14-0160 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
14-00000160
50625 CALLE QUITO
770-095-005-51 -000000-
MECHANICAL
LOW DENSITY RESIDENTIAL
14250
Tih
t 4 4Q"
Architect or Engineer:
Tl�
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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
�4f Contractor`
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 Cade: 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 — 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.).
(_ 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:
LQPERMIT
Owner:
SWANK DANIEL L
50625 CALLE QUITO
LA QUINTA, CA 92253
(760)547-5508
/ VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/14/14
Contractor: fi"A U
GENERAL AIR CONDITIONING tl
31170 RESERVE DRIVE
THOUSAND -PALMS, CA 92276 FEB 14ZQtt�
(760)343-7488
]L
Lic. No.: 686310 CITY OF LA QUINTA
FINANCE DEPT.
------------------------------------------------
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.
! ,iA 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 Z071741503
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 shall forthwith comply with those provisions.
Date: �.4H Applicant/ J L 7 ,
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 ($100,0001. 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, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes.
1`4[e:2 )�i )y Signature (Applicant or Agg� '
Application Number 14-00000160
Permit : . . . . MECHANICAL 2013
Additional desc .
Permit Fee . . . .• 143.00 Plan Check Fee
.00
Issue Date Valuation
0
Expiration Date .8/13/14
Qty Unit Charge Per
Extension
2.00 35.7500 EA MECH FURNACE•
71.50
- 2.00 35.7500 EA MECH CONDENSER/COMP
71.50
----------------------------------------------------------------------------
Special Notes and Comments
HVAC CHANGE OUT - (2)13SEER/78 AFUE
SPLIT SYSTEMS [2008 ENERGY] CARBON
MONOXIDE ALARM(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION. 2013 CALIFORNIA
BUILDING.CODES.
February 14, 2014 12:24:00 PM skhatami.
----------------------------------------------------------------------------
Other Fees . . . . . PERMIT ISSUANCE M/P/E
90.57
PLAN CHECK, MECHANICAL
95.32
Fee summary Charged Paid Credited.
Due
Permit Fee Total 143.00 .00 .00
143.00
Plan Check Total .00 .00 .00
.00
Other Fee Total 185.89 .00 .00
185.89
Grand Total 328.89 .00 .00
328.89
LQPERMIT - -
Bin #
City of La Q uin to
Building 8T Safety Division"
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
(^
Project Address: -50(0-Ls C0.l I c Q v i � p '
Owner's Name:
A. P. Number:
Address: SU(.ZS Cc-kle
Legal Description:
City, ST, Zip: L ( v i r c. CA 9 2Z.5-3
Contractor: Ger�er c_� /y� r COr.c�� r i
Telephone: 7(00- 5714 -3 SOFs
:::::.;:::::,.:•. ,..•..:•:>::;•e:;
Address: 3\\-10 e-Sex
Project Description:
City, ST, Zip: (\nuvsc�Y.d 1�clmg C122�b
�� l�cc Z)3}oi-� 7c`c:Z� Uric
Telephone: -7(op- 343-7488
State Lie. # : 1o8b31 CJ
City Lie. M.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
P
:., ,;.:::::z: ;:,.:::> <: ;::::;<:>• >;:<: »:
::::::<:<>:::::<
^'
Construction Type: Occupancy:
State Lie. #
Alter. Rear Dem
Name of Contact Person:
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person:
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 Calcs.
Reviewed, ready for corrections
Plan Check Depasit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god 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:-
'"' Review, ready for correctionsrassue
Developer Impart Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fess
Z
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations, CF-lR-ALT-HVAC
Climate Zones 10 - 15 -
Site Address:
Enforcement Agency:
Date:
Permit #:
50625 CALLE'QUITO (SYSTEM 1) -La Quinta, CA 92253
City of La Quinta
Feb 12, 2014•
Duct insulation
Conditioned_ Floor:
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat,,
® Package Unit
l7 Furnace
® AFUE 78%
0 COP
❑ R 6 (CZ 10-13) '
Served by system
® Setback
already.present,
O Indoor Coil >
®SEER 13.0
[3HSPF
`
p R 8 (CZ 14-15)
2466 sf
If not must be
p Condensing Unit
Q EER
❑ Resistance ,
installed)
p Other
,.
1:Equipment Type: Choose the equipment being installed; if more: than one system, use another CF1R-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 -1R ;
and CF -6R shall also be on site for final inspection.
® 1. HVAC Changeout
Required Forms:
. All HVAC Equipment
CF -611 forms: MECH-04, MECH-21-HERS
replaced
_
CF -4R forms: MECH-21 ,
. Condenser Coil and /or .
CF -611 forms: MECH-04, MECH-2I-HERS
. Indoor Coil and /or
Fl_ ,� • t
CF -411 forms: MECH-21 and (-_ spit systems) MEGA
. Furnace
•'"
For Packaged Units: Duct leakage.< 15 percent
Exempted from duct leakage testing;if:
❑ 1. Duct system was documented to -have been previously sealed and confirmeE through HERS verification, or . '
❑ 2.. Duct systems with less th' ii. 40 linear feet in unconditioned space, or, "
a
❑ 3: Existing duct.systems are anstnicted, insulated or sealed with asbestos
❑ 4. The systen4 will not be Duiaed (ie. Ductless Mini -Split System) (Also Exempt from Refrigerant Charge)
❑ 2.-. New HVAC_System -
Requir:Farms: r
.Cut in or GFiangeoui with.
CF 61kforms MECH 04 MEGH�20 HERS, anti (for sp(tt sy a tss) MSC# 22-HERS;.and
new ducts;.. ad iiew. '
ductin n .a l new
l
MECH 5
- -.... i
-CF-4R#orms. I�ifCH-20 and (fUf Split Sy5Em5� MEf{-22 zantl MECH=25
_ a-• .:
equiprp.q! ): .
_
= ,
.. ' .,3..
For Split 5ystems� Duct leakage < 6 percent, RC, CCAS 350' GFM/tan FWQ TMAH STA15 ::apd *ither MSPP nKPSPP
r
For P acka ed
0.3. New Ducts idrith/orwrtfeoot�}'?:::'.;:
Replacement. ...... :...-:..:.:..:.
. Includes replgtih, or. installing alF iew
ducting arid%or outdoor condensing .unit
CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH=25-HERS.
and/or indoor coil aril/or.. furnace::°.No or some
CF -411 forms: MECH-20 and (for split systems) MECH-25
equipment changed
r -
For Split Systems: Duct :leakage. <,6 percent; RC, CCA > 300 CFM/ton, TMAH
For Packaged Units: Duct Ieakage'<.6 percent
❑ 4. New Ducting over 40 feet r
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 -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 CalifomiaBusiness 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 Complince confor
am to the
requirements of Title 24, Parts land 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: Dayana Valdez I - Signature: Doyon Voldez
Company: HARRISON, ENTERPRISES INC Date: Feb 12, 2014
Address: 31-170 RESERVE DRIVE STE A Licee: 686310
nsone:
City/State/Zip: THOUSAND PALMS / CA / 92276. • ' L Ph(760) 343-7488
'Reg: 214-A0010453A-000000000-0000 Registration Date/Time: 2014/02/12'`18:34:38 HERS Provider:,Ca10ERTS"Inc.- y'
2008 Residential Compliance Forma ,July 2010
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations,. CF-IR-ALT-HVAC
Climate Zones 10 - 15 4,
Site Address:
Enforcement Agency:
Date: Permit #:
50625 CALLE QUITO (SYSTEM 2) La Quinta, CA 92253
City of La Quinta
Feb 12, 2014
Duct insulation
Conditioned Floor
Equipment Type1
List Minimum Efficiency2
requirement'
Area
Thermostat
® Package Unit,
•78%
0 Furnace .
® AFUE
❑ COP0
R 6 PCZ 10-13).• "Served
by system
® Setback
[3 Indoor Coil
®SEER 13.0
p HSPF
L3 R 8 (CZ 14-15)
6
If not already present; must be
•. `
p Condensing Unit
EER
❑ Resistance.
installed)
❑ Other
�t
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 EtiPcienciesr 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-1R
and CF-6R shall also be on site-for final inspection.
® 1. HVAC Changeout
Required Forms:
• All HVAC Equipment
CF-611 forms: MECH-04, MECH-21-HERS
replaced
CF-4R forms: MECH-21 `
• Condenser Coil and /or +
CF-6R fortes: MECH-04, MECH-2I-HERS - r
• or oil and /or
CF-4R forms: •-
MECH-21 ,a ((^- splitsystems) M9GW 25
•Furnace
For Packaged Units: Duct leakage.< 15 percent'
Exempted from duct leakage. testing-. :
❑ 1': Duct system +eras clocumi6fed to have been previously sealed and confirmed through -HERS verification, or : ,.
2: Duct systems with less t1ia6..40 linear feet in unconditioned space, or _ +
O 3: Existing duct systems ani.`&nstructed, insulated or sealed with asbestos
Q 4. The system will riot be Ducted '(ie. Ductless Mini-Split System) (Also Exempt from Refrigerant Charge).
❑ 2.-.New HVA C._Systern;
Requires: Forms:
. Cut in oriSKS-ugeotif withr
•
y -
CF-6R forms MECH-04� MECfi 2Q HEMS, and for spkt sy�eus) MECI€ Z2 HERS, and
newduets :all view
(.
ducteng,;:afl new
MfCFI 23 TIERS. , v
foftns INfCH-20 ansl {fof spld systems] Mf=22antf MECH=2. F
L17-4R'equip
3721-
For Spfi� SystemssF Duct leakage < 6 fsEaent; RC, CCA > 350"CFM/ton, F1A7b, TMAH,rSTlv15, and either liSPP �rSPP
,,. ;x.
_
For Pucka Un c#�eaka e. .6:, -
❑ 3. New Ddcts`with- or without:
Requ[red'Forens: -
Reptacement::.. :
- `
. lneudes replacirig4or. installing all: tiew
1. ducting aiiclior outdoor condensij 'unit
CF-611, forms: MECH-04, MECH-20-HERS,.and (for split systems) MECH-25-HERS
and/or indoor coil acid%or.. furnacNo'or some
CF-411 forms: MECH-20 and (for.split systems) MECH-25 ;
equipment changed.'
For Split Systems: Duct leakage:' b percent; RC, CCA 2: 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-4R forms: MECH-21
For split system or packaged units:. Duct leakage < 15 percent ~
p 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 - , t - • ,. ,
• 1.
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 information documented on other applicable compliance
forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application.. .
Name: Dayana Valdez :• Signature: Dayono Voldez
Company: HARRISON ENTERPRISES INC Date: Feb 12,2014
Address: 31-170 RESERVE DRIVE STE A . _ License: 686310
-CiLYj5LdiejZip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488 -
rd, Reg: ;•214-A0010457A-000090000=0000- Registration Date/Time:.2014/02/12 18:37:46. 'HERS Provider: CalCERTS, Inc_
2008 Residential -Compliance Forms 'r,. July 2010