13-0876 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 .
T4Af 4 4 4"
Application Number: 13-00000876
Property Address: 49545 AVENIDA VISTA BONITA
APN: 773-350-048-48 -14496 "-
Application description: MECHANICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 14289
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT'
Owner:
ALEX SMAYDA
49545 AVENIDA VISTA BONITA
LA QUINTA, CA 92253
(760) 777-.7730
Contractor: n
GENERAL AIR CONDITIONI (9
31170 RESERVE DRIVE '
THOUSAND PALMS; CA 9227
(76'0)343-7488
Lic. No.: 686310
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/15/13
------------------------------------------------------------_
LICENSED CONTRACTOR'S DECLARATION -
'. WORKER'S COMPENSATION DECLARATION .
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with
1 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 Lice 686310
f r by Section 3700 of the Labor Code, for the performance of the work for which this permit is
_
Date: ('�J ,� 6ontracto. "
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
NER-BUI ECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjur am exempt from the Contractor's State License Law for the
Carrier ZENITH INS CO Policy Number Z071741502
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 Code, 1, shall forthwith complyy a 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 (55001.:
Date: J pplicant:
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 WORKER SATION COVE AGE 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 PE LTIES 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.
nnP year of comdetign. the gwner-builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
APPIdOANT AQKPIQWLrVC6M5P1.
I 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 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.
1 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
• ' ✓'
of this county to enter upon the above-mentioned property for inspection purposes.
. Lender's Name: `
,,� '
z
•
Date: _� - Signature (Applicant or Agent
/��
Lender's Address:
LQPERMIT
Application Number . . . 13-00000876
Permit MECHANICAL 2013
Additional desc
Permit Fee . . 71.50 Plan Check Fee
.00
Issue Date . . . . Valuation,
0
Expiration Date 1/11/14
Qty Unit Charge Per
Extension
1.00 35.7500 EA MECH FURNACE
35.75
1.00 35.7500 EA MECH CONDENSER/COMP
35.75
-----------------------------------------------------------------------------
Special Notes and Comments
-
HVAC CHANGE OUT - 16 SEER/78 AFUE,
REPLACE (1) 5 TON HVAC UNIT. [2008
ENERGY) CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION.
.2010 CALIFORNIA BUILDING CODES.
Other Fees . . . . . BLDG STDS ADMIN (SB1473)
1.00
PERMIT ISSUANCE M/P/E
90.57
PLAN CHECK, MECHANICAL
47.66
Fee summaryCharged. Paid Credited
Due
----------------
Permit Fee Total 71.50 .00 .00
71.50
Plan Check Total .00 .00 .00
.00
Other Fee Total 139.23 .00 .00.
139.23
Grand Total 210.73 .00 .00
210.73
r
LQPERMIT _ ,•
.
APPIICAKT- nn MAT WW= RVI AW TirLQ I Ia1C
N
Bins
Cts}/0.'f � QUIPItd
'Ree'd TRACKNG PERbff FSES
Pisa Cke& submitted frim Amoaat
W&w at Sarety D oMw
Reviewed, ready for eorrecdon Plan Cheek Deposit.
P.O. Box 1504,78-495 Case Tam**
La.Qdnta, CA 92253 - (760) 777-7012
Trico Coles.
I/
Building Permit Applicadon and Tracking Sheet
ProJcdAddtaa: 44,545' AVENIDA VISTA BONITA- Owner'sName:. ALEX SMAYDA .
A- P. - Addgm:49545 AVENIDA VISTA BONITA
Legal De=ipdon: city, sc, zip: LA QU I NTA, CA 92253
Contractor GENERAL A/C & HEATING Telephoru: 760-777-7730
Address: 31170 RESERVE DRIVE D=*ion:
city, sr, zip= THOUSAND PALMS, CA 92276 CHANGE OUT A/C 5 TON. 16 SEER
Tdephow- 760-343-7488 &' FURNACE 90,000 BTU
State Lic, d : 686310. City Lic. ik
Arch., Bog.. Desip er
Address:
C W. ST. Zip:
Telephone:Construction Type . Oxupaaay:
Stow i.ic. d: Project type (*de one): New AWn Alta Repair Deal
M—
Name of eonaa Person PAT R I C K_ sq: Ft : # stories g unttx
/
Telephone i of CoMa Peesnn: 760-343-7488. Esdmatod• Vahze of Project $. f ,2 D Q
APPIICAKT- nn MAT WW= RVI AW TirLQ I Ia1C
N
Sobmittai
Plan Seb
Req'd
'Ree'd TRACKNG PERbff FSES
Pisa Cke& submitted frim Amoaat
Structual Cases.
Reviewed, ready for eorrecdon Plan Cheek Deposit.
Trico Coles.
Called Cooact Person Plan Ckeek Balance,
We 24 Cala.
Plans pw" up Coasoraetlon '
Food plan pigs
Plan resubmitted Meekaikal
Grading plan
P! Review. rmdy for cerrtctiowW=' a EleeMeal
Sabeoaaetar List
Called Contact Person Plumbing
Gnat Deed
Plans picktd up
&O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
Review; ready for carmcdoaslissne Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permlt Issue
Srkodl Fes
Total Permit Fees
t
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
49545 AVENIDA VISTA BONITA La Quinta, CA 92253
City of La Quinta
I Jul 14, 2013
Duct insulation
Conditioned Floor
Equipment Type1
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
® Furnace
® Indoor Coil
® AFUE 78%
® SEER 16.0
❑ COP
❑ HSPF
❑ R 6 (CZ 10-13)
❑ R 8
Served by system
2286 5f
® Setback
If not already present, must be
® Condensing Unit
[3 EER
❑ Resistance
(CZ 14-I5)
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 -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
CF -4R forms: MECH-21 and (for split systems) MECH-25
For Split Systems: Duct lea .15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH
Exempted from duct leakageaesting';if:
.❑ S: 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,M�ni-Split System) ("Also,Exemptafrom Refrigerant Charge)
[32. New" HVAC'Systein
Required Forms
. Cut Wor Changeout with,
O °
CF 6R forms MECH-04, MECH-20 HERS, and (for split systems) MECH 22 HERS, and
new ducts (all new
ductin all new
9
MECHr25 HERS,. h 4
stes);;MECH-22, and MECH 25
CF 4R for6'?`MECH7,20, and (for split sym
equipment)„t'Y.':
Y
For Split Systems: Duct leakage:
6 percent; RC,fCCAs>'350"CFM/ton;-F.WD .TM.AH, STMS, antl either:HSPP oe"PSPP.
For Packaged Units: Duct
leakage"c.6 percent
❑ 3.._New-Ducts.with/or without'.
Required Forms:
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 -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 land 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: Danielle Garcia Signature: Danielle Garcia
Company: HARRISON ENTERPRISES INC Date: Jul 14, 2013
Address: 31-170 RESERVE DRIVE STE A License: 686310
City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488
Reg: 213-A0052413A-000000000-0000 Registration Date/Time: 2013/07/14 20:15:47 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms July 2010