13-0842 (MECH)'t 13
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA,. CALIFORNIA 92253
Application Number: 13-00000842
Property Address: 44930 VIA CATALINA
APN: 604-032-009-27 -305211--
Application description: MECHANICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 21442
Applicant:
Tityl VOICE (760) 777-7012
FAX -(760) 777-7011
BUILDING & SAFETY DEPARTMENT �••� INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/09/13
Owner:
WILLIAM LOVELL
44930 VIA CATALINA _
LA QUINTA, CA
LA QUINTA, CA 92253
Architect or Engineer:
-----------------
LICENSED CONTRACTOR'S DECLARATION
DContractor:
�� GENERAL.AIR CONDITIONING
Jo92013 31170 RESERVE DRIVE :
THOUSAND PALMS, CA 92276
CITY A uINTA - (760)343-7488
FINANCFOFpT, Lic-. No.: 686310
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.: 686310
DatContractor' .
• - 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).: -
(_ I I, as owner of the property, or my employees with .wages as their sale 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, theowner-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
f pursuant to the Contractors' State License Law.). -
1 _ 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. 3Q97, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
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 fon which this permit is
issued.
jlfhave 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
insurance carrier and policy number are: l ,
Carrier •ZENITH INS CO Policy Number Z071741502
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner sous 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 -
P ' 3700 of the Labor Code, I shall forthwith comply with those provisions.
Dat eq IJ Applicant:
a
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 J$1 00,000). 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 property for inspection purposes.
'
Date:7C1 %3 Signature (Applicant or Agent): i
16 ll
Application Number . . . 13-00000842
Permit . . . MECHANICAL 2013
'
Additional desc . .
Permit Fee . . . . 107.25 Plan Check Fee
•00
Issue Date . . . . Valuation . :
. 0
Expiration Date 1/05/14
Qty Unit Charge Per
Extension
° 2.00 35.7500 EA MECH FURNACE
71.50
1.00 35.7500 EA MECH CONDENSER/COMP
35.75
Special Notes and Comments
HVAC CHANGE OUT (1) 3TON
14.5SEER/78AFUE A/C UNITS AND (2) 90K
BTU FURNACES [2008 ENERGY] CARBON
MONOXIDE ALARMS). -TO BE INSTALLED PRIOR
TO FINAL INSPECTION..2010 CALIFORNIA
•`'
BUILDING CODES.
-------------------------- ----- --------------------------------------------
Other Fees . . . .BLDG ST DS ADMIN.(SB1473)
1.00
PERMIT, ISSUANCE M/P/E
90.57
PLAN CHECK, MECHANICAL71.49
!:
-Fee summary Charged - Paid '.'Credited
-------=-=
Due
------------------------------------------------
Permit Fee Total 107.25 .00 •00
107..25
'Plan Check Total .00 .00 .00
.00
Other Fee Total 163.06 .00 .00
163.06
Grand Total 270.31. .00 .00, -
'270.31
LQPERMIT
Bin #
Qty of La Quinta
Building &r 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: Li t.{ C_ C0. C-1 i h
Owner's Name:
A. P. Number:
Address: yy q 3b Vic_
Legal Description:
City, ST, Zip: L c— QUkIn ,:' C -A CIZZ S3
Contractor: Ge_ �e-`C'G.� kr i i ►
Telephone: ciZs (08
Address: 3 W7p
Project Description:
City, ST, Zip: CA QZ2"?(o
1�� `tom 1 3�OYi C I 41
Telephone: ib0-3t-i 3- g&
�'
:}u:::::::::::::::;:.:::;;:.»•:?:�::::::.}>:.
Cl ('"'
z Ok, 3Tv ivr�'lGc�
State Lic. # :
City Lic. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
elehone:
p
;:...::<,:.}:.}::.}<r>s::z;:>;::•}:>;::.}>:.}>:.}>:
%`s•s.;?:: ;;;:??.:.?:•::::>:::;?«:z>.:::s t
...........:..................... ....... ..............
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
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:-
"d Review, ready for correctionstissue .
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:
14 'A �iG.
Enforcement Agen
Dat :
`►
Permit #:
930 0A-,rnc,
C (j Lo. v�r�
�► t3
Conditioned Floor
Equipment T et
List Minimum Efficiency Z
Duct insulation requirement
Area
Thermostat
❑ Packaged Unit
�j Furnace
$(AFUE�
❑COP
Over 40 ft of ducts added or
Setback
Indoor Coil
WSEER 1 �• S
❑ HSPF
replaced in unconditioned space
❑ R 6 10-13)
Served by system
3�
(If not already
be
Condensing Unit "
❑ EER
❑ Resistance
(CZ
sf
present, must
13 Other
❑ R 8 (CZ 14-15)
installed)
1. Equipment Type: Choose the equipment being installed, • if more than one system, use another CF -1R f1LT-HVAC for each system.
2. Afinimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPFfor 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 -4R forms (no hand filled CF4Rs allowed) are filled out and
signed. Beonning October 1, 2010, a re 'stered copy of the CF -1R and CF -6R shall also be on site for final ins tion
C$1. HVAC Cbangeout
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 fors lit stems) MECH-25
• Condenser Coil and /or
CF -6R forms: MECH-2I-HERS and (for split systems) MECH-25-HERS
• Indoor Coil and/or
CF -4R 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
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 401inear feet in unconditioned space, or
❑ 3. Existing ducts stems are constructed, insulated or sealed with asbestos
2. New HVAC System
Required Forms:
• Cut in or Changeout with new
ducts: (all new ducting and all
CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS
CF4R 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
❑ 3. New Ducts 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 all 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
linear feet duct in
CF -6R forms: MECH-04, MECH-2I-HERS CF -4R forms: MECH-21
of unconditioned space,
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: \ Pat 9–h� c_re_r
1'�
Signature:
Company. C– A \
Date: -7 9
13
Address: 3 \`., e–exye—
�S
License:
( .
City/State/Zip: dVSG.�n �hns. CA 2=1za
Phone: --7(,o -343-74W
2008 Residential Compliance Forms July 2010
Simplified Prescriptive Certificate of Compliance: 2008 Residential RVACAIterations CF -IR -ALT -HVAC
Climate Zones 10 to 15
Site Address'
�
Enforcement Agee
Dat :
Permit #:
iI y 9 30 � C- 0A"Y\c',
C Ci L o. C, v:>n
, �► i3
Conditioned Floor
Equipment T '
List Minimum Efficiency 2
Duct insulation requirement
Area
Thermostat
❑ Packaged Unit
JK Furnace
AFUE_�/
W AFUEER
E3 COP
Over 40 ft of ducts added or.
❑Setback
Indoor Coil
1�S
13C PF _
replaced in unconditioned space
13R 6 10-13)
Served by system
(If not already
must be
'Condensing Unit
13 EER
13 Resistance
(CZ
sf
present,
❑ Other
13R 8 (CZ 14-I5)
installed)
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 -4R forms (no hand filled CF-4Rs allowed) are filled out and
signed. Beginning October 1, 2010, a registered copy of the CF -1R and CF -6R shall also be on site for final ins tion
I. HVAC 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 fors lit stems MECH-25
• Condenser Coil and/or
CF -6R forms: MECH-2I-HERS and (for split systems) MECH-25-HERS
• Indoor Coil and/or
CF -4R 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
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 ducts stems are constructed, insulated or sealed with asbestos .
❑ 2. New HVAC System
Required Forms.
• Cut s: Chang with new
ducts: (all new dueling armed all
CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS
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
❑ 3. New Ducts 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 all 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
:j
CF -6R forms: MECH-04, MECH-2I-HERS CF -4R forms: MECH-21
linear feet of duct in unconditioned s ce.
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 1==it application.
Name: \ i Gref
1�
Signature:
^�-
Company:
�x�ext��
Date:
% �i
l3
Address: 3i1 1 12e.Sc�xv�
License: ! &0:3
�P 0 3 t�
_
City/State/Zip: 0.�cY1S. QZZ- X:o
Phone: -7C,0 -----Y4a7428
2008 Residential Compliance Forms I July 2010