14-0276 (MECH)4
r�Tily"
.
P.O. BOX 1504 ^� VOICE (760) 777=70.12
78-495 CALLE TAMPICO FAX (760) 777-701.1
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
" Dater 3/19/14
I Application Number:, 14-00000276 Owner:
"! Property Address: 48365 CASITAS DR GARY GARDNER
APN: 649-.381-045- - - 48-165 CASITAS DR
Application description: MECHANICAL LA. QUINTA, CA 92253 -
Property Zoning: LOW DENSITY RESIDENTIAL ( 1! D ; A
Application valuation: 13550
Contractor: r;1'I i.
Applicant: Architect or Engineer: DESERT AIR CONDITIONING, I C.
590 u WILLIAMSNGITY QF !.A �2Ut�i1'AS ROAD
PALM SPRINGS, CA 92264_ _ FINANCEDEPT
L
Lic. No.: 276586
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed and rovisions of Chapter9foommencing with
Section 7000) of Division 3 of the Business and Prof ' na C y License is in full force and effect.
License Class: 1720-C43 a No.: 1276586
Date• Contractor-
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from theCorttraetor's State Lioense.Law for the
following reason (Sec. 7031.5, Business and Professions Cade: Any city or county that requires a permit to
construct, after, 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) ot'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 (8500)::
('_ 1 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 orimprovement is -sold within
one year of.completion, the owner -builder will have the burden -of proving that he or she did not'bulid or
improve forthepurpose of sale.).
(_) 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 oviinproves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_) 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 lendingagency for the performance of the
work for which this permit.is Issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address'
LQPERMIT
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 have and will maintain a certificate of consent to sell -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.
_ I.have and willmaintain 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 terrier and policy number are:
Carrier CYPRESS INS CO Policy Number 3300065410131
_ 1 certify that, in the performance of the work for hick this permit is issued, I shall not employ any
person in any manner so as to become subi o the rkers"compensation laws of. California;
and
agree that, if I s beco jest o e worker compensation provisions of. Section
aNge+'=of the Lab rC odell f w' y Ith t e provisions.
D c— Applicant..
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 (8100;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 Quints, its,officers, agentsrand 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, void if: war not commenced
within 180 days from date of Issuance of such permit, or n'of work f 180 days will subject
permit to cancellation.
I certify that I have, read this application and e a e for io s rrect. I agr to comply with all
cityend'oountyordinances and state laws elating it ' c . ruct rebyaauthod a representatives
of thi ou to r upon the above-mentio rop ns Pur
Date Signature (Applicant or -Agent): —
V
Application Number . . . . . 14-00000276
Permit . . . MECHANICAL 2013
Additional desc .
Permit Fee 166.84 Plan Check Fee
.00
tiJ
Issue Date Valuation
U
Expiration Date 9/15/14
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) 3 TON SPLIT SYSTEMS ON
GROUND LIKE FOR LIRE. BOTH S0% AFUE 13
SEER. 2013 CMC.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG SIDS ADMIN (SB1473)
1.00
PERMIT ISSUANCE M/P/E
90-57
PLAN CHECK, MECHANICAL
104.86
Fee.summary Charged Paid Credited
----------------- ---------- ---------- ---------- ------------
Due
Permit Fee Total 166.84 .00 .00
166•.84
Plan Check Total .00 .00 .00
.00
Other Fee Total 196.43 .00 .00
196.43
Grand Total 363.27 .00 .00
363.27
LWERMer
City of, La. Quinta
Bidldl W ar.SafeO Dhfi bn
P.Q Box 1304,-7849S Cge Twgft
4.Q+", CA 92253 -:(760) 777-7012
Buiiding Permit Applicadonand Tracking Sheet
Pprinft
ProjeaAdd=:48-165 CASITA DR.
owner's Nam«.GARY GARDNER
A. P.
Address: 48-165 CASITA DR.
Leo 'on-
coahwor: DESERT AIR CONDITIONING, INC.
city, sT, zip: LA QU INTA, CA 92253
teuphoae:
PtgjectDescatption: replace 2 3 ton s lits stems .
Address: 590 WILLIAMS RD..
City. sT,Zip: PALM SPRINGS, CA.92264
Tetephone:760-323-3383 "
stale Lie:. # ::. 76586. city Lic. #, 363
on ground, like . for like
Anfi., By, Desigaa: N/A '
Address:
C1% ST. zip: '
TrUphone:
Sato Lia..#.
NameoMmotPetaon: KERI SKOV
Ccea buction Tjpe ompang,y:
Pbjea type {edicts emb): New Add'n Apes Repair Demo
Sq, Pt:
#stories; #vain:
Tedaphoaa # of Cemtact Pwan: 760-323-3383
Esftftd valve of;Pwjeet: $13,550.00
APPUCANT: DO NOT WRITE BELOW TM,UNE
d
BobmIUd •
Rwd
Reed 1RACIONG
PXRMTFM
Pt.a 8eb
Pbra Chad: eabnttaed
IEou Amoco
stmetwal Cak&
acvkwed, rudy ter eorrecuors
Plan Check Deposit, .
Tress Cates.
Caned Oaafaer Person
Plan Cheek Balance.
Mile 24 Cdes.
Pleas pidmd up
CoQ
Pio- d Oda plan
Pbna rnabmit<ed • •
Idedmikal.
Ginding plea
201 Review, ready torawrrrx6uar/b we
Electrical
Subeoatoetor l.6t
Cgtte d cauteetPerson
Plumblug
Gnat Deet
Plans pklked up
9.til.1.
H.O.A. Approval
Pbrns n edmdfbed
Gradiug
IN.IIOUSSr
Developer Impact Fee
P4odngA proval-
Caw CenisetPmwo
Pub. Whs. Appr -
Date of permit
Schoch Few
Total Permit Fees
Silmplified PrescriptiveCertificate: of Compliance: 2008 Residential HVAC Alterations CF-TR-ALT-HVAC
Climate Zones 10 - IS
Site Address:
Enforcement Agency:
Date:
Permit #:
48-165 CASITA DR. 1 OF 2 LA QUINTA, CA 92253
City of La Quinta
Feb 13,. 2014
Duct insulation.
Conditioned. Floor,
Equipment lypel
List Minimum Effieiency2
requirement
Area-
Thermostat
0 Package Unit"
® Furnace
®Indoor Coil
H AFUE 80%
® SEER 13:0
[31 COP
L]HSPF
13 R 6 (CZ 10-13)
Served by system
® Setback
If not already present, must be
® Condensing Unit
O EER
[3 Resistance
0 R 8 (CZ 14-15)
sf
installed)
p 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 Eiiiclencies; 13 SEER; 78% AFUE,. 7.'7liSPF for typical residential systems.
HERS'VERIFICATION, SUMMARY Listedbelow 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 measuees'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-411
forms (no hand filled' CF-4Rs,a[lowed) are filled out and signed.Beginning' October 1, 2010, a registered copy of the CF-111
and CF- 11.shaltalso be on site for final inspection.
® 1. HVAC Changeout
Required Forms:
. All HVAC Equipment
CF-611 forms: MECH-04, MECH-21-HERS and (forsplit 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-611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
. Furnace
C17-411 forms: MECH-21 and (for°split systems) MECH-25
Fot'Split Systems: Duct leakage < 15 percent; RC-, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH
Exempted from duct leakage testing if-
0 1. Duct system was d.acumented'to have been, previously sealed and confirmed through.HERS- verification, or
p' 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 system will not be Ducted (ie, Ductless Mini-Split System) (Also Exempt=from Refrigerant Charge)
❑ 2. New HVAC System
Required Forms:
. Cut in or Changeout'-with
"' "'
CF-6R-Mrms 04; MECH=20 HERS, and,.(forsplitsystem` s) MECH_=22-HERS, and
Pew ducts: (all new
ductingrAall new
,MECH
MECH-25 HERS
CF-4R'forms ,MECH-20, and {for split systems);MECH-22, and'MECH-25
e
For Split Systems: Ductteakage:'< 6 pe"scent; RC, CCA >`350 CFM/ton,FWD., TMAH, STAS, and eithiefl5PP-,or-PSPP,.. ,.
For Packaged Ueits• Duct;leakage, < 6 percent
0 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-64, MECH-20-HERS, and (for split systems) MECH-25-HERS
and/or indoor coil and/orAirnace. 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 2 300 CFM/tan, 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-044 MECH-21-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 Certif cate.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 thedesign Identified on'this Certificate of Compliance conform to the .
requirements of Title'24, Parts 1 and 6 of the California Code of Reyulatlons.
. The,designfieatures 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 enforcernent.agency for approvai,with the permit application:.
Name: Jacqueline Zabik Signature: Jacqueline Zobik
Company: Desert Air Conditioning Inc. Date: Feb 13, 2014
Address: 590 Williams Road License: 276586
City/State/Zip: Palm Springs/ CA / 92264 Phone: 760-323-3383
Reg 2147A0010844A-000000,000-0.000 Registrat
2008 Residential 'Compliance Forms
Date/Time: 2.014/02/13 19:55':13 HERS Provider: CaICERTS, Inc,.
July 2010
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
68-165 CASITA DR. 2 OF 2 LA QUINTA, .CA 92253
City of La Quinta
Feb 13, 2014
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2_
requirement
Area
Thermostat
❑ Package Unit
®'Furnace
®Indoor Coil
® AFUE 80%
® SEER 13.0
❑ COP0
Q HSPF
R 6 (CZ 10-13)
Served by system
® Setback
If not already present, must be,
® Condensing Unit
0 EER
❑ Resistance
[3R 8 (CZ 14-15)
1200 sf'
installed)
❑ Other
1. Equipment Type: Choose the equipment being installed;" if more than onesystem, use.another CF-IR-ALT-HVACfor each system.
2. Minimum Equipment Efilclencles: 13 SEEP, 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.inspectorverifies 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 -411
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.
11111. 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
. Indoor Coil and /or
CF -611 forms: MECH=04, MECH-2I-HERS and (for split systems) MECH-25-HERS
. Furnace
CF -4R forms: MEC14-21 and (for split systems) MECH-25
For Split Systems: Duct leakage < 15 percent; RC,, CCA 5 .300 CFM/ton (Minimum Air Flow Requirement), TMAH
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
[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 Ch"angeout"with
CF -6R forms: -MECH-04 MECH420=HERS, and s) MECH-22-HERS, and
new ducts: (all new
,(for"split'syster
MECH-25-HERS
ducting ,ADA all new
equipment)
CF -411 MECH-20, and .(for, split systems).MECH-22, and MECH-25`
For Split Systems: Du`d leakage'< 6;percent; RC, CCA'.c>_':350 CFM/ton, FWD,TMAHiSTMS, and either"HSPP-or'PSPP:
For Packaged Units: Duct4eakage•< 6.0rcent.
❑ 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.
CFVR forms: MECH-20 and (for split systems) MECH-25
equipment changed.
For Split Systems: Duct leakage < 6 percent; RC, CCA 2 300 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 forthe 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, cekulations,'plans and specifications submitted to the enforcement agency for approval with the permit application.
Name: Jacqueline Zabik Signature: Jacqueline Znbik
Company: Desert Air Conditioning _Inc. Date: Feb 13, 2014
Address:. 590 Williams Road License: 276586
City/State/Zip: Palm Springs/ CA /.92264 Phone: 760-323-3383
Reg: 214-A0010845A-000000000-0.000 Registration.Date/Time: 2014/02/13 20:0.0:00 HERS Provider: CalCERTS, Inc_
2008 Residential Compliance 'Forma July 2010