13-1435 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
13-00001435
Property Address:
48210 PASO TIEMPO LN
APN:
646 -360 -020 -
Application description:
MECHANICAL
Property Zoninq:
LOW DENSITY RESIDENTIAL
Application valuation:
11000
Tily 4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect
or Engineer:
I� �V
--------------------ZCONTCTOR'S
----------------------
LIC DECLARATION
I hereby affirm under penalty of perjurytha am sions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busine s and Pnd my License is in full force and effect.
LicenseC ss: 20 725283
Date:., �J Contractor:
LSL_O NER-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).:
(_ 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 ISec. 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 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 ISec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
HAYNE PAUL L
48210 PASEO TIEMPO
LA QUINTA, CA 92253
(760)771-5918
LANE
Contractor: -
AIR EXPERTS AIR CONDITi
PO BOX .94
LA QUINTA, CA 92247
(760)777-1724
Lic. No.: 725283
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/12/13
.D]
NOV 12 N"
O - G
CITY OF LA QUINTA
FINANCE DEPT.
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
Ihave 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 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
Carrier GUARD INS GROUP ol:,cyNum:br>PAWC446733
I certify that, in the perfor ce of thevl owhich this permit is issued, I shall not employ any
person in any manner o as to b me subject to vleers`tifmpensation laws of California,
and agree that, if I should become subi to workers' compensation provisions of Section
3700 of the Labor Code, I shall forthwith comply with those provisions.
Date:- � Applicant: /
WAR NG:.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 ($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.
certify that I have read this application and state that thea a mformaY is correct. I agree to comply with all
city and county ordinances and state laws relating to build' g const( n, and hereby authorize representatives
of this cou to ter upon the above-mentioned pmpert for . ection u
Date: 'yi ignature (Applicant or Agent),
`Application Number 13-00001435
Permit . . . MECHANICAL 2013
Additional desc .
Permit Fee . . . . 83.42 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date . 5/11/14
Qty Unit Charge Per-
Extension
1.00 35.7500 EA MECH FURNACE
35.75
i nn i.i g2nn FA Wr# APPT. RFP/ATT
11 q?
1.00 35.7500 EA MECH CONDENSER/COMP
35.75
----------------------------------------------------------------------------
Special Notes and Comments
HVAC CHANGE OUT - (2) 13SEER/80AFUE
SYSTEMS [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
52.43,
Fee summary Charged Paid Credited
Due
Permit Fee Total 83.42 .00 .00
83.42
Plan Check Total .00 .00 .00
.00
Other Fee Total 143.00 .00 .00
143.00
Grand Total 226.42 .00 .00
226.42
Bin #
Cit}/ Of La Quints
Building 8T SafetyDivision
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit#
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Project Address: L�
Owner's Name: N
A. P. Number:
Address: z/ 6 ? -)o
Legal Description:
City, ST, Zip: /�4 0Ui,j t74 Q4
Contactor: P
Telephone: %(Q -771 / <•:;N,:<;::<:.::::•:" s.:.
Address:
Project Description: '
City, ST, Zip: 4.4, CA / Z.ZY 7
Telephone:7(.a 2
::f>;s;:z>:
State Lic. # :7ZZ—Z.T3,
City Lic.
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
P
<:'•N `<:`fs' `?f>:;�
. ;...<.;r:<'.::<s .;>::.;••;::: :s '':>: ...
Construction Type: Occupancy:
,
Project type (circle one): New Add'n AJter Repair Demo
State Lic. #•
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c;M>;:;>:<<.:»::>:z:
:;; ;;;>s;;; r;;; :;; :::sr<:s
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: //04"0
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Depo::it
Truss Calcs.
: Called Contact Person
I Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted .
Mechanical
Grading plan
2°" Review, ready for correctionsCssue
Electrical
Subcontactot List '
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
.
School Fees
Total Permit Fees'
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC
Climate Zones 10 - IS
Site Address:
Enforcement Agency:
Date:
Permit #:
48210 PaseoTiempo Ln. ( system 1) La Quinta, CA 92253
City of La Quinta
Nov 9, 2013
,.
Duct insulation
Conditioned Floor
Equipment Typel
List MinimumEfficiency2
requirement
Area
Thermostat.
❑ Package Unit
® Furnace
® AFUE 78%
❑ COP
[3 R 6 (CZ 10-13)
Served by system
® Setback
must
® Indoor Coil
® SEER 13.0
E]HSPF
[3 R 8 (CZ 14-25)
2000 sf
If not already present, be
® Condensing Unit
[3 EER
❑ Resistance
installed) ti
❑ 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 -1111
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 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 than 40 linear feet in unconditioned space, or
❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos
er
❑'4. The systemtiwill not be Ducted (ie. Ductless-Mini-Split-system),(Alsq-Exempt frpm=Rigant-Charge)e
r
❑ 2. Nevii'HVAC System
Required Forms /► "' "r +� + ,
/
.Cut inror Changeout with
ducts:
CF 611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH ;22 -HERS, and,. „
'y ' ;".. * / f j_ r . -- - ,.
new (all new
ducting"and all new
}j
MECH-25 HERS -
CF -4R forms: ;MECH-20, and (for split systems) MECH-22, and,MECH-25 j j � ` ''
e ui ment �}
.; ,
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 -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 a I certify that this Certificate of Comp'.iance documentation is accurate and compete.
e I am e;igib;e under Division 3 of the Ca:ifornia Business and Professions Code to accept responsibi5ty for the design identified on this Certificate of
Compaance.
e i certify that the energy features and performance specifications for the design identified on this Certificate of Cornp;iance conform to the
I requirements of Titie 24, Parts 1 and 6 of the Caiifornia Code of Reguations,
e The design features identified on this Certificate of Compliance are consistent with the information documented on other appiicab!e compliance
I forms, worksheets, caicuiations, plans and specifications submitted to the enforcement agency for approval with the permit app:ication.
Name: Luis M Lira Signature: Luis M Lira
Company: AIR EXPERTS AIR CONDITIONING -HEATING Date: Nov 9, 2013
(Address: PO BOX 94 License: 725283
City/State/Zip: LA QUINTA / CA / 92247 0094 -- Phone: (760) 777 1724
--_ ,,,i--- --- - --- -- - - --
--_-_-__-__-_-_'-_ _' --- ----'----- ----- -_-'_-__'---------' - _-
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-iR-ALT-HVAC
Climate Zones 10 - IS
Site Address:
Enforcement Agency:
Date:
Permit #:
48210 Paseo Tiempo Ln. ( system 2 ) La Quinta, CA 92253
City of La Quinta
Nov 9, 2013
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
® Furnace
® AFUE 78%
❑ COP
❑ R 6 (CZ 10-13)
Served by system
® Setback
® Indoor Coil
® SEER 13.0
❑ HSPF
[3 R 8 (CZ 14-15)
2000 sf
If not already present, must be
® Condensing Unit
❑ EER
❑ Resistance
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 -611 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 -IR
and CF -61R shall also be on site for final inspection.
® 1. HVAC Changeout
Required Forms:
. All HVAC Equipment
CF -611 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: 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 than 40 linear feet in unconditioned space, or
❑ 3. Existing duct systems are 'constructed, insulated or sealed with asbestos
❑ 4. Th esystem,will not be Ducted'(ieDuctless Mini-Split,System)r(Also-Exemptfrom:Refrigerant Charge)
❑ 2. NeiWHVAC System
Required Forms:
.Cut inior Changeout with"
"' ' s f � �-� f
CF 611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-22-HERS, and
new ducts: all new
(
ducting aid all new
MECH -25-HERS r
� � � � - •�---� .+��"�'9 F •
CF -4R forms: MECH-20, and (for split systems) MECH-22, and MECH-25
equi
At
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 j
. 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 -411 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 -611 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 Titre 24, Parts 1 and 6 of the California Code of Regulations,
e The design features identified on this Certificate of Compliance are consistent with the information documented on other app!icab!e comp!iance
forms, worksheets, calcuiations, plans and specifications submitted to the enforcement agency for approva! with the permit application.
Name: Luis M Lira lSignature: Luis M Lira
Company: AIR EXPERTS AIR CONDITIONING -HEATING Date: Nov 9, 2013
Address: PO BOX 94 License: 725283
City/State/Zip: LA QUINTA / CA 11 92247-0094 Phone: (760) 777-1724