12-0514 (MECH)4 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: 5/08/12
Application Number: X12:00000514_ Owner: n
Property Address: 50720 CYPRESS POINT DR JIM HARRINGTON Q
APN: 770-110-065-3 -000000- 50720 CYPRESS POINT DRIECITO�
Applicationdescription: MECHANICAL LA QUINTA, CA 92253
Property Zoning: MEDIUM DENSITY RES QApplication valuation: 22874 202Contractor: !g' N�
Applicant: Architect or Engineer: GENERAL AIR CONDITIONING F�NAN�EpEPT A
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760')343-7488
`
fie-
_ LiC. 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 Profess' als Cade, and my License is in full force and effect.
License Class: C,220 License No.: 686310
y ` ontractor:157
.ER -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 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, 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 am exempt under Sec. , BAP.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.I.
Lender's Name: �t-
Lender's Address: Y
LQpERMIT
• 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
Y 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 become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
370000 of the Labor Code, I shall forth t comply with those provisions.
Do%: A scant:
WARNING: FAIL EURE�NAL
RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRNALTIES 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 information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction,�ereby authorize representatives
of this county to enter upon the above-mentioned property for inspection r ses.
te: v �2 S' ature (Applicant or Agent):
Application Number . . . . . 12-00000514
Permit . . . MECHANICAL
Additional desc . .
Permit Fee . . . . 66.00
Plan Check Fee
16.50
Issue Date . . . .
Valuation . . . .
0
Expiration Date . . 11/04/12
Qty Unit Charge Per
Extension
BASE
FEE
15.00
2.00 9.0000 EA MECH
FURNACE <=100K
18.00
2.00 16.5000 EA MECH
B/C >3-15HP/>100K-500KBTU
33.00
----------------------------------------------------------------------------
Special Notes and Comments
HVAC CHANGE -OUT. INSTALL (2) 3 TON SPLIT
SYSTEMS.'2010 CODES.
-----------------------------------------------'-----------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged
-------------------------------------
Paid Credited
--------------------
Due
Permit Fee Total 66.00
.00 .00
66.00
Plan Check Total 16.50
.00 .00
16.50
Other Fee Total 1.00
.00 .00
1.00
Grand Total 83.50
.00 .00
83.50
LQPERMIT
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
50720 CYPRESS POINT DRIVE (SYS 1) La Quinta, CA 92253
City of La Quinta
May 6, 2012
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
® Furnace
® Indoor Coil
® AFUE 780/,
® SEER 13.0
❑ COP
❑ HSPF
❑ R 6 (CZ 10-13)
Served by system
® Setback
If not already present, must be
® Condensing Unit
❑ EER
[3Resistance
E3R g CZ 14-15
( )
1200 sf
installed)
❑ Other
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 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 sig ned.Beginning October 1, 2010, a registered copy of the CF -111
and CF -6111 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 -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
. Furnace
CF -411 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 syste i,will not be Ducted (ie. Ductless=Mini-Split-System)-(Also Exempt-frornrRefrigesant°Charge)
❑ 2. Neva HVAC System
Required Fbrms:
. Cut in'or Changeout with',
new ducts:"(all new -'
' * ' " - -
CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH7,22-HERS, and
ducting &pd all new
MECH.-251HER5 1 )1
CF°4R forms: MECH-20 and (for split systems) MECW22 and MECH- 5 r '
equipment)
f3. '
"� �" °' a _
For Split Systems: Duct leakage < 6'percent; RC,'CCA >_ 350 CFM/ton, FWD, TMAH, SIMS, and either HSPP or PSPP.
For Packaged Units: Duct leakage' < 6 percent
❑ 3.,New Ducts with/or without
Required Forms:
Replacement 1
. 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 -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 -611 forms: MECH-04, MECH-2I-HERS
linear feet of duct in unconditioned space.
CF -411 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: May 6, 2012
Address: 31-170 RESERVE DRIVE STE A License: 686310
City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488
Reg: 212-A0022711A-00000000-0000
2008 Residential Compliance Forms
Registration Date/Time: 2012/05/06 15:31:21 HERS Provider: CalCERTS, Inc.
July 2010
Ca'ICERTS - CF -1 R Registration
Page 1 of 1
Public Home Danielle Garcia logged in [Logout]
[Home]
CONGRATULATIONS
Secure Home
Your CF -IR -ALT -HVAC Registration is complete! .
About us You may want to print this page for your records.
Training Site Address: 50720 CYPRESS POINT DRIVE (SYS 2)
La Quinta, CA 92253
CEC Registration: 212-A0022712A-00000000-0000
Rater Directory CF -IR -ALT -HVAC: CLICK HERE TO DOWNLOAD
�.-- — - ---.._..-:........ -......... - ........
- -- --
Forms Assigned Company: HARRISON ENTERPRISES INC
Membership Benefits Do you know your HERS Rater?
If you do, you may want to send this CF -IR to them.
Events CalCERTS Rater ID:
OR
Industry Partners My Rater Quick Select: -Select From List
Every CaICERTS rater has a license number.
news If you need to find the rater by name Click HERE to search our directory.
t
SENDCFIRTQHERS, RATER
To register for
our monthly
newsletter, [CLICK HERE] to do another
please click here.
Copyright Z-� 2010 CaICERTS, Inc.,All rights reserved. Revised: January 11, 2010
[Terms and Conditions] [Privacy Statement] [Class Cancellation Polity]
CaICERTS, Inc., 31 Natoma St Suite 120, Folsom, CA 95630
Office: 916-985-3400,Toll Free: 877 -HERS -11811, (877-437-7787)
Falx: 916-985-3402 Contact Us
A BBB
1�1'4r�e•//�xn:rfxr ra�rarte �nm/rn��►�i� r•i� 1? ��m7nrniart ;,a—� 4e2�n e]�/�n� �
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
50720 CYPRESS POINT DRIVE (SYS 2) La Quinta, CA.92253
City of La Quinta
May 6, 2012
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
® Furnace
® Indoor Coil
® AFUE 78%
® SEER 13,0
❑ COP
[1HSPF
❑ R 6 (CZ 10-13).
Served by system
® Setback
If not already present, must be
® Condensing Unit
❑ EER
❑ Resistance
❑ R 8 (CZ 14-15)
1200 sf
installed)
❑ Other
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1R -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.
0 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 -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 5 300 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
[12. Duct systems with less than 40 linear feet in unconditioned space, or
[13. Existing duct systems are constructed, insulated or sealed with asbestos
❑ 4. Theisystem-will not be Duc'ted-(ie. Ductless.Mini-Split-System),,(Also-Exempt_from Refrigerant=Charge)
❑ 2. New HVAC System
Required Forms: " �) -:::4, s`
. Cut in'or Changeout with
new ducts:,(all new
* ' -
CF -6R forms: MECH-04, MECH-20 HERS;. and (for split systems) MECH-22-HERS, and_
�
ducting,�all new
�
MECH-25ms:RMECH-20 and (forspl
CF 4R fo' it systems) MECH�
CaICERTS - CF -1R Registration
Page, l of 1
please click here.
Copyright O 2010 CaICERTS, Inc. All rights reserved. Revised: lanuary 11, 2010
[Terms and Conditions] [Privacy Statement] [Class Cancellation Polity]
CaICERTS, Inc., 31 Natoma St Suite 120, Folsom, CA 95630
Office: 916-985-3400,TollFree: 877-HERS-R8R,(877-437-7787)
Fax: 916-985-3402 Contact Us
`A BBB60)� 6
,rmsysi
Danielle Garcia logged in [Logout)
Public Home
[Home)
CONGRATULATIONS
Secure Home
Your CF -IR -ALT -HVAC Registration is complete!
About Us
You may want to print this page for your records.
Site Address: 50720 CYPRESS POINT DRIVE (SYS 1)
Training
La Quinta, CA -92253
CEC Registration: 212-A0022711A-00000000-0000
Rater Directory
CF -IR -ALT -HVAC: CLICK HERE TO DOWNLOAD
--
._....._....
Forms
......... _._._....._......_.._._....__.._._..._...._.........._ _.— ...-—__-_--...__............_..__..._._._..........__.........._...._.._._—...__................_... _.... _.... _............. _..... ........ _
Assigned Company: HARRISON ENTERPRISES INC
Membership Benefits
Do you know your HERS Rater?
If you do, you may want to send this CF -1R to them.
Events
CalCERTS Rater ID:
OR
Industry Partners
My Rater Quick Select: I. --Select From List
Every CaICERTS rater has a license number.
News
If you need to find the rater by name Click HERE to search our directory.
SEND''CF 1R O HERS RATER
To register for
our monthly
newsletter,
[CLICK HERE] to do another
please click here.
Copyright O 2010 CaICERTS, Inc. All rights reserved. Revised: lanuary 11, 2010
[Terms and Conditions] [Privacy Statement] [Class Cancellation Polity]
CaICERTS, Inc., 31 Natoma St Suite 120, Folsom, CA 95630
Office: 916-985-3400,TollFree: 877-HERS-R8R,(877-437-7787)
Fax: 916-985-3402 Contact Us
`A BBB60)� 6
,rmsysi
Work Order IIIIIIIIIIIIIIIIIII
GENERAL AIR CONDITIONING
Job No: 132477
www.callthegeneral.com
31170 RESERVE DR
THOUSAND PALMS CA 92276 `
760-343-7488 FAX: 760-343-7494 I
LIC# 686310
Service At: Customer # 118607 Bill To: Customer # 118607 Rating:
HARRIGTON, JIM 760-564-3668
50720 CYPRESS POINT R
LA QUINTA CA 922
Type:urc . EXISTI
Zone: 3 LQ Map: 818J3
Subdivision: LA QUINTA FAIRWAYS
Skill: Tax: RIV
HARRIGTON, JIM
50720 CYPRESS POINT DR
LA QUINTA CA 92247
Open Balance: ($284.00)
Payment Method:
Credit Limit:
Service Customer
Directions
TaskCode Scheduled Time
DINO
Instructions RODRIG SOLD (2) 3T MERIT SERIES HZ SYSTEMS $6400.00 LTO JEFF
Work Sugg
7:00:00 AM
CARRIE
Work Done
Call Info
Job Info
Call No.: 132477 Booked by: Anne
Job No.:
132477
Type: GASAC Booked Date: 5/11/12
Class:
REPLACEMENT
Scheduled: 5/11/12 7:OOAM Sched by: AMBER
Type:
GASAC
Pri Level: 5
Ld Src:
TECHS
Eq Age:
LS Ref:
Contact:
Equipment:
Assignments
Employee
TaskCode Scheduled Time
DINO
7:00:00 AM
TIM
7:00:00 AM
CARRIE
7:00:00 AM
Service History
Taken: 5/3/12 5:53 PM
Taken by: Anne
Cust PO:
SalesPerson: RODRIG
Call # Date Tech Type Status Bal. Due Job # 132290
132290 05/02/2012 RODRIG EST
Instructions: LTO JEFF OUT ON NO COOL CALL EST NEW SYSTEM GET WITH JEFF FOR DETAILS SCH 5/2 9:30-10AM
Work Done:
Work Sugg: RODRIG SOLD (2) 3T MERIT SERIES HZ SYSTEMS $6400.00 EACH HZ CUST THINKING IT OVER RODRIG TO FOLLOW UP CUST NOT
SURE IF WANTS TO MOVE FORWARD THIS SEASON OR WAIT
JEFF MENTIONED TO CUST WE WERE COSTCO REPRESENTATIVE CUST.HAD COSTCO PRICING PER RODRIG
Call # Date Tech Type Status Bal. Due Job # 132213
132213 04/30/2012 JEFFH NOCOOL
Instructions: NO COOLING NO SP
DO MAINT IF WE HAVE TIME
Work Done: UNIT BLOWING WARM AIR
HOMEOWNER RESET BREAKER
NOW BLOWING COOL AIR.
Work Sugg: LTO JEFF H EST NEW SYSTEM... APPT SET FOR WED.
Bin #
Permit 9P.O.
,y1
Qty O LA Q In t
Building 81: Safety pivlsion
Box 1504, 78.493 Calle 7amplco
La Quinta, CA 92253 - (760).777-7012
Building Permit -Application and Tracking Sheet
Project Address: 6 0j 20 C
X255 F6nt Owner's Name: �'�.m �1 �Y Y I n n
A P. Number:
Address: FQ12. b G Y S 5 0 (i+ i
Legal Description:
Contractor:enul
Address:
City, ST, Zip:
Telephone:
Project Description: M N C QW- 2)
City, ST, Zip: '—
)'} l 3 -ton SpUt s S •
Telephoae:
'3
S� %'k''•fi
State Lie. # :
3
City Lie.
Arch., Eagr., Designer:
Address:
C4r„,. ST, Zip;
Telephone:' Tele
P
State Lia #:
.... _. �'
f Construction Type: Occupancy:
� rf'
...% .i Project tyPa circle one) NewAdd'n Alter Repair Demo
Name of Contact Person:
to p (,(;e esl Sq. Ft.:`7,#.Storie3-.
# Units:
Telephone # of Contact Person: -7!o O 3 'e$ % Estimated Value of Project: p
APPLICANT: DO. NOT WRITE. BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
Recd
TRACKING
Plan Check submitted
PERMIT FEES
Item Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
)Plan Check Balance,
Title 24 Cafes.
Plans picked It
Ciinstruction
Flood plain plan
Plans resubmitted
Mechanical
Grading pian
2°" Review, ready for corrections/Issue
Electrical
Subcontattor List
Called Contact Person
Plumbing .
Grant Deed
Plans picked up.
S.M I.
H.O.A. Approval
Plans resubmitted
Grading
IN
1r0 Review,.ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P..
Pub. Wks. Appr.
Date of permit issue
Schodl.Fees .
Total Permit Fees