13-0743 (MECH)(1,4
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
13-00000743
Property Address:
80575 WEISKOPF
APN:
762 -100 -006 -
Application description:
MECHANICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
9800
Applicant:
31� k
Td4t
"
I - t-��
BUILDING & SAFETY DEPARTMENT "
BUILDING PERMIT
Architect or Engineer:
11U4_1
LICENS TRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I licens under provisions of Chapter 9 (commencing with
Section 700p) of Division 3 of the Business nd Pro sionals Code, and my License is in full force and effect.
License Cla : �O _ License No.: 725283
Date: _'ILL ontractor: '
OWNER -BUILDER DECLARATION
I hereby affir 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, 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 or
improve for the purpose of sale.).
(_ 1 1, 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.).
I— 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
1 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:
FUGATE LARRY
80575 WEISKOPF
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/17/13
Contractor: D IX u
AIR EXPERTS AIR COND I,NG-HTPGs ����
PO BOX 94 `) 411 i
LA QUINTA, CA 92247
(760)777-1724 CITYOF LA QUINTA
Lic. No.: 725283 _ FINANCE DEPT.
WORKER'S COMPENSATION DECLARATION
I 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 GUARD INS Policy Number PAWC334856
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 a subject to the workers' compensation laws of California,
and agree that, if I shou ecome ject to the the
compensation provisions of Section
00 of the Labor C e, Ish8{ orthwith comply with those provisions.
Date: I pplicant:
WARN NG: AILURE TO SECURE WOR ERS' 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 1 have read this application and state that the ab rma[ion is correct. I agree to comply with all
city and c my rdinances and state laws relating to build' g constr tion, and hereby authorize representatives
of this o ty t enter upon the above-mentioned propertl+ for mspe ion purposes
r 1\
Date: 17 Signature (Applicant or Agent): Nf
C,
Application Number . . . . . 13-00000743
Permit . . . MECHANICAL 2013
Additional desc .
Permit Fee . . . . 143.00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date 12/14/13
Qty Unit Charge Per Extension
2.00 35.7500 EA MECH FURNACE 71.50
2.00 35.7500 EA- MECH CONDENSER/COMP 71.50
----------------------------------------------------------------------------
Special Notes and Comments
REPLACE ONE 4 TON A/C HEATING UNIT AND
ONE 5 TON A/C HEATING UNIT.
13 SEER (2008 ENERGY] CARBON MONOXIDE
ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2010 CALIFORNIA BUILDING
CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG.STDS ADMIN (SB1473) 1.00
PERMIT ISSUANCE M/P/E 90.57
PLAN CHECK, MECHANICAL 95.32
Fee summary Charged Paid Credited Due
Permit Fee Total 143.00 .00 .00 143.00
Plan Check Total .00' .00 .00 .00
Other Fee Total 186.89 .00 .00 186.89
Grand Total 329.89 .00 .00 329.89
LQPERMIT
Bin #
City of La Quinta
Building & Safety Division
- P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: ���
Owner's Name:
A. P. Number:
Address:
Legal Description:
Contractor:
City, ST, Zip: LA l�tv ,,vim SZ 3
Telephone:
Address: R au ri ,�, CA
Project Description:
City, ST, Zip: 9ZZ
Telephone: .•'/�(/�. 7 iris,%�r?s<�
State Lic. # : City Lie. #:
J
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Arch., Engr., Designer:
Address:
City., ST, Zip:
15:455`CY,.yi;::{:: .??:v5??•.y.}};v. r..: ..:,:.x...::
Telephone:
'pq�\d $':ri�ii?5:?� `?2x'`.h• j;':fj.S::Ci:.�:;...
{`�\fin'
State Lic. #: k{
'
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:Sq.
Ft:
#Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: 9TIM&
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Tide 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2i° Review, ready for correctionstiissueElectrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''a Review, ready for correctionsPissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
P
.Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -1R -ALT -HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
80575 Weiskopf ( system 1 ) La Quinta, CA 92253
City of La Quinta
Jun 17, 2013
Duct insulation
Conditioned Floor
Equipment Typel.
List Minimum. Efficiency2
requirement
Area:
Thermostat
❑, Package Unit
® Furnace
® AFUE 78%
COP
0 R 6 (CZ 10-13)
Served Sed by system
. ® Setback
® Indoor Coil
♦$ SEER 13.0
p; HSPF
0 R g 14-15
[3 )
1600 sf
If not already present, must be
® Condensing Unit
Q EER
11 Resistance
installed)
p Other
1. Equipment Type: Choose the equipment being installed; if morethan one system, use another CF -IR -ALT -HVAC for each system.
2. Minimum Equipment Efficiencies. 13 SEER, 78% AFUE, 7.7HSPF fpr -typical residential systems.
HERS VERIFICATION SUMMARY Listed below-are'FOOR 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 -611 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 -IR
and CF -611 shall also be on site for final inspection.
® 1. HVAC Changeout
Required Forms:
. All HVAC. Equipment
CF -6R 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 -611 forms: MECH-04, MECH, 21 -HERS and (for split systems) MECH-25-HERS
. Furnace
CF -4R forms: MECH-21 and (for split systems) MKH-25
' For Split Systems: Duct leakage < 15 percent; RC, CCA 5 300 CFM/ton (Minimum Air Flow Requirement), TMAH
Exempted from duct leakage testing if:
El 1. Dud system was documented to have been previously seated and confirmed through HERS verification, or
17 2. Dud systems with less than 40 linear feet in unconditioned space, or
® 3. Existing dud systems are constructed, insulated or seated with asbestos
13 4. The system mill not be Ducted (ie;, Ductless Mini -Split System) (Also Exempt €cone_ Refrigerant Charge)
Q, 2. New HVAC System
Regtficed Forms: k'
. Cut in or CEeangemut with,
new duds: (ail new,
CF - 6R forms: MKH-04, MECH-20-HERS )and (for spfit systems) MECH-22-HERS, ind
ducting arod all new
MECF1-25.1HERSi ti
CFVR farms: MKH-20 and (for split systems) MKH-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: Dud leakage < 6 percent
133. New Ducts with/or without
Required Forms:
Repkw"nent
. 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) MKH-25
equipment changed.
For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 300 CFM/ton, TMAH
!For Packaged Units: Dud leakage < 6 percent
0 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 -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 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 specfiications submitted to the enforcement agency for approval with the permit application.
Name: Luis M LiraSignature: Luis M Lina
Company: AIR EXPERTS AIR CONDITIONING -HEATING Date: Jun 17, 2013
Address: PO BOX 94 License: 725283
'City/State/Zip: LA QUINTA / CA / 92247-0094 Phone: (760) 777-1724
Reg: 213-A0044586A=000000000-0000 Registration Date/Time: 2013/06/17 12:35:50 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms July 2010
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
80575 Weiskopf ( system 2 ) La Quinta, CA 92253
City of La Quinta
Jun 17, 2013
Dud insulation
Conditioned Floor
Equipment Type1
List Minimum Effidency2
requirement
Area
Thermostat
p Package Unit
® Furnace
®.Indoor Coil
® AFUE 78%
®SEER 13.0
0 COP
0' HSPF
0 R 6 (CZ 10-13)
Served by system
0 Setback
If not already present, must be
0, Condensing Unit,
0 EER
0 Resistance
0 R 8 (CZ 14 -IS)
2000 sf
installed)
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 cond'ucted'. 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 -611 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.
® 1. HVAC Changeout
Required Forms:
. All HVAC Equipment
CF -6R 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 -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
. Furnace
CJ: -411 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 famm duct leakage testing if:
131. Duct system vnas documented to have been previously sealed and confirmed through HERS verification, or
0 2. Duct systems with less than 40 linear feet in unconditioned space, or
13 3. Existing duct systems are constructed, insulated or seated with asbestos
[34. The system vAll not be Ducts (ie.. Duchess Mini -Split System) (Also Exempt from Refrige�nt Charge)
. .
0', 2., New HVAC System
Required Forms: 1 � � �
. Cut in or CEeangeout avith'
new ducts: (all neem
CF -6R for, MECH-04, M16CH-20-rtEERS rand (f®ir- sphtsys#ems) MECH-22-HERS, and -
duding armed all neer
MECH -25-HERS
Cl=-t4R forms: MECH 20,a pot nd (for ssystems) MECH-22, andMECH-25
equipment) �j
For Spfft Systems` Duct leakage < 6 percent; RC, CCA, >_ 350 CFM/ton, FWD, TMAH, SIMS, and either HSPP or PSPP.
;For Packaged Units: Duct leakage < 6 putt
13 3. Item Ducts with/or without
Required Forms:
RepFacement
. Includes replacing or installing aff neer
ducting and/or outdoor condensing unit
CF -6R 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 dud in unconditioned space.
CF -4R forms: MECH-21
For split system or packaged units: Dud leakage < 15 percent
0 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 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: Jun 17, 2013
Address: PO BOX 94 License: 725283
City/State/Zip: LA QUINTA / CA / 92247-0094 Phone: (760) 777-1724
Reg: 213-A0044589A-000000000-0000
2008 Residential Compliance Forms
Registration Date/Time: 2013/06/17 12:40:39 HERS Provider: Ca10ERTS, Inc.
July 2010
i