13-0235 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
13-0000.0235
Property Address:-
50730 NECTAREO
APN:
772-360-031-' - -
Application description:
MECHANICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
• 12000
Applicant: Architect or Engineer:
4.4"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury than) am licensed under provisions of Chapter 9 (commencing with
•Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class:.YC20 License No.: 752180
f �
Dates / Contractor: i
OWQR-BUILDER DECLARATION '
I hereby affirm under penalty of perjury that I am exempt from,the Contractor's State License Law for the
following reason ISec. 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).:
1 _ 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
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. 1, 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 crintrar.mr(s) licensed .
pursuant to the Contractors' State License Law.).
( _.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 ISec. 3097, Civ. C.). -
Lender's Name:
.Lender's Address: e
LQPERMIT
Owner:
JERRY WILHELM
VOICE (760) 777-7012
FAX (760) 777-7011=
V
INSPECTIONS (760) 777-7153
Date: 3/05/13
50730 NECTAREO n
LA QUINTA, CA 92253 D p II
MARC ;; 20
Contractor: 13
PRIORITY ONE AIR COND H A
P.O. sox 1681CITY QF LA QUINTA
PALM DESERT, CA 92261 C1 ANCEDEPT.'
(760)773-0811
LiC.•No.: 752180
-----------------------------------------------
7 WORKER'S COMPENSATION DECLARATION
I herebyof m 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.
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 SOUTHERN INS CO Policy Number PWC00181212-13
_ 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 1 shall forthwith comply with those provisions.
!/F
Dater �, Applicant:
WARNING: FAILURE TO. SECURE WO KERS'.fb} ENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENA I 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 _tothe
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, andthe applicant, each agrees to, and shall defend, indemnify and hold harmless the City
_7 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 hereby authorize representatives
_of this county to enter upon the above-mentioned property orinspect purposes. -
Date: ' 11 Signature (Applicant or Agent):
Application Number . . . . . 13-00000235
Permit . . MECHANICAL
Additional desc .
Permit Fee . . . . 40.50 Plan Check Fee
10.13
Issue Date . . Valuation . . . .
0
Expiration Date.. 9/01/13
Qty Unit Charge .Per
Extension
BASE FEE
-.15.00
1.00 9.0000 EA MECH FURNACE <=100K
9.00
1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU
16.50
Special Notes and Comments
HVAC AND CONDENSOR CHANGE OUT.. 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
BIA#
Ory, �f Ld Qiirnta
Building $r Safety'Division
P.O. Box 1504,78-495 Calle Tampico
1.a.Quinta, CA 92253.-:(760) 777-7012
Building Permit Application and Tracking
Permit #
l
Project Address: b
)Steet
Owner's Name:.
A. P. Number.
Address:
Legal Description: ,
Contractor.6
'� \ t7 n, � �—l. IN -Q..• G
City, ST, Zip: L4 CP
Telephone:
Address:. -1;�) �jo�
Pioject Description:
City, ST, Zip:
Telephone:
State Lic. # : {j Z) City Lic. #;
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lic. #: -
Name of Contact Person:
Construction Type:. Occzpancy:
Project type (circle one): New Add'n Alter . Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project Z s�
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calls.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Smlanee
Mile 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechafilcal
Giading plan
2'! Review, ready for correctionslissue
Electrical
Subcoatactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
''d Review; ready for correetionslissue
Developer Inqpact Fee
Planning Approval
Called Contact Person
A.I.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Simplified Prescriptive Certificate of Compliance: 2008 Residential. HVAC Alterations CF-1R-ALT-HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
50730 Nectareo La Quinta, CA 92253
City of La Quinta
Mar 4, c013 .
,
Duct insulation
Conditioned Floor
Equipment Type1
List Minimum Efficiency2
requirement
Area •
Thermostat
❑ Package Unit
® Furnace
[3 Indoor Coil
® AFUE' 80%
® SEER 16;0
❑ COP
[3HSPF
13 R 6 (CZ 10-13)
Served by system
® Setback
If not already present, must be
® Condensing Unit
❑ EER
❑ Resistance
❑ R 8 (CZ 14-15)
1200 sf
instated)
❑ Other
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF-IR-ALT-HVAC fo: 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 decideE 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-611 shall also be on site for final inspection.
® 1. HVAC Changeout
Required Forms: .
. All HVAC Equipment
CF-611 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) MECH-25
For Split Systems: Duct leakage'k< 15, percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requiremer;t); TMAH, -
Exempted from duct leakage testing if: `, y
p 1': Ductsyste — asAncumented to have been previously sealed and confirmed through HERS verirfication, or
' [12. Duct systems with less than`40.linear feet in unconditioned space, or
[:3 3. Existing duct systems are constructed, insulated or sealed with asbestos
p'4. Th%system,��:will not be Ducted (ie Ductless MinigSplit-SystemAlso Exerntmf Ro efrrlgerrantAU arge)
❑ 2. New HVAC System
Required Forms ,., o. 1�- - <`A
. Cut in'orChangeout with " '`,>{
forms MECH20 HERSand (for,split ystems) MECH=22 t ERS, and
xCF6R 4MECH-04,
new ducts (all new I
M':ECH�25HER5.
ducting and all 1�� Y l
CF 4R forms.MECH 20'and (for split systems MECH and MECH-25
,22'
equipment)! , ' " gy '.' ri
m a��s:.
For Split Systems Duct leakages<167-pe--- --i- - RC- GCA >,350 CFM/ton, FWD,TMAH,�STMS, and eitfi`&,HSPP'or'PSPP.
For Packaged Units- Ductleakage <`6 percent
❑ 3 New Ducts—With/or without ,
Required Forms:
Replaii cements` E 'a
�.
. Includes replacing orinstalling all new
ducting and/or outdoor co`ndensingunit
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-411 forms: MECH-20 and (for split systems) MECH-25
9 z.. ,
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-2I-HERS
linear feet of duct in unconditioned space.
CF-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 id•°ntified 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: Roy Meghnagi Signature: Roy Meghnagi I •
Company: PRIORITY ONE AIR CONDITIONING AND HEATING INC Date: Mar 4, 2013
Address: P O BOX 1681 Licenses 752180
City/State/Zip: PALM DESERT/ CA/ 92261 Phone: (760) 773-0811
F
,
Keg:•z13-A0013650A-000000000-0000 Registration-Date/Time: 2013/03/04 17:54:41 HERS Prodder: CalCERTS,. Inc.,,
2008 Residential Compliance Forms ` 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 #:
50730 Nectareo La Quinta, CA 92253
City of La Quinta
Mar 4, 2013
Duct insulation
Conditioned Floor
Equipment Type1
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
IM Furnace
[3 Indoor Coil
® AFUE 80%
® SEER 16.0
❑ COP13
[3HSPF
R 6 (CZ 10-13)
Served by system
® Se -:back
If not already present, must be
® Condensing Unit
❑ EER
❑ Resistance
❑ R 8 (CZ 14-15)
1600 sf
installed)
❑ Other
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -IR -ALT -HVAC foeeach 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 -IR
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 -411 forms: MECH-21 and (for split systems) MECH-25
For Split Systems` Duct leakageI wt ^"< 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH
Exempted from duct leakage testing if:
p 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
0.3. Existing duct systems are constructed, insulated or sealed with asbestos
0'4. ThSsystem_will not be Ducted (ie Dgctless;�Mlnl Split.-Systero)�(Also Exempt from Refrigerant'C�a,rge)
❑ 2. New HVAC System
Requi'r'ed Forms V'> ' Y
.Cut inior`Changeout with
new ducts: "(.all new
-` ° Al
CF 6R forms MECH-04 MECH 20 HERS/andorsplitsystems) MECH=22 FIERS and
ducting and all n w f /
MECH 25 HERS Dt
CF, -,4 R forms MECH-20, and (for split systems) MECH=22 and 'MECH-25 ;
equipment) _r
g j
For Split Systems: Duct leakage < 6- 'ht; RC,CCA >.350;CFM/ton;.`FWD, TMAM,"STNS, and"ether"HSPP orrPSPP.
For Packaged Units: Duct leakage` < 6 percent
❑ 3._New Dutts with/or without`
Required Forms:
Replacement ' =`
. Includes replacing or installing 611 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 Id?ntified 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: Roy Meghnagi Signature: Roy Meghnagi
Company: PRIORITY ONE AIR CONDITIONING AND HEATING INC Date: Mar 4, 2013
Address: P 0 BOX 1681 License: 752180
City/State/Zip: PALM DESERT/ CA / 92261 Phone: (760) 773-0811
xeg: 21s-AUU1Jb54A-000000000-0000 Registration Date/Time: 2013/03/04 17:57:26 HERS Pro -rider: Ca10ERTS, Inc.
2008 Residential Compliance Forms July 2010