13-0529 (MECH)T P.O. BOX 1504 • • r '
78-495 CALLE TAMPICO
LA QUINTA,�CALIFORNIA 92253
Application Number:
13-00000529
Property Address:
50540 SPYGLASS
APN:
770-320-016-16.
Application description:
MECHANICAL
Property Zoning:
MEDIUM DENSITY
Application valuation:
8330
Applicant:
HILL DR
-25389 -
RES
Architect or Engineer:
DEPARTMENTBUILDING & SAFETY
PERMITBUILDING
_ LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
LicenseClass: C20 License No.: 686310
� cc �
Date: -L) 7-.5 �3 Contractor. `U�4.ZL
OWNER -BUILDER 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 ($5001.:
(_) 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 arenot 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 _) 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 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 _) 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 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
Owner:
PAUL & LYNN NUNNARI
50540 SPY GLASS HILL DRIVE
LA QUINTA, CA 92253
(297)972-8662
Contractor: D
GENERAL AIR CONDITIONIN
31170 RESERVE DRIVE
THOUSAND PALMS, CA 9227
(760)343-7488
Lic. No.: 686310
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/25/13
APR 25 2013 ID
LA
WORKER'S COMPENSATION DECLARATION
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 ZENITH INS CO Policy Number Z071741502
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 1 should become subject to the workers' compensation provisions of Section
3700 of the Labor Code, I_shall forthwith comply with those provisions.
Date: Applican[:K.t�
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 ($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.
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 forinspectionpurposes.
Date: ?� Signature (Applicant or Agent):
LQPE"11T
Application Number' 13-0000052'9
Permit MECHANICAL,
Additional desc .
Permit'.Fee"._: 42.50 Plan Check Fee
10.63
Issue -Date . . . . Valuation
0
Expiration Date 10/22/13
Qty Unit Charge Per
Extension
-BASE FEE
15.00
1.00 11:000'0 EA MECH FURNACE >100K
11.00
1.00 16.5000- EA MECH B/C.>3-15HP/>100K-,500KBTU
16.50
Special Notes and Comments
HVAC CHANGE OUT - 13SEER/78AFUE SPLIT
SYSTEM [2008 -.ENERGY] CARBON MONOXIDE
ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2010 CALIFORNIA BUILDING
CODE S' .
-
----------------------------------=----------------------------
Other Fees' . . . . . . . BLDG.STDS ADMIN (SB1473)
------------
1.00
Fee summary. Charged Paid Credited
Due
Permit Fee Total 42.50 .00 00
42:50
Plan Check Total 10.63. .00 .00.
10.63
Other Fee Total 1.00 .00 .00
1.00
Grand Total'' 54.13 .00 .00
54.13
Bin. #
City of La Quo:
Bulkft 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 #
ProjectAddress: SOS q O s G r„s nl Will
Owner's Name:.,.. .� = L,,,,, N U rrN c r
A. P. Number.
Address: 5(>S440 G(css
Legal Description:
Contractor. A\ c ;
Ci ST Zi :
ty. p � �;r�� CA Gzzy� .
Telephone: 26^1- C01— $(a&Z.
Address: 311 �O e= Sery i� c-
Project Description:
City, sT, zip: '`T1n6i st n d , a.lm s a Z-27 to
e- \ _ e- 3d -,b /> c- L -?0 le- -3-Tv
Telephone: 2,0 -343 --?486,
rv�GcP_.
State Lit # :b 3 ZO City Lie. #;
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. FL: # Storides: #Units
Name of Contact Person:
Telephone # of Contact Person: Estimated Value of Project p g 3 3U • OU
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
Submittal
Req'd
Recd
TRACXMG PERMIT FEES
Plan Sets
Plan Cheek submitted Teem Amount
Strgcturai Calcs
Reviewed, ready for corrections Plan Check Deposit. .
Truss Calci.
Called Contact Person Plan Check Balance
Tide 24 Calci.
Plans picked up Construction
Flood plain plan
Plans resubmitted.. Mecharilcai
Grading plan
2'! Review, ready for correctionsrrasue Electrical
Subcontactor list
Called Contact Person Plumbing
Grant Deed
Plans picked up SMI,
H -OA. Approval
Plans resubmitted Grading
LM ROUSE:-
3" Reyiew, ready for eorrectionslissae Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVA
Climate Zones 10 - 15
Site Address: Enforcement Agency: Date: • ' Permit #:
50540 SPY GLASS HILL La Quinta; CA 92253 City of to Quinta" Apr 24, 2013
Equipment Typel
List Minimum Efficiency2
Duct insulation
requirement
Conditioned Floor
Area
-
Thermostat,,
❑ Package Unit
• ' . •
`
®Furnace
® Indoor Coil
®AFUE 78%
® SEER 13.0
p COP
p HSPF
13 R 6 (CZ 30-13) .
R 8
Served by system
0
® Setback
If not already present,'must be
® Condensing Unit
,0 EER
(3 Resistance
D (CZ 14-15)
� sf
installed) _ p
0 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 fad 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 -1R
and CF -6R shall also be on site for final inspection. .
® 1. HVAC Changeout
Required Forms:
. All HVAC Equipment .-,
CF -6R forms:•MECH-04,pMECH-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-PIERS and (for split systems)'MECH=25-HERS
`
Furnace
CF -4R forms: MECH-21 and (for split systems) MECH-25
rF
For Split Systems: Duct leakage::<.:15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air, Flow Requirement), TMAH
Units-:..:;:
1153
For. Paisliaged l3eFG8PA-_
Exempted from duct leakage testing f,, :
r .❑ i Duct systerrt:inas docurhii te8 to have, been'previously sealed and confirmed through HERS verification, or `
. Q'2: Duct systems with less that 401inear feet in unconditioned space, or
p 3. Existing duct systems are im- nstructed, Insulated or sealed with asbestos
�:4: The ste .. -will not be Ducted (ie::.Duetless Mini-'.p1it�5ysterta) �p.(sa Exem tzfrort�Itfrl eraerFCharge)
...... �.:'::. ems..-.. s< .- Gam.. rnr i.
02 Ne4ff ` stem.
S1/
RequtFedFSotrn�:.;::
•cut In3or titian eout W,
new all new
eructs-. (...�.:
rte•.
VW. �� . �� ``
�C�Fr-6Rfomis MECH-04, MEG�t�i':Zfl-HERS " ani#:for split systems). MECH 2 rHERS, :._:.... .
_ :
25-YlEfS 0-:
::'
ducted all new
'
.,_.<... _..... F_, x .
a3rd(€ars)it:s se s) E'Ct1-2MECk#
e ui merit.. :::R#ortrtsut�tECH-?q.
�_:.
For, Sptit'Syste�ts Uft-'le
kage^c 6 }zarcent, {2C W -003,50 --?C /ti riz, FWD; TMAFi, 5T�+7S, aril _Wt 'HPP"br`PSPP.
For Packaged Units Duct
leaka e�<::9-, ercerrt.:::::.<.::' .::::::.. .....:'......:' ..'
"' ''
'3: Mew, D.vcfs nnth/oar with ` :;:
Required Forms:
q '
. Includes replacing or installing AlFfiew
_ t ,
ducting and/or outdoor condensfh'g:unit ,
CF -6R forms: MECH-04; MECH-20-HERS, and (for split systems) MECH-25-HERS
and/or indoor coil and/or furnace% No ar some
CF -4R forms: MECH-20 and (for split systems) MECH-25 ,
equipment changed.:
,
For Split Systems: Dud leakage < 6 percent; RC, CCA a 300 CFM/ton, TMAH r
For Packaged Units: Duct leakage < 6 percent ,:
O 4. New Ducting over 40 feet
Required Forms:
Includes adding orreplacing more than 40
CF -6R forms: MECH-04, MECH-2I-HERS
linear feet of duct in unconditioned space.
CF -4R forms: MECH-21 '
For split system or packaged units: Dud leakage < 15 percent
E3 EXCEPTION: Existing duct systems constructed,' insulated or sealed with asbestos. .
Contractor (Documentation Author's /Responsible Designer's Declaration Statement) r
• I cenffy 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 Certif tate 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
fortes, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application.
Name: Danielle Garcia Signature: ponlelle 6arciof;
Company: HARRISON ENTERPRISES INC - Dater Apr 24, 2013
Address: 31-170 RESERVE DRIVE STE A License: 686310 . .
City/State/Zip: THOUSAND PALMS / CA / 92276 • Phone: (760) 343-7488
CA/tetations CF -1R -HVAC ^' -
1•
Reg: 213-A0024314A-000000000-0000 Registration Date/Time: 2013/04/24 14:55:11 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms ' .July 2010