12-0894 (MECH)P.O. BOX 1504
Contractor: U� 10 2012
78-495 CALLE TAMPICO
BEST IN THE - WEST FL
LA QUINTA, CALIFORNIA 92253
Application Number:
r
127-00000894
Property Address:
78620 SAGUARO DR
APN:
646-312-039-89 -000000-
Application description:
MECHANICAL
Property Zoning:
MEDIUM DENSITY RES
Application valuation:
6200
TU!t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
LYNN MOLLOY
78620 SAGUARO DRIVE
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
PJ
Date: 8/09/12
LQPERMIT
Contractor: U� 10 2012
Applicant: Architect or Engineer:
BEST IN THE - WEST FL
255 N. .EL CIELO, 140-125 CITY OF
PALM SPRINGS, CA 92262
FEfIl�w�c'QUI1dTq
DEPT..
(760) 343-1002
Lic. No.: 826714 .
1
' LICENSED T CTOR'SO'CLARATION
WORKER'S COMPENSATION DECLARATION-
I hereby affirm under penalty of perjury that I a c der provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business r Sionals ode, and my License is in full force and effect.
I have and will maintain a certificate of consent to self -insure for workers'. compensation, as provided"
• License Class:. C20—C38Lice se No.: 826714 -
_
for by Section;3700 of the Labor Code, for the performance of the work for which this permit is
., i
/Date: P��tractor:
• issued. �-
I have and, will maintain workers' compensation insurance, as required by, Section 3700 of the:L'aboi -
Code, for the performance of the work for which this per is issued. My workers' compensation
- OWNER -BUILDER DECLARATION
insurance carrier and policy number are: " I I , -
I hereby affirm under penalty of perjury that I am exe t -from the Contractor's State License Law for the
Carrier GUARD INS %GRP . ' Policy Number 13EWC337354 I
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the-performanc a work for which this permit is issued, I shall not employ any '
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires; the applicant for the
-person in any manners sao o e" ubject to the workers compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant -to the provisions of the Contractor's State
and agree that, if I s - Id be m ject to the workers, compensation provisions of Section .
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^/
3700 of the Labor od 'th comply with those provisions.
-,
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
Date: plicanti -
1, 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
WARNING: FAILURE TO SECURE $'-COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law, does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND.
and who does the work himself or herself through, his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN -
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S. FEES. .,
one year,of completion, the owner -builder will have the burden of proving that he or she did not build or
-rimprove for the purpose of sale.). -
APPLICANT ACKNOWLEDGEMENT
1 _ 1 I, as owner of the property, am exclusively contracting with licensed. contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the.
7044, Business and Professions Code:The Contractors' State License Law *does not apply to an owner of
conditions and restrictions set forth on this application. r .
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1 . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). -
whose benefit work is performed under or pursuant to any permit issued as a result of this'application,
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
- 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. -
Date: Owner: .,
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 n of work for 180 days will subject
CONSTRUCTION LENDING AGENCY
permit to cancellation.
. 1 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
I certify that I have read this application and state that the abov or on is orrect. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). -
nd ounty ordinances and state laws relating to buildin ct on, and ereby authorize representatives
s my enter upon the above-mentioned property i p rpos s.
Lender's Name:
Pof
ure (Applicant or Agent):
Lender's Address: '
LQPERMIT
Application Number . . ._ 12-00000894
-
Permit . . . MECHANICAL
Additional desc .
Permit Fee. 40.50
Plan Check Fee-
10.13
Issue Date . . . .
Valuation . . . .
0
Expiration Date 2/05/13
Qty Unit Charge Per
Extension
BASE
FEE
15.00.
1.00 9.0000 EA MECH
FURNACE <=100K
9.00
1.00 16.5000 EA MECH
B/C.>3-15HP/>100K-500KBTU
16.50
----------------------------------------------------------------------------
Special Notes and Comments
HVAC.CHANGE-OUT;INSTALL.,NEW 5.TON
SYSTEM, FURNACE,'CONDENSER, COIL.
2010
CODES.
Other Fees . . . . . . BLDG STDS ADMIN (SB1473)
1._00
Fee summary Charged
Paid Credited".*Due
Permit'Pee Total 40.50
.00 .00
40:50
Plan Check. Total 10.13..,
.00 .00
10.13
Other Feer`Total 1.00.'
:00 00
1.00
Grand Total 51.63
.00 ".00.
51.63 .
LQPERMIT
Bin #
City- of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico ,
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Cba�
1
Project Address:' ' d �'�- D
Owner's Name:
D
A. P. Number.
Address: 7 0
Legal Description:
City, ST, Zip:
Contractor: g�S` 4 e,
Telephone' '
�
Project Description:
Address:; -'sub -gL " 2—
City, ST, Zip:/`' • 1 I s d,' , 9z 2,
5-,;40,0
� �
Telephone: 60 3 /e?OZ ;
.
11Y 4 19A
State Lic. # . � . 19 City Lic. #:
Arch., Engr.,, esigner:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
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: ' -6 3 3 % o o y—
T Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIONG ,
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Calces
Plans picked up
Construction
Flood plain plan.
Plans resubmitted
Mechanical
Grading plan
2°d Review, ready for correctionslissue
Electrical .
Subcontactor 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
r • i
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #•
78620 Saguaro La Quinta, CA.92253
City of La Quinta
Jun 29, 2012
Duct. insulation
Conditioned Floor
Equipment Type1
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
m Furnace
p Indoor Coil
0 AFUE 78%
p SEER 13.0
❑ COP
❑ HSPF
❑ R 6 (CZ 10-13)
Served by system
® Setback
If not already present, must be
0 Condensing Unit
❑ EER
[3 Resistance
R gCZ 14-15)Resistance (
2000 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% AFUE, Z7HSPF 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 -IR
and CF -6R shall also be on site for final inspection.
D 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 -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
CF -411 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. The system.will not be Ducted be. -Ductless Mini-Split;5ystem)-(Also Exempt from,,Refrigerant Charge)
❑ 2. Neal HVAC System
Requiired_Forms: Y-
. Cut inlor Changeoutwith;'
new ducts. (all new
° f - r
CF -6R forms: MECH-04, MECH-20-HERS, and'(for split systems) MECH 22 -HERS, and
ducting and all new r
(,
MECH=t €
CF -411 for25=HERS
ms:'MECH-20, and (for split systems) MECH-22, and MECH-25
equipment)
c•� ,,- ' a
For Split Systems: Dud leakage c6 percent;- RC TCCA > 350 CFM/ton, FWD,•TMAH;- SIMS, 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 -411 forms: MECH-20 and (for split systems) MECH-25
equipment changed.
For split systems: Dud 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 -6111 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: Richard C Weaver Sr Signature: Richard C Weaver Sr
Company: BEST IN THE WEST AIR CONDITIONING & HEATING INC Date: Jun 29, 2012
Address: 255 N ELCIELO ROAD #140-125 License: 967982
City/State/Zip: PALM SPRINGS / CA / 92262 Phone: (760) 343-1002
Reg: 212-AO03452OA-00000000-0000 Registration Date/Time: 2012/06/29 11:26:51 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms July 2010