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11-1223 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:`" 1-1-0000122.3, Property Address: 55317 RIVIERA APN: 775 -153 -008 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 14375 Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Business and Professionals Code, and my License is in full force and effect. License Class: C20 License No.: 686 ate: 8 r C tractor: O R -BUILDER DECLARATION 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 70001 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 _ 1 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, 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 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 fec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: . JOHN CONSIDINE 55317 RIVIERA LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX ,(760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/10/11 Contractor: GENERAL AIR CONDITIONID� O 31170 RESERVE DRIVE THOUSAND PALMS, CA 922 6 DS� (760)343-7488 Lic. No.. 686310 ( Cl '�Wii A — — — — — — — — — — — — — — — — — — — — — — — — — --- — — — — — — — — — —tel— — — — — — 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. 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 ZENITH INS CO Policy Number Z071741501 _ 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 become subject to the workers' compensation r visions of Section 3700 of the Labor Code, I shall forthwith comply with isionS. t f ate: plicant: WARNING: FAIL RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). 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 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 information is correct. ree to comply with all city and county ordinances and state laws relating to building construction, and h y authorize representatives -0 of this ou ty to enter upon the.above-mentioned property for inspection, ses. ate: ISig ure (Applicant or Agent): `rT Application Number . . . . . 11-00001223 Permit MECHANICAL Additional'desc . Permit Fee . . . . 66.00 Plan Check Fee 16.50 Issue Date . . . . Valuation . . . . 0 . Expiration Date 5/08/12 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 33.00 ------------------------- Special Notes.and.Comments ---------------------------------------------- INSTALL (1) 3 TON & (1) 4 TON HVAC SYSTEMS, FURNACES, COILS & CONDENSERS, 2010 CODES. Other Fees . . . ------------- ------------------------------- . . . . . . BLDG STDS ADMIN (SB1473) ------ --- 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 66.00 .00 .00 66.00. Plan Check Total 16.50 .00 .00 16.50 Other Fee Total 1.00 .00 .00' 1.00 Grand Total 83.50 .00 .00 83.50 LQPERMIT FSimplified.Prescri five.Certificate of Com liancer 2008.Residential HVACAIteraiions CF=1R-ALT-HVAC Climate Zones 10 to I5 2008 Residentinl C'mmnlinnr•n Fnr— Site Address: S5 1 -7 je/ t Enforcement Agency: Date: Permit fl: Equipment T e i List Minimum Efficienc Z Duct insolation requirement Conditioned Floor Area Thermostat ❑ Packaged Unit urnace ❑ AFUE 80 % ❑ COP Over 40 ft of ducts added or Setback tt1ndoorCoil❑SEER 13 ❑ HSPF replaced in unconditioned space Served by system (lfnoralready ondensing Unit ❑ EER / / ❑ Resistance ❑ R 6 (CZ 10-13) sf present, mrtst be her ❑ R 8 (CZ 14-15) installed) 1. Equipment'Type: Choose the equipment being installed; if more than one system, use another CF -1 R -ALT -HVAC for each system. 2. Afinimrim Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFfor 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 CFAR forms (no hand filled CF-4Rs allowed) are filled out and si ed. Beginning October 1, 201.0, a registered copy of the CF -IR and CF -611 shall also be on site for final inspection. 1. HVAC Changeout Required Forms: • All HVAC Equipment replaced CF -6R `orms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R -forms: MECH- 21 andfors lit systems)-- MECH-25 • Condenser Coil and /or • Indoor Coil and/or CF -6R forms: 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 For Packaged Units: Duct leakage < 15 percent Exempte f m duct leakage testing if. LDuct 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 ❑ 2. New HVAC System Required Forms: • Cut in or Changeout with new ducts: (all new ducting and all CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS' new equipment) CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 For Split Systems: Duct leakage < 6 percerit; RC, CCA _> 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with Replacement Required Forms: • Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF4R forms: MECH-20 and (for split systems) MECH-25 coil and/or furnace. Not all 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 linear feet of duct in unconditioned space. CF -6R forms: MECH-04, MECH-2I-HERS CF -411 forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing ducts stems 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. • 1 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 I and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the ' orrn tion documented on other Pplic ompliance forms, worksheets, calculations, andspecifications Plans submitted to the appro, al with t e permit application. Name: L!Ddieen Wai'661 Si tore: Company:Date: CG,en era.( A; r Codd.; f,'on,` Address: 31170 PeS License: City/State/Zip: —�—� �a.L GR --Phone: 760-343-74ff, . 2008 Residentinl C'mmnlinnr•n Fnr— Simplified Prescriptive Certificate: of. Compliance: 2008 Residential HVACAIterations CF -IR -ALT -HVAC 1 Climate'Zoties,10.6Y5 , - ' '• ; ' • Site AddreS%` q r U Enjfi ocemengency: Date: Permit {1: Conditioned Floor , Equipment T e' List Minimum Efficient Z Duct insulation requirement Area Thermostat Packaged Unit urnace AFUE_ rl COP Over 40 ft of ducts added or in unconditioned space Served by system rl Setback (If not already Indoor Coil EER HSP- R 6 . (CZ 10-13) ffelaced sf present, must be Condensing" Unit EER Resistance er R 8 (CZ 14-15) installed) 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1 R -ALT -HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPFfor 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 sighed. Beginning October 1, 2010, a registered. coof the CF -1R and CF -6R shall also be on site for final inspection. 1. HVAC Changeout Required Forms: •AC Equipment replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MECH- 21 and for split systems) MECH-25 • Condenser Coil and /or • Indoor Coil and/or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS 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 For Packaged Units: Duct leakage < 15 percent fro Exe t�E32MD ct leakage testing if - Poet was documented to have been previously sealed and confirmed through HERS verification, or ct systems with less than 40 linear feet in unconditioned space, or 3. Existing ducts stems are constructed, insulated or sealed with asbestos 2. New HVAC System Required Forms: • Cut in or Changeout with new CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS ducts: (all new ducting and all CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 new equipment) For Split Systems: Duct leakage < 6 percent; RC, CCA > 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For. Packaged Units: Duct leakage < 6 percent 3. New Ducts with/or without Replacement Required Forms:. • Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor coil CF -4R forms: MECH-20 and (for split systems) MECH-25 and/or furnace. No or some 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 linear feet of duct in unconditioned space. CF -6R forms: MECH-04, MECH-2I-HERS CF -4R forms: MEC14-21 For splits stem or packaged units: Duct leakage < 15 percent EXCEPTION: Existing ducts stems 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. • 1 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. documented o ther appli able compliance forms, worksheets, • Th a gn features identified on this Certificate of Compliance are consistent with the in6ithth6rmit c ula ons I s ands specifications sub ined the enforcement agency fora roval applicatiqh. Name 1 40— 1041-- Signatur Company: � r Date: Address: � rC � C' ` .1 License: City/State/Zip: Phone: 2008 Residential Compliance Forms March 2010 Ca10ERTS - CF -1R Registration Page- 1 of 1 Public Home Secure Home ` About Us Training Rater Directory Forms Membership Benefits Events Industry Partners News To register for our monthly newsletter, please click here. Danielle Garcia logged in [Logout] [Home] CONGRATULATIONS Your CF -IR -ALT -HVAC Registration is complete! You may want to print this page for your records. Site Address: 5531.7 RIVIERA �La Quinta, CA 92253 CEC Registration: 1211-A0058365A-00000000-0000 CF-IR-ALT-HVAC:ICLICK HERE TO DOWNLOAD Assigned Company: I HARRISON ENTERPRISES INC Do you know your HERS Rater? If you do, you may want to send this CF -IR -to them: - CalCERTS Rater ID: OR _ My Rater Quick Select: Energy Driven Solutions, Inc.; Every CalCERTS rater has a license number. If you need to find the rater by name (Click HEREJ to search our directory. j _..__ SEND�CF-1_R;TO_HERS _RATER,::=•.::_,_;j [CLICK HERE] to do another Copyri,,ht 012010 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: 916-985-34QO,Toll Free: 877-HERS-R8P, (817-437-7787) Fax: 916-985-3402 Contact Us i T BBB': iTWasonFacefrt?gtc©. httns://www.calcert�-cnm/nllhlic cf1R-cf-n?nrciect id=149799 11/9/2011 FINANCING .THRO.UGH: REBA��T��ES rte' * * * Air Conditioning & Heating F: 31-170 Reserve Drive • Thousand Palms, CA 92276 (760) 343-7488 9 Fax (760) 343-7494 www.callthegeneral.com Residential Comfort Survey. INSTALL DATE "ho(04'[411i JOB# 1 J CUSTOMER# NAME OGY15 I'kfU- zz t_ JOB ADDRESS J CITY _Ili - - STATE ZIP CODE C a s PHONE " /CELL FAX SEPARATE BILLING ADDRESS? Cl YES ❑ NO W EQUIPMENT �� )C P EXISTING EQUIPMENT COND W t COND M # S # rOu HO 76 FAUM (�( G (.0 ffD gO2Gg FAU M # S # COIL La�CQO COIL M # S # r 000 TSTAT UNIT LOCATION: FILTRATION CafnwLlo MISC CRANE? ❑ YES ❑ NO SIZE .PERMIT tYES ❑ NO WARRANTY DUCT WO PLATFORM SIZE ATTIC HEIGHT OPENING NOTES 0 FINANCING DAYS ❑ CREDIT CARD ❑ C.O.D. ❑ COSTCO Ca10ERTS - CF -1 R Regis'tration',.;:. Pap I.... of f Public Home Secure dome About Us Training Rater Directory Forms Membership Benefits Events Industry Partners News To register for our monthly newsletter, please click here. Danielle Garcia logged in [Logout) [Home] CONGRATULATIONS Your CF -IR -ALT -HVAC Registration is complete! You may want to print this page for your records. Site Address: 55317 RIVIERA (La Quinta, CA 92253 CEC Registration:1211-AO05840OA-00000000-0000 CF -IR -ALT -HVAC: I CLICK HERE TO DOWNLOAD Assigned Company: !HARRISON ENTERPRISES INC Do you know your HERS Rater? -If-you do, you may want to send -this CF -IR to them. CalCERTS Rater ID: OR__ My Rater Quick Select: Energy Driven Solutions, Inc. _ Every CaICERTS rater has a license number. If you need to find the rater by name [Click HERE/ to search our directory. 1_ ..... SEND_CF-1R_TQ.HERS, RATER, j [CLICK HERE] to do another Copyrigln 452010 CaICERfS. Inc. All rights reserved. Revised: January 11. 2010 [Terms and Conditions] [Privacy Statement] [Class Cancellation Policy] Ca10ERTS, Inc., 31 Natoma St Suite 120, Folsom, CA 95630 Office: 916-985-3400,Toll Free: 877-HERS-R8R, (877-437-7787) Fax: 916-985-3402 Contact Us T BBB finditsonFa"bcok© wR wunmu httr,c-//xanxnat I-A-Prte 1-nm/r111N1; , -fl R f'-FM9"rniP1't ir1=1 dRRIR 1 1 /4/7()1 1 Bin # City of La QuInta -Building 8r Safety Division P.O. Box 15.04, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-_7012 Building Permit-Application and Tracking Sheet - Permit # Project Address: Owner's Name: JO ` , L Yt_� A. P. Number: Address: Legal Description: Contractor:- �� Project Description: �' Telephone: 3 � 'yC�{. �l'iFl:. :.l•nCl; •`.})i:\. •: vry{:: 4'lif:{. :,•W:h�;.}j.,:-:~':;;::v>.:;:?::>;�r: ;•,r:���> +fii:•�\�Q• ii:::: ifii>.iii1J��::'.�:,.�K+x��/.•r �� ,,Q State Lie. # : 3 City Lie. Arch., Engr., Designer: Address: City,, ST, Zip: Telephone:' ,s;' <. • -, „�`.•�:•:,'�.:s•1�,, , Construction Type: Occupancy: Project type circle one` New Add'n Alter Repair Demo State Lie. Name of Contact•Person:.off 66=1`5 0YU Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: -7& O 3'(3 "7 4 ?80 Estimated Value of Project: APPLICANT: DO. NOT WRITE. BELOW THIS LINE # Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes, Reviewed, ready for corrections Plan Check Deposit Truss Cates, Called Contact Person Plan Check Balance Title 24 Cafes. Pians picked up 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:- ''" Reyiew,.ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A•I.P.P, Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees