10-0802 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
10-00000802
Property Address:
` 52452 AVENIDA MONTEZUMA
APN:
773-241-029-18 -000000-
Application description:
MECHANICAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
7575
Applican
X4��V
T4ht 4 -4 Q"
Architect o�r En/gin
/ v
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
AGUAYO DANIEL
52452 AVENIDA MONTEZUMA
LA QUINTA, CA -922S3-
(760)771-0262
tQqL.
ractor:
ER AIR CONDITIONING & HTG
a 2 1'10'0 . BOX 1636
HEDRAL CITY, CA 92235
ClnroFwc�ii�rA" 0)324-0550
No.: 489046
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busine and Professionals Code, and my Lic�ce�un force and effect.
License Cass: C20 001,cense J046
i
Date: y' Contras or:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
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).:
(_ 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
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
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 of proving that he or she did not build or
improve for the purpose of sale.).
1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the, project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
1 _ I I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/25/10
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
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
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 1891568-2009
_ 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,
nd agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor C p,, I shall forth nh c mply with those provisions.
Date:W1Aq 9 1A11 V4-1'4
Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, irideirinify 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.
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
permit to cancellation.
I certify that I h ve read this application and state that the ve in rm�her
oto comply with all
city and unty rdinances and state laws relating to buil ng cons corize representatives
of thi tgrater upon the above-mentioned prop y f e i
Date: (/ Signature (Applicant or Agent):
Application Number . . . . . 10-00000802
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . . . 33.00 Plan Check Fee
8.25
Issue Date . . . . Valuation . . .
. 0
Expiration Date 2/21/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 9.0000 EA MECH FURNACE <=100K
9.00
1.00 9.0000 EA MECH B/C <=3HP/100K BTU
9.00
----------------------------------------------------------------------------
Special Notes and Comments
REPLACE EXISTING SYSTEM WITH 5 TON 14
SEER PACKAGE HEATING AND AIR
CONDITIONING SAME FOR SAME 2007 CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
------------------------------
Due
---------------------------
Permit Fee Total 33.00 .00 .00
33.00
Plan Check Total 8.25 .00 .00
8.25
Other Fee Total 1.00 .00 .00
1.00
Grand Total 42.25 .00 .00
42.25
LQPERMIT
( Simplified Prescriptive Certificate of Compliance: 2008 ResidentialHVACAIterations CF-lR 4LT HVAC
Climate Zones 10 to 15
2008 Residential Compliance Forms March 2010
Site Address: Il -4 f LPermit
Enforcement Agency:
Date:
� tr c�
#:
EquipmentedT
List Minimum Efficient
Duct insulation requirement
Conditioned Floor
Area
Thermostat
Packaged Unit
a
® Furnace
MAFUE VO ® cop
Over 40 ft of ducts added or
r�Setback
Indoor Coil
Condensing Unit
SEER_ ® HSPF
EER j�L, ®Resistance
replaced in unconditioned space
R 6 (CZ 10-13)
Served by system
l �(h� s
(%f not already
present, must be
_
Other
R 8 (CZ 14-15)
installed)
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF-IR-ALT-HYACfor 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 CF4R forms (no hand filled CF4Rs allowed) are filled out and
si ed. Beginning October 1, 2010, a registered copy of the CF -1R and CF -6R shall also be on site for final inspection.
HVAC Changeout
Required Forms:
• All HVAC Equipment replaced
CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS
CF -4R forms: MECH- 21 and fors lit stems MECH-25
• Condenser Coil and/or
• Indoor Coil and /or
CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS
•• Furnace
CF -4R forms: MECH- 21 and (for split systems) MECH-25
For Split Systems: Duct leakage < 15 percent; RC, CCA > 300 CFM/ton(Minimum Air Flow Requitement), TMAH
For Packaged Units: Duct leakage < 15 percent
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 ducts stems are constructed, insulated or sealed with asbestos
E3 2. New HVAC System Required Forms:
• Cut in or Changeout with new CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS
ducts: (all new ducting and all
CF -4R 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 CFAR 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
Required Forms:
• Includes adding or replacing more than 40
linear feet of duct in unconditioned s ace.
CF -6R forms: MECH-04, MECH-2I-HERS CF4R forms: MECH-21
For splits stem or packaged units: Duct leakage < 15 percent
EXCEPTION: Existing ducts stems 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 d men don other applicable compliance forms, worksheets,
calculations
plans andspecifications submitted to the enforcement a en forapproval with the it c oor
Name:
DAVID WILLIAMS
Signature:
Company:ESSER SERVICES INC.
Date:
Address:
P.O. BOX 1636
License:
489046
City/State/Zip: CATHEDRAL CITYrCA. 92235
Phone:760 124 nrign
2008 Residential Compliance Forms March 2010
Bin #
QW of La Quinta
Building 8z Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253.(7601777-7012
Building Permit Application and Tracking Sheet
Permit #
Q
ProjectAddress: f A,y S2 AcF, Mo�UT„Zvrt,¢
Owner's Name:—>40 t 6L— 9VAJV
A. P. Number.
Address: FA 161— AV 1401I++��f4�2 J rtA-
Legal Description:
City, ST, Zip: (+ QJtv'rit C./ -- c7Z t Z 3
Contractor: .F S c !� FlLV i C Es //�/ C.
Telephone: -7,/,&,
Address: P o. 15 Co'x
Project Description:
City, ST, Zip: CAJ'9" RA of t T y C'fl. cl z Z:3 5 -
Telephone:
Telephone: Xo • 3 2 tt.0 h S O
State Lic. # : $ O y 6 City Lic. #;
Arch., Engr., Designer.
�l a I.- 1�#09117O0d 4 SYj lt7 w( Oct r"
Address:
City., ST, Zip:
Telephone:
v>
Construction Type: Occupancy:
State Lic. #: ......li'
Name of Contact Person: DAV t D W 6 t-t-11�M5
ProJs ripe one): New Add'n Alt= Repair Demo
Sq. FL:Stories:
u Units:
Telephone # of Contact Person: 76 cP-'J 2 y'. e 5,570
Estimated Value of Project: , S
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Chale submitted
Item
Amount
Structural Cala.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correctioneissue
Electrical
Subcoutaetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked op
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for corrections/issue
Devdoper Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF FIELD VERMCATION, & DIAGNOSTIC TESnNG (Page I of 8) Um4k
1
52452 Avanjda ftnatazurriaij- La Qulnta; CA 92253 ESSER SERVICES INC / 489046
A OW, AdWeS 3 chnintaw M—wrtp Uceire No,
David BIO -802
contip cragC—anrac_t Verlep Mail e X0, -P. I rt t*7
WilliamiArvine 160-772.2954 168233
MRS Ho
S0.1111tentbe3 2, 2010 CC14-179135,011819
C& Wri 00 N I W.'a tu re -WrIc WMI069 NUMDer
lrieva: RCT Testing MERS hovilder: CalCERTS, Ine-
Strect Address-, P0Sox. 125-3 City/.5tatelZip! Pial—m CA I 922.6 1
COPies t(j! Homeowner, N ERS Provid cir and f3ul ld!U Department
I h� (.k -A R, Nis beezi ;egistered with the CaICERTS% registry M. ArCos-afire with the Tifie 24 Iritte 20 Qf U.M.- CCFF--
CitICERISO Is an aoarvved HERS pffividfr by ittic, California Energy Commission.
HERS RATER COMPLIAN-M-WAYOW37--
ITie howe mmuJZ Tcs.-edDAippro,-ed as part of sam*tiny, tout wWwttested.
AS the tiERS rater firwoidbip iliNivistit %.estirkg and firld wrtilrofflor�, I cect!IV that Me home idenlified vin this farm conviles sit% the
&ailirmle tested-mrwhan4e rrlrolmriimts -)s checked , OT1 MIS (bri'vi, The HERS rater must chrck Ono verity ttkit the nevi disiribeitiom s"tem
i* fiffly rdkrApd -,N correct twe ii used before a CFAP (nav- he releaseci an c. jcy� bested 1BUSI'ding. The HMS rift& Meet ript jTI m. h
CF -4k until it preVerly canpletied;signorid signCF,-*R has Nen, receive -o ror the s aftyile and tested buildings -
IT -A ll Vie installer has provkjo 117P of the U-6ik (Installmion Certiricate).
Rk-w Distr0kition
syrtcrn is rally, domed (i.e., does not use, building c2vitues. 4r; plwr=4 or platforin fez mis ir, lieu 61 dLkt.%)-
Akrw symenis whegia ckith ha&f,.A, rubber adhesiye &&t tape Is in_W41*0, V11051]k OfId dfat-Am6-4 -fife tied in e-oxibinawn, with clih
bodied, rUbtNw u&esive damt tape to romi jtsiko- .pt ifqjrt rrimections.
L�nz.MUM REQUIREME"TS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT_
NEW CONSTRUCTION
Dad FresvurizaWn Te, -;t ReWlt,% (CFM ED 7-5 Pa)
Measitired
LCa'Q§Q
WA
F,,.n Fli7i.-.' Q11CUlated (Maininall 0- cxa*ng 0 Heatirrof or o*aswed
Briter TOWI FWi FIOW in CM
771 r US M nill W. rn� I e P.rdPr�i
7,r)00
talo_
AtTeRATIONS: Duet System and/or HVAC 1114W.Phrient Change -Out
Enter TeMed _pvL—Trst&Vx1F,_;t1aq, rlgt Sy5l:Crn Mot taoLia
41
Sye..ern AtL4--tion andf-ar Equipment Change -but.
FIqw in CFM. FM Tri Ur New Duct 5VAern IF Altered Duct SvAerv, I&
Dut Wcann, Altevation anit'ver EcitliprinieftE chaflae-out"
2Ss
Eater Red uui6ri in Leakage fur Aftered DuQGv:Akf31
[brie -1 - Line 51 - (Only if Apfilirable)
7 Eater Tested Leg"Ke Fltlw in. CFM to MitsWl, (Mly it Appricable)
a Enlirr Nva Duct System - Pam if unkage < 0% ( 100 x (L6P 1 il.fric
Spass DFair
tTEST OR VERIFICATION STANDARDS: For.AlMired-Duct System and/or HVAC
IEquipment Change -Out, use ane of the following four Test or Vem-fication
Standard-9 for compliance -
9
kas��S� d Aeakage PketCemage 155 [ 100 9 ( die 5 / Urre 2
1217D%
9pass 'El Fail
315
"ss,V Wokage ta Quiside Perventage L(j% ( A10 x ( Ime 7 / Line 2 )j:
❑ Pat, 0 fail
t
_'
Vass 4 Leakage rqotictnon t"9Z WXT I
Ferc�_n 09 -xi t.1rqGjLine _4)ji
andVerificailuit, by Sfivice T* --A and %frswil inspection
[loam D Vail
3 2
POP, dScoWig qf all Accessible;L--alos; and Verifieuiun by Smuke Test mild %fisual Inspedfion
Pass F,
Pass Iff one at dines as through all pass
El Pass 0
CERTMCATS OF FTS.LD VEWFICATIECIN & 01-AO44,OSTIC YES-nmG (,pqaOA, � 4 of 8)
U CA 02253 Mrik SeRvi-LCES Inc "g"S
� 7 T SR F-
batoid vFlo="2
C040*0ze x;;9ximsow
76,0�472-2954 168=
NAM
A
r
rgxmr c�yq -a
SCE TesUng. MEAS14oM -Cz2CEgV
Inc,
if t Address: rdwaxr M elly/Stortizip-, Palm ve;91261
C0005 M: Homeowner, NUIRS Provider
CBICFRTstl)!is ali
I hohouse Was Te,-tgd OAPWPVP-d as part of SamPlip tasting. ibut was not te-ned.
M. 9ft MERS M�Jjf P-fQMW im, tl�-m form amoks ate
dj#oFVUM
-6*posft 1p-STO CORCOM13M
otmoft mt =owmjkj& NJ MW ot C* 0 _U
tME"OSTATIC F . VALVE (TXV).
AOMSS iS powkind tat Vloqe=m• -tine Wowd%" shO oxzi5' , cf'ttpW verUkzljm thaf.U* TV',IS &mt!ftd
on,the systam and kisatstion d spew- toutpmr.-M stA: he wrVic-& 11
CE 1=3 CD 4rEStIF7i d1f*B . 97A �fU C? N 4Pa;�E S Of $p CF -4R
5Z4 r2 A+ren1da Hcnatmr, =irk gubmi, €A 92253 ESSER SMWC> :ii .499046
- _ f
a
mAd- 5104M
MOM r"Eme T-60-77262934, '163M
P1; lresxa . G�E>'PGaf .3rw-
Uoift to. k omoororneff, HERS Pir' Adlu-and BUTIdIng Departmeii$
)tEii: 71�:Yi Elis a `ii weir#tis S ey(' r i :ft o M . 'e WI Me To 2� �'�i 3a 20'W
C&IChRT5QD Is an anwovedM' .mv0der Iry the Q forma Enerim Goffirgtsion.
Th v (aU3e, was MA Tc-rm i! U, 4pptovcd 119 P3tT of s arriou vmstitig, but vols Dw tinted,
a� the 1+fGItS �rnr Rrok -..q diagivisoc tewtiFiq dl o dirlic'. %mriiicition, [ curtir'p th a ihri ON Ilii m E3Wilr"e wAll. the
dloi(�r@ IsS l?i,e(t L-0( f Iii l9Ce Pei�uirC-rri&ILas mi trir„I;e l ori this (vriiro i
M '(fie ivaijille.r htr3 lNovided a cppir of l;iG CI 5R d.l i9tallntfun Gcrtii_ . itP►,
M1410" QTR AYR CON 0MONER:
rR 'iieJt:Y�9S ' WeKr 9 iv. am eraiW* 77937. A=eod& fM
tE .
ti;s �. : , . �fUK is bft9 to &AMW ci