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12-1039 (MECH)ft P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-00001039 Property Address: 80272 RIVIERA- APN: "-'762-130-017- - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 17106 Tav144Q" Applicant: Architect or Engineer: Ineer: ------------------- LICENSED ONTRACTOR'S DECLARATION 'I hereby affirm under penalty of perjury that I am liceed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and. Prof ionalsCode, and my License is in full force and effect. License Class: C20 nse No.: 686310 Date:1 t 2 Contractor: _ ER -BUILDER DECLARATION .1hereby 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 asigned 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 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 _ 1 I am exempt under Sec. , B.&P.C. for this reason BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 permitis issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT Owner: SCHIEFER HARRY 80272 RIVIERA LA QUINTA, CA 92253 Contractor: GENERAL AIR CONDITIONING 31170 RESERVE DRIVE THOUSAND PALMS, CA 92276 (760)343-7488 Lic. No.: 686310 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/11/12 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 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 sub• ct to the workers' compensation laws of California, and agree that, if I should become subject the the compensation provisions of Section 3700 of the Labor Code, I shall forthwith mply with those provisions. Date: Il 'L Applicant: / WARNING: FAILURE TO SECURE WORKERS' N ATION 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 pertinfation sation of work for 180 days will subject permit to cancellation. I certify that I have -read this application and state that the abovis correct. I agree to comply with all city and county ordinances and state laws relating to building coand hereby authorize representatives of this county to enter upon the above-mentioned property for iurposes. Date: lyl Signature (Applicant or Agent): C Application Number . . . . . 12-00001039 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 66.00 Plan Check Fee 16.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/10/13 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 REPLACE (2)HVAC INITS (1) 3 TON (1) 4 TON SPLITS SYSTEM FURNACE AND INDOOR COIL UNITS. 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 CaICERTS - CF -,1R Registration Page 1 of 1 Di/ G 1 d" L Public Home „� . - ante a arca ogge to [ ogoutj [Home] . - CONGRATULATIONS, Secure Home ' Your. CF- 1R -ALT -HVAC Registration is complete! About us ` You.may want to print this page for your records. - 80272 RIVIERA (SYS 2) - Training f y Site Address: La Quinta, CA 92253 t ` CEC Registration: 1212_A0050137A-00000000-0000 Rater Directory CF- IR-ALT-HVAC.ICLICK HERE TO DOWNLOAD - V Forms - Assigned Company: [HARRISON ENTERPRISES INC _._. __-.____-__.__ `_�__ __-- Membership Benefits 1 Do you know your HERS Rater? ., If you do, you may•want to send this CF -1R to.them, Events CalCERTS Rater ID: I' ' OR Industry Partners ti My Rater Quick Selec t: [--Select From List f Job Placement Every CaICERTS rater has a license number. / Resources If you need to find the rater by name Click HERE to search our directory. - • • 1 -+ � w. ' pfySENDCF 1R;T0 HERS:RAT-ER;t News t - To register for u ' ; [CLICK HERE] to do another OR you can [OPEN and EDIT] this project you just created. our monthly v newsletter, please click here. r ' 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 • s j+ office: 916-985-3400,Toll Free: 877 -HERS -11811, (877-437-7787) ` { Fax: 916-985-3402 Contact Us. - BBB- https://www"calcerts.com/public_cf1R.cf n?project id=213373 9/10/2012 • t Simplified Prescriptive Certificate of .Compliance: 2008 Residential HVAC Alterations CF -1R -ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: . 80272 RIVIERA (SYS 2) La Quinta, CA 92253 City of Le Quinta Sep 10, 2012 Equipment Typel List Minimum Efficiency2 Duct insulation requirement Conditioned Floor Area Thermostat ❑ Package Unit ® Furnace ,® Indoor Coil ® AFUE 78% ® SEER 13.0 ❑ COP ❑ HSPF ❑ R 6 PCZ 10-13) Served by system ® Setback If not already present must be ® Condensing Unit ❑ EER ❑ Resistance ❑ R 8 (CZ 14-15) 1200 sf 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 -4R 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 -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 5 300 CFM/ton (Minimum Air Flow Requirement); TMAH Exempted from duct leakage testing If:. ❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or - [3 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&Il not be Ducted (ie �Auetiess,M4.ini-Split..System)..(Also Exempt frpm Refr�gerant;Charge) 132. NewtHVAC System Required Forms: "` �?,',. . Cut in(or Changeout with new du as; (all new ductin�y' all new ` d" . CF 6(t forms ,MECH-04, MECH ;20 HERS„ and .(for split systems) MECH,22*HERS, and ` MECH 25'HERS 1'- ; + s _ i t 3 equipment) CF 4R -forms: MECH 0, nd (for sp it systems).MECH-22, and MECH=25 " ` _� �-rra..;'• For Split Systems:'D'uct leakage `<p6 percent, RC CCAtt 350 CFM%ton.FWDeTMAH=SIMS, an `eitherHSPP'orPSPP. For Packaged Units: Duct leakage. < 6 percent a ❑ 3. New Ducts with/or without Required Forms: Replacements , . 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 -411 forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA z 300 CFM/tan, 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 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: Daniella Garcia Company: HARRISON ENTERPRISES INC Date: Sep 10, 2012 Address: 31-170 RESERVE DRIVE STE A License: 686310 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488 Reg: 212-A0050137A-00000000-0000 Registration Date/Time: 2012/09/10 19:54:32 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 CaICERTS - CF -1R Registration Page 1 of 1 Public Home Danielle Garcia logged in [Logout] [Home] To register for [CLICK HERE] to do another OR you can [OPEN and EDIT] this project you just created. our monthly newsletter, please click here. Copyright O 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-R8R,(877-437-7787) Fax: 916-985-3402 Contact Us BBg is https://www.calcerts.com/public_cflR.cfm?project id=213371 9/10/2012 CONGRATULATIONS Secure Home Your CF -IR -ALT -HVAC Registration is complete! About us You may want to print this page for your records. Training Site Address -j80272 RIVIERA __ "La Quinta, CA 92253 CECRegi_stration:;212-A_0_050135A-00000000-0000 Rater Directory CF-IR-ALT-HVAC:ICLICK HERE TO DOWNLOAD Forms Assigned Company: [HARRISON ENTERPRISES INC Membership Benefits Do you know your HERS Rater? If you do, you may want to send this CF -111 to them. Events CalCERTS Rater ID: OR Industry Partners My Rater Quick Select: --Select From List Job Placement Every CaICERTS rater has a license number. Resources If you need to find the rater b name Click HERE to search our directory. r.- SEND CF 1 R TO HERS RATER .-- -- News To register for [CLICK HERE] to do another OR you can [OPEN and EDIT] this project you just created. our monthly newsletter, please click here. Copyright O 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-R8R,(877-437-7787) Fax: 916-985-3402 Contact Us BBg is https://www.calcerts.com/public_cflR.cfm?project id=213371 9/10/2012 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF - IR -ALT -HVAC -Climate Zones 10 - 1S Site Address: Enforcement Agency: Date:Permit #: 80272 RIVIERA La Quinta, CA 92253 City of La Quinta Sep 10, 2012 Equipment Typel List Minimum Efficiency2 Duct insulation requirement Conditioned Floor Area Thermostat ❑ Package Unit ® Furnace ® Indoor Coil ® AFUE 78% ® SEER 13.0 ❑ COP ❑ HSPF ❑ R 6 (CZ 10-13) Served by system ® Setback If not already present, must be ® Condensing Unit ❑ EER ❑ Resistance ❑ R 8 (CZ 14-15) 1600 sf 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 -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 -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS . Furnace CF -411 forms: MECH-21 and (for split systems) MECH-25 For Split Systems: Duct leakage < 15 percent; RC, CCA 5 300 CFM/ton (Minimum Air Flow Requirement), TMAH Exempted from duct leakage testing if: ❑ 1. 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. Thesysterriyyv iii not be Ducted (ie,DuctlessMini Split;S,ystem)1{AIso�Exemptwfror► Refrigerot}Charge) 132 . NeWjk4VAC System Required Forms: . Cut m brkChangeout witht new ducts: (all new * , CF�6R forfnsMECH-04, MECH-2 HERS�dsj split systems) MECH-22=HERS, and r+, . ductiRg•dll new MECH, 25 -HERS CF -4 , fb 6: MECH-20, and (for sp it syECH-22, and' MECH-25 . equip ent For Split Systems: Duct leakage :<a6 pen:ent RC;:"CCAW,350 CFM/ton;' FWDI�TMAH, SIMS, and, Other HSPP br` PSPP. For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with/or without Required Forms: Replacement 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 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 z 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 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: Sep 10, 2012 Address: 31-170 RESERVE DRIVE STE A License: 686310 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488 Reg: 212-A0050135A-00000000-0000 Registration Date/Time: 2012/09/10 19:52:47 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 13►n. #Qty. Of l d QuInta BulkUng 8r Safety Division P.O. Box 1504,78-495 Calle Tamptco 4.Quinta, CA 92253 -:(760) 777-7012 Building Permit. Application and Tracking Sheet Permit # X)- ... Project Address: 0 O 2„ � 1 V e rQ Owner's Name:. Chi A. P. Number. 2 J Address: . Legal Description: City, ST, Zip: Contractor. � �-- Address: 3 - 1'j 0 Telephone: Project Description: • City, ST, Zips:, 1,1. Q1ZZ 44 Telephone L/6d)i3— 8' a State Lic. # : ( 3 l D City Lic # Arch , Engr., Designer Address: City, ST, Zip: Telephone: .� Construction Type: Occupancy: ,µM Project type (circle one): New Add'n Alter Repair Demo State Lie. M Name of Contact Pelson: Sq. Ft.: # Stories: # Unity: Telephone # of Contact Person: Estimated Value of Project: 11 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd 'Reed TRAC MG PERMrr FEES Plan Sets Plan Check submitted Item Amount Strad, ural Cales. Reviewed, ready for corrections Plan Check Deposit. . Truss Cafes. Called Contact Person Plan Check Balance Title 24 Calci. Plans picked up Construction Flood plain plan Plans resubmitted.'.. Mechanical Grading plan 2id Review, ready for correctionsrmue Meedical Subcoutaetor List Called Contact Person Plumbing Grant Deed Plans picked up SMI. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- r'd 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