11-0763 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: ,
X11=00000763
Property Address:
78275 WINTER COVE CT
APN:
770-031-011-12 -28019`-
Application description:
MECHANICAL
Property Zoning:
MEDIUM DENSITY RES
Application valuation:
4820
Applicant:, Architect or Engineer:
�(a
------------------
UCENSED CONTRACTOR'S DECLARATION
4'. l. Isfu. t 11 4 w
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I am licensed under provisionsofChapter 9 (commencing with
Section 7000) of Division 3 of the Business Yd Professionals Code, and my License is in full force and effect.
License Class:. C20 Li nse No.: 936600
ate: C ractor:
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 ISec. 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, 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 arrexempt 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760.) 777-7153
Date: 7/13/11
Owner:
VERONICA JUAREZ
78275 WINTER COVE COURT
LA QUINTA, CA 92 _
��j �r-• 1i9 i ','•6
j
Contractor: ; u •(_ ! 2U ! 3 f
BARNETT'S A/C
51390 AVENIDA
t
I.A�
LA QUINTA, CA
(760).391-0350
Lic. No.: 936600
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 EXEMPET Policy Number EXEMPET
)CI 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 o become subject to the workers' compensation laws of California,
and agree that, if I shouldcome subject the workers' compensation provisions of Section
3700 of the Labor Code, hall forthwith mply with those provisions. . .
D.,e�( Ap ant:
WARNING: FAILUR TO SECURE WORKERS' CO NSATION 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 'nformation is correct. I agree to comply with all
city and county ordinances and state laws relating to building c struction, and ereby authorize representatives
;of this unty to enter upon the above-mentioned property for ' spection purp as.
--N-
at...
Sig a (Applicant or Agent):
Application Number . . . . . 11-00000763
Permit . . MECHANICAL
Additional desc .
Permit Fee 40.50 Plan Check Fee'.:
10.13
Issue Date Valuation
s
0
�.
Expiration Date '. 1/09/12
Qty Unit.Charge Per
Extension
BASE FEE
15.00
.1.00 9.0000 EA MECH•FURNACE <=100K-
9.00
1.00 16.5000 Ell. MECH B/C 3-15HP/.100Kr500FBTU
16.50 .c
Special Notes and .Comments
INSTALL 4 TON 16 SEER 13 EER COMPLETE
SYSTEM. CARBON MONOXIDE ALARM(S)TO BE
INSTALLED PRIOR TO FINAL INSPECTION..
ODES.
.-2010. CODES.-
-------------------- ------------------ -----
------------- ---------------------------- ---------
Other Fees. . . . . . BLDG STDS ADMIN (SB1473)
------------
1.00
Fee summary Charged Paid Credited
Due
:Permit Fee Total 40:50- .00 .00
40.50 -
• Plan Check Total 10.13 00 -.00
10.13
Other Fee Total 1",00 .00 .00.
1:00
Grand Total 51.63 ` .00 .00
51.63
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations Cf -1R -ALT -HVAC
+ J
Site Address:
Enforcement Agency:
Date: -
+n
78275 winter'cove ct La Quinta, CA 92253
City of La Quinta_
Jul 12. 2011
Duct insulation
Conditioned Floor
Equipment Type1
List Minimum Efficiency2
requirement
Area
• Thermostat
0 Package UnitCAFUE78%
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations Cf -1R -ALT -HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date: -
Permit #:
78275 winter'cove ct La Quinta, CA 92253
City of La Quinta_
Jul 12. 2011
Duct insulation
Conditioned Floor
Equipment Type1
List Minimum Efficiency2
requirement
Area
• Thermostat
0 Package UnitCAFUE78%
® Furnace
0 COP
2l R 6 (CZ 10-13) `
Served by system
is Setback
Indoor Coil
0 HSPF
0 R 8 ((714-I5)
1600 sf
ff not already present,. must be•
® Condensing Unit
El Resistance
instaPed)
El Other
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -IR -ALT -HVAC far each system.
2. Minimum Equipment EfiBdendesr 13 SEER, 78°h 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 tha 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 signedieginning October 1, 2010, a registered copy of the CF -1R
and CF -61R shall also be on site for final inspection. - . • ti
® 1.'HVAC Changeout•
Required Forms: +'
. All HVAC Equipment _• .
CF -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-14.ERS
replaced
CF -411 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 c:
CF -411 forms: MECH-21 and (for split systems) MECH-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: , r
01'buct system was 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. Existing duct systems are constructed, insulated or sealed with asbestos
0 4. Th"s";not be Ducted (ie. Ductless Mini -Split System),.(Also,Exempt fyromRefrigerant=Charge) ,
0 2. New HVAC System
Required Forms:,.'
.Cut mxor Chan eout with.,
. new ducts (all new
CF MECH-04, MECti-20-HERS, and (for split systems) MECH-22-HERS, and MECH-25-HERS
ducting and all n�ei
CF-411'164ms `MECH aynd {for split systems) MECH-22,`a6d MECH 25
,2/}0
For Spfrt Sy Duct leakage <16 percent, AC CCA _t' 350 CFM/ton; FWD_TMAH; SIMS, and -either HSPP"6r'PSPP.
For Packaged Units: Duct leakage:< 6 p6ia nt ' k 'j v:
0 3. New Ducti'with/or without
Required Forms:'
Replacement
. Includes replacing or installing all new ducting
. •, .
and/or, outdoor condensing unit'and/or indoor
CF -611 forms: MECH-04, MECH-20-HERS, and (for spll systems) MECH-25-HERS
coil and/or furnace. No or some equipment
CF -,4R forms: MECH-20 and (for split systems) MECH-25
'
changed.
For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 300 CFM/ton, TMAH
For Packaged Units: Duct leakage < 6 percent
IJ 4. New Ducting over 40 feet
Required Forms: r
. 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 ,
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 4
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, calwlations, plans and specifications submitted to the enforcement agency for approval with the permit application.
Name: scott bamett Signature: scott bartiet
Company: BARNETT'S A/C Date: Jul 12, 2011 .• t.
Address: 51390 AVENIDA NAVARRO License: 936600 -
City/State/Zip: LA QUINTA / CA'/ 92253Phone; (760) 541-9169
Reg: 211-A0034364A-00000000-0000 .Registration Date/Time: 2011/07/12 19:19:44 HERS•Provider: Ca10ERTS,�+Inc.• •
2008 Residential•Compliance FormsF July 2010
Bin # .
.
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 #
b�
Project Address: � �n�e� o
Owner's Name:/t ! Chi Z
A. P. Number:
Address: %S 0/,4 /- . 'moue
Legal Description:
City, ST, Zip:/—/4
Contractor:
Telephone: — 71W
Address: ��%� �a
Project Description:
City, ST, Zip:
141 11&i2 W/r 1-74"
Telephone:
p 7 0- 3� - 3sv
::':.:::>:.;:.::.>.;>:;;::.;":;.;> :<
A:::.:>k > owin
l 1 Seth :,E
State Lic. # :
City Lie. #.:
S rt-.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephoner
::;<: %:;« ;:::::::::<: ,.;::;•:;;
Construction Type: Occupancy:
State Lie. #:
Project type (circle one): New Add'n . Alter Repair Demo
Name of Contact Person: �Lo .��
Sq. Ft.:
# Stories: #Units:
Telephone # of Contact Pei -son: 74'0�-- S-0 5
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
. Plan Check D -posit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 14 Coles.
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 Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for. correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permil Fees