13-1218 (MECH)e:
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00001218
Property Address: 47940 VIA NICE
APN: 643-130-026-26 -26152
Application description: MECHANICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1200
Ti&t
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
GREENBERG
477940 VIA NICE
LA QUINTA, CA 92253
(
�Mr,
Applicant: , Architect or Engineer:
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
Thereby affirm under penalty of perjury than am licensed under provisions of Chapter 9 (commencing -with
Section 7000) of Division 3 of the Business and rofessionals Code, and my. License is in full force and effect.
License Class: C20-1238 License No.: • 826714
Date: �—Contractor:
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: Anycity 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 acivil 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 (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.).
(_) I, 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 _ I I am exempt 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:
LQPERM[T
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/25/13
Contractor:
BEST IN THE WEST SE � jog 255 N. EL CIELO, 14 - PALM SPRINGS, CA 92 62(760)343-1002-. CITY OF L4L'ic. No.: 826714 FINANCE
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
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.
!t 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 NORGUARD Policy Number BEWC337354
certify that, in the performance of the work for which this permit is issued,,) shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section -
/� - 3700 oftheLabor Code forthwith comply with those provisions. -
Date Applicant:
WARNING: FAILURE TO SECURE WORKERS' 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 I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for is�p c n ur sas.
Date: ����Signature (Applicant or Agent): i�'r16+►�7f7 ��
Application Number . . .
13600001218
Permit . . . MECHANICAL
2013
Additional desc
Permit Fee . . 11.92
Plan Check Fee
.00
Issue Date
Valuation'
0
Expiration Date 3/24/14
Qty Unit Charge Per
Extension
1.00 11.9200 EA MECH
APPL REP/ALT
11.92
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Special Notes and Comments
HVAC CHANGE OUT - REPLACE COIL
AND MEET
TITLE 24 REQUIREMENTS [2008 ENERGY]
CARBON MONOXIDE ALARM(S) TO BE
INSTALLED
PRIOR TO FINAL INSPECTION. 2010
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
i
-
LQPERMIT
8ln. #
City of b. Quln tQ
Building $t Safety Ditdsion
K0 Box 1504,78-495 Calle Tampico
La..Quinta, CA 92253 - (760) 777-7012 :
Building Permit Application and Tracking Sheet :
Perinit #
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ProjectAddtess-
Owner's Name:.
A- P. Number.
Address:4"Z40 U Q eA Mee
Legal Description:
Contractor. 9?5,t1 o'I
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City, ST, Zap: tC4 V C 9 2 -
Telephone:
Address- 2rj� �jJ
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�_ °j Description: l✓9 Gi:
City, ST, Zip:QAf
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Telephone: `70
loci
State Lia fl: 7 9.9Z
Arch., Engr., Designer
{ ity Lir--
�C�—
Address:
City, ST, Zip.-
ip:Telephone:
Telephone:
State Lic. #:
Construction Type: , Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. FL: 1 # Stories: # urav: 7s
Name of Contact Person
Telephone # of Contact Person:
Estimated Value of Project:
i # SobmiYtal
Rtq'd
APPLICANT: DO NOT WRITE BELOW THIS LINE
Beed TRA.IQWG P$EtNIITtFIiFS
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e 9 I I TO[At Permit Fees .
er
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
47940.1 Via Nice La Quinta, CA 92253
City of La Quinta
Jul 20, 2013
Duct insulation
Conditioned Floor
Equipment Type1
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
❑ Furnace
® Indoor Coil
❑ AFUE
❑ SEER❑
❑ COP
HSPF
0 R 6 (CZ 10-13)
Served by system
® Setback
If not already present, must be
❑ Condensing Unit
❑ 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, 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 -4R
forms (no hand filled CF-4Rs allowed) are filled out and signed.Beg inning October 1, 2010, a registered copy of the CF -1R
and CF -6111 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 -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
. Furnace;;3'x::;.;::.
CF7!4R:forms: MECH-21 and (for split systems) MECH-25
15,percent: RC, CCA _< 300 CFM/ton (Minimum Air Flow Requirement), TMAH
For Split Systemsaskaged `
Du�ct'leakage�<
Exempted from duct lea ka661estmglif `!
17Duct systemwas'docurrierited"'to have been previously sealed and confirmed through HERS verification, or
"❑ 2 Duct systems -with less than, "..linear feet in unconditioned space, or
3 .Existing duct systems areconstructed, insulated or sealed with asbestos
"❑ 4 Th:e system will,not be Dui d (�e .Ductless MInI Split System)}(Also Exem"pt from Refriger nt=Charge)
❑ 2. 14 HVAC System
.: ,. ,..,. , , . ,
Required
. Cut Infor Changeout withl
a .rArs€ "W '. A +?" .
:CF 6R forms MECH 04, MECH 20 HERS, andt{for split systems) MECH-22 HERS and
ducting all ne
new ducts ='(all neA
ECH `25HER5 r:
r s�`_-+�
h
equipment)•>•
1
CF�4R�fgrrns ffiMECH20and(forspsystems) MECH�22, and MECH25 �r
a� �,r"' ai�iy�r *yy aF
r1'i?� t �I xT. z+'�•�. _ AYj--.4�"'f",{.. A"'. 5 sS..A �' eftt_.
For Split Systems ;Duct leakage; Y6 percent RC,YCCA;> 350 CFM/ton; FWD,kTMAH, STMS; and either_HSPP`or.PSPP. -"'-;''_
For Packaged Units: Duct leakages<{6 percent _'�.. "• ' :
❑ 3.- Neuv,Ducts with/or without
Required Forms:
Replacement � `'±ry ,`
. Includes 'replacitig:or,instaIli ng_,4111 1i6w
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 furtiate;;No'or some
CF -4R forms: MECH-20 and (far 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 -611 forms: MECH-04, MECH-21-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 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: Richard C Weaver Sr Signature: Richard C Weaver Sr
Company: BEST IN THE WEST AIR CONDITIONING & HEATING INC Date: Jul 20, 2013
Address: 255 N ELCIELO ROAD #140-125 License: 967982
City/State/Zip: PALM SPRINGS / CA / 92262 Phone: (760) 343-1002
Reg: 213-A0054517A-000000000-0000 Registration Date/Time: 2013/07/20.14:55:15 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms , July 2010
,fir f. _ •• �.• Y;s 1't „ - , • , ,- 'r ,
WEST
a A air Conditioning A Heating
255 Al El, Cielo Rd, PMB 125
Palm Springs, CA 92262
760-343-1002
www.gotcoolair.com
Work Order if7 Date¢=<Summary";� Tech �• Start '" 'End< ;.'�
1441-12430 6/21/2013 INSTALLATION DAVID.. 10:00 AM ~03:30 PM
• � k J
Bill To :, `�'�, � , k tiro ��� "-� ,:��- ���� � > :4 =,� - . Job°Name " K �� .�. � �' ��'c '° � : �:T ; •
Fidelity National Home Warranty t , i Greenberg
- P.O. 8127 • r • ' ' - � • . � �.F, '• •� � t '' ' [
7; ti 47940 Via Nice
•Walnut Creek, CA 94596 g. r ? Lake La Quinta
La Quinta, CA 92253.
800-208-3151 ' ' 310-592=6889- JOE
Description of •
swo3906058- inv 26421(w1p2)
living-.replace"coil(Air.Cold):
• Auth $816.60; h/o n/c $756.60
• pretest- 385 loss, .ring'2
final= 139 loss; ring 2
> 6/21/2013 FRI. 9:54 AM>,' Wendy: ,'on 'site
Installed Equip Install Date'Model# '' Serial Equip. Warra Labor Warra Service Exp -
1-'95 Comfortmaker Furnace- horiz 6/7/2013 GNJ050M12A1 L953923309 >.
1-'95 Allstyle Coih i226/7/2013 ASL8368401T .�. 5K08094S - ! ` • '
/k' 1
r. % . ' `� ,ori, '' [�.-,]•�• �' _ ..jL J f • ..
All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation
from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above the estimate. All '
agreements contingent upon delays beyond our control. Purchaser agrees to pay all costs of collection, including attorneys fees.