14-0898 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 14-00000898 Owner:
Property Address: 79285 TORONJA MICHEAL MORRISON
APN: 772-340-033- - - 79285 TORONJA
Application description: MECHANICAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL (760) 702-0107
Application valuation' 3000
Contractor:
Applicant: Architect or Engineer: PACIFIC AIR HEATING &
82375 MARKET STREET #1
INDIO, CA 92201
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/19/14
O F�
JUN 20;++JT
A
3 CITY OF LA QUINTA
FINANCE DEPT.
(760)771-6971
% Lic. No.: 838711
-------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION - - • WORKER'S•COMPENSATION DECLARATION '
hereby affirm under penalty of perjury that I am licensed 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 Business a Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: C20 License No.: 838711 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
C14Ott :G-15-1 Contractrssand
_-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
WNER-BUILDER DECLARATION insurance carrier and policy number are: -
I hereby affirm under penalty ofexempt from the Contractor's State License Law for the Carrier 'PT Policy Number ' EXEMPT
following reason (Sec. 7031.5, essions Code: Any city orcounty that requires a permit to "ertify that, in the performance 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 46pe"/ person in any manner so as to come 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 I should be a subject 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 Code, 1 II forthwith 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 - / ,,��-cf+ ,
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: - —/�( Applican" t:'
1 • 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 ERS' 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 CRIMI L 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.). e - 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 J. - - 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
r performed under or following issuance of this permit.
Date: Owner: 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
_ 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 that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). - city and county ordinances and state laws relating to building construelon, and hereby authorize representatives
of this county to enter upon the above-mentioned property for",insµ ion purposes. _
r Lender's Name:•
Date; gnature (Applicant or Agent):
Lender's Address: a' -
LQPERMIT -
Application Number . .' . . . 14-00000898
' Permit MECHANICAL 2013
' Additional desc
Y
Permit Fee 83.42 Plan Check Fee
.00
' Issue Date . . . . Valuation
0
`,Expiration Date "12/16/14
_
Qty. Unit Charge Per
Extension
` 1.00 35.7500 EA MECH FURNACE
35.75 '
1.00 11.9200 EA MECH-APPL REP/ALT
11..92
X1.00. 35.7500.EA MECH CONDENSER/COMP
35.75"
------------------------------------------------ ---------------------------
�< Special Notes and Comments
HVAC CHANGE OUT-',16SEER/80AFUE SPLIT
'SYSTEM [2008 ENERGY] CARBON MONOXIDE
^
ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING
CODES.
------------------------------------------------------------.-----------------
Other Fees . . . . PERMIT ISSUANCE M/P/E
90.57 =
PLAN.CHECK, MECHANICAL
52.43
Fee summary Charged Paid Credited
----------
Due
-
-----------------
Permit Fee Total 83.42 .00 .00
83.42 '
' Plan Check Total .00 _ .00' - .00
.00
Other'Fee Total- 143.00 .00 .00-
143.00
Grand Total 226.42 .00 .00
226.42
s
-
LQPERMIT -
,
_
Simplified-PrescriptiVe ;Certificate': of'Compl " e: ;2008;Resider'fia/'HVAC A/teraaioM; ; , .CF iR=ALT HVAC
Climate Zones 10 15 ; • , ..
Site`Addre'sse,
EnforcementAgency:
;Date:," . '
'Permit# -
7.9;285.To,r`onja La.Qulnta,CA9,2253.-.. ,.:
CityofLaQuinta•: �; ,.
]qn
Duct Insulation ` 'Conditioned
Floor.
Equipment TyPel ;
List.Minirnum,Efficienci2
.
requirement
Area
Thermostat
❑ Package.Unit
Furnace
'
I�AFUE �� 0 ..p
COP`-
IN Setback.
Indoor Goil
'® SEER 16.0 '
'p HSPF
R 6 1p-13
R'8.(CZ 14=15)
Served:b system
2g33:: sf y
If -not already.present,'inust be '
;Condensing Unit
;(EER
p.Resistance
-
installed) '
I. Equ/pment.rype Choose,"the equ/ menYbe/ng lnstalledj.Jf'more than one system, -use another CF IR -ALT HVAC: foreacfi system.
2..M1nfmum'Equfpment.Etflclerfcles: 13•SEER; 78% AFUE,�77HSPFfortyplcal res/dentlal systems.
HERS -VERIFICATION SUMMARY Listed below are FOUR HVAC, alteration O"ptions "The Inst iller.decides what •work -.Is beirig done
and picks one..of the appropriate options. Each Option lis ts.t.ie HERS measures: that must be:conducted: A copy.ofa 64orms•shail .
be leftin on site:forfinal Inspection: and a co py given:to.the homeowner: At final, the inspector:verfies that the work`.listed on this
.
form was fact the'work completed,by the installer.•The_Inspectoralso verifies that each appropHate CF $R.and•registered_ CF -412 .
forms -(no hand filled CF 4Rs;allowed)-are-filled out anii:signed..Beginning .0'ctofier'.i,:201'0;'a.registered.ci py of -the cF-iit
and CF 6R shall aiso'be on site for;final;h spection.
®:1. HVdC Changequt " :Required
.
Forms:
All HVAC Equipmerit
CF 6R forms MECH=.04,.MECH-2i-HERS=and (for split m
sysfes) MECH'25-HERS
replaced:_
GF-4Rfor�ms ;MECH 21.:and (forsplitsystems);MECH
..Condenser Coil and /or.
CF -;6,R forms .ME.CH-04, MECH=2I-HERS and (for.'split systems). MECH-25-HERS
•'IndoorCoil:and %or. "'
. Fumace
CF -4R forms:'MECH-21:and,(for. split systems);MECH-25'
For Split Systems:+Duct leakaR15 percent;'RC, CCA 5.'300 CFM/ton (Mini►num;•AirFlow•Requireriient),.TM'AH . .
OF
ExerrmpEed from duct leakage testing if;
p1. Duct .systern:was documented, to- have been previously:sealed,and confirmed througK.1 ERS verification, or..
0 2 Duct systems with less than;40.linear feet.in-unconditioned space; or`
Al 3:.', -Existing du&iV510ns are� construeted; insulated -or sealed with asbestos
:p 4 Thesystem will not 6e Ducted=(ie. Duchess Mini Split:System) (Also Exempt'froni`Refngerant-Ch_ arge);:
0:2,':New HVAC System
Required Forms:
. Cut in or Change-- with
ducts ;(all
rN rs ��
CF 6R�orms MECH 04, MECH 20 HERSy and (for spilt systems)`MECH 32 -HERS; and
new new=
ductin and all'new
MECH 25 HERS `'`� Ar
equipment)R�fois��MECH
20, an(for split systems) MECH 22,�an�d` MECH 25
For:Splitx5ystems� Duct eakage < 6 percent; RC; CCA >�350 CFM/ton FWD,.TMAH, STMS; and either_,1HSPP;or PSPP,_
For Packs ed Units ;+Duct leaks es< ,6 ercefiQ a
gM1"_ 9 p
. rt. i
❑ 3: New Ducts-,witth/ior without' ; '"' -+4
Required Forms -,•' f - r
Replaaemen " -
•
. Includes replacing or installing allanew
ducting andJor outdoor condensing unit,' .
..
CF -6R forms:. MECH-04, MECH 20 -HERS, and (for. split systems) MECH-25-HERS
-
and'/or.1ndoor coil and/or furnace No or.soine
CF-4R.forrms: MECH=20 and..`(for split systems):MECH-25:
equipment changed;, .. .
"
RWSpht Systems -quct leakage < 6.percent; RC,..CCA >'300 CFM/ton, TMAH.
For Packaged Units: Duct leakage < •6.percent '"
D.4d'Nevi►:Ducting aver 40`f7.
eetRequired
or. _.....
.' ncludes adding or,replacmg more;than<40
I g
CF7.6R forms:' MECH-.04,, MECH-21=Hr.ERS.
linear feeto' duct::in uncorididonedspate.. -
CF=4R forms:. MECH-21
For- split.system orpackaged units: Duct leakage < 15 percent '
p.EXCEPT.ION:'Existing.duct�systems.construded; insulated or,sealed with .asbestos: ,• ,.
Contractor (Documentation:Author''s /Responsible Designer's Declaration Statement):
r 1 -:Certify that this Certificate of Compliance documentation:.s. accurate and complete
I am eligible.under DlVision 3 of.the Califomia Business and. Professions Code -to accept--responsitiility for'the design identified on tFiis`Certiflcate of
Corimpliance.
•;I: certify that the energy features and performance spedFlcations for,the design identified on this Certificate of Coriipliance conform to the
requirements'of Title 24, Parisi and 6 of -the California Code of Regulations
• The design features Identified &,A-NIs Certificate of Compliance mformatiori documented on '.
areconsistent(with the :otherapplkable,compliance .
forms; worksheets;;calculations;plan. s and°specifirat6fis'sub_mitted.to=the `eri(orcemenf agency, fob approval with e perrnit a'pplicatlon..
Name: victor. estrada �.� .`.: Signature Vlfnr esti±adu,+ :.: � .:� - a "
Company 'PACIFIC A'IR "HEATING &AIR CONDLTIONING SERVICES -• :' Date: 7un'1'9 2014
Address P_ O:BOX 21'60 , ; license 838711 •. = , ; ,: ;
City/State/Zip: INDIO°/ CA./=92202:':: Phone ;(Z60) 771=6971
Reg: 214-A0045516A-600000000'-0000 Registration Date/Time ':2014/06/39 12. 51 34 HERS,Provider:',Ca_10ERTS;,Sn'c'..,
2608 Residential COM'iiance''Borms July 2010
. .. ♦ .. ..
r. .
Reg: 214-A0045516A-600000000'-0000 Registration Date/Time ':2014/06/39 12. 51 34 HERS,Provider:',Ca_10ERTS;,Sn'c'..,
2608 Residential COM'iiance''Borms July 2010
R
Bin #
City of La Quinta
Req'd
Building &r Safety Division
P.O. Box 1504,"78-4 95 Calle Tampico .
Permit #
PERMIT FEES:
La Quinta, CA 92253'- (760) 777-7012
Plan Sets
Building Permit Application and Tracking Sheet .
Pr j ct Address:
Owner's Name: /LLS o�
A. P. Number:`
Address: 7 0l zjsS 7TiAoN A
Legal Description:
g P (,City,
l
ST, Zip: J� fin- CA cj 2 Z S3"
Contractor: �
� �
760 020 f 0 7
Telephone: '
Reviewed, ready for corrections
Plan Check Deposit
Address: Z 3 7 S �^� % �3
P oject Description:arry:.v:.
L S
Truss Cala.
c d�0
'Ci ty ST, Zip: 4A1D CA22-o l
Called Contact Person
'Telephone: 6o — 7-711111 -1/
Plan Check Balance
State Lic. # : 3 I'
City Lie. #:
Arch., Engr., Designer:
Plans picked up
Address:
Construction
City., ST, Zip:
Telephone:
>xf:'A>as?:
`"' ^ ,........:..:::.,.•,:::^ ^
Construction Type: Occupancy:
State Lic..#:
Project type circle one): New Add'n It Repair Demo
,Na )e of Contact Person:
Ft:`
Units:
'Telephone # of Contact Person: '? & v ce ( C95 9-5
Estimated Value of Project: • 8go
t
APPLICANT: DO NOTrWRITE BELOW THIS LINE.
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES:
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance
Title 24 CAcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'd Review, ready for corrections/issue i
Electrical
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