14-0226 (MECH)P.O. BOX 1504 VOICE 760 777-7012 ro
78-495 CALLE TAMPICO FAX (760) 777-701 N1
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS,(760) 777-7153
BUILDING PERMIT
Date: 3/03/14
Application Number: 14-00000226 Owner:
Property Address: 48707 VISTA PALOMINO CHARLES YAZEL D
APN: 649-540-015- - - 48707 VISTA PALOMINO 4
Application description: MECHANICAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL ( �•
Application valuation: 2650 ? ��H�
4 2011
Contractor: Ciry
Applicant: Architect or Engineer: 13ARNETT I S A/CF�N4AlC QUNVTA
51390 AVENIDA NAVARRO ��FPT
LA QUINTA, CA 92253
(760) 391-0350
Lic No.: 936600
'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 ense No.: 936600 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is, .
issued.
GDate-� -. YoCo tractor: _ 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 -
OW -BUILDER DECLARATION insurance carrier and policy number are:
hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the _ Carrier E7 MPT Policy Number EXEMPT
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit -to �— 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 ome subject to the workers' compensation provisions of Section -
License Law (Chapter 9 (commencing with Section 7000)of Division 3 o the Business and Professions Code) or 3700 of. the Labor Code, all forthwith mply with those provisions. - 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).: D�e;Appli.
(_ 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 _ WARNING: FAILURE TO SECURE WORKERS' C NSATION 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 1$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 3706 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 -
improve for the purpose of sale.). - APPLICANT ACKNOWLEDGEMENT
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 contractors) 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 application,
(_ 1 I am exempt under Sec. , B.&P.C. for this 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 '
performed under or following issuance of this permit.
Date: .Owner: _ 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
CONSTRUCTION LENDING AGENCY permit to cancellation.
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 abov .nformation is correct. A 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 struction, a hereby authorize representatives
of this county to enter upon the above-mentioned property fo spection p oses.
Lender's Name:
Date:: f _ 4 ` Signature (Applicant or Agent), -
Lender's Address: "
LQPERAIIT
Application Number . . . . . 14-00000226
Permit MECHANICAL 2013
Additional desc .
Permit Fee . . . . 35.75 Plan Check Fee
.00
Issue Date . . . . Valuation .
. 0
Expiration Date 8/30/14
Qty Unit,Charge Per
Extension
1.00 35.7500 EA MECH CONDENSER/COMP
35.75
----------------------
Special Notes and Comments"
HVAC CHANGE OUT -,REPLACE (1) 13SEER
CONDENSING UNIT. "(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
23.83
Fee summary Charged. Paid Credited
Due
Permit Fee Total 35.75 .00 _00 ----
35.75
- Plan Check Total .00 .00 .00
_00
Other Fee Total 114.40 .00 .00.
114.40
Grand Total 150.15 00 .00
150.15
t+"
..
LQPERMIT .. -
n
Bin #
:City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
14.
Project Address:
Owner's Name: (fLes �a
A. P. Number:
Address:
Legal Description:
City, ST, Zip: �� C�/� %-j S3
Contractor:
Telephone: �
r:>>«:'< :« <:<::v ::<;-;:
Address: _5 &�74) 4ae416
Project Description: �ltse d�
City, ST, Zip:
Telephone: _573
State Lie. # 00
City Lie. #..
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
f>
Construction nstructi n T e:
YP Occupancy:
P Y:
State Lic. #:
Project tYPa circle one):: New Ad d,n Alter �e
r Demo
Name of Contact Person:
Sq. Ft.: / Ls)
# Stories:
J # Units: f
Telephone # of Contact. Person:
Estimated Value of Project: �U
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
god 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:-
7rd 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 11VAC Alterations CF-iR-ALT-HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
48707 vista palomino La Quinta, CA 92253
City of La Quinta
Feb 27, 2014
Duct insulation
Conditioned Floor
Equipment Type1
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
❑ Furnace
p Indoor Coil
❑ AFUE
® SEER 13.0
❑ COP
[3HSPF
❑ R 6 (CZ 10-13)
Served system
® Setback
If not already present; must be
® Condensing Unit
[3 EER
❑ Resistance
❑ R 8 (� 14-15)
1600 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-4R
forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF-111
and CF-6R 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
❑ 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 Changdo6W:with
r
r ," F'..' r k�
CF 6R forms ms-1M04, MECH 20 HERS, (for�split systems.) MECH 22 HERS, and
new ducts;(all all new...'
r
ducting and all new
-and �.•, .
MECH 25=HERS �"f
5 r fk3� ..
CF 4Riforms MECH-20 and (for split sys-e s)fMEC.. and''°MECH 25
equipmerif) .�"`
,E€ " #.�#` #� it ¢.sz J fir.
For Split Systems Duct leakage < 6bpe�rcent; RC, CCA's>f350 CFM/tong FW.D, TMAH ASTMS, and eitW6r HSPPi1 r sPP> =>''r
leakager< 6 zr
For Pa cka ed UnitsP..Duct percent
9 .� .� a --., ..., F�
f
.,
❑ 3. New Ducts,With/:or'without- `
ir`edi:For'ms ..:
Req,u
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-411 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-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: Scott Barnett Signature: Scott gamett
Company: BARNETT"S A/C Date: Feb 27, 2014
Address: P O BOX 741 License: 936600
City/State/Zip: LA QUINTA / CA / 92247. Phone: (760) 391-0350
Reg: 214-A0014161A-000000000-0000 Registration Date/Time: 2014/02/27 16:33:16 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms July 2010