14-0309 (MECH) V I IIIIIII VIII III VIII(III 36 •
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: 3/25/14
Application Number:LLL14-00000309 Owner:
Property Address: .49802 AVILA DR JULES GOTLIEB
APN: 646-270-003- - - 49802 AVILA
Application description: MECHANICAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL (707)326-6667
Application valuation: 11000 '
Al, �
rE9J.:
Contractor:
f r
Appl' nt: Architect or ngi a r: FIRST CHOICE A/C & HEATING IN
v� 79747 CASSIA ST
(760)989-2369 QUINTA,
92253
LiC. No. : 968138
----- - -------------- ------ -- -------------- ------- ------ ------------- --------------------- ------ --
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: C20AM&i e No.: 968138 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
issued.
Date l ontra o: _ I have and will maintain workers'compensation insurance,as required by Section 3700 of the labor
i✓� 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 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, hwith y those Provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by - GI
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).: Dater` Applicant:
1_1 1,as owner of the property,or my employees with wages as their sole compensation,will do the work,and —v
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,
1_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 nter upon the above-mentionedproperty for' n puo e.
Lender's Name:
Date ignature(�-- (Applicant or Agentl:.._,�
Lender's Address:
LQPERMIT
Application Number . . . . . 14-00000309
Permit . . . MECHANICAL 2013
Additional desc .
Permit Fee 83.42 Plan Check Fee .00
Issue Date . . . . Valuation . . . 0
Expiration Date 9/21/14
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
REPLACE HVAC 5 TON 16 SEER COIL, AND
FURNACE 789. AFUE 2013 CMC.
March 25, 2014 9:34:24 AM pjuarez.
---------------------------------------=------------------------------------
Other Fees . . . .. . . . . . BLDG STDS ADMIN (SB1473) 1.00
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 144.00 .00 .00 144.00
Grand Total 227.42 .00 .00 227.42
LQPERMIT
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-11R-ALT-HVAC
Climate Zones 10- 15
Site Address: Enforcement A en
g cy: Date: Permit#:
49802 Avila La Quinta, CA 92253 City of La Quinta Mar 25, 2014
Duct insulation Conditioned Floor
Equipment Typei List Minimum Efficiency2 requirement Area Thermostat
❑Package Unit
®Furnace ®AFUE 78% ❑COP ®Setback
®Indoor Coil ®SEER 13.0 ❑HSPF ❑R 6(CZ 10-13) Served by system If not already present, must
®Condensing Unit ❑EER ❑Resistance ❑R 8 (CZ 14-15) 2000 sf be installed)
®Other > 40' Ducts
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-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-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
7
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 Chan eoutrwith _E'" .�+
g CF 6R forms !9ECH-04VMECHc20-HERS, and„(for split systems) MECH 45 2_
and
new ducts: all new V
( MECH Z5 5.7:
•`;
ducting all new . + <
CF 4R forms ;MECH-20 and (for split systems),MECH-22,and;MECH-25
equipment) it
For SplitSystems Ducteakag < 6Tpercent; RC, CCA _ 350 CFM/ton; FWD,TMAH;STMS, and either HSPP'or-.PSPP. , '' .'
For Packa ed Units• uct eaka a <'6 ercent +�
�_ _
❑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: Atila Both Signature: Atila Both
Company: FIRST CHOICE A/C&HEATING INC Date: Mar 25, 2014
Address: 79-747 CASSIA STREET License: 968138
City/State/Zip: LA QUINTA/CA/92253 Phone: (760) 989-2369
Reg: 214-A0020195A=000000000-0000 Registration Date/Time: 2014/03/25 12:05:44 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms July 2010
City.of La Quinta
Building 81'Safety Division
Permi # P.O. Box 1504, 78-495 Calle Tampico .
3�q La Quinta,CA 92253- (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 49i0o Owner's Name:
A.P.Number: Address: _
boa XvIa'.4
Legal Description: City,ST,Zip:
Contractor:
�. .
o . Tele hone: — r"
Address: 9. Project Description: l/Q e
City,ST,Zip: J�f• 922 s-zl 7_0A/
Telephone:
G
State Lic.#: City Lic.#:
Arch.,Engr.,Designer:
Address:
City.,ST,Zip:
Telephone:
Con trusttn TY
P
e: Occupancy:cY
•
rii?i: .....
State Lic.#: :
�iii'f.4i:!:K:i�•: ...........ii:il•;i.;
:. Project type(circle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq.Ft.: #Stories: #Units:
Telephone#,of Contact Person: Estimated Value of Project: /11000
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Recd TRACKING PERMIT FEES
Plan Sets Plan Check submitted Item Amount
Structural Calcs. 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 Mechanical 000
Grading plan god Review,ready for corrections/issue Electrical
Subcontactor List Called Contact Person Plumbing
Grant Deed Plans picked up S.M.I.
H.O.A.Approval Plans resubmitted Grading
IN HOUSE:- '^'Review,ready for corrections/issue Developer Impact Fee
Planning Approval Called Contact Person A.I.P.P.
Pub.Wks.Appr Date of permit issue
School Fees
Total Permit Fees