13-1627 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
,Property Zoning: .
Application valuation:
13-00001627
44296 W SUNDOWN CREST DR
604-110-066-102 -19903 -
MECHANICAL,
LOW DENSITY.RESIDENTIAL
5800,
BUILDING & SAFETY DEPARTMENT.
BUILDING PERMIT
Owner:
SHAPTER ALLEN
*NOT ON.FILE
UNKNOWN, CA 99999
!r_
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/17/13
° Contractor:� � _rrq 2013
. J91
Applicant: Architect.or Engineer:. AIR EXPERTS AIR CONDI IONG HIT;
PO BOX -.94
i LA QUINTA, CA 92247 j ' CITY OF LA QUINTA
,> / _ (760) 777-1724 FIMaWCF.OIwpT.
/ �-j'— Lic. No.: 725283
------------------------------------------
LICENSED CONTRACTOR'S DECLARATION • - WORKER'S COMPENSATION DECLARATION
I 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 Di ision 3 of the Business and 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 C2 License No.: 725283 oy Section 3700 of the Labor Code, for the performance of the work for which this permit is
ssuad.
Sarqr
ntractor: - - /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
OWNER -BUILDER DECLARATION _ - insurance carrier and policy number
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the _ .Carrier GUARD INS GROUP icy Number AWC446733 -
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to - — I certify that, in the performanc of the work for flich this permit is issued, I shall not employ any»
construct, alter, improve, demolish, or repairanystructure, prior to its issuance, also requires the applicant for the person in any manner so a to become s ' ct to the workers' c ws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State an agree that; if I should become ect s compensation provisions of ection01C .
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3 0 of the Labor Code, sh- orthwith 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 I A -
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 15500).: at p nt: ,
•`
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 WARNIN F [LURE TO SECURE WORKERS' 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 CRIMINAL 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 (5100,0001. 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.).APPLICANT ACKNOWLEDGEMENT
(_) 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.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 'I am exempt under Sec. , 8,&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 per ' . -.
Date: _ Owner: 2. Any permit issued as a result of this.applicati ecomes II and void if work is not commenced
within 180 days from date of issuance of ch permit, 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 th t the abo informa ' agree to comply with all
work for which this permit is issued (Sec. 3097; Civ: C.). city and,cou y or inances and state laws relating t buildi cuon, and hereby authorize representatives _
- of this coun to ter upon the above-mentioned pr p r inspection purposes.
Lender's Name:
Dat
� gnatreA' pplicant or Agent):
Lender's Address:
LQPERMIT V t
Application Number 13-00001627
Permit . . . MECHANICAL 2013
'Additional desc .
Permit Fee . . . 71.50• Plan Check Fee
.00
Issue Date . . . . Valuation
0
Expiration Date=. - 6/15/14 -
• Qty -Unit'Charge Per
Extension
- 1.00 35.7500 EA MECH FURNACE
35.75 .
1.00 •35.7500 EA MECH CONDENSER/COMP
35.75
--------
Special Notes and Comments
HVAC CHANGE OUT - 13SEER, 3 TON HVAC
SPLIT SYSTEM•(HEAT PUMP A/C AND HEAT
UNIT) [2008 ENERGY]• CARBON MONOXIDE
ALARM(S) TO=BE INSTALLED-PRIOR'TO FINAL'
INSPECTION. 2010 CALIFORNIA'BUILDING
CODES. <
-----------------_---------------------------------------- --
_ Other Fees BLDG STDS ADMIN (SB1473)
1.0.0
PERMIT'ISSUANCE M/P/E
90.57:
PLAN CHECK, MECHANICAL
47.66
_ ,Fee summary. Charged Paid Credited
Due ,
' .. .00
Permit Fee Total. 71.50 00 .
71.50
Plan Check Total .00 00 .00
.00
Other.Fee Total 139.23 .00, .00.
139.23
Grand Total' '210.73 00 .00
210.73
LQPERMIT
Bin #
Submittal
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495.Calle Tampico
La Quinta, CA 92253 - (760) 777-7012 -
Building Permit Application and Tracking Sheet
Permit #
�j
Project Address:
PERMIT FEES.
Owner's Name:77 T
swA �
A. P. Number:
Address:
Legal Description:
Item
City, ST, Zip: 24 Ou-)-A CA gZZS_71
Contractor:
t
Telephone:
Address:
9
Project Description:
City, ST, Zip: CA
Q 1/j4; L.
Telephone: — /) '-?% 7 I V "
,Aj /�p� y,{ I♦/_
� � � / — • „� �I�'/
State Lic. # :
City Lie. #:
G J4A� �j urJ t
Arch., Engr., Designer:
Address:
City., ST, Zip:
Construction
' -
Telephone:
-
i�i}ii::iii};Ji::•ii�:•ii}i}i:•i:ii.^Sti.:: }!.
?:4.:,•'iso;:::Y:%%y`??:`%d::
: ' i.•
Construction Type: Occupancy
State Lic.
Plans resubmitted
Pro ect type circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.: 1 zon
# Stories:
# Units:
Telephone #,of Contact Person:
2°" Review, ready for corrections/issue
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Cala.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'`" Review, ready for correctionslissue
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 HVAC Alterations CF-111-ALT=HVAC
Climate Zones 10 - 15,Site
Address:Enforcement
Agency:
Date:
Permit #: .
44296 W. Sundown Crest La Quinta, CA 92253
City of La Quinta
Dec 17, 2013,
Duct insulation
Conditioned Floor
'
Equipment Typei
;. List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit .
® Furnace
IN Indoor Coil
❑ AFUE -
® SEER 13.0
❑ COP
® HSPF 7,7
❑ R 6 (CZ 10-13)
Served by system
® Setback
If not already present, must be
® CondensingUnit
❑EER
❑Resistance
❑ R 8 (CZ 14-15)` .
1200 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, Z 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 -411
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. - f
® 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 -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 < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH
FGF Pa 19
pereeRk
Exempted from duct leakage testing -)f:. J
❑ 1. Duct system was documented.to have been previously sealed and confirmed through HERS verification, or
❑ 2. Duct systems with less thani40 linear feet in unconditioned space, or
❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos
[14. The system ill not be D�(i6. Ductless -Mini Split System),,,(Also EaxemptfiroT,Refrigerant-Charge)' ,
S stem Regwre&,formst Ir',
❑ 2. New HVACY
.., }Ka -r.?A .ta. RX4i 1.. �.. ... �'i+} �'•. ..R,N!CtSt
. Cut inl6r Changeout with +r , �.� a z* x ter. ur n
'i CE, 6R,forms {MECH-04, MEC, 20 HERSand,(for split systems) MECH 22 HERS and
new ducts: (all new f
u� MECH 25 HERS• i i' (a
ductin and all new H��'� �r wf
9. ' CF 4R forms MECH 20,.and MECH 22and MECH 25'
(for split systems) .
equipm)nt) ..,kms
For Split 59 stems leaks a"<6 ercent= RC CCA > 350 CFM/ton;: FWD ,TMAH ` SIMS, and either HSPP oF'PSPP.
rDuct
For Packaged Units: Duct leakage — ;`6 percent" '
❑ 3. New 'DucEs'`_viiith/or without','.
Required Forms: .,
Replacement': + r:V.
. Includes. replacing or installing alhnew
ducting and/or outdoor condensing unit
CF -611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS
and/or indoor coil and/or furnace: No or some
CF -411 forms: MECH-20 and (for split systems) MECH-25
equipment changed. ,
For Split Systems: i 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 sealed with asbestos.
Contractor (Documentation Author's /Responsible Designer's Declaration Statement) 4i
• 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: Luis M'Lira - Signature: Luis M Lira '
Company: AIR'EXPERTS AIR CONDITIONING -HEATING Date: Dec 17, 2013 -
Address: PO BOX 94 - License: 725283 -
City/State/Zip: LA QUINTA / CA / 92247-0094 Phone: (760) 777-1724.
Reg: 213-A0094236A-000000000-0000 Registration Date/Time: 2013/12/17 16:01125 HERS Provider: CalCERTS,'Inc.
2008 Residential Compliance Forms July 2010