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14-0479 (MECH)ry P.O. BOX 1504 78-495 CALLE TAMPICO -L-A QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 14-00000479 55197 RIVIERA 775 -153 -013 - MECHANICAL LOW DENSITY RESIDENTIAL 17900 T4ht aF 4 4" Architect or Engineer: / BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Dj^ /.tl \ Date: 4/22/14 Owner: MATHEWS VICKIE 55197 RIVIERA LA QUINTA, CA 92/5 3 �' � ",' (449)415-0291 '/�,�C �•/ Contractor: BEST IN THE WEST AIR COND/HTG 255 N. Et CIELO, 140-125 PALM SPRINGS, CA 92262 (760)343-1002 LiC. No.: 967982 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 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: C20 C38 License No.: 967982 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is i q- rT S� r N ��l(J �✓�' S'l/ i s sued. Date: 61 C. Contractor. /JG - _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor 17 cc k L•/("Avrn Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier NORGUARD Policy Number BEWC337354 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 become 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 be o e subject to the workers' compensation 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 Cod 1 orthwjZh comply with those provisions. c 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 155001.: C/J Date: / Applicant: 1 _ I I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and T 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 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.). (_) 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.). ' (_ 1 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 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 cou ty to enter upon the above-mentioned property for i pu�rpoose/sem .Date: Signature (Applicant or Agent): f _ "� l7r' • Application Number . . . . 14-00000479 Permit . . MECHANICAL 2013 Additional desc . Permit Fee 166.84 Plan Check Fee .00. Issue Date . . . . Valuation 0 Expiration Date 10/19/14 Qty Unit Charge Per Extension 2.00 35.7500 EA MECH FURNACE 71.50 2.00 11.9200 EA MECH APPL REP/ALT 23.84 2.00 35.7500 EA MECH CONDENSER/COMP 71.50 ---------------------------------------------------------------------------- Special Notes and Comments REMOVE & REPLACE BOTH (2) 4 TON SPLIT SYSTEM UNITS 80K BTU FURNACE AND COILS.2010 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL. INSPECTION. 2013 CALIFORNIA BUILDING CODES' _ ---------------------------------------------------------------------------- Other Fees . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 104.86 Fee summary Charged Paid Credited Due Permit Fee Total 166.84 .00 .00• '166.84 Plan Check Total .00 .00 .00 .00 Other Fee Total 196.43 .00 .00 196.43 Grand Total 363.27 ..00 .00 363.27 LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 55197.1 Riviera La Quinta, CA 92253 City of La Quinta Apr 21, 2014 Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace ® Indoor Coil ® AFUE 78% ® SEER 13.0 ❑ COP ❑ HSPF ❑ R 6 (CZ 10-13) Served by system H Setback If not already present, must be ® Condensing Unit ❑ EER [3 Resistance [3 R g CZ 14-15) ( 160 0 sf 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 Efficiencies: 13 SEER, 78% 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-4R 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-6R shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: . All HVAC Equipment CF-611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF-411 forms: MECH-21 and (for split systems) MECH-25 . Condenser Coil and /or . Indoor Coil and /or CF-6R forms: MECH-04, MECH-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 CFM/ton (Minimum Air Flow Requirement), TMAH FGF Pa Quet leakage 1:5 perEeRt 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 [14. 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 Changeou6with , "I'll^, �� '� � ' � � r�. � �= t� .r CF-6R'forms MECH-04 - MECH-20-HERS, and (for split systems) MECH 22-HERS, and new ducts:(all new'' MECH f25-HERS. ducting and all new CF-4R forms MECH-20, and (for.split systtems)lMECH-22 nd MECH 25 equipment) '3>.. # f l For Split Systems Duct lleakage "< 6<percent, RC, CCA"> 350 CFM/ton, FWD, TMAHtSTMS, and either HSPP or PSPP c For Packaged Units Duct leakage <'6 percent 113. New Ducts with/or without Required Forms: " Replacement . Includes replacing or installing all.new ducting and/or outdoorcondensirng unit CF-611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace. No or some CF-411 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-411 forms: MECH-21 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: Richard C Weaver Sr Signature: Richard C Weaver Sr Company: BEST IN THE WEST AIR CONDITIONING & HEATING INC Date: Apr 21, 2014 Address: 255 N ELCIELO ROAD #140-125 License: 967982 City/State/Zip: PALM SPRINGS / CA / 92262 Phone: (760) 343-1002 Reg: 214-AO02758OA-000000000-0000 2008 Residential Compliance Forms Registration Date/Time: 2014/04/21 14:21:05 HERS Provider: CalCERTS, Inc. July 2010 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 55197.2 Riviera La Quinta, CA 92253 City of La Quinta Apr 21, 2014 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace I@ Indoor Coil ® AFUE 78% ® SEER 13.0 ❑ COP ❑ HSPF ❑ R 6 (CZ 10-13) Served by system ® Setback If not already present, must be ® Condensing Unit [3 EER [3 Resistance ❑R g CZ 14-15 ) 1600 sf 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 Efficiencies: 13 SEER, 78% 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 -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 -IR and CF -611 shall also 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: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS . Furnace J. CF -411 forms: MECH-21 and (for split systems) MECH-25 For Split Systems: Duct leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH tom.- Parsk Units. Duet leakage 15 ..r ged < p Exempted from duct leakage testing if: [11. Duct system was documented to have been previously sealed and confirmed through HERS verification, or [12. 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-6R'forms:'MECH-04, MECH-20-HERS, and (for split systems) ME_ CH -22 -HERS, and new ducts: (all new MECH-25-HERS ducting and all new CF -4R forms: MECH-20, 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 condensing 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 ❑ 4. 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 -411 forms: MECH-21 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: Richard C Weaver Sr Signature: Richard C Weaver Sr Company: BEST IN THE WEST AIR CONDITIONING & HEATING INC Date: Apr 21, 2014 Address: 255 N ELCIELO ROAD #140-125 License: 967982 City/State/Zip: PALM SPRINGS / CA / 92262 Phone: (760) 343-1002 Reg: 214-.7�0027581A-000000000-0000 2008 Residential Compliance Forms Registration Date/Time: 2014/04/21 14:24:09 HERS Provider: Ca10ERTS, Inc. July 2010 Bin. Of .LaQU(ntd L`ity Lim ll; �,,,i_C,_.Q•.l�' fa�-7 Y �l/1 ��®(/i �ON� Lr�t �T Rdft 8z Saky Dtvtston P.O Box 1504,78-495 Calle Tampico Permit # 4.QWM4 CA 92253 -:(760) 777-7012 Building Permit Application* and Tracking Sheet Pwica Addtnn: S/ 7 r'v �� owner's Name:. '; C k ,' e W el A e w S A, P. Number. Addmm: • 7 0% r ` -1� dm Dt=ip r� City. ST. Zap: �+ ' C h % 2 Z 5 . Cgntractpr. 4 !� 4 <[. Af TolOhm addr s 55 A/- _ 3<-� .i 1;a r _l3; � jcct.D -Son: rre $ - 0 S2' t% dB Pa d J / r T e�� AP +66-3--4`� - � �,� . e L`ity Lim ll; �,,,i_C,_.Q•.l�' fa�-7 Y �l/1 ��®(/i �ON� Lr�t �T RA, no -m— 1`Y 's—, -Y ••J_ A g i ram•e--a�erxu� ax w�ex Cir nr�n � - y = - — E�:.g,.a ra:g r_•aar i:7rio r-,x-�• �Irux iara9-x rrr �rrs�:r n : TO 100 • A R AF'—O-r- V0 N-9 W mi d ;33 .�.-°'L%V yvH s tM - 4 bew q Amoamc a # A %S,-rx•1:+;.n9/1.9x A A - Q u�.�___,a _._a>�.---:--�--- A z e � S 9 •� o � ie!tic, +� a e'.o.- ; 310" 9m 1ke Ha�ms� [+bf=bb2nkal .. v+oaaarb� � �itt2� �aVp'i�y9YSaW�� YaV�A�l�� :uFa�a:��:;:ri,.:,L +,..aa:�i:Oi+&3&i�:,.aa:. a•iMai$%w� , �'a" ^ -IUIPCi :- x$ r' wD eatuy rarrsx�smu Cie Fee As+mw�s3. •_ 83fif $ton A LP_P, Sehsxi! Fess Total P.. tFees