13-0435 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: •
13=00000435
Property Address:
79806 SHADWELL CIR
APN:
604-483-011-21 -24197 "-
Application description:
MECHANICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
13500
A plicant:
l�
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
LEBERMAN DOUG
79806 SHADWELL CIR
LA QUINTA, CA 92253
(760)610--1972
An , I F€
Pti i172
/a
APR 0s 20i3
CITY OF LA QUINTA
FINANCE DEPT.
VC�NSED CO RACTOR'S DECLARATION
I hereby affirm under penalty of perjury a3.1 'ce ea under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Bus' s nd nals.Code, and my License is in full force and effect. _
License Class: C20 -C38 License No.: 826714
Date: Contractor:)
OWNER -BUILDER DECLARATION '
1 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).:
(_ 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 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 contractor(s) licensed
pursuant to the Contractors' State License Law.).
1 _ 1 I am exempt under Sec. , B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
1 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
Contractor:
BEST IN 'THE WEST
255 N. EL CIELO, 140-125
PALM SPRINGS, CA 92262
(760)343-1002
Lic. No.: 826714 -
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/08/13
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.
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
insurance carrier and policy number are:
Carrier GUARD INS GRP ' Policy Number BEWC337354
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 a subject to the workers' compensation laws of California,
and agree that, if I sho om bject to the workers' compensation provisions of Section
3700 of the Labor o with comply with those provisions.
Dater Applicant:
WARNING: FAILURE TO SECURE RKERS'. 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.
11. 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 ab ormati n is correct. .I agree to comply with all
city and county ordinances and state laws relating to buildi co nd hereby a_ uthorize representatives
of this county to enter upon the above-mentioned prop for s ct' p rposes.
Date Signature (Applicant or Agent) ` • .
a
Application Number . . . . . 13-00000435
Permit . . MECHANICAL
Additional desc .
Permit'Fee 51.00 Plan Check Fee
12.75
Issue Date Valuation
0
Expiration Date 10/05/13
Qty Unit Charge Per
Extension
BASE FEE
- 15.00
2.00 9.0000 EA MECH FURNACE <=100K
'18.00
2.00 9.0000 EA MECH B/C <=3HP/100K BTU*~
18.00
-----Special Notes and Comments
REPLACE(2)HVAC SYSTEMS 13 SEER 1 3 -TON
GAS . SPLI.T •_: 1 .- 4 TON_ GAS . SPLIT 2010
CODES.
-------------------_---------------------------------------
_Other Fees . . . BLDG STDS ADMIN (SB1473)
1..00
Fee summary Charged Paid Credited
- - - - - --
Due
----------- - - - - ------- - - - -----
Permit Fee.Total 51.00 .001, .00
51.00
Plan Check Total" 12.75_ .00 00
2.75
.12.7
Other Fee Total 1.00- .'00- .00
'
1.00.
Grand Total 64.75 .00 00
64.75
•
' LQPERMIT - -
-
Climate Zones 10 - 15
r
Permit #:
79806.2 Shadwell Cir La Quinta, CA 92253 Clty•of La Quinta
4, 2013 7_
Duct insulation
Conditioned Floor
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC` Alterations CF -IR -ALT -HVAC
Climate Zones 10 - 15
Site Address: Enforcement Agency:Date:
7Apr
Permit #:
79806.2 Shadwell Cir La Quinta, CA 92253 Clty•of La Quinta
4, 2013 7_
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
f s
® Furnace
® Indoor Coil
N AFUE 7ga/o
® SEER 13.0
Q COP
❑ HSPF
❑ R 6 (CZ 10-13)
Served by system
M Setback '
If not already present, must be
® Condensing Unit
[3 EER
❑Resistance
[3R 8 (CZ 14-15)
1200 sf
installed) '
[3 Other
k. t
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 5EER, 78% AFUE, 7.7HSPF for typical residential systems. s -
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 -111
and CF -611 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 -4R forms: MECH-21 and (for split systems) MECH-25 '
For Split Systems: Duct leakage--;: ;':J5 percent; RC, CCA 5 300 CFM/ton (Minimum Air Flow Requirement), TMAH
Exempted from duct leakage testing -,:_!f: '
':.❑ 1:=Duct system was documented to have been previously sealed and confirmed through HERS verification, or
" ❑:2. Duct systems with less tha"n:`40 linear feet in: unconditioned space, or
03. Existing duct systems are.cvnstructed, insulated or sealed with asbestos
a
4.;The s stern twill not be Duct d 'ie: Ductless Miti>-Split System) (AIso;Exempt from Refrigerant Charge)
112. Ne 0"C 5ystevn
Required Forms •t
. Cut In or Etrangeout with
new ducts (all new
` v
CF-SRori�9 PSE.Ii-44 @4E£4i-2t3-4?E4i5 3s�d:.4€os mkt sysetsssj 4M1EC4t 22-�rlE4iS end' =.
��
ducting and all new Y
MECF{ 2� HERS `
CF 4#Z farrr}s MECH 20 and (for split systettis) MECtt 22, and M1 CH -25
equwpmeii:t}
For Split Systema. Duct leakage
6 p<ceent, Re CCA > 35E} GI lMIW, F1M1/t}'TMAK STINS acid `either l iSPP or PSPP
For Packaged Uniisc'Duct
_.....:.c...
leakage. < fi per.cer7
❑.3:.New ;Duidts wfth/or withoui,'.,-.;..
Required Forms:
.Includes replacing or installing alF;:n.ew
ducting and/or outdoor "con dens*D::unit
CF -6R forms. 4+sECri-iJ4, 4+�ECri-2t3-riEfiS, and tfor split systems).MECH-25-HERS
and/or indoor coil and/or fdrnace :'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 t
❑ 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 -411 forms: MECH-21
For split system or packaged units: Ouct keakage < 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 forthe 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: Apr 4, 2013
Address: 255 N ELCIELO ROAD #140-125 License:.967982
City/State/Zip: PALM SPRINGS / CA / 92262 Phone: (760) 343-1002
Reg: 213-A0020154A-000000000-0000 Registration Date/Time: 2013/04/04 17:06:01. HERS Provider:.CalCERTS, Inc.
2008 Residential Compliance Forms July 2010
Simplified Prescriptive Certificate of Compliancei:'2008 Residential HVAC Alterations • CF-IR-ALT-HVAC
Climate Zones 10 - 15 _ , •
Site Address: ' Enforcement Agency: '
Date:
Permit #:
79806.1' Shadwell Cir'La Quinta; CA 92253 City of La Quinta
Apr 4; 2013
Dud insulation
Conditioned, Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
® Furnace
H AFUE 78°fo
❑ COP,
❑ R 6 (CZ 10-13)
-
Served by system
®Setback
® Indoor Coil
® SEER 13.0
❑ HSPF
,
❑ R 8 (CZ 14-15)
1600 sf
If not already present, ,must be
® Condensing Unit
L3 EER'
❑Resistance
installed) t
❑Other
-
1. Equipment Type:. Choose the equipment being installed; if more than one system, use another CF-IR-ALT-HVAC /or 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'inspedor verifies that the work listed on this
form was in fad the work completed by the installer. The inspector aLso.verifiies 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.-
C9 I. 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-21-HERS and .(for split systems) MECH45-HERS
. Furnace
CF-4R forms: MECH-21 and (for split systems) MECH.-25
For Split Systems: Duct leakage:;<,:M- percent; RC, CCA <_ 300 CFM/ton,(Mlnimum Air Flow Requirement), TMAH
Exempted from duct leakage testin?§if.:'. _ , r
❑ Y; Ductaystem was documeiiEed to have been previously sealed and confirmed through HERS verification, or �.
r
❑.2. Duct systerhs with less t linear feet in unconditioned space, or
ED.3. Existing duct systems are. constructed, insulated or sealed with asbestos '
❑ 4.;The syster>a mtill not be Ducted.(ie. iJuctless Mtni Split System) Also YExempt from Refrigerant Charge)
Y..
❑ 2. NeviirH!!AC Systein
Requi�eiif Fortatsr -
• Cut in.-.--W(.Changeout with';s
new dints ;;(all nevr
Cf-UR`ostt�s 4SEC4i 04 ?4K4 =2 ti+,ERS assd dor ` tit steMS) KtC4t 23
ding
ucte �d all netro .; rl
43t forms RMECH-,20 and (mor split systems) MECH 22 and MECH `25 _ {
e
,
For Split SyGterins I3uct I�akage
< 6 percent Re; CCAS 35a CFM/ton FWf?MAFI STTwS; anda{tti r hiSPP or PAPP.
For Packagie Units: Duct
r.. ...........
leakage
❑.3...New. Dutts-'With/or withou..". t
Required Forms: Y
Replacement::.:::`.''.
..
..Includes replacing or installing.411-;:new
ducting and/or outdoor conderis ttg:unit
C1=-5R forms: 4�lECri�4, 4hECri-20-riERS, and tfoT split systems) MECH-25-HERS
and/or indoor coil and/or fiirnaee.:Ao.orsome
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-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,sealedwith 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: Apr 4, 2013
Address:•255 N ELCIELO ROAD #140-125 Ucense: 967982-
City/State/Zip: PALM SPRINGS / CA /92262 Phone: (760) 343-1002
Reg: 213-A0020152A-000000000-0000 Registration Date/Time: 2013/04/04 17:04:16 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms 4 r July.2010
Bin #
City of La Quinta
Building 8L Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet,
Permit #
` 0 -. -�v
Project Address:'
Owner's Name:
A P. Number:
Address: -- 90 % LliFi l �i/sQ.
Legal Description:
City, ST, Zip: G, Q
Contractor. g � •-,- sr 14
Telephone:. -4o ZO a -�L- � -
Project Description:
Address:;Z5sRJ,g6 !,_g % Z! "'
City, ST, Zip: 1 Raa S LA* a G'Z7,6 -2—
3 Q4-5
Telephone: 3 /ZQd
�C7
State Lic. # ?i4 City Lic. #:
Arch., Engr., Designer
Address:
City, ST, Zip:
Telephone:
State Lic. #: s .-
Name of Contact Person: 1 eli,00Qy6
Construction Type: Occupancy:
Project type (circle on New Add'n Alter Repair Demo
Sq. FL: # Stories: # Units:
Telephone # of Contact Person:? 3 % o b Z-
Estimated Value of Project: / 56 o
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIQNG
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.
Pians ticked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading. plan
god Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HORSE:-
''d Review, ready for correctionslissae
Developer Impact Fee
Planning Approval
Called Contact Person
AXP,P,
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees