10-0693 (MECH)T _ 1
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 10-00000693
Property Address: 49980 COACHELLA DR
APN: 646-260-010- -
Application description: MECHANICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 6245
Tiht 4 4 4"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
TOM CREWS r�J
49-980 COACHELLA DRIVEff LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: JM,/28/10
jl/L 2iJ1�
—`.. ----Contractor: _ .. ........ ..... ._.._. _._.___......_
PREFERRED PLUMBING HTG A/C
P.O. BOX 5120
PALM SPRINGS; CA 92263
(760)322-3173
Lic. No.: 457554
---------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION - -
I hereby affirm under penalty of perjury that I am licensed tinder provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busines d Professionals Code, and my License is in full force and effect.
License lass: C10 C16 C2 se o.: 457554
1
. ate: � ractor: `
QO ER- 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 ($500).:
(_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and do
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 contractorls) licensed
pursuant to the Contractors' State License Law.).
( 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
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 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.
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
insurance carrier and policy number are: .
Carrier OAK RIVER INS Policy Number 2200056449-101
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 b �me subject to the wor ce compensation provisions of Section
cJ 3700 of the Labor Code,' tall forthw=plyate: / �plicant:/L2
f'
WARNING: FAILURE TO SECURE WORKERS' OMP NSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTI 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 abo information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildi nstruction d her y utho 'ze representatives
of this cou
te: �to enter upon th above-mentioned propert r in ec ' pur o l
Si lure (Applicant or Agent): — �l
LQPERM(T
lication Number . . . . . 10-00000693
mit .. . . MECHANICAL
itional desc .
mit Fee . . . . 33.00
Plan Check Fee
8.25
ue Date . . . .
Valuation
0
iration Date 1/24/11
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 .9.0000 EA MECH
FURNACE <=100K
9.00
1.00 9.0000 EA MECH
B/C <=3HP/100K BTU
9.00
---------------------------------=----------------------------------
cial Notes and Comments
TALL-NEW-3--TON'-SYSTEM--(1-4—SEER-)- I NEW"-_-- --
_...........__._. _....-...--.--..-_...__.._.__ ._.__..
L AND AIR HANDLER. 2007 CODES.
--------------------------------------------------------------------
.er Fees . . . . . . BLDG SIDS ADMIN (SB1473)
1.00
"summary Charged
---------- ----------
Paid Credited
----- - ------=-------
Due
-
--------------
rmit Fee Total 33.00
.00 .00
33.00
an -Check Total. 8.25
.00 .00
8.25
her "Fee Total 1.00
.00 .00
1.00
-and .Total 42.25
.00 .00
42.25
Sim lifted Prescriptive Certificate of Compliance: 2008 Residential HYACAIterations CF-lR-ALT-HVAC
Climate Zones 10 to 15
Site Address:En
orcementAgency.
6 or
Dat :
P rmit #:
60 a
`
Conditioned Floor
Equipment T e' List Minimum Efficienc Z
Duct insulation requirement
Area
Thermostat
❑ P ckaged Unit
f
Over 40 ti of ducts added or
etback
VF ace ❑AFUE
m
re Igdoor Coil ❑SEER
❑COP
❑ HSPF
replaced in unconditioned space
Served by system
already
be
Condensing Unit ❑ EER /ii
_
❑ Resistance
❑ R 6 (CZ 10-15)
❑ R 8 (CZ 14-I S)
sf
present,
present, must
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 registerediCF-4R forms (no hand filled CF-4Rs allowed) are filled out and
si e . e innin 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: j
• All HVAC Equipment replaced
CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -NIERS
CF -4R forms: MECH- 21 and fors lits stems MECH-25
• Condenser Coil and/or
CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS
• Indoor Coil and /or
CF -4R forms: MECH- 21 and (for spl It systems) MECH-25
• Furnace
I
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
113. Existin duct systems are constructed, insulated or sealed with asbestos
❑ 2. New HVAC System
Required Forms:
• Cut in or Changeout with new
CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS
ducts: (all new ducting and all
CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25
new equipment)
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 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 CF -4R forms: MECH-20 !and (for split systems) MECH-25
coil and/or furnace. Not all equipment changed.
For Split Systems: Duct leakage < 6 percent, RC, CCA > 300 CFM/tong, TMAH
For Packaged Units: Duct leakage <.6 percent i
[14. New Ducting over 40 feet Required Forms: i
• Includes adding or replacing more than 40 CF -6R forms: MECH-041, MECH-2I-HERS CF -4R forms: MECH-21
linear feet of duct in unconditioned space.
For split system or packaged units: Duct leakage < 15 percent
❑ EXCEPTION: Existing ducts stems constructed insulated or sealed with asbestos.
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
s I certify that this Certificate of Compliance documentation is accurate and complete. 1
• 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 I and 6 of the California Code of Regulations.
• The design features identified on this Certificate of Compliance are consistent with thIe information documented on other applicable compliance forms, worksheets,
calculations, plans andspecifications submitted to the enforcement agency for approval with the permit application.
Name:
Signature:
Company:
WMWM-1 4e,
Date:
Address:
oQVIAIKE 12A
License:Sl_)Aly
City/State/Zip:G G,A.
Phone: ,
2008 Residential Compliance Fornts March 2010
Bin #
City of La QUA=
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit.# h
J( nv\
�b
Project Address:' 91,9 ("6A'—'11g7e44
Owner's Name: Q� $
A. P. Number:
Address:
Legal Description:
Preferred Air Conditioning dba
Contractor: P r e f e r r e d Plumbin Heatin &Ai
City, ST, Zip: 40 &U1/Vr1 0,4- 4;2a2.5-
Telephone: .4
Address: PO Box 5120
Project Description:
City, ST, Zip:Paim Springs, CA' 92263
Telephone: ( 760 3 2 2-13173
State Lie. #: 4 5 7 5 5 4 CityLic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person: , �j� �/WS
Contraction Type:l Occupancy:
Project'type (circle one): New Ado rt Alter Repair Demo
Sq. Ft.; # Stories: # Units:
Telephone # of Contact Person: �/ _ /, j /
r9
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING .
PERMIT FEES
Plan Sets
Plan Check submitted
Ite
Amount
Structural Cales.
Reviewed, ready for corrections
Plat Check Deposit
Truss Calcs.
Called Contact Person
Plat Check Balance
Energy Calcs.
Plans Dicked up
Con itruction
Flood plain plan
Plans.resubmitted
Mec anlcal
Grading. plan'
2nd Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M I.
H.O.A. Approval
Plans resubmitted
Gra ing
INHOUSE:-
Review, ready for correctionsrssuc
Dev loper Impact Fee
Planning Approval
Called Contact Person
A.I. .P.
I.Pub.
Wks. Appr
Date of permit issue
School Fees
"
Tot 1 Permit Fees