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MECH (13-0581)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000581 Property Address: 43612 MESSINA CT APN: 609-552-022-41 -28458 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 14387 Applicant: TWyl 4 BUILDING & SAFETY DEPARTMENT Architect or Engineer: A___111+_ 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 Business and Professionals Code, and my License is in full force and effect. License Class: C20 License No.: 686310 Date: `]/(0 1 L7 CoWtractor: �� OWNER -BUILDER DECLARATION .1 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 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.). (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 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: TOTTINO DAVID *NOT ON FILE UNKNOWN, CA 99999 Contractor: GENERAL AIR CONDITI 31170 RESERVE DRIVE THOUSAND PALMS, CA (76,0)343-7488 Lic. No.: 686310 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/06/13 4NMAY :;, 'g—.7— 2013 CITY OF UA WORKER'S COMPENSATION DECLARATION 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 jnr 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 Z071741502 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 �,--In�� 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: / I Applicant: 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. 1 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 the above-mentioned property for inspection purposes. � 11'� Date: 41 , Signature (Applicant or Agent): � Application Number . . . . . 13-00000581 Permit MECHANICAL Additional desc . Permit Fee . . . . 42.50 Plan Check Fee 10.63 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/02/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE -OUT - 13 9EER/78 AFUE, (1) 5 TON SYSTEM (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 Fee summary Charged Paid Credited ------------------------------ Due --------------------------- Permit Fee Total 42.50 .00 00 42.50 Plan Check Total 10.63 .00 .00 10.63 Other Fee Total 1.00 .00 .00 1.00 Grand Total 54.13 .00 .00 54.13 LQPERMIT Clay. of La yumd &a tfstMegr Malin P.O. Bm 1504,-7849S CAe > nVW r i.>;.Qdi% CA 92253 -:(760) 777-70 12 Building Permit Application, and Traddng Shut rojeaAddscss 43612 MESSINA COURT 0 ttta'a)tt=. DAVID TOTTING - L P: Number- : 43612 M ESS I NA COURT eget dela Ciry. ST. zip; LA QUI NTA, CA 92253 Joedraexar; GENERAL A/C & HEATING 're {aheae 760-403-3836 W&=, 31170 RESERVE DRIVE ProjoctDriptlau: CHANGE OUT (1) A/C UNIT 5 TON :ity. ST. Zip: THOUSAND PALMS, CA 92276 URNACE 90,000 BTU & COIL Cdc*w 760-343-7488 3= Ur- A : 686310. I.ta K kmh., aw, kdme= lsMeedplaal c, ST. Z41 Tais¢d0n4: Cott tdioaiype Ov=paaay: StaOCI.iais YavjedkYPe(obda = New Wn. Altm Ragatr D7aao Name of (7=LaPm= PATRICK_s4 >n g st ,t r +rww T pe�C.eaiertPetyan 760-343-7488' Ed•VdittofPtojat $14,387.OQ APPUCA ir: DO pear 1fYtRfM MAW THIS UNr= l(Slm Called Coatttt Paaea plea�kDd==. lo. Pub$ *kid up" pua F:M:0A. Y{ns t�.6mltteAPUaneetrlal lsMeedplaal p}� ap S.MAnmval Plaasreatbtalfted CradlnS tN etOUSS;. '^ elpUw. rally Por c atrecliCtl!/(m Devdoper lapet Ba I� { Ptsaalag Appr9v4 caned Caatact Pasoa AUX'. i Pub.Wta.Appr Data atptnu Chas &Aotd rep i Fetal Pcracit pots Com 43612 MES5INA CT. La Quanta, CA 92253 1 City of La Quanta Equip ant Type1 fist Minimum Effitiencyz Duct insulation requirement C E3 Package Unit ® Fur 'ace IRAFUE 78% ❑ COP Im Ind ace Coil ® SEER 13.0 ❑ HSPF R 6 (CZ10-13)Se ® Condensing Unit LlEER E3ta Resisnce 0 R 6 (CZ 14-15) p Other_ CF - May 5, 2013 onditioned Floor Area Thermostat rved by system 0 Setback �02s sf If not already present, must be Installed) --rr••�••- •7Y=• r..woa. �•_ =yNrymvnc oeing IOSr&neof rr more than one system, use another CF -IR -ALT -HVAC ror ead) system. . 2Mfnf unr Equfpnfent Cfffaienctes. 13 SEER, 76% AFUE 7.7HSPF for typical residential systems. "ERS yERIFXCATION SUMMARY Usteir below are FOUR HVAC alteration Options. The Installer decides what—w- ork is being done and pic�s one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left n site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form waas In fact the work completed by the installer. The Inspector also verifies that each appropriate CF -6R and registered CF -411 forms (ho hand filled C3=-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 lRequired Forms: • All HVAC Eouinment ri:,i;R fi,..nc• M=I-u_nw uMr„ _ replacea CF -411. forms: MECH-21 and (for split systems) MECH-25u -" r1CKJ . Condenser Coil and /or CF -6R forms: MECH-04 MECH-2I-HERS and for split stems MECH-25-HERS . Indodr Coil and /or � ( p � y ) . Furnace CF -AA -forms. MECH-21 and (for split systems) MECH-25 "or Spp11t Systems: Duct IeaK�ag�ex�:l`5 perceent, RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH :xe_ meted:from duct ieaagp; testln ;f:.. Dutt;Csy!s>eitt-.ivasdocUitefled-to have been previously seated and confirmed through HERS verification, or DUt Sjiems:with less eh x;40; linear feet in unconditioned space, or [1i3:.Existing`:t(uctsystems.ace:nstntcted, Insulated or sealed with asbestos 0..::Tt1e�lpaalMill not b'e;Di:rCI`iEt"�1? ❑ 2. Nf OW,u --... - Sy ttequ! ..a: • Cut i, hgeout w w :(ala e: H-04', i RS lit : nenew sy, IMEG RS' - - - du equip. '^ 0� : �'.. For Spii For ... F RpldC� l i l!f°�oa.wttjrol P Required Forms: . Includes replacing or lnstallinq',: a ll new ductin� and/or outdoor;cakrdi'rig unit CF -611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/of Indoor coil and/or:fucrtd : r';:No or some CF -4R forms: MECH-20 and (for Split systems) MECH-25 equip ent changed. Por Split Systems: Duct leakage . 6 percent; RC, CCA >_ 300 CFM/ton, TMAH For Pa ed Units: Duct leakage < 6 percent O 4. Nein► Ducting over 40 feet Required Forms: • Tnclucls 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 !"orspit system- or packaged units: Duct leakage < 15 percent l7 EX PTTON: 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 documentatlon is accurate and complete. • I am eligible under Dlvlslon 3 of the California Business and Profession's Code to accept responsibility for the design identified on this Certificate of Compll nte. • 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 desjgn features identified on this Certificate of Compliance are consistent with the Information documented on other appilcable eompllance forms, N forksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the.permlt application, fame: Danielle Garcia Signature: bonlelle Garcia �omfi_pany} HARRISON ENTERPRISES INC Date: May 13 5, 20 4ddress: 131-170 RESERVE DRIVE STE A License: 6 May 5, 20 !ity/Stat /Zip: THOUSAND PALMS / CA / 92276 10 Phone: (76343-7488 i Reg: 213�A0026893A-000000000-0000 Registration Date/Time; 2013/05/05 11:49:23 HERS Provider: Ca10ERTS, Inc. 2008 Res}dential Compliance Forma I July 2010