13-0437 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
13-00000437
Property Address:
81115 GOLF VIEW DR
APN:
762 -280 -011 -
Application description:
MECHANICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
11310 .
Til`!t 4
u'w
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or ngineer:
�6 yv
--------------------------------------------------
LIC CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury th am lie sed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busini f sionals Code, and my License is in full force and effect.
License Class: C20-1238 LicenseNo.: 826714
Date. Q- 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 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 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.l.
(_ 1 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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/08/13
Owner:
SABELLA DOUGLAS A
21771 CONGRESS HALL LN
SARATOGA, CA 95070
'.D
i
Contractor: �� 3 2013
BEST IN THE WEST
255 N. EL CIELO„ 14 -
PALM SPRINGS, CA{ 92262%(TYDFLAQ%INTA
(760) 343-1002 ii FINANCE DEPT.
Lic. No.: 826714
-----------------------------------------------
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 GUARD INS GRP Policy Number BEWC337354
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 ec subject to the workers' compensation laws of California,
and agree that, if I sho becom ubj t to the workers' compensation provisions of Section
3700 of the Labor C e ( comply with those provisions.
Dater Applicant:
WARNING: FAILURE TO SECURE W -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 tAainfo theation is correct. I agree to comply with all
city and county ordinances and state laws relating ton, and hereby authorize representatives
of this county to enter upon the above-mentioned pn purposes.
Date:Signature (Applicant or ent)
Application Number . . . . . 13-00000437
Permit . . . MECHANICAL
Additional desc
Permit Fee . . . . 51.00
Plan Check Fee
12.75
Issue Date . . . .
Valuation
0
Expiration Date 10/05/13
Qty Unit Charge Per
Extension
BASE
FEE
15.00
2.00 9.0000 EA MECH
APPL REP/ALT/ADD
18.00
2.00 9.0000 EA MECH
B/C <=3HP/100K BTU,
18.00
----------------------------------------------------------------------------
Special Notes and Comments
REPLACE (2) EVAP COILS AND (2)CONDESING
UNITS 13 SEER 2010 CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged
-------------------------------------
Paid Credited
--_-----------------
Due
Permit Fee Total 51.00
.00 .00
51.00
Plan Check Total 12.75
.00 .00
12.75
Other Fee Total. 1.00
.00 .00
1.00
Grand Total 64.75
.00 .00
64.75
1
LQPERMIT
Bin #
City of La Quinta
Building at Safety Division
P.O. Box 1504, 78-495 Calle Tampico
la Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
F�
J l
Project Address:
Owner's Name: OV 9.06 r_�
A_ P. Number.
Address: g` / f EW 4<
Legal Description:
City, ST, Zip:
Contractor--&,.rf /L j - A- e,
Address:;2 '5 f , .5_L %
r
Telephone: " �,
.::. 3
Project Description:
City, ST, Zip: J /�> a s C�a9' a �z7z 2,
Telephone v 3iQov . �
State Lic. # :S-tew&—%v ' . City Lic. #:
L
Arch., Engr., Designer-
esignerAddress:
Address:
City, ST, Zip:
Telephone:
�. r _
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: 1 & `¢K6
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person: & --
Estimated Value of Project: 143 /i02
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd -
Ree'd
TRACIMG .
PERMfr FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calix.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cabs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading. plan
TO Review, ready for corrections/issue
Electrical'
Subcontactor last
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S3LL
A.O.A. Approval
Plans resubmitted
Grading
IN HORSE:-
'^' Review, ready for correction/ issue
Developer Impact Fee
Planning Approval
Called Contact Person
AXP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC
Climate Zones 10 - 15
Site Address: Enforcement Agency:
Date:
Permit #:
81115.2 Golf View Dr La Quinta, CA 92253 City of La Quinta
Apr 4, 2013 .
Dud insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
f
[3Furnace
Indoor Coil
fl AFUE
SEER
Q C04
R 6 (CZ 10-13)
Served by system
R Setback
®
® 13.0
❑ HSPF
E3 R 8 (CZ 14-15)
1600 sf
If not already present, must be
® Condensing Unit
❑ EER
❑ Resistance
installed)
p 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 fad the work completed by the installer- The inspector also verifies that each appropriate CF-611 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-1111
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
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 Requirement), TMAH
Exempted from duct leakage testirrgif:
[]'I. Duct system was documented to have been previously sealed and confirmed through HERS verification, or
C! 2. Duct systems with less thati 40 linear feet in unconditioned space, or
C.3. Existing duct systems are constructed, insulated or sealed with asbestos
❑ ? .-Thesystem;L�all not be Ducted•(ie. Ductless,Mini-SplitS.ysterm) (Also:Exerrtpt frGMAefrigerant Charge)
0 2. Ne'w;HV"AC System'
Required Forms
. Cut in of,Changeout with:.
ducts; (all :":
CF-SR�-fos*S.'MECH.434 4M1EC4 Z NESiS, aid (dor S,01F systetitis)"P4ECH 23 F4ER5 and'.,
new new
ductulgatxd all new
MECH-'25 HERS. s 5
equipment)
CF-41k;forms MECH-20 and (for split systems) ME_CH 22�ar d MECH-25 J ; " "
51
For Split Systems: Duct leakag6:< fi percent, RC; LCA >:356 CFM/ton;' FWI7 TMAH 'STNS, and either. HSPP or PSPP.
For Packaged:Units: Duct leakage <b percerrt "
❑ 3.. New Duc&iii ith/or without i
Required Forms:
. Includes replacing or installing all.new
ducting and/or outdoor"condensing unit
CF-6R Sorms•. MEC"-04, Mti CH-20-HEitS, and (for split systems) MECH-25-HERS
and/or indoor coil and/or"fuenace No or some
CF-4R forms: MECH-20 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 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 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: Apr 4, 2013
Address: 255 N ELCIELO ROAD #140-125 License: 967982
City/State/Zip: PALM SPRINGS / CA / 92262 Phone: (760) 343-1002
Reg: 213-A0020121A-000000000-0000 Registration Date/Time: 2013/04/04 15:52:29 HERS Provider: CalCERT8, Inc.
2008 Residential Compliance Forms July 2010
LJ
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAlterations CF -IR -ALT -HVAC
Climate Zones 10 - 15
Site Address: Enforcement Agency:
Date:
Permit #:
8115.3 Golf View Dr La Quinta, CA 92253 City of La Qufnta
Apr 4, 2013
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
❑Furnace
® Indoor Coil
❑AFU€
® SEER 13.0
ACOP%Setback
(1HSPF
[I R 6 (CZ 10-13)
Served by system
If not alread Y Present, must be
® Condensing Unit
L3 EER
Ll Resistance
❑ R 8 CZ 14 -ZS )
800 sf
installed)
❑ Other
1. Equipment Type. Choose the equipment being installed; if more than one system, use another CF -IR -ALT -HVAC fur each system.
2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7115PF 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 -611 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
CF -4P, forms: MECH-21 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
[13. Existing duct systems are constructed, insulated or sealed with asbestos
[]4. The system will not be Ducfed' fie. Ductless Mini,Spllt S:ystem).:fAiso;Exempt,fcom;Refrigei t Charge)
❑ 2. NewHVAC System
Requited Forms
. Cut in or Changeout with:
new ducts -(all new
CF -6 :fosses :.SM1€C4i-Cl4 ME,(--2,1=N€Rc x
. aitid 4foc sp4n system�r 4�1€Cil 22-H€ii5 find
ducting and all new
MECH:25 HERS' H.i
`t f y
CF 4R forms MECH 2fl and (#or split systems] MEC}i 22�id MECH 25
equipment)='
r, 1 :z
For Split -Systems: Duct leakage- � b percent RC; CCA >.350 CFM/ton FWD TM. AH , STN1S, and etther,IfSPP or`PSPP.
For Packaged Units: DucE i akage < b percent
❑ 3. New Ducts`%Wiith/or without.:.,`,,-.-.-.-
Required Forms:
Replacement:::::'° .:',':
. Includes replacing orinstalling a'Unew
ducting and/or outdoor c:ondensiaig` onA
tt r6R forms*. MT-_C"-�04, MIECF1-210-"ERS, and (for split systems) MECH-25-HERS
and/or indoor coil and/or furnace: No or some
CF -4R forms: MECH-20 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 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 pesceiNt
❑ 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: Apr 4, 2013
Address:' 255 N ELCIELO ROAD #140-125 License: 967982
City/State/Zip: PALM SPRINGS / CA / 92262 Phone: (760) 343-1002
Reg: 213-A0020120A-000000000-0000 Regi_stration,Date/Time: 2013/04/04 15:49:55 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms July 2010