MECH (14-0831)51025 Mandarina
14-0831
. Ed - P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 14-00000831
Property Address: 51025 MANDARINA
APN: 772-210-016- -
Application description: MECHANICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 18150
'S.
Tay/
stP
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BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Appli Architect o er:
LICENSED CONTRACTOR'S'DECLARATION
I hereby affirm under penalty of perjury that II m licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business d Professionals We, and my License is in full force and effect.
^, License Class. C20 Li nse No.: 936600
J /Date: Contractor:
( J / 0 UILDER 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 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 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 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 •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
Owner:
BRADY DARYL G
51025 MANDARINA
LA QUINTA, CA 92253
(3 03) 902 - 5107
Contractor:
BARNETT'S A/C f r
51390 AVENIDA NAV 1F
LA QUINTA, CA 922 3f
(760)391-0350 r 1
Lic. No.: 9366001
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
--
2 Lr
clry OFe I _
Date: 6/11/14
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
r 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 EXEMPT Policy Number EXEMPT
_ 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 t ecome subject tot workers' compensation laws of California,
and agree that, if I should be o e subject to the orkers' compensation provisions of Section _
'1/ 3700 of the Labor Code, I s forthwith comp) with those provisions.
Date: C/ G Applicant:
WARNING: FAILURE TO SECURE WORKERS' CO PENS ION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). 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, 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.
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 have read this application and state that the above i oration is co r ect. kagree to comply with all
city and county ordinances and state laws relating to building co tr coon, and h eby authorize representatives
of this county to enter upon the above-mentioned propertyfotiction purpo s.
Pat&—I—&4 Signature (Applicant or Agent):
,cr Application Number . . . . . 14-00000831
Permit . . . . MECHANICAL 2013
Additional desc .
Permit Fee . . . . 166.84 Plan Check Fee
.00
Issue Date . . Valuation . . .
. 0
Expiration Date 12/08/14
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
HVAC CHANGE OUT FUNACE - (2) 13.5SEER/78
•AFUE COILS SYSTEMS [2010 ENERGY] CARBON
MONOXIDE ALARM(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION. 2013 CALIFORNIA
BUILDING CODES.
-----------------_-_--------------------------------------------------------
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
e
Din #
City of La Quinta
-Bonding &Safety Division
P.O* Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:,
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip: Z/4 a4Y6 -e,-;* 47,;r%45-2•
Contractorielephone:
10 I'M1111
Address: - 57/390
Project Description:
QQ) e l
City, ST. Zip:, :-,4 ad//44 Xfl
Telephone: 0s-0
-?
.
EMER
State Lic.#:
City Lie.
Arch., Engr., Designer.
Address:
City, St zip:
Telephone:
nstruction Type: Occupancy:
-
Project type (circle one): New Add'n( Alter Repair Demo
State Lic. #:
Name of Contact Person:
Sq. Ft::. V690 —F#Ttones..
I
# units:-,2,
Telephopq.#,of Contact.Perso'n:
Estimated Value of Project;_ /$
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Reqld
Recld
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural CaICL
Reviewed, ready for corrections
Plan Check 15eposit
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24'CaIcs.
Plans pidied up
Cdiistiriictiaif
Flood,plafn..plan
Plans resubmitted
Mechanical
Grading plan
21' 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-.-
7r0 Review, ready for corrections/issue
Developer Impact Fee
Pikiinilt Approval
Calied'Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
ScI1061 Fees
Total Permit Fees
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAlterations CF-iR-ALT-HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
5_1_0_25 mandarina La Quinta., CA 92253
City of La Quinta
Jun 11, 2014
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat '
❑ Package Unit
AFUE Q0
COP
-
®.Furnace
❑
❑
[3 R 6 10-13)
Served by system
® Setback
® Indoor Coil
® Condensing Unit
® SEER 13.0
❑ EER
❑ HSPF
❑ Resistance
❑ R 8 (CZ 14-15)
2000 sf •
If not already present, must be
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 EquipmentEfciencies: 13 SEER, 78% AFUE, 7.7HSPFfor 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 -411
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 -611 shall also be on site for final inspection.
® 1. HVAC Changeout
Required Forms:
• All HVAC Equipment
CF -6R forms: MECH-04i 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
• Indoor"Coil and /or
CF -6R forms: MECH-04, 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 Requirement), TMAH
FGF Paskaged Units, PuLA leakage -4 15
perePRt
Exempted from duct leakage testing.if:
[11. 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 in or ChangeouG with ► '- ' #
new ducts'(all new CF -6R forms: MECH-04, MECH 20 HERS and (forsplrt systems) MECH%22;HER5,•and
e
MECH 25 HERS r r
ducting`end all new ` =
CF,=4R forms:,MECH 20 and (for split systems) MECH 22 Nand MECH 25
equipment)
For Split Systems Duct leakager< 6 percent; RC CCA' ->,350 CFM/ton; FWD TMAH,ySTMS and either;HSPP or PSPP, s
For Packaged Umts Duct'leaka e < 6; P j. rr *.,`' : ;' K ;
,ercent,. .
9 _` u.. ,
❑ 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-21-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: Scott Barnett Signature: Scott Barnett
Company: BARNETT"S A/C Date: Jun 11, 2014
Address: P O BOX 741 License: 936600
City/State/Zip:, LA QUINTA / CA / 92247 Phone: (760) 391-0350
Reg:'21k-A0042337A-000000000-0000'„Registration Date/Time: 2014/06/11 13:36:43 HERS Provider: Ca10ERTS, Inc.
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
51025 mandarina La Quinta,.CA 92253.,..., ., . , ].City.of
La Quinta ..,
Jun 11, 2014
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
p Package Unit
Furnace
❑ AFUE
[3 COP
C3 R 6 PCZ 10-13)
Served by system
4;
® Setback
must
® Indoor Coil •
Condensing Unit
[3 SEER
[3 EER
E3HSPF
❑Resista
❑ R 8CZ 14-15)
2000
sfnce
If not already present, bei
installed)
❑ Other
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1R -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 1,201"0, a registered copy of the CF -;IR
and CF -6R shall also be on site for final inspection.
® 1. HVAC Changeout
Required Forms:
• All HVAC Equipment
CF -6R forms: MECH-04i 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
• Ind"o&Cbil'and /or
CF -6R forms: MECH-04, 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 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 in orduct!- Chanl new' with CF -6R forms: MECH .04,MECH 20 HERS and (for split'systems) MECH-22-HERS, and
new ducts: (all new MECH 25 HERS ' •' r r$ " , =__ r r' ` r -
ductingand all new +
CF -4R forms ;MECH-20, and' (for split systems) MECH 22„and MECH 25 . -
equipment) ' . al.. -rw . t,. z r ;:A:. ,. Z*,.
..; .. 4,
For Split -Systems Duct leakage < 6 percent; RC CCA ;t 350 CFM/ton, FWD,_ T_MAH; SIMS, and either ;HSPP or. PSPP j< ”
e "^
For Packaged UnitsDuct leakage<< 6;percent `44
❑ 3. New Ducts with/or with -66f. P
RequiredForms:
Replacement t-
. 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 thedesignidentified on this Ceiificate 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: Scott Barnett Signature: Scott Barnett '
Company: BARNETT"S A/C Date: Jun 11, 2014
Address: P O BOX 741 License: 936600
City/State/Zip: LA QUINTA / CA / 92247 Phone: (760) 391-0350
Reg: 214-A0042335A-000000000-0000 Registration Date/Time: 2014/06/11 13:33:53 HERS Provider: Ca10ERTS, Inc.