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14-0842 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: p ca 14-00000842 78785 LIMA 772 -080 -007 - MECHANICAL LOW DENSITY RESIDENTIAL 28500 Tiht 4 4 Q" Architect or Engineer: /t#— BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: JOYCE FITZSIMMONS 78785 LIMA LA QUINTA, CA 92253 ( Contractor: BEST IN THE WEST 255 N. EL CIELO, PALM SPRINGS, CA (760)343-1002 Lic. No.: 967982 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/12/14 AIR,t C 14 92 ------------------------------------------------ • LICENSED CONTRACTOR'S DECLARATION -- ----------------------------------------------— WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C20 C38 License No.: 967982 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is t Date: Contractor: - issued. _ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor /v Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier NORGUARD Policy Number 13EWC337354 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any • construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor C.hwith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by %_044 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: f(� Applicant: C.r (_) 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.). (_) 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 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 15100,000)• 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 propertaiOEC�oWurposes. Dater Signature (Applicant or Ag�� Application Number . . . . . 14-00000842 - Permit . . . MECHANICAL 2013 Additional desc . . Permit Fee . . . . 250.26 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/09/14 Qty Unit Charge Per Extension 3.00 35.7500 EA MECH FURNACE 107.25 3.00 11.9200 EA MECH APPL REP/ALT 35.76 3.00 35.7500 EA MECH CONDENSER/COMP 107.25 ---------------------------------------------------------------------------- Special Notes and Comments REMOVE & REPLACE (3) A/C FURNACE & COILS 5 TON,4 TON, & 3 TON 16 SEER ALL GAS UNITS(2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CBC. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 157.29 Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 250.26 .00 .00 250.26 Plan Check Total .00 .00 .00 .00 Other Fee Total 248.86 .00 .00 248.86 Grand Total 499.12 .00 .00 499.12 v LQPERMIT n Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC Climate Zones 10 - IS Site Address: Enforcement Agency: Date: Permit #: 78785.1 Lima La Quinta, CA 92253 City of La Quinta Jun 11, 2014 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace ® Indoor Coil ® AFUE 78% ® SEER 13.0 ❑ COP [3HSPF ❑ R 6 (CZ 10-13) Served by system ® Setback If not already present, must be ® Condensing Unit ❑ EER ❑ Resistance ❑ R 8 (CZ 14-15) 3402 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-411 forms (no hand filled CF-4Rs 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. ® 1. HVAC Changeout Required Forms: . All HVAC Equipment CF-611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF-411 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 ..4 C..- s....ka..ed URit—S. Il...-F 1..-.I.age 4 15 p 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 withCF-6R'f ro ms:'MECH-04,`MECH-20-HERS and (for split'sys et ms MECH-22-HERS, and new ducts: (all new ducting and all new MECH,25-HERS , 4 equipment) CF-4R forms: MECH-20, and (for.split systems) '.MECH-22,land MECH-25 i ," ; � -� , 1 % r For Split Systems:, Duct leakage,< 6apercent; RC, CCA >_ 350 CFM/ton, FWD, T_MAH, STMS; and either HSPP'or PSPP { "'0 jk;"..7 '� For Packaged Units: Duct leakage'< 6 percent1f� �, ,� J 113. New Ducts with/or without Required Forms: •" Replacement r . Includes replacing or installing all new ducting and/or outdoor condensing unit CF-6R forms: MECH-04, MECH-20-HERS, 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-611 forms: MECH-04, MECH-2I-HERS linear feet of duct in unconditioned space. CF-411 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: Rich,rd C Weaver Sr Company: BEST IN THE WEST AIR CONDITIONING & HEATING INC Date: Jun 11, 2014 Address: 255 N ELCIELO ROAD #140-125 License: 967982 City/State/Zip: PALM SPRINGS / CA / 92262 Phone: (760) 343-1002 Reg: 214-A0042521A-000000000-0000 Registration Date/Time: 2014/06/11 18:27:50 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: m7 Permit #: 78785.2 Lima La Quinta, CA 92253 City of La Quinta Jun 11, 2014 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace ® Indoor Coil ®AFUE 78% ® SEER 13.0 ❑ COP E3HSPF ❑ R 6 PCZ 10-13) Served by system ® Setback If not already present, must be ® Condensing Unit [3 EER [3 Resistance [3 R 8 (CZ 14-15) 1.� 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-611 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-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 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 [14. 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 `*'� I " r.� s) M .. CF-6R forms: MECH-04 MECH-20-HERS and�(for split'systems) MECH-22-HERS, and new ducts:'(all new. ducting and all new � ,y MECH,25-HERS r I � � CE-Wf6mris: MECH-20, a d (for.split systems)�MECH-22,land MECH-25 , equipment) For Split S stems:, Duct leakage < 6 percent; RC, CCA > 350 CFM ton FWD TMAH STMS and either HSPP'or.PSPP.f For Packaged Units: Duct leakage:< 6 percenthl�,% ❑ 3. New Ducts with/or without_ Required Forms: Replacement . Includes replacing or installing all new ducting and/or outdoor condensing unit CF-6R forms: MECH-04, MECH-20-HERS, 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 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: Jun 11, 2014 Address: 255 N ELCIELO ROAD #140-125 License: 967982 City/State/Zip: PALM SPRINGS / CA / 92262 Phone: (760) 343-1002 Reg: 214-A0042523A-000000000-0000 Registration Date/Time: 2014/06/11 18:29:35 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: 7 Permit #: 78785.3 Lima La Quinta, CA 92253 City of La Quinta Jun 11, 2014 Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace ® Indoor Coil13R ® AFUE 78% ® SEER 13.0 ❑ COP ❑ HSPF 6 (CZ 10-13) Served by system ® Setback If not already present, must be ® Condensing Unit [3 EER [3 Resistance 13 R g CZ 14-15) ( 1 00 6 sf installed) (3 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, Z 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-411s 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. ® 1. HVAC Changeout Required Forms: • All HVAC Equipment CF-611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF-411 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 FGF Paskaged Unit—s- Due* leakage 4 15 pereepk 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 r or ,T � . 1 ' ''� r� r--- r o y CF-6R forms: MECH-04, MECH-20-HERS,�nd (f� split'systems) MECH-22-HERS, and new ducts:' (all new' ( ll ducting and all new MECH-25-HERS F ' , equipment) CF-4R forms: MECH-20, and1 (for.split systems)`MECH-22,jand MECH-25 .. For Split Systems: Duct leakage.< 61percent; RC, CCA >_ 350 CFM/fon, FWD, TMAH,, STMS, and either HSPP'or.PSPP. For Packaged Unitsy Duct leakage<'6percentf ' ;L' ❑ 3. New Ducts with/or without Required Forms: - Replacement . Includes replacing or installing all new ducting and/or outdoor condensing unit CF-6R forms: MECH-04, MECH-20-HERS, 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-61R 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: Jun 11, 2014 Address: 255 N ELCIELO ROAD #140-125 License: 967982 City/State/Zip: PALM SPRINGS/ CA/ 92262 Phone: (760) 343-1002 Reg: 214-A0042525A-000000000-0000 Registration Date/Time: 2014/06/11 18:32:10 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms July 2010 Bin. # City of La- Quinta Bulidtgg $t Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ��;t�v '� Project Address: '•7 a=— 7TS �r Owner's Name: 1'� Z�Siewr A. P. Number. Address: —7$=- Legal Description: Contractor. S r t'I W�C : vie. City, ST, Zip: , C Z !� Telephone: Address: Zss IV. -' C lett, Zc% �/ 41 Z5 Project Description: Zn Ved— City, ST, zip: 5 / gpcz. ��G 5 �Yior, fo S� Telephone: _tom 40!3�• •lam . 3 �� State Lic. # : a City Lic, #; / U Arch., Engi., Designer �. ] �, A T Address: City., ST, Zip: Telephone: Construction Type: Occupan : State Lic. #: Project type (circle one): New Add' ter Repair Demo Name of Contact Person: �G� �red{v, Sq. #Stories: # Units: Telephone # of Contact Person: .% �j �:3 _ U+ Estimated Valae of Project: jQ APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Ptah Sets Req'd 'Reed TRACMG PERMIT FEES Plan Check submitted Item Amount Str4duial Galea Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Plan Check Balance Title 24 Calci, Pians puked up Construction Flood plain plan Pians resubmitted Mecharilcsl Grading plan 2" Review, ready for corrections/'rssue. Electrical Subeoutactor List Called Contact Person plumbing Grant Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading 1N HOUSE;- '`' Review, ready for cormcdo'nslissue Developer Impact Fee Planning Approval. Called Contact Person A.U.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees