MECH (11-0374)Q�M&
P.O. BOX 1504. VOICE (760) 777-7012. .
78-495 CALLE TAMPICO FAX (760).777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/13/11
Application Number: 11-00000374_ Owner:.
Property Address: 79758 MISSION DR E TOM MULDOON
APN- 649-750-025- - - 79958 MISSION DRIVE EAS
Application description: MECHANICAL LA QUINTA, CA 92253 1
Property Zoning: LOW DENSITY RESIDENTIAL q
Application valuation: 18000. APR 1
Contractor:
PT
Applicant: Architect or Engineer: ESSER AIR CONDITIONING & TG CINnF 1E
P.O. BOX 1636 FINAW �.�•."`'
CATHEDRAL CITY, CA 92235
(760)324-0550"
Lic. No.: 489046
----------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury nrn,,,icens:�nu.nde, 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 Bu ' ofels Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
ZU.teen..se ass: C20 0.4B9046for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
isued.
r: - - 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
OWNER -BUILDER DECLARATION- insurance'carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier MAZNTSTAY BUSNS Policy Number MBS-SIP0051611
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the perfOrmanc t e work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant.for the - person in any manner so a o b ome subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State' and agree that, if I shoul eco a subject to the workers' pensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Co , I /f/I�t co those provisions.
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).: ate: _` ` / �'� :cant:
1 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 WARNING: F RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN MPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION,'DAMAGES AS PROVIDED FOR IN
improvements are not intendedor offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES:
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.). - APPLICANT ACKNOWLEDGEMENT
I, as owner of the property, am exclusively contracting with licensed. contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the ..
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request.and for
pursuant to the Contractors' State License Law.). whose benefit work is performed "under or pursuant to any permit issued as a result of this application,
(_) I am exempt under Sec. , B.&P.C. for this reason 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.
Date: Owner: 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
CONSTRUCTION LENDING AGENCY - permit to cancellation. -
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the _ I certify that I have read this application and state that the abov formation is correct. I agre!,�m Ip y cowith all
work for which this permit is issued (Sec. 3097, Civ. -C.). city and county ordinances and state laws relating to buildin on truction, and hereby a fize representatives
of this o my to enter upon the above-mentioned prope i rpo
Lender's Name: '
te: ignature (Applicant or A
Lender's Address:
LQPERMIT
• Application Number 11-00000374
Permit . . MECHANICAL
Additional desc .
Permit Fee 66.00. Plan Check Fee
•16..50
Issue Date Valuation
.p
Expiration Date 10/10/11
Pty. Unit Charge' Per
-Extension
BASE FEE.
15..00
2.00 9.0000 EA MECH FURNACE <=100K
18.00.
2.00 -16.5000 EA MECH B/C >3-15HP/>100K-500KBTU
-33.00
------------------
Special-Notes and Comments .
INSTALL2 COMPLETE SYSTEMS - 1 4TON..16
;. SEER, AND 1 3 TON 18.SEER'IN EXISTING
LOCATION. 2010 CODES:
---------------------- - - - -- -----------------------------------
Other' Fees. . . . . BLDG STDS ADMIN (SB1473)
-------------
1.00
Fee summary Charged Paid Credited'
Due
Permit Feer Total 66.00 .00 .0.0
66.00
Plan Check Total- 16.50 .00 .00
16.50
Other Fee Total 1.00 .00 .00,
1.00
Grand Total :83:50 - .00 :00
83..50 `
r
4
LQPERMIT
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC CF -1R -ALT -HVAC
Alterations
Climate Zones 10 - 15 .
Site Address:
Enforcement Agency:
Date:Permit
#:
79758 MISSION DRIVE LA QUINTA a Quinta, CA 92253
City of La Quinta
Apr 13, 2011
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
0 Furnace
* Indoor Coil
R AFUE 78%
p SEER 16.0
❑ COP
[:]HSPF
❑ R 6 (CZ 10-13)
Served by system
[0 Setback
If not already present
0 Condensing Unit
❑ EER❑
❑ Resistance
R 8 (CZ 14-15)
1500. sf
must be installed)
❑Other
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1 R -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 -1111 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 5 300 CFM/ton (Minimum Air Flow Requirement), TMAH
For Packaged Units: Duct leakage < 15 percent
Exempted from duct leagage 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. Existin ducts stems are .constructed;tinsulated or,,..sealed withzasbestos .
❑ 2. New HVAC
Required Forms: ly
A'.
System,/•'.:
1"tr
. Cut in or_Changeout
with new ducts: (all
+ ► +�
CF 6R:forms:MECH-04, MECH 20 -HERS, and (for,split systems),MECH-22-HERS, ands ;6
,.<
MECH 25 x ;
new ductin all ,�
9�
-HERS:' , s� 1 f
. a
new equipment)'c a
CF=4R.forms MECH,20, and (forsplit systems) MECH•22�and;MECH 25�'
x�
YCCA
For Split Systems: Duct leakage < 6 percent; RC, >_ 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP.
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 and/or indoor coil
CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS
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 >_ 300 CFM/ton, TMAH
For Packaged Units: Duct leakage < 6 percent
114. New Ducting over 40 feet Required Forms:
• Includes adding or replacing more CF -6R forms: MECH-04, MECH-2I-HERS
than 40 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: Kevin Hampton Signature: Kevin Hampton
Company: ESSER SERVICES INC Date: Apr 13, 2011
Address: P 0 BOX 1636 License: 489046
City/State/Zip: CATHEDRAL CITY / CA / 92235 Phone: (760) 324-0550
Reg: 211-A0018359A-00000000-0000 'Registration Date/Time: 2011/04/1314:42:23 HERS Provider: Ca10ERTS; Inc. `
2008 Residential Compliance Forms ' Jul 2010
Y
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC
Alterations CF-IR-ALT-HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
79758 MISSION DRIVE LA QUINTA La Quinta, CA 92253
City of La Quinta
Apr 13, 2011
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
p Furnace
E5 Indoor Coil
2 AFUE 78%
p SEER 18,0
❑ COP
E]HSPF
❑ R 6 (CZ 10-13)
Served by system
® Setback
If not already present,
0 Condensing Unit
❑ EER
❑ Resistance
❑ R 8 (CZ 14-15)
1100 sf
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 Equipment Efficiencies: 13 SEER, 78% AFUE, Z 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-411 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 (fcr 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
For Packaged Units: Duct leakage < 15 percent
Exempted from duct leagage 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 - - �-
❑ 2. New HVAC i
Required Forms: ,
System
. Cut in or Changducts: all f
with new ducts: (all�i
CF-6R forms: MECH-04 MECH-20-HERS, and(forsplit systems) MECH-22-HERS, andi ,
new ductin all
9
MECH-25-HERS e 1
, r
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/or without
Required Forms:
Replacement
. Includes replacing or installing all
new ducting and/or outdoor
condensing unit and/or indoor coil
CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS
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 CF-6R forms: MECH-04, MECH-21-HERS
than 40 linear feet of duct in
CF-4R forms: MECH-21
unconditioned space.
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: Kevin Hampton Signature: Kevin Hampton
Company: ESSER SERVICES INC Date: Apr 13, 2011
Address: P O BOX 1636 License: 489046
City/State/Zip: CATHEDRAL CITY / CA / 92235 Phone: (760) 324-0550
Reg: 211-A0018364A-00000000-0000 Registration Date/Time: 2011/04/13 14:45:58 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms July 2010
Bin /Y`
City of La Quints
Building 8T Safety Division
P.O. Box 1504, 781495 Calle Tampico
La Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Andress: 'I q ', y-j( %(I S 1 D �fe111 t=�
Owner's Name:
A. P. Number.
Tcity-
Address: �%QI V�J
Legal Description:
ST, Zip: � oV I tj-9-1 C4. 6 15 5
Contractor:,F,5!5 /- S= (LV(CEs /N C .
Telephone: -1&1'o. 64- ( 3 t
Address: o. `f ox
ql
Project Description: �rQLfi�•`G��l i /a�
'City, ST, Zip: CA•7,4 DM CA- y223s"
N-;' �A-7/,klC. S' -r;7--s
Telephone: 76a-324_0`5-510
' y
-roo ./6
State Lic. # :
City Lie. #;
Arch., Engr., Designer.
I-OCA-r1 J A.) S
Address:
City., ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lie. #:
Project" circle one) New. Add'n Alter Repair Demo
Name of Contact Person: 'DA V t D W1 t_ [, iA M.5
Sq. Ft.:#Stories:
# Units:
Telephone # of Contact Person:
v
Estimated Value of Project: /(9,000..
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERWF FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cabs.
Reviewed, ready for.corrections
Plan Check Deposit
Truss Calks.
Called Contact Person
Plan Check Balance
Title 24 Cara.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Gmdiag plan
2" Review, ready for corrections/issue
Electrical
Subcontaetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3" Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees