13-0432 (MECH)P.O. BOX 1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
13-00000432
Property Address:
49839 COACHELLA DR
APN:
646-250-005-5 -4275 -
Application description:
MECHANICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
17856
TW!t
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: . Architect or Engineer:
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.: 686310
Date: 4 $ )3 Contractor!r'�i `--�--
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 1, 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 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 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:
LQPER IIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/08/13
Owner:
HARRINGTON JAMES S
Contractor:
GENERAL AIR COON 1
31170 RESERVE VE
THOUSAND PALM 92276 c 013
(760)343-7488 R
Lic. No.: 68631 �� ...
WORKER'S COMPENSATION DECLARATION
1 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 Z071741502
I certify that, in the performance of the work for which this permit is issued, 1 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 shall forthwith comply with those provisions.
Date: 4) 8 13 Applicant: �
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 Ouinta, 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 authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes.
� r
Date: C481 L25 Signature (Applicant or Agent):- c -aJrL
r -
LQPE"11T
Application Number . . . . . 13-00000432
Permit . . MECHANICAL
Additional desc . .
Permit Fee . . . . 70.00 Plan Check Fee 17.50
Issue Date . . . . Valuation . . . . 0
Expiration Date 10/05/13
Qty Unit Charge Per Extension
BASE FEE 15.00
2.00 11.0000 EA MECH FURNACE >100K 22.00
2.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 33.00
----------------------------------------------------------------------------
Special Notes and Comments
HVAC CHANGE -OUT - REPLACE (2) 3.5 TON
AIR CONDITIONER 13 SEER/78 AFUE [2008
ENERGY] CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION.
2010 CALIFORNIA BUILDING CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00
Fee summary Charged Paid Credited Due
Permit Fee Total 70.00 .00 .00 70.00
Plan Check Total 17.50 .00 .00 17.50
Other Fee Total 1.00 .00 .00 1.00
Grand Total 88.50 .00 .00 88.50
04/08/2013 09:46AM 8187353575 IPERMIT ERATERS PAGE 02/06
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04/08/2013 09:46AM 8187353575 IPERMIT ERATERS PAGE 03/06
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC AI
rations CF -111 -ALT -HVAC
Climate Zones 10 - 15
Site Address: Enforcement Agency:
Date: Permit #:
49839 COACHELLA DR La Quinta, CA 92253 City of La Qulnta
Apr 8, 2013
Duct insulation Conditioned FI
or
Equipment Typel List Minimum Efflciency2 requirement Area
Thermostat
17 Package Unit
® Furnace ® AFUE 78% ❑ COP ❑ R 6(CZ 10-13) Served by syst
E3HSPF
am ® Setback
If not already present, must be
IN Indoor Coil ® SEER •,13,1L E3 R 8 (CZ 14-15) 1137 sf
installed)
® Condensing Unit Q EER 13 Resistance
Cl Other
1. Equipment Type: Choose the equipment being Installed; if more than one SySUM, use another CF -1 R-
T -HVAC for each system,
2. Minimum Equipment Ef denc/es: l3 SEER, 78% AFUE, 7.7h(Sfir for typical residential systems.
HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The instal
er decides what work Is being done
and picks one of the appropriate Options. Each Option lists the HERS measures that must be
nducted. A copy of the forms shall
be left on site for final inspection and a copy given to the homeowner. At final, the inspector v
rifies that the work listed on this
form was in fact the work completed by the installer. The Inspector also verifies that each app
oprlate CF -6R and registered CF -4R
forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010,
registered copy of the CF -111
and CF -6R shall also be on site for final inspection.
® 1.. HVAC Changeout
Required porms:
. All HVAC Equipment
CF -611 forms: MECH-04, MECH-2I-HERS and (for split systems)
ECH-25-HERS
replaced
CF -4R forms: MECH-21 and (for split systems) MECH-25
. Condenser Coil and /or
CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) II
ECH-715-HERS
. Indoor Coil and /or
CF -4R -*:forms: MECH-21 and (for split Systems) MECH-25
. Furnace
Por Split Systems: Duct •leakag� }x:1:5: percent; RC, CCA <– 300 CFM/tan (Minimum Air Flow
equirement), TMAH
Exernptpd:from duct leak®9 testin f:
biicC: $ter was-dticurYi d to have been previously sealed and confirmed througl
i HERS verification, or
:puetsyStems'Wlth.tess'tl'iaT�40 linear feet in unconditionedspace, or
• '3:: isting:dUd syste, 'are: nstructed, Insulated or sealed with asbestos
„,; -
g.. be' Da d X12.•
II• not _.. ,,.. a _...
E32. I+l 5y . Req,i
. Cut i ,hgeout wi i 1}t ft.'s
CH j
EC ERS,`#n d
new s:(all new-'
duets. ail n BCH
`
For Spll p .., >�: �,,..., �.,, r,., ,� ... 5t
. .::.:> :a r`
For:Paldcagel:UYIItS:,FS,ti�:le�kag. 'p
n�; . b P:
., � - -
�ot; wltlloJ M:
eq aired Forms:
)�
ReWitP—*t,—"—
. Indudes. ireptadrig::or installing" grew
duc'tfng*and/or outdoor cpi4etfj9.unit
CF -6R forms: MECH-04, MECH-20-HERS, a
d (for'split systems) MECH-25-HERS
and/or Indoor coil and/or. fui4iai Na:or some
CF -4R forms: MECH-20 and (for split syste
s) MECH-25
equipment changed.
For Split Systems: Duct leakage::< 6 percent; RC, CCA 'a 300 CFM/ton, TMAH
For Packaged Units: Duct leakage < 6 percent
❑ 4. New Ducting over 40 feet Required Foams:
. Includes adding or replacing more than 40 CF -6k 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 seated 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 Califomia.Business and Professlons Code to accept responsibility fo
the design Identified on this Certificate of
Compliance.
• I certify that the energy features and performance specifications for the design identified on this Certifi
ate 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 appy
val with the permit application.
Name: Danielle Garcia Signature: Danielle samio
Company: HARRISON ENTERPRISES INC
Date: Apr 8, 2013
Address: 31-170 RESERVE DRIVE STE A
License: 686310
1
Clty/State/Zlp: THOUSAND PALMS/ CA/ 92276
Phone: (760) 343-7488
Reg; 213-A0020657A-000000000-0000 Registrtttion Date/Time: 2013/04/08 12:20:29 ITERS Provider: Cb10ERTS, Inc.
2008 Residential Compliance PDX-MB July 2010