MECH (14-0208)LE
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 14-00000208
Property Address: 51895 AVENIDA MENDOZA
APN: 773-181-027-7 -000000-
Application description: MECHANICAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 510
Applicant:
Tlihf
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
Owner:
MONIKA ALEXANDER
51895 AVENIDA MENDOZA
LA QUINTA, CA 92253
(760)343-1002
D
Contractor:
BEST IN THE WEST
255 N. EL CIELO, 140 12
PALM SPRINGS, CA 922 2
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/27/14
EEB 2:r 2014
CITY AF LA QUINTA I
(760) 343-1002 FINANCE DEPT.
Lic. No.: 967982
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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 a d Professionals Code, and my License is in full force and effect. _ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: C20 -C38 License No.: 967982 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
7d.
Date: Contractor: .- ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
f h' h h' d M k
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).:
(_) 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, 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 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
Cade, for the performance of the work or w �c tis permit is issue . y war ers compensation
insurance carrier and policy number are:
Carrier NORGUARD Policy Number BEWC337354
1 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
n 3700 of the Labor Code, I lyforthwith comply with those provisions.
Date: 7-iy Applicant: .✓H' ` ` �— ��""lr'
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 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 information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for i purp
Date2(-/# Signature (Applicant or Agent):
Application Number . . . . 14-00000208
Permit . . . MECHANICAL 2013
Additional desc . .
Permit Fee. . . 35.75 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date . . 8/26/14
Qty Unit Charge Per
Extension
1.00 35.7500 EA MECH CONDENSER/COMP
35.75
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Special Notes and Comments
HVAC CHANGE OUT - 13SEER A/C UNIT [2008
ENERGY] CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . PERMIT ISSUANCE M/P/E
90.57
PLAN CHECK, MECHANICAL
23.83
Fee summary Charged Paid Credited
----------------------------------------
Due
-----------------
Permit Fee Total 35.75 .00 .00
35.75
Plan Check Total .00 .00 .00
.00
Other Fee Total 114.40 .00 .00
114.40
Grand Total 150.15 .00 .00
150.15
LQPERAIrr
A r.
j
Bin.
Clay of La Quina
BLAUng 8L Safety Division
Permft # P.O. Box 1504,78-495 Caffe Tampico
Ia.QufiW, CA 92253 - (760) 777-7012
Building Permit Appllcatlon' and Tracking Sheet
iProject.Add('ess:
51- 995 AvC l�'�Hd02
Owner's Name:
A P. Number
Address:. S/- 5 Atm /JA-ein liJ' zr,
Legal Description:
Contractor. Bes4 41 �416 iw.
City, ST, Zip: LGA A . S?
Telephone: ZU 5- 7NG —`160 5
y
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.
Project Description: �e�rJO ve C- Pit/ r1f /
UM ,'�
'
Address: N . " rel AE/�-/Z 5
City, sz;
Telephone:a0 Z
State Lie, # : 6 9 City Lia #�
�e
Arcf, Bttgr., Designer
---------------------
i
Address:
City, ST. Zip:
Telephone:
ction Type:. R /r Occupancy:
j
State Lie. #:
_ (circle one): New Add'n Alter epair Demo
=type
Name of Contact Person:
Sq. FL Gj # Stories: J # Unit$:
'
Telephone # of Contact perm Estimated Value of Project $
APPLICANT: DO NOT WRITfc BELOW THIS UNE
'
R SabmltOtl Rcq'd Rtc'd :. TRACMG Pl'BMLF EFFS
MANCheck submitted Item Amount
Plan SW Plan a" Deposit.
Structural Ustea , ready for corrections .
'•.
11nms Calet. Called Contact pawn Plan Check Balance"
Title 24 CsIck Plans piekal up Construction a_ .
Flood plait plan Plats resubmitted Mechanical
Grading plan 2'! Review, ready for eorrections/anue
Subcontaetor List Called Coataet Person
Grant Deal Plans picked up
Electrical
Plumbing
&ML
HOA Approval Plans resabmitted
Grading
HO1LSBr
m+ r'�y forrometloasAssaDeveloper
n°t0g�Proval t Contact PersonA.LP.P.
FDate
Impact Fee
Fab. H!ka. Appr f permit issue
School Fees
Total Permit Fees
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
51895 Ave Mendoza 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
Q Furnace
0 Indoor Coil
❑AFUE
® SEER 3 0
—
❑ COP
Q HSPF
13 R 6 (CZ 10-13)
E3 R 8 CZ 14-15)
(
Served by system
65 sf
® Setback
If t alread
no Y Present, must be
® Condensing Unit
[3 EER
[3Resistance
-��—
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 -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 -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 dud systems are constructed, insulated or sealed with asbestos
❑ 4. The�systerm will not be Ducted (ie. Dudless Mini-Split-System,-(Aiso,Exemptifrom;,Refrigerarrt Charge)
❑ 2. New HVAC System
Required Forms: ) i.
. Cut infor Changeout with''''
new duds: (all new
r ' x JI r *
CF 611 forms: MECH-04, M,�ECH-20 HERS, and (for split systems) MECH-22-HERS, and
dulling all new
equipment) �'l
CF, -,4R for'ms:RMECH-20, end (for split MECH=22 and MECH-25 J� '
r/
1 ..�%. -,_systems)
For Split Systems: Duct leakage < 6 percent; RC, CCA z 350 CFM/ton, FWD, TMAH, STMS, and either HSPP'or-PSPP. `5' -
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: Dud leakage < 6 percent; RC, CCA a 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 dud 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: Richard C Weaver Sr Signature: 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
Reg: 214-A0003049A-000000000-0000 Registration Date/Time: 2014/01/14 19:20:36 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms July 2010
INS
ESTE WEST
Air Conditioning & Heating
255 N EI Cielo Rd, PMB 125
Palm Springs, CA 92262
760-343-1002
www.gotcoolair.com
Work Order Date Summary: 1`ech: Start:
1441-13420 10/4/2013 INSTALLATION DAN 09:30 AM
Bill To: M FS "bl Name:
Fidelity National Home Warranty Alexander/ 51895
P.O. Box 8127 51895 Ave Mendoza
Walnut Creek, CA 94596 La Quinta, CA 92253
800-208-3151 205-746-9605- CELL
Description of •
swo4025072— inv(wip2)
replace condenser dry charge r22(sigler sobre-13042012)
Jessica Auth BZ181$1210, h/o n/c $510(50+460)
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 attorneys fees.
Signature
:4
Date