14-0491 (MECH)A_
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
B
Z Application Number:
14-00000491
Property Address:
48655 VISTA
APN:
649 -57.0 -028 -
Application description:
MECHANICAL
Property Zoning:
LOW DENSITY
Application valuation:
2000
Applicant:
10013-t-
Tihht 1
°f 4* Qum&
ESTRELLA
RESIDENTIAL
Archite t Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I '
hereby affirm under penalty of perjury that I a censed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business an rofessio Is Code, and my License is in full force and effect.
License Classy C20 ense No.: 794315
Date: yZTM Contractor:
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).: _
(_) 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
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, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
i _ 1 1, 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
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. 3097, Civ. C.).
Lender's Name:
Lender's Address: '
LQPERMIT
Owner:
THOMAS MILLER
48655 VISTA ESTRELLA
LA QUINTA, CA 92253
(760)77-1-4120
VOICE. (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/23/14
Contractor:
DOVE AIR INC j �J
69749 RISUENO ROAD
CATHEDRAL CITY, CA 913 APR 2 ;j 291/1
(760)327-1890. t(
Lic. No.: 7.94315
CITY OF !..A nJKEA .
--------------------------------------------
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 for which this permit is
issued.
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
insurance carrier and policy number are:
Carrier EXEMPT Policy Number EXEMPT
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, it should b ome sub- to the workers' compensation provisions of Section
3700 of the Labor Code hall forthwi fi ply with those provisions.
' Date: ` l�'/ Applicant:
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 ($100,0001. 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 i formation is c rect. I agree to comply with all
city and county ordinances and state laws relating to buildin truction, and ereby authorize representatives
of this county to enter upon the above-mentioned property r ' spection pur
Date: IV' )�� Signature (Applicant or Agent):
Application"Number . . . . . 14-00000491
Permit . . . MECHANICAL 2013
Additional desc .
Permit Fee . . . 47.67 Plan Check Fee
00
Issue Date . . Valuation . . .
. 0
Expiration Date .. 10/20/14
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
REPLACE 13 SEER CONDENSING -UNIT & COIL
13 SEER PER PER 2013 CMC 2008 ENERGY]
CARBON MONOXIDE ALARM(S) TO BE INSTALLED
PRIOR TO FINAL INSPECTION.
---- -- -- -------------------------
_ 7 --------------------------------------------
Other
Other Fees . . . . BLDG STDS ADMIN (SB1473)
1.00
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
16.7.84
t
LQPERMIT-
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC
Climate Zones 10 - 15
Site Address:
Enforcement'Agency:
Date: °
Permit #:
48655 Vista Estrella La Quinta, CA 92253
City of La Quinta
Apr 16, 2014'
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
-
❑ Furnace
® Indoor Coil
❑ AFUE
® SEER 13.0
❑ COP
❑ HSPF
❑ R 6 (CZ 10-13)
Served by system
® Setback
If not already present, must be
® Condensing Unit
[3 EER
[3 Resistance
❑ R 8 (CZ 14 -IS)
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 -1111
and CF-6111shall 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 -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
Indoor oil 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 Pa Duet leakage 4 15
peFeeRt
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 tK6n 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 ChangeouVwith
' nd (for^ "
CF 6R forms MECH 04, MECH 20 HERS, asplit systems) MECH 22 HERS, and
new ducts all new'*;
MECH 25 HERS;t xl�
ducting all newc
CF 4R forms MECH-20, and (for split systerns)FMECH=22, and MECH 2570
equipm,rt
ent) f
w;v r�,Y F y.
For Spht{Systems: Duct leakage < 6 percent; RC, CCAs>:350 CFM/ton, , FWDj TMAH; SIMS, and eithe�HSPP 6e PSPP ,r a - "r_�.
Du
For Packaged Units ct leakage< 6 percent#"s4�r{ti
113. New Ducts with/or without `. d:,;
Required Forms „• x ti `` "
Replacement
'
. Includes replacngfor 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 -4R 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: Gary Laster Signature: Gary Laster
Company: DOVE AIR INC Date: Apr, 16, 2014
Address: 68-749 RISUENO ROAD License: 794315
City/State/Zip: CATHEDRAL CITY/ CA/ 92234 Phone: (760) 327-1890
Reg: 214-A,3026591A-000000000-0000 Registration Date/Time: 2014/04/16 13_:57:00 HERS Provider:'Ca10ERTS, Inc.
2008 Residential Compliance Forms July 2010
1
0
aciY,'ci cuuo r_vr• o: as a•�►n a+a �uanca auiic�a.cay/,5o•cfY .. �.
Bin #
City f La. QVInta
Bulldlr; BL Safety Division
Permit # P.O. Box l t.04, 78.495 Calle Tampico
La Qulnta, CA 92253 (.760).777-7012
Bullding Permit Application and Tracking. Sheet .
'Project Address: _ 6 55 VJI.S e Owner'sNaaie a
A. P. Number: Addrtzs: 'b SS. �/ ' >� C 1
14
Legal'l9escription City, ST, Zip: 1. Q v. Z Z
Contractor: O %44- /-t :,r
Address;c JZ r r p Projost Deseriptiot<: t- jl t �.c e r 6,v 19wr o,
City, 3T, Zip: e Cz,.3y 6d0Co
Telephone: ( 0 3 i7 rC 0
35Y.
r\tcL., Erggr., Designer:
Address:
city, sr,
eicpixnu: Constciction Typo: Occupancy:
`.tate Lie. #: Project ty feircie New, Add'n . Alter .Repair Demo
Name of ContactPersron: Stories: #
Units:
•Telephone # of Contact Person: b U % I -7 : tet l 0 Bsdmated Value of Project ° � 0 D O 0 0
APPUdAHT: DO."P[OT;WjiITE•BELQWTHIS LIKE
a
Submittal
Req94 Reed T AclitriG . PERMICC FEES
plan pets
Van C=reek anbmitW item Ateoant
stmcmratcalcs.:
Revlevred, ready for eorreetlom Pian Check Deposit
Trass Cala.
Called Contact Person Pian check Balaticz
Energy Cafes.
Flood plain.plan .
Plans $ickcd up Coustnretion .
Plaw aeanbmltted N!"Wanteal
Grading.plan
rdRerierr,ready[oreorrectionslissae Electrleal.
Sabcontactor List
Cillid Contact Person Plrrntbing
Grant Deed
Plays pidkcd up SMI'
ii.O.A. Approval
filaep resubluMid * . :. t'.radldg
1N HOUSE:
**Wer, ready for correctionaliwae Developer Impact Fee
Planning Approval
Called Contact person
Pub. W Ica Appr
School Fees
Date of permit fame .
_ : _ _.. _, • '
;f Total PerptIt Fels
40