13-1489 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00001489
Property Address: 78790 CABRILLO WY
APN: 646-410-021- -
Application description: MECHANICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 29.86
Applicant:
.4"_,
I hereby affirm under penalty of perjury that
Section 7000) of Division 3 of the Busine
License Class: C20
Date: I ► Lel,' I ) Contractor:
TWyl
414
"
li�e
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
`�y
D _
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/22/13
Owner:
BLAKE .TAYLOR
_ 78790 CABRILLO WAY
T
LA QUINTA, CA 92253
(
kN
tV2Contractor:
PALM DESERT AIR GOND
COTY
42081 BEACON HILL
PALM DESERT, CA 92211
.
(760)346-0677
Lic. No.: 374937
--------
t'S ECLARATION
Bions of Chapter 9 (commencing with
, and my License is in full force and effect.
No.: 374937
NER-B_RATION
I hereby affirm under penalty of perjury that Om exempt fr the ntractor's State LicenseLaw for the
following reason (Sec. 7031.5, Business anessions od ny city or county that requires a permit to
construct, alter, improve, demolish, or repaistructure, 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 155001.:
(_ 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 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 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.l.
( 1 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
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.
V I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for w permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier MID CENTURY P 'cy umber AO 454905-12
I certify that, in the performanc ork for which t s permit is issued, I shall not employ any
person in any manner s to a subject to the orkers' compensation laws of California,
and agree that, if I s Id bec ubject to thew pensation provisions of Section
L) of the Lab o ode, I s o thwith comp ith thos provisions.
Date: 1 Applicant:
WARNING: FAILURE TO SECURE�I/NPE',INA
S' tIIE?S
PEN ION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRI CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001. IN ADDITEF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTERE,D 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 i not commenced
within 180 days from date of issuance of such permit, or cessation ork r 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above' is corre . I agree to comply with all
city and county or?5.nature
es and state laws relating to buildi onstru o , and her y authorize representatives
of this cpunt=pon the above-mentioned pro y for ins purposes
,re
(Applicant or Agent):
Application Number . . . . . 13-00001489
Permit . . . MECHANICAL 2013
Additional desc . .
Permit Fee . . . . 35.75 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date . . 5/21/14
Qty Unit Charge Per
Extension
1.00 135.7500 EA MECH CONDENSER/COMP
35.75
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Special Notes and Comments
HVAC CHANGE OUT - (1).13SEER CONDENSING
UNIT [2008 ENERGY] CARBON MONOXIDE
ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2010 CALIFORNIA BUILDING
CODES.
----------------------------------------------------------------------------
Other Fees ... . . . . . . PERMIT ISSUANCE M/P/E
90.57
PLAN CHECK, MECHANICAL
23.83
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 35.75 .00 .00
35.75
Plan Check Total .00 .00 .00
.00
Other Fee Total 114.40 .00 .00
114.40
Grand Total 150.15 .00 .00
150.15
LQPERMIT
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -1R -ALT -HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit:
78-790 CABBRILLO WY. La Quinta, CA 92253
City of La Quinta
Sep 16, 2013
Duct insulation
Conditioned Floor
EquipmentTypei
List MinimumEfficiency2
requirement
Area
Thermostat
❑ Package Unit
❑ Furnace
[3 Indoor Coil
❑ AFUE
® SEER 13.0
❑ COP
❑ HSPF
❑ R 6 (CZ 10-13)
Served by system
® Setback
If not already presena must be
® Condensing Unit
❑ EER
❑ Resistance
❑ R 8 (CZ 14-I5)
1200 sf
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°11* 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 -1R
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 Coll and /or
• Indoor Coil and /or
CF -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
• Furnace
CF -411 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
f
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. Thesystemmwill not be Ducted (ie,,,Ductless Mini -Split- System) x(Also Exempt-from;RefrigerantCharge)
132. New HVAC System Required Forms: } u
.Cut In°or Changeout with; —*� j `
CF, -6R forms: MECH-04, MECH-20-HERS and (for split systems) MECH722-.HERS and
new ducts: (all new
MECH-25; HERS.
ducting and all new CF -4R fors: MECH-20 and (for split systems) MECH-22 and MECH-25TM
m
,.'
equipment). ...",1.
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
CF -611 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 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 -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: Karl Brown Signature: Knrl Brown
Company: PALM DESERT AIR CONDITIONING CO INC Date: Sep 16, 2013
Address: 42-081 BEACON HILL License: 374937
City/State/Zip: PALM DESERT/ CA/ 92211 Phone: (760) 346-0677
Reg: 213-A0071064A-000000000-0000, Registration Date/Time: 2013/09/16 18:36:48 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms - July 2010
-- GE\f yt4 DESERT -
Tar o #a6 oa
P.O.. Box 1504 + 78-495 Calle Tampico; • La Quinta, California 92211
Tel: (760).777-70U • Fax: (760) 777-7112'
Website: www.La-Quinta.Org • Email: Building@La-Quinta.Org°'°tioNlrp°�
Bin #: I Permit #:I$ -1E Building Permit Application &.Tracking Sheet
Project Address: 78-790 CABRILLO WY.
Owner's Name: TAYLOR, BLAKE
A.P. Number:
Address: 78-790 CABRILLO WY.
Legal Description:
City, State, Zip: LA QUINTA, CA 92253
Contractor: Palm Desert Air Conditioning & Heating Company
Telephone: (604) 724-7035
Address: 42-081 Beacon Hill
Project Description:
City, State, Zip: Palm Desert, CA 92211
REPLACE (1) AIR CONDITIONING CONDENSER.
Telephone No.: (760) 346-0677
State: Lic. #: 374937
City Lic. #: 100886
Arch./Engr./Designer:
Address:
City, State, Zip:
Telephone No.:
Construction Type:
Occupancy:
State: Lic. #:
Project Type: ❑ New • ® Add'n • ❑ Alter • ❑ Repair • ❑ Demo
Name of Contact Person: KARL BROWN
Sq. Ft.:
# Stories:
#Units:
Contact Telephone No.: (760) 346-0677
Estimated Value of Project: $2,986.00
APPLICANT:
DO NOT WRITE
BELOW THIS LINE
#
Submittal
Req'd
Recd
Tracking
Permit Fee's
Plan Sets
Plan Check Submitted
Item
Amount
Structural Calcs.
Reviewed, Ready for Corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans Picked Up
Construction
Flood Plain Plan
Plans Resubmitted
Mechanical
Grading Plan
2nd Review, Ready for Corrections
Electrical
Subcontractor List
Called Contact Person
Plumbing
Grant Deed
Plans Picked Up
S.M.I.
H.O.A. Approval
Plans Resubmitted
Grading
1N HOUSE
3'" Review, Ready for Corrections
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Works Appel
Date of Permit Issue
School Fees
Total Permit Fee's