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12-1368 (MECH)t _ , P.O. BOX 1504 .78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-00001368 ` Property Address: 78056 CALLE NORTE APN: 770-012-032- - Application description: MECHANICAL ' Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 860 T414t 4 4v Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: HARDIN GARY 78056 CALLE LA QUINTA, U W & MINA NORTE A 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/20/12 Contractor: D n Applicant: Architect or Engineer: BEST IN THE WEST Lr�] 255 N. EL CIELO, -125 PALM SPRINGS, CA -2 62 NOV (760)343-1002 zo�� LiC. No.: 82671 /a CIN_ FINANCE DE -r rT, -------------0an ----------------- RACTOR'S DECLARATION WORK ER'S.COMPENSATION DECLARATION I hereby affirm under penalty onder provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 ofals Code, and my License is in full force and effect. Ihave and will maintain a certificate of consent to self -insure for workers' compensation, as provided LicenseClass: C20-C38LicenseNo.: 826714 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is c�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 ILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier GUARD INS GRP olicy Number BEWC3 3 73 54 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the perfor ce of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner as be o e subject to 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 IId s bject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor o e s rt with comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ', ., w , any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)-: Date:/1 [IJ ^I applicant: (_ I 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and ��"'---""""""��"'T�� the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an 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.l. APPLICANT ACKNOWLEDGEMENT (_ 1 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 contracts for 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, (_ 1 1 am exempt under Sec. , BAP.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City O' ff' � d I f t omission related to the work bein 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: //yy Lender's Address: LQPEPMIT of La wnta, its o kers, agents an amp oyees or any ac or ' �ssio g performed under or following issuan /of.this permit. 2. Any permit issued as a result oft ' application becomes null and void if work is not commenced within 180 days from date of ' su a of such permit, or cessation of work for 180 days will subject permit to cancellation. 1 certify that I have read this application nd s to th th a information is correct. I agree to comply with all city and county ordinances and state I srel in ui onstruction, and hereby authorize representatives of this county to enter upon the abov men i ope r inspection purposes. Dae: Ll d lure (Appli ant o Application Number . . . . . 12-00001368 Permit . . . MECHANICAL Additional desc ' Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation 0 Expiration Date 5/19/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 ---------------=-=---------------------------------------------------------- Special Notes and Comments HVAC CHANGE -OUT: INSTALL NEW FURNACE. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited' - ---------------------------------------- Due ----------------- Permit Fee Total 24.00 .00 .00 24.00 Plan Check Total 6.00 .00 .00 6.00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 31.00 .00 .00 31.00 LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAlterations : CF-lR-ALT-HVAC Climate Zones 10 - 15 , Site Address: Enforcement Agency: cy: Date: Permit #: 78056.1` Calle Norte La Quinta, CA 92253 City of La Quinta Nov 15, 2012 Equipment Type1 List Minimum Efficiency2 ' 'Duct insulation , requirement. Conditioned Floor Area •, - Thermostat ❑ Package Unit ® Furnace g4 ® AFUE gqo13 E:3 R 6 (CZ 10-13) y' ' Served by system R Setback ❑ Indoor Coil ❑ Condensing Unit ❑ SEER ❑ EER ❑ HSPF ❑Resistance • ❑,R 8 (CZ 14-15) 1600 sf If not already present,• must be installed) [3 Other i 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 Osfaller- 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. f ® 1. HVAC.Changeout, Required Forms: • All HVAC Equipment CF -6R forms: MECH-0,4, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced , ! -_ CF -411 forms: MECH-21 and (for split systems) MECH-25 h . Condenser Coil and /or ' • Indoor Coil and /or CF -611 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:;<13 percent; RC, CCA 5 300 CFM/ton (Minimum Air Flow Requirement), TMAH- Exempted,from duct leakage testfn;g-if::. ®::1:"Diict.:system: was documeFfeii:to have been previously sealed and confirmed through HERS verification, or Z: Diict systems with less thanl40 linear feet in unconditioried space, or -p 3. -Existing duct systems are.'constructed,.insulated or sealed with asbestos ❑ 4::.Tlie system will not be Dticfed (ie Ductless Mint prltt System) (Also Exertipt frotn�Refrigerant charge) ::. t.. x <: x�. ❑ 2 Ne' w,HAC S tem Re urr�d Fa"ttitis ,... �r ~_ q >::.. • Cut in<a rkCi9an soot .'f� Y:. ".�,v,:�..�_:...Y S-.ylf,<.: ,... i.`Fjs".?{:5.. .L� :Y:N �..^P'ii �•i:': ; *6R�f_octtis rt4E.5'�34, 40.S`�GZ�J-43�4tS; and ". �r spStit systems) t�IECFi2-4iEft5; ::::;:::;::: new dOcts-;;:(all new . .::::: T r :: = ducting_ d. all new.. ... . r _:.. . e i '"N' :MEC. ,25 FJERS: , , 'lits �..,.�-1- . r _� ;ter. -fauns, � MECH,20 atrti, .fur..s stems ,MEC+f :2.23�a .d MEC�f..:Z5==.r�:;�>:`°:,` _ P ..:,;:...:�>.,....-. � .. _ >,,.. �..:......y+. , ;-; � �i "-��==� ::fir. . For Splrt Systetrss V, leW -6 < 6 percent; RC CCAY H350 FM t; n, FWOr MRFt,�STMS- ariW5 tier [iSPP'or#PSPP For Packs etf:vnitsc:DucE g .. :. 4 .. .. .. ....:..:.-. leaks ...:': . ❑.3� .N!mQ#` t. .J.th/or withou# Required Forms: Replacesfisftt.'>€:s': . Includes replacing orinstalling'.alll new - ducting and/or outdoor coniieiisittg unit 1Uf-_6R foTTns: MEC" -104, MECSi-ZO-4iERS, and tfor split systems) MECH-25-HERS and/or indoor coil and/or fuMa6 No or some CF -411 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: Dud leakage < 6 percent ❑ 4. New Ducting over 40 feet Required Forms: , . Includes adding or replacing more than 40 1 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: Umct 4eakage < 1S pmrvmt ❑ 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 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: Richard C Weaver. Sr Signature: Richard C Weaver Sr Company: BEST IN THE WEST AIR-CONDITIONING & HEATING INC.,, Date: Nov 15, 2012 Address: 255 N ELCIELO ROAD #140-125 License: 967982 City/State/Zip: PALM SPRINGS / CA / 92262 Phone: (760) 343-1002 Reg: 212-A0064657C-000000000-0000 Registration Date/Time: 2012/11/15 19:53:03 HERS Provider: CalCERTS, Inc_ 2008 Residential Compliance Forms;, ; July 2010 Bin # City of La Quinta Building gx Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # t�n� I Project Address: '78 0S% Owner's Name• ' A. P. Number: Address: 7J�1),o t//-"/ c' Legal Description: City, ST, Zip: &42 Contractor:y Telephone:'7%"771 Z-�)(G% Address: 's�jJL`G 7- Project Description: R City, ST, Zip -;%1v Telephoner &p Z> /0OZ State Lic. # :' Arch., Engr., Designer: City Lic. #: Address: City, ST, Zip: Telephone: State Lic. #: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 6p 3 4 3 j o c? Z— Estimated Value of Project: �. APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACIQNG , PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 24d Review, ready for correctionslissue Electrical Y Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE: '"' 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