14-0496 (MECH) y I IIIIIII VIII III VIII IIII 04C&hf4 4
P.O. BOX 1504 IE f VOICE(760) 777-7012
78495 CALLE TAMPICO FAX(760)777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS(760) 777-7153
BUILDING PERMIT
Date: 4/24/14
Application Number: 14-00000496 Owner:
Property Address: 79470 AZAHAR MILO BELL
APN: 772-340-002- - - 79470 AZAHAR
Application description: MECHANICALi D QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL l 1760)564-1713
Application valuation: 27296 f
�
��°R 4 `��j, ►,
111111Contractor:
Applicant: Architect or Engineer. ( ESERT AIR CONDITIONING, INC.
,E DFPf rr 90 WILLIAMS ROAD
rPALM SPRINGS, CA 92264
(760)323-3383
Lic. No. : 276586
- - - - ---- ---------- - ----- --- --- - --- --- ------ - -------------- --------- - ---------------- ----- -- ---- --=
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 an rofessionals Code,an y 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-C43 License N 76586 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
issued.
Date 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 CYPRESS INS CO Policy Number 3300065410131
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 beco a subject to the wort s'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 II forthwith comply rose 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 Applicant:
(_1 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($100,0001. 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 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 ProfessionsCode: 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 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
vvork for which this permit is issued(Sec.3097,Civ.C.). city and county ordinances and state laws relating to building construction,and her y authorize representatives
t of this county to enter upon the above-mentioned propert inspection purpose
Lender's Name: -
Date:V--?Y Signature(Applicant or Agent)
Lender's Address: ,
LQPERMIT
Application Number . . . . . 14-00000496
Permit MECHANICAL 2013
Additional desc .
Permit Fee . . . . 166.84 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date 10/21/14•
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
REPLACE (2)HVAC COIL CONDENSING UNIT 78%
13 SEER 3 TON GROUND UNIT 2013 CMC.2008
ENERGY] CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION.
-----------------------------------------------------------------------------
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
B14#
i City Of La Quintd
Building 8r Safety Division
Permlt# P.O.Box 1504,78-495 Calle Tampico
La.Quinta,CA 92253-(760)777-7012
Building Permit Application and Tracking Sheet
Project Address:79470 AZAHAR
Owner's Name:MILO BELL
A.P.Number. Address: 79470 AZAHAR
Legal Description: City,ST,Zip: LA QUINTA,CA 92253
Contractor. Desert Air Conditioning; Inca Telephone: 760-564-1713
Address: 590 Williams Rd. Project Description: replace(2)3 ton split systems on ground .
City,ST,Zip: palm Springs, CA 92264. like for like
Telephone:760-323-3383 t
State Lia#: 276586 City Lie.N; 363
Arch.,Fag.,Designer. N/A
j Address:
City,ST,Zip,
Telephone: Construction Type: . Occupancy:
I State Lic.#: Project type(circle one): New Add'n Alter Repair Demo
Name of Contact Person: Keri Skov Sq.Ft: #Stories. #Units:
j
Telephone#of Contact Person: 760-323-3383 Estimated Value of project: $27,296.00.
I
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Submittal Recta Recd TRACKIIVG PERMIT FEES
d Plan Sete Plan Cheek submitted. Item Amount
Structural Calm Reviewed,ready for corrections Plan Check Deposit. .
Truss Calcs. Called Contact Person Plan Check Balance_
Title 24 Calcs. Plans picked up Construction
Flood plain plan Plans resubmitted. . Muhariieal
Grading plan V Review,ready for correctionsliimue Electrical
Snbeontactor List Called Contact Person Plumbing
Grant Deed Plans picked up S.M.L
HOA Approval Plans resubmitted
Grading
IN HUUSE*� ''"Review;ready for corrections/issue Developer Impact Fee
Planning Approval. Called Contact Person
Pub.Wks.Appr Date of permit issue
school Fees
Total Permit Fees
Simplified,Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-1R-ALT-1HVAC
Climate Zones 10- 15
Site Address: Enforcement Agency: Date: Permit#:
79-470 AZAHAR 1 OF 2 La Quinta, CA 92253 City of La Quinta Apr 11, 2014
Duct insulation Conditioned Floor
Equipment Typel List Minimum Efficiency2 requirement Area Thermostat
❑Package Unit
®Furnace ®AFUE 78% ❑COP13 R 6(CZ 10-13) Served by system ®Setback
®Indoor Coil ®SEER 13.0 [3HSPF If not already present, must be
®Condensing Unit ❑EER ❑Resistance ❑R 8(CZ 14-15) 1200 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-111
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-411 forms: MECH-21 and (for split systems) MECH-25
.Condenser Coil and/or CF-6R 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 inc Cti n ' with CF-6R forms:,MECH-04,'MECH-20-HERS, and (for split systems) MECH-22-HERS, and
new ducts: (allall new' MECH-25-HERS
ducting and all new CF-4R forms: MECH-20, and (for split systems) MECH-22,and MECH 25
equipment) f
For Split Systems: Duct leakage.< 6 percent; RC, CCA >_ 350 CFM/ton, FWD,TMAH,"SIMS, 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
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 .
❑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: Keri Skov Signature: Keri Skov
Company: DESERT AIR CONDITIONING INC Date: Apr 11, 2014
Address: 590 WILLIAMS ROAD License: 276586
City/State/Zip: PALM SPRINGS/CA/92264 Phone: (760) 323-3383
Reg: 214-AO02495OA-000000000-0000 Registration Date/Time: 2014/04/11 12:14:06 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#:
79-470 AZAHAR 2 OF 2 La Quinta, CA 92253 City of La Quinta Apr 11, 2014
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 If not already present, must be
10 Condensing Unit ❑EER ❑Resistance ❑R 8(CZ 14-15) 1200 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-041 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-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
.Indoor Coil and/or CF-411 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
[13. 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 ,
equipment) r'xJ,CF-4R forms: MECH-20, and (for split systems).MECH-22,,and MECH-25" !�
For Split Systems: Duct leakage+,< 61percent; RC, CCA >_ 350 CFM/ton; FWD, TMAH,'.STMS, and either HSPP or PSPP.
For Packaged Uniis"Duct leakage!< 6 percent-' F9.
❑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-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: Keri Skov Signature: Keri Skov
Company: DESERT AIR CONDITIONING INC Date: Apr 11, 2014
Address: 590 WILLIAMS ROAD License: 276586
City/State/Zip: PALM SPRINGS/CA/92264 Phone: (760) 323-3383
Reg: 214-A0024951A-000000000-0000 Registration Date/Time: 2014/04/11 12:15:27 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms July 2010