MECH (11-0513)4 s(P
P.O. BOX 1504 Qum& VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/17/11
Application Number: 11-000 r'ti Owner:
Property Address: 81065 R ELD/S7IL ' GAY BORSARI
APN: 762-400-408 !0� `°Es 81065 MUIRFIELD VILLAGE
Application description: MECHANICF,L'�• LA QUINTA, CA 92253
Property Zoning: LOW DENSI7\` IDSEPIA
Application valuation: 18880
G
Contractor:
Applicant: rch ect o nginee GENERAL AIR CONDITIONING
31170 RESERVE DRIVE
O/ THOUSAND PALMS, CA 92276
In (760)343-7488
Lic. No.: 686310
-------------------------------------------------------------------------------------------------
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 a Professionals Code, and my License is in full force and effect.
Licens ass: C20 License No.: 686310
Date: .5/1 _+/i 6ntractor:
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 andthe 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
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.).
(_ 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 (Sec. 3097, Civ. C.).
Lender's Name: s Q
Lender's Address: t
LQPERMIT
WORKER'S COMPENSATION DECLARATION
1 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.
FI 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 becom ubject to the workers' compensation laws of California,
and agree that, if I should become s jgct to the workers' compensation provisions of Section
3700 of the Labor Code, I shall fo ith comply with those provisions.
6.-t
e: scant:
WARNING: FAILURE TO SECURE WORKERS' CO PENSATION 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 a o e information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildi construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property f inspection purposes.
5a w -
S \ Signre (Applicant or Agentl:
Application Number . . . . . 11-00000513
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . . . 66.00
Plan Check Fee
16.50
Issue Date . . . .
Valuation
0
Expiration Date . . 11/13/11
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
INSTALL 2 SYSTEMS, FURNACES, CONDENSERS
(13 SEER) AND INDOOR COILS. 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
LQPERAIIT
Sim lified Prescriptive Certificate of Compliance:- 2008.Residential HVACAIterations CF -IR -ALT -HVAC
Climate Zones 10 to 15
Site Address: , Enforcement Agency: Date: Permit fl:
6/665 ii!ttir �� l/a L'a
Conditioned Floor
Equipment T e' List Minimum Efficienc z Duct insolation requirement Area Thermostat
❑ Packaged Unit
ft of added or
urnace ❑ APUE 80 �o ❑COP Over 40 f d
dl/ _re laced in unconditioned space
Setback
ndoor Coil ❑SEER 13 ❑ HSPF Served b s sten (!fnot alread
y
ondensing
Unit ❑ EER / / ❑ Resistance ❑ R 6 (CZ 1043) sf present, must be
❑ Other ❑ R 8 (CZ 14-15) installed)
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -I R -ALT -Hi 11 C for each system _
2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFfor 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 mast 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 -611 and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and
signed. Beginning October 1, 2010. a registered ennv of the f F-1 R a -I rG-Ku tet, ,n .,tom h :. f- I- 1 :_ II
so ___.:
•
1. HVAC Changeout
-- -- -- -- ---- -- -•- ••••.. v. v.� u.•u1• alv4 VII Jllc IVI IIna1 ID Colon,
Required Forms:
• 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-25
• 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
ducts: (all new ducting and all
CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS
new equipment)
CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25
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 -4R 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 Packaged Units: Duct leakage < 6 percent
❑ 4. New Ducting over 40 feet
Re uired Forms:
• includes adding or replacing more than
linear feet of duct in unconditioned space.
CF -6R forms: MECH-04, Mm
ECH-2I-HERS CF -4R fors: 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.
• The design features identified on this Certificate of Compliance are consistent with the i orm tion documented on other 1pplic ompiiance forms, worksheets,
calculations, plans and specifications submitted to the enforcement agency for a ro al with t e permit application.
Name: C%e-1 U)0-5'Dil
Sig ture:
Company: 6
�h •erg( %�-� f^ GDKd� �',`o n t`
Date:
(5,43 -
Address'. 31
1'0 /2,1Sen)e n
Id'/ _i ✓ Q1
License:
1o0�3�v
City/State/Zip:-7—�Dt.�SGtno� PQM S, GIq 99-7(,
Phone: -1&0_343--74eg
CaICERTS - CF -1 R Registration
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Hume
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.Rarer Airectorq
Forms
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CONGRATULATIONS
Your CF -1 R -ALT -HVAC Registration is complete!
You may want to print this page for your records.
Site Address
1065 MUIRFIELD VILLAGE
a Quinta, CA 92253
CEC Registration: 1211-A002322IA-00000000-0000
CF-IR-ALT-HVAC:jCLICK HERE TO DOWNLOAD
Assigned Company: I HARRISON ENTERPRISES INC
Do you know your HERS Rater?
If you do, you may want to send this CF -1 R to them.
CaICERTS Rater ID:
OR
My Rater Quick Select: i Energy Driven Solutions,lnc.�
Every CaICERTS rater has a license number.
Ifyou need to find the rater by name [Click HERE] to search our directory.
�� SEND CF -1R TO HERS RATER
[CLICK HERE] to do another
Copynght,fi, 2010 CaICERTS, hic. All rights reserved. Revised: January I I, 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)
Far: 916-985-3402 Contact Us
O'l
f r �
BBB; Find us an Facebook®
https://www.calcerts.com/public—cflR.cfm?project—id=l 13411 5/13/2011
CaICERTS - CF -1R Registration
Page 1 of 1
Hume.
htrout Us
Trnining
Ratar Directory•
Forms
Mcmbcrtibip Demdits
l~cencs
Induury t'urncrs
To register for our
monthly
newsletter, please
click here.
Danielle Garcia logged in [Logout]
[Home]
CONGRATULATIONS
Your CF -I R -ALT -HVAC Registration is complete!
You may want to print this page for your records.
Site Address. 81065 MUIRFIELD VILLAGE
La Quinta, CA 92253
CEC Registration: 1211-A0023224A-00000000-0000
CF-IR-ALT-HVAC:ICLICK HERE TO DOWNLOAD
Assigned Company: IHARRISON ENTERPRISES INC
Do you know your HERS Rater?
If you do, you may want to send this CF -1 R to them.
CaICERTS Rater ID:
OR
My Rater Quick Select: Energy Driven Solutions, Inc
.2
Every CaICERTS rater has a license number.
If you need to find the rater by name [Click HERE] to search our directory.
SEND CF -1 R TO HERS RATER I
[CLICK HERE] to do another
Copyright K, 2010 CaICERTS, htc. 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,Toll Free: 877-HERS-R8R, (877-437-7787)
Fax: 916-985-3402 Contact Us
4
BBB-o-
' Find us un Fdcebook®
su:rt wu.: r�.v
https://www.calcerts.com/public_cflR.cfm?project_id=l 13414 5/13/2011
Bin #
City of La Quinta .
Building 8I Safety Division
Permit #
P.O. Box 1504, 78-495 Calle Tampico ;
1
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: Owner's Name:
a ri
A. P. Number:
Address:
Legal Description: City, ST, Zip:
Contractor: —7 / °,zs`c`}<�`c;•r<.':;r'
Telephone:' ! (p0 %�� {p ;ii: V.; ;S}.:};N\\::.vl•.../ ,
:LrY.•?ii. h>+i/.•Y:4ii{;.•<}.!vii
Address: 3
Y Project Description: _
City, STS Zip V
Si:%jH `pti:•R r±<; '%i'$'%:i>:i}: %jL'rv, �4,`:l::�; ti}y:ij.
Telephone:j3s4
State Lic. # : 3 City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Yi.:,4�:�'�:i':?fritv{:::}£;:::'••r':%:t�f:�+�v:•.: ar:
Telephone: :<.;! •: f'•:.,<w><.. ;.<-> ... ;. •; x<a . . Construction Type: Occupancy:
State Lic. #: )` t:'>':+.:,.;,:•`%f%Y%%•:?:'%%„:
:�:'r.:J:;".':SCC:.
Project type circle one New Add'n After Repair Demo
Name of Contact Person: Sq. Ft..#Stories: # Units:
Telephone # of Contact Person: Estimated Value of Project: % 80 Q
APPLICANT: DO NOT WRITE. BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIUNG
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 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