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MECH (13-0087)-r P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000087 Property Address: 81125 NATIONAL DR APN: 767-500-006- - - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 36461 Applicant: Architect or Engineer: .1 bwL_ BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION _ I heaffirm 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: i B Contractor: 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 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 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: _ Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/28/13 Owner: RAAEN DALE A 81125 NATIONAL DRIVE LA QUINTA, CA 92253 (760) 777-1395 I I UI u GENERAL AIR CONDITIONIA e JAN 2 9 2013 IUB r 31170 RESERVE DRIVE THOUSAND PALMS, CA 922 (760)343-7488. Lic. No.: 686310 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 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 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: Y 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 1$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 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. Date: 13 Signature (Applicant or Agent): Application Number . . . . . 13-00000087 Permit MECHANICAL Additional desc . Permit Fee . . . . 91.50 Plan Check Fee 22.88 Issue Date . . . . Valuation 0 Expiration Date 7/27/13 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 3.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU. 49.50 ----------------------------------------- Special Notes and Comments ---------------------- ------------- REPLACE (3)A/C UNITS (1) 3 TON, (1)4 TON (1) 5TON REPLACE (3)FURNACES (1)70K BTU, (2) 90K BTU 2010 CODES. -------------------_---------------------------------------- Other Fees . . . . BLDG.STDS ADMIN (SB1473) 1.00 Fee summary .Charged Paid Credited Due Permit Fee Total 91.50 ..00 00 91.50 Plan Check Total 22.88 .00 .00 22.88 Other Fee Total 1.00 .00 .00 1.00 Grand Total 115.38 .00 00 115.38 LQPERMIT Bin. 0 City, of La Quinta BalkOng 8t Safery Division P.O. Box 1504,78-495 Calle Tampico La.QuInta, CA 92255 -:(760) 777-7012 Building Permit Application'and Tracking Sheet Permit # / Proje� Address $ \�Rs I v GA br ' A. P. Number.. f7 Owner's Name:. Address: 81\3 S j�l"��� oral 1�r • . Legal Description: Contractor. 1 - City,sr,Zip: Lr,&\AYNAA CA gZ2-53 Telephone: lop -n-7- 13 CIS Address. a Project Description: R T City. ST, Trp: �kov �lvrs 9Zz�co State Lia q : (02(P3\6 City Lia. 4, ► 3�or,CI)y 1 5Ao�n 1 ce 3 Fir ee5 1 70 k 11W Arch., FAA, Designer. 2 � O Addracs City, ST, Zip: Telephone: State Lic. q: Construction Type:. Occupancy: Project We (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft,:. q Stories q Units: Estimatod Value of Project aG (p . Oct Telephone 6 of Contact Pelson ABPUCANfT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd 'Reed . TRACKING PERMIT FEES Plan Set Plan Check submitted (tem Amount Strgctatal Cates Reviewed, ready for corrections Plan Check Deposit. . Truss Cala. Called Contact Person Plan Cheek Balance Title 24 Cala. Pians picked up Construction' Flood plain plan Plans resubmitted Meehaeiiesl Ghtdlag plan 21! Review, ready for correctioasfissue Electrical Subeoatattor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L Ii O A Approval Plans resubmitted Gradlag IN HOUSE:- ''' Review; ready for corrections/issue Developer Impact Fa Planning Approval. Called Contact Person Pub. Wks. Appr ' Date of permit issue School Fees Total Permit Fees 01 Simplified Prescriptive Certificate of Compliance: 2008 Residenda/ HVAC Alt+eradons CF -IR -ALT -HVA Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit 4t: NATIONAL DRIVE La Quinta, CA 92253 City of La Quinta Jan 26, 2013 ti Equipment Typel List Minimum Efficiency2 Duct insulation requirement Conditioned Floor Area Thermostat p Package Unit a Furnace a Indoor Coil s AFUEp a SEER 7896 13.0 COP D HSPF D R 6 icz 10-13) Served by system I® of eecbadk present,must be W Condensing Unit D EER D Resistance D R 8 (CZ 14-15) sf Ins(alledre D Other 1. Eq+dp--t Type- Choose the equipment being Insta led: Omore than one system, use anot/rer CFIR-ALT-HVAC for each system. 2. Mla mum Equipment Efl4ofencies. 13 SEER, 78% AFUE, 7.7HSPF for typkal 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.8eginning October 1, 2010, a registered copy of the CF -IR and CF -6R shall also be on site for final Inspection. . 1. HVAC Changeout- Required Forms: • All HVAC Equipment CF -6R forms: MEC -04, MECH-2 -HERS and '(for split systems) MECH-25-HERS replaced CF -411 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 fors it MECH-25-HERS � ( � ��) • Fumace CF -411 forms: MECH-21 and •(for split systems) MECH-25 For Split Systems: Duct leakage < 15 percent; RC, CCAS 300 CFM/ton (Minimum Air Flow Requirement), TMAH Exempted from duct leakage testirig.if: p:i.'Duct system'was dowment�ed to have been previously sealed and confirmed through HERS verification, or p 2. Duct systems with less than40 linear feet In unconditioned space, or [j 3. Existing duct systems are b�risbvcted, insulated or sealed with asbestos p 4. Theill not be Du . (ie:::. e _ ` _ ) 02. .. _. - - - - c a - - . Cut In'ngeout w new ;(all new - -04,. ERS it. �).M R6,grTd ,. ducti d a 11 ne Ar ECH �i For Spilt _ A -5 F, pecent o For Packaged Units: Duct leakag y - _ , 3 _Neiw Dgctei� M/oc witltfout '' Required Forms: . Includes replacing or installing AW new ducting and/or outdooroondens unit CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or fuiraoe No or some CF -4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC, OCA k 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent D 4: New Ducting over 40 fent Requi Forms: • Inds s adding or replacing more n.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: Dud leakage < 15 percent D EXCEPTION: Existing dud 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 DKision 3 of the Califomle 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 klentifled 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 fortes, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Danielle Garda Signature: panlelle Gm -da Company: HARRISON ENTERPRISES INC Date: ]an 26, 2013 Address: 31-170 RESERVE DRIVE STE A License: 686310 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488 Reg:.213-A0005647A-000000000-0000 Registration Date/Time: 2013/01/26 10:55:02 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 1011 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-iR--ALT-HVA Climate Zones 10 - 15 Site Address: - Abe' Permit !F: 0&439 NATIONAL DRIVE La Quinta, CA 92253 City o La Q intaAge City of La Quinta Jan 26, 2013 ZS Equipment Typel List Minimum Efficency2 Duct Insulation requirement Conditioned Floor Area Thermostat ❑ PackageUnit H Furnace ® Indoor Coil ® AFUE 78% R SEER 13.0 [7 COP i7 HSPF 13 R 6 (cz 10-13) Served by system ®Setback If not Setback present must be ® Condensing Unit ❑EER ❑ Resistance 0 R 8 (� 14 -IS) installed) p Other 1. Equipment Type: Choose the equipment ng nista more than one system, use a CF -1R -AL -HVAC for each system. 2. Minimum Equipment Ef iklenchm 13 SuR, 78% AFUE, 7.7HSPF for typkal residential systems. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being 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 -411 forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF -1R and CF -GR 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:5 Fl 300 CFM/ton (Minimum Air ow Requirement), TMAH Exempted from duct leakagetestirW-,ff: .04 " Duct system was documented to have been previously sealed and confirmed through HERS verification, or p 2. Duct systems with less 1:146:40 linear feet in unconditioned spaoe, or p 3. Existing dud: systems are i�)nstructed, insulated or sealed with asbestos p'4: The. .. I not be 17 2. N C' Requi = - ., • Cut h ngeout w _. new (all new . t CH -04, y ERS z. It ):ME l:RSi,hd -. . ;Y d d all w -_ < aqui _ 111 For Split _ ....,.. :.- :11,_ .... S; -o - . For Packaged Units: Dud.le "6.. ::. 3' :N Dtr4ts*,rr/or witfiou .. Required Forms: .Includes replacing or installing ALNnew Mi - ducting and/or outdoor condensFr g: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 Z 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent 0 4. New Ducting over 40 feet Required Forms: • Incudes adding or replacing more than 40 CF -6R forms: MECH-04, MECH-2I-HERS linear feet of dud: in unconditioned space. CF -4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent p EXCEPTION: Existing dud: systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's Responsible Designees Declaration int) • 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 Garda Signature: DaIk Garcia Company: HARRISON ENTERPRISES INC Date: Jan 26, 2013 Address:. 31-170 RESERVE DRIVE STE A License: 68631 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone. (760) 343-7488 Reg: 213-A000564BA-000000000-0000 2008 Residential Compliance Foams Registration Date/Time: 2013/01/26 10:57:07 HERS Provider: Ca10ERTS, Inc. July 2010 V Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Aherations CF-iR-ALT-HVAC Climate Zones 10 --is Site Address: Enforcement Agency: 41443.5 NATIONAL DRIVE La Quinta, CA 92253 City of La Qu I Date: Jan 26, 2013 Permit S: S02-15 Equipment Typel Ust Minimum Eftidency2 Dud insulation requirement Conditioned Floor Area Thermostat p Package Unit ® Furnace ® Indoor Coil WAFUE 78% "SEER 13.0 13 COP 0 HSPF 0 R 6 (� 10-13) Served by system ® Setback If not already present, must be ® Condensing Unit I p EER ❑ Resistance ❑ R 8 (a 14-15) 2200 sf Installed) . E3 Other 1. Equipmenit Type: Choose the equipment being insta ; ' more than one system, use a er Ca- IR -ALT -HVAC for each system. 2. Mfnbnum Equipment Efiroiericles: 13 SEER, 78% AFUF, 7.7HSPF for typkal 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 foam 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 fad 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.8eginning October 1, 2010, a registered copy of the CIF -1R and CF -611t. shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: • All HVAC Equipment CF -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF -4R forms: MECH-21 and (for split systems) ME -CH -25 • Condenser Coil and /or Indoor Coil and /or CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) ME -CH -25 -HERS . Furnace CF -4R forms: MECH-21 and (for split systems) MECH-25 For Split Systems: Dud leakage:<..15 percent; RC, CCA:5 300 CFM/ton (Minimum Air Flow Requirement), TMAH Exempted from duct leakage testingF i p 2. Duct system was documeiid to have been previously sealed and confirmed through HERS verification, or Q"2: Dud systems with less th 4 40 linear feet in unconditioned space, or 133. Existing .dud.sysbems are"p nsttucbed, insulated or sealed with asbestos El 4: The ....:. II not be Duct". _.(lo... 0 2- w - -- . Cut 1 -_ ngeout w ' ECH-04, M ERS �d - new all new " ' ducti a 11 nequip ECH ,. pr s• - - For Sp!lt_._.. :. _ , an For frac kaged� Units: Duct leakage ❑/k>tr.witliout_ Required Forms: eplaoe.=., . Includes replacing or iristaliing AN new ducting and/or outdoor condensing unit CF -6R forms: MECH-04, MECH-20-HERS, and (for spit sysberris) MECH-254IERS and/or indoor coil and/or fumacle : No or some CF -4R forms: MECH-20 and (for spilt systems) MECH-25 equipment changed. For Spilt Systems: Dud leakage < 6 percent; RC, CCA z 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent 17 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: Dud leakage '< 15 percent 0 EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designers Declaration Statement • I certify that this Certificate of Compliance documentation Is accurate and complete. • I am eligible under Division 3 of the Callfomla 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 Garda Signature: omwk Gard, Company: HARRISON ENTERPRISES INC Date: ]an 26, 2013 Address: 31-170 RESERVE DRIVE STE A License: 686310 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488 Req: 213-A0005649A-000000000-0000 Registration Date/Time: 2013/01/26 10:59:13 HERS Provider: Ca10ERTS, Inc. 2000 Residential Compliance Forms July 2010 CityGIS Page 1 of 2 City off`- What's New iHelp i'� DIGITAL NEAP f�s:4Guc'c5 Menti Results Ir ApNons r l' q � t;� �; I LlJ � ( t> 0 Property APN 767500006 �. J V APN: 767500006 Address: 81125 NATIONAL DR, LA QUINTA CA, 92253 Owner Name: RAAEN,DALE A 8 CINDY S - Owner Address: 1211 ESTATES DR-, LAFAYETTE CA, 94549 Owner Phone: Building SF: 4507 Acres (Assessor): 0.32 Acres (Calculated): 0.32 Lot Front: Lot Depth: Legal Description: .32 ACRES IN LOT 20 MB 292/060 TR 29657 Land SF (Assessor): 13939.0 Land SF (Calculated): 13939.0 Land Use: : SFR ' Year Built: 2001 Assessed Value: $1,322,000 TBM Page: Sales Deed Cat: source: TAX UPDATE ( 03/01/2002 00:00 ) Create Markup - Create Project Full Property Detail ' n.Transaction History Business Name Lookup Attach Document - Add New Note V FIRM Panel: 06065C2263G effective 08/28/2008 U Not In A Flood Zone (Zone X) tZone Denniimn) i U Tax Maps j Markup N. _ Ski : h r Default Lon: -116.25097 Let: 33.64478 15011 http://maps.digitalmapcentral.com/production/citygis/v07_03_001/index.p7.aspx 1/28/2013 CityGIS i - z Page 2 of 2