12-1383 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
12-00001383
Property Address:
48137 VISTA CIELO
APN:
646-100-039- -
Application description:
MECHANICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
7250
T-�ht 4.4- Qa&&
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
AL DEGAN
48137 VISTA CIELO
LA QUINTA, CA 92253
Contractor:
Applicant: Architect or Engineer: HYDES
42949 MADIO STREET
INDIO, CA 92201
(760)360-2202
VOICE (760) 777-7012
�i)INSPECTIONS
FAX (760) 777-7011 (760) 777-7153
Date: 11/27/12
NOV 2 ! 2012
CITY OF LA QUINTA
FINANCE DEPT.'
1/A _ Lic. No.: 906115
LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION -
hereby affirm underpenalty 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 Profess' nals 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 ss: C20 C36 cense No.: 906.115. - for by'Section 3700 of the Labor Code, for the performance of the work for which this permit is
/� issued.
• /Date:�2-7 contractor. I 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
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 NORGUARD INS Policy Number CEWC356415
following reason (Sec. 7031 -5, Business and Professions Code: Any city or county that requires a permit to —1 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 anymanner 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 work 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 c y 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).: ate) plicant:
1 _ 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 WORK S' 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 proving that he or she did not build or -.
improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT
(_) 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,
' ( ) 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
Date: I 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:
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 isnot 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 buildingconstruction, and hereby authorize representatives
�of iZcy toenter up the above-mentioned property for inspection purposes.
: nature (Applicant or Agent):
VQPERMIT_�-
Application Number . . . . . 12-00001383
Permit . . . MECHANICAL
Additional desc .
Permit Fee" . . . . 40.50 Plan Check Fee
10.13
Issue Date . . . . Valuation
0
Expiration Date 5/26/13
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 9.'0000 EA . MECH FURNACE <=100K
9.00
1.00 16.5000EA MECH B/C >3-15HP/>100K-500KBTU
16.50
Special Notes and Comments
HVAC CHANGE -OUT: INSTALL NEW 5 TON
SYSTEM, FURNACE, CONDENSER, INDOOR COIL.
2010 CODES.
-----------------_-_------------------------------------- ---
Other Fees . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary. Charged Paid Credited:
Due
Permit Fee Total 40.50 .00.1 .00
40.50
Plan Check Total 10.13 .00 .00
10.13-
Other Fee Total 1.00 .00• .00
1.00
Grand Total 51.63 .00" .00
51.63
LQPEBM1T
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
48-137 Vista Cielo La Quinta, CA 92253
City of La Quinta
Nov 27, 2012
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
® Furnace
® Indoor Coil
® AFUE 78%
® SEER 13.0
❑ COP
[3HSPF
[3 R 6 (CZ 10-13)
R
Served by system
sf
® Setback
If not already present must be
® Condensing Unit
❑ EER
❑ Resistance
❑ 8 (CZ 14-15)
2000
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 Efficlencles: 13 SEER, 78% AFUE, Z7HSPF 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 -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
JL
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
FGF packaged URK611 Duet leakage 4 15
peFeeot
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
0'4. The system will not be Dusted (ie Ductless Min"h$plit ystemjL(AlsoR&emptrfr2m-.Refrriigerra(, t Charge)
❑ 2. Ne*HVAC System
RequiCed.iFtidrms: I "
. Cut inolsChangeout witkif
new ducts: (all new
.
ducting
CF 6R(forms 'MECH-04, M- -20+HERS and for split sy tems) MEC -HERS, End
M
MECH.-25-HERS
all new
CF -411 MECH- 0, (fors lit systems) MECH-22 and MECH-25 ��
equipment)
: " + a1tPa. .�
For Split Sy"stems: Duct leakage -<r6 percent; RC,,TCAX350 CFM/ton, FWD�'fMAH, SIMS, and :either HSPP'orPSPP.
For Packaged Units: Duct leakage'_< 6 percent
[13. New Ducts with/or without
Required Forms:
Replacement
. Includes replacing or installing all new
ducting and/or outdoor condensing unit
CF -611 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 -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: Mark Hyde Signature: Mnrk Hyde
Company: CERTIFIED COMFORT SYSTEMS INC Date: Nov 27, 2012
Address: 42-949 MADIO STREET License: 906115
City/State/Zip: INDIO / CA/ 92201 Phone: (760) 360-2202
Reg: 212-AO06675SA-000000000-0000 Registration Date/Time: 2012/11/27 13:11:57 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms July 2010
City of La Quinta
bPermit
Building ,& Safety Division t
P.O. Box 1504, 78-495 Calle Tampito
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: C1
-7 �f
Owner's Name:
Al
A. P. Number:
Legal Description:
[Address:
Address:
lJ
ontractor: e✓ �l I F�
// City, ST, Zip:
l.v; ` Y p
FO Telephone:
--1 ` • c / c� CJ
�1t'�.
'
Project Description:
City, ST, Zip:
C
Telephone:
State Lic. # : C1 ()
<<
City Lic. #: `'it9,77
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type: Occupancy:
Name of Contact Person:
Project type (circle one): New Add'n Alter Repair'
p � Demo
Telephone # of Contact Person:
Sq. Ft.:
#Stories:
Units:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal Req'd
Recd TRACKING
Plan Sets
PERMIT FEES
Plan Check submitted
Structural Calcs.
Reviewed, ready for correetions
Item Amount
Truss Calcs.
Plan Check Deposit
Called Contact Person
Energy Calcs.
Plan Check Balance
Plans picked up
Flood plain plan
Construction
Plans resubmitted
Grading, plan
Mechanical
2 d Review,
ready for corrections/issue Electrical
Subcontactor List
Called Contact Person
Grant Deed
Plumbing
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
IN HOUSE:-
,,d Grading
Review,
ready for corrections/issue Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
A.I.P.P.
Date of permit issue
School Fees
Total Permit Fees