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MECH (12-0717)
P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: c12-0:00:0:07-17� Property Address: 79926 MISSION DR E APN: 649 -750 -008 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1245 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: LAURA WINBERLY 79926 MISSION DRIVE EAST LA QUINTA, .CA 92253 Contractor: DOVE AIR INC 69749 RISUENO ROAD CATHEDRAL CITY, CA 9223 (760)327-1890 Lic. No.: 794315 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/27/12 ale ------------------------------------------------------------------------------------------------- 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 BusineAanrofessionals 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 ' License Class: C20nse N 794315 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is � issued. ,� �t /ate: iv 2�' C ontractor: w 1/9t -` - _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor 1�— 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 Ei 'MPT Policy Number EXEMPT - following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to I certify that, in the performance of the 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 as to become 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 should come subject to the workers' compensation 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 Code hall forthwith omply ith those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by _ d.%-P� any applicant for a permit subjects the applicant to a civil,penalty of not more than five hundred dollars ($500)-: ate: plicant: 1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 1-11 • the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE 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 EMPLOYER 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 intended or 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.). 1 _ 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 LawJ. - (_) 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: I' Lender's Address: LQPERMIT 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 .7o/f/tftis county to enter upon the above-mentioned property7a�pu 1 e: 6-L 2� l� S' nature (Applicant or Agent): V LQPERMIT Application Number . . . . . 12-00000717 Permit MECHANICAL Additional desc . Permit Fee . . . . 24.00 Plan Check.Fee 6.00 Issue Date . . . . Valuation 0 Expiration Date 12/24/12 Qty Unit Charge Per'. Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 Special Notes and Comments REPLACE EVAP COIL IN GARAGE. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)- 1.00 '.Fee summary Charged Paid Credited - Due Permit Fee Total 24.00 00 .00 „24.00 Plan Check Total 6.00 .00 .00 6.00 Other Fee Total. 1.00 .00' .00 1.00 Grand Total 31.00 .00 .00 31.00 G Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Clirtiate Zones 10 - 1S Site Address: Enforcement Agency: Date: Permit #: 79926 Mission Dr. E La Quinta, CA 92253 City of La Quinta Jun 26, 2012 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ❑ Furnace ❑ AFUE ❑ COP[I R 6 (CZ 10-13) Served by system © Setback ® Indoor Coil [3 SEER [3HSPF ❑ R 8 (CZ 14-15) 3222 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 -611 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 -61111 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 ` . 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 leakagel<'15 percent; RC, CCA _< 300 CFM/ton (Minimum Air Flow Requirement), TMAH FGF Parakaged Units, leakage',; 15 peFeeFA- Exempted from duct leakage testing if: ❑ 1.'Ductsystem 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. ThVystemLw;ill not be Ducted (ie., Ductless.,Mini-Split System)Y(Also,ExemptifromKRefrigerant',Charge) ❑ 2. New,HVAC System Required Forrns:, s'= ; s,°F P - , z tyre jAtx : Fes` ' . . Cut mjor Changeout with;: r �. t r fr, •, 1 . .` CF 6R forms 'MECH-04 MECH 2O -HERS andF(for split systems) MECH'=22 HERS and new ducts:'(all new P "a MECH=25HER5 - a: r�' , 9 rti ductm all new CF 4R':forms:+MECH-20, fors lits MECH=25 t. 1 f and stems aMECH-22 and ( P Y ) sy equipmenE)'-t'F:�r,.`- �.+�' Mr..,, --•,:r ..;...�. i'� r. .ftw$€_._ For Split Systes:�Duct leakage,<,6 percent, RC,'CCA >_ 350 CFM/ton; FWD; TMAH,`ST mMS,,and either HSPP or'PSPP. .I.l . .. _ ... , For Packaged Units: Duct leakage6.k'<6 percent''' ❑ 3. New Ducts with/or withoutzF`.:'. Required Forms: Replacement: 1 , . 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 -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 ' 114. New Ducting over 40 feet Required Forms: . Includes adding or replacing more than 40 CF -611 forms: MECH-04, MECH-2I-HERS A 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 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: Gary Laster Signature: Gary Laster Company: DOVE AIR INC Date: Jun 26, 2012 Address: 68-749 RISUENO ROAD License: 794315 City/State/Zip: CATHEDRAL CITY / CA / 92234 Phone: (760) 327-1890 Reg: 212-A0033494A-00000000-0000 Registration Date/Time:-2012/06/26 15:15:01 HERS Provider: Ca10ERTS,- Inc. 2008 Residential Compliance Forms July 2010 acl.:ci cvvo mon o: as a•rn a+a �uicica au,aivanyr �aa�.;f vva Bin !t City of [ a. Quinta Boli 4 K Safety Divislon P.O. Box 15.04, 78-495 Calle Tampico La Quanta, CA 92253 - (760).777-'1012 Building Permit Application and Tracking, Sheet . Permit #,�/ I a _ 17( Project Address: ab �f� �Qf 0wner'sNam e. rz. Viol W I M eta NV A. P. Number: Addr=: r Legal l)escripticxt Contactor: (� • D d 'r'�- City, ST, Zip:t' / 2_�l I'elcphout: / 3 Address; c Project Description: tQ0L_A-C 6 City, Sr, Zip: �a ►. e. L�.3 'relephone: 7b.0 State l.ic. # : Y 3 City I.ia #: 6 3 s FF Arch., Engr., Designer: Addrfzs: City, Si',Zip: i elephone. ;tate Lie. #; Constriction Type; Occupancy. Project type (circle one): New Add'.n Alter Demo Name of Contact Person: 0' N / C' ; . Sj .Repair Sq. Ft.: 'V 'Stories: � Uuits: Telephone Al of Contact Person: ( ILL (� d (® L3 Estimated Value of Ytoject:. .' d APPLIOANT: DO. -NOT WRITE BELOW THIS UNE Ji Submittal Req'd Reed TRAC3 MG PERMTT FEES Plan Sete Plan (Meek submitted Itew Amount Structural Calcs.. Reviewed, ready for corrections Pian Check Deposit Tress Calm Called Contact Person Plan Check Balaace Energy C'al& Flags picked up Construction . Flood plain pian . Plans resubmitted Mechudeal Grading.plao V Review, ready for corrections/issat Electrical Subcontaclur List Called Contact Person FluntMag Grant DeedPlans picked up s m IMA. Approval Pleas i•esultiuit(ed l.'radhig IN HOUSE:- '"'°itevlew, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees — Total Peratit Fees CH