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MECH (11-1249)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00001249 Property Address: 81195 .NATIONAL DR APN: 767-500-009- Application description:. MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL, Application valuation: 26000 Applica G / T4:t!t 4 4v Q" .. Architect or Engineer: --------------------- UCENS CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I a I- ensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ofessionals Code, and my License is in full force and effect. License Class: .C20 License No.: 686310 �+-Date: 1I 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).: ( 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 are 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, 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.&P.C. for, this reason Owner: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Date: 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- LEVY wnerLEVY RICK 81195 NATIONAL DRIVE LA QUINTA, CA 92253 (760)238-1743 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/18/11 Contractor: GENERAL AIR CONDIT1MUN n 31170 RESERVE D THOUSAND PALMS 92- A �Z S` (760) 343-7488 rJ '` Lic. No.. 68631;) i,1JL 2(�11 �( -------.------ - - - - - - -===-=--------- WORKER'S COMPENSATION DECLARATION (: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 Z071741501 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 be com subject to the workers' compensation laws of California, and agree that, if I should become act to the workers' compensation provisions of Section 3700.of the Labor Code, I shall fo ith comply with those provisions. 'Date: N ! Applicant: _r WARNING: FAILURE TO SECURE WOR COMPENSATION 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 above inform n s correct. I agree to comply with all - city and county ordinances and state laws relating to building construc nd hereby authorize representatives of this county to enter upon the above-mentioned property for inspecti rposes. Data: 11 ( Signature (Applicant or Agent): Application Number .11-00001249 Permit . . . MECHANICAL Additional desc . Permit Fee 117.00 Plan Check Fee 29.25 Issue Date . . . . Valuation 0 Expiration Date 5/16/12 Qty Unit Charge. Per. Extension BASE FEE 15.00 4.00 9.0000 EA` MECH FURNACE <=100K 36.00 4.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 66.00. ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE OUT (4)SYSTEMS.3 1/2 TONS CONDENSERS,COILS, AND FURNACES GROUND UNITS. 2010 CODES. -------------------------------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) ---- 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 117.00 .00, .00 117.00 Plan Check Total 29.25 .00 .00 29.25 Other Fee Total 1.00 .00 .00 1.00 Grand Total 147.25 .00 .00 147.25 o. LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACA/terations CF -IR -ALT -HVAC Climate Zones 10 to 15 Site Addresl.C71w Enlorcemen 4gency: Date: Perndt #: E ui menu T et Conditioned Floor. List Minimum Efficiency' Duct insulation requirement Area Thermostat ❑ Packaged Unit Over 40 ft of ducts added or tFurnace ❑AFUE 80 �o ❑COP Setback doorCoil ❑SEER t3 ❑ HSPF replaced in unconditioned space Served by system (1fnot already ondensing Unit ❑ EER / / ❑ Resistance ❑ R 6 (CZ l0-13) sf present, must be the' ❑ R 8 (CZ 14-15) installed) 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -I R-TILT-HVACfor each system. 2. Minimum Equipment Efficiencies: 13 SEER, 73%AFUE, 7.7HSPFJor 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 sl ed. BeginningOctober I, 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 E..quipment replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25-HF.RS Cr-dR rne� Pru- ).v ..,,a rr<..._,:, .. � - - 2009 Rpcirianti„l ti',,. • Condenser Coil and/or --------------------•• •.. ....0 •v. J I.LJ Jll.11lJ IYLL:I.f l-C.J • Indoor Coil and/or CF-611forms: 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 Exemptej fr m duct leakage testing if. I. Duct system was documented to have been previously sealed and confirmed through HERS verification, or ❑ uct systems with less than 40 linear feet in unconditioned space, or 113. 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 -41R. 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 Required Forms: • Includes adding or replacing more than linear feet of duct in unconditioned space. CF -6R 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 " orm tion documented on other pph ompliance forms. worksheets, calculations, Ions ands specifications submitted to the enforcement a enc for ro al with t e ennit application. Name: Clem wO-*,s6' 1 Sig lure: Company: n p Y� �' ehe('Q.-� /�"r t^ COi1G�.t f'.`D H i` Date: Address: 31170 Pesertle t License: ity/State/Zip: -7�%1 Du-�SGtxr.� qa-a-74o k�iC.Lt►�S, G� Phone: %60'.3733" %7 S� 2009 Rpcirianti„l ti',,. Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 to 15 Site uipmentTypeI I List Minimum EM Unit Indoor Coil Condensing Unit Enforcerner�Veircy: e I Date. Conditioned Floor Duct insolation requirement I Area ❑ AFUE 8440 ❑ COP Over 40 ft of ducts added or ❑SEER 13 ❑ HSPF replaced in unconditioned space Served by system O EER / / ❑ Resistance ❑ R 6 (CZ 10-13) sf ❑ R 8 (CZ 14-15) Permit A, Thermostat Setback (1J'no( already present, mist be installed) 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF- IR -ALT -HVAC jor each system. 7. 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 mast be conducted. A copy o(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 Csi ed. Beginning October I, 2010, a registered co of the CF -IR and CF -6R shall also be on site for final inspection. 1. HVAC Changeout I Required Forms: ~• A.11 HVAC Eguipment replaced • Condenser Coil and /or • Indoor Coil and/or k-r-om rorms: MtUM-U4, MECH-21-HERS and (for split systems) MECH- 25-HFRS CF -4R forms: iviECH- 21' and (for split systems) MECH-25 CF -611 forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MECH- 21 and (for split systems) MECH-25 • hurnace For Split Systems: Duct leakage < 15 percent; RC, CCA > 300 CFM/ton(Minimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent Exempt om duct leakage testing if.. 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 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 Required Forms: • Includes adding or replacing more than CF -6R forms: MECH-04, MECH-2I-HERS CF -4R forms: MECH-21 linear feet of duct in unconditioned space. rm 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) • 1 certify that this Certificate of Compliance documentation is accurate and complete. • 1 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 rhe requirements of Title 24, Parts I and 6 of the California Code of Regulations. • Tile design features identified on this Certificate of Compliance are consistent with the ' onn tion documented on other Pplic ompliance forms, worksheets, calculations, plans ands eciflcations submitted to the enforcement a enc for a to al with t e ermit application. Name: Si lure: Company: ,e 6enra.( 4i\r Gotjd-; f�`ont`ej Date: Address: 31/70 PeserUe r1 _rt ✓� License: fc�/� 68('31v '/ City/State/Zip:—�DG�cSG/.>Lo� Phone: 760_3t�3_-77t�� Simplified Prescriptive Certificate of Compliance:2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 to 15 Si[e Address: E orcement enc Date: Permit N: ? ui ment T e� List Minimum Efficienc Z Duct insolation requirement Conditioned Floor Area Thermostat ackaged Unit ttmace ❑AFUE 80% _ ❑ COP Over 40 ft of ducts added or Setback tdoor Coil ❑SEER /3 ❑ HSPF replaced in unconditioned space Served by system (/fnot already ondensing Unit ❑ EER / / ❑Resistance ❑ R 6 (CZ 10-13) 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 -1 R-ALT-HVACfor 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 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 si ed. BeginningOctober I, 2010, a registered co of the CF -IR and CF -6R shall also be on site for final inspection. I. HVAC Changeout Required Forms: • Al HVAC E.quipmertt re laced 'FT6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25-HFRS P r • 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 Exempte fr m 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 CF4R 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 Required Forms: • Includes adding or replacing more than 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 ❑ EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • 1 certify that this Certificate of Compliance documentation is accurate and complete. • 1 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 feaftres identified on this Certificate of Compliance are consistent with the ' onn tion documented on other pplic ompliance forms, worksheets, calculations, plans andspecifications submitted to the enforcement a enc for a to at with t e en -nit application. Name: Lo Feer uja-;hs6 Si cure: Company: Date: 6e_t1 e(,a( 41'rGortdt f•`ont`�l Address: 31 /%d Pewit/_ t License: City/State/Zip:—r—�DuSG�.�eC Phone; 760-3t13_-74 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF 1R ALT HVAC Climate Zones 10 to 15 Site Address:c l, Enfprcemenency: Date: Permit N: f�� 671 ��G��-� [��G�.�vt�a _ Gl=-I �-- l/ Conditioned Floor. Equipment T :'j,,,ienc List Minimum EfficZt�ep Duct insolation requirement Area Thermostat ❑ ackaged Unit Furnace er 40'ft of ducts added or Placed in unconditioned s ace Served b s. stem Setback door Coil PF R c CZ unco p ysf(/l�not already Condensing Unisistance7( ) 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 -1 R-ALT-HVACfur each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7KSPFfor 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 -6R and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and si ed. Beginning October I, 2010, a registered copy of the CF -IR and CF -6R shall also be on site for final inspection. I. HVAC Changeout Required Forms: • A.11 HVAC E.duipment replaced CF=6R forms: MECH-t)4, MECH-2I-HERS and (for split systems) MECH- 25-HFRS ._ - i CF -4R forms: iviECH- 2d' and (for sniit sysremc) MPr'T4_..s • Condenser Coil and/or • Indoor Coil and/or CF-611forms: 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 ExempY221. in duct leakage testing if: . Duct system was documented to have been previously sealed and confirmed through HERS verification, or 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 s: al Chang outducting 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 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 Required Forms: • Includes adding or replacing more than 40 CF -6R forms: MECH-04, MECH-2I -HERS CF -411 forms: MECH-21 linear feet of duct in unconditioned space. 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) • 1 certify that this Certificate of Compliance documentation is accurate and complete. • 1 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 feantres identified on this Certificate of Compliance are consistent with the ' orm tion documented on other pplic ompliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for to al with t e omit application. Name: Cleeh UJO-t6,5el Si ture: A P y , j Company: 6&ti-era.( At r t�otldr.��`ont` Date: Address: License: /2�serv� 684o3/0 City/State/Zip: Phone: '4 0.-34113_-77(SS' t t, - % ,r - i n t\.egiscratlon rage 1 of 1 Public Home Danielle Garcia logged in [Logout/ [Home] Secure Home CONGRATULATIONS About Us Training Rater Directory Forms Your CF -IR -ALT -HVAC Registration is complete! You may want to print this page for your records. Site Address: 81195 NATIONAL DRIVE La Quinta, CA 92253 CEC Registration: 211-A0060087A-00000000-0000 CF -IR -ALT -HVAC: CLICK HERE TO DOWNLOAD Assigned_ Company: HARRISON ENTERPRISES INC Membership Benefits Events Do you know your HERS Rater? If you do, you may want to send this CF -IR to them. Industry Partners "'- CaICERTS Rater IDs News oR.. My Rater Quick Select: Energy Driven Solutions, Inc. Every CaICERTS rater has a license number. To register for our Ifyou need to find the rater by name [Click HERE] to search our directory. monthly newsletter, please I SEND CF -1 R TO HERS RATER click here. [CLICK HERE] to do another Copyright eta 2010 CalCE:RTS. Inc. All rights reserved. Revised:.lanuary I L 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 a., BBB Find us on Facebookel https://www.calcerts-com/public—cflR.cfm?project—id=150595 11/17/2011 CaICERTS - CF -1R Registration Page 1 of 1 Public Home Danielle Garcia logged in [Logout] [Home] Secure Home CONGRATULATIONS About u5 Your CF -1 R -ALT -HVAC Registration is complete! You may want to print this page for your records. Training 81195 NATIONAL DRIVE Site Address: Rater Directory La Quinta, CA 92253 CEC Registration: 211-A0060088A-00000000-0000 Forms CF -IR -ALT -HVAC: CLICK HERE TO DOWNLOAD Assigned Company: HARRISON ENTERPRISES INC Membership Benefits __._....__. __.-__.__..._........ __......._..._... _._....... .... . Events Do you know your HERS Rater? If you do, you may want to send this C.F71R to them. o Industry Partners CaICERTS Rater ID: News OR My Rater Quick Select: Energy Driven Solutions, Inc. Every CaICERTS rater has a license number. To register for our If you need to find the rater by name [Click HERE] to search our directory. monthly I SEND -CF -IR TO HERS RATER j newsletter, please click here. [CLICK HERE] to do another Copyright eco 2010 Cal CE IM. Inc. 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 per• BBB Find us onFaceb00k® wrt wan rn.0 https://www.calcerts.com/public_cflR.cfm?project_id=150596 11/17/2011 CaICERTS - CF -1R Registration Page Iof1 Public Home Danielle Garcia logged in [Logout] [Home] Secure Home CONGRATULATIONS About Us Your CF -IR -ALT -HVAC Registration is complete! You may want to print this page for your records. Training ' Site Address: 81195 NATIONAL DRIVE Rater Directory La Quinta, CA 92253 CEC Registration: 211-A0060089A-00000000-0000 Forms CF -IR -ALT -HVAC: CLICK HERE TO DOWNLOAD • Assigned Company: HARRISON ENTERPRISES INC Membership Benefits — -- _.__. .... Do you know your HERS Rater? .Events _ _ -. - If you do; you may want -to ,send -this CF -1 R to them. - Industry Partners CaICERTS Rater ID: OR News My Rater Quick Select: Energy Driven Solutions, Inc. Every CaICERTS rater has a license number. To register for our Ifyou need to find the rater by name [Click HERE) to search our directory. monthly j .. SENaCF-1R,T0 HERS,RATER, newsletter, please click here. [CLICK HERE] to do another Copyright '02010 CaICERTS. Inc. All rights reserved. Revised: January 11.'010 [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 T R•, BBB Fintl us on FacebookQ BBB r�vv https://www.calcerts.com/public_cflR.cfin?project_id=150597 11/17/2011 CaICERTS S - CF- Registration Page 1 of 1 Public Home Danielle Garcia logged in [Logout] [Home] Secure Home About Us Training Rater Directory Forms CONGRATULATIONS Your CF -IR -ALT -HVAC Registration is complete! You may want to print this page for your records. Site Address: 81195 NATIONAL DRIVE La Quinta, CA 92253 CEC Registration: 1211-A0060090A-00000000-0000 C71R-1R_Ai.T_14VAC- Irl Wk' uPID G Tn nn11n.n n A n Assigned Company: HARRISON ENTERPRISES INC MembershipBenefits ....._ ..... __......__.........._._....._...___.__....... Do you know your HERS Rater? Events If ou do, ou ma want to send this CF _l R to them. Industry Partners CaICERTS Rater ID: NewsOR._.. .... ...........—_-._._....._ ________. My Rater Quick Select: Energy Driven Solutions,Inc. Every CaICERTS rater has a license number. To register for our Ifyou need to find the rater by name [Click HEREJ to search our directory. monthly I SEND CF -1R TO HERS RATER j newsletter, please click here. [CLICK HERE] to do another C'opyril-hl 0-2010 CaICE'WI'S. Inc. All rights reserved. Rcviscd: 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 T BBB RndusonFacebook®,r https://www.calcerts.com/public_cflR.cfm?project_id=150599 11/17/2011 wn # Permit # Project Address: A. P. Number: City of La Quinta Building &r Safety Divislon P.O. Box 15.04, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit-Application and Tracking Sheet Owner's Name: Address:? ( Lets '/ L —• - N_4e, Legal Description: City, ST, Zip: Contractor: Teiephone• 7 G07-3 Address: 3 City, ST, Zip: Telephone:..•<,.:"'}l.v•><, State Lic. # : 3 r {'\•s City Lie. #; '�� Project Description: `i t''�� y n Arch., Engr., Designer: Address: City., ST, Zip: Telephone:'?`?, State Lic. #:1,s>:;}{: .<>�> z<:>'`�X w•%z ,`'i' Construction Type: Occupancy: Projecttype (circle one): New Add'n .After Repair Demo Name of Contact • Person: e2p U-;e e-4 u Sq. Ft: #Stories: #Units: Telephone # of Contact Person: -7& D 3 Y3 -7`1 E' ` Estimated Value of Project: APPLICANT: DO. NOT WRITE. BELOW THIS LINE # Submittal Plan Sets Req'd Recd TRACKING Plan Check submitted PERMIT FEES Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Title 24 Cafes. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"d 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:- 1rd Review, -ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr. Date of permit issue School. Fees Total Permit Fees