14-0487 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 14-00000487
Property Address: 48761 CLASSIC DR
APN: 698 -721 -004 -
Application description: MECHANICAL
Property Zoning:
Application valuation: 4652
T-iht 4 4 a"
Applicant: Architect or Engineer:
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LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 Icommencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: C20 Lic rose No.: 878533
elV ll`� Contractor:
OW ILDER 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.). i
(_ 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 hoes 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 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 len ' g 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:
DARIN MINTER
48761 CLASSIC DR
LA QUINTA, CA 92253
(
Contractor:
RIGHTIME AIR CONDITION
3030 MYERS STREET
RIVERSIDE, CA 92503
(951)276-9744
Lic. No.: 878533
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/23/14
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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.
.and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
fi Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier INS CO OF WEST Policy Number WVE502266101
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 sub'ect to the workers' compensation provisions of Section
3700 of the Labor CoI shall rth compl
de, y with those provisions.
D ie�1 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 (5100,000). 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 ins a rposes.
Date:+ `4 1 Signature (Applicant or Agent) r
Application Number . . . . . 14-00000487
Permit . . . MECHANICAL 2013
Additional desc . .
Permit Fee 35.75 Plan Check Fee .00
Issue Date . . . . Valuation 0
Expiration Date . . 10/20/14
Qty Unit Charge Per Extension
1.00 35.7500 EA MECH CONDENSER/COMP 35.75
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Special Notes and Comments
HVAC CHANGE OUT - 13SEER CONDENSOR (2008
ENERGY] CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
------------------------------------- 7 ------------ ==---=---------------------
Other Fees . . . . . . . . . PERMIT ISSUANCE M/P/E 90.57
PLAN CHECK, MECHANICAL 23.83
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 35.75 .00 .00 35.75
Plan Check Total .00 .00 .00 .00
Other Fee Total 114.40 .00 .00 114.40
Grand Total 150.15 .00 1.00 150.15
LQPERMIT
Simplified Prescriptive Certificate of Compliance: 2008 Residential XVACAIteradons CF -IR -ALT -HVAC
Cllmate Zoo" 10 to 15
S1reAddress:
ErlforcementAgency:
Date:
Permit M.
Conditioned Floor
EquipmentTypal
List Minimum Efiicien
Duct insulation requirement
Area
Thermostat
ckaged Unit
rnas
oor Coil
AFUE
F.ER
COP
HSPF
Over 40 R orducts added or
aced in unconditioned space
Served by system
tback
((teem rw
bendeosIag
Uait
N!Mx
EER
Raistttttce
R 6 (CZ 10.13)
ffit 8 (CZ 14.13)
Wsf
p "court
her
uipment Type: Choose the equipment being Installed. If more than onesystem, use another CF-IR-ALT-HMfor each ryatem.
2. Minimum SquIpment Ep'idender: 13 SEER, 78S6 AFUE, 7.7HSPFfor typical residentlal systems.
HERS VERIFICATION SUMIM"Y Listed below are four HVAC altermdon Options. The installer decides what work Is being done and
picks one of the appropriate Options. Each Option Usts the HERS awasures that must be conducted A copy of the forms shall be lett 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 CF4R forms (no hand filled C174119 allowed) an filled out and
signed. October 1 2010,aregistered copy of the CF -IR and CF -61% shall also be on site for final la tion.
1. HVAC Cha eout
Required Forms:
• All HVAC Equipment replaced
CF -6R tomo: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS
CF -4R forms: MEM - 11 and fors tit ems MECH-25
• Condenser CDR and/or
CF -6R fortes: MECH-2I-HERS and (for split systems) MECH- 25 -HERS
• Indoor Coil and lot
CF4R forms: MECH- 21 and (for split systems) MECH-25
• Furnace
For Split Systems: Duct leakage < 15 percent; RC, CCA >_ 300 CFM/ton(Minimum Air Flow Requirement), TMAH
For Packaged Units: Duct leakage < IS percent
Exempted from duct leakage testing ifi
1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or
Z Duct systems with tens than 40 linear feet to unconditioned space, or
3. Existing duct systems aro constructed. lasulated or seated with asbestos
❑ 2. New HVAC System
Required Forms:
• Cut in or Changeout with now
CF -6R forms: MECH-04, MECH-20-HER3,aad (for split systems) MECH-22-HERS, and MECH-25-HM
ducts: (all new ducting Wd all
CF4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25
new equipment)
For Split Systemst Duct leakage < 6 percent; RC. CCA 2:350 CFM/ton, FWD, TMAH, STMS, and either HSP? or PSPP.
For Parka ed Units: Duct leakage < 6 percent
3. New Ducts with/or without Replacement
Required Forms:
• Includes replacing or Installing all now ducting
CF -6R formts: MECH-04, MECH-20-HERS,md (for split systems) MECH-25-EM
and/or outdoor condensing unit and/or indoor coil
CF4R foams: MECH-20 and (for split systems) MECH-25
and/or furnace. No or some equipment changed
For Split Systems: Duct leakage < 6 percent, RC, CCA >_ 300 CFM/ton, TMAH
For Packaged Units: Duct leakage < 6 percent
*ff4. New Ducting over 40 feet
Required Forms:
• Includes adding or replacing more than 40
linear feet of duct In unconditioned space.
CF -6R forms: MECH-04, MECH-2I-HERS CF4R forms: MECH-21
For spilttem or packaged units: Duct leakage < 15 percent
13 EXCEPTIOM-Existing duct sygems consttvch4 insulated or seated with asbestos.
Contractor (Documentation Author's /Responsible Designer's Declaration Statement) .
• 1 corti:q that this Certificate ofComplienco documentation Is accurate and emnpictc.
• 1 am cligibto under Division 3 of rho Coliramia Business and Profations Code to accept tespomibility forthe design Identified on this Cutlfieato of Complicate.
• 1 certify that Iho energy features and performanco specMeattoas for the dalga Identified on this Certificate of Compliance eoaform to the requireatentr of T1ile 24.
Pam 1 mad 6 of the California Ccdo of Reguladoas.
• The darign Features identified on this Certificate of Compliance are const teat with the inrormation documented on other apptieubte aomptiauc a farms, wododuxts,
catculatIons, p1m and specifications, submitted to the eafenciowt agency fora vol with the PUM11 Gookson.
Name:Jane Reeklenwald I Signature:
Company:Venvest Ballard Inc., DBA - Kk l
Date: - -�
Addmssr3030 Myers St
License: 878533
C41St0WMP-Rivemide, CA 92603
P11011e:961-276-9744
7nl)R Aoovlonrrn!r'mmntinnno Form• alnwh MtA
Din#
City Of La Quints
Bullding 8i Safety DMdon
P.O. Box 1504,78-49501[e Tampico
4a Quanta, CA 92253 - (760) 777.7012
Building Permit Application and Tracking Sheet
Permit #
.�
`T
Project Addtrss: 4%1wOwner's
Name:
A.P. Number:
Add=:D «((>�
Legal Description:
City. ST. Zip: �C& L �lplap
Contractor: tar
'Telephone:
Address:
Project Description: 42 a-3—
City, ST, Zip:�jQ
k
Telephone:q!CL 6
State Lie. # :
City Lie. M O�J3�I
Arch., Fngr., Designer: N to
.
Address:
Cita!, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair Dano
Name of Caatact Person:Sq.
FL:
# Stories:
#Units•
Telephone fl.of Contact Person:
Estimated Value of Project: a . CO
APPLICANT: DO NOT WRITE BELOW THIS LINE
of
Submittal
Req'd Recd
TRACIt G
PERMIT FEES
Plat► Sets
Plan Check submitted
Item
Amount
Structural Cater.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
. Clued Contact Person
Plan Cheek Balance
Tate 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mecbanlal
Grading plan
2*1 Review, ready for eorreelionvIssue
Electrical
Subcontactor Lkt
Called Contact Person
Plumbing
Grant Aced
Pians picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
''` Reyiew, ready for corrections/issue
Developer Impact Fee
-�janning'�tIPtQYa
:CattedrontactEcrim,
Pub. Wks. Appr
Date of permit Issue
School Feet
Total Permit Fee: