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11-0753 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT, BUILDING PERMIT Application Number: �_,_11 00.000753`-- - Owner: Property Address: 50240 WOODMERE BILL GEDDIE APN: 772-02"0-002- - 50240 WOODMERE Application description: MECHANICAL LA QUINTA, CA 92253 Property, Zoning: LOW DENSITY RESIDENTIAL - Application valuation: 12000 Architect or Engineer: ala Contractor: ALL SEASONS A/C, PLMBG & P.O. BOX 1112 PALM DESERT, CA 92261 (760) 568 -2 663 Lic. No.: 827420 - VOICE (760) 777-7012 FAX (760) 77777011 INSPECTIONS -(760) 777-7153.- Date: 7/11/11 ------------------------------------------------- • LICENSEDCONTRACTOR'S DECLARATION "" ---------- WORKER'S COMPENSATION DECLARATION .. I hereby affirm under penalty of perjury that'] am licensed under 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 Business and Professions ode, agoomy 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: C20 C36 can 827420 for by Section 3700 of the Labor Code, for the performance of the work for which this'permit is ate: ntractor: 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier NORGUARD INS Policy Number ALWC124752 reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to - _ I certify that, in the performance of the work for which this pe ued, I -shall not employ any .following construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner, so as to become subje t wo ers' com nsation 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 ecome subje o th c ation provisions of Section - - License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or - 3700 of the La Code, "I hall forth pl with t ose visions. 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 1$500).: ate: —��—"� licant. (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and i- the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: 'The WARNING: FAILURE TO SECURE WORKERS' COMPENSATM19 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 (_) 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 contractors) 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 - - 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. Date: - Owner: - - 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 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 that t "a ov 'nformation is c I co all - work for which this permit is issued (Sec. 3097, Civ. C.I• - city and county ordinances and state laws relating to wilding con [ruction, a er uthor' e r esentatives . of this county to enter upon the above-mentioned pr pert forins action p o Lender's Name: ' ature (Applicant or Agentl: Lender's Address: , LQPERMIT Application Number, 11-00000753 PermitMECHANICAL Additional•desc . .Permit Fee... . . 66.00 Plan Check 'Fee 16.50 Issue Date Valuation 0 Expiration Date 1/07/12 Qty Unit Charge -Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2'.00 .16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 33.00 Special Notes and Comments INSTALL 2 -NEW COMPLETE SYSTEMS, 2 TON & 3 TON. 2010 CODES. ------------------------------------------------ Other Fees . . . ... BLDG -------- STDS ADMIN (SB1473) 1.00. Fee summary Charged ---------- Paid Credited' Due ----------------- ---------- Permit Fee Total 66.00 .00 .00 66'.00 Plan Check Total 16.50 .00 00 16.50 Other Fee Total 1.00 .00 .00 1.00 Grand Total 83.50 .00 .00 83.50 , LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations': CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address: • Enforcement Agency: Date: Permit #: 50240Woodmere La Quint,, CA 92253' City of La Quinta Jul.9, 2011 - J 4 Duct insulation Conditioned Floor Equipment Typal • List'Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit p Furnace ❑ AFUE ❑ COP ❑ R 6 (CZ 10-13) Served by system H Set�ack R Indoor Coil SEER 13.0 ❑ HSPF _ ❑ R 8 (CZ 14-15) 1200 •sf r If not already present, must be 0 Condensing Unit ❑ EER •' ❑ Resistance, 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.' , •t 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. P 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 -511 and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1„2010, a registered copy of the CF -111 .v and CF -6R shall also be on site for final inspection. t D 1. HVAC Changeout Required Forms: . All HVAC Equipment CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HENS replaced CF -4R forms: MECH-21 and (for split systems) MECH-25 r • �' ;., . Condenser Coil and /or Indoor Coil and /or CF -6R forms:'MECH-04, MECH-21-HERS and (for split systems) MECH-25-HERS ..x . Furnace CF -4R 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 , ❑ 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 constructeci,•insulated or sealed with asbestos ' ❑4. Thi�,systemzrwill not be Ducted (ie Ductless?Mini-Split System,)=(Also-Exempt from Refrigera�nt_Charge) i M ~ }* ❑ 2. New HVAC System. Required Forms: i►• $ f ) Cut infor Changeout with ducts•(all :. +.! _ new new j CF 6R,forms MECH-04, M6 -20 -HERS, andi(for split systems) MECH-22�HER5, and MECH-25=HERS ducting and all new CF 4R•forms MECH,20, and (for split systems) MECH-22, and MECH'25 equipment) For SplitSystems:•Duct leakage <:6 percent; RC, CCA >_ 350,CFM/ton; FWD„TMAH, STMS, and'either.HSPP or'PSPP. For Packaged Units: Duct leakage < 6 percent - - - ❑ 3.,New Ducts with/or,without Required Forms:.. Replacement. J . Includes replacing or installing all new ducting and/or outdoor condensing unit and/or indoor CF -6R forms: MECH-04, MECH-20-HERS, and (for split Systems) MECH-25-HERS coil and/or furnace. No or some equipment CF -411 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 L ❑ 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 -4R forms: MECH-21 ti 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) • 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. • le - k • 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: David Beale - Signature: David Beale Company: ALL SEASONS AIR CONDITIONING PLUMBING& HEATING INC Date: Jul 9, 2011 Address: P 0 BOX 1112 License: 827420 City/State/Zip: PALM DESERT/ CA / 92261 ; Phone: 7760) 568-2663 IA r ' s.. • _ �,• ,. v V ,. i 'i • i t .. '• ... .` . • . �• � � • ` 1. c.i Reg: 211-A0033591B-00000000-0000• Registration Date/Time: 2011/07/09 15:40:48 HERS Provi3er: CalCERTS, Inc: 2008 Residential Compliance .Forms Jul 201 y 0 v r ' • 3 y Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC Climate Zones 10 - is'. Site Address: Enforcement Agency: Date: Permit #: 50240 Woodmere La Quinta, CA 92253 City of La Quinta Jul 9, 2,011 Duct insulation Conditioned Floor - Equipment Typel List Minimum Efficiency2 requirement t Area Thermostat ❑ Package Unit 0 Furnace 0 Indoor Coil ❑ AFUE 0 SEER 13.0 ❑ COP❑ O HSPF R 6 (CZ 10-13) ` Served by system 0 SetDack' ' If not already present, must be 0 Condensing Unit E] EER ❑ Resistance ❑ R 8 CZ 14-15) ( 1600 sf r . installed) '+ ❑ Other +,y. • , 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-5R and registered CF-4R 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-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-HEIRS 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•arid (for split systems) MECH-25-HEIRS . ` ,� r . 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 Requirementj, TMAH - . ,. . Exempted from duct leakage testing if: _ I . ❑ 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 4w - ❑ 4. The ,,systemiwill not be Ducted'(ie,,jDuctless;Mini=Split-System),{Also,Exempt,fromXRefrigerant,Chproe) . ❑ 2. New HVAC System Required.Fbrms: li• f °'*- _ � t rj ,, z . Cut inior Changeout with; new ducts: (all new CF 6R forms MECH-04, MECH-20-HERS; and,(for split systems) MECH722-HERS, and'MECH 25-HERS .ducting and all new IL CF-4R forms:',,MECH 20, and (for split systems) MECH-22, andFMECH-25 I equipment) : fr•, For Split Systems: Duct lea kage..c6 percent; RC; CCA >_.350 CFM/ton,. FWD, TMAH, STMS, and either, HSPP o"rPSPP J For Packaged Units: Duct leakage`< 6 percent ❑ 3., New Ducts with/or without Required Forms: r , Replacement . Includes replacing or installing all new ducting - and/or outdoor condensing unit and/or indoor ' CF-6R forms: MECH-04, MECH-20-HERS,'and (for split systems)'MECH-25-HERS coil and/or furnace. No or some equipment CF-4R forms: MECH-20 and (for split systems) MECH-25 .� 'changed. Z •- For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 300 CFM/ton, TMAH a For Packaged Units: Duct leakage < 6 percent ,114. 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-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) . 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 Compliar ce 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: David Beale Signature: David Beale• Company: ALL SEASONS'AIR CONDITIONING PLUMBING & HEATING INC _ Date: JAI 9, 20111 Address:•P 0 BOX 1112 . , License- 827420 - 1' City/State/Zip: PALM DESERT / CA / 92261 Phone: 1760) 568-2663, Reg: 211-A0033592C-00000000-0000 Registration Date/Time: 2011/07/09 15:43:14 -^HERS Provi-ler: CalCERTS, Inc: 2008'ResFdential Compliance Forms • Jul 42010 Bin # '. City of La Quinta Building & Safety Division P.O. Box, 1504, 78-495 Calle Tampico 0 Quinta, CA 92253 - (760) 777-7012 BuildingPermit Application and Tracking Sheet Permit # C J Project Address: Owner's Name: C A. P. Number: .. Address: �O a Legal Description: City, ST, Zip:aa5 - > Contractor: a�. Telephone: - "` �(o Project Description: Address:i City, ST, Zip:� � .�� C�1 6122-bd .-OZ Telephoner Stats Lie. # :. City Lie. #; Arch., Engr., Designer: ' �' Address: City., ST, Zip: Telephone: p State Lie. #:Pro' Name of Contact Person: Construction Type: Occupancy: sect type (circle one): New Add'n anter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'.d TRACKING P3RMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs: Called Contact Person Plan Check Balsnce Title 24 Calcs. Plans picked up Construction ' Flood plain plan Plans resubmitted Mechanical Grading plan 2n' 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 Impart Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fess