MECH (14-0010)a'.
R.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
14-00000010
Property Address:
57110 MERION
APN:
762 -031 -024 -
Application description:
MECHANICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
16630
Tihf . 44a" -
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
LUANNE STADLER
57110 MERION
LA QUINTA, CA 92253
(760)285-2700
Architect or Engineer:
I'M
-----------------
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with
Section 7000) of Division 3 of the Business and Pro essionals Code, nd my License is in full force and effect.
License lass: C20 C36 Licens o.: 906115
<D"ate:= �'� Contractor:
v
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 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 toan 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
1 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: 1/03/14
Contractor:HYDES
D
42949 JAN
o z0014
42949 MADIO STREET
INDIO, CA 92201
(760)360-2202 CITY 066A(QUINTA
Lic . No.: 906115 FINANCE DEPT
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.
_ 1 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 INS Policy Number CEWC468841
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner soas 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 f the Labtir Code, I shall orthwith comp) with se provisions.
Date: Applicant:-
WARNING:
pplicant:-WARNING: FAILURE TO SECU WOR ERS' 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 orize re sentatives
of this county to enter Pon the above-mentioned property for inspection rpose
'Date: Signature (Applicant or Agent):
Application Number .
1
. . . 14-00000010,
Permit
MECHANICAL 2013
Additional desc .
Permit Fee . .
71.50 Plan Check Fee
.00
Issue Date . . . .
Valuation . .
. 0
Expiration Date
7/02/14
Qty: Unit Charge
Per
Extension
1.00 35.7500
EA MECH FURNACE
.35.75
' 1.00 35.7500.EA
MECH CONDENSER/COMP
35.75
Special Notes and Comments
HVAC CHANGE OUT - .(2)
13SEER/78AFUE
-
SPL.IT SYSTEM [2008 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
47.66,
Fee summary Charged
Paid Credited
Due
Permit Fee Total
71.50 .00 .00
71.50 1
Plan Check Total
.00 .00 .00
- .00
Other Fee Total
139.23 .00 .00
139.23
Grand Total
210.73 .00 .00
210.73
LQPERDIIT
Permit.#
Project Address: 5—
A- P. Number:
Contractor:
Ad*m&-- Lai I
City, ST, Zip: 7-- x
Telephone.-. 6o
State Lie. # city
Arch., Engr, Designer:
Address:
City, ST, Zip:
Telephone:
GtY of La Quinta
Building 8t Safety Division
P.O. BOX 1504, 78-495 Calle Tampico
La QWnta, CA 92253 - (7,60) 777-7012
Wilding Permit Application and Tracking Sheet
Owner's Name: e -
Address: I
5'
L
City, ST, Zip:
7- -2-5�3
5k,15 A Telephone:
Project Description(2 A Ir-
e
Lie- fi- I--/ I-V
State Lia #:
Consnnction Type.
Occupancy:
Name of Contact person_
Protect type (circle one):
New Add11 Alter Repair' Demo
• Tel hone # of Contact Person: -
# St6ries:
Estimated —Valm: of Project
APPLICANT: DO NOT WRITE B W
# Submittal
THIS UNE
Rec�ld
TRACING
Plan Sets
PEJRtMbffar FEES
Phu Check submitted
Structural CaIcs.
Reviewed,item
ready for corrections
Amount
Truss Cafes.
Plan Check Deposit
Called Contact Pirsq,
-------
Energy Calc&
Plan Check Balance
Plans picked up
Flood . plain plan
Construction
Plans resubmitted
Grading plan-
Mechanical'
2" Review, ready for corrections/issue
---contactor ]Lw
Electdcal
---------
Called Contact Person
------
Grant Deed
Plumbing
-------
Plans pickedup
H.O.A. Approval
------
S.IVLL
---------------
Plans resubmitted
INHOUSE--
Grading
PI—Wz* Approval
3' Revie-, ready forcorr-fi0U3/i33UC
Developer -Impact Fee
Called Contact Person
---------
Wk s,Appr
AJLPX.
.Pub.
Date of Permit issue
------
School Fees
Total Permit Fees
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations , CF-iR-ALT-HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
57-110 Merion(2) La Quinta, CA 92253.
City of La Quinta
_ ..
]an 3, 2014
-
Duct insulation
Conditioned Floor
Equipment Type1
List Minimum Efficiency2
requirement
Area
Thermostat.
[3 Package Package Unit
H Furnace
® AFUE 78%
❑ COP13R
6 (CZ 10-13)
Served by system
H Setback
® Indoor Coil
® SEER 13.0
[3HSPF
❑ R 8 (CZ 14-15)
1600 sf
If not already present, must be
'-
® Condensing Unit
❑ EER
❑ 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-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-611 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
6-611 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^.Q 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH
fop-lizaGkageExempted
from duct leakage testing if:.
❑ 1.'D6ct system was documented to have been previously sealed and confirmed through HERS verification, or
k
❑ 2. Duct systems with less than. 40 linear feet in unconditioned space, or ,
❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos
p 4. The�syste "ill not be Ducted-(ie DuctlessrMini Split System)y(AlsotiExempt3from Refrigerant Charge)
❑ 2. New HVAC System
Required
. Cut in or Changeout With
r t ' + `
CF 6R forms MECH-04 MECH 20 HERS a icl (for split systems) MECH 22 HERS and
new ducts (all new ¢ �
ductin and all new"A
g
MECH'25'HERS f �; ar ,z +t , rYt�swm ..'
CF MECH 22; 25 :A}
4R forms MECH 20, and (for split systems) and,MECH .• .
„ X
equipment)::. \3a,
...
Sa�R'}kt, z� .ate ,.•_ .-,.tk '...: t�.. ?i �:..;.A..o.... t:�:}',�45.w„h. ...x3.:`F ..,�$: ... %.,� rk�¢t k
For Split Systems Duct leakage < 6 percent; RC, CCA > 350 CFM/ton, FWD; TMAH; SIMS; and either HSPP "orPSPP.
:. ,
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 coridensing unit
CF-6R forms:, MECH-04; MECH-20-HERS, and (for split systems). MECH-25-HERS
and/or indoor coil and/or fumace'No or,some
CF-411 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 p&formance 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: Mark Hyde . Signature: Mark Hyde
Company: CERTIFIED COMFORT SYSTEMS INC Date: ]an 3, 2014
Address: 42-949 MADIO STREET - - License: 906115 -
City/State/Zip: INDIO / CA / 92201 Phone: (760) 360-2202
Reg: Z14-A000UJt5JA-UUUUUUUUU-uuUu•- k(eglstratlon . uate/•lime: ZU14/U1/UJ 11:91:21 riGKD k'rOV1Qer: t.a1t.GKro, inc.
2008 Residential Compliance Forms s c k July 2010”
a
t
Reg: Z14-A000UJt5JA-UUUUUUUUU-uuUu•- k(eglstratlon . uate/•lime: ZU14/U1/UJ 11:91:21 riGKD k'rOV1Qer: t.a1t.GKro, inc.
2008 Residential Compliance Forms s c k July 2010”
a
Simplified Prescriptive Certificate of Compliance: 2008'Residential HVAC Alterations CF-IR-ALT-HVAC
Climate Zones 10 - 15
Site-Address:
Enforcement Agency:
Date:
Permit #:
57-110 Merion La Quinta, CA 92253
City of La Quinta
'Jan 3, 2014
Duct insulation •
Conditioned Floor
r
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
® Furnace
® Indoor Coil
® AFUE 78%
® SEER 13.0
❑ COP
❑ HSPF
❑ R 6 (CZ 10-13)
Served by system
® Setback
If not already present, must be
® Condensing Unit
[3 EER
❑ Resistance
$ (CZ 14-15) s
1600 sf
installed)
installed)
❑ Other
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF-IR-ALT-HVAC fur 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 Sig ned.Beginning October 1, 2010, a registered copy of the CF-111
and CF-611 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-411 forms: MECH-21 and (for split systems) MECH-25
. Condenser Coil and /or
CF-611 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: Ductleakage',;,,<:15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH
Lw--...kaged Units. D..— 1-11-
e 1.-Exempted
^'•^
Exemptedfrom duct leakage testing if;,
❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or
[3 2. Duct systems with less th * n..40 linear feet in unconditioned space, or
❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos
0:4. The system will not be Ducted (ie Ductless Mini Split�System) (mpt_from)Refriigera nt Gharge)
[32. Ne' W VAC System
Required P. �j
• MECH 04, MECH 2O�HERS andg(forsplI systems) MECHi22 HERS, and ••
h(al9new w h CF
nCut ewidu is ...
ducting and all new RNIECH stems MECH and MECH 25u
CF 4R forms 20 andY7�fors' ht s 22
equipment){'gyp` a�7n Baa (rpk mFY )
For Split Systems Duct Ieakage�«6 Percent, RC; CCA > 350 `CFM/ton, FWD 7MAH,'STMS, and either HSPP'bF-PSPP ;
For Packaged Units:, leakage.<.6 percent ,
❑ 3. New. Ducts.,wlth/or without?
Required Forms:
q
.Includes'replacing or installing all,'iew
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 Tide 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: Mark Hyde Signature: Mark Hyde ,
Company: CERTIFIED ;COMFORT SYSTEMS IN[ Date: Jan 3, 2014 -
Address: 42-949 MADIO STREET License: 906115
City/State/Zip: INDIO / CA / 92201 Phone: (760)360-2202
Reg: 214-A0000382A-00000000070000 Registration Date/Time: 2014/01/03.11:39:54 HERS Provider: Ca1.CERTS,'Inc.•.,
.r_• Jul ' 2010
2008 Residential Compliance Forms Y
• ' . � 1, • _ 9 .. ' 1