11-1140 (MECH)-.,P.O. BOX 1504
r ,�
1,8-495 CALLE TAMPICO
CO t =1,T-NC�
LA QUINTA, CALIFORNIA 92253
WAY, 101
CA[92
Application Number: 11-1000.01140 ".:_
_ LA)y
Property Address: 78885 MORNING
STAR
APN: 609-560-053-53
-23773
Application description: MECHANICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 6800
Applicant: Architect or Engineer:
PIP
BUILDING & SAFETY DEPARTMENT
. BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am license under provisions of Chapter 9 (commencing with'
Section 7000) of Division 3 of the Business and Profes - nals Code, and my License is in full force and effect.
License Class: C20 license No.: 595145
Date: 1 ntractor:
NER-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.).
I _ 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.AP.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:
DANIEL PORRAS
78885 MORNING STAR COURT
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/17/11
-
Contractor:
r ,�
DCS HEATING/AIR
CO t =1,T-NC�
72078 CORPORATE
THOUSAND PALMS,'
WAY, 101
CA[92
(760) 343-5566
G1+Y
I iaw1�/�y' N TA
LiC. No.: 595145
rdP.l Aad".,
----------------—--------------------------——--
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 HARTFORD INS Policy Number 72WECLS7131 -
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 ome subject to the workers' compensation laws of California,
and agree that, if I should bec subject to the workers' compensation provisions of Section. .
3700 of the Labor Code, I shal rthwith comply with those provisions.
Xpficam: � .
WARNING: FAILURE TO SECURE WOR SCOMPENSATION 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 abov nformation is correct. I agree to comply with all
city and county ordinances and state laws relating to building struction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for pection purposes.
Xte: l0 (} Sig (u/re (Applicant or Agent):
LQPERMIT
Application Number . . . . . .11-00001140
Permit . . . MECHANICAL
Additional desd .
Permit Fee 40.50
Plan Check Fee'.
10.13
Issue Date
Valuation . . . .
0
Expiration Date•. 4/-14/12
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 9.0000 EA MECH
FURNACE <=100K
9.00
1.00 16.50.00 EA MECH
B/C >3-15HP/>100K-500KBTU
16.50
----------------------------------------------------------------------------
Special Notes and Comments
INSTALL NEW 3 TON HVAC SYSTEM,
CONDENSER, COIL AND FURNACE. 2010.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
LQPERMIT
site
,agency: Date: Permit #:
,,,_ LO -1 _
ant Type' Lis[ tvtmrurum iiuw+ "- ------
rzdensing
d Unit a� Over 40 ft of ducts added or
ASE / D ®COP laced in unconditioned space Served by system 5n=,tp
Coil EER 1� ®SPF — be
R 6 (CZ 10-13) sf nskdlb noa<
Unit EER l L Resistance R 8 (CZ 14-15)�
1. Equipment Type.• Choose the equipment being installed, if more than one system, use another CF--IR-ALT-HVAC for a system
Z Minimum Equipment Efficlendes: 13 SEER 78% AFM, 7.7HSPFfor typical residential systems. done and
HERS VERIFICATION sUM3IARY Listed below are four HVAC alteration Options. The installer decides what work is being
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
work listed on thi
inspection and a copy given to the homeowner. At final, the inspector verifies that the s form was is 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
:-#-. A ,.,,�v of the CF -1R and CF -6R shall also be on site for final inspection
......
. HVAC Chan eout Required Forms:
CF -6R fonts: MECH-041 IvIECH-2I-HERS and (for split systems) MECH- 25 -HERS
• All HVAC Equipment replaced CF -4R forms: MECH- 21 and for split stems MECH 25
• Condenser Coil and/or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS
• Indoor Coil and /or CF -4R forms: MECH- 21 and (for split systems) MECH-25
• Furnace
For Split Systems: Duct leakage < 15 percent; RC, CCA >_ 300 CFM/ton(Minimrim Air Flow Requirement), TIVIAH
For PacV2DW
nits: Duct leakage < 15 percent
Exem leakage testing if Previously sealed and confirmed through HERS verification, or
system was documented to have been preY
systems with less than 40 linear feet in unconditioned space, or
duct wMems are constructed, insulated or sealed with asbestos
02. New HVAC SYStem Required Forms:
• Cut in or Changeout with new CF -6R forms: IvtECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS
ducts: (all new ducting gLd all CF -4R fog: MECH 20-, and (for split systems)NECH-22, and MECH 25
neweentSTMS, and either HSPP or PSPP.
For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH,
For Packaged Units: Duct leakage < 6 percent
F713. New Duds with/or without Replacement Required Forms: 1\lECH_25-HERS
• Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,aadhECH 25it systems)
and/or outdoor condensing unit and/or indoor coil CF -4R forms: MECH-20 and (for split systems)
and/or furnace. No or some equipment changed
For Split Systems: Duct leakage < 6 percent, RC,300 C;FM/ton, TMAH
For Packaged Units: Dud leakeae < 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 CF -4R forms: MECH-21
linear feet of duct in unconditioned space,
For split system or packaged units: Duct leakage < 15 percent
_E3 EXCEPTION:Existing duct systems constructed, insulated or sealed with asbestos.
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
• I cer* that this Certificate of Compliance documentation is accurate and complete. nsrbrl for the design identified on this Certificate of Compliance.
• I am eligible under Division 3 of the California Business and Professions Code to accept respo requirements of Title 24,
I certify that the , features and performance specifications for the design identified on this Certificate of Compliance conform to The
Parts 1 and 6 of the California Code of Regulations• t with the inforntatjorr�d°cume .tear applicable compliance forms, worksheets,
• The design features identified on this Certificate of Compliance are comisten d(e rdut appl5n,
. _ • .. .,._
.&__w w *O m fnT anwoval with Ira
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ri
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Phone: E
/0 //qL/
61 F693(0
CaICERTS - CF -1R Registration
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Your CF -IR -ALT -HVAC Registration is complete!
You may want to print this page for your records.
Site Address: 78885 MORNINGSTAR WAY
La Quinta, CA 92253
CEC Registration: 211-AO05355OA-00000000-0000
Forms
CF -IR -ALT -HVAC: I CLICK HERE TO DOWNLOAD
Assigned Company: 1HARRISON ENTERPRISES INC
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Copyri-hi 02010 CalCF.RTS. Inc. A11 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
R I ...... ...... ... ......... .. B ....-...... .... f-Indu9gnF&cQb60kG
smrt wpm m,u
https://www.calcerts.com/public—cflR.cfin?project—id=143763 10/14/2011
p
n
Bin # City of La Quinta
Building 8i Safety MUM
Permit # D P.O. Box 1504, 78-495 Calle Tampico
`Ik La QWnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
APPUCANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted Item Amount
WN
Structural Calcs.
.t
•
•
Reviewed, ready for corrections Plan Check Deposit
MEN"��
Truss Calcs.
Called Contact Person Plan Check Balance.
Title 24 Calcs.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
•.1
Grading plan
2°° Review, ready for correctionstissue Electrical
Subcontactor List
Name 1 Contact
N/J//////i l}:iti.*: f. • }.G%C. •.�i/ ./Project
's
1
type (circle one): New Add'n Alter RepairDemo
Plans picked up S.M.L
U0
ILO -AL Approval
Estimated Value of Project:
• I
APPUCANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
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
2°° Review, ready for correctionstissue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.L
ILO -AL Approval
Plans resubmitted Grading
IN HOUSE:
''d Review, ready for cormctionstissue Developer Impact Fee
Planning Approval
Called Contact Person A.I P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees