13-0160 (MECH)79682 Arnold Palmer
Y IIIIIIIIVIIIIIIVIIIIIII 64 f
P.O. BOX 1504 IE - -- 4 VOICE(760)777-7012
78-495 CALLE TAMPICO FAX(760)777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS(760)777-7153
BUILDING PERMIT
Date: 2/12/13
Application Number: 13-00000160 Owner:
Property Address: 79682 ARNOLD PALMER DUFFY BRIAN & ANDREA
APN: 775-241-023- - - 79682 ARNOLD PALMER
Application description: MECHANICAL LA QUINTA, CA 92253 Q
Property Zoning: LOW DENSITY RESIDENTIAL D
Application valuation: 8000.
Contractor: C 12 2013
'Applicant: i Architect or Engineer: ADVANCED MECHANICAL HEAT G /
56958 ANTELOPE TR DIyy1DF QUINTA
10, fJ K YUCCA VALLEY, CA 92284 FINANCE DEPT
(760)228-2934
Lic. No. : 880070
-----------------7--------------------- ------------------ ---------- ------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby a irm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with 1 hereby affirm under penalty of perjury one of the following declarations:
Section"y
001 of"0 /
d Professionals Code, d 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 C ss: Li ens o.: 880070 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
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 EXEMPT Policy Number EXEMPT
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 aa
on in any manner so o 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 agree that,if I sho become subject to the workere compensation provisions of Section
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 0 of the Labor C e,I shall forthwith comply wit fiose provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 byany applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).: DatApplicant: /—
(_) 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 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.). APPLICANT ACKNOWLEDGEMENT
(_1 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044,Business and Professions Code: The Contractors'State License Law does not apply to an owner of conditions and restrictions 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 Law.). 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 cerWcontV
read this application and state that the move information is correct. I agree to comply with all
work for which this permit is issued(Sec.3097,Civ.C.). city nances and state laws relating to but ng construction,and hereby autho' e representatives
of thr upon the above-mentioned pro rty for inspection purposes.Lender's Name: DateSignature(Applicant or Age
Lender's Address:
LQPERMIT
Application Number . . . . . 13-00000160
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . . . 40.50 Plan Check Fee 10.13
Issue Date . . . . Valuation 0
Expiration Date . 8/11/13
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 9.0000 EA MECH FURNACE <=100K 9.00
1.00 16.5000 EA MECH B/C >3•-15HP/>100K-500KBTU 16.50
----------------------------------------------------------------------------
Special Notes and Comments
HVAC CHANGE OUT 13 SEER FURNACE . , COIL,
AND CONDENSING UNIT 2010 CODES.
--------------------------------------------------------"--------------------
Other Fees . . . . . . . BLDG -STDS ADMIN (SB1473) 1.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 40.50 .00 .00 40.50
Plan Check Total 10.13 .00 .00 10.13
Other Fee Total 1.00 .00 .00 1.00
Grand Total 51.63 .00 .00 51.63
LQPERN11T _ .
' Bin.# .. _
Qty of La Qurnta
Building SL Safety Division
Permit# P.O.Box 1504,78-495 Calle Tampico
y b La.Quinta,CA 92253-:(760)777-7012
Building fennit'Application'and Tracking Sheet
Project Address: u's Name:
% i j�.�o tr
A.P.Number.
Address:
Legal Description: City,ST,Zip: L ,
jContractor.
Address: r - Profeect Description:
City,ST,Zip: tA, l MVA" J e— (, Xg
i
Telephont7b e
State Lic.# City Lic.#;
Arch.,Engr.,Designer.
Address:
City.,ST,Zip:
Telephone: Construction Type:, Occupancy:
i State Lic.#: Project type(circle one): New Add'a Alter Repair Demo
Name of Contact Person: Sq.Ft.: #Stories: #Units:
Telephone#of Contact Person: Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
I
!t Submittal Req'd Recd TRACMG PERMIT FEES
Plan Sets Plan Check submitted Item Amount
Structural Cales. Reviewed,ready for corrections Plan Check Deposit. .
! Truss Calms. Called Contact Person Plan Check Balance.
! Title 24 Cates. Pans picked up Construction
Flood plain plan Plans resubmitted Mecharilcal
Giading plan 2"Review,ready for correctionsliissue Electrical
Subcoatactor List Called Contact Person Plumbing
Grant Deed Plans picked up S.M.I.
H.O.A.Approval Plans resubmitted Grading
IN HOUSE:. ''`Reytew,ready for eorreetionvIssac Developer Impact Fee
Planning Approval Called Contact Person A.I.P.P.
Pub.Wks.Appr ' Date of permit issue
School Fees
Total Permit Fees
............__.. � �' sr
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC
Climate Zones 10- 15
Site Address: Enforcement Agency: Date: Permit#:
72-682 Arnold Palmer system#1 La Quinta, CA 92253 City of La Quinta I Feb 11, 2013
Duct insulation Conditioned Floor
Equipment Typel List Minimum Efficiency2 requirement Area Thermostat
❑Package Unit
®Furnace ®AFUE 78% ❑COP ❑R 6(cz to-13) Served by system ®Setback
®Indoor Coil ®SEER 13.0 [3HSPF If not already present, must be
®Condensing Unit 17 EER ❑Resistance ❑R 8(CZ 14-15) 2600 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-411
forms(no hand filled CF-4Rs allowed)are filled out and signed.Beginning October 1,2010,a registered copy of the CF-1R
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 CF-611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
.Indoor Coil and/or CF-4R 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
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-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-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
113. 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 z 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-4R 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 Califomia 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: Gary Richards Signature:�,.y Richards
Company: EAGLE~CONSTRUCTION Date: Feb 11, 2013
Address: 31855 DATE PALM DRIVE License: 347697
City/State/Zip: CATHEDRAL CITY/CA/92234 Phone: (760) 285-4959
Reg: 213-A0008787A-000000000-0000 Registration Date/Time: 2013/02/11 15:38:31 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms July 2010
1001 65 Cok_ �
IE
P.O. BOX 1504 No. 002712
Building 79-682 ld Pal LA QUINTA,CALIFORNIA 92253
Address
Owner
Mailing surwim
BUILDING: TYPE CONST. .00C.GRP.
Address „19—Anc; " 4N •vm A.P. Number
City Zip` Tel.
Palm ext 92ftQ 56$-2828 Legal Description
Contractor Project Description PM 3rd PMSM 13 8
Ate* nn,�i i�e'xx'rlt�r�s arsr3 ���
Address Pl1`_tll J0 €7R
Sam -
City Zip Tel. r,
�T_9Et
State Lic. City DW
25
&Classif. Lic.# Sq. Ft.t�ee7JGc�7� �$
711111111 1n No. No. Dw.
Arch;Engr., 147
� Size Sfj$ Stories Units
.
Designer New Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City Zip State
Lic.#
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section '
7000)of Division-3 of the Business and Vrofessions Code,and my license is in full force and
effect. 0-1'I
SIGNATURE- e•v- DATE
4
OWNER-BUILDER DECLARATION ' y'
+- Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following _ .1-
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, atter, improve, demolish, or repair any structure, prior to its issuance also -
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to . PERMIT AMOUNT
thP,provisions of the Contractor's License Law, Chapter 9-(commencing with Section 7000) of
'Division 3of the Business and Professions Code, or that.he is exempt therefrom, and the basis _
for the alleged exemption. Any violation of Section 7031.5 by'any applicant for a permit Plan Chk. Dep.
subjects'fhe applicant to a civil penalty of not more than five hundred dollars($500).
❑I,as owner of the property,or my employees with wages as their sole compensation,will Plan Chk. Bal. 529.10
do the work,and the structure is not intended or offered for sale.(Sec. 7044,Buisness and L�n
Professions Code: The Contractor's License Law does not apply to an owner of property who Const. 630.50
builds or improves thereon and who does such work himself or through his own employees, Mech. Ss.00
provided that such 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 Electrical T
of proving that he did not build or improve for the purpose of sale.) •
❑ I,as owner of the property,am exclusively contracting with licensed contractors to con- Plumbing
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's LicenseoLaw
does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.L. 12.36
such projects with a contractors)licensed pursuant to the Contractor's License Law.)
Grading
❑I am exempt under Sec. B.t>P.C.for this reason
Driveway Enc.
Date Owner Infrastructure 2,WO.00
WORKERS'COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self-insure, or a certificate of
Worker's Compensation Insurance,or a certified copy thereof.(Sec.3800,Labor Code.)
Policy No. Company
❑Copy is filed with the city. ❑Certified copy is hereby furnished.
TOTAL 3.05.17
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS'COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
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.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked.
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued.(Sec.3097,Civil Code.) Side Setback from Property Line
Lender's Name
Lender's Address FINAL DATE INSPECTOR
This is a building permit when properly filled out,signed and validated,and is subject to
expiration if work thereunder is suspended for 180 days.
I.certify that I have read this application and state that the above information is correct. Issued by: Date 114—3'816Permit
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter the above- r
mentioned property for inspection purposes. // Validated by:
Signature of applicant Date
Mailing Address 1 7 / Validation:
City, State, Zip
A 6 7 4 6 11 14 548 17 U
HARD COPY
CONSTRUCTION ESTIMATE NO. ELECTRICAL NO. PLUMBING FEES
IST FL. SQ.FT.@ UNITS
2ND FL. SQ.FT.@
YARD SPKLR SYSTEM
POR. SQ.FT.@ MOBILEHOME SVC. BAR SINK
GAR. SO.FT.@ POWER OUTLET ROOF DRAINS
CAR P. I SQ.FT.@
DRAINAGE PIPING
WALL SQ.FT.@
DRINKING FOUNTAIN
SQ.FT.@ URINAL
ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING
NOTE:Not to be used as property tax valuation FLOOR DRAIN
MECHANICAL FEES WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH)
APPLIANCE DRYER GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY
AIR HANDLING UNIT CFM KITCHEN SINK
ABSORPTION SYSTEM. B.T.U. TEMP USE PERMIT SVC WATER CLOSET'
COMPRESSOR HP POLE,TEMIPERM LAVATORY
HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER
BOILER B.T.U. SQ.FT.@ c BATH TUB
SQ.FT.@ c WATER HEATER
MAX.HEATER OUTPUT,B.T.U. SO.FT.RESID @ 11/4 c SEWAGE DISPOSAL
SQ.FT.GAR @ 3/ac HOUSE SEWER
GAS PIPING
PERMIT FEE PERMIT FEE PERMIT FEE
DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST.FEE ELECT.FEE SMI FEE PLUMB.FEE
STRUCTURE PLUMBING ELECTRICAL HEATING&AIR COND. SOLAR
4U4ETBACK / ROUND PLUMBIW f UNDERGROUND A.C.UNIT COLL.AREA
!/ SLAB GRADE` OUGH PLUMB. BONDING HEATING(ROUGH) STORAGE TANK
lFORMS OtA-, �KSEWER OR SEP T a ddb OUGH WIRING F DUCT WORK ROCK STORAGE
FOUND.REINF. 1� q ¢ ` GAS(ROUGH) I METER LOOP HEATING(FINAL) OTHER APP.IEQUIP.
EINF.STEEL I �V [v GAS(FINAL) TEMP.POLE
GROUT e� WATER HEATER SERVICE ACINAL INSP.5�6
BOND BEAM WATER SYSTEM
GRADING
LUMBER GR. Jf WINAL INSP. cu.yd.
"FRAMING
hr � �fINAL INSP.
.< / 1 $ plus x$
OOFING _$
wit NY- ��IZ Ql� REMARKS:
VENTILATION 0 1 j w y� G! h A, � ` 3,40-1
-1
FIRE ZONE ROOFING (J I`
FIREPLACE
1
SPARK ARRESTOR
GAR. FIREWALL
ft<LA
MESH
p��INSULAT ON/SOUND
�•7�
FIN I4
GRADING
INAL INSPECTION
J CERT. OCC.
1 FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS,
GARDEN WALL FINAL
:100111 66 Page ! of
IEDAVE STEAVENS
Inspection Services
PROJECT P(,Di, 031C.-St a IL (-,E A.J L'5 PROJECT #
ADDRESS (`�. t1 ' ! G -F CLIENT _-r'c' t1 LJ r
DATE 7 �/%�aJ L•' �cz Z
BLDG. PERMIT # ARCHITECT �,�0 L rte; r` A C P
ENGINEER t x.J n1n-J /A/L CONTRACTOR t G �'�tir t•�Tk+'�"�G
INSPECTION TYPE
INSPECTION REPORT
f� VrlL`�/�, t!att� '7 t1(. #�R+�1t�Li? ,rt-•Z Imo.:. LJ,, '^'s '7N+-�f Ll
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CERTIFICATION OF COMPLIANCE:To the best of our knowledge, all of the reported work, unless otherwise noted,
substantially complies with approved plans, specifications and applicable sections of the building codes.This report covers
,the locationVof the•work inspected only and does not constitute engineering opinion or project control.
CERT.NO. C r"'S �?-~' 14Y, — U INSPECTOR NAME i A. 7 t• S
Print Clearly)
DATE % -!r•/f ~c X} INSPECTOR SIGNATURE +� t✓ ;.,.� �,. �._J
--:-o�-.�- . _.-). '.�':. i'1:, �t<:1t;•,•�.�pl•,'..,k'.+d.^.�'-. •��acT-'...^.>'.^,'..�P.2' `Yt}}..+i y1�F.�'��v,"._^__t` '_S'�"'�•", .. ,T+.___'_,
Page # of
IIIIIIIIIIIIIIIIIIIIIA 67 DAVE STEAVENS
IE
Inspection Services
PROJECT -�` 1 LJ g- ' i i. (—C.LQ,1-�S PROJECT # o;2 q
ADDRESS / 7 -4 ! z CLIENT 4/vr1
DATE / .Tu •J V 2-
BLDG.
BLDG. PERMIT # ARCHITECT 6� ,e-.6,4 .4t C i-1
ENGINEER!L j,i) 54 4, LC CONTRACTOR 7t c L- mA,t I- PSL I E I c
INSPECTION TYPE
INSPECTION REPORT
r ll
-� fy ° i. i,���. CJ f 4! ✓(,n I li- /`;,/.i! i. t.fl( ,A,t •G. i 4 VC, / 7 t-L ei
rt �`,_`� <y f / 7�; - r1Lt!<< /1,4/j, ,JC F)Ly 0A0.�.lL ' Gv,•..kc°
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CERTIFICATION OF COMPLIANCE:To the best of our knowledge, all of the reported work, unless otherwise noted,
substantially complies with approved plans, specifications and applicable sections of the building codes.This report covers
•theylocations 01%work inspected only and does not constitute engineering opinion or project control.
CERT.NO. •-� 7 �'��i INSPECTOR NAME \'� r�t:: S T t r� Jtr%
(Pin
DATE f/ J el y" `ry` INSPECTOR SIGNATURE� tti-+.c ./ --•.._�