MECH (13-0059)P.O. BOX 1504
78-495 CALLE TAMPICO•
LA QUINTA, CALIFORNIA
92253
Application Number:
33'-0000005`9
Property Address:
670 OUNTAIN VIEW
APN:
762-320-005-4 -29147 =
Application description:
MECHANICAL,
Property Zoning:
LOW DENSITY RESIDENTIAL.
Application valuation:
32333
Applicant' Architect or Engineer:
7
t � .
'BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licen under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Profe onals Code, and my License is in full force and. effect.
Lice a Class: C20 Lic rise No.: 68.6310
t
Date: (� tractor:
-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 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 tie 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 _ ) 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:
LEE BRADFORD
56705 MOUNTAIN VIEW
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: 1/17/13
WORKER'S COMPENSATION DECLARATION
1 hereby affirmunder 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 Z071741502
_ I certify that, -in the performance of the work for vAich this permit is issued,) shall not employ any
person in any manner so as to become subiec the workers' compensation laws of California,
and agree that, if I should become subject to II e workers' compensation provisions of Section
3700 of the Labor Code, I shall forthwith co p with those provisions.
ate: i 3 64icant:
WARNING: FAILURES TO SECURE WORKERS' CO ENSA ION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3,706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a pfrji subject to t
conditions and restrictions set forth on this application. (/ d
1 . Each person upon whose behalf this application is made, each person a reques r.>),r
whose benefit work is performed under or pursuant to any permit issu s result of this ap Rise 'o
the owner, and the applicant, each agrees to, and shall defend, inde a hold h rg^je�ss the City
of La Quinta, its officers, agents and employees for any act or omiss' n rel ed to t6 heinp.
performed under or following issuance of this permit. � ��rr��,r7777 1 <9
2. Any permit issued as a result of this application becomes null and v id if wor commenced 13
within 180 days from date of issuance of such permit, o ssati of work0 ill subject -
permit to cancellation. c,
I certify that I have read this application and state that the above inf tion is correct. I
city and county ordinances and state laws relating to building constr ion, and hereby authorize rep
of this county to enter the above-mentioned property for insp ion ses.
Date: / r r/ f } S' nature (Applicant or Agent): '
D
Application Number._. . . . . 13-00000059
Permit . . . MECHANICAL
Additional'desc .
Permit Fee . . . . 66.00 Plan Check Fee-.
16.50
Issue Date . . . . Valuation . . .
0
Expiration Date 7/16/13
Qty Unit Charge Per
Extension
BASE FEE
15.00
2.00 9.0000 EA MECH FURNACE <=100K
18.00
2.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU
33.00
-------------------------------------- ----------------
Special Notes and Comments
HVAC CHANGE -OUT: (1) 3 TON COMPLETE.
SYSTEM & (1) 5 TON COMPLETE SYSTEM. 2010
CODES.
---------------------------------------------
Other Fees . . BLDG STDS ADMIN ($B1473)
2.00
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 2.00 .00 .00
2.00
Grand Total 84.50 .00 .00
84.50
LQPERMIT
:City of La Quinta
Building & Safety Division
Permit # (.�� P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: � . Mbu �.+- .� . V jJ Owner's Name:y T� �F•
A. P. Number: S Address:
Legal Description: City, ST, Zip: (R22.412-
R22 2 -Contractor:
Contractor:
Telephone: ;:`•>, ?. s ' ' !.
`511 Address: Project Description:V
City, ST, Zip: Y
l! f_M113
Tele hone:4 ,v, •.{.n: y g H, ..:.. f; 1 ,
P f< . t,:: ;r.; fin . J S
State Lic. # : 3� CityLic. #;C,yO {e�
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone
µ,,,gf• . Construction Type: Occupancy:
type (circle one): New'. Add n Alter Repair 'Demo
State Lic.fr,�
.,� �.Project
Name of Contact Person: p �•(e �� 60,,;6s ZML., -Sq. Ft.: '
# Stories:
# Units:
Telephone # of Contact Person: "7!o O 31 c13 -7 4 Estimated Value of Prom;_ _ ^
APPLICANT: DO NOT WRITE. BELOW THIS LINE
#
Submittal
Req'd
Rec'•d
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Tithe 24 Cities.
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
'rd 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
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -1R -ALT -HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
56705 MOUNTAIN VIEW SYS (1) OF (2) La Quinta, CA 92253
City of La Quinta
I Jan 17, 2013
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area.
Thermostat
❑ Package Unit
® Furnace
® Indoor Coil
® AFUE 78%
® SEER 13.0
❑ COP
1]HSPF
[3 R 6 (CZ 10-13)
Served by system
® Setback
If not already present, must be
® Condensing Unit
[3 EER
[3Resistance
❑ R 8 (CZ 14-15)
2501 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 CF76R 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 -IR
and CF -6111 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 <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH
-4 leakage. 4 15
peFeeRt
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
p 4. The system will not be Ducted (ie ,Ductless,,Mini-Split System);(Also-Exempt:from Refrigerant -Charge)
❑ 2. New HVAC System
Required'Fbrrns i
1 4`
. Cut in or;Changeout with
new duets: (all new
CF 6R forms -,MECH-04 MECH 2O -HERS wand (for split systems) MECH 2Z HERS, and
#
g_an
ductin d all new
MECN;25 RS _ € Y v
;HE x
CF�-4R forms MECH-20, and ;(for split systems) MECH 22, antl MECH-25 ,w
equipment) ,
..
For Split Systems: Duct leakage < 6` ertent RC, CCA 27350 CFM/ton'; fWD -TMAH; SIMS, and'eith6r HSPP or'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 -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 -4R forms: MECH-20 and (for split systems) MECH-25
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
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: Jan 17; 2013
Address: 31-170 RESERVE DRIVE STE A License: 686310
City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488
Reg: 213-A0003375A-000000000-0000
2008 Residential Compliance Forms
Registration Date/Time: 2013/01/17-11:20:21 HERS Provider: CalCERTS, Inc.
July 2010
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations -CF-IR-ALT-HVAC
Climate Zones 10 - IS
Site Address:
Enforcement Agency:
Date:
Permit t0:
56705 MOUNTAIN VIEW SYS (2) OF (2) La Quinta, CA 92253
City of La Quinta
]an 17, 2013
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
® Furnace
® AFUE 78%
❑ COP
❑ R 6 (CZ 10-13)
Served by system
® Setback
® Indoor Coil
® SEER 13.0
❑ HSPF
R 8 (CZ 14-15)
2501 sf
If not already present, must be
® Condensing Unit
❑ EER❑
❑ Resistance
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 -IR
and CF -611 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 <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH
leakage 15
.Fm Duet -i peFeeRt-
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. The system will not be Ducted (ie Ductless Mini-Split,-System)=.(Also;Exempt,-from,RefrigerantLCharge)
❑ 2. New; VAC System
Required Forms:`
. Cut in or hangeout with
r
CFz6R forms MECH-04 MECH 204HERS and (for split systems) MECH 22 HERS and
new ducts. (all new
ductmg`and all new
y ;� F
MECH 25 HERS
{ « `}
CF 4R forms wMECH- 0, and�(for split systems) MECH 22, and MECH-25
e ui merit
For Split Systems: Duct leakage`<r6 pertenty RC CCA',* 350 CFM/ton;., WD,:iTMAH, SIMS, and "eitKer HSPP of 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 -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 -4R forms: MECH-20 and (for split systems) MECH-25
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
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
[3 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: ]an 17, 2013
Address: 31-170 RESERVE DRIVE STE A License: 686310
City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488
Reg: 213-A0003378A-000000000-0000 Registration Date/Time: 2013/01/17 11:23:00 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms July 2010