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13-1355 (MECH)79770 Arnold Palmer IIIIIIIIVIIIIIIVIIIIIII 46 P.O. BOX 1504 IE_ VOICE(760)777-7012 78-495 CALLE TAMPICO 4FAX (760)777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS (760)777-7153 BUILDING PERMIT 4A Date: 10/23/13 Application Number: 13-00001355 Owner: Property Address: .79770 ARNOLD PALMER DAVE CLARKE APN: 775-241-034- - - 79770 ARNOLD PALMER lip Application description: MECHANICAL LA QUINTA, CA 92253Property Zoning: LOW DENSITY RESIDENTIAL (760)619-3658 Application valuation: 18560 Contractor:Applicant: Architect or Engineer: HYDES42949 MADIO STREET INDIO, CA 92201 (760)360-2202 + Lic. No. : 906115 ------ --- -------- -- --- - - ---- ---- ----- - --- --- ---- --- -- --- - -- -- - ----- - --- ---- - - ----- --- ---- ----- --- 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 Prof sionaI 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 C36 'e se No.: 906115 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is !yissued. Date: V Contractor:, _ 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 NORGUARD INS Policy Number CEWC468841 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 becomesubject a 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 s _to ompl rth those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by 4ll._Z3 r3 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 155001.: DatC/ Lv/ Applicant: (_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 Cade: 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, (_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. 1 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,anVerebyfibeffion repr entatives of this cpun y taente poon the above-mentioned property for inspec' se 11-11 Lender's Name: I z 7 n Date: Signature(Applicant or Agent): Lender's Address: (1\ LQPERMIT Application Number . . . . . 13-00001355 Permit . . . MECHANICAL 2013 Additional desc . Permit Fee . . . . 83 .42 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/21/14 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 HVAC CHANGE OUT - (2) 13SEER/78AFUE SYSTEMS [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2010 CALIFORNIA BUILDING CODES. ------------------------------------------- -------------------------------- Other Fees . . . . . . . . . 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 143 .00 .00 .00 143 .00 Grand Total 226.42 .00 .00 226.42 LQPEnlYr Bin# , City of La Quinta Budding 8[Safety Division Permit.l P.O. Box 1504, 78-495 Cage Tampico / La Quinta, CA 92253- (760) 777-7012 22• (/9-'3 Building Permit Application and Tracking Sheet , Project Address:' ��76 A P-d✓14 Q Owner's Name s✓'� G r�� A.P.Number. Address: -711 --770 r G cr pj p o- Legal Description. City,ST,Zip: L. (✓ v (--j ZZ�S3 Contractor ev tj t'l d C01414-4. s A Telephone: Address: LY 2 1 1'1� / l c ftOJ > Pti � Li �/ ,t. (�t'•�a City,ST,Zip: CfZZ d Telephone 6G7 State Lie.#: q V'c, J. city Lia#: Z Ami-,Engr.,Designer. Address: City,ST,Zip: Telephone: Construction Type: Occupancy.: State Lia#: Project type(circle one): New Add'n Alter RepairDemo Name of contact Person: Sq.Ft: #Stories: #Units: Telephone#of Contact Person:. Estimated Value of Project: / S APPUCANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Ree.'d TRAC WG PEEP FEES Plan Sets Plan Check submitted Item Amount Structural Cala. Reviewed,ready for eorrettious Plan Check Deposit Truss Cafes. Called Contact Puson Pian Check Balance Enemy Calcs. Plans picked up Construction Flood plain plan Pians resubmitted Mechanical Gradin&plaw T`Review,ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked rip S.IVLL H.O.A.Approval Plans resubmitted Grading INHOUSE:- '`'Review,ready for eorrectionsrusae Developer-Impact Fee Plannio Approval Called Contact Person pyp,P; Pub.Wks.Appr Date of permit issue School Fees Total Permit Fees - i L Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC Climate Zones 10- 15 Site Address: Enforcement Agency: Date: Permit#: 79-770 Arnold Palmer(2) La Quinta, CA 92253 City of La Quinta I Oct 21, 2013 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑Package Unit ®Furnace ®AFUE 78% ❑COP ®Setback [3R 6(CZ 10-13) Served by system If not already present, must be ®Indoor Coil ®SEER 13.0 ❑HSPF ❑R 8(CZ 14-15) 1600 sf installed) ®Condensing Unit ❑EER ❑Resistance ❑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-1R and CF-6R 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 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 leakagetesting f .b 1.Duct system was documented to have been previously sealed and confirmed through HERS verification, or E32. Duct systems with less than40 linear feet in unconditioned space, or [33. Existing duct systems are constructed, insulated or sealed with asbestos ❑4. Thessystem;.will not be DucEed (ieDuctless,Mini Split System) (Also Exempt from Refrigerant Charge) ❑2. New HVACSystem Required Forms ,,_ .Cut in[or Changeout with",.z- t CF 6R forms MECH-04, MECH 20 HERS, and (for split systems) MECH 22 HERS, and new ducts `.(all new MECH 25pHERS ducting and all new CF 4R forms MECH 2 (0, and fors ht s st eems MECH 22, and MECH 25 t s equipmnt): . ,r / <.. ,:. r~- y For Split Systems Duct leakage < 6:-p ercent, RC, CCA'>-350 CFM/tong-FWD,TMAH, STMS;and eifhe�HSPP"or`PSPP For Packaged Umts: Duct leakage< 6 percent °.. ❑3. New_:Ducts with/or wdhout„z°:,. Required Forms: , Replacement ” .Includes replacing of 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-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 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: Mark Hyde Signature: Mark Hyde Company: CERTIFIED COMFORT SYSTEMS INC Date: Oct 21, 2013 Address: 42-949 MADIO STREET License: 906115 City/State/Zip: INDIO/CA/92201 Phone: (760) 360-2202 Reg: 213-A0079595A-000000000-0000 Registration Date/Time: 2013/10/21 14:09:10 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 i' Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC Climate Zones 10- 15 Site Address: Enforcement Agency: Date: Permit#: 79-770 Arnold Palmer La Quinta, CA 92253 City of La Quinta Oct 21, 2013 Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat ❑Package Unit ®Furnace ®AFUE 78% ❑COP ❑R 6(CZ 10-13) Served by system ®Setback ®Indoor Coil ®SEER 13.0 ❑HSPF ❑R g(CZ 14-15) 1600 sf If not already present, must be ®Condensing Unit ❑EER ❑Resistance installed) ❑Other 1.Equipment Type:Choose the equipment being installed;if more than one system,use another CF-ZR-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-411 forms(no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010,a registered copy of the CF-1111 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 testirg,E>. ❑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'(ieR Ductless�Mini Split System) (Also Exempt from,Refngerant.-Chi rge) ❑2. New HVAC S Stem Required Forms . ,, ,. .Cut inror,CFiangeout wh,'CF 6R forms`MECH-04, MECH 2OHERSand'(fo split systems) MEC new HERS, and new ducts (all new x x .,� ducting aril all new MECH 25yHER5 _ k � E . GF 4R forms MECH-20, and (for split systems),MECH 22, and MECH 25 f' equipment):: s �..+ tw� For Spirt Systems Duct'leaka e�z 6 ercent,`sRC;CCA > 350 CFM/ton,`FWD;�TMAH, SIMS, and.either'WSPP"oe'PSPP. g p .: .... For Packaged Uriits: Duct leakage;;;<;<6percent?.> : ~~ ❑3. New,,Ducts` ith/or without`;;;?-- Required Forms: Replacerren •Includes replacing or installing all;new ducting and/or outdoor conciensi.i g:unit CF-611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furno'.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 ❑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: Mark Hyde Signature: Mark Hyde Company: CERTIFIED COMFORT SYSTEMS INC Date: Oct 21, 2013 Address: 42-949 MADIO STREET License: 906115 City/State/Zip: INDIO/CA/92201 Phone: (760) 360-2202 Reg: 213-A0079593A-000000000-0000 Registration Date/Time: 2013/10/21 14:07:49 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010