14-0897 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
14-00000897
Property Address:
48226 CALLE
APN:
646 -092 -034 -
Application description:
MECHANICAL
Property Zoning:
LOW DENSITY
Application valuation:
10235
D nnlirant•
Tiilt 4 4 Q"
FLORISTAS
RESIDENTIAL
Architect or Engineer:
NO
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 License No.: 878533
�.
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 ISec. 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 (5500).:
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.).
(_) 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: A a i
LQPERMIT
Owner:
TIM BAZAR
48226 CALLE FLORISTA
LA QUINTA, CA 92253
(
Contractor:
RIGHTIME AIR CONDIT
3030 MYERS STREET
RIVERSIDE, CA 92503
(951)276-9744
Lic. No.: 878533
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
tG 19 2024
QUINTA,
Date: 6/19/14
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
iss ed.
ve 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
L/ insurance carrier and policy number are:
Carrier INS CO OF WEST Policy Number WVE502266101
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 'lCode, I shall forthwith c ly with those provisions.
401) - "Lu Applicant:
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.
'I. 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
o,.f,this
jcounty
%to enter upon the above-mentioned property for inspection pur
I "'� ` Signature (Applicant or Agent
Application Number . . . . . 14-00000897
Permit . . . MECHANICAL 2013
Additional desc .
Permit Fee . . . . 83.42 Plan Check Fee'.
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 12/16/14
Qty Unit Charge Per
Extension
1.00 35.7500 EA MECH FURNACE
35.75
1.00 11.9200 EA MECH APPL REP/ALT
11.92
1.00 35.7500 EA MECH CONDENSER/COMP
35.75
---------------------------- --------------------------------------
Notes and Comments
HVAC CHANGE OUT - 16SEER/80AFUE SYSTEM
[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
52.43
Fee summary Charged Paid Credited
----------------------=-----------------
Due
-----------------
Permit Fee Total 83.42 .00 .00
83.42
Plan Check Total .00 .00 .00
.00
Other Fee Total 143.00 .00 .00
143.00
Grand Total 226.42 .00 .00
226.42
LQPERMIT
Sim litled Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -1 ALT HVAC
Climate Zona 10 to 15
Stre Addrm.
En forcenrent Agency:
Date:
Pennili:
48226 Calle Florists
6-19-2014
Conditioned Floor
EquipmentT et
List Minimum Efficient
Duct insulation irement
Area
Thermostat
Unit
ce
AFUE ,
COP
Over 40 R of ducts added or
EtSetback
UPadmged
r Coil
nsing Unit
F.ER�
EER
®HSPFR
Resistance
a lace! In unconditioned space
6 (CZ 10-13)
Serval by system
2001 sf
((taut ulnarly
praeat mea be
R 8 (CZ 14-1S)
1. Equipment Type. Choose the equipment being installed, irmore than ane system. use another CF -1 R -ALT -HVAC jar each system.
d. Mhrlmunt Equiparent EJjleterrdex: l3 SEER, 7856 AFUE. 7.7HSPFjor typical trsidential 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 CF4R9 allowed) are filled out and
si ed Bezinclas October 1 2010 a re0stered copy of the CF -111 and CF -6R shall also be on site for final las colon.
1. HVAC Chan, Bout
Required Forms:
• All HVAC Equipment replacedCF-6R
forms: MECH-04. MECH-2I-HERS and (for split systems) MECH-25-HERS
CF4R forma: MECH 21 and fors lit tem) MECH25
• Condenser Coil and/or
CF -6R forms: MECH 21 -HERS and (for split systems) MECH 25 -HERS
• Indoor Coil and/or
CF4R forms: MECH-21 and (for split systems) MECH-25
• Furnace
For Split Systems: Duct leakage < 15 percent; RC, CCA >_ 300 CFMRon(Minunur Air Flow Requirement), TMAH
For Packaged Units: Duct leakage < 15 percent
Exempted from duct leakage testing if:
I. Dud "an was documented to have been previously sealed and conrmned through HERS verification, or
2. Duct systems with less than 40 linear feet in unconditional space, or
3. ExistiaR duct swMmmoms are constructed, insulated or sealed with osbsstos
El 2. New HVAC System
Required Forms:
• Cur In or �ag� with new
ducts: (all new ducting mW all
CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS
CF4R forts: MECH-20, and (for split systems) MECH-22, and MECH-25
MW 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
[3 3. New Duds with Replacement
Required Forms:
Includes replacing or installing all new ducting
CF -6R forms: MECH-04. MECH-20-HERS.and (for split systems) MECH-25-HERS
and/or outdoor condensing unit and/or indoor
CF4R forms: MECH-20 and (for split systems) MECH-25
coil and/or furnace. Not aU equipment changed.
For Split Systems: Duct leakage < 6 percent, RC, CCA >_ 300 CFM/ton, TMAH
For Packaged Units: Duct leakage < 6 pamt
4. New Ducting over 40 feet
Required Forms:
• Includes adding or replacing more than 40
linear feet of duct in unconditioned space.
CF -6R tors: MECH-04, MECH-2I-HERS CF4R forms: MECH-21
For split tem or packaged units: Duct leakage < 15 percent
Ll EXCEPTION: Existinit duct systems constructed. insulated or seated with asbestos.
Contractor (Documentation Author's ftsponsible Designees Declaration Statement)
• 1 certify that this Ceaifieate of Compliance documentation is accmme and complete.
• 1 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 eaagy features and perromuaee specifications for the design identified on this Certificate of Compliance conform to the requirements of Thle 24.
Parts I and 6 of the Califomia Code of Regulations.
• The design features identified an this Certificate of Compliance am consistent with the inrommdon documented on other applicable compliant rorms, worksheets.
Calculations. Wans and specifications submitted to the enforcement oxency for antoval with the permit a li
Namo:Jane Reektenwald I Signature:
Cempany..Venvest Ballard Inc., DBA Rightime Air e: 6-19-2014
Add="3030 Myers Street License: 878533
City/StateZip:Riverside. CA 92503 Phone:951 276-9744
71M Aartetaartnt r es w„ttanea J7^e v h.ta intn
B,n.# aw"6:f*La Qurnta
„ 'Bullding a Safety Division
Perinit N P.O. Box 1504,'78495 Calle Tamptco
14.Qu1nra, CA 92255 ••(760) 777.-7012v�� ' Building Permii Application -and Trackink,Sheet
Project.Addcess:.48226 Calle Florista Owner'sNamc:. Tim Bazar
A. P:Nurhbcr:. 646-092-034
Address: 48226 Calle Florista
Legal Description:
Contractor. Ri• htime'Air
City, sT, zip: La Quinta;, CA 92253
telephone: '
Address: 3030 Myers St
rrojecbDcseription: Replace 80,000 btu furnace
city, sr,zip: Riverside, CA 92503
5 ton 16 seer A/C unit & coil
Telephone: 951-276-9744
state Lie. a : 878533
City Lia. a; 05373..
Arc1i., Engr„ Designer. N/.4
"
Address:
City, ST, Zip:
Teltiphone:
StateLic. #:Project
Name of Contact Person:Sq.
y
,Const;udion Type:. Occupancy:
type (circle one): New Add'n Alter Repair Demo
Ft.: 2001
Stories: ,! Unitg:
Telephone„ of Contact Person:
Estimated Value of Project 10,235:00
11 Submittal Rcq'd
APPLICANT: DO NOT WRITE BELOW THIS LINE
'Reed TRACIUNG URMITFLES-
Plan Stu
Plan Chedr submitted Item Amount
Struetuial Cities.
Reyicwed, ready for corrections Plan Check Deposit. .
Truss Cala.
Called Contact Person Plan.Citeck Balance.
Title 24 Culai.
Plaits pieltcd up Construction
flood plaln plan
Plans resubmitted_ - blerlsarilcal
Giading plan
2" Review, ready for, corrcctionslissue Electrical
Subeontaetor List
Called ContactPerson Plumbhig
Grant Deed
Plaus picked up S.M.1.
A
ILOA. Approval
Plaus resubmitted Grading
IN HOUSE;-
3"Revlew, ready for cornctlonsnssae Developer Impact Fee
Planning Approval.
Called Contact Person
Pub. \Vks. Appr
Date or permit Issue
School Fees
FT
-
Total !'crmit Fees