14-0684 (MECH)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: 5/22/14
Application Number: 14-00000684 Owner:
Property Address: 48485 VISTA CALICO MYRNA PEETS
APN: 649-530-013- - - 48485 VISTA CALICO
Application description: MECHANICAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL (760) 887-2735
Application valuation: 1000
Contractor:
Applicant: Architect or Engineer: DOVE AIR INC
4 _ .69749 RISUENO ROAD
/ CATHEDRAL CITY, CA 92234
r _ (760) 327-1890 MAY 2 , �� 20'!}
Lic. No.: 794315
CITY OF LA QUINTA
FINANCE DEPT.
_ ---
'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 Professional ode, 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.: 794315 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
j - issued.
Dat T" 1'`' I � Contractor: _ I 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 EEMPT Policy Number' EXEMPT .
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to I;c tify 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 beco a subject t 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 LaborCoda, I forthwith p1 with those provisions. -
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by F'.I1e y .,
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: - Date-:- I 1 Appli�:nt: N ,
1 _) 1, 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
one year of completion, the owner -builder will have the burden of provingthat he or she did not build or -.
improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT-
(_ 1 I, 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 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.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that 1 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 buil dingcon "ctian, an ereby authorize representatives
- of this•coumy to enter upon the above-mentioned property for''n ection p es. '
Lender's Name:
!f 1ni
Date: J �� I l Signature (Applicant or AgentL
Lender's Address:
-. c ii ir6 r, I , - - - - --. _ _ •r ars.. - - - - — - — - -ti - t- t - - -. - - - - - - - - - - - -- - - -
LQPERMIT
Application Number 14-00000684
Permit . . . MECHANICAL 2013
Additional desc .
Permit Fee . . . . 11.92 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 11/18/14
Qty Unit Charge Per
Extension
1.00 11.9200 EA MECH APPL REP/ALT
11.92
----------------------------------------------------------------------------
Special Notes and Comments
HVAC CHANGE OUT - REPLACE COIL [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
4.77
Fee summary Charged Paid Credited
Due
Permit Fee Total 11.92 .00 .00
11.92
Plan Check Total .00 .00 .00
.00
Other Fee Total 95.34 .00 .00
95.34
Grand Total 107.26 .00 .00
107.26
LQPERbIIT
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TOW p=it
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
I
Permit #:
48485 Vista Calico La Quinta, CA 92253
City of La Quinta
May 22, 2014
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
❑ Furnace
❑ AFUE
❑ COP
❑ R 6 CZ 10-13)
Served by system
Setback
If not already present, must be
® Indoor Coil
[3 SEER
[3HSPF
[3R 8 (CZ 14-15)
1400 sf
installed)
[3 Condensing Unit
[3EER
13 Resistance
❑ 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-111
and CF-611 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-4R forms: MECH-21 and (for split systems) MECH-25
. Condenser Coil and /or
CF-6R forms: MECH-04, 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
Exempted from ductleakage testing if:
[31. 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
[13. -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 Chan eout`with
g CF 6R forms MECH 04'.MECH 20 HERS; and (for split systems) MECH .22 HERS, and
new ducts ,.(all new, MECH 25=HERS �Lt r • ,�`r*x
ducting MECH
:all new CF 4R.4 rms MECH-20, and (f r split systems)kMECH 22, and 25
equip meat : t t=, 4� ,�
For Split Systems ;Duct leakage.e< 6 percent; RC, CCAq> 350 CFM/ton, FWD, TMAH;XSTMS; and ertherxHSPP dNPSPP ++'
C � K y �_c z
++'F'! ebb �Y ,�,:M3�'"
i
Packa ed Umts Duct leakage< 6�percent' ' y _ y' yds
t ��k. "_.,ds
For ". �:`iw,. ..t3��.>3!` frit.
.. ...,. ,.
❑ 3. New Ducts with/or — thoutw ' ' ' ' '
.. m',.
Required Forms . i . t ,•.,3:': "
Replacement
. Includes ireplacing''or installing a friew
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. ;>r;;':
For Split Systems: Duct leakage'•:< 6 percent; RC, CCA 2: 300 CFM/ton, TMAH
For Packaged Units: Duct leakage < 6 percent
114. 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: Gary Laster Signature: Gary Laster
Company: DOVE AIR INC Date: May 22, 2014
Address: 68-749 RISUENO ROAD License: 794315
City/State/Zip: CATHEDRAL CITY / CA / 92234 Phone: (760) 327-1890
a
Reg: 214-AO037255A-000000000-0000 Registration Date/Time: 2014/05/22 16:55:19 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms July 2010
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HV
Climate Zones 10 - 1S
Site Address: Enforcement Agency: Date: Permit 7
48485 Vista Calico La Quinta, CA 92253 I.City of La Quinta May 22, 2014
Duct insulation Conditioned Floor j
Equipment Typel List Minimum Efficiency2 requirement . Area ' Thermostat
❑ Package Unit
[3 Furnace [3 AFUE [3 COP 12 6 (CZ 10-13).e, Served by system ®Setback
Ili Indoor Coil [3 SEER [3HSPF• sf If not already present, n
E3 Condensing Unit [3 EER (3 Resistance [3 R 8 (CZ 14-15) 1400 installed)
❑ Other I- I.
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 bein'c
and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the form;
be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed ori
form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF -6R and registered
forms (no hand filled CF-4Rs allowed) are filled out and signed. Beginning October 1, 2010, a registered copy of the C
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 i
replaced CF -4R forms: MECH-21 and (for split systems) MECH-25
. Condenser Coil and /or CF -6R forms: MECH-04, 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
FGF Paskaged Units, W-16 112 kage 4 15 ^'
Exempted from duct leakage testing if: • _ `., t.'r
[31. 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
[33. 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 Changedut with r' , " ` fi '-
CF 6R forms:04; MECH=20 HERS, and (for split systems) MECH22 HERS, and
new ducts" (all new" MECH�25 HERS �C ' �a ,"'
ducting L,pi„all new +--w.-.
equipment) CF 4R formsrlMECH-20; and (fdr split systems);MECH-22,'and MECH-25 t ,tip
For Split Systems... Duct leakage<,6,percent, RC, CCAS ->1350 CFM/.ton, FWD; TMAAH, `ST4MS,-and eiitther HSPP or,;PSPP
For Packaged Units Duct lea 11 1 6 A I,—a
•� , ,. hn ,i , ,f ;h ., �. *�,
Re ulred.Formsr�
❑ 3. New Ducts with/or'.wcthout;lr ,�_ q
Replacement
3 .
. 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-2
and/or indoor coil and/or furnace:'No or some CF -4R formsi MECH-20 and (for split systems) MECH-25
equipment than ed.
For Split Systems: Duct leakage :< 6 percent; RC,.CCA 2,300 CFM/ton, TMAH -0'
1 For Packaged Units: Duct leakage < 6 percent
❑ 4. New Ducting over 40 feet Required Forms:-
Includes
orms: Includes adding or replacing more than 40 CF -6R 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 Cert
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 compl
forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application.
Name: Gary Laster Signature: Gary.Laster
Company: DOVE AIR INC • Date: May 22, 2014
Address: 68-749 RISUENO ROAD License: 794315
CATHEDRAL CITY / CA / 92234
AC ,
be
done
shall
this
CF -4R
F -SR
[Reg: 214-A0037255A-000000000-0000 Registration.Date/Time:,2014/05/22 16:55:19 HERS Provider: CalCEI
2008•Residential Compliance Forms , " ;
of
Inc.
y 2010