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12-1200 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: x12 -00001 00---� Property Address: X54673-65K—HIL• L•` APN:" 775-141-015- - - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL . Application valuation: 4664 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SANDY MITCHELL 54673 OAK HILL FFD LA QUINTA, CA 92253 Contractor' VOICE (76(,, FAX (760) 7I INSPECTIONS (760) 777-7153 Date: 10/09/12 oct 10 2012 �D 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.I. Lender's Name: Lender's Address: LQPERMIT of La Qwnta, its officers, agents and employees for any act or omission related to the wor Bing 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. 1 certify that I have read this, application and state that the above informatics ",,rect. I agree to comply with all city and county ordinances and state laws relating to builds g construction and he�rpose, abyauorize representatives oft s county to enter upon t above-mentioned property for inspectior< Date: V /2 - Si ture (Applicant or Agent)' Applicant: Architect or Engineer: GENERAL'. AIR CONDITIONILGCITY OF31170RESERVE QUINTA �JFINANCE DRIVE DEPT. THOUSAND PALMS, CA 922 (760) 343-748'8 1 /�. Lia: No:: 686310 --------"-------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty 'of perjury that I am lic under provisions of Chapter 9 (commencing'with 1 hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 o the Business and Pr fess onals Code, and my LicenseIsin full force and effect. _ I have and will maintain a certificate of consent toself-insure for workers' compensation, as provided. Lic nse Class: C20, Li a se No.: 686310 - 'for by Section. 3700 of the Labor Code, for the performance of the work for,which this permit is i A,i .. .. issued . Dater rZ' ontractor.. -• - I have and will maintain workers' compensation insurance, is required by Section 3700 of the Labor - - - -� ;Code forthe performance of the work for which this.permit.is issued. My workers' compensation ' _ WNER•BUILDER DECLARATION insurance,carner and: policy number are: _ liereby affirm under penalty of pe ury exempt from the Contractor's. State License Law�for the Carrier ZENITH -"INS' CO .:+. 'Policy Number -Z07174150 -L _at following reason (Sec. 7031`.5; Buss 'andProfessioris;Code: Any city or county that requires a permit to ., I certify that,-inthe performance of the wo for whichrthis permit.is.issued, .I shall notemployany construct; alter, improve,,ldernolish, or repair, an structure, prior to its issuance, also requires the applicant for the -" person in'any manner sdas to,be6ome subje to the workers' -compensation laws of California, permivto file a.'signed statement that: he'or she is licensed pursuant to the provisions of. the Contractor's State and agree that, if (.should ecome subj cyto t workers' compensation' provisions of Section License Law (Chapter 9 (commencing with Section 70001 of.Division 3 of the Business and Professions Codel or 3700'of the. Labor Code shall fort wi h coin y wit those provisions. that he or. she is exempt therefrom andthe,basis for the alleged "exemption. Any violation of -Section 7031.5"by any.applicant _fora permit subjects theapplicant to a civiPpenalty of not more than five hundred dollars ($5001.: jst. •' - ate: 7 V A (_ 1' I, as owner of: the property, or my employees with,wages.as their sole compensation, will do the:work; and .1 , i _ .• " - the structure is not intended or offered for sale (Sec. 7044, Business and'Professions'Code: The `"scant WARNING: '"FAILURE TO"SECURE I ERS' OM NSATION 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, CRI NAL ENA IES hb CIVIL FINES UP TO ONE HUNDRED THOUSAND .-,anclmho doe64the work himseltor herself' through'his.or her own employees, provided that the DOLLARS ($100,000). IN ADDITI ?0 HE CO OF COMPENSATION,. DAMAGES AS PROVIDED FOR IN ..improvements are not intended of offered�forsale.' If, however, the building orimprovement is sold within SECTION 3706 OF THE LABOR CODE, EREST, AND ATTORNEY'S FEES: - orie year of completion, the owner -builder will have the burden of proving that he or she did not build or - - • improve for4the purpose of sale.).. I -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 kb' 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.I. Lender's Name: Lender's Address: LQPERMIT of La Qwnta, its officers, agents and employees for any act or omission related to the wor Bing 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. 1 certify that I have read this, application and state that the above informatics ",,rect. I agree to comply with all city and county ordinances and state laws relating to builds g construction and he�rpose, abyauorize representatives oft s county to enter upon t above-mentioned property for inspectior< Date: V /2 - Si ture (Applicant or Agent)' _ ,q Application Number 12-00001200 Permit . . . MECHANICAL . Additional desc . .Permit Fee 31.50 Plan Check Fee 7.88 Issue Date . . . . Valuation . . . . 0 .Expiration Date 4/07/13 Qty Unit Charge .Per Extension BASE FEE 15.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 ------- Special Notes• and=Comments . HVAC• CHANGE=OUT: INSTAL'L'''NEW 4` TON CONDENSER,ONtY. 2010 CODES. -----------------_-_--------------------- -Other Fees_ BLDG. ---------------------------- STDSADMIN.(SB1473-) - .1.00.. Fee summary Charged, Paid,'. Credited Due: Permit Fee Total 3-1:50.. Q:0 00,: 31..50 - Plan':CheckTotal" 7.8800 .00' 7:88 _ - Other Fee 'Total- ; 1.00 .00. .00 1.00 Grand To.tal' .. 40.38 .00. 00 .40.38 LQPERMIT CaICERTS - CF -1 R Registration Page 1 of 1 Public Home Danielle Garcia logged in [Logout] [Home] Secure Home About Us Training Rater Directory Forms Membership Benefits Events Industry Partners Job Placement Resources News To register for our monthly newsletter, please click here. CONGRATULATIONS Your CF -IR -ALT -HVAC Registration is complete! You may want to print this page for your records. Site Address: 54673 OAK HILL La Quinta, CA 92253 CEC Registration: 212-A0056382A-000000000-0000 Assigned Company: [HARRISON ENTERPRISES INC Do you know your HERS Rater? If you do, you may want to'send this CF -1R to them. CaICERTS Rater ID: OR _ My Rater Quick Select: ---Select From List Every CaICERTS rater has a license number. If you need to find the'rater by name [Click HERE] to search our directory. r SEND=CF=IR:TO'HERS=RATERYj� [CLICK HERE] to do another OR you can [OPEN and EDIT] this project you just created. Copyright © 2010 CaICERTS, Inc. All rights reserved. Revised: January 11, 2010 (Terms and Conditions) [Privacy Statement) [Class Cancellation Policy) CaICERTS, Inc., 31 Natoma St Suite 120, Folsom, CA 95630 Office: 916-985-3400;TollFree: 877 -HERS -11811, (877-437-7787) Fax: 916-985-3402 Contact Us S4 I BBB. f https://www.calcerts.com/public_cfl R.cfrn?proj ect_id=219392 10/9/2012 A Simplified Prescriptive Certificate of Compliance:' 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date:Permit #: 54673 OAK HILL La Quinta, CA 92253 City of La Quinta Oct'9, 2012 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 [3 Indoor Coil ® SEER 13.0 [3HSPF R gCZ 14-15)Resistance (- 1330 sf If not already present, must be ® Condensing Unit [3EER [3 Resistance 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 giver! 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 -IR and CF -6R 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 leakage.< 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH Exempted from duct leakage'testing'ifi ❑ 1. Duct system was documehtted to have been previously sealed and confirmed through HERS verification, or ❑ 2. Duct systems with Iess.than 40 linear feet in unconditioned space, or ❑ 3. Existing duct systems are eonstructed,.insulated or sealed with asbestos ❑ 4.:The+systern will not be Dgeted (ie�DuctlesswMinl Split System),(A`Iso-Exempt�fr�om R frige.r�a4nt Charge) ❑ 2. New HVAC System Required.Forms • Cut inior. Changeout with; ducts:�(all `* >t e4 1`-� CF 6R forms ,MECH-04, MECH=20 HERS, and (for split systems) MECHc22 HERS and new new ductiA, g Aba all new MECH ¢2.5 HERS t CF 4R°forms pMECH-20;`and (for split systems MECH_ and;MECH-25�� equipment) Z_ l'tom. r X 4 i* t. 3: :- .firer. �._ For Split Systems: Duct leakage <1'6 percent, RC,;CCA,>_,350 CFM/ton,YFWD,.�T MAH ,SIMS, and either HSPP`6P,PSPP. For Packaged:.Units: Duct leakag < 6 percent ❑ 3. NewGDucts:w'ith/or without.., Required Forms: Replacement ' ,; • Includes replacing or installing alf,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 [3 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: Danielle Garcia Signature: Danielle Garcia Company: HARRISON ENTERPRISES INC Date: Oct 9, 2012 Address: 31-170 RESERVE DRIVE STE A License: 686310 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488 Reg: 212-A0056382A-000000000-0000 Registration Date/Time: 2012/10/09 15:06:31 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 D. Work Order G,] GENERAL AIR CONDITIONING IIIIIIII IIIIII II III ' `• 140721 www.callthegeneral.com Job No: 31170 RESERVE DR p THOUSAND PALMS CA, 92276 760-343-7488 FAX:760=343-7494 LIC# 686310 Service At: Customer # 116528 Bill To: Customer ,# 116528 Rating: MITCHELL, SANDY 858-775-7970 CELL MITCHELL, SANDY 858-775-7970 CELL 54673 OAKHILL 54673 OAKHILL LA QUINTA CA 9224-7-:X;;? LA QUINTA CA 92249:66 Type: Source: CUST Open Balance: Zone: 3 LQ Map: 5530A3 Paymeht Method: DUE UPON Subdivision: PGA PALMER Credit Limit: Skill: Tax: RIV Service Customer Directions 12/27/11 L/M REC'DRTN YELLOW CARD Instructions PER PATRICK LARRY TO PERFORM INSTALLATION, LESLIE TO CALL ANNE WHEN HE IS AVAILABLE SCH 10/9 2-3PM RODRIG SOLD 4TON R22 CONDENSER ONLY GMC MODEL $4664:00 COLLECTED $400.00 DEPOSIT AUTH 133920 -LTO ANTHONY **LM FOR KERRY AT ALL VALLEY, NEED REG REACH CRANE** Work Sugg Work Done Warranties Type Sys Mfg Model # Call Info Age Type Parts Ends Labor Ends FAU YORK Job Info WOG5427622 �7 Call No.: 140721 Booked by: Anne Job No.:. 140721 Taken: 10/9/12 9:40 AM Type: CONDO Booked Date: 10/9/12 Class: ' REPLACEMENT Taken by: Anne Scheduled: 10/9/12 10:00AM Sched by: Anne Type: CONDO Cust PO: Pri Level: 5 Exnired Ld Src: TECHS SalesPerson: RODRIG Eq Age: LS Ref: Contact: Equipment: Equipment Warranties Type Sys Mfg Model # •!Serial # ` Age Type Parts Ends Labor Ends FAU YORK L48508OB16UHIIB WOG5427622 �7 Filters: 24X24X1 Loc: Size: Agreements Type Agr No Status Sold By Start End Discount Last Visit Next Scheduled SPO1 413717 Renewal 09/02%2012 69/01/2013 20 % SPDISC 9/2012 SPO1 409216 Exnired 09/02/2011'. '09/01/2012 20 % SPOISC 02/63/2012 Service History Call # Date Tech Type Status Bal' -Due Job # 140716 140716 10/09/2012 RODRIG EST Instructions: LTO ANTHONY EST TO REPLACE SYSTEM ANTHONY: LEFT PORTABLE UNIT OVERNIGHT FOR CLIENT SCH 10/9 8:30-9AM Work Done: ::.... Work Sugg: RODRIG SOLD 4TON R22 CONDENSER'ONLY, GMC MODEL $4664.00 COLLECTED $400.00 DEPOSIT AUTH 133920 LTO ANTHONY Call # Date Tech Type Status Bal. Due" Job # 140713 140713 10/08/2012 ANTHNY SVC Instructions: UNIT NOT BLOWING COOL AIR. UNSURE,OF UNIT AGE. IN PALMIER GATE Work Done: Work Sugg: LTO ANTHONY EST TO REPLACE SYSTEM .'.City of La Quinta Building a Safety Division Permit # O16V P.O. Box 1504, 78=495. Calle Tampico La Qulnta, CA 92253 - (760) 777-7012 Building Permit Application and: Tracking Sheet Project Address:. Owner's Name: A. P. Number: ,q ko Its Address: :J D Legal Description: City, ST, Zip:U Ci Contractor: telephone:- ' � ? . �. Address: Project Description: l W�- City, ST, Zip: ( IrY,I� ��/.� �t,l /w) I►. C 4 1 At I it . Total Permit Fees State Lie. # : "6 Lu City Lie. #; 6.6) Arch., Engr., Designer: Address: City., ST, Zip: Telephoner , � ' "w: ;' ,. °. f : ' by ` ,. • Construction T e: yp Occupancy: State Lie.ProJect type (circ one): New. Add'n Alter Repair Demo Name Nae of Contact Person: p (,(c �� Gv`5 c7XL Sq. Ft : #Stories: # Units: Telephone # of Contact Person: -Ila O 3 `1 -3 -7 4 � g' APPLICANT: DO.'NOTWRITE. BELOW THIS LINE . # Submittal Req'd �:;Rec'd TRACKING. PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person' Plan Check Balance Title 24 Calcs. Plans picked no Ciinstruction Flood plain plan Plans resubmitted Mechanical Grading plan 2'1 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 INHOUSE:- 7rd•Reyiew,.ready.for corrections/issueDeveloper Impact Fee Planning Approval Called Contact Person A.I.P.P.. Pub. Wks. Appr Date of permit issue School. Fees Total Permit Fees