14-0207 (MECH)P.O. BOX 1504
78-495'CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: _ 14-00000207
Property Address: 50690 NECTAREO.
APN: 772-360-029- -
Application description: MECHANICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1250
Applicant:
T4hf 4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION -
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 and Professionals Code, and my License is in full force and effect.
/ License Class: C20 -C38 License No.: 967982
x ; Date: Z 27 /-f Contractor: �M
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).:
(_) 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
property who builds or improves thereon, and who contracts for the projects with a contractor(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 (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
ERIC ALLENBAUGH
50690 NECTAREO
LA QUINTA, CA 92253
(503)320-9543
Contractor:
BEST IN THE WEST
255 N. EL CIELO,
PALM SPRINGS, CA
(760)343-1002
Lic. No.: 967982
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/27/14
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
i
IJ4ve 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 NORGUARD Policy Number 13EWC337354
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'�/alt I orthhwwith-coom—plly with those
provisions.
Date: 21-7-14 Applicant: -�%�` l•- �✓ r
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 hereby authorize representatives
of this county to enter upon the above-mentioned property for ' p n urp s>e�s.!—
pate:,?'/ Signature (Applicant or Agent):
a
Application Number 14-00000207
Permit . . . MECHANICAL 2013
Additional desc
,
Permit Fee 11.92 Plan Check Fee
.00
Issue Date Valuation
0
Expiration Date 8/26/14
Qty Unit .Charge Per
Extension
1.00 11.9200 EA MECH APPL REP/ALT
11.92
,Special Notes and Comments
------------
REMOVE & REPLACE COIL IN ATTIC DUCT TEST
SEAL PERMIT & MATCH BREAKERS. 2013,CMC.
Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PERMIT ISSUANCE M/P/E
90.57
PLAN CHECK, MECHANICAL
4.77
Fee summary Charged Paid Credited
Due
Permit Fee Total 11.92 .00 '.-.00
11.92
Plan Check Total .00 .00 .00
.00
Other Fee Total 96.34 .00 .00
96.34
Grand Total 108.26 .00 .00
.108.26
LQPERMIT
i
.:
i
Bin:
.
C[ty Of ici Qutho
Bulk tng 8T Safety Dtvfsfon
Pennit #
P.O. Box 1504,78-495 Calle Tampico
'j
!
14.Qulnta, CA 92233 - (760) 777-7012
Building Permit
Application and Tracking 'Sheet "
1.
Project.Address: O' SG - ` CIU--Alto,-4c,/'
! P
Owner's Name: �y, 'C /'1 Pemba •t>A u.
A P. Number.Address:
Q q /U Gt Ir
Legal Description:
City, ST, Zip: . Q 4 2
Contractor.
L61: � ihd,
Telephone: 50 -.�2(j - f5z;
Address: X55 N. �% C�P�U
YU fCfO
Project Description: `�G✓10� Gt
City, $T, Zip:�A 5
!l Ce
�
.i
r'
CA 112 6 Z
600
� lel nibt-. " e41 7 i�
Tetephane 760-. -•/�o z :
SPG rm ,
State Lia # : 4�7 f crZ
City_ Lia N;
Areii., Engr., Designer
Address:
i
City, ST. Tap:
Telephone:
Construction Type " //Z�Occupancy
State Lia ii:
Project type (circle one): New Add'u Altar Repair Demo
-
Name of Contact Person
Sq. Ft.: 3�a (j 4 Stories: a Units: Z
Telcpbone 0 of Contact person:
Estimabod Value of Project Z 5d —�
APPLICANT•: DO-NOT' WRIT 6 BELOW THIS LINE
#
Submittal
Req'd
Beed
TRAQSaIG
PERMrF REFS
Plan seb
Plan 6c& submitted
Item Amoamt
Slrpduial Calcs.
Reviewed, ready for cortectioes Plan Cladr'Deposit. .
{
Trans Colo.
Caikd Contact Person Pian Check Balance-
Title 24 Calle.
T4sOwwd up Constructioa
Flood plain pian
Piararesubmitted Meeh ilcal.
Gindingplan
2" Review, rady far eorrection9fissue Electrical
Sobsoatador I.i:t
Called Contact Person Plumbing
Grant Deed
Plans pidced up S.M.L
&O A. Approval
Plains resubmitted Grading
KD
''' Reriewl ready for eorrectlonsJlasae Developer Impact Fee
PlaOIIiOg App
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
wool Fees "
Total Permit Fees
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit 7
50690.1•Nectareo La Quinta, CA 92253
City of La Quinta
Jan 14, 2014
Duct insulation
Conditioned Floor
Equipment Type1
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
•-
0 Furnace
®Indoor Coil
❑ AFUE
[3 SEER
❑ COP
E3HSPF
13 R 6 (CZ 10-13)
Seryed by system
® Set�ack =
If not elready present, must be
❑ Condensing Unit
❑ EER
❑ Resistance
❑ R g CZ 14 -IS ).
0 sf
—�
installed)
❑ Other
.
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -ZR -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 -811 and registered CF -4R
forms (no hand filled CF-4Rs allowed) are filled out and sig ned.Beginning October 1, 2010, a registered copy of the CF -1R
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-21-HERS and (for split systems) MECH-25-HERS
replaced
CF -4R forms: MECH-21 and (for split systems) MECH-25
. Condenser Coil and /or
• IndoorFurnacoil and /or
CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
.
C F -4R forms: MECH-21 and (for split systems) MECH-25
For Split Systems: Duct leakage15 percent; RC, CCA 5 300 CFM/ton (Minimum Air Flow Requirement), TMAH
For. Paekaged Units -
Exempted from duct leakage -testing; if
❑ 1 °Duct system was:documented,to have been previously sealed and confirmed through HERS verification, or
❑ 2.: Duct systerns`with less than 40 linear feet in unconditioned space, or
❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos
0'4. The'system=will not be Du ted`{ie DuctlessxMini=Spilt System) -"I"ovExempt m--Refrigerrant Charge)
❑ 2. NeW�HVACSV4e' n
Required a _. * r tet �t
_r a •..... .,a,...,,
.Cut inlor,Changeout with;,,
new ducts ;{all new
`, = •,�r� p n�
CF 6R forms MECH 04''MECH ;20 HERS and"(fors lits stems)MECH 22 HERS, and
o- P Y
MECH 25 HERS' b rsf=-,i
ducting all new
r =
CF 4R fo`rms MECH 20, nd,(for split systems) MECH -22,,and MECH-25' a"�`
e quipment)
' *}eta#n
L
afl:, ..;.1. e ,- { :.� _•.�
For Split Sy stem-s:j Duct.lea�kages< G6'percent, RC, CCA 2 350 CFM/ton FWD, TMAH STMS' and either HSPP or'PSPP '-°-.
For Packaged Units: Duct'leakagef<,6 pecent•'
❑ 3.,New�Ducts with/or without,
Required Forms:
-
. Includes replacing or installing all new
ducting and/or outdoor %condensing unit
CF -6R forms: MECH-04, MECH-20-HERS, and (for split--rystems) MECH-25-HERS
and/or indoor coil and/or,furnace.No or some
CF -4R forms: MECH-20 and (far split systems) MECH-2E ,
equipment changed.
For Split Systems: Duct leakage <'6 percent; RC, CCA z 300 CFM/ton, TMAH ,
For Packaged Units: Dud 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 dud in unconditioned space.
CF -4R forms: MECH-21
For split system or packaged units: Duct leakage < 15 percent
❑ EXCEPTION: Existing dud 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 Compliaece 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 pE,rmit application..
Name: Richard C Weaver Sr- Signature: Richard C Weaver Sr
Company: BEST IN THE WEST.AIR CONDITIONING & HEATING INC Date: Jan 14, 2014
Address: 255 N ELCIELO ROAD #140-125 License: 967982
City/State/Zip: PALM SPRINGS / CA / 92262 Phone: (760) 343-1002
Reg: 214-A0003051A-000000000-0000 Registration Date/Time: 2014/01/14 19:23:08 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms July 2010