13-1038 (MECH)�1 •
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/16/13
Application Number: 13-00001038 Owner:
Property Address: 49861 CALLE ESTRELLA TIM ABBOTT
APN: 658-260-036- - - 49861 CALLE ESTRELLA
Application description: MECHANICAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL (
Application valuation: 5194 D
Contractor: r 'Z013
Applicant: Architect or Engineer: GENERAL AIR CONDITIONIN AUG�7
' 31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276 CIV OF �QVP YTS
Y \` (760) 343-7488 r-IPIANCECEP
Lic. No.: 686310 r
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LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals of Division 3 of the Business and Professionals Co"my LicenseLicense is in full force and effect.
LicenseQCllaass: C20 Li nse No 686310
Date: N Contractor:
-BUILD ECLARATION
I hereby affirm under penalty of perjury tha 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 70001 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 (5500).:
(_ 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.).
1 _ 1 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.).
1 _ 1 1 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 ISec. 3097, Civ. C.).
Lender's Name:
Lender's Address: NJ `kj
LQPERAIIT
WORKER'S COMPENSATION DECLARATION
1 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.
ave 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 ZENITH INS CO Policy Number Z071741502
_ 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 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 of the Labor Code, 1 shall forthwith comply with those ' ions
Date: j6 05 Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPE AT ERAGE 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 in purposes.
Date: Signature (Applicant or Agent):
Application Number . . . . . 13-00001038
Permit . . . MECHANICAL 2013
Additional desc . .
Permit Fee . . . . 71.50 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 2/12/14
Qty Unit Charge Per
Extension
1.00 35.7500 EA MECH FURNACE
35.75
1.00 35.7500 EA MECH CONDENSER/COMP
35.75
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Special Notes and Comments
HVAC CHANGE OUT - 13SEER/78AFUE SPLIT
SYSTEM [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
47.66
Fee summary Charged Paid Credited
Due
---------------------------------------------------------
Permit Fee Total 71.50 .00 .00
71.50
Plan Check Total .00 .00 .00
.00
Other Fee Total 138.23 .00 .00
138.23
Grand Total 209.73 .00 .00
209.73
LQPERMIT
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1 . ty of, La Quints
p P.O. Box 1544,'78 Cge Tampko
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4.Q&n4 C4 9,2253-4760) 7777012
Bui[din Permit
g Application' and Tracking Sheet
Pll'k Ad* s: 49861 CALLE ESTRELLA Oaatr'sNam«.TIM ABBOTT "
a P. Mamba Addm: 48861 CALLE ESTRELLA
Cr sr. LA
ty. P: QUINTA, CA 92253
Conn cwr GENERAL A/C & HEATING TdaphW.
Adm: 31170 RESERVE DRIVE pro)�waiptton.
C'tY• —4: THOUSAND PALMS, CA. 92276 INSTALL MINI DUCTLESS SPLIT SYSTEM:
TtkAof 760-343-7488 HEAT PUMP 1 TQ, AIR HANDLER
snag UP- #: 686310
herb, saw„ beelpw.
Address:
0(y, ST. Ztx
. TctiyLone:
� iia �: ooatpaacy: . .
AvjoatWc(elideam) : New AWn Alta Rtp* Deno
Nano of Coatacx Poraoa: PATRICK _ sv:-: o smries
4 vnisx
r 9ofCotttactpuymL Estimatad.VatiteofProjcct 5194.00
APFUCANT: 00 NOT WRITE emoW. Tia (j"E '
N Sob:aitttl koq+d ga,d Tl;ACiCAiC
• �fi6iH' FSE73•
Pilar Sc6 Pias Chock abmllled
Cam Out
i Rcrtewtd, rudp for coif ecuon p}m Chtck pmt
'lttns Gia. Crlled Ceatat J?'tr�oa . ' .
Plan Cleat Bata
We u C" atx,.
Plain picked up Caratt�ctior i
j Flood puts plan Pato rrsrb=fticd
Maekaika
G►'adtai Pba .
2'! tledew, ready Ler eerreefioauft" Eleetrfeat
bbl+corttetarL.ist Gpe4 Centactpcmh
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Grunt Deed ktsaa pkied up
$O.A. App*oral Plass rtAtrmltfed Gsadlrg
IH f[OUS);i- a"(. w; turfy foto oorrectloar nft
Developer Impact Bee
fulwa= Approral Cgitaet Persoe A LQ.P.
j
Pub, Wlv. App, nate of ocnalt isms
Schaaf Peet
Total Permit Fees
Simplified Prescriptive Certificate of Compliance: 2008 1
Alterations
Climate Zoites AO - 15
Site Address: Enforcement Agency: Date: Permit #=
49861 CALLS ESTELLA La Quinta, CA 92253 City of La Qulnta Aug 16, 2013
Duct Insulation Conditioned Floor
Equipment Typel List Mlnlmum Efficiency2 requirement Area Thermostat
d Package Unit
® Furnace In AFUE: 764'0 (l COP p R 6 (CZ .10-13) Served by system ® Setback
Q Indoor Coil ® SEER 13.0 Cl HSPF If not already present, must be
® Condensing Unit ❑ EER Q Resistance Q R 8 (CZ 14-15) 240 sf installed)
p Other
1. Equipment type: Choose the equipment being installed,* If more than one systern, 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-4Rs allowed) are filled out and signed • Beginning October 1, 2010, a registered copy of the CF• -111
and CF -6R shall also be on site for final inspection.
® 1. HVAC Changeout Required Forms;
. All HVAC Equipment
CF -611 forms: MECH-04, ^^42 -HC-I;9 EXEMPTED and (for split systems) mscw 2!; wrigs
EXEMPTED
replaced CF -411 forms: w^cr•u ; + =ru 2
,.,�.,�. EXEMPTED and (for split systems) r.,�..,.,� EXEMPTED
• Condenser Coil and /or CF -6R forms: MECH-04, EXEMPTED and (for split systems) t41;{-2g-kll
• Indoor Coil and /or EXEMP•rED
. Furnace CF-41k,forms: ^^ ; EXEMPTED and (for split systems) ;jG4-2-& EXEMPTED
For Split. Systems., Duct leakage ?'k ;1$.percent; RC, CCA 5 300 CFM/ton (Minimum Air Flow Requirement), TMAH
Exempted frorn"tduet.leakage tesLing;?if:
.[3 1. Duct system was'documef tie .to have been previously sealed and confirmed through HERS verification, or
0'2: Duct s,�Y,l.�tems with less thah:40.linear .feet in unconditioned space or
q 3. Ex l jl:;.: , systems ar . mrastr i> ik..I3 b os f f�':, +} •.
®9: ; jt5tein jh�ill not be Du , 'd, :l ict(es ;:lYlit � li!'=.5 rn snp'; !.ir9
s e e)
„ ...,.,.
D Z. a ,
N A q ma v,Y,... �;
s (; SySte . r,:.. E:..P t 4 ; l�rc:'! §
. Cut i kangeo6t Ath. '� ,,;fa ;iMECH-04, ED, and' Fsplit• ysc ,�; ,,:�:
new d :'(allX. ' •� i ri'd ` E• .. ,a ,';. �jX(:;i;u:.,,,: i.4ii', rir �'.';l=;C!.i:'''A. ' , ,.,. P.;? �. .f:• "a:
ductin
,
1
r
,
i
i {
e ulpmen io. ; r�4,F• 1^ :N..3 y:,.,. ,;i ?'?'{"' dna
4 . �'"''°
For Split Syste1i19',, Duct leakage •6, percent; RC, CCA'a 350 CFM/Cori, FWD, TMAH, $TMS, and either HSPP or PSPP.
For Packag$.41,�J `tltai Duct leakages 6 percent
L7 3r New`brtcts Requlrbq: Forms:
with/or with6ut ' '
Replacement
Includes replacing or
installing all new
ducting and/or outdoor CF -611 forms: MECH-04, Mr=GI4 2Q 14FRZ EXEMPTED, and (for split systems)^^cru,.,��, ; c EXEMPTED
condensing unit and/or CF -4R forms: ?4EigWQJ;i EXEMPTED and (for split systems) Mpg EXEMPTED
Indoor coil and/or
furnace. No or some
eauloment charmed.
For Split Systems: Duct leakage < b percent; ILC, CCA >_ jU0 CIM/ton, TMAH
For Packaged Units: Duct leakage < 6 percent
❑ 4. New Ducting over Required Forms:
40 feet,
. Includes adding or
replacing more than 40 CF -611 forms: MECH-04, PAGW.a1-W.FA6 EXEMPTED
linear feet of duct in CP -4R forms; P4e4D-2 EXEMPTED
unconditioned space.
For split system or packaged units: Duct leakage < 15 percent
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
• t 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,
• t certify that the energy features and performance specifications for the design Identified on this Certificate of Compliance conform to the
requirements or 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.
Jame: Danielle Garcia (Signature: Oanielle Garcia
Reg: 213-A0063531A-000000000-0000 Registration, Date/Time: 2013/08/16 16:20:91 HERS Provider! Ca10ERTS, Inc.
2008 Residential Compliance Forms Jul; 2010,
Reg: 213-A0063531A-000000000-0000 Regiatration Date/Time: 2013/.08/16 16t20;41 HERS Provider: CtICERTS, Inc.
'2008 Residzntial Compliance Forms July 2010
Com
ddr
City/
r
Reg: 213-A0063531A-000000000-0000 Regiatration Date/Time: 2013/.08/16 16t20;41 HERS Provider: CtICERTS, Inc.
'2008 Residzntial Compliance Forms July 2010