13-0796 (MECH)i
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
13-00000796
Property Address:
43522 CORTE DEL ORO
APN:
609-580-046- -
Application description:
MECHANICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
13258
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
MIKE MULLENEAUX
43522 CORTE DEL ORO
LA QUINTA, CA
LA QUINTA, CA 92253
Contractor:
Applicant: Architect or Engineer: GENERAL AIR CONDITI
31170 RESERVE DRIVE
\ THOUSAND PALMS, CA
�\) (760)343-7488
Lic. No.: 686310
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LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of r 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, an Lice a is in full force and effect.
License Class: C20 -------- License .: 68>610
/OWNER:9P#rDER DECLARATION
I hereby affirm under penalty of perjury that am e t from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and rofessions 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 ui uffered for sale (Sec. 704/1, 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.).
( ) 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:
1,0P1:RMIT
VOICE.(760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/26/13
JUN 2 6 2013
CITY OF LA
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 Section 3700 of the Labor Code, for the performance of the work for which this permit is
ued.
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 shat 'th comply with those provisions.
Dates G�6•/3 Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMP VERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PCNALTIES A CIVIL FINES LIP TO ONE HUNDRED THOUSAND
DOLLARS Is 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 information is correct. 1 agree ith all
city and countyordinances and state laws relating to building construction, and hereby auth dze represent tives
of this cou to y to enter upon the above-mentioned prope yf purposes.
Dateo*/�Signature (Applicant or Ageej
LQ11ERA11-1-
Application Number . . . . .
13-*00000796
Permit . . . . . . MECHANICAL
2013
Additional desc
Permit Fee . . . . 71.50
Plan Check Fee
.00
Issue Date . . . .
valuation . . .
. 0
Expiration Date 12/23/1-3
Qty Unit Charge Per
-Extension
1.00 35.7500 EA MECH FURNACE
35.75
1.00 35.7500 EA MECH CONDENSER/COMP
35.'75
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Special Notes and Comments
HVAC CHANGE OUT (1) 4 TON
18SEER/78AFUE 90,000 BTU (2008
ENERGY]
CARBON MONOXIDEALARM(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
LQ11ERA11-1-
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P.O. B 1504,78 -49S CAe Tam* *
PermtA
92253 - 7-701 2
ReviewcC ready for wrreHoan Plan Cbcdc Deposit.
Building Permit Application and Traddng Sheet
Trot Calot•
Ptoket.Addteu: 43522 CORTE DEL ORO OwaWsNarnm.
A. P. Number Addr=: 1 C E DEL ORO
Pisns pithed up Coastrnctios
Legal Desmtdoo: City, sP, zip: LA QU I NTA, CA 92253
hood plan plan
Coat<saoc GENERAL A/C &HEATING ldephoru
Address: 31170 RESERVE DRIVE Prpj �i0 m' CNANGE WTQ)A CITON 108EER,8 Q)FURNAGE BO,aoo eTv cox IN BAME IIX
T' Review, ready for eerreetionsream newttxl
City, ST, Zip: THOUSAND PALMS, CA 92276 CHANGE OUT A/C 4 TON. 18 SEER
Subentaetor Ust
Tdephone: 760-343-7488 &FURNACE 90,000 BTU
Sme iia #: 686310. City Lic &
Plans pidttd up slu
Arcb.. Bung, Daaipta
ILO.A. Approval
Address~
City. ST. Zip,
Telephone: Consu lion Type: Oc+Puncy:
''' Review; toady for oonecttomsAw" Developer Impact Fee
call ee3 Contact Pawn
Sto Lia C Project type (code one): New AiWn Alter Repair Demo
Musing Approval
Name of Coamd Person: PATRICK sQ: Ft : e stories To units
Pub. Wim Appr
Teic*m i of Cornea Person: 760-343-7488 Estimatod.Vsliu of Projxt: 13258.00 .
APPLICANT: DO NOT WRITE BELOW THIS UNE
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Sabmtthl
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Plu seb
Plat Chedt submitted bun Amount
Stroetarsl Cake.
ReviewcC ready for wrreHoan Plan Cbcdc Deposit.
Trot Calot•
Caued Contact Persom Plan Cheek Balance.
We 24 (Wm
Pisns pithed up Coastrnctios
hood plan plan
Plans resubmitted Meebakieal
GndlsZ plan
T' Review, ready for eerreetionsream newttxl
Subentaetor Ust
Called Contact Pawn Plmabtag
. Gnat Deed
Plans pidttd up slu
ILO.A. Approval
Plans resubmitted Gradlog
IN 110US&-
''' Review; toady for oonecttomsAw" Developer Impact Fee
call ee3 Contact Pawn
Musing Approval
Pub. Wim Appr
Date of penult kne
school Fees
'Cota1 Permit Fees
Wed,26 Jun 2013 1:12:44
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
43522 CORTE DEL ORO La Quinta, CA 92253
City of La Quinta
Jun 23, 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 18.0
❑ HSPF
❑ R 8 (CZ 14-IS)
1829 5f
If not already present, must be
® Condensing Unit
E3EER
[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 Efflciencies: 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-411
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-611 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
=w- ��..L.�— ksm Duet le.alkage. i 19
p Rt
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, RefrigerantCharge)
❑ 2. New HVAC System
Required Forms: L.
. Cut in'or Changeout with'
CF-6R forms: MECH-04, MECH-20=HERS, and (for split systems) MECH-22-HERS, and
new ducts: (all new f
-
MECH-25-HERS I
ducting and all new/,'
CF-4R forms: MECH-20, and (for split systems) MECH-22, and MECH-25
equipment' ;
)
rr,
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-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: Jun 23, 2013
Address: 31-170 RESERVE DRIVE STE A License: 686310
City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488
Reg: 213-A0046364A-000000000-0000 Registration Date/Time: 2013/06/23 01:54:49 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms July 2010
Wed,26 Jun 2013 2:32:31