14-0540 (MECH)79768 Arnold Palmer
1
IIIIIIIIVIIIIIIVIIIIIII 44
P.O. BOX 1504 I- 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: 5/01/14
Application Number: 14-00000540 Owner:
Property Address: 79768 ARNOLD PALMER STEVE MERCHANT
APN: 775-241-068- - - 79768 ARNOLD PALMDER
Application description: MECHANICAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL (760)771-2029
Application valuation: 4600
Contractor:
Applicant: Architect or Engineer: RIGHTIME AIR CONDITIONINGS J ;.• • a y! )
3030 MYERS STREET `P
RIVERSIDE, CA 92503
(951)276-9744 A QUINTA
Lic. No. : 878533 K't. ` '
-- ----- ---------- -- - - - ---- - -- ---------- - -- -- - ------- ----- -- - - -------------- --------- ------- -- ----
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 License No.: 878533 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
CCJe / /J issued.
Date-.7— , Contractor:! E6_v 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
OW R-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 INS CO OF WEST Policy Number WVE502266101
following reason(Sec.7031.5,Business and Professions Code: Any city or county that requires a permit to _ 1 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 become 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 Code,I shall fort ' t comply with those provisions.
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).: Date:M 1 Applicant:
(_) 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(5100,000). 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 I,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,
1_) I am exempt under Sec. B.&P.C.for this reason 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.
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 county to enter upon the above-mentioned property for inspection urposes.
Lender's Name: , Lk r
vte:i 5 1`j Signature(Applicant or Agent<
Lender's Address:
LQPERMIT
Application Number . . . . . 14-00000540
Permit MECHANICAL 2013
Additional desc .
Permit Fee . . . . 35.75 Plan Check Fee .00
Issue Date . . . . Valuation . . . 0
Expiration Date 10/28/14
Qty Unit Charge Per Extension
1.00 35.7500 EA MECH CONDENSER/COMP 35.75
----------------------------------------------------------------------------
Special Notes and Comments
HVAC CHANGE OUT - 14SEER CONDENSOR [2008
ENERGY] CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES
----------------------------------------------------------------------------
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
LQPEPMrr -
Simplified Prescriptive Certificate of Compliance:2008 Residential HVACAlterations CF-IR-ALT-HVAC
Climate Zones 10 to 15
1'
SlleAddress:79768 Arnold Palmer Dr
Enforcement Agency:Clty-0fLQ Dare:5-1—1 r1 Permit N:
Conditioned Floor
Equipment T t List Minimum Eflicienc Z Duct insulation requirement Area Thermostat
Packaged Unit Over 40 n of ducts added or 0 Setback
Furnace ❑AFUE El cop re Iaced in unconditioned space Served by system (lfnotolready
Indoor Coil MSEER1W ®HSPF_ �R 6 (CZ 10-13) 800 sf present.m rat be
x CondensingUnit EER Resistance R 8 (CZ 14-15) installed
Other
1.Equipment Type:Choose the equipment being installed;if more than one system,use another CF-1 R-ALT-HVAC for each system.
2.Minimum Equipment Ef clencles: 13 SEED 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 CF4R forms(no hand filled CF4Rs allowed)are filled out and
signed. Beginning October 1,2010,a registered copy of the CF-1R and CF-611 shall also be on site for final Inspection.
El 1.HVAC Cbangeout Required Forms:
• All HVAC Equipment replaced CF-6R Corms: MECH-04,MECH-2I-HERS and(for split systems)MECH-25-HERS
CF-0R forms: MECH-21 and fors lit stems MECH-25
• Condenser Coil and/or CF-6R forms: MECH-2I-HERS and(for split systems)MECH-25-HERS
• Indoor Coil and/or CF411 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
8 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
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:(all new ducting an
j all CF4R 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 Replacement Required Forms:
• Includes replacing or installing all new ducting CF-6R forms: MECH-04,MECH-20-HERS,and(for split systems)MECH-25-HERS
and/or outdoor condensing unit and/or indoor CF4R forms:MECH-20 and(for split systems)MECH-25
coil and/or furnace. Not all 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 Re uired Forms:
• Includes adding or replacing more than 40 CF-611 forms: MECH-04,MECH-2I-HERS CF411 forms: MECH-21
linear feet of duct in unconditioned space.
For split stem 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)
• l 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 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 lays and specifications submitted to the enforcement agency for approval with the permit atiWication.
Name:Jane Recktenwald ISignature:
°mp°nyVenvest Ballard Inc. DBA Rightime Air 1111'1:5-1-2014
Address:3030 Myers St Ltcense:878533
171ty7/stateairRiverside, CA 92503 Phone:951-276-9744
2008 Residential Compliance Forms July 2010
Din# City Of La Quin to J
Building U Safety Division
Pemllt 0 P.O.Box 1504,76•495 Calle Tampico
La.Quinta,CA 92253-•(760) 777-7012 I
f Building Nrmlt•Applicatlon and Tracking Sheet
Project Address: Ay-nd�A &,—\Men- Vue, tk ,-6�—^A
A.P.NumbeAddr=: 70A
Legal Description: w City,ST,zip: Lo—Qw ' �
Contractor, l , l'cicphonc:l luC '1 }� +
Address: t Project Description:
City,ST,zip:f-�\v l
,
Tcle Ito c: of i' t;. ,� l4tcsrr
Siatc l.ic.11: City
Atch.,Eng.,Designer. t1
Address:
City,ST.Zip:
I sl
i
Telephone: µ �• ,� Construction Type: Occupanry:
�:.
State Lic.4: '�' a" Project type circle one New Add'n Alter Ite air Demo
Name of Contact Person: �)(y�� ex—L-{. Sq.Ft.; I)Stories: t�11.�Units:
Telephone i!of ContactPerson:""(l�{ ; lrje Estimated Value of Prujcct:
APPLICANT:DO NOT WRITE BELOW THIS LINE
9 Submittal Rcq'd Ttcc'd TRACIUNC l'liRi41[Tbkk$
Plan Scls t'lan Cbedt submitted Item Amount
Structurat Cala. Revtewtd,ready for corrections Plan Cited.Deposit
Truss Cala. Called Contact Person Plan Clrcek Balance,
Title 24 Cala. Now picked up Corutruction '
Flood pisin plan flans resubmitted Alccn2riical
G'mding plan 2"Review,ready for correeQonslissut Electrical
Subcontador List Called Contact Person Pluntblug
Grant Deed d'luns picked up SALT,
II.OA..Approval Maus resubmitted Grading
IN IMIZE:- 'a Revlew,ready for cnrmctl wAssue Developer Dupaet Fee
I'lanning Approval Called Conl2et Person A.I.P.P.
Pub.Wks.Appr Date of perntlt Issue
School Fees
111121 Permit Feet
I IIIIIII VIII III VIII IIII 45
T4htIE ID4510
P.O. BOX 1504
Building 78-768 Arnold Palmer 78-105 CALLE ESTADO
Address LA QUINTA,CALIFORNIA 92253
Owner Sunri xe CoWny
BUILDING: TYPE CONST. OCC.GRP.
Mailing
Address 75--005 Country Club Drive A.P. Number PC,A West -- The Fairways
CityZip Tel.
Palm Desert 92260 568-2828 Legal Description
Contractor National Mortgage Project Description Plan !r2Ar
Address
aha
City Zip Tel.
State Lic. � � � City
&Classif. Lic.# 398 Sq.Ft. 2645 No. No. Dw.
Arch.,Engr., Size 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)t.of Division 3 of the Business and Professions Code,and my license is in full force and
effec
SIGNATURE DATE
OWNER-BUILDER DECLARATION Estimated Valuation fitep n
I hereby affirm that I am exempt from the Contractor's License Law for the following v i 7 Q QZ
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, alter, Improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT AMOUNT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or thathe 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 the applicant to a civil penalty of not more than five hundred dollars(E500). Plan Chk. Bal. a 5 fi Q
❑I,as owner of the property,or my employees with wages as their sole compensation,will r
do the work,and the structure is not intended or offered for sale.(Sec. 7044,Buisness and Const. i7�0 5fl
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees, Mech. •h A
provided that such Improvements are not intended or offered for sale. If, however, the building " Q�l
or Improvement is sold within one year of completion, the owner-builder will have the burden Electrical C 1
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 114.00
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law 13.37 does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I. 1 3.3 7
such projects with a contractor(s)licensed pursuant to the Contractor's License Law.)
Grading
❑1 am exempt under Sec. B.&P.C.for this reason
Driveway Enc.
Date Owner Infrastructure $4o275.05
WORKERS'COMPENSATION DECLARATION Not Zntrastruc tore 2,137.53
1 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 r t7U•i31 i' ( r f
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS'COMPENSATION INSURANCE ;CAM _ �a �s�c nt7 n
(This section need not be completed if the permit Is for one hundred dollars ($100) valuation to)M I;CAM 11'VWAIIJ-yEl 11:36N.vt to
or less.)
I certify that in the performance of the work for which this permit is issued,I shall not
employ any pparson 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
This is a building permit when properly filled out,signed and validated,and is subject to FINAL DATE INSPECOR
expiration if work thereunder is suspended for 180 days. B/16788
1 certify that I have read this application and state that the above information is correct. Issued by: Date Permit
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-
mentioned property for inspection purposes. Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
WHITE-FINANCE,PINK-APPLICANT,GREEN-BUILDING,GOLDENROD-ASSESSOR'S OFFICE,HARD COPY-FILE
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
ISI FL SO F1 (a $ UNITS
YARD SPKLR SYSTEM
2ND FL. SO FT.a
POR SO FT at MOBILEHOME SVC. BAR SINK
GAR SO.FT. POWER OUTLET ROOF DRAINS
DRAINAGE PIPING
CAR P. SO FT.a
WALL SO.FT.@ DRINKING FOUNTAIN
SO.FT.(ff
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.COOL HOOD SIGN WASHER(AUTONDISH)
APPLIANCE DRYER GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY
AIR HANDLING UNIT CFM IKITCHEN SINK
ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET
COMPRESSOR HP POLE,TEM/PERM LAVATORY
HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER
BOILER B.T.U. SO.FT.®c BATH TUB
SO.FT.®c WATER HEATER
MAX.HEATER OUTPUT.B.T.U. SO.FT.RESID g 1v.c SEWAGE DISPOSAL
SO.FT.GAR I& 3i c HOUSE SEWER
GAS PIPING
PERMIT FEE PERMIT FEE PERMIT FEE
DBL TOTAL FEES MICRO FEE MECH.FEE FPL.CK.FEE CONST.FEE ELECT.FEE SMI FEE PLUMB FEE
STRUCTURE PLUMBING ELECTRICAL HEATING 8 AIR COND. SOLAR
SETBACK GROUND PLUMBING UNDERGROUND A.C.UNIT COLL.AREA
SLAB GRADE ROUGH PLUMB BONDING HEATING(ROUGH) STORAGE TANK
FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE
FOUND.REINF. GAS(ROUGH) METER LOOP HEATING(FINAL) OTHER APP.IEOUIP.
REINF.STEEL GAS(FINAL) TEMP.POLE
GROUT WATER HEATER SERVICE FINAL INSP.
BOND BEAM WATER SYSTEM
GRADING
LUMBER GR. FINAL INSP. CU.y0.
FRAMING FINAL INSP. _ $ plus z$ -$
ROOFING REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR,
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESlINITIALS
GARDEN WALL FINAL