13-0436 (MECH)CE (760) 777-7012
C%'4 4 a"
P.O. BOX 1504 =— V OI
(760) 777-7011
78-495 CALLE TAMPICO
LA QUINTA,• CALIFORNIA 92253 BUILDING &' SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: A/08/13
Application Number: 13-00000436 Owner:
Property Address: 79350 SIERRA VISTA GAN JON
APN: 604-440-035-35 -27519 - 79350 S
Application description: MECHANICAL LA QUI CA 922
Property Zoning: LOW DENSITY RESIDENTIAL (760) 3 - 985 0820
�
Application, valuation: 4925 APR 08 2013
Contrac or: 01Ty0� .
Applic,iarf. Architect or Engineer. BEST I n Stltl �Err�
� F255 N. EL
PALM SPRINGSGS,, CC
A 92262
(760)343-1002
Lic. No.: 826714
------------------
LIC NTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury th licen ed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Busi d Pr ionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self-insure for workeis' compensation, as provided _
License Class: C20—C38 License No.: 826714 for by Section 3700 of the Labor Code, for the performance of the work for�..ch this permit is
issued.
Date: Contractor: _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Laboi
Code, for the performance of the work for which this permit is issued. My workers' compensation
' OWNER-BUILDER 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 Policy ber BEWC337354 _
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ [-certify that, in the performanc work r 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 so to eco bject 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 I sho s j c o 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 od , I h fo h omply with those provisions.
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): Date: 6 J Applicant:
1 _) 1, 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 WARNING: FAILURE TO SECURE W RKERS' 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 CRIMIN NALTIES 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.). I APPLICANT ACKNOWLEDGEMENT
(_) 1, 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,
(_) I am exempt under Sec. , B.&P.C. for this reason 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.
Date: Owner: 2. Any permit issued as a result of this application beco and void if work is not commenced
within 180 days from date of issuance of suc mit, f work for 180 days will subject
CONSTRUCTION'LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state VtheVa inf mation ' orrect. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relatingo nd ereby authorize representatives
of this county to enter upon the above-mentioned pe p rp ses.
Lender's Name:ZggDate: i nature (Applicant or A en
Lender's Address:
LQPERMIT
Application Number 13-00000436
Permit, . . MECHANICAL
Additional desc .
Permit -Fee . . . 33..00,
Plan Check Fee
8.25
Issue Date
Valuation . . .
. 0
Expiration Date 10/05/13
Qty Unit Charge Per
Extension
BASE.
FEE
15.00
1.00 9.0000 EA MECH
APPL,REP/ALT/ADD
9.100
1.00 9.0000 EA MECH
B/C <=3HP/100K BTU
9.00
Special Notes and Comments
REPLACE -5 TON CONDENSER UNIT AND
EVAP
COIL 2010 CODESI3 'SEER::.
------------ --------------- ----------
- Other Fees . . BLDG STDS ADMIN`(SB1473)
1.00
Fee summary Charged
Paid Credited-
-Due
Permit Fee: Total' 3.3.00
.00 .00
33.00
Plan Check�Total 8.25
.00 00"
8.25
• Other Fee Total 1.00
'00 .00
11.00
Grand Total 42.25
.00 .00
42.25
LQPERMIT
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC
Climate Zones 10 - 15
Site Address: Enforcement Agency:
Date:"
Permit #:
79350 Sierra Vista La Quinta, CA 92253 City of Le Quinta
Apr 4, 2013
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
❑ Furnace
® Indoor Coil '
0 AFUE
® SEER 13.0 "'
Q COQ
O HSPF
❑ R 6 (CZ 10-13)
Served by system
Z Setback
If not already present, must be
HC Unit
❑ EER
❑ Resistance
❑ R 8 (CZ 14-IS)
2000 sf•
installed)
❑ Other
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 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-6111 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-411 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 <:;.15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air,Flow Requirement), TMAH
Exempted from duct leakage testirrg.+E:_ ,
..❑:1; Duct'system.was documeriked to have been previously sealed and confirmed through HERS verification, or
p 2. Duct systems with less thgK40 linear feet in unconditioned space, or
p_3. Existing duct systems are constructed, insulated or sealed with asbestos
Q:4;-The.systerr� :wall . not be Dticfed`(ie:,f3uCtless Mimi-5plitS::stent: ;'(Also ExesnZt f.. oto: efri:' era t.L ar e
....;�,.;...:> ._.
y
❑ 2 Ne >-HbAG 5 stem R ue
y
:.. _ - -
.i::". . .... :..-. .4�<• _...yam! v:ti:... _ _
. Cut In,�ir;Cllan Bout wltla€�;:..
--uu
„><.•,:,::;::. 9 - stetils�P4€C4y-:'`'.-"RS'aij
, ?,T
duets;::
new all new
...::.:•;.;-.^.. ,., ...:...;
duct) . _"a d a new <.
119_ ,+.�,y
. �
�5� f _MECH .2"9 d...for -
tris: ,�{ c ems ,
.Poi .. .. <.... ,............> ..._ ...-.....,.... .< i. .. r
For Splat Systems i3uc1Ea3(age < percent, RC, CCAS 35E# CFM/iorr, fUVE}MACt SMS; anis eitFieti'C�sPP or PSPP.
For Package:"'
0.3.,New.;Duc&*_ ith/or without:;:"_*:':"
Required Forms:
ReplatettteitiE''::':::;:
. Includes replacing or installing d1f."bew
ducting and/or outdoor rdndens, .9:.unit
CF16RSorms: 4aiECrir04, 4hECri-20-riERS; and (for spurt systems) MECH-25-HERS
and/or indoor coil and/or"fdcnaae iVo 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
O 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 4eakage < 15 pe VMt
❑ 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 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-A0020117A-000000000-0000 Registration Date/Time: 2013/04/04 15:43:11 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms July 2010
Bin #
City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
� cJ
Project Address: % 9.3sb S14AP� psm
Owner's Name��X) �P&iv_)
A. P. Number:
Address: Z / S / 4A Q ✓jL 1, S7-A—
Legal Description:
City, ST, Zip: L Q
Contractor: �S�
Address: 'sRJL fp YM l -Z-5
Telephone-.74i 3.
Project Description: -f�
City, ST, Zip—p-41
Telephoner 40 3 . 0O
State Lic. #:fJA-2k2JjkCity Lic. #:
Arch., Engr., Designer:
r-
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 1-a 3 4 3 f o 0 2—
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACKING ,
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.
Plans picked up
Construction
Flood plain plan
Pians resubmitted
Mechanical
Grading. plan
r" Review, ready for corrections/issue
Electrical v
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 corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees