13-1069 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
13-00001069
Property Address:
44610 CALLE SANTA BARBARA
APN:
604-381'-_005-13 -25953 -
Application description:
MECHANICAL
:Property. Zoning:
LOW'• bENSITYRESIDENTIAL
Application' valuation:
5552
T,it!t 4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
OWENS ROY
*NOT ON FILE
UNKNOWN, CA 99999
VOICE (760) 77777012
FAX,(760) 777-7011•
INSPECTIONS (760) 777-7153
Date: 8/26/13
. - .. w. v -
Contractor.
Applicant:' Architect or Engineer: DESERT'AIR CONDITIONING I
590 WILLIAMS' ROAD
PALM' -SPRINGS, CA 92264 �.
a
(760) 323. 3383'C/Ty �o�J
Lic: No:: 276586 bC �U
X ieA- -
--- =--- -- ----`-'-------7- - - '--------- - - - - --=_--------- - - --------- -- - - --- _-- ------ - - - ---
LICENSED CONTRACTOR'SDECLARATION• WORKER'S COMPENSATION DECLARATION .
:hhereby.affirm underpenalty of.,pe{jury thatl`am licensed under,provision§'of Chapter-9`lcommencing:with..?.. I hereby affirm under penalty of perjury one of;the following+declarations: - -
Section 7000) of,Division 3 of thdausmes 'a`no P ofessionals Cob, ao6 my License )s•in'i6ll force and'effect, _ I have and will maintain a certificate of consentao"self-insure for workers' compensation, as provided
`License -Class. ' '220-=.C43r-"`%� - License Nu.:: 27.6586. for by -Section 3700 of.the- Labor 'Code, for the performance of the work for which this permit is
- Dat '.. -
- �� +. Contractor.. ` " (
r+issued. , Sc.
_
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
.
�r , _ -, % ,.,, ; ' - - .. -
S
J
•• , Code, ._for the performance of the"work for. which'th)s:permit'is issued.. My workers' compensation
z
':., OWNER -BUILDER DECLARATION. : �,
insurarice carrier and policy number -are: -
1herebyaffim un`de penalty of perjury that`1 am exempt frorn`the Contractor's State License Law for`the.
Carrier EVEREST NATL' Policy Number 7600007908121 -
following ieason'(Sec.'7631.5, Business and Professions Code:` Any city or 6o`unty.that requires a permit to
_ I certify. that, in the performance of the"work for which this permit is.issued,)(shale not employ any
construct, alter,. improve, demolish, or repair any structure; prior to its issuance, also requires'the applicantfor the '
person in any manner so as to become subject 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 Contractors' State
and agree that, if l should ecome subject to the workers' compensation provisions of Section
-.License Law',(Chapter 9. (commencing. with,_Sec4)on 7000).of,Division 3 if the Business and Professions CodeGor
_ 3700 of the Labor. Cod sha rthwith comply with those provisions.
'.that he or she is exempttherefrom'and the basis for the alleged exemption: Any violation of Section 7031.5' by
_ -
' any -applicant fora permit'subjects.the applicant to a civdpenalty of not more than five hundred'dollars ($500).:
05te ✓" Applican��
� .
(_) I, as owner. of the property;. or my employees.with. wages as theirsole compensation, will:do the work, and
the s6ructure is not intended or offered for saW(Sec. 7044, Business and Professions. Code:. The
WARNING: 'TO SECURE WORKERS'.. COMPENSATION COVERAGE -IS UNLAWFUL, AND SHALL .
-Contractors'•'StateCicense Law:does"�notappty to an owner•ofproperty.,who.buildsoi:improves.thereon,
.FAILURE
.SUBJECT AN EMPLOYER TO CRIMINAL'PENALTIES AND'CIVIL',FINES UP -TO 'ONE HUNDRED THOUSAND
• and who does the work himself of herself: through his or her own employees; provided_ that the --,.' •
DOLLARS ($.100;0001.. IN ADDI710N TO THECOSTOEjCOMPENSATION,_DANIAGES AS PROVIDED -FOR IN ,.
are not intended or otfe'Q-for sales,-lf, however, the building or.ioi ement isaold within' -,
SECTION_3706 OF THE LABORCODE INTEREST AND'ATTORNEY'S FEES.
_improvements
one yearof,completion, the owner.=ouilder wilbhave the burden of proving that he or she did not build or
- . ' r • '. �-
` sale
improve -for the purpose of, sale..).,
APPUCANT,ACKNOWLEDGEMENT - .
- V- 1 I, as owner of-theproperty; am.exclusively contracting with licensed contractors to construct the. project (Sec.
IMPORTANT Application is hereby made to;the Director: of Budding and Safety for a permit subject to the .
' 7044, Business and Professions Code:' -.The Contractors' State License Law does not apply to:anowoer-of
_ -.conditions"and restrictions set forth on this application. -
• property: whobuilds.or.improves thereon,'and who contracts for the projects with a contr`actor(sblicensed
t. Each person upon whose behalf thisapplication is made, each person at whose requestand for
pursuant to the Contractors' State License Law.).
whose benefit workis performedunder. or pursuamib any permit issued asa result of this application,
.. (_ 1 I am exempt under Sec. , B.&P.C..for this reason -
the owner, and the applicant, each agreesto, and shall defend, indemnify and hold harmless the City
-
ofrLa 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 cessation of work for 180 days will subject
CONSTRUCTION LENDING AGENCY
permit to cancellation. �- -
affirm under penalty of perjury that there is a. construction lending agency for the performance of the
I certify that I haveread this application and state that the ab .information is correct. I agree to comply with all
.!.hereby
work for which this permit is issued (Sec. 3097, Civ. C.).
city and county-ordinanc'es and state laws relating to building nstru on, and hereby authorize representatives
of this county to enter upon the above-mentioned proper s' tion purposes.
Lender's Name:��j�,�
�, P
Date: Signature` ( Applicant or Agentl:
Lender's Address:
� -
LQPERMIT
Sa
r �
. Application Number . . . . . 13-00001069
Permit MECHANICAL 2013
Additional desc .
Permit Fee . . . . 71.50 Plan Check Fee
.00
Issue Date . . . . Valuation .
. 0
Expiration Date 2/22/14.
C
Qty Unit Charge Per
Extension
1.00 35.750.0 EA MECH FURNACE
.35.75
1.00 35.75.0.0EA MECH CONDENSER/.COMP
35.15
-----------------------------------------------------------------
Special Notes.�and Comments n
HVAC :CHANGE. OUT_. - 13 -SEER/, 78.. AFUE. SPLIT
SYSTEM'..[2.0.08 ENERGY: CARBON`MONOXIDE '
ALARMS) TO.BE ,INSTALLED PRIOR TO•FINAL _
INS,PECTION:. 201.0'..; CALIFORNIA,BUILDING
:CODES.
------------- ------------------------- ----------------------------------------
--------- - Other Fees BLDG STDS ADMIN (SB1473)_
Other
1.00 .
= PERMIT, -ISSUANCE. M/P/E•.
0.57-
§0.:57 -
PLAN CHECK;' MECHANICAL
PLAN
47.66
Fee summary Charged. Paid Credited`
-----71:.50
Due
Permit Fee .00 :�o0,
71; 50
.Total
Plan :Check Total -.._•:00 .-0.0_ -0,0-.-
_. -Other Fee`. -Total 139.23 .00 00,
139'.23
Grand_ Total '2-10-.73 .00 0.0
21,0 73
LQPERMIT
r,.
Bln. #
City of La Quinta
Bu1WJrig'8� Sarety Dmion
P Ojox 1504, 78-495 Calle Tarnplco
La Quintla CA,92253 -. (760) 777-7012
4
Building Pern*:A00ft6tion:and Tracking Sheet
Permit #
In ��
V
Project Addrew ( 0. e :�.
Owner's Name:: �' Qj Q (iii
A. P. Number. r lqgiPc�.
'Address: C:�
Legal Description:
Contractor. DESERT AIR CONDITIONING, INC
Telephone:,
Address: 590 WILLIAMS RD
ProjectDescrip'tion (/_ Jae
City, ST, Zip: PALM SPRINGS, CA 92264
St v'S w)
Telephone: 760-323-3383 ''9�v
r
LL V, ci, t„ ' (r1
State Lic. #: 276586 City Lic. #t 863
Arch., Engr., Designer. NA
Address: z
City, ST, Zip: ,
Telephone:
V�
Construction Type:. MECH Occupancy:
State Lic. #:Project
type (circle of e):: New Add'n Alter Repair Demo
Name of Contact Person: JACQUELINE RATLIFF
Sq. Fu # Stories: #Units:
Telephone # of Contact Person: 760-32373383
Estimated Value of Project: � S d :%
APPLICANT: DO NOT VIrRrm-BELOW THIS LINE _ {
#
Submittal
Req'd
Rec'd;,:
, TRACICIIVG j PERMIT FEES
Plan Sets
Plan Cheek submitted item Amount
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit. .
Truss Calcs.
Called Contact Person Plan Check Balance.
Title 24 Cala.
Pians picked up Construction
Flood plain.ptaa
Plans resubmitted.' . Mechanical
Gradingplan
2i4 Review, ready [or corr'ections(rssue _ Electrical
Subcoutactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.L t
H.O.A. Approval
Plans resubmitted Grading
IN ROUSE:-
'^' Reyiew;,ready for correctionvIssue Developer Impact Fee
Planning Approval
Called Contact Person AX.P:P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
,�ac�ueCwce- � Ra,�!lcff
Sim plified.Prescriptive Certificate of Compliance:.'2008:Residentia/HVAC Alterations CIF=IR=ALT-HVAC
Climate Zones 10�- 15
Site Address:
Enforcement Agency:;'
Date:Permit
#:
44-610 CALLE SANTA BARBARA La Quinta, CA 92253
City of.La"Quinta
Aug, 21, 2013
Duct insulation "
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement _
Area
Thermostat
❑ Package Unit
® Furnace
® Indoor Coil
® AFUE 78%
® SEER 13.0
❑ COP
HSPF .If
p R 6 (CZ 10-13)
Served by system
2000 sf
®Setback
not already present, must be
® Condensing Unit
❑ EER
.❑
. ❑ Resistance
[3 R S. (CZ 14 15)
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 -4R
forms (no hand.filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF -111
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 ffor.split systems) MECH-25-HERS
replaced
CF -4R forms:. MECH-21 and (for split systems)'MECH-25
. Condenser Coil and /or
CF -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
. Indoor Coil and /or
CF -4R forms: MECH-21 and (for split systems) MECH-25
. Furnace
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 systern will not be Ducted(ieM„Ductless.MmSpht_System)c(AlsoE{ empt from Refrigeant Charge)
❑ 2 New?HVAC System
_.
Requiretl Forms:fl ha iQ a "
. Cut i0dfi, Ghangeout withK
new ducts_ (all new
* � , � ,A • `
CF�6forrns MECH-04, MECH 20 HERS, and (for split systems) MECH 22 ERS and
MECH 25 HERS 'fr' n.
ducting all new
equipment)y
a.Fs_�...
CF 4R formers MECH 20 ad (fors lit systems) MECH 22 nd"MECH
�22 ,�!¢
x ,kq P
For Split Systems:Duct leakage z 6 percent, RC "CCAS> 350'CFM%tont' FWD; TMAHSTMS, and either.HSPP or'PSPP.
For PackagedUnits: Duct leakagez,< 6 percent
❑ 3. New.:Ducts'. Ith/or without
Required Forms:
Replacenierit
. 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 feet
Required Forms:
-40.
. Includes adding or replacing.more than 40
CF -6R forms: MECH-04, MECH-21=HERS ,
linear feet of duct in unconditioned space.
CF -411 forms: MECHT 21
For split system or packaged units: Duct leakage < 15 percent
❑ EXCEPTION: Existing ductsystems 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: Jacqueline Zabik Sig nature:'Jacquelin'e Zabik
Company: DESERT AIR CONDITIONING INC Date: Aug 21, 2013
Address: 590 WILLIAMS ROAD License: 276586
City/State/Zip: PALM SPRINGS /.CA / 92264 Phone: (760) 323-3383
Reg: 213-A0064590A-000000000-0000 Registration Date/Time: 2013/08/21 17:16:37 HERS Provider: Ca10ERTS, Inc.
.2008 Residential Compliance Forms July 2010