10-0341 (MECH)10
- 47
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&-ty/ 4 4 Q"
Application Number: 4'10-00000341
Property Address: 54730 INVERNESS
APN: 775-091-088- - -
Application description: MECHANICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 9000
A is Architect or En ineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busines and Professionals Code, and my License is in full force and effect.
License Clays: 0 nse No.: 902029
C Date: Contracto
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of erjury that I am exempt from the Contractor's State License Law for the
I ollowing reason ISec. 7031.5, usiness 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).: -r
(_ 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
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.).
(_) 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.).
(_) 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:
MAVROS GLEN tJ
54730 INVERNESS
LA QUINTA, CA 92253
(
Contractor:
LA QUINTA AIR COND/HEA
53875 AVENIDA NAVARRO
LA QUINTA, CA 92253
(760)837-9344
Lic. No.: 902029
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/20/10
QPR �� 2010
I
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 DESERT EMPIRE Policy Number 2387422008
_ 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, if I should be me subject to'the workers' compensation provisions of Section
700 of the Labor Co � I forthwi omp (' those provisions.
- Date-Applicanr.
4 -
WARNING: FAILURE TO SECURE ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). 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 per 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 Ouinta, 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 abo infor on is correct. I agree to comply with all
city and county ordinances and state laws relating to '(ding o t ction, and hereby authorize representatives
of this co ntyyt ent r upon the above-mentioned pope f r in ction purposes.
Date. "" Signature (Applicant or Agent
LQPERMIT
Application Number . . . . . 10-00000341
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . . . 51.00
Plan Check_ Fee
12.75
Issue Date . . . .
Valuation . . .
. 0
Expiration Date 10/17/10
Qty Unit Charge Per
Extension
BASE
FEE
15.00
2.00 9.0000 EA MECH
FURNACE <=100K
18.00
2.00 9.0000 EA MECH
---------=------------------------------------------------------------------
B/C <=3HP/100K BTU
18.00
Special Notes and Comments
-- —_�_ _�-- -_-- _---_--_-- ---_ REPLACE -(2) HVAC ROOF TOP `AIR UNITS
TO "-
-- "--
BE BE SCREENED PER LQMP.13 SEER
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged
-------------------------------------
Paid Credited
--------------------
Due
Permit Fee Total 51.00
.00 .00
51.00
Plan Check Total 12.75
.00 .00
12.75
Other Fee Total 1.00
.00 .00
1.00
Grand Total 64.75
.00 .00
64.75
LQPERMIT
Tuesday, April 20, 2010 9:03 AM Air Solutions p,01
I Simpliffed Prescriptive Certificate of t;oinpliance: 21'.108 Rcnidet:rial HT'.4c.' Alreradons C'F•1R-ALT.HVAC' 1
Glen Mavros 310.218.6535
Vk Adttnx:
Bri/brcemear Agrnky:
Rate: Perlis& 0
54-730 Inverness 2 of 2
4/20/=.0
C'cxiditiuned '1
Er ni anait Ty ,e'
Lit Alutbunul Efficiency'
Duct iusalntion rti uirement
Area T11eulux.:tat
PACI-tvA Uidt
0 Fiuuntm
❑ AFiJE
® COP
Over 40 8 of(Ineti ndded or
�Satl,acJ:
❑ uiciwr (Aril
t1SEER
❑ HSPF
t't date i In Ulhcxi(lifi0rlt(l S )1cti
F
Sti ed ' a ctelri r r,tt rrir rn?,
U C'ondeusillg Uldt
❑ EER
__—
❑ Resistance
❑ R 6 C',Z 10.13,
❑ R S JJ S,
of J,ivarur. u,urr ,x,
itu;rd&tG
❑ Other
rC'l -i
1..Ega#Pment Tipe: Chou w rho ecitopin, ori+g 1,j)—stat/4 : 7,1 moi cc ;v1) once .rwfj ,+, me. anc:rlrr,r-C'r-IR-.4LT-Hf'4 fn, eve + s•rsram.
Z.11110inumEptllnoetrtEfficlaiciec; 1.4 SUP: 7S°, 4FL'H, 7.7HSPF,jw-hy)rcrJ)rs;de,;hrrlsi'stcrr+s•
11ER.41 VERIti IC.ATION SUNT-VURV Li :4ed below are fcmr H17 ACalteintlon Optioag. The i,utallei deci(tee what desk is being done and
pick* ouv of the Each ('.Viou li..-rs the HER S 1ueamv> (lint inlvbe coadnctid. A copy of the foi;»� Ann Lv letl on rite for third
iri=}t Ction aini n a l: g veli to the hairier+n7i r. At final, the i Lvi echm •,f itie . till t the wo.,I luted on tlaa+ form wa_, i(i filet ille lvork Completed tT the
i)p�tauer. The ilLvenor 01:,0 velifie- (lint earn nlTropiiate ('F -6R niul regi=tereil CF -41R. fxiu (no hand tiled CF-41Rs allowed) ate filled Out aura
-Asad.e 4 u :, ube 1 1,(7Ul n1: r r ; of rite C' -! 1I F- shell rasa tie CID site for final inx ecuou.
1. RVAC'. Chungeout
Required Formy:
• All HVAC. Stilipu,eut 1g4.q ti,1
CF -6R four.:; MECE-4)4, NIE(" H -21 -HERS nud (fc)r .piit .w:, tvnp>) 1bTE(*.H- 2S -HERS
%.,F -4R form:;! MEC'H- 21 i4ad (fur & plit sya mv) A9EC;H-2
o C.ondelwer (oil mid;or
--- —
('F -OR fonnw: MECO-21-HER:S nn,l (forxplit yetein�)1,1ECH- ?S -HERS
• Inloor Coil and rot
CF -4R fonus: MECJH• ° I and (for split systein,g) MEC H-25
® Fitntace
For Split System+�: Diwt ltel ipge ; 15 pef=,d,. RC. (.'('A > 301? (7hi/torf(Mirilillifitil Air Flow Requiretuntt), TIMAH
For Facinool Urdte: DIM lenl.iige < 0, percent
Exempted from dace ktk•age te:tuig if
0 1. Dnct ny.steu wire ,i'zLowented to lin-;e been snevic%mly seale(1 Awl ccuhunert tluough HERS ,•eiiticzhmp. cr
Cl 2. Duct _ystelus ivith lea, tht'ui 40 linear feet ii-, imcoaditiontd spice. cn'
❑ 3. Evsliu Illlct !R'3teill8 nl'e cow:tructed. i1lsmWed or t enled brill ubwto:,
❑ 2. New HVAC' S`�stetn
Requh,ed Formc
e C`tli is or Cllaw ctt;ut g M ativ
naw cbtctutg nil
('F -6F, fours; AIEC'H-04. MEC'H-20-HERS,nud (for ay)lit .g•atmv) N[EC?. -'_2-HERS. olid AIECH--23-HE•RS
rieiv scar •aterit)
CF -4R forret: MEC'H 20•, alul (fo split-yirtem;i)&IEC:H-22, oral INIEC:H 25
For Split mi joems. Dept 6 pefCc)ll: Rt'. CCA 7 330 FIND, Th1AH. SMM. ,1114 ellller HSFF or F:iFF.
For Pmck>a ge4l Units: Duct leaks a <, ti on—cant
® 3• New Ducts with Replacement
Required FormN:
• Includes
(7-6R foruph; )NISCH-0 1. NIECE HEPS.nad (for oplit Ay tetun) n(E("H 2S HERS
api4'ci oridocr con<lovwvtg Wait Aull'oruxirnir
t''F 11t f piup�: hIE<'H 2!1 and (far =1)lit y:t�n:+) AIE(.'H-25
coil ondroi ftwiee. Not all equipireat chartg69.
For Split ttysttms., Diwt laakogt .. 6l,crcc-ni. RC. C:'C'A y 300 C'FiiVtorL TNIAH
For Packaged Unitat Diw.t led6a t < 0 icrcelli
CC a• New Ducthie over 40 feet Re uh'ed Forms:
• Liclinlee oddii* kv fq l wiske more tltsia 40 CF -6R forms: MECH-04.111ECH-2I-HERS CF -4R fonua: MECH-21
linear fact of,itut in puicwutitioned Acs,
For v'ptft system or packaged units: Duct leal_nga < 14 percent
L7 E\CEMON; E.,dgfilm duct Awtoine cowhiicted. uis,dated or Reeled Hitli aebewto&
Contractor (Documentatlom author's /Responsible Deatgmer's Deciaratiou Stutement)
• I c(atiry flint 014 C'ctrifhrate (f C•,im)limhce drxtulteatAtion in:'<eurate mid cvuiplcte.
• I Ani diNLle IuideiTivi4co 3 ofthe Cnlifnruin Rinses{ Mid Profergicalu Code to Accept re,ponibility fu Ute d riga ;riet)f iticia on fbii Ceitllicnie of Coapl;tianee.
• I celtify U,nc rhe elteigy fentiuee And peifbinivacc ypec iticatioluc fri (tie desi. +l identified i4; 64 Certificate of (!'onyplinuce ccofxiti to the culla em vN ot-Title:4.
FA,ts I And 6 CXti;eCalifornin Code ofRe,Ptlntion,<.
• The dniqu fcahuen idtutified m, lhia C'atificate of Cmuplianceme ccatsista,t i,ithtl,e i,lionrspliM, J-7Cla11alttd m: other :pgiliukle complinice faux, ip-mknicets,
crikulatims • Mas mid s ,erifsatirns s,,builtlnl to the cidincaucut aZ m , fir a arc;d ,tifh tilt gellikit a ,licati•ai
Name: Steve Garcia Signamie:
C"tiiMy' La Quina Air Conditioning
nate:
aa'lre-�.�: 53-875 Avenida Navarro
LCtri e' 902029
C:rt}�(tate:Zrp:L a Qu -in ta C a 2
Phone: 760.837.9344
1Ul1SF(aslrlvrrrin/C`nn:yllrntceFc)rrrrs :ilru•clr ?(11U
Bin #
City of La Quints
Building U Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
La Qulnta, C4 92253 - (760) 777-7012
�� ��` Building Permit Application pp on and Tracking Sheet
Project Address:.—;7 V � !/ ��—fs Owner's Name: IC—AJ2U S
A. P. Number: Address:
3-
Legal Description: City, ST, Zip: .?
Address: S 3 --(Y 7r 19-ve'
Project Description: `;-C-e—
City, ST, Zip: CA 12-2,5-3
12,0 o / OP A/c IM
Telephone:
State Lic. # 90 o% C) a City Lic. #:
Arch., Engr., Designer:
Address:
Tv
#
Submittal
Plan Sets
City., ST, Zip:
TRACKING
Plan Check submitted
v
Telephone:
Item
,;;: x • tis:!r :.�x�#>;:.:;
`�
l'
Construction Type:
Occupancy:
State Lic.
rrw•
Project a circle one):
J type �
New Add'n Alter Repair Demo
Name of Contact Person:7
6 L- G � Gly
Sq. Ft.: J
# Stories:
#Units:
Telephone # of Contact Person: Q X7 S'
Plan Check Balance
c 9
Estimated Value of Project:U (! Ur
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
Recd
TRACKING
Plan Check submitted
PERMIT FEES
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Caics.
Title 24 Cafes.
Called Contact Person
Plans picked up
Plan Check Balance
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°! 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:
J" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees