14-0238 (MECH)P.O.OX.1504
r78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
J'
Application Number:
140000_0238,1
Property Address:
51625 AVENIDA HERRERA
APN:
773-132-017-5 -000000-
Application description:
MECHANICAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
500
Applic
6�d
MIii
"Im .4
Arch' a ,pr Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
ROBERT VAUGHAN
51625 AVENIDA
LA QUINTA, CA
(
HERRERA
92253
Contractor: .
KENT'S A/C
PO BOX 2302
MECCA, CA 92254
(760)296-4717
Lic. No.: 965831
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: • 3/05/14
-------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION I WORKER'S COMPENSATION DECLARATION I,
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 License No.: 965831
Da e: � D L Contractor:l
OWNER -BUILDER DECLARATION
1 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)•:
(_) 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, 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
s1
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 EXEMPT Policy Number EXEMTP
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 Cotyl, I shall forthwith comply with those provisions.
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, eachagrees 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 th' c unty to enter upon -the -above -menti pro for inspecti n purposes.
7"-�
Date. a d ly ignature (Applicant -Agent):
Application Number 14-00000238
Permit . . . MECHANICAL 2013
Additional desc . .
Permit Fee . . 71.50 Plan Check Fee
.00
Issue Date Valuation . . .
. 0
Expiration Date 9/01/14
Qty Unit Charge Per
Extension
1.00 35.7500 EA MECH FURNACE
35.75
1.00 35.7500 EA MECH CONDENSER/COMP
35.75
----------------------------------------------------------------------------
Special Notes and Comments
REPLACING EXISTING PACKAGED UNIT ON ROOF
APPROVED PER JJ & JU.2013 CMC.
----------------------------------------------------------------------------
Other Fees . . . . . . BLDG STDS ADMIN (SB1473)
1.00
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 139.23 .00 .00
139.23
Grand Total 210.73 .00 .00
210.73
LQPERMIT
Bin #
City of La Quinta
Building 8% Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:. 4 j Z � �`Pr( l/f�6�
Owner's Name: �C! /J e J1 � Li G; j� /� •�
A. P. Number: t4- (
Address: f 2
Legal Description:
City, ST, Zip:
Contractor: L,�,Jv7 S
Telephone:
Address: IS- (t/t`
Project Description: -e PC %a G e
City, ST, Zip: �� /� U%l -e—. C/�' q 2��L�
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Telephone b' C_i2 �/� �i! � /,7
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'Lic.
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State Lic. # : 6/,fr;
City
Arch., Engr., Designer:
Address:
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City, ST, Zip:
Te leP hone:
-..
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Con truction Type: e• O ccu an cY•
State Lic .#
Project (circle ne • New Add'n Alter Repair Demo
Name of Contact Person
. .
es
Units:
Telephone #,of Contact Person: ' ` �/ %
Estimated Value of Project: S®
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC
Climate Zones 10 to 15
Site Address:_!�� / / 2� ^ nn
Enforcement Agency:
Datl — r /! / „
'
Permit #:
Conditioned Floor
EquipmentTypel
List Minimum EfTcienc Z
Duct insulation requirement
Area
Thermostat
Packaged Unit
Q Furnace
❑ AFUE
❑ COP
Over 40 ft of ducts added or
❑ Setback
[3 indoor Coil
SEER 1�
❑ HSPF
replaced in unconditioned space
Served by system
(if not already
0 Condensing Unit
❑.EER
❑ Resistance
❑ R 6 (CZ 10-13)
ORS (CZ 14-15)
sf
present,be
installed))
❑ Other
1. Equipment Type: Choose the equipment -being installed: if more than one system, use another CF -1 R -ALT -HVAC for each system.
2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFfortypical 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 CF4R forms (no hand filled CF4Rs allowed) are filled out and
signed. Beginning October 1, 2010, a registered copy of the CF -IR and CF -6R shall also be on site for final inspection.
VAC Changeout
Required Forms:
• All HVAC Equipment replaced
CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS
CF -4R forms: MECH- 21 and, (for split sstems) MECH-25
• Condenser Coil and /or
CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS
• Indoor Coil and /or
CF -411 forms: MECH- 21 and (for split systems) MECH-25
• Furnace
For Split Systems: Duct leakage,< 15 percent; RC, CCA >_ 300 CFM/ton(Minimum Air Flow Requirement), TMAH
For Packaged Units: Duct leakage < 15 percent
Fxempled from duct leakage testing if:
❑ I. 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 ducts stems are constructed, insulated or sealed with asbestos
O 2. New HVAC System' Required Forms:
• Cut in or Changeout with new CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS
ducts: (all new ducting and all
CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25
new equipment)
For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP.
For Packaged Units: Duct leakage <6 percent
[13. New Ducts with Replacement IRequired Forms:
• Includes replacing or installing all new ducting CF -61t forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS
and/or outdoor condensing unit and/or itidoor 'CF -411 forms: MECH-20 and (for split systems) MECH-25
coil and/or furnace. Not all equipment changed.
For Split Systems: Duct leakage < 6 percent, RC, CCA > 300 CFM/ton, TMAH
For Packaged Units: Duct leakage <6 percent `
.[14. New Ducting over 40 feet Required Forms:
• Includes adding or replacing more than 40 CF -6R forms: MECH-04, MECH-2I-HERS CF4R forms: MECH-21
linear feet of duct in unconditioned space.
Fdr split system or packaged units: Duct leakage < 15 percent
❑ EXCEPTION: Existing` duct sstems constructed, insulated or sealed with asbestos.
Contractor (Documentation' Author's /Responsible Designer's Declaration Statement)'
• 1 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.
+ 1 cenify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24,
Paris I 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,
calcul tions, plans and spEcifications submitted to the enforcement agency for approval with the Vrmit application.
Name: X�R/l �n �+ ��
Signature:
Company: � Pte, � r� t� C
Date:
Address: t-5' 7s J'^ �C /^v��
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License:9lC 2- &
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�_City/Statcrl.ip: , S co C7
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Phone:
2008 Residential Compliance Forms
March 2010
f
2008 Building Energy Efficiency Standards Residential HVAC Alterations
La Quinta, CA (Climate Zone 15)
BUSINESS AND PROFESSIONS CODE, SECTION 7110
Willful or deliberate disregard and violation of the building laws, including the California Building Code, and local permit 0•;
requirements constitutes a cause for disciplinary action from the Contractors State License Board working in conjunction with the
local building department. This action may consist of fines up to $5,000 per violation or suspension/revocation of a contractor's
license.
WHEN IS A PERMIT REQUIRED?
A written construction permit shall be obtained from the enforcement agency prior to the erection, construction, reconstruction,
installation, relocation, or alteration of any mechanical system, except as permitted in Appendix Chapter 1, Section 112.2 of the 2007
California Mechanical Code. Projects requiring permits include, but are not limited to:
• New HVAC installation • Relocation of an existing HVAC unit
• HVAC Changeout • Adding or replacing more than 40ft ducting
• Replacement of furnace, coil, FAU, or condenser
2008 BUILDING ENERGY EFFICIENCY STANDARDS (Title 24, Part 6) REOUIREMENTS INCLUDE:
1. Heating equipment must have a minimum 78% AFUE (Exception: Wall & floor furnaces; room heaters).
2. Central air conditioners & heat pumps less than 65,000 Btu/hr must have a minimum 13 SEER.
3. Newly installed or replaced ducts must have a minimum insulation value of R-4.2. When more than 40 ft of ducting will be installed
or replaced, the duct insulation value must be R-6 (CZ 10-1'3), or R-8 (CZ 14 and 15).
4. A setback type thermostat (24 hr clock with four set points) is required for all alterations.
5. New or replacement ducts must meet the mandatory requirements of Section 150(m):
• All joints and openings in the in the HVAC system must be sealed.
• Only UL 181, UL 181 A, or UL 181 B approved tapes or mastic shall be used to seal duct openings.
• Connections of metals ducts and the inner core of flex ducts shall be mechanically fastened. Flex'ducts must be connected
using a metal sleeve/coupling.
• Flex ducts that are suspended must be supported every 4ft. max for horizontal runs with no more than 2" of sag between
supports and 6 ft. max for vertical runs.
WHEN IS HERS VERIFICATION REQUIRED AND WHAT FORMS ARE REQUIRED?
HERS verification is required for all HVAC alterations in Climate Zone 10-15. A HERS rater is a special inspector for the building
department. The building inspector may. also request to be on site to witness testing by the contractor and/or HERS rater. The installer
picks one of the four options on the CF -IR -ALT -HVAC Form that describe the work being conducted. Each option lists the forms
required to be at the job site for final inspection.
• CF -6R Forms shall be completed and submitted by the installing contractor for final
inspection. -CF -4R Forms shall be completed, registered with an approved HERS Provider (cannot be completed by hand), and submitted
by the HERS Rater for final inspection effective January 1, 2010.
DESCRIPTION OF HERS TESTS BELOW (Full descriptions found in Residential Appendix RA3 and Residential Manual)
Duct sealing — The installer is to insure leakage of the HVAC system is less than 6% for new air conditioning system (new equipment
and all new ducts) or 15%, 60% reduction, seal all accessible leaks, etc. for alterations to existing HVAC systems. When the
contractor uses the option to seal all accessible leaks, all easily movable objects must be moved to seal existing ducting. New ducting
installed by the contractor is not allowed to have any leaks even if it is no longer accessible. In example 3 of the CF -1R "all new
ducts" means that all the ducting was changed. The original boots, plenums, etc. do not need to be changed.
Cooling Coil Airflow (CCA) — There are two different minimum air flow requirements that must be met. These are 300 CFM and
350 CFM. The minimum 300 CFM per ton of cooling is required in order to conduct a refrigerant charge test. For new HVAC systems
(new equipment and new ducts) the HVAC system must move a minimum 350 CFM of air for each ton of cooling.
Refrigerant Charge (RC) — The installer is required to verify the charge is correct. If the outside temperature is below 55 degrees
then the weigh in method must be used by the installer. When the weigh in method is used the HERS rater must retest when the
temperature is 55 and above. A charge indicator display (CID) can be used in place of conducting an RC; manufacturers are currently
developing this device.
Temperature Measurement Access Holes (TMAH) — Installer must drill and mark holes to measure temperature split.
Hole for the placement of a Static Pressure Probe (HSPP) or Permanently installed Static Pressure Probe (PSPP) — Either the
installer must drill and mark holes to measure static pressure or a permanently installed pressure probe must be installed and marked.
Saturation Temperature Measurement Sensors (STMS) — Permanently installed type K thermocouple are installed on the indoor
and outdoor coil so that the HERS later can verify charge without attaching gauges. Instructions are found in Ch 4 of the Res. Manual.
Fan Watt Draw (FWD) — Installer verifies that the furnace fan watt draw is less than 0.58 Watts/CFM.
NOTE: The CF-6R-MECH-04 is required for all HVAC alterations.
* For Final inspection ALL compliance forms (CF -111s, CY=61ts, and CF-4Rs) shall be registered with an approved HERS
Provider for building permit applications submitted on or after October 1, 2010.