13-1384 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00001384
Property Address:. 44241 W SUNDOWN CREST DR
APN: 604-110-070-110 -19903 -
Application description: MECHANICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 3737
Applicant: - Architect or Engineer:
� t
------------------
LICENSED CONTRACTOR'S DECLARATION
7 VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT v INSPECTIONS (760) 777-7153
BUILDING PERMIT
I hereby affirm under penalty of,perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: C20 License No.: 878533
Date: �'" �1� �3 Contractor:
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 ($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 of
improve for the purpose of sale.). '
(_ I 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 _ 1 I em exempt under Sec. , B.&II.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:
ROSSI RONALD C
44241 W. SUNDOWN CREST DRIVE
LA QUINTA, CA 92253
(
Contractor:
ONE HOUR A/C & HTG
3030 MYERS STREET
RIVERSIDE., CA 92503
(95.1) 276-9744
LiC. No.: 878533
Date:10/31/13
---------------------------7-------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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.
ave 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 INS CO OF WEST Policy Number WVE502266100
_ 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 subject to the workers' compensation provisions of Section
3700 of the Labor Code, I shall forthwith comply with those provisions.
Date:kb'33 _ 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 15100,0001. 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 fnr
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 180days 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 inspe oses. ,
Date:`-'? Signature (Applicant or Agent): '
Application Number . . 13-00001384
Permit . . . MECHANICAL 2013
Additional desc .
Permit Fee 35.75 Plan Check Fee
.00
Issue Date Valuation .
-0
Expiration Date 4/29/14
Qty. Unit Charge Per
Extension
1.00 35.7500 EA MECH AIR HANDLER
35.75
-----------------------------------------------------------------------------
Special.Notes and Comments
HVAC CHANGE,OUT - (1) 4TON AIR HANDLER
[2008 ENERGY] CARBON MONOXIDE ALARM(S)
-TO-BE INSTALLED PRIOR TO FINAL
INSPECTION..2010 CALIFORNIA BUILDING -_
_ CODES:
---------------------------------------------------------------------,-------
Other Fees . . . . . . . . PERMIT ISSUANCE-M/P/E
-90.57
PLAN CHECK, MECHANICAL
11.92
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 102.49 •, .00 .00
102.49
Grand Total 138.24 .00 .00-
138.24
LQPERMIT -
-- .
i
•
Reed TRACIONG
City of La Qulnta
Plass seu
Building 81 Safety Division
item Amount
i
i
P.O. Box 1504,78-49S Calle Tampico
La.Qulnta, CA 92253 •;(760) 777--7012
jj
d
Plan Check Deposit. .
Building Pemiii-Application:and Tracking Sheet
IProjeci,Address:
Called Contact Person
Owner's Name: QYxA�� ..
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A. P•' -Number•: k p—
010 Address; JAja- (
Coastreetioa
Lt gal.Description:
City, ST, Zip: �l�p-v3
i
Contractor. ��
Tolephon : (
.
Address;.
- Project Descripdon:
Submataetorlist
City, ST, Zip: •
t'.� Q�j
`i
Tdeplione
Plans lilcked up
S.M.I.
State
City LIa
Gradlog
Aid, Bug , Designer•
"' Revlew; ready for conutions/issue
`Address:
PlanologApproVal•
City, ST, Zip:
Pub. Wks: Appr
Teliphoae:
Construction Type:. OMPPCY:
`SmteLia #:
i?roject type (circle ono): New 'Add'n Alter Repair Demo
i
i
1
Name of Contact Person:
Sq. Ft.:N Swritis S Units,
'Telephone 4 of Contact Person:.
Estimated Yalue of Projeat:.c 3� '��
!
APPLICANT: DO NOT WRITE BELOW THIS LINE
d Submittal
I
i
Reed TRACIONG
PF.RM[PFEFS
Plass seu
Plan Cheek submitted
item Amount
i
i
d Submittal
Rev
Reed TRACIONG
PF.RM[PFEFS
Plass seu
Plan Cheek submitted
item Amount
Structural Cake
Reviewed, ready for corrections
Plan Check Deposit. .
Trosi.Cala.
Called Contact Person
plan.Check:Balanee,
Mde24 Cil&
Pians pleked up
Coastreetioa
Ptood:plain plan
Plana resubmitted
Meeha:ilcal
0 ading plan
2-! Review, ready for corrections/issue. IElectrical
Submataetorlist
Called ContaetPersoa
Plumbing
Grant Deed
Plans lilcked up
S.M.I.
MOA. Approval
Plans resubmitted
Gradlog
94 HOUSE:-
"' Revlew; ready for conutions/issue
Developer Impact Fee
PlanologApproVal•
Called ContaetPerson
Pub. Wks: Appr
Date of permitlssue
School Fees
Total'Permit Fees
Sim flied Prescriptive Certificate of.Com fiance: 2008 Residential HVA C Alteradons CF -1R ALT -HVAC
Climate Zones 10 to 15
Site Address: 44241 W. Sundown Crest Dr
Enforcement City of LQ
Date' 10-31-13
Permit #:
Equipment T et
List Minimum EfficiencY2
Duct insulation requirement
Conditioned Floor
Area
Thermostat
Packaged Unit
Furnace
AFUE_
13 COP
Over 40 ft of ducts added or
laced icditid
n unconditioned space
S
Served by
Q Setback
Indoor Coil
Condensing
EER
®HSPF
R 6 CZ 10-13
)
ffR
system
7500 sf
(ljnot already
y
must be
Unit
13 EER
Resista_nce
present,
Other
8 (CZ 14-15)
installed)
1., Equipment Type: Choose the equipment being installed, • ijmore than one system, use another CF-IR-ALT-HYACjor each system.
2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFjor typical residential systems.
HERS VERIFICATION SUNMARY 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 CFAR forms (no hand filled CFARs allowed). are filled out and
signed. Beeinning October 1, 2010 a registered copy of the CF -IR and CF -6R shall also be on site for final inspection.
E 1. HVAC Changeout
Required Forms:
.• All HVAC Equipment replaced
CF-611forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS
CF -4R forms: MECH- 21 and fors lits stems MECH-25
• Condenser Coil and/or
• Indoor Coil and /or
CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS
• Furnace
CF-011forms: 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
For Packaged Units: Duct leakage <.15 percent
Exempted from duct leakage testing if
1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or
2. Duct systems with less than 40 linear feet in unconditioned space, or
3. Existing duct systems are constructed, insulated or sealed with asbestos
[32.1 HVAC System
Required Forms:
• Cut s: Chang with new
ducts: (all new dueling and all
CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS
new equipment)
CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25
For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, SIMS, and either HSPP or PSPP.
For Packaged Units: Duct leakage < 6 percent
❑ 3. New Ducts with/or without Replacement
Required Forms:
• Includes replacing or installing all new ducting
CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS
and/or outdoor condensing trait and/or indoor coil
CF4R forms: 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
4. New Ducting over 40 feet
Required Forms:
• Includes adding or replacing more than
linear feet of duct in unconditioned space.
CF-6R forms: MECH-04, MECH-2I-HERS CF -4R forms: MECH-21
For split s stem or packaged units: Duct leakage < 15 percent
EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos.
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
• 1 certify that this Certificate of Compliance documentation is accurate and complete.
• 1 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 doc en don o r applicable compliance forms, worksheets,
calculations lens ands specifications submitted to the enforcement agency for app royal with a ca ' pe
Nante:Jane Recktenwald
Signature•
Company:Venvest Ballard Inc., DBA One Hour'
Date: 10-31-2013
Myers St
License: 878533
[Address:3030
C—ity/State/ZiP: Riverside, CA 92503
Phone: 951-276-9744
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