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14-0064 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000064 Property Address: 55341 RIVIERA APN: 775 -153 -007 - Application description: MECHANICAL . Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 16500 Applicant: Architect or Engineer: uu�Giw jjj�p 4Ovnl D FA I I BUILDING & SAFETY DEPARTMENT 1\�' ;�AA4rW MONS l BUILDING PERMIT �I CITY AF LA QUINTADate Owner: I FINANCE DEPT. MATERICK, RONALD E. TRUST T 16 LOCHINVAR LANE OAK BROOK, ILLINOIS OAK BROOK, IL 60523 ------------------ 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 Business and Professionals Code, and my License is in full force and effect. License Class: C20 _ License No.: 686310 D te: a �Z 1 Co ractor: -mss ` 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—) 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 _ 1 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.). I—) 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 Contractor: GENERAL AIR CONDITIONING 31170 RESERVE DRIVE THOUSAND PALMS, CA 92276 (760)343-7488 Lic. No.: 686310 777-7012 777-7011 777-7153 1/22/14 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificateof 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 fsued. 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 Z071741503 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 provisions of Section V 3700 of theLa or Code, I shall forthwith comply with those provisions. Date: l N} Applicant: - s 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 ($100,000). 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. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon th ove-mentioned property for inspection purposes. Dat . V Signature (Applicant or Agent): Application Number . . . 14-00000064 Permit MECHANICAL 2013 Additional desc . Permit Fee . . . . 71.50 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 7/21/14 Qty Unit Charge Per Extension 1.00. 35.7500 EA MECH FURNACE 35.75 1.00 35.7500 EA MECH CONDENSER/COMP 35.75 00 35.7500 EA MECH AIR HANDLER .00 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE OUT - 78 AFUE, REPLACE (1) 3 TON FAU & COIL AND (1) 4 TON FAU & COIL, REPLACE 20 DUCT RUNS[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 summary Charged 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 LQPERMIT Bin # City of La Quinta Building &' Safety.Division P.O. Box 1504, 78-495 Calle Tampico la Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # l(/ P Project Address: 3c.) 1 v x e C_Owner's Name: 1Zo.� A. P. Number: Address: 55 314 1 cv ex eL Legal Description: City, ST, Zip: L Contractor: Ge.Y.Gre.t AZr Telephone: '( -- Address: 3 '1110 _j�esr r v c U r Project Description: City, ST, Zip: Tnuvso_v.a CA C(2.2 -7L. 1�>CL,ac— Q 3 *cv, PAU Co-\ t Telephone: -??,>.}: 60= 3� 3 �N8& .:.:;::::::>;:>i:; •:�;:!:; :.,,:' (�'� 10. CG ( }ov1 1PA U Co t State Lic. # : (0 '(0310 CityLic. . acc ZO Arch., Engr., Designer: Address: City., ST, Zip: Telephone: -,;i;;;:,;:•. State Lic. #: Name of Contact Person: Construction Type: Occupancy: Project a circle one): New Addn Alter Re air Demo type ' J ) P Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: EstimatedValue of Project: •- I b, Soo - ©O APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd 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 up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2od 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:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person • A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 2 9sfiervl Z- yto>1 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAlterations CF -IR -ALT -HVAC Climate Zones 10 - 15 1 Site Address: Enforcement Agency: Date: 7 Permit #: 55341 RIVERA La Quinta, CA 92253 City of La Quinta Jan 20, 2014 Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace ® AFUE 78% E3 COP L3 R 6 (CZ 10-13) Served system ®Setback ® Indoor Coil [3 SEER ❑ HSPF R 8 (CZ 14-15) 2353 sf sf if not already present, must []Condensing Unit p EER ElResistance be installed) ® Other > 40' Ducts 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 -IR and CF -6R shall 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 • Indoor Coil and /or CF -6R farms: MECH-04, MECH-2I-HERS and,(for split systems) MECH-25-HERS • Furnace CF -4R. farms: MECH-21 and (for split systems) MECH-25 For Split Systems: Duct lea e:,, .15 percent; RC, CCAS 300 CFM/ton (Minimum Air Flow Requirement), TMAH FIMParakagedUni 45 per Exempted from duct leakage testin. f:. p 1: Duct"system'was documented to have been previously sealed and confirmed through HERS verification, or p 2. Duct systems with less thiol'.:40.1inear feet in unconditioned space, or ❑ 3. Existing duct systems are Constructed, insulated or sealed with asbestos. Q:4. Th=T will not be Ducted (ie:„Ductless lNrimi Sp1it;5ystemJx;(Also Exempt frorta Refrrg ranti+arge) _. C tem <. - Re tiir. - .Cut in or Changeout with ducts..(all :..:... CF 6R forms NfECH-04, MECH 2O HERS and (for split §ysterns) MECH `22 HERS, and 'i4i new new ductsn afl. .orad q,..— .� t:CF�4R-forrns>::MECH -,..:.:. R ,.. .::...........::.:;......,:,.,:.;-;:::.:::1;::�"•" 20;. at�d (for split systems) �NECH-22, end MECH 25 ;'3 ,:r:..:.�;: � equip For Splitt"", terns Dud leakage < 5 pereen[, {tG, SCA z 36D CFM/ton, F1ND, TMS} ,SIMS, and either HSPP or`PSPP. For Packaged Uiiiifs- Dud 0 3. Ne.w.:Dercts With/or witliotft `:::::: Required Forms: . Includes replacing or installing all new ducting and/or outdoor condensing: unit CF -611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or fiirnacez No or some CF -4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC, LCA >_ 300 CFM/ton, TMAH For Packaged Units: Dud 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 -411 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 oonforrh 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: Dayana Valdez Signature: Doyono Valdez Company: HARRISON ENTERPRISES INC Date: ]an 20, 2014 Address: 31-170 RESERVE DRIVE STE A License: 686310 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488 Reg: 214-A0004587A-000000000-0000 Registration Date/Time: 2014/01/20 19:43:08 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 f Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAlterations CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Add ress:Enforcement Agency: Date: Permit #: 55341 RIVERA La Quinta, CA 92253 City of La Quinta ]an 20, 2014 Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ®Furnace ®.AFUE 780/6 ❑COP[3 R 6 (CZ 10-13) Served by system ®Setback El Indoor Coil ❑ SEER ❑ HSPF ❑R 8 (CZ 14-15) 2353 sf If not already present, must [3 Condensing Unit Ll EER Ll Resistance be installed) ® Other> 40' Ducts , 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 -1R 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 -411 forms: MECH-21 and (for split systems) MECH-25 . Condenser Coil and /or . Indoor Coil and /or CF -6R farms: 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 Fe. Parskaged lin:.... tl..h t.... I....::.:::i Y C p nt Exempted from duct leakage testingff:. s to have been previously sealed and confirmed through HERS verification, or ❑ I. Duct system wadocumented ❑ 2. Duct systems with less thap:A0.1inear feet in unconditioned space, or ❑ 3. Existing duct systems arei.... ructed, insulated or sealed with asbestos ❑ 4. The system wiU not be Ducted (Ie }D;uctless Nltni. Split;5;ystem) jAlsa Exempt from Refngera r Charge) ❑ 2 New.. VA ai . C S tem q�.;,::.;�; :..::.;.....:;z. Re u�r iF06-6n' _ed..s........:.:.:.....:>:,::>.:�= . Cut m or Changeout with 6R#awns MECH-04, MECH213HERS, and (forspld systems)MECH22 HERS; and:.:.'...:,'.::::::>:::`;':" new dac#s :(all new d ct n -a d n va .. .. g. ail e. . ,... _<:<.. �-L'—fortrt�:�:MECH-iO; ,: MECH>.25.HE S ': ,.. ;:: b _ <_ :...,,... anck (for spLt systems} MEtrFl.-Z2, and_MECti 25 sr�.:<,<::.�t<.:.:-Y��-:'.;r:;;�:' •. equip cit ...._�. For Split Systeens Duct leakage < 5: percent, i2G, CCA > 35D CFMJto(i.FWD; TMRH, STN15, and either HSPp or'PSPP. ... ..... For Packaged`Units Duct - leaka` g...:.... p ❑ 3. New;Ducts;weth or withotftc:;;:: Required Forms: " Ridpli . Includes replacing or installing a1E "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 ibrnace 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 -611 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: Dayana Valdez Signature: Doyon Valdez Company: HARRISON ENTERPRISES INC Date: ]an 20, 2014 Address: 31-170 RESERVE DRIVE STE A License: 686310 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488 Reg: 214-A0004585A-000000000-0000 Registration Date/Time: 2014/01/20 19:40:12• HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms, July 2010