14-0444 (MECH)P.O. BOX 1504
78=495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:14-00000.444
Property Address:
4T6.52—PALERMO CT
APN:
609-521-007-9 -28457 -
:�,� Application description:
MECHANICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
7500
Appli nt: Architect or Fanaineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with .
Section 70001 of p ivision 3 of the Business and Professionals Code, and my License is in full force and effect.
License CI ss: 0 License No.: 725283
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).: el
(_ I 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.). -
(_ 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
nrnnertv who Wilds or inlnroym theregn, and yyhQ wntram for the Qfgiggli yyilh a pontractor(si licensed
pursuant to the Contractors' State License Law.l.
(_ 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
Owner:
DON HEGGE
43652 PALERMO CT
LA QUINTA, CA 92253
Contractor:
AIR EXPERTS AIR GOND
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: 4/15/14
I HTG
?o1A}
CITY CE IaA QU04TA
FI,NAML` 0t^PY .
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 GUARD_ INS GROUP Poli Number PAWC446733
I certify that, in the performanc a wor r which this permit is issued, I shall not employ any
person in any manner so a to become sub' ct to the workers' compensation laws of California,
and agree that, if I shout become sub' to the workers' corn en atnL _ion
37 0 of the Labor Code, I shall fo ith co ose provisions.
WARNING: FAILURE TO SECURCWORKERS' 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 t6 any PerMit ISSUed as a result d, tills aUU„uauun,
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 have read this application and state Xuata above information is correct. I agree to comply with all
city and co my ort�nances and state laws relat g to build, construction, and hereby authorize representatives
of,thi�o hty to epter-upon the above-mentio0 d prop or inspection purposes.
Application Number . . . . 14-00000444
Permit . . MECHANICAL 2013
Additional desc .
Permit Fee . . . . 83.42 Plan Check Fee-.
.00
Issue Date Valuation . . .
. 0
Expiration Date 10/12/14
Qty Unit Charge Per
Extension
CF. 1.00 35..7500 EA MECH FURNACE
.35..75
1.00 .11.9200 EA . MECH APPL REP/ALT.
11.92
1.00 35.7500 EA MECH CONDENSER/COMP
35.75
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Special Notes and Comments.
REPLACE A (5) TON 13 SEER 78e AFUE
FURNACE, COIL, & CONDENSING UNIT. 2013
MECHANICAL CODES.
-----------------_-_---------------------------------------------
Other Fees . . . ...'. . BLDG STDS ADMIN (SB1473)
-
1.00
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 144.00 00 .00
144.00 .
Grand Total 227.42 .00 .00
227.42
Bin #
Qty of LQ Q uin to
Building tai' Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet -
Permit #
�\
Project Address: 73 �15-Z A LeQC,lr-
Owner's Name: w^)
A. P. Number:
Address: y3 Z t2A} to P o ►(�t'—
Legal Description:
City, ST, Zip: 44--- 0V,N -,-A ^ ZZ S�
Contractor 141 I ex P
Tele P hone:
Address: pQ Zoe -z 914
Project Description:
City, ST, Zip: C.A- 06 W z 79 CA- '9 22 y 7
A I<-- 7DIJ
Telephone: •
P �e 7 Z
0 � 7
3
q' U
State Lic. # : `% ZS Z
City Lie. #:
Aich., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
?C ii
Construction Type: Occu a_ c3:
tate ic. #:
S L
ProJ'ect type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.; 20z:,C)
# Stories:
# Units:
Telephone # of Contact Person:
-7
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontacior List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval,
Plans resubmitted
Grading
IN ROUSE:-
'"' 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-111-ALT-HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:.
Date:
Permit #:
43652 Palermo Ct. La Quinta, CA 92253
City of La Quinta
Apr 13,-2014
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
® Furnace `
® AFUE =78%
❑ COP
❑ R 6 (CZ
Served by system
® Setback
® Indoor Coil
® SEER 13 0
[IHSPF
,10-13).
El 8 (CZ 14-15)
2000 sf
If not alreadyresent must be
p
® Condensing Unit
[I EER
[I Resistance
installed)
❑ Other
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF-SR-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-411
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-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) ME CH-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,Porms: -
. Cutin or CKingeoutwithrY
s ��, ray
CF 6R formMECH 04, MECH 20 HERS, and (for�split systems) MECH 22 HERS, and
new ducts�'(all new r,
ducting and'all new
MECH 25-HERS
GFr4R forms"'_- -20, andx(for.split systems)fMECH=22,,and MECH 25.E
equipment).: �,
w s + s:;u< t, s„
For Split Systems Duct leakagex
6`percent, RC, CC ,5 350 CFM/,ton, FWD, TMAH,, STMS;:and, either HcPP or.PSPP
For Packaged Units Duct
leakage < 6 percents�asttrx
�-
❑ 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 furnece::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
114. New Ducting over 40 feet
Required Forms:
. Includes adding or replacing more than 40.
CF-6R forms: MECH-04, MECH-2I-HERS , t
linear feet of duct in unconditioned space.
CF-4R forms: MECH-21 r
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: Luis M Lira, Signature: Luis M Lira
Company: AIR EXPERTS AIR CONDITIONING-HEATING Date: Apr 13, 2014
Address: PO BOX 94 License- 725283
City/State/Zip: LA QUINTA / CA / 92247-0094 Phone: (760) 777-1724
Reg: -214-A002570:5A-000000000-0000 Registration Date/Time: 2014/04/13_-21:53:41•- HERS• Pro-ider:-.Ca10ERTS,. Inc.--• -.- x .-
2008 Residential Compliance Forms. July,2010