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11-0726 (MECH)Tit!t' Qgmz P.O. BOX 1504 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: 7/05/11 �Application,Number: 11-00000726 Owner: Property Address: 51735 AVENIDA RUBIO VARGAS RESIDENCE APN: 773-121-017-5 -000000- 51735 AVENIDA RUBIO Application description: MECHANICAL LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTIAL ( Application valuation: 8623 Contractor: Applicant: Architect or Engineer: GENERAL AIR CONDITIONING 31170 RESERVE DRIVE THOUSAND PALMS, CA 9222L— (760)343-7488 D Lic. No..:: 6 686310 -- — — — —=——— -——————————— — — — — ——— — — — — ——--------------------------�i----��`- ° -- LICENSED �_�a---- CONTRACTOR'S DECLARATION WORKER'S COMPIjNSATION,p ,�10 I hereby affirm under penalty of perjury that I am licensed der provisions of Chapter 9 (commencing with _ I hereby affirm under penalty of perjury one of the followirfg declaration�`�- �.ta itIN IN Section 7000) of Division 3 of the Business and Professio Code, and my License is in full force and effect. I have and will maintain a certificate of corisenYlvself..iitS faibrera";tion, as p ovided License Class: C20 cense No.: 686310 for by Section 3700 of the Labor Code, for the performance oe'work. oLAwhic� h� th_is pe it is issued. (Date: �/5 / 1 (Contractor: _ 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 OVJW 4tLDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the - Carrier EVEREST NATL Policy Number 7600006147101 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to b oma subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should beco subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Codel or 3700 of the Labor Code, I sha rthwith comply with those provisions. 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).: Date: f� Applicant: (_ 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, WARNING: FAILURE TO SECURE W ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to -an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply town owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 . .1 am exempt under Sec. , B.&P.C. for this reason 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. Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the _ I certify that I have read this application and state that the above i o mation is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). - city and'county ordinances and state laws relating to building con r coon, and hereby authorize representatives of this county to enter upon the above-mentioned property for in a tion purposes. Lender's Name: - (pate: )151. ( r _Signature (Applicant or Agent): Lender's Address: T LQPERMIT Application Number 11-00000726 Permit . . . MECHANICAL f Additional desc ' Permit Fee 33.00 Plan Check Fee 8.25 Issue Date Valuation .0 Expiration Date 1/01/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=i00K 9.00 - 1.00 9.0000 EA MECH B/C <=3HP/100K BTU ------------------------------------------- 9.00 - --------------------------------- Special Notes and Comments HVAC CHANGEOUT 4 TON, FURNACE, INDOOR COIL AND CONDENSING UNIT. 2010 CEC --------------------------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due ----- ---------- ---------- ---------- Permit Fee Total 33.00 .00 .00 33.00. - Plan Check Total. 8.25 .00 .00 8.25 Other Fee Total 1.00 .00 .00 1.00 Grand Total 42.25. .00 .00 42.25 LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVA C Alterations CF -IR -ALT -HVAC Climate Zones 10 to 15 Site Address: EZZirejit Agency: Date: Permit 4G 7 Equipment T et List Minimum Efficient z Duct insulation requirement Conditioned Floor Area Thermostat ❑ Packaged Unit Furnace ❑ AFUE 8D �v El COp Over 40 ft of ducts added or Setback ndoor Coil ❑SEER 13 ❑ HSPF replaced in unconditioned space Served by system pfnot ab-eudy ridensing Unit 11 EER / / ❑Resistance ❑ R 6 (CZ 10-13) sf present, must be ❑ Other 1 ❑ 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 -HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for tylfical 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 i ed. Beginning October 1, 2010, a registered co of the CF -1R and CF -6R shall also be on site for final inspection. it1. HVAC Changeout 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- 2l and for s lit --___N MECH-25 • Indoor Coil and/or v 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 systern 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, ST MS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent 113. 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 -4R forms: MECH-21 linear feet of duct in unconditioned space. 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 I and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the' orm, hon documented on other 1ppl*c ompliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for appro at with t epen-nit application. Name: Co I`eeil wo-t's6P] Sig ture: Company: C7en•e-ra.( 4i%r Date: I✓ Address: ! 30-70 12,eSerUQ IP-n(I'l✓ License: fo8lo3/v City/State/Zip:-7"/ DPa,(_, c_'S, 614 "-9-,--7(o- Phone: 7/0•-373_-77r j 2008 Residential Compliance Forms Alfn ,-b 7010 CaICERTS - CF -1R Registration Page 1 of 1 ruetlo ilnme Seoure name ALot�t Us ' w •l�aintng Rater DIneceary ', tror+us AiembcrsRl�r Ikaefits imiswtiy Pwnca To register for our monthly newsletter, please click here. Danielle Garcia logged in [Logout] [Home] CONGRATULATIONS Your CF -IR -ALT -HVAC Registration is complete! You may want to print this page for your records. 51735' Site Address: 5,123.5 AVENIDA RUBIO La Quinta, CA 92253 CEC Registration: 211-A0032433A-00000000-0000 CF -IR -ALT -HVAC: CLICK HERE TO DOWNLOAD Assigned Company:IHARRISON ENTERPRISES INC Do you know your HERS Rater? If you do, you may want to send this CF -1R to them. CaICERTS Rater ID: OR My Rater Quick Select: The Energuy CA LLC Every CaICERTS rater has a license number. If you need to find the rater by name [Click HERE] to search our directory. I -SEND_CF-�1R_TO HERS: RATER. j [CLICK HERE] to do another C'opyrialu eco 2010 CaIC.I:iR.I'S,. 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 x, a BBB Find asopfaC88pQk® 11 ±910•//xxrxxrxxr n41 U A.1 l )A') 7 17/1 /7A1 1 Dill it :City of La Quinta Building &r Safety Division P.O. Box 1504, 78.495 Calle Tampico . La Quinta, CA 92253 = (760) 777-7012 Building Permit Application and Tracking Sheet , Per 'c # Project Address: �,� 73S Owner's Name: '?) � 7— A. A. P: Number:- - Address: City, ST, Zip: Legal Description: Contractor: Telephone: t..` Address: tx I�. Project Description: City. ST, Zip: Telephone:3 :•.4;>4k°f<>.<: " State Lic. #: 3 City Lie. #; Arch., Engr., Designer: Address: City., ST, Zip: Telephoner:Construction �� ntihv':':>~� ��•�: � y:� �.:fv<4%�'ify State Lic. #: Vii; a:::::;3 <:•.:>::::;«:>:<;::<:::.::<;..::;:::; T J pe: Occupancy: Project type (circle one)' New Add'n Alter Repair Demo Name of Contact •Person:W CAO% -A Ls --T Ft.: Stories: -Stories: # Units: Telephone # of Contact Person: 6a 34 3 — 74 g$ Estimated Value of Project: 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 Cafes. Called Contact Person Plan Check Balance Title 24 Cafes. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"4 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:- 7rd 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