MECH (14-0203)57158 Medinah
14-0203
P.O. BOX 1504
78-495 'CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
14-00000203
Property Address:
57158 MEDINAH
APN:
762-110-020- - -
Application description:
MECHANICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation: -
14000
Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
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 Business and Professionals Code, and my License is in full force and effect.
License 7Class: C20 -C38 LicenseNo.: 967 9y8}2
Da#Z' 7-f { Contractor:
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 notmore than five hundred dollars ($500).:
(_) 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 ISec.
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.). '
( ) 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 construct n. 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;
JIM MARCHIO
57158 MEDINAH
LA QUINTA, CA 92253
(760)784-0970
Contractor:
BEST IN THE WEST
255 N.' EL CIELO, 140-1
PALM SPRINGS, CA 92262
(760)343-1002
Lic. No.: 967982
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/27/14
FF E B
' 2 ,i 209714P1
WORKER'S COMPENSATION DECLARATION
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
/or 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 NORGUARD Policy Number BEWC337354
_ I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor CodeA/fprth/w/u`hjcomply
with those provisions.
Date: e2-27- 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 ($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 toanypermit 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 information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildingffur.nrp/oses.
tion, and hereby authorize representatives
of this county to enter upon the above-mentioned propertyOAZY7111 Signature (Applicant or AgenU;
Application Number . . . . . 14-00000203
Permit .. . . MECHANICAL 2013
Additional desc .
Permit Fee 143.00 Plan Check Fee
.00
Issue Date . . . . Valuation .
. 0
Expiration Date,. 8/26/14
Qty Unit Charge Per,
Extension
2.00 35.7500 EA MECH FURNACE
71.50
2.00 35.7500 EA MECH CONDENSER/COMP
----------------------------------------------------------------------------
71.50
Permit . . . ELECTRICAL 2013
Additional desc .
Permit Fee . . . . 23.83 Plan Check Fee
00
Issue Date Valuation .
. 0
Expiration Date 8/26/14
Qty Unit Charge Per
Extension
1.00 23.8300 EA ELEC SERVICES
23.83
---
Special Notes and Comments
HVAC CHANGE OUT - (2)13SEER/78AFUE
SYSTEMS AND 2 REPLACE BREAKERS [2008
ENERGY) CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
Other Fees . . . . PLAN CHECK, ELECTRICAL
11.92
PERMIT ISSUANCE M/P/E
90.57
PLAN CHECK, MECHANICAL
95.32
Fee summary Charged Paid Credited
-----------------
Due
Permit Fee Total 166.83 .00 .00
166.83
Plan Check Total .00 .00 .00
.00
Other Fee Total 197.81 .00 .00
197.81
Grand Total 364.64 .00 .00
364.64
LQPERMIT
J I
j Sin
y
Citjr of La Q[1r11
BulkUng sr Safety Division
Permit #
P.O. Box 1504,78-495 Caffe Tampico
4 Quinta, CA 92253 - (760) 777-7012
Building Permit Application' and Tracking Sheet
Project Address: J l l/i') MG tl-%I
Owner's Name: Si n'► &u'r ,
A. P. Number:
Addnxs 57/ AAfd, n. 4
Legal Description:
City, ST. Zip: l -.Q C/4- 9 Z Z
Contractor. 5-L
Ve %vi G.
Telephone: 70 -7$q - 4 R 70
Address: 25-5 C telo rd
. jae5-mc
Project Description: Prv ovC G vti / Y /a c
City, ST, Zip: R41 S r.' A
i Z26 Z
Z lP 1 4 a
Telephone:
bream r
State Lia #: ci6 7 1$ Z City. Lic
w
Arch., EW. Designer
c
Address:
City. ST. Zap:
Construction Type:. R Occupancy:
ADemo
Telephone:
State Lia #: -
-
Project type (circle one): New Add'n Alter Repan
Name of Couratx Person:
Sq. Ft :
Stories:
# Unit
Tehxrhone # of Contact Person:
Estimated Value of Project:Ll ii GD , OU
APPLICANT:
DO NOT WRITE BELOW THIS LINE
8
Submittal
Beq'd
Recd .
TSACMG
PERMIF FEES
Plan Sob
Plan Cheek submitted
item Amount
'•
Sh naarat Giav
Reviewed, ready for corrections
Plan Chcdc Deposit. .
Trnae Glee.
Caged Contact Peron
plan ((]retic Salaace
Titre 24 CA166
Ptaoe picked up
-
Contraction
.
Flood plain plan
Plans resubmitted
Mechatiiul -
Gradtag plan'
Z"Review, ready for correctionefiuue
Electrical
Sabeontaetor List
Caped Contact Person
Plumblug
Grant Deed
Plana pielmd up
S.NLL
H.O A. Approval
Pians resubmitted
Gradhrg
HOL)SB:
a. &feu$ ted' [or correctioasilmot
Devdoper Impact Fee
finning APp+ovaI_.
Called contact Person
A.LP.P.
Pub. VNke- Appr
Date of permit issue
School Fees
-
Total Peroiit Fees
1
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAIterations • CF -IR -ALT -HVAC
Climate Zones 10 - 15
Site Address: Enforcement Agency:
Date:
Permit #:
, 57158.2 Medinah La Quinta, CA 92253 City of La Quinta
Jan 14, 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
be
® Indoor Coil
12 SEER 13.0
[3HSPF
[3 R 8 (CZ 14 -IS)
1600 sf ,
If not already present, must
® Condensing Unit
[3EER
[I Resistance
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 -411
forms (no hand filled CF-4Rs allowed) are filled out and signed.Beg inning 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 I
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
•; ;z
For Split Systems: Duct leakages<°i5,percent; RC, CCA _< 300 CFM/ton (Minimum Air Flow Requirement), TMAH•. _
Exempted from duct leakage testmg.if .
❑1` Ductsystem;was docume ited.ta have been previously sealed and confirmed through HERS verification, or
❑'2 .Duct systems with less than40 linear feet in unconditioned space, or
:❑'3 Existing duct systems are constructed insulated or sealed with asbestos
El t4The syrsterrit 11 not be Du a 1. (ie Ductless Min SplttSystem)1(Also Exempt from Rgfr4igerapt nharge)
❑ 2:-bte iVAC System
Requtred`=Forms
. Cut inor ctangeout with;
CF 6R formers MECH 04 MECH 2OHERSandt(fo split systems) MECH 22'HERS;^and'
new ducts z(all new .
ducting=all new
MECH25NER5 prF ,
".lid
equipment)
CF=4R$form s MECH 20 {for split systems).MECH 22,,and MECH 25 t
For Split Systems' Duct leakage
< 6 perc nt RC CCA 350 CFM/yton; FWD TMAH; STMSi:and,either HSPP`or PSPP.
For Packaged;Untts :Duct
leak _...
age!<.5 percent `: •'
;...
❑ 3 New Ducts with/or 'With 6*dt,9-,'4 w,
Required Forms: ,
Replacemetit ' r aA,s .
. 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, z 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 -611 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 ot the Calitornia Code ot 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: Richard C Weaver Sr TS —ignature: Richard C Weaver Sr
Company: BEST IN THE WEST AIR CONDITIONING & HEATING INC Date: Jan 14, 2014
Address: 255 N ELCIELO ROAD #140-125 License: 967982
City/State/Zip: PALM SPRINGS / CA / 92262 Phone: (760) 343-1002. r
Reg: 214-A0003057A-000000000-0000 -Registration Date/Time: 2014/01/14 19:28:21 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms '. . July 2010
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACA/terations CF-IR-ALT-HVAC
Climate Zones 10 - 15
h
Site Address:
Enforcement Agency:
Date:Permit
#:
57158.2 Medinah La Quinta, CA 92253
City of La Quinta
]an 14, 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
Cl Indoor Coil
® SEER 13.0
❑ HSPF
❑ R 8 (CZ 14-15)
1600 sf
If not already present, must be
® Condensing Unit
❑ EER
❑ Resistance
installed)
❑ Other
I I
I
IF -
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, 7.714517F for typical residential systems. 1 `
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-611and registered CF-4R
forms (no hand filled CF-4Rs allowed) are filled out and signed.Beg inning October 1, 2010, a registered copy of the CF-111
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
• Indoor Coil and /or
CF-611 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
F
For Split Systems` Duct leakage^<fsl5.percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH
S
pereent
Exempted from duct leakage.test+ng lf
} ❑ 1` Duct `system.Awas'documen te&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 ductsystems are constructed insulated or sealed with asbestos
❑ 4 Thestelvall. not be Duwcted (Ie1.4;Du,ctlessMnlfSplt ystem (Also,Exemptfram,Refgerant Charge)
.E Y ;;:..
❑ 2. New IiY'AC Sy5ten+
Re utred Forms: t ``3
q ,m;ry x,.
. Cut in wit Changeout with+'
f> e
new ducts (all new
"', a =.
CF: 6Rorrns MECH 04 MCH 20.' HERS; anti (for split systems) MECH 22 HERS; and
MECH 215HERS
> .tr -
ductin all new ,
,ng.*
CF 4R formsMECH 20 nil fors itt s stems MECH 22, and MECH 25
equipment).
For Split Systems Duct eakage
'o-CCA`? 3503CFM/ton; FWD; TMAH; 5TM5'`"and elthLer"HSPPsoI
For Packaged;;Un is:IDuct'leakagef<
66;perc
6xpercent '
❑ 3 NewPDuats with/or wethout ! R-y"ti
Required Forms: _.
Replacement's SPA
. Includes replacing or.installirig 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 'furnaceaiNoor 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: MECH704, MECH-2I-HERS
1&-411
'linear feet of duct in unconditioned space.
forms: MECH-21
For split system or packaged units: Duct leakage < 15 percent
[I 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
• I certify that the energy features and erformance specifications for the design Identified on this Certificate of Compliance conform to the
requirements o +t a Parts I ana 6 ot he California code of Regulatio5s.
• 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: Richard C Weaver Sr Signature: Richard C Weaver Sr
Company: BEST IN THE WEST AIR CONDITIONING & HEATING INC Date: ]an 14, 2014
Address: 255 N ELCIELO ROAD #140-125 License: 967982
City/State/Zip: PALM SPRINGS / CA / 92262 Phone: (760) 343-1002
•. '••' 4 + -. a ' ! 1 •sem ^ - .. •
Reg: 214-A0003057A-000000000-0000+ Registration Date/Time: 2014/01/14.19:28:21 S.HERS Provider- Ca10E_RTS, Inc.
2008 Residential Compliance Forms ` i July 2010
All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices"Any alteration or deviation
from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above the estimate. All
agreements contingent upon delays beyond our control. Purchaser agrees to pay all costs of collection; including attomeys fees.
J Signature _ t _ jDate w.
ST WEST
Air Conditioning A beating"'
255 N El Cielo Rd, PMB 125
Palm Springs, 'CA 92262 _ s
760-343-1002 4
www.gotcoolair.com ' -
' W _
7orkOrd
2116-102 9/17/2013
RICK 01:00 PM - 05:15 PM
BIII rr M q " Job Name a ,t. r., { t
.To
Jim Marchio
•
- •• Jim Marchio v
57158 Medina I
57158 Medinah
PGA West- Nicklaus
PGA West- Nicklaus
La Quinta, CA 92253
La Quinta; CA 92253 '• 1
760-784-0970 r'
760-784-0970- CELL ` 760-873-5244- HOME "
Description of •
2 maytags, 2 actio teks,
ducting and minisplit
Bedroom system .taped off
and removed, set =equipment ' 7
> 9/17/2013 TUE 5:22 PM>
Wendy: incomplete'
., , - _ -
_ :r r .,, . • 1, `' - ° . : ' I .,
+
a .. ', r.
- ys
a .. ,. - y •'• ..ak ' =y-. '..'Y
_ ,!
•, -j
'`
'', dry 4
, '. r/
r
_ ,.. *. ,
P f
' w t'r ' `
? •.f
41
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► •
1.
-
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d t , •.
' y
'r
` •.e
, .w • : .V `• ' . t
All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices"Any alteration or deviation
from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above the estimate. All
agreements contingent upon delays beyond our control. Purchaser agrees to pay all costs of collection; including attomeys fees.
J Signature _ t _ jDate w.