MECH (11-0856)P.6 BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:00000856.
Property Address: w -79710 --MISSION DR E
APN: 649 -750 -031 -
Application description: MECHANICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 7400 •
A
Architect or Engineer:
a[�
LTJ
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
UrY OF LA QUINTA
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am l"'s!
c sed under provisions of Chapter 9 (commencing with -
_ Section 7000) of Division 3 of the Business and Pr ssionals Code, and my License is in full force and effect. ,
License Class: C20 License No:: 686310
/ (f � ntractor: ,I
...///O ER -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).:
(_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and /11
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, 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 contractors) licensed
pursuant to the Contractors' State License Law.). - -
1 —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 ISec. 3097, Civ. C.)•
Lender's.Name:
Lender's Address:
LQPERMIT
Owner:
JUDY BRUECHERT
79710. MISSION DRIVE EAST
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: 8/09/11
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 EVEREST NATL Policy Number 7600006147101
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 b e subject to the workers' compensation laws of California,
and agree that, if I should becont, 4ubject to the workers' compensation provisions of Section
3700 of the Labor Code, I shallr hwit comply with those provisions. -
ate: Ap ' nt: -
WARNING: FAI E TO SECURE WO MPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,0001- 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 stJtheinformation is correct. I agree to comply with all
city and county ordinances and state laws relastruction, and hereby authorize representatives
of this county to enter upon thea e-mentiop purposes.tet Q Si ure (Applicant or A
.J
Application Number . . . . . 11-00000856
Permit. . . . MECHANICAL
Additional desc
.
Permit Fee . . . . 40.50
Plan Check Fee
10.13
Issue Date . . .
Valuation . . .
0
Expiration Date 2/05/12
Qty Unit Charge Per
Extension.
BASE
FEE
15.00
f"1.00 9.0000 EA MECH
FURNACE <=100K
9.00
1.00 16.5000 EA , MECH
B/C >3-15HP/>100K-500KBTU
16".50
-------"----------------------------------------=----------------------------
Special Notes and Comments
INSTALL NEW 3 TON HVAC SYSTEM
(CONDENSER, COIL & FURNACE). 2.010
CODES.
-----------------_-_------------------
Other Fees BLDG
STDS ADMIN (SB1473)
1.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 40.50
.00 .00
40.50
Plan Check Total 10.13
.00 .00
10.13
Other Fee Total. 1.00
.00 .00
1.00
Grand Total 51.63
.00 .00
51.63
z
LQPERMIT
-
Sim lified Prescri tive Certificate of Compliance:- 2008, Residential HVA C Alterations CF -IR -ALT -HVAC
Climate Zones 10 to 15
2008 Residential Compliance Forrns A f -,.ti 'min
•All HVAC Equipment replaced
CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS
--
CF -4R forms: MECH-'21 and fors lits stems) MECH-2-S
• 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
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
❑ 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 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
CF -41Z 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 Packa ed 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 -611 forms: MECH-04, MECH-2I-HERS CF -4R 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.
• 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 I and 6 of the California Code of Regulations.
• "rhe design features identified on this Certificate of Compliance are consistent with the ' orn tion documented on otherrpplir ompliance forms, worksheets,
calculations, and
plans specifications submitted to the enforcement agency for appro al with t e permit application.
Name:CO I! eeh U)O_� &Dkl
Sig tore:
,
Company.
6en-e-raj 41 r ``
Date:
Address:
7b 12eseiU2
License: iro8�o3/U.
City/State/Zip: ��D� ', GY} �'a-2--7Co
Phone: 760-343-74ti.';'
2008 Residential Compliance Forrns A f -,.ti 'min
Ca10ERTS - CF -1R Registration
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CONGRATULATIONS
Your CF -IR -ALT -HVAC Registration is complete!
You may want to print this page for your records.
Site Address: 79710 MISSION DRIVE EAST
La Quinta, CA 92253
CEC Registration: 211-A0040243A-00000000-0000
CF -IR -ALT -HVAC: CLICK HERE TO DOWNLOAD
Assigned Company:IHARRISON ENTERPRISES INC
Do you know your HERS Rater?
If you do, you may want to send this CF -1R to them.
Ca10ERTS Rater ID:
OR
............
—
My Rater Quick Select: The Energuy CA LLC
Every CalCERTS rater has a license number.
If you need to find the rater by name [Click HERE) to search our directory.
j . SEND;CF-1R:T.,O HERS -RATER, , , �
[CLICK HERE] to do another
Copyright 02010 C.aICERfS. fne. AI] 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,Toll Free: 877-HERS-R8R, (877-437-7787)
Fax: 916-985-3402 Contact Us
BBB t!pd% or,FaCebOOk(j.
.............'...... _a.. ...........::•..
https://www.calcerts.com/public cf1R.cfm?project id=130234 8/8/2011
Dili it
City of La Quinta
Building U Safety Mislon
Box 1504, 78-495 Calle Tampico y
La Quinta, CA 92253 -'(760) 777-7012
Building Perm -it -A it -Application and Tracking pp ckmg Sheet
Permit # 5P.O.
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Projeot Address: q—M) -I 1 kS51,, 8y1
Owner's Name: 6.rwec .,� .
A. P. Number:
Address: -7 '-liD O. L—i
City, ST, Zip:
Legal Description:
Contractor:1�
Telephone: - (20 1 11
Address:
City, ST, Zip:'��7
Project Description:37V)l C
Telephone:
State Lie. # : 3
City Lie.
Arch., Engr., Designer:
.
Construction Type: Occupancy:
Address:
City., ST, Zip:
Telephone:' • ;,<;�:,:;�:>.�:. :.>.:. • .. :. �} ..,,�
c, , £xE<< •<`:.,., < :: r ; .
State Lie. #: ;'••%,.•`•:: r<.i>;;:ex:;<;:•;::<;:.>;<>:::::,:;s.; #t:.:
'`
Project type (circle one): New Add'n Alter Repair Demo
-T-
Name of ContactPerson-
—7
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person: `l
Estimated Value of Project:
APPLICANT: DO. NOT WRITE.13ELOW THIS LINE
#
Submittal
Plan Sets
Req'd
Recd
TRACMG
Plan Check submitted
PERMIT FEES
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
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:-
7rd 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