MECH (14-0951)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 14-00000951
Property Address: 49460 MISSION DR W
APN: 649 -*490 -009 -
Application description: MECHANICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 14000
App,,�t n..
7� Z
Tuvl44Q"
Architect or Engineer:
AA�
BUILDING & SAFETY, DEPARTMENT
ILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/27/14
------------------------ ----------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
Owner:
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
TOM ARNERICH
July
49960 MISSION DR WEST
LA QUINTA, CA 92253
&
(714) 580-8258
Contractor:
FIRST CHOICE A/C & HEATING INC
OWNER -BUILDER DECLARATION
79747 CASSIA ST
I hereby affirm under penalty of perjury that I am exempt from t he Contractor's State License Law for the
LA QUINTA, CA 92253
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to,
.(760)989-2369
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
Lic. No.: 968138
Date: 6/27/14
------------------------ ----------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
7 --------------
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 and Professionalsgode, 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
0.
LicenseClass: C20 - t AAob-L 968138
for by Section 3700 of the Labor Code, for the performance of the work for whick 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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from t he Contractor's State License Law for the
Carrier EXEMPT 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 =db9come subject to the.workers' compensation provisions of Section
License Law (Chapter 9 lcommencing with Section 7000) of Division 3 of the Business and Professions Code) or
3100 of 'he Labor those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
��h]M
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500).:
/late: Applicant:
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: 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.).
APPLICANT ACKNOWLEDGEMENT
1, 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
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
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 constru ti d h by thorize representatives
of this county to enter upon the above-mentioned property for ins rpo
Date: 0 Signature (Applicant or Agent):
16/
.S
Application Number . . . . 14-00000951
Permit . . . . MECHANICAL 2013
Additional desc
Permit Fee . . . . 166.84 Plan Check Fee
.00
Issue Date Valuation . . .
0 ,
Expiration Date 12/24/14
Qty Unit Charge Per
Extension
2.00 35.7500 EA MECH FURNACE
71.50 `
2.00 11.9200 EA MECH.APPL REP/ALT
23.84
2..00 35.7500 EA MECH CONDENSER/COMP
71.50
Special Notes and Comments
REPLACE (2)HVACS (1)4 TON (1)3.5 TON
CONDENSING UNIT FURNACE INDOOR COIL
UNITS (1) 16 SEER (1) 13 SEER BOTH 78%
'.
AFUE 2013 MECHANICAL CODE 2008 ENERGY]"
CARBON MONOXIDE ALARM(S) TO BE INSTALLED
PRIOR TO FINAL INSPECTION. 2013
CALIFORNIA BUILDING CODES
L
-----------------.----------------------------------------------------------
Other Fees BLDG STDS ADMIN (SB1473)
1.00
PERMIT ISSUANCE M/P/E
_• 90.57
PLAN CHECK, MECHANICAL
104.86 _.
i Fee summary. Charged Paid Credited
Due
Permit Fee Total 166.84 .00 .00
166.84
Plan Check Total .00 "x.00 .00.
.00
Other Fee Total 196.43 .00 .00
196.43
Grand Total 363.27 .00 00
363.27
LQPERMIT
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit 7
49-460 Mission Drive West La Quinta, CA 92253
City of La Quinta I
Jun 27,.2014
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
® Furnace
® Indoor Coil
® AFUE 78%
® SEER 13.0
13 COP
❑ HSPF
[3R 6 (CZ 10-13)
Served by system
1400 sf
®Setback
If not already present, must be
IN Condensing Unit
[3 EER
[3 Resistance
[3 R 8 (CZ 14-15)
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-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-4R 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
For Split Systems: Duct leakage < 15 percent; RC, CCA :5 300 CFM/ton (Minimum Air Flow Requirement), TMAH
For- Packaged Unitsa Duet leakage r 15
peFrsei;it
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 duct systems are: constructed, insulated or sealed with asbestos
❑ 4. The system will not be Ducted (ie. Ductless Mini-Split System) (Also Exempt from Refrigerant Charge)
❑ 2. New HVAC System
Required Forms:
. Cut in or Chari eoil with
9
-"E " '4'� 4 �'* • b- "
CF 6R forms MECH 04`,.MECH'20 HERS, and (for split systems) MECH.22 HERS, and
,
new ducts: (all new''
µ
r
MECH 2.5 HERS'.y ,r
ducting A al•I new
i
:CF 4R forms MECH-20, and (for split systemsMECH-22, and ;MECH-2
q p„ ent)
For Split Systems Ddc't 1eeakagpj' 6.1pertent; RC, CCA >350 CFM/ton-TWD, TMAH STMS,. and either�HSPP`or,�PSPPx ' 4;r�
For Packaged UnitS:iDuct leakage <'6 percent kh'
❑ 3. New Ducts with'/or without:' ='
Required, Forms:::'.. 'p
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: 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 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: Atila Both Signature: Atila Both
Company: FIRST CHOICE A / C & HEATING INC Date: Jun 27, 2014
Address: 79-747 CASSIA STREET License: 968138
City/State/Zip: LA QUINTA / CA / 92253 Phone: (760) 989-2369
Reg: 214-A0048653A-000000000-0000
2008 kesidential Compliance Forms
Registration Date/Time: 2014/06/27 15:48:01 HERS Provider: CalCERTS, Inc.
July 2010
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -1R -ALT -HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date: 1
Permit #:
49-460 Mission Drive West La Quinta, CA 92253
City of La Quinta
Jun 27, 2014
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
-
® Furnace
® Indoor Coil
® AFUE 78%
® SEER 16.0
❑ COP
❑ HSPF
0 R 6 (CZ 10-13)
Served by system
® Setback
If not already present, must be
® Condensing Unit
❑ EER
❑ Resistance
❑ R 8 (CZ 14-15)
1600 sf
installed)
❑ Other
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1R -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 -611 shall also be on site for final inspection.
IM 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 ttian 40 linear feet in unconditioned space, or
[13. Existing duct systems are: constructed, insulated or sealed with asbestos
[14. The system will not be Ducted (ie. Ductless Mini -Split System) (Also Exempt from Refrigerant Charge)
❑ 2. New HVAC System
Required Forms:
. Cut in or C-hang6-6d6 ith.,
f w
" '' F '• r � Y— =- a ''",� `
CF 6R forms 4MECH-04 MECH 20 HERS and (for split systems) MECH-22 HERS, and
new ducts:; (all hew
.
ducting &kall new
6+. - 3 a
MECH 25 HERS..
l
equipment)
CF 4R forms MECH-20, and (for split systems)*MECH-22, and MECH-25w
For Split Systems Duct Ieakagek .,percent; RC, CCAf>:350 CFM/ton, FIND, TMAH; STMS; er and eithHSPP"or PSPP
j s'?
For Packaged Units: Duct leakage- 6 percent �y
u . _... �.�°I _ _u.
❑ 3. New D'u`cts vuith/or'without:>' f2equired Forms:. ,�... -
Replacement _. ... .
. Includes replacing or installing all: hew
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
114. 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 -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: Atila Both Signature: Atila Both
Company: FIRST CHOICE A / C & HEATING INC Date: Jun 27, 2014
Address: 79-747 CASSIA STREET License: 968138
City/State/Zip: LA QUINTA / CA / 92253 Phone: (760) 989-2369
Reg: 214-AO04866OA-000000000-0000 Registration Date/Time: 2014/06/27 15:53:52 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms July 2010
Bin #
City of La Quinta
-Building 8t Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta,CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Permit #
Project Address:
.4&o
mi ION
Owner's Name: !tom
A. P. Number:
Address: ' C At,w .,
cr
Legal. Description:
City, ST, Zip:
.14
Contractor:
Gift#;
Telephone: % — — 5
Address: 9 -A4
CA S!;14
rr
Project.Description:
City, ST, Zip: -1,A .
92.,�S3
-::....::.........i
_ 3 ,
Telephone:
: yyij;%viw .ii:;
>:;r„;:.;':::>:;:%%::>4>>r;<•.:
tv
State Lic. # :
City Lie. C
Arch., Engr., Designer:
Address:
City, ST, Zip.
Telephone:
::.:«%;y;.;;;:;r;,:%
l.C..�
Construction Type Occupancy
State Lie. #.x-
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
#Stories:
#Units:
Telephone #,of Contact Person:
Estimated Value of Project: 000
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
Zed Review, ready for correctionsrssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'”' Review, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees