Loading...
14-0893 (MECH)4 •,� 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: 6/19/14 Application Number: 14-00000893 Owner: O Property Address: 79815 LIGA DONS ZIEMBA APN: 772-230-047- - - 79815 LIGA Application description: MECHANICAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL ( Q Application Valuation: 29699 Contractor. Applicant: Architect or Engineer: RIGHTIME AIR CONDITIONING AND 3030 MYERS STREET RIVERSIDE, 92503 (951)276-974444 Lic. No.: 878533 . --------------- - LICENSED CONTRACTOR'S DECLARATION I 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 Professionals C e, and my License is in full force and effect. License Class: C20 nseNo.: 878533 Date• 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 1$500).: (_) 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 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.). I—) 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: Lender's Address: LQPERMIT ----------------------------------------------- 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-gove and will maintain workers' compensation insurance, as required by Section 3700 of the Labor e, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier INS CO OF WEST Policy Number WVE502266101 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as 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 37,001 of the Labor Code, I shall fa with comply with those provisions. Date: C 1—. t pplicant: WARNING: FAILURE TO SECURE WORKERS' CQPENSATION 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 authorize representatives of this county to enter upon the above-mentioned property for inspection purpose Date: to —�Q- Signature (Applicant or Agent): Application Number . . . . . 14-00000893 Permit . . . MECHANICAL 2013 Additional desc . Permit Fee . . . . 166.84 Plan Check Fee .00 Issue Date . . . - Valuation . . . . 0 Expiration Date 12/16/14 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 HVAC CHANGE OUT - (2) 16SEER/80AFUE SPLIT SYSTEM [2008 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 119.16 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 209.73 .00 .00 209.73 Grand Total 376.57 .00 .00 376.57. LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential RVA C Alterations CF -IR -ALT -HVAC Climate Zones 10 to 15 Site Address: Enforcement Agency: Date. 6-19-14 Permit#: Conditioned Floor Equipment Type' List Minimum Efficiency2Duct insulation requirement Area Thermostat Packaged Unit Furnace AFUEe �EER112 ❑ COP Over 40 ft of ducts added oretback re laced in unconditioned space Served by system (isnot already Indoor Coil HSPF (R 6 (CZ 10-13) i� sf present, must be Condensing Unit [JEER®Resistance ILII❑JJJJ R 8 (CZ 14-15) installed) Other I. Equipment Type: Choose the equipment being installed, • if more than one system, use another CF -IR -ALT -HVAC jor each system. 2. Minimum Equipment Efficiencies. 13 SEER, 78% AFUE, 7.7HSPF jor 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 fortes 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 CF4R forms (no hand filled CF4Rs allowed) are filled out and signed. Beginning October 1 2010 a registered copy of the CF -1R and CF -611 shall also be on site for final Inspection. 1. HVAC Changeout Required Forms: • All HVAC Equipment replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MECH- 21 and fors lit stems MECH-25 • Condenser Coil and /or an • Indoor Coil and CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MECH- 21 and (for split systems) MECH-25 • Furnace 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 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 ducts stems are constructed, insulated or sealed with asbestos 132. New HVAC System Required Forms: • Cut in or Changeout with new, ducts: (all new ducting and all CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS new equipment) CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 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 Replacement Required Forms. • Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor coil CF4R forms: MECH-20 and (for split systems) MECH-25 and/or furnace. No or some 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 �Re uired Forms: • Includes adding or replacing more than 40 linear feet of duct in unconditioned space. 6R forms: MECH-04, MECH-2I-HERS CF -4R forms: MECH-21 For splits stem 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) • 1 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 tans and specifications submitted to the enforcement age forapproval with the permit application. Name:.Jane Recktenwald Signature: Company`Venvest Ballard Inc., DBA Rightime Air e'6-19-2014 Address: Myers Street License: Lieens. 878533 City/State/Zip:Riverside, CA 92503 Phone: 951-276-9744 .nun .`oo.nonnn/ r Knrmo kr^n •t, inin Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 to IS MIN Site Address: Enforcement Agency: Date: 6-19-14 Permit #. Conditioned Floor Equipment Typel List Minimum Efficiency, Duct insulation requirement Area Thermostat Unit Furnace fAFUE2 o ❑ COP Over 40 ft of ducts added or re laced in Served by 12setback IPackaged Indoor Coil EERL� ® HSPF unconditioned space R 6 (CZ 10-13)_ system sf (If not already present, must be Condensing Unit ❑ EER Resistance Other R 8 (CZ 14-15) irutalled) ,.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, 7.7HSPFfor 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 CFVR forms (no hand filled CF4Rs allowed) are filled out and signed. Beginning October 1 2010 a registered copy of the CF -1R and CF -611 shall also be on site for final inspection. [31. HVAC Changeout Required Forms: • All HVAC Equipment replaced CF-611forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MECH- 21 and fors lit stems MECH-25 • Condenser Coil and /or • Indoor Coil and/or CF -6R forms: 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 For Packaged Units: Duct leakage < 15 percent 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 ducts stems are constructed, insulated or sealed with asbestos 13 2. New HVAC System Required Forms: • Cut in or Changeout with new ducts: (all new ducting and all CF -611 forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS new equipment) CF4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 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 Replacement Required Forms: • Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor coil CF4R forms: MECH-20 and (for split systems) MECH-25 and/or furnace. No or some equipment changed. For Split Systems: Duct leakage < 6 percent, RC, CCA> 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent El 4. New Ducting over 40 feet Required Forms: • Includes adding or replacing more than 40 linear feet of duct in unconditioned s ace. CF -6R forms: MECH-04, MECH-2I-HERS CF -4R forms: MECH-21 For splits stem 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) • 1 certify that this Certificate of Compliance documentation is accurate and complete. • 1 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 I 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, calculationsplans and specifications submitted to the enforcement a enc roval with the permit application. Name:Jane Recktenwald gnature: T °mpany'Venvest Ballard Inc., DBA Rightime Air e'6-19-2014 7ddress:3030 Myers Street License: 878533 City/State/Zip:Riverside, CA 92503 Phone:951-276-9744 7fInR Rocidvnitnl r­U­,-0 ,-o Rnrme l,f~eh Mln Din # Permit # A Project Address: g C. 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 TrackingSheet Owner's Name: A. P. Number „ _ � Address: S Legal Description: City, ST, zip: jt q53 Contractor: Telephone: Address: p S Project Description: City, ST, Zip:IM Telephone: •'1(a —SIN' S State Lic. # : FcityLic-fl, 'j . 5 Arch., Engr., Designer ly Address: 2 City., ST, Zip: tJ Telephone: State Lir #: Name of Contact Person: Construction type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone #.of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE tl Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cities.Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Cheek Balance Title 24 Calcs. Plans pickid up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'! Review, ready for correctionslissue Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Pians picked up H.O.A. Approval Plans resubmitted Grading IN HOUSE:- int Review, ready for eorrecilonsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Feu Total Permit Fees