13-0797 (MECH)P.O: BOX 1504,,,'
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00000797
Property Address: 43371 CORTE DEL ORO
APN: 609-380-997-2 -293233-
Application description: MECHANICAL
Property Zoning; LOW DENSITY RESIDENTIAL
Application valuation: 13258
Applicant:
Architect or Engineer:
4BUILDING& SAFETY DEPARTMENT
4
BUILDING PERMIT
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 and Professionals Code, and my License is in full force and effect.
License Class:/C20 License No.: 6 10
Dat�ij 9" 3 Contra[ or:, _ _
Jr
OWNER -134 ILD ECLARATION
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.).
( ) 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 cdntractor(s) licensed
pursuant to the Contractors' State License Law.).
( ) 1 am exempt under Sec. , B.AP.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:
LQPEP"11T
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/26/13
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
ued.
ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
JoeCode, 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' come ion laws of California,
and agree that, if I should become subject to the workers' ensation pr visions of Section
3700 of the Labor Code, I rthwith comply wit ose provisions
Datel� Applicant.t.
WARNING: FAILURE TO SECURE WORKERS' CO 10 E S UNLAWW LL
SUBJECT AN EMPLOYER TO CRIMINAL PE IES AN IL FIN S UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION T E CO F COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE NT 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 Drize epresentalives
of this county to/enter upon the above-mentioned properly f
on
purposes
��(/ Signature (Applicant or Agent),f
Owner:
MARYBETH DUFT
43371 CORTE DEL ORO
LA QUINTA, CA
LA QUINTA, CA 92253
D e
tractor:
NEPAL AIR CONDITIONING
JUN 26 2013
170 RESERVE DRIVE
OUSAND PALMS, CA 92276
( 60)343'-7488
CITY OF LA QUINTA
L•c. 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 and Professionals Code, and my License is in full force and effect.
License Class:/C20 License No.: 6 10
Dat�ij 9" 3 Contra[ or:, _ _
Jr
OWNER -134 ILD ECLARATION
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.).
( ) 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 cdntractor(s) licensed
pursuant to the Contractors' State License Law.).
( ) 1 am exempt under Sec. , B.AP.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:
LQPEP"11T
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/26/13
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
ued.
ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
JoeCode, 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' come ion laws of California,
and agree that, if I should become subject to the workers' ensation pr visions of Section
3700 of the Labor Code, I rthwith comply wit ose provisions
Datel� Applicant.t.
WARNING: FAILURE TO SECURE WORKERS' CO 10 E S UNLAWW LL
SUBJECT AN EMPLOYER TO CRIMINAL PE IES AN IL FIN S UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION T E CO F COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE NT 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 Drize epresentalives
of this county to/enter upon the above-mentioned properly f
on
purposes
��(/ Signature (Applicant or Agent),f
Application Number . . . . . 13-00000797
Permit . . . . . . MECHANICAL 2013
Additional desc .
Permit Fee . . . . 71.50 Plan Check Fee
.00
Issue Date Valuation
0
Expiration Date,. 12/23/13
Qty Unit Charge- Per
Extension
1.00 35.7500 EA MECH FURNACE
35.75.
1.00 35.7500 EA MECH CONDENSER/COMP
35.75
----------------------------------------------------------------------------
Special Notes and Comments
HVAC CHANGE OUT (1) 5 TON
14.5SEER/78AFUE 90,000 BTU [2008 ENERGY]
CARBON MONOXIDE ALARM(S) TO BE INSTALLED
PRIOR TO FINAL INSPCTION. 2010
CALIFORNIA BUILDING CODES.
----------------------------------------------------------------------------
Other Fees . . . .. BLDG STDS ADMIN (SB1473)
1.00
PERMIT ISSUANCE M/P/E_
90.57
PLAN CHECK, MECHANICAL
47.66
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 71.50 .00 .00
71.50
Plan Check Total .00 .00 .00
.00
Other Fee Total 139.23• .00 .00
139.23
Grand Total 210.73 .00 .00
210.73
LQ)TRAHT
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P.O. Box 1504,78-49S Cade Tampko
7� L;.QWrx4 CA 92253 -(760) 777-7012
Building Permit Applicadon and Tncidng Sheet
Pro}ect-Add!ess:43371 CORTE DEL ORO Owna'sNmrhe—
A. P.Number.
Add=: 43371 CORTE DEL ORO
L449 Description:
Contractor. GENERAL A/C & HEATING
Address: 31170 RESERVE DRIVE
City, sT. Zip: LA QU I NTA, CA 92253
lelephoue
: GNANGE MT.2)=4TON 1SSEES•S[t)NRN EG .=M WKW1 ELOt
CRY. $-L ZiP: THOUSAND PALMS, CA 92276 CHANGE OUT A/C 5 TON. 14.5 SEER
Telephone: 760-343-7488 &'FURNACE 90,000 BTU
State Lie. 0: 686310. City Lic. k
Arch, EW.. Designer.
Address:
City. ST. Zip:
Construction Type . Oxapaaey:
Stele Lic. B: project typo (chde one): New Add'n Alter Repsa Dena
Name of Contact Person: PATRICK sq: a store 9 unitx
Tekpboae f of Corttact Prion: 760-3434488 FsBmaiod. Votive of project 13258.00 .
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
Sobmlml
Req'd
' Ree'd
'[HACKING PERbw FEn
ltaa Seb
Plan Check iabmltkd Ices Anont
Sd net" filet
Reviewed. ready for correction Plan Check Deposit.
Tr=io Cates.
Called Contact Pawn Plan Ckedr Balance.
Title 24 Calci.
Place puked cep Coustrwdon
Flood plain piss
Pisa resubmitted Medmudc a
Gradiag pis?
2'! Review, ready for osrrectioaafnsae ®ecbial
Sabcouaetor Litt
Called Contact Person in—bisg
Grant Deed
plass picked cep SM.L
H.O.A. Approval
Plans readmitted Gradlog
W [fold :-
''' Review; ready for correctkonr/issae Developer Impact Fee
Planning Approval
ca Comet Person A".P.
Pub. Wks. Appr
Date of permit lane
School Fen
'Colli Permit Fea
Wed,26 Jun 2013 1:11:37 a
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
43371 CORTE DEL ORO La Quinta, CA 92253
City of La Quinta
Jun 25, 2013
Dud insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
® Furnace
® AFUE 78%
SEER
❑ COP
❑ R 6 (CZ 10-13)
Served by system
® Setback
be
® Indoor Coil
H 14.5
❑ HSPF
❑ R g( CZ 14-IS)
2112 sf
If not already present, must
® Condensing Unit
[3EER
[3 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-111
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-411 forms: MECH-21 and (for split systems) MECH-25
. Condenser Coil and /or
. Indoor Coil and /or
CF-611 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
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),(AlsQ Exempt,,from;Refrigerant Charge)
❑ 2. New�HVAC System
Required Forms:
. Cut in;or Changeout with`
new ducts• (all new
CF 611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECHz22=HERS, and
ductirlgand all new
I,
MECH„25zHERS
CF4R forms: MECH-30, and (for split systems) MECH-22; and MECH-25
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/or without
Required Forms:
Replacement
. Includes replacing or installing all new
ducting and/or outdoor condensing unit
CF-611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS
and/or indoor coil and/or furnace. No or some
CF-411 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: Jun 25, 2013
Address: 31-170 RESERVE DRIVE STE A License: 686310
City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488
Reg: 213-A0046773A-000000000-0000 Registration Date/Time: 2013/06/25 00:11:53 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms July 2010
Wed,26 Jun 2013 2:32:04