BMCH2014-1001Q�i VOICE (760) 777-7125
7g-495 CALLE TAMPICO C�� 0 4,�t D
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/30/2014
Application Number:
BMCH2O14-1001
Owner:
Property Address:
48741 SAN VICENTE ST
MAUREEN LIEBMAN
APN:
646140006
5697 SPINNKER BAY DR
Application Description:
HVAC FURNACE COIL CONDENSING UNIT
LONG BEACH, CA 92253
Property Zoning:
Application Valuation:
$9,000.00
Applicant:
Contractor:
ALDCOAIR
ALDCOAIR
50100 VISTA MONTANA CT
50100 VISTA MONTANA CT
INDIO, CA 92201
INDIO, CA 92201
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 Professions Code, and
my License is in full force and effect.
License Class: LICENSE CLASSIFICATION License No.: -
Date: Contractor:
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 ($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.).
(_) 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:
(760)564-9963
Llc. No.:
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.
_ I have and will maintain workers' compensation insurance, as required by
n 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:_ Policy Number: _
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 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: vim" Applicant:
WARNING: 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 Building Official 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.
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this city to enter upon the above-
mentioned property for inspection purposes.
Lender's Name:
Date: Signature (Applicant or Agent):
Lender's Address:
Din
I #
City of La Quinta
Building 8L Safety Division
P.O. Box 1504, 78 495 Calle Tampico .
La Quints,CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: Ll
IQ '7 V >feo 1-
Owner's Name: jida P1
A. P. Number:
Address: il• e
Legal Description:
City, ST, Zip:
Contractor:
Telephon : ::n:>r`::a;„•::;> <:>-ifs `•<
Address:v
Project.Description:
City, ST, Zip: ? Z p
\C C t
Telephone: G I IgG
>:
State Lie. #: 4M 70
City Lie. #; 12%
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:::<z:•>•<.x:.:;::;•,;;<::,;;
; ;::<N<:<
...............F :;:::= F:; :c«<s;< >• =•::-
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:Sq.
Ft.:
#Stories:
# Units:
Telephone #,of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'd
Recd
TRACMG
PERMIT FEES.
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 Cafes.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°” Review, ready for correctionstiissue
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 correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue.
School Fees
Total Permit Fees
•'ti
DESCRIPTION
•
QTY
PAID
PermitTRAK `�. :;`. �,
3
,$227.42,..
.4WCH 0 4=1001', Add ress:48741'SAN.VICENTE`ST ,
..
Apn'646140006,, 3
$22742,
BUILDING STANDARDS ADMINISTRATION
BSAS SB1473 FEE
*NONE*
0
$1.00
�. _._.-
:. j,fCHANGEOUT .`,, - ": r... air
r
$135:85
HVAC CHANGEOUT- COIL ONLY PC
*NONE*
0
$4.77
HVAC CHANGEOUT - COIL ONLY
*NONE*
0
$11.92
HVAC CHANGEOUT -CONDENSER ONLY PC
*NONE*
0
$23.83
HVAC CHANGEOUT - CONDENSER ONLY
*NONE*
0
$35.75
HVAC CHANGEOUT- FURNACE ONLY PC
-*NONE*'
0
$23.83
HVAC CHANGEOUT- FURNACE ONLY
*NONE*
0
$35.75
iPERMIT ISSUANCE • u. j � �; x -;, r. ❑ +� w a'
'f.
$90.57l.'.
PERMIT ISSUANCE 7-71
*NONE*
0
$90.57
TOTAL
Date Paid: Monday, lune 30, 2014
Paid By:ALDCOAIR
Cashier: PJU
Pay Method: CHECK 3627
Printed: Monday, June 30, 201411:32 AM 1 of 1
WC V.CTF AA.0
.'t
FINANCIAL ••
•
.S
'r-
PAID
PAID DATEACCOUNTDESCRIRTION
BSAS SB1473 FEE
*NONE*
0
$1.00
$1.00
6/30/14
s PAID BY ��
'. METHOD •
RECEIPT,#`• "•
'= CHECK #
.'CLTD BY
x
A L D C O AIR
CHECK
R228
3627
PJU
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00
DESCRIPTION „
, ACCOUNT
QT.Y,;
, z:AMOUNT
RAID
PAID DATE
HVAC CHANGEOUT - COIL ONLY
*NONE*
0
$11.92
$11.92
6/30/14
{ PAID BY �` x: '.;
; •' w_`MET.HOD ;
.. RECEIPT # `: •,
CHECK #
CLTD BY
A L D C O AIR
CHECK
R228
3627
PJU
DRIPTION.
ESC
y- ACCOUNT'''
TY
;QTY.
` `AMOUNT
PAID .';�
PAID DATE
HVAC CHANGEOUT - COIL ONLY PC
*NONE*
0
$4.77
$4.77
6/30/14
s
;z,
RECEIPT #
:CHECK #
CLTD BYE
A L D C O AIR
CHECK
R228
3627
PJU
DESCRIPTION :. �'
.-,'ACCOUNT_' x;
..
`QTY'
AMOUNT,
PAID
PAID DATE
HVAC CHANGEOUT - CONDENSER ONLY
*NONE*
0
$35.75
$35.75
6/30/14
2 PAID BY ' ;:
K METHOD-
-' RECEIPT #`
CHECK #
CLTD BY
AL DC O AIR
CHECK
R228
3627
PJU
=DESCRIPTION- - k `,
" ACCOUNT ti°
QTY;
AMOUNT x
PAID.
PAID DATE
�y_
HVAC CHANGEOUT - CONDENSER ONLY PC
*NONE*
0
$23.83
$23.83
6/30/14
:�• -j_ PAID BY,zaF,,� ,,
`" '„METHOD, > , r
RECEIPT #, -.. ”
CHECK #`.,.
CLTD BY.
A L D C O AIR
CHECK
R228
3627
PJU
='DESCRIPTION- :
"- jACCOUNT r ''
QTY
AMOUNT Y, _
`;k� - PAID L ,,
PAID DATE
HVAC CHANGEOUT - FURNACE ONLY
*NONE*
0
$35.75'
$35.75
6/30/14
= PAID BY
METHOD,. ,
y ,
•. RECEIPT #-
CHECK #
CLTD:BY'
z
A L D C O AIR
CHECK
R228
3627
PJU
DESCRIPTION_ • „
''' ACCOUNT.,
CITY'
AMOUNT , ;,;
' PAID' =
PAID DATE
HVAC CHANGEOUT - FURNACE ONLY PC
*NONE*
0
$23.83
$23.83
6/30/14
$ PAID BY ,�
METHOD
RECEIPT # ;.,
' ' CHECK #
_CLTD BY
A L D C O AIR
CHECK
R228
3627
PJU
Total Paid forCHANGEOUT: $135.85 $135.85
DESCRIPTION r.
} ACCOUNT,,
QTY
`AMOUNT fr
"' PAID
PAID DATE
PERMIT ISSUANCE
*NONE*
0
$90.57
$90.57
6/30/14
PAID
METHOD'
.
W
RECEIPT#_
C_ HECK#
CLT_ D BY
A L D C O AIR
CHECK
R228
3627
PJU
Total Paid for PERMIT ISSUANCE: $90.57 $90.57
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -1R -ALT -HVAC
Climate Zones 10 - 15 ,
Site Address:
Enforcement Agency:
Date:
Permit #:
48741 San Vicente La Quinta, CA 92253
City of La Quinta
Jun 30, 2014
Equipment Type1
List Minimum Efficiency2
D_ uct insulation
requirement
Conditioned Floor
Area
Thermostat
❑ Package Unit
Cl Furnace
® Indoor Coll
® AFUE 78%
® SEER 13.0
❑ COP
❑ HSPF
❑ R 6 CZ 10-13)
Served b system
y y
® Setback
If not already present, must be
®Condensing Unit
❑ EER
[3Resistance -
❑ R 8 (CZ 14-15)
2800 1 sf
installed)
C3Other
1. Equipment Type: Choose the equipment being Installed; if more than one system, use another CF -1 R -ALT -HVAC for each system.
2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, Z 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 Coil and /or
• Indoor Coil and /or
CF -611 forms: MECH-04, MECH-2I-HERS and (far 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. The system will not be Ducted (ie. Ductless Mini -Split System) (Also Exempt from Refrigerant Charge)
❑ 2. New HVAC System
Required Forms:
. Cut in or Changeout with--
new ducts: (all new
- • p
CF
CF-6R'forms: MECH-04, MECH-20-HERS, and '(for, split systems) MECH-22-HERS, and
ducting all new
equipment)
-25 -HERS }
CF -4R MECH-20, and (for split systems): M ECH-22,and MECH +25
,
-•
rSTMS,
For Split Systems; Duct leakage,< 6?,percent; RC, CCA z 350 CFM/ton, FWD, TMAH; and either HSPP or PSPP
For Packaged Units: Duct leakage < 6 percent. A,I _/ 7 < - ` ,- i
❑ 3. New Ducts with/or without
Required Forms: •`� -
r.
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 > 300 CFM/ton, TMAH 3
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
ICF
linear feet of duct in unconditioned space.
-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: Rafael Aldaz Signature: Rafael Aldaz
Company: A L D C O AIR Date: Jun 30, 2014
Address: 50100 VISTA MONTANA CT License: 857079
City/State/Zip: INDIO / CA / 92201 Phone: (760) 564-9963
Reg: 214-A0048934A-000000000-0000 Registration Date/Time:.�2014/06/30 09:15:27 HERS Provider:,CalCERTS, Inc.
2008 Residential Compliance Forma ,Y July 2010
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC
Climate Zones 10 - 15
'Site Address:
Enforcement Agency:
Date:
Permit #:
48741 San Vicente La Quinta, CA 92253
City of La Quinta
Jun 30, 2014
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
® Furnace
® Indoor Coil
® AFUE 78%
® SEER 13.0
❑ COP
❑ HSPF
❑ R 6 (CZ 10-13)
Served system
® Setback
If not already present, must be
® Condensing Unit
[3EER
❑ Resistance
R 8 (CZ 14-15)
2800 sf
installed)
❑ Other
1. Equipment Type:. Choose the equipment being installed; if more than one system, use another CF-ZR-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-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-611 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) MECH725
. 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
❑ 4. The system will not be Ducted (ie. Ductless Mini-Split System) (Also Exempt from Refrigerant Charge)
❑ 2, New HVAC System
Required Forms:
. Cut inor Channew with
new ducts: (alll new
CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-22-HERS, and
ducting and all new
equipment)
MECH-25-HERS
mCF-4R fors: MECH-20, and (for split systems) MECH-22, and MECH-25:
For Split Systems: Duct leakage < 6•percent; RC, CCA z 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-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 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: Rafael Aldaz Signature: Rafael Aldaz
Company: A L D C O AIR Date: Jun 30, 2014
Address: 50100 VISTA MONTANA CT License: 857079
City/State/Zip: INDIO / CA/ 92201 Phone: (760) 564-9963
Reg: 214-A0048934A-000000000-0000 Registration Date/Time: 2014/06/30 09:15:27 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms July 2010