12-1291 (MECH)12
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 12=00001291_ •�
Property Address: 53720, AVENIDA NAVARRO
APN: 774-135-011-14 -000000-
Application description: MECHANICAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 7850-
Applicant:
C
I hereby affirm under penalty of perjur hat
Section 70001 of Division 3 of the B iness e
LicepseClass: C20 -C38
Architect or Engineer:
A,
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SWEIGART RICHARD
53720 AVENIDA NAVARRO
LA QUINTA,•CA 92253
Contractor:
BEST IN THE WEST
255 N. EL CIELO, 140-125
PALM SPRINGS, CA 92262
(760)343-1002
Lic. No.: 826714'—'., IrJ
VOICE (760) -
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
D KI`fie VNI
Date: 30/29/12
ON CTOR'S DECLARATION - - - - - - - - - _ --- - - - - - - - - - - - - - - - - - - WORKER'S CO EN ATION�D—
sed urprovisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of thelollo ing ar�rb �e
prof I Code, and my License is in full force and effect. _ I have and will maintain a certificate of con ent to self -ins orkers' compensation, as provided
cense No.: 826714 for by Section 3700 of the Labor Code, r the pe ance 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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury th 1.l am exempt from the Contractor's State License Law for the
Carrier GUARD .INS GRP Poli BEWC337354
• following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
rk for ich this permit is issued, I shall not employ any
_ I certify that, in the performanAu.
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the,
person in any manner so asbje t • 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 should th workers' compensation provisions of SectionLicense
Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of theLabor Code, I m with those provisions.. -
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).: _
•/1,�,�rl -
a .VV�K cant:
(_ 1 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
• WARNING: FAILURE TO SECURE WORKERS' CO ENSATION COVERAGE IS UNLAWFUL, AND SHALL
- Contractors' State License Law does not apply town 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
_
improve for the purpose of sale.).
- APPLICANT ACKNOWLEDGEMENT -
(_ I 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.
- property who builds or improves thereon, and who contractsfor 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,
(_ I 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 of work for 180 days will subject
• CONSTRUCTION LENDING AGENCY
permit to cancellation.
I 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 n atio c rect. 1 agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.1.city
and c my ordinances and state laws relating to buildin o tr and reby authorize representatives
-
Lender'sName:)
• -
of thi unty to enter upon the bove-mentioned property cY rp es.
_
ate( re (Applicant or Agent(:
Lender's Address:
LQPERMIT
Application Number . . . . 121-00001291
Permit MECHANICAL .
Additional desc .
Permit Fee 40.50 Plan Check Fee
10.13
_ Issue Date . . . . Valuation . . .
0.
Expiration Date 4/27/13
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 9.0'000 EA MECH FURNACE <=100K
9.00
1.00 16.5000 EA MECH R/C'->3-1SHP/,inng-500YETU
1G.50
----------------------------------------------------------------------------
Special Notes and Comments
HVAC CHANGE -OUT: REPLACE 4 TON PACKAGE
UNIT. 2010 CODES.
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid` Credited
Due
Permit Fee Total 40.50 .00 .00-
40.50
Plan Check Total 10.13 .00 .00
10.13
Other Fee Total 1.00 .00 .00
1.00
Grand Total 51.63 00 .00.
51.63
,
Simplified Prescriptive Certificate of Compliance: 2008 Residential MVACAlterations•. CF-lR-ALT-HVAC
Climate Zones 10 - 15
Site Address: Enforcement Agency:
Date:
Permit #:
53720 Avenida. Navarro La Quinta, CA 92253 City of La Quinta
Oct 29; 2012 -
'
Duct insulation
Conditioned Floor
••
Equipment Typel"
'List Minimum Efftciency2 `
requirement • . -
Area
Thermostat ` -
® Package Unit
-
❑ Furnace
❑ Indoor.Coil
❑ AFUE
® SEER, 13.0
❑ COPM
® HSPF 7.7
(3R 6 (CZ 10-13)
Served by system
Seiback
If not already present, must be
❑ Condensing Unit
❑ EER.
❑ Resistance
❑ R 8 (CZ 1415)
1600 sf.
•�
instated)
[3Other r
-
-
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.veriftes 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.
® 1. HVAC Changeout
Required Forms: v
..All HVAC Equipment.
CF -6R forms: MECH-04; MECH-2I-HERS _
replaced
CF -411 forms: MECH-21 ,stems) nn=GH-2-5
• Condenser Coil and /or;.
CF -6R forms: MECH-04, ME61H-2I-HERS «.
. Indoor Coil and /or
CF -41k -forms: MECH-21^A (fer. split systems) MJ C1J_,G '
.Furnace
-
For Packaged Units: Duct leakaq�.<:A1 percent
Exempted from duct leakage testi. ng,l.rf -
-.:<❑`S Duct system was documer ted.to have been previously sealed and confirmed through' HERS•verrfication, or
I]:2-. Duct systems with.less thara..40 linear feet in unconditioned space, or
[13.: Existing duct systems are- constructed insulated or sealed with asbestos
-
0'.'4 -:Th system ill not be Dq%, ii (te nDtictless MtrSr S{�itt5ystem} ( so EkxerrYpt;fro;Refirge atat C4 arge)
❑ 2. . Re u iretl For
New.�HVAC" stem - :ens.:.... ..:,.,_:..•.� ,,;...w:"- -,.: .,.�;�'>
. Cut m oa6hangeout with. ¢ ..... � ........::: ...:.:.:....::.... .
new ducts :(all new CFS 6REforfrts Ni�CH-D4 MfrDNRSrar_for`sp�it systtt7t5j MECt�22HEitS;:and:
�
ductirigartYJ:all new;=moi MECH-25 {RS.. `_"4 �`;equip iCt t _22;a�j€.td MEC#. Z;;�'
:. �` CF-�#P forms.r: MECH 20, ander{dol
.s,�p,I�lit systernsJ .:;,'
...:J'ax.�oa^.•.. x;?3:.. �•-.•ay..�t�.!:,FX � _ ..�e:%=�;:€;�.aAti'i"K,::. :::��,..: -��1:`.—'"'a2T.i•%aJ: �<:�x.:•:. E'.ii'��.
For Split's Wtems :Dnctleai < frpercent,lIC-00 35f3 CFMI/ion, FV+if3 .TMAF TMS; and e>ther�tSPP or'PSISP. `
For .Packagdi Units::butt leakage <YG'percerit ...... ::.:::.::.....:.::....... T :... .;
❑ 3:_iMew Ducts wlthJor without+
Required Forms: �-
Replacetttentr>2?::::�::`:'::<'�;::::......:::::�r;:-:::;: >
-.
,.
. Includes replacing or installing a14:new
ducting and/or outdoor condenss Fg.unR `
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 -611 forms: MECH-04, MECH-21-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 responsibllity 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 older applicable'compliance
forms, worksheets, calculations, pians 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: Oct 29, 2012 a ,
Address:.255 N ELCIELO ROAD #140-125 License: 967982
City/State/Zip: PALM SPRINGS / CA / 92262Phone- (760) 343-1002
='t `Reg, 212-A0060403A-000000000-0000' Registration,Date/Time: 2012/10/29.13:39:51 'HERS"ProJider: Ca10ERTS;" Inc`
2008`Residential Compliance Forma
July 2010.
Bi" #
City of La Quinta
Building at Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # ' 1a,�
Project Address: 5 ?
9—�_
p
Owner's Nam d uJZr a
A P. Number:
Address: -5-�
Legal Description:
City, ST, Zip: 6 y
Contractor: &Z-5-71 /L -
Address: ;2y'sR j, gL
� y
J
Telephone:
Project Description:
City, ST, Zip:
T2 74 ,
Telephone:' 0 3' /00-z '
State Lic. # :
Arch., Engr., Designer:
City Lic. #:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project We (circle one): New Add'n Alter Repair Demo
Name of Contact Person: 1
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person: 1.O
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
MG .
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
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Pians resubmitted
Mechanical
Grading plan
Zed Review, ready for correctionstissue
Electrical v
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
''d 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