14-0499 (MECH)y P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
E
Application Number: 14-00000499
Property Address: 76985 AVENIDA FERNANDO
APN: 658-240-035- -
Application description: MECHANICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 8217
Applicant:
Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
MICHEAL MCKENNA
76985 AVENIDA FERNANDO
LA QUINTA,' CA 92253
(
Contractor:
DESERT AIR CONDITIONING, INC.
ry 590 WILLIAMS ROAD
`+ X06 PALM SPRINGS, CA 92264
i�
_L (760)323-3383
Cory ,AS J Lic. No.. 276586
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 an Professionals Code, a my License is in full force and effect.
f�License lass: C20 -C43 License 276586
(`x/\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).: ?
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 _ 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 1 I am exempt under Sec. , B.&P.C. for this reason '
Date:
Owner:
CONSTRUCTION LENDING AGENCY
1 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/24/14
-----------------------------------------------
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 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 CYPRESS INS CO Policy Number 3300065410131
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 worker compensation provisions of Section
3700 of the Labor Code, I sh orthwith comply wit o provisions.
/Date: 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 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.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereb authorize representatives
of thi' Aunty to enter upon the above-mentioned property f ' spectio purposes
Datef - t Signature (Applicant or Agentl:
>v
0
LQPE"11T
Application Number . . . . . 14-00000499
Permit . . . MECHANICAL 2013
Additional desc .
Permit Fee . . . . 83.42 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 10/21/14
Qty Unit Charge Per
Extension
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
PACKED UNIT FURNACE COIL CONDENSING UNIT
80%AFUE 13 SEER 3.5 TON ON ROOF LIKE FOR
LIKE VIEW OBSCURING SCREEN ALREADY IN
PLACE 2013 CMC.2008 ENERGY CARBON
MONOXIDE ALARM(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION
----------------------------------------------------------------------------
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
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations - CP-lR-ALT-HVAC
Climate Zones 10 - 15
Site Address:
70ty
Enforcement Agency: Date:
Permit #:
76-985 AVENIDA FERNANDO La Quinta, CA 92253
of La Quinta I Apr 16, 2014
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
13 R 8 (CZ 14-15)
1400 sf If not already present, must be
[3 Condensing Unit
E] EER
[3 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 -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 -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 @Rd (for split syst.ms4 049GH_2c44&oe
replaced
CF -4R forms: MECH-21 and (feF split systems) 1149G14
. Condenser Coil and /or
CF -6R forms: MECH-04, MECH-2I-HERS and (ter split .-....t,,ms) ^490.14 24449o&
. Indoor Coil and /or
CF -4R forms: MECH-21 aAd (f6F Split systems) PilliGH 2
. Furnace
For Packaged Units: Duct leakage < 15 percent
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 CF-6R7forms:'MECH-04; MECH-20-HERS, and (for split systems) MECH-22-HERS, and
new ducts: (all new MECH-25-HERS '
ducting and all new K:.
equipment) CF -4R forms:.MECH-20, and (for.split systems)'MECH-22, and MECH-25
For Split Systems: Duct leakage,'< 6 percent; RC, CCA >— 350 CFM/ton; FWD, TMAHSTMS, and either HSPP or PSPP.
For Packaged Units•. Ducctieakage < 6`percent t
113. 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 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: Keri Skov Signature: Keri Skov
Company: DESERT AIR CONDITIONING INC te: Apr 16, 2014
Address: 590 WILLIAMS ROAD ense: 276586
[Phone:
City/State/Zip: PALM SPRINGS / CA / 92264 (760) 323-3383
Reg: 214-A0026616A-000000000-0000 Registration Date/Time: 2014/04/16 14:42:16 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms July 2010
Bin #
City Of La Quinta
Building 8L Safety Division
P.O. Box 1504, *78-495 Calle Tampico
La.Quinta, C4 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 76-985 AVENIDA FERNANDO
Owner's Name:. MICHAEL MCKENNA
A. P. Number.
Adder: 76-985 AVENIDA FERNANDO
Legal Description:
City, ST, zip: LA QUINTA, CA 922.53
Contractor. Desert Air Conditioning., Inc.-
Telephone: '
Address: 590 Williams Rd.
Project Description: replace 3.5 ton package unit
city, ST, zip: Palm Springs, CA 92264.
on roof like for like
Telephone: 760-323-3383
State Lic. #: 276586 City Lic, #; 363
Arch.., Engr., Designer: N/A
Address:
City, ST, Zip:
Called Contact Person
Telephone:
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Unitp:
State Lie. #:
Name of Contact Person: Keri Skov
Telephone # of Contact Person:
Estimated Value of Project: $8,217.00
APPLICANT: 00 NOT wRrrl~ Rpt nw Tt;iq t torp
#
Submittal
Rev
Recd
TRACKING
PERbWFEES-
Plan Sets
Pian Check submitted
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cafes.
Called Contact Person
Plan Check Balance
Title 14 Cales.
Plana picked up
Construction
Flood pin plan
Plans resubmitted.'.
Mechaiilcal
Giading plan
XO Review, ready for correctioneasue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.OAL Approval
Plans resubmitted
Grading
IlY HOUSE: -eloper
Review; ready for corrections/issue
DevImpact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees