnace ❑ Indoor Coil SEER 1 ® —�'S- ❑ HSPF [3 Resistance A sing Unit ❑ EER -111 -AL Date: - Enforcement Agency: Jun 24, 2014 City of La Quinta Duct insulation Conditioned Floor Thermostat requirement Area ® Setback Served by system If not already present, must be ❑ R 6 (CZ 10-13) Served sf Installed) ❑ R 8 (CZ 14-15) ❑ Con en c3 other lcal residential systems. done anoEnvi 1. Equipment type: Choose the equipment being Installed; if more than one system, usetions. The installer decides what of the fortm shall 2. Minimum Equipment Efficiencies: Lj SEER, 78% AFUE, 7.7HSPF for typ ns Spector verifies that the work listed m this riate Options. Each Option lists the HERS measures he i Spst or conducted• A Copy ted on CF this4R HERS VERIFICATION SUMMARY Listed below an to OIUR omeowlneraAt final, ro riate Cl -6R and reg and picks one of the approp actor also verifies that each app a registered copy of the CF-iR be left on site for final inspectioie d by the in taller. The inspector pctober 1, 2010, . form was in fact the work comp are filled out and signed. Beginning forms (no hand filled CF-4Rs allowed) and CF -6R shall also be on site for final inspertion• Required Forms: EX ® 1. HVAC Changeout EMPTED . CF -6R forms: MECH-04,CF-4R forms: ew 96 eFR All HVAC Equipment EX MPTED replaced ` ^{ EXEMPTED Condenser Coil and /or CF -6R forms: MECH-04, EXEM T ,Indo r Coil and /or CF -4R forms: "cru_ _ .Furnace - ed Units: Duct leakage < 15 percent h HERS verification, or For Packag a testing if: Exempted from duct leakage previously sealed and confirmed through ace, or ❑ 1. Duct system was documented to have beer P Exempt from Refrigerant Charge) ® 2. Duct systems with less than 40 linear feet it unconditioned it Also cos (3 3. Existing duct systems are const1ectDedi insslate i -Split System) ( iso s Min p 4. The system will not be Ducted ( MECH-22-HERS, and Required Forms: and (for split systems) ❑ 2. New HVAC System -, uF�. EXEMPTED,_ ,. . Cut in or,Changeoutwith CF -6R forms.'MECH-04, *-- �� MECH-22, and'.MECH-25 all new EXEMPTED, and (for. split systems). new ducts: ( MECH-25 HERS and either HSPP;or PSPP ducting apf� all new CF -4R forms: FWD TMAH, STMS, equipn)ent) CCAe>, 350 CFM/ton, Duct leakage;,,-. 6 percent; RC, For Sp stems: -< 15• percent-' Irt Sys' � putt leakage For Packaged Units: Required Forms: 13 3, New Ducts with/or without, Replacement for split systems) MECH-25-HERS all' �n_,.rnC EXEMPTED, and . Includes replacing or installing for split systems) MECH-25 new ducting and/or outdoor CF -6R forms: MECH-04, d condensing unit and/or indoor coil CF -4R forms: ?41=6ki-2� and/or furnace. No or some > 300 CFM/ton, TMAH equipment changed. < 6 percent; RC, CCA For Split Systems: Duct leakage For Packaged Units: Duct leakage < 6 percent 134. New Ducting over 40 feet Required Forms: re EXEMPTED .Includes adding or replacing CF -6R forms: MECH-04, "" '"'' "- more EXEMPTED than 40 linear feet of duct in CF -4R forms: unconditioned space. Duct leakage < 15 percent For split system or packageduct systems ems constructed, insulated or sealed with asbestos. ❑ EXCEPTION: Existing Res onsible Designer's Decration Statement) identified on this Certificate of Contractor (Documentation Author's / P . i certify that this Certificate of Compliance documentation is accurate and complete.identified on this Certificate of Compliance conform to the . I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design Compliance. applicable compliance I certify that the energy features and performance specifications for the design royal with the permit application. o requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. for app stomp submitted to the enforcement agency tures identified on this Certificate of Compliance are consistent with the Information documented on other . The design fes lans and specifications Signature: MANNY VARGA 2014 forms, worksheets, calculations, p Date:. Jun 24. Name: MANNY VARGAS C & HEATING License: 859195 Company: MANNY VARGAS A / phone: (760) 398-8034 . ��_,.-�• a n BOX 470 — . -' Inc . HERS Provider: Ca10ERTS, 10:35:47 July 2010 Time: 2014/06/24" �� 214-A0097187A-000000000-0000 Registration Date/ ` Req: _ Fnrms 3} 2s x'v