14-0929 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
14-00000929
Property Address:
79180 FOX RUN
APN:
772-012-011-56 -25429 -
Application description:
MECHANICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
1800
Tilht
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engine r:
------------------
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 rofessiona Code, and my License is in full force and effect.
License Class: C20 ense No.: 794315
y., 44
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: 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 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 am exempt under Sec. , BAP.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: 1
L
LQPERMIT
Owner:
GEORGE KERPON
79180 FOX RUN
LA QUINTA, CA
(
VOICE (760) 777-7012
FAX (760) 777-7011
'TSS (760) 777-7153
Contractor:
DOVE AIR INC
69749 RISUENO ROAD
CATHEDRAL CITY, CA
(760)327-1890
Lic. No.: 794315
92234
6/24/14
-----------------------------------------------
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.
,;j^ 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 EXEMPT Policy Number EXEMPT
_ 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 b conte subject t he workers' compensation provisions of Section
L 3700 of the LaborCs"ou , I h forthwI, ply with those provisions.
Date ` ` Applicant:/�r
vWARNING: 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 ($100,0001• 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 onstruction, and hereby authorize representatives
of this county to enter upon the above-mentioned property fo ection pu es.
Date: r � •24 I [Signature (Applicant or Agent):, �
�r
Application Number
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
. . . . 14-00000929
MECHANICAL 2013
35.75 Plan Check Fee . . .00
Valuation . . . . 0
12/21/14
Qty Unit Charge Per I Extension
1.00 35.7500 EA MECH CONDENSER/COMP 35.75
----------------------------------------------------------------------------
Special Notes and Comments
HVAC CHANGE OUT - (1) CONDENSING UNIT
[2008 ENERGY) CARBON MONOXIDE ALARM(S).
TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING
CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . PERMIT ISSUANCE M/P/E 90.57
PLAN CHECK, MECHANICAL 23.83
Fee summary Charged
Permit Fee Total 35.75
Plan Check Total .00
Other Fee Total 114.40
Grand Total 150.15
LQPERAIIT
Paid Credited Due
.00 .00 35.75
.00 .00 .00
.00 .00 114.40
.00 .00 150.15
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
79180 Fox Run La Quinta, CA 92253
City of La Quinta
Jun 22, 2014
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
❑ Furnace
[3 Indoor Coil
❑ AFUE
® SEER 13.0
❑ COP
[3HSPF
❑ R 6 (CZ 10-13)
Served by system
® Setback
If not already present, must be
® Condensing Unit
13EER
[3 Resistance
R gCZ 14-15)Resistance
800 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. Beginning October 1, 2010, a registered copy of the CF-111
and CF-611 shall also be on site for final inspection.
® 1. HVAC Changeout
Required Forms:
. All HVAC Equipment
CF-6R forms: MECH-04, EXEMPTED and (for split systems) MECH-25-HERS
replaced
CF-4R forms: ^^_G,1 EXEMPTED and (for split systems) MECH-25
. Condenser Coil and /or
. Indoor Coil and /or
CF-6R forms: MECH-04, M=GH ,+ 14_RgEXEMPTED and (for split systems) MECH-25-HERS
. Furnace
^
CF-4R forms: r=CWS EXEMPTED and (for split systems) MECH-25
For Split Systems: Duct leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH
Exempted from duct leakage testing if:
® 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
❑ 4. The system will not be Ducted (ie. Ductless Mini-Split System) (Also Exempt from Refrigerant Charge)
❑ 2. New HVAC,System
Required Forms:__ _
.Cut in or,Changeout with
CF-6R`forms:'MECH-04;SA4=/ w •7r I rA EXEMPTED; and (for split systems) MECH-22-HERS, and
new ducts: (all new
MECH;25-HERS /
ducting andall new
equipment)
CF-4R forms: ^^_,�2g EXEMPTED, and (for split"systems�) MECH-22, and MECH-25
For Split Systems: Duct leaka.ge,< 6fpercent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, STMS; and either HSPP or PSPP.
For Packaged,Uriits': Duct leakager< 6.percent'7 : • /+ i =
❑ 3. New Ducts with/or without
Required Forms:
Replacement
. Includes replacing or installing all
new ducting and/or outdoor
CF-6R forms: MECH-04, ^,^ w=os EXEMPTED, and (for split systems) MECH-25-HERS
condensing unit and/or indoor coil
and/or furnace. No or some
CF-4R forms: mr=ig r;zQ EXEMPTED 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
CF-6R forms: MECH-04, ^^_GN ,+ HERS EXEMPTED
than 40 linear feet of duct in
unconditioned space.
CF-4R forms: + ^^=GH ,EXEMPTED
-- --
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: Gary Laster Signature: Gary Laster
Company: DOVE AIR INC Date: Jun 22, 2014
Address: 68-749 RISUENO ROAD License: 794315
City/State/Zip: CATHEDRAL CITY / CA / 92234 Phone: (760) 327-1890
Reg: 214-A0046596A-000000000-0000 Registration Date/Time: 2014/06/22 18:00:23 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms July 2010
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P.O. Box 104,CaUe Tampico
La Quanta, CA 42253 -- (760)• 777-7012
Building Permit AppEication and Tracking Sheet .
Permit #
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City; Sf, Zip:
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State Lie. 4:
Name of Contact?"w CC Y,
Contraption Typo; tJaxtpeacy:
Pfojear*"rcleone): New. Add'n Ater Acpair Demo
#Units:
1'etephone # of Contact Person:
Bsdmeted Yaluts of Ptojtxe~ , , . ' 0 0 - f
APPUt:l1HT: 004 101 BB.pW THISiVE
Plan 096
Plan Cbeck tabns;tt=d
Item Amount
structaral.CalM' .
Reatewed, ready for torrecdotw
Plan CheekDeposit
Tt ass Cato.
Caked Coataet Person
Pian Check Balmee
Ettera Cates.
Maas 6ieked tqr
ConststtMion .
Flood plain -plan .
Plans reanbmtlted
Meehanieal
Grading, plan
V Rc•.tew, ready for eomdiouWastt
®edrkel .
Subcoutactor List
GldibQ Cotttaet Person
Plumbing
Grsut Deed
flaps k9ud ap ':
SAM
ILOA. Approval
l'lais
Gradidg
IN H017SE:-
4-40VI r, ready for eorreec.usftsne
Developer Impact Fee
Ptanni4g Approval
Called Contact Person
Pub. Nks• Appr
Date of perish isle ,
Sckool Feer
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