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14-0874 (MECH)P.O. BOX 1504 1 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: 6/18/14 Application Number: 14-00000874 Owner: Property Address: 54196 OAK TREE GEHRKE KIMIKO APN: 775-081-008- - - 54196 OAK TREE Application description: MECHANICAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL (760) 799-0891 Application valuation: 4500 e Contractor: O Applica Architect or Engineer: COMFORT AIR /�.1 4803 E. SUNNY DUNES JUN 244 ✓� PALM, SPRINGS, CA 922 (760) 320-5800 Lic. No.:.763937 CRYOFLgQUINTA flN'WCE`DEPT ----------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION_ --------------------------------------- WORKER'S COMPENSATION -DECLARATION I 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 is1n full force and effect. I'have=and will maintain a'certificate, of_coment.to self -insure for workers' compensation, as provided License' -ass: _C20- LicenseNo.: .763837 - _ for by. Section 3700. of the Labor Code; for the performance of the workforwhich this permit is issued. _ J • Date.. Contractor: („ — I have and will maintainworkers' compensation insurance, as required by Section 3700 of the Labor Code; for the performance of the.work forwhich this permit is issued. My workers' compensation / :OWNER -BUILDER DECLARATION insurance cariier and policy numb'ei are: `' I hereby affirmunder penalty of perju that I am -exempt from the -Contractor's State .License Law for the Carrier STATE COMP Policy Number ., 9063962 following reason (Sec. 7031 .5, Business and Professions Code:. Any.city'or county that requires a permitto _ 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 become subject to ihe.workers'• compensation laws of California, permitto file a,signed statement.that he or'slie is.licensed pursuant to the provisions of the Contractor's State and agree that, if I should becomesubjectto the workers' compensation provisions of Section - LicenseL'av�.(Chapter 9 (commencing with Section 7000) of Division 3.of.the•86siness andProfessions Code) or of the Labor Code, I shall forthwith co ply with those provisions. - that he or she is�exempt.therefrom'and the basis for the alleged exemption. Any violation of Sectiori 7031,5 by any applicant for a permit subjects the:'applicant,to a civil penalty of -not more than five hundred dollars ($500).: ,,\'L�f\,3i�700 Date: Applicant: , A .L � I —1 I, as owner ofahe property, army employees with wages'as their sole compensation, will -do the work, and e the structure is not,'intended or offered for sale (Sec. 7044 Business and Professions Code: -The .• WARNING:. FAILURE TO SECURE WORKERS''COMPENSATION 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 FIN ES. UP:TO.ONE-HUNDRED THOUSAND and who does the. work himself or herself through his or her own employees, provided that the DOLLARS'(S100,000). 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 (_ I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to ttie Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The`Contractors' Stite License taw noes not apply to'an owner of conditions ar d'restrictio"ns 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 Levi.). whose benefit work is performed under or pursuant -to any.permit issued as a result of this application, I—) I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend; indemnity 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 I have read this application and state that the above information is correct. 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 building construction, and hereby authorize representatives of this cou ty t enter upon the above-mentioned property for inspection purposes. ' Lender's Name: ate: Signature (Applicant or Agent): Lender's Address: LQPERMIT Application Number . . . . . 14-00000874 Permit . . . MECHANICAL 2013 Additional desc . . Permit Fee . . . . 83.42 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/15/14 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 (1)4 TON FURNACE INDOOR COIL CONDENSER UNIT 13 SEER 2013 MECHANICAL CODE 2008 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 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 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 54196 Oaktree St La Quinta, CA 92253 City, of 1a'-Quinta _ ]un 18, 2014 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit urnace ndoor Coil ❑ AFUE ®SEER 13.0 ❑ COP ❑ HSPF !] R 6 (CZ 10-13) Served by system ® Setback Ifnot already present, Condensing Unit ❑EER ❑ Resistance ❑ R 8 (CZ 14-15) 1500 sf . must be installed) ® Other Furn Heat Exch 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF-1R-ALT-HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, Z7HSPF fnr 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-411 forms (no hand filled CF-4Rs allowed), are filled out and signed. Beginning October.1, 2010, a registered copy of the CF-111 and CF-611 shallalso be on.site.for final inspection. ® 1. HVAC Changeout Required Forms: . All HVAC Equipment CF-6R forms: MECH-04, MECH-2I-HERS.and (for split systems) MECH-25-HERS replaced CF-4R forms: MECH-21 and (for split systems) MECH-25 . Condenser Coil and /or . Indoor Coil and /or CF-6R forms: MECH704, MEC4-21=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 <J5 percent; RC, CCA :5 300,CFM/tan (Minimum Air Flow Requirement), TMAH 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 [13. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. The system, will not be Duefed. (ie. Ductless Mini-Split`System) (Also Exempt from Refrigerant Charge) . 112. New HVAC System Required,Forms: . Cut in or Changeout with CF 6R forms MECH 04 ;MECH 20 HERS, and fors lits stems MECH' 224&,S and P )� new ducts (all new:` ducting and`all new i' rf� �( �� ;y MECH-25-HERS y�� FF�r�w CF-4R�fo:sx MECH 2O, and(for 22,ad MECH 25 equip ment split systemsMECH For Split Systems D�ct leakage.< b$perceht, RC, CA>� 350 CFM/ton, FWpTMAH,STMS; and eitherHSPP or PS For Packaged UnrtsDuctileakage <. 6 percentM y E* ._+tiJ..•. w`s._a... is.aAisn"c.'X�2 ❑ 3. New Ducts wrtli/or wi'thouf" Re.gwred";Forms Replacement.. .Includes.replacing,.be installing all"new ducting'.antl/or outdoorcondensing'unit CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace..No or some CF-4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage!-<, 6 percent; RC, CCA >_ 300 CFM/ton; TMAH For Packaged Units: Duct leakage <.6. percent 114. New Ducting over 40 feet Required Forms: . Includes adding or replacing more than 40' CF-6R forms- MECH-04, .MECH-2I-HERS linear feet of duct in unconditioned space. CF-4R forms: MECH-21 For split system or packaged units: Duct leakage< 15 percent [3 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: Paul Votta Signature: Paul Vottc Company: VOTTA ENTERPRISES INC Date: ]un 18, 2014 Address: 4803 E SUNNY DUNES ROAD - License: 763937 City/State/Zip: PALM SPRINGS / CA / 92264 Phone: (760) 320-5800 Reg: 214-A0044682A-000000000-0000 Registration Date/Time: 2014/06/18 11:15:00 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2,010 Bin # City of LA Q uin LA Building Bt:SafM Division P.O. Box 1504, 78=495 Calle Tampico .La Quinta, CA 92253 = (760) 777-7012 Building Permit Application and Tracking'Sheet Permit # Project Address: �� V' Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: Address:Project Rd telephone.lVi.SJ Description: City, ST, Zip: Palm Springs; CA 92264 Telephone: — � G State Lic. # :, ` c3 p City Lic. #; Arch., Engr., Designer: Address: City., ST, Zip: Telephone: r":>>:a ?>::<#:#?>' Construction Type: Occupancy: State Lic. #• cir la ne d'n Al ter Repairair Demo Name of Contact Person: Sq. Ft.: #Stories: Unit s: Telephone # of Contact Person: �—S C ect: � Estimated Value of'Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd . Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Cales. -Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 21" 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 correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees I