14-0669 (MECH)r
im
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 14-00000669
Property Address: 78855 DULCE DEL MAR
APN: 643-100-022-201 -26152 -
Application description: MECHANICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 425
Applicant:
T4ht 4 4& Q"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/20/14
Owner:
SINDELAR CHARLES J
78855 DULCE DEL MAR
LA QUINTA, CA 92253
(
'P2rHA1Y
e
i
Contractor:
BEST IN THE WEST AIRiVD/255 N. EL CIELO, 140 2 )•' 2014
l '
twAV[I�_/
PALM SPRINGS, CA 92212
(760) 343-1002 WY OF LAQUL4TA
1
Lic No.: 967982 L FINA110E DEPT.
.
---- ---------------------------------------------------------------------
------------------*icns
LICCTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury thater 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 Busines 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
LicenseClass: C20 C 8cense No.: 967982
Date: ' ZO" ntra
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
, I h e 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 of perjury that I am axe ontractor's State License Law for the
Carrier NORGUARD Poli ber BEWC337354 -
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance o ar f 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 as come su j ct 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 ec me ub' [ the workers' compensation provisions of Section
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
O 3700 of the Labor Cod ' s I o c mply with those provisions.
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
Date -'/ ppI cantt,'..
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
WARNING: FAILURE TO SECUR OR 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 ($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.).
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.).
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
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:
LQPEn11T
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 applicatio comes null and oid if work is not commenced
within 180 days from date of issuance ch permit ation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and st that the abo i forma is correct. 1 agree to comply with all
city and county ordinances and state laws re ing to building n hereby authorize representatives
of this county to enter u on the above -me oned prope i p rp ses.
�~�
Date ignature (Applicant -'
�r
Application Number . . . . . 14-00000669
Permit . . . MECHANICAL 2013
Additional desc .
Permit Fee . . . . 11.92
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
0
Expiration Date . . 11/16/14
Qty Unit Charge Per
Extension
1.00 11.9200 EA MECH APPL
REP/ALT
11.92
----------------------------------------------------------------------------
Special Notes and Comments
HVAC CHANGE OUT - (4)TON INDOOR COIL
[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
4.77
Fee summary Charged Paid
-------------------------------------
Credited
--------------------
Due
Permit Fee Total 11.92
.00 .00
11.92
Plan Check Total .00
.00 ..00
.00
Other Fee Total 95.34
.00 .00
95.34
Grand Total 107.26
.00 .00
107.26
LQPERMIT
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency: Date:
Permit #:
78855 Dulce Del Mar La Quinta, CA 92253
City of La Quinta May 19, 2014
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
❑ Furnace
® Indoor Coil
❑ AFUE
❑ SEER
❑ COP
❑ HSPF
❑ R 6 (CZ 10-13)
Served by system
® Setback
If not already present, must be
❑ Condensing Unit
❑ EER
❑ Resistance
13 R 8 CZ 14-15
i )
1600 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 -411
forms (no hand filled CF -411s allowed) are filled out and signed. Beginning October 1, 2010, a registered copy of the CF -111
and CF -611 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 testing if:
❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or
❑ 2. Dud systems with less than 40 linear feet in unconditioned space, or
[13. Existing duct systems are constructed, insulated or sealed with asbestos
❑ 4. The system will not be Ducted (ie. Ductless Mini -Split System) (Also Exempt from Refrigerant Charge)
❑ 2. New HVAC System
Required Forms:
. Cut in or{Changeout withCF-6R`forms
{MECH-04, MECH-20-HERS and(for splitsystems MECH 22 -HERS, and
new ducts: (all new
ducting and all new
MECH25-HERS . }� 'R.�.
CF -4R forms: MECH-20, and (foraplit systems)'MECH-22, and MECH-25 "
equipment)
r r i i t1r t_" 4, 1 _%
For Split Systems Duct leakage�< 61percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH?STMS, and either HSPP'or,,PSPP: �!
For Packaged Units: Duct leakagef< 6,percent?
❑ 3. New Ducts with/or without
Required Forms: a
Replacement
. Includes, replacing or installing all new
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: 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 -6R forms: MECH-04, MECH-2I-HERS
linear feet of duct in unconditioned space.
CF -411 forms: MECH-21
For split system or packaged units: Duct leakage < 15 percent
p 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 i 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: May 19, 2014
Address: 255 N ELCIELO ROAD #140-125 License: 967982
City/State/Zip: PALM SPRINGS / CA / 92262 Phone: (760) 343-1002
Reg: 214-A0035842A-000000000-0000
2008 Residential Compliance Forms
Registration Date/Time: 2014/05/19 18:26:09 HERS Provider: Ca10ERTS, Inc.
July 2010
srn.#
City Of La Quihta
Bullding 8i Safety Division
P.O. Box 1504,78-495 Calle Tampico
4.Qulnta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Perinrt #
'r
Project Address: 79 j b✓ + £ j y%�L
Owner's Name:.
A. P. Number.
Address:
Legal Description:
City, ST, Zip: LZS3
Contractor. Ae.I C
Telephone: '
Address:
Project Description:
City, ST, Zip: S i ✓l !iV o
Telephone: IM, 3' r
State Lic. # : City Lie. #;
Akk,Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: fQ
Construction Type:. Occupancy:
Project type (circle one): New Add'a Alter Repair Demo
q. Ft : # Stories: # Units:
FEstimatod
Telephone # of Contact Person:
Value of Project: 41
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
Submittal
Req'd
Recd
TRACMG
PERMITFEES-
Pian Sets
Plan Check submitted
Item Amount
Structural Cities.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Platt Check Balance.
Title 24 Calcs.
Pians picked up
Construction
Flood plain plan
Pians resubmlfted..
Mechanical
Giading plan
2'! Review, ready for correctiousli sue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN 1I0USE:-
''i Review; ready for correctionvIssae
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees