14-0878 (MECH)w i
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT '
Date: 6/18/14
Application Number: 14-00000878 Owner:
Property Address: 47815 VIA JARDIN MIKE MCSWEENEY
APN: 643-130-033-33 -26152 - 47815 VIA-JARDIN
Application description: MECHANICAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY. RESIDENTIAL (760) 777-7427
Application valuation: -4994
' Contractor: A •
r Applica j: Architect or Engineer: GENERAL AIR CONDITION
31170 RESERVE DRIVE
G " — THOUSAND PALMS, CA 92 6 JUN 18 2014
(760)343-7488
Lic. No.: 686310 clT�rcpu►QuINTA
FINANCE DEPT.
-------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION 5
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:
action 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 C ass: C20 License No.: 686310 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
Date: (O $ ) Contractor: 5�� 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 workerscompensation
OWNER -BUILDER DECLARATION - insurance carrier and policy number are: '
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier ZENITH INS CO Policy Number Z071741503
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 Code, I shall forthwith 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 C` ;�
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: te: (O 1%Applicant: C.%A�.�Ty —�— `
(_ ) 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, ' SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3.706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
one year of completion, the owner -builder will have the burden of proving that he or she did,not build or I- -
improve for the purpose of sale.). - APPLICANT ACKNOWLEDGEMENT
1 _ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application• is hereby made to the Director of. Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. -
. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for .
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit Issued as a result of this applicalion,
(_) I am exempt under Sec. , B.&P.C. forthis reason 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: i
performed under or following issuance of this permit.
Date: Owner: 2. Any permit issued as a result of this application becdmes 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
CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec.,3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereby authorize representatives
61a
is county to enter upon the above-mentioned property for inspection purposes. '
Lender's Name:
' - - - : 6 �Q Signature (Applicant or Agent): tiJ+•�+Z► �•� •
Lender's Address:
LQPERMIT - • . 0
' Application Number 14-00000878
Permit. . . MECHANICAL 2013
Additional desc ...
Permit Fee . . 47.67 Plan Check Fee
.00
Issue Date Valuation . . .
. 0 ;
Expiration Date 12/15/14
Qty Unit -Charge Per
Extension
' 1.00 11.9200 EA MECH APPL REP/ALT
~`
11.92 '
1.00 35.7500 EA MECH CONDENSER/COMP-
35.75
--------------------•--------------------------
- Special Notes and Comments—
.,
CONDENSING UNIT CHANGE OUT - (1) INDOOR
COIL 1 TON, [2008 ENERGY] CARBON MONOXIDE
ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION.2013 CALIFORNIA BUILDING
CODES.
-
--------------------------------------------------------------------
Other Fees . . STDS ADMIN (SB1473)
--.------
1.00
_BLDG
PERMIT ISSUANCE M/P/E
90.57 ,
PLAN CHECK, MECHANICAL
28.60
' - Fee summary Charged Paid Credited
Due
Permit Fee Total 47.67 .00 .00
47.67
Plan Check Total .00 .00 00
- .00
Other Fee Total 120.17 .00 .00
120.17
Grand Total 167.84 .00 .00
167.84
LQPERMIT -
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAIterations CF -IR -ALT -HVAC
Climate Zones 10 to 15
Site Address:
W7219 vi
EnforcetnentAgency:
Date.
I
Permit#:
o.
C: L..Gu;n A c.
E 17 1 1-4
Conditioned Floor
Equipment T t
List Minimum Efficiency 2
Duct insulation requirement
Area
Thermostat
❑ Packaged Unit
13 Furnace
11AFUE
13 COP
Over 40 ft of ducts added or
8l Setback
JgIndoor Coil
®SEER 13
® HSPF %,'7
replaced in unconditioned space
Served by system
(Ynotalready
JR Condensing Unit
g
❑EER
❑Resistance
❑ R 6 (CZ 10-13)
❑ R 8 (CZ 14-15)
sf
present, must be
installed)
❑Other
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1R ALT -HVAC jor each system.
2. Minimum Equipment Efficiencies: 13 SEER, 78'06 AFUE, 7.7HSPF jor 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 CF4R forms (no hand filled CF4Rs 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 inspection.
®1. HVAC Changeout
Required Forms:
CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS
• All HVAC Equipment replaced
CFVR 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
CF4R forms: MECH-21 and (for split systems) MECH-25
• Furnace
For Split Systems: Duct leakage < 15 percent; RC, CCA 2:300 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 duct systems are constructed, insulated or sealed with asbestos
❑ 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 CF411 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
0 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 leaka e < 6 percent
❑ 4. New Ducting over 40 feet
Required Forms:
• Includes adding or replacing more than 40
CF -6R forms: MECH-04, MECH-21-HERS CF4R forms: MECH-21
linear feet of duct in 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.
• 1 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: S�e�er Sc�hv er
Signature:L
Company:
&,Y\e A:r Qord;�;own
Date: �I
lip o-1 i n
Address:License:
31\� O • l� �s�rv�
1 City/State/Zip: h\o� c—w,\ . - 0.`1Ms C.%, ciZZ"7lo I
Phone: -7(o()'
2008 Residential Compliance Forms July 2010
Bin #
City of La Quinta .
' Building 8i' 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: 14- V\ C' 5ar'A i t
Owner's Name: Mike- S«
A. P. Number:
Address:
Legal Description:
Ci ST Zi :
h'. P ZG.. iln CA G 2z5'3
Contractor: GeY�erc.�
Telephone: ifoO-7-77- _7L4z_1
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Address: 3l) -7 0
Project Description:
City, ST, Zip: hOV S ci h d \7c�\trr�s CA q Z -C7 t_
\_)Q \ G C_e
Telephone: _760- 3'43- 7218
>:>zrss:< :>:<::<;M:.: :;::;:»:::
State Lic. # :. 6863i 0
City Lic. #:
Arch., Engr.; Designer:
Address:
City, ST, Zip:
Telephone:
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<a :?::t'» : :v>>s,<
v ::,.,...;:r,;.>,.>;.,•>., .;:,.:>,:<;:
:yf-,v.:Y.F::tif:iYi4i:�:}nf..: •: :'N..!:::=C:�.�!
Construction Type: Occupa--icy
Project type (circle one): New Add'n Ater Repair Demo
State Lic..#•
Name of Contact Person: • eM �,
Sq. Ft.:
#Stories:
# Units:
Telephone # of Contact Person: xi
Estimated Value of Project: q C1 4 . UCS
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACIONG
PE'tMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Depofit
Truss Calcs.
Called Contact Person
Plan -Check Balance
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Pians resubmitted
Mechanical
Grading plan
2" Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'rd 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
G