14-0262 (MECH)P. -O. -BOX -1504- ' - - - - - - - - - VOICE(760)(76-0) 7-77--7 0-
12- -
78-495
CALLE TAMPICO i FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 3/12/14
Application Number: 14-00000262 Owner:
Property Address: 55282 OAK HILL MOONEY ROBERT
APN:' 775-161-029- - - 55282 OAK HILL
Application description: MECHANICAL LA QUINTA, CA 9225
Property Zoning: LOW DENSITY RESIDENTIAL (208) 890-0396 r �{
Application valuation: 9706
Applicant: Architect or Engineer:
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P
. 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.
License Class: C20 ��% License No.: 878533
'� �a �`� Contract�� �T�/
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, 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 Contractors' State License Law.).
I_) 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: NNW
ib
LQPERIIIIT �.rr .-
Contractor:
ONE HOUR A/C & HT
3030 MYERS STREET-,
RIVERSIDE, CA 92503
(951)276-9744
Lic. No.: 878533
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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.
dve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
— G Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier INS CO OF WEST Policy Number WVE502266101
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, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor Code, I shall forthwith comply with those provisions.
Date:;:?X-1A Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPtTITION 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 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 construction, and hereby authorize representatives
of this
ou my to enter upon the above-mentioned property for inspection purposes.
Date:,3 a'` Signature (Applicant or Agent): /
Application Number . . . . . 14-00000262
Permit . . . MECHANICAL 2013
Additional desc .
Permit Fee . . . . 35.75 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date . . 9/08/14
Qty Unit Charge Per
Extension
1.00 35.7500 EA MECH CONDENSER/COMP
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35.75
Special Notes and Comments
HVAC CHANGE OUT - (1) 4 TON 13SEER COIL
AND CONDENSING UNTI SYSTEM [2008 ENERGY]
CARBON MONOXIDE ALARM(S) TO BE INSTALLED
PRIOR TO FINAL INSPECTION. 2013
CALIFORNIA BUILDING CODES.
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Other Fees . . . . . . . . . PERMIT ISSUANCE M/P/E
90.57
PLAN CHECK, MECHANICAL
23.83
Fee summary Charged Paid Credited
---------------------------
Due
------------------------------
Permit Fee Total 35.75 .00 .00
35.75
Plan Check Total .00 .00 .00
.00
Other Fee Total 114.40 .00 .00
114.40
Grand Total 150.15 .00 .00
150.15
LQPERMIT
Sim lifted Prescriptive CertiRcate of Com fiance: 2008 Residential HVA C Alterations CF -IR -ALT -HVAC
Climate Zones 10 to 15
Site Address: 55282 Oak Hill
Enforcement Agency: City ofLO
Date: 3-12-14
Permit N:
Conditioned Floor
Equipment Type'
List Minimum Efficiency,
Duct insulation requirement
Area
Thermostat
Packaged Unit
Furnace
�AFUE"
COP
Over 40 li of ducts added or
re laced in unconditioned space
Served by system
Ox Setback
(1f aot already
X
•
Indoor Coil
Condensing Unit
EER 13
❑EER
HSPF
Resistance
[[R 6 (CZ 10-13)
1600 sf
prevent. m,arbe
[J R 8 (CZ 14-13)
installed)
Other
1. Equipment Type: Choose the equipment being installed; ijmore than one system, use another CF-7R-ALT-HVACjor each system.
2. Minimum Equipment EJ)9clencles: 13 SEER, 78% AFUE, 7.7HSPFjor 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 -6R and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and
signed. Beginning October 1 2010 a rerjstered copy of the CF -1R and CF -611 shall also be on site for tical Inspection.
El 1. HVAC Changeout
Required Forms:
CF -6R forms: MECH-04, MECH-2l-HERS and (for split systems) MECH- 25 -HERS
• All HVAC Equipment replaced
CF411forms: MECH- 21.and fors lit stems MECH-25
• Condenser Coil and /or
CF-61kforms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS
• Indoor Coil and/or
CF4R forms: 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
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 ducts stems are constructed, insulated or sealed with asbestos
2. New HVAC System
Required Forms:
• Cut in or Changeout with new CF -611 forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS
ducts: (ail new ducting ajW all CF411 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/or without Replacement
Required Forms:
• Includes replacing or installing all new ducting
CF -611 forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS
and/or outdoor condensing unit and/or indoor coil
CF4R forms: MECH-20 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 Packs ed 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 CF4R forms: MECH-21
linear feet of duct in unconditioned space.
For splits stem 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)
• t 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 ofTitle 24,
Parts I and 6 of the California Code of Regulations.
• The design features identified on this Certificate of compliance are consistent with the informalion documented SpInher applicable compliance forms, worksheets,
calculationsplans andspecifications submitted to the enforcement agency for approval with the cermit a
Name:Jane Recktenwald Signature:
Company:Venvest Ballard Inc., Rightime Air
Date: 3-12-2014
Address: 3030 Myers St
License: 878533
City/Statc/Zip:Riverside, CA 92503
Phone:951-276-9744
7nnR rA_n1;^n 0 Fnrmc nrtnrrn ......
Bin fl
Ity of La u nta
6iltlfng0 Safety Dtywon:
P.O6ax .1'504, ,78-495;16lle Tampico
La Qurnta, CA 92253 {T60) 777 7012
Building POrmit zApplication and Tracking Sl eet
Permit
Project Address •
Q.wncr's Name
A. P. Number t
_ _
) egal'Deserlplion:
Cjty ST,.Zip• � �G�.:/� p ri
Contractor:
M.
Address: r .: f-
S
•�Projccf Description:
City; sr, Zip:
l Qk
Telephone::
�x
State Lic:
City Ltc #<:Q1j
Areh.,<Engr., Designe..r: � WW
Address:
City, ST, Zip:
Telphoy.
Tunypc:; Occupancy.:
ft onNw
AidAlter Repair DcmooJctyh
Name of Contact Person:
Sl!.Ft::.
"iStories:
II Units:
Telephone #,of Contact -Person:
Estimated Vnluc of aPro�ect:} ` 1LD
APPLIC .. T• DO,NOT WCi1TC EiELC3V1l TMS LINE
H
Submittal
Req'd: ;:
Rec'd
TRACiCING:
PRI2iViiT.PEtiS
..plan Sets
Plan Check wbinittcd
Item
Amount
Structural Calcs.
Ttevitiv`ed, ready for torrtctions
iI hiwChcck Dc,rofit
Truss Cates.
Called Contact 'Terson
Elan check Ilafanet
Tittc 24.Gales:
P12 is pieked'uP
Coresiructioir
Floodplain.plan
i'lans resubmitted
Mechanical
Grading plan
Z" Review, readyfor correelionsfissuc
l;Icctr3eal
Subcoutgcwr,Ust
Called Contact;Person
PI bing.
Grant Dccd
Pians kked'up
s81 .L
JLO:A. Approlrrpt
Y'lans;resubmitted
Grnding
1N HOUSE;-
'"' Rolewrca.dy for correctionVir. tuc
DcVeloncr lmtia,et>rec
Planning Approval
Catied.ContattT erson
Pubi Wks. Appr
27.atc or permit issue
School Vets
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