13-0582 (MECH)PE
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00000582
Property Address: 81240 GOLF VIEW DR
APN: 762-390-018- -
Application description: MECHANICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 5810
C&t�v 44
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
-------------------
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 Code, and my License is in full force and effect.
License Class: C20 -4w License No.: 686310
date -. S 13 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 .$, 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 05001.:
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 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 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: 5/06/13
Owner:
RICHARD HERPICH 0
81240 GOLF VIEW DR. D
LA QUINTA, CA 92253
( III I MAY 06 2013
Contractor:I CITY OF
LA IQUIN'
GENERAL AIR CONDITIONI G 9-%
Application Number . . . . 13-00000582
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . . . 42.50 Plan Check Fee
10.63
Issue Date . . . . Valuation . . . .
0
Expiration Date 11/02/13
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 11.0000 EA MECH FURNACE >100K
11.00
1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU
16.50
------------------ ---------------------------------------------------------
Special Notes and Comments
HVAC CHANGE -OUT - 13 SEER/78 AFUE, (1) 2
TON HEAT PUMP [2008 ENERGY] CARBON
MONOXIDE ALARM(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION. 2010 CALIFORNIA
BUILDING CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
.1.00
Fee summary Charged Paid Credited
Due
-------=-------------------------------------------------
Permit Fee Total 42.50 .00 .00
42.50
Plan Check Total 10.63 :00 .00
10.63
Other Fee Total 1.00 .00 .00
1.00
Grand Total 54.13 .00 .00
54.13
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Site ddress:. Enforcement Agency: Date: Permit i s
8124Q GOLF VIEW DRIVE La Quinta, CA 92253 1 Clty of La Quinta May 2, 2013
01111111 1 'Duct Insulation Conditioned Floor
Equipr entTypei List Minimum Efflciency2 requirement Area Thermostat
❑ Pacl age Unit
0 Fu ce ®AFUE 70.5 ❑ COp ® Setback
E3 Ind or Coll lRSEER ❑ R 6 {CZ YO -13) Served by system
�..0 ®HSPF �� 0 R 9 {� Y4-15/ x$16 sf TF not already present; muse be
® Condensing Unit p EER Resistance installed)
13Oth�r .
1. equiplrrent Type: Choose the equipment being installed; if more than one system, use another CF -IR -ALT -HVAC For each system.
2. Mlnl um Equipment EMdencresr 13 SEER, 7ftb AFUF 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 wds in fact the work completed by the installer, The inspector also verifies that each appropriate CF -6R and registered CF -4R
forms (�io hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CIF-IR
and CAI shall also be on site for final inspection.
. An mvAt- tquipment t r-oK rorms: rtt-t.n-u,+, mtt.n-<i-ncr(zs ana kTor split systems) mr-(_N-/_t1-ntK,
repla ed CF -411 forms: MECH-21 and (for split systems) MECH-25
. Condenser Coil and /or CF -6R forms; MECH-04, MECH-2I-HERS and (for split systems) MECH-2S-HERS
. Indoor Coil and /or CF-4R•.forms: MECH-21 and (for split systems) MECH-25
. Furnace
°or Split Systems: Duct leakayek,15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH
.74
:Xempted from duct leakne testis. 'rf:
:`•.G:j l D- ud€ Systefra:w Adcume .. ed to have been previously sealed and confirmed through HERS verification, or
pit Dutt'systetYis vviifi:less't 40.linear feet in unconditioned space, or
:E173-1.F,zisting ;duct systertis are: I..;.
:E173-1. insulated or sealed with asbestos
[]'4 , T:he 11. not De DU
•..
❑ 2. Pie' Vii° ._... Requi ;"` . , §'.
• Cut I Vin.leout wl.
lit:04
EC
new �(`Inew p H-; : t ERS s lit sy AL
equPalio yv :tr EGj1:..0, prs C'; t!
r
ForSpl . , . :,, .r��yr-- � _ _ _ r.a_;:..v.fAr^-:;. - L ' • . �
RPM 5, :
For Pa agjeaf>i;nits;<diictae8ka an ` ..
3`ILN (:efr;Withou; . Required Forma:
. ihi:lud ' replaang or• instalilrig'�Il'nevy
ductinand/or outdoor cdnderiL!;__#( #nit CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS
and/o indoor coil and/or:fu a;;No or some CF -4R forms: MECH-20 and (for split systems) MECH-25
equip I ent changed.
For Spill System$: Duct leakage-< 6 percent; RC, CCA >_ 300 CFM/ton, TMAH
For Pa aged units: Duct leakage < 6 percent
❑ 4. NeW Ducting over 40 feat Required Forms:
. Intlude's 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 spilt system or packaged units: Duct leakage < 15 percent
❑ EXCEPTION: Existing duct systems constructed, Insulated or sealed with asbestos.
. I cemfylthat this Certificate of Compliance documentatton Is accurate and complete.
• I am eligible under blvision 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of
Compliapce.
• I certify tthat the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Tide 24, Parts 1 and 6 of the California Code of Regulations,
. The desibn 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.
A-000000000-0000 Registration Date/Time: 2013/05/02 16:53;31 HERS Provider: Ca10ERTS, Inc.
Compliance Forms July 2010