11-0939 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
11-00000939
Property Address:
78563 PEERLESS PL
APN:
7707250 -002 -
70-250-002-Application.description:
Application. description:
MECHANICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
6400
Applicant:--} Architect or Engineer:
A14-
• `���NINW
BUILDING &-SAFETY DEPARTMENT
BUILDING PERMIT
- _ _ - _ - _ - --- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LICENSED CON- RACTOR's.DECLARATION -
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 Profes ' pals Code;.and my License is in full force and effect.
License Class:. C20 -",License No.: '686310
Date: i I Contractor: - °'
N BUILDER DECLARATION
hereby affirm underpenalty of perjury that Iam-exempt fro t the Contractor's State;License Law for the
following reason (Sec..703T.5;Business and 'Professions'.Code .Any city or county that.requiresapermit to
construct, alter;: iinprove;'demolisfi,otrepair anysfructure;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`Busiriess and Professions. Code) or
that hear she is exempt therefrom: and the basis for the alleged exemption., Any violation'of Section 7031.5 by
any -applicant for a permit subjectsthe. applicant to a civil.penalty of not more than five. hundred,dollars ($500).:
1 _) I, as`owner of the property, or,employees'with wages as'.their-sole compensation, will do the work, and
the structure is not intended orofferedfor sale (Sec. 7044,$usiness and ProfessionsCode>,The,
Contractors',State:License Law does' not apply of property who builds or improves thereon,
and who does the work-himselCor herself through his or..her own employees, provided that the
' ,improvements are noTintendedor offered for sale. If, however, the building or improvement is sold within
one year oi'completion, the owner -builder will have the burden.of.,proving*thai he or .she did not build or
improve fcrthe.pUpose of sale )'-
1 _) 1, as owner of the propehy,-am exclusively contracting with licensed contractors to construct the project (Sec.
. 7044, Business and Professioris Code: The Contractors' State License Law does not apply to an owner of
propertywho builds,or:impioves thereon, and who contractstor the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.). '
I Y 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:
FRYE RUSTY
78653 PEERLESS ' PEACE
LA QUINTA, CA 92253
(760)564-6685
' "Contractor:
GENERAL AIR"CONDITIONING
31110 RESERVE DRIVE
THOUSAND -PALMS, CA 92276
(760) 343-74188 {
Lic. No.: 686310
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/31/11
D Q {
AUG 31 2011 `
CITY OF. LA QUINTA
F MANCE DEPT.
-------------
> WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty'of perjury one ofthe following declarations:
I have and will mamtairia-certificate of consent to selhnsure for workers' compensation,'as provided
for by Section.3700. of the Labor Code,,for the performance of the work for&icnthis-permit ;is
.issued.... .•. _ . l , . ;--' '
_ I have arid -will maintain workers' compensation msurancCas iequired by Section 370Qof the Labor
Code -for theperformanceof the.work for which this permt is issued My, workers' compensation
insurance carrier and policy number are: '
Carrier EVEREST -NATI PolicyNumber 76000061471'01
_1 certify that, in the performance of-the'work for which this permit is issued, Lshall notemploy any
person in any manner so as to bec "e subject to'the workers' compensation laws'of California,
and agree that, if I should becom bject to the workers'. compensation: provisions of Section
3700 of the Labor,Code, l shall w' 'comply with'those provisions.. - -
Date:,. $ 3 ( Applicant:' ..
WARNING: FAILURE TO SECURE WORKERS' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
N
SUBJECT•AEMPLOYER TO. CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($1010,000). IN ADDITIONTO 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 mede•to the Director 'of'.Building and`Safety`forapermit subject`to the '
conditions and restrictions set forth on this. application.
1., •Each.person.upon whosebehalE,this application is made, each person at.whoserequest and ;for .'
whose benefit work-is;performed under or pursuant,to any'peimifissued as a result'of this appkation,
the owner, and theapplicant, each agrees to,'and shall defend; indemnify and. hold harmless the. City
of La Quinta,-its officers; agents and employees for any act or omissiori'relatedio the work tieing
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 Jtheabovnformation is correct. I agree to comply with all
city and county ordinances and"state laws relating struction; and hereby authorize representatives
of this county to enter upon the above-mentioned pection purposes.
Date: 8 .j(' Signature (Applicant or Agent
Application Number . . . . . 11-00000939
Permit . . . MECHANICAL
Additional desc .
Permit"Fee 31.50 P1an.Check Fee
7.88
Issue Date Valuation . . . .
0
Expiration Date 2/27/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU
16.50
--- - ----
Special Notes 'and Comments.
ONDENSER AND..,COIL,,;CHANGE.,OUT>
ON. THE GROUND .: 201.0 .CODES.
----------
-----Other Fees - ------------- . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
Due
----------------- ----
Permit Fee Total 31.50 .00 .00
31.50
s` Plan,. Check Total 7.88 .:00.. :00
->T:88':
Other:' Fee -Total 1.. 00'' 00 .'0.0
, .1 : 00
Grand Total 4023.8.. .00 .00
40.38
LQPERMIT
r� ;
Sim lifted Prescriptive Certificate of Com liance:".2008.Residential HVAC Alterations CF -IR -ALT -HVAC
Climate Zones 10 to 15
Site Address:
pe,er/e�
Enjorce tAgenc :
Date:
Permit#:
Equipment T el
List Minimum Efficiency Z
Duct insulation requirement
Conditioned Floor
Area
Thermostat
C3 Packaged Unit
Cl Furnace
❑ AFUE 80% ❑ COp
Over 40 ft of ducts added or
etback
Indoor Coil
❑SEER 13 ❑ HSPF
replaced in unconditioned space
Served by system
(Ifni already
Condensing Unit
O EER / / ❑ Resistance
❑ R 6 (CZ 10-13)
sf
present, must be
❑ Other
❑ R 8 (CZ 14-15)
installed)
1. Equipment Type: Choose the egitipment 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
si ed. Beginning October 1, 20.1.0, 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 replaced
CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS
CF -4R forms: MECH-'21 acid fors lits stems MECH-25
• Condenser Coil and/or
• Indoor Coil and/or
CF-611forms: 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
For Packaged Units: Duct leakage < 15 percent
Exempt d„Vom duct leakage testing if.
. 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
❑ 2. New HVAC System
Required Forms:
• Cut s: Changeout with new
ducts: (al l new ducting and all
CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS
new equipment)
CF -4R forms: MECH 20-, and (for split systems) MItH-22, and MECH 25
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 Replacement Required Forms:
• Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS
and/or outdoor condensing unitand/or indoor CF -4R forms: MECH-20 and (for split systems) MECH-25
coil and/or furnace. Not all 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
linear feet of duct in unconditioned s ace.
CF -6R forms: MECH-04, MECH-2I-HERS CF -411 forms: MECH-21
For split system or packaged units: Duct leakage < 15 percent
❑ EXCEPTION: Existing ducts stems 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.
• 1 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 ” orm tion documented on other ppli ompliance forms, worksheets,
calculations, plans andspecifications submitted to the enforcement agency for appro al with t e permit application.
Name: `teen L(/O-SonSi
cure:
Company: 6/�� eeneera_( 41 r CDnd; �_'041
Date:� 30-!%
Address: n_
31 /70 i2%eSerUe- &rll. t/Q�
License:
ta8�3/C�
City/State/Zip:—�—�Dt SG e.L � f� GR 9��7�
Phone: 760-343_-7499
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CONGRATULATIONS
Your CF -I R -ALT -HVAC Registration is complete!
You may want to print this page for"your records. 3
Site Address: 78653 PEERLESS PLACE
La Quinta,• CA 92253
CEC Registration: 211,7A0044936A-00000000-0000
CF -IR -ALT -HVAC: CLICK HERE TO DOWNLOAD
Assigned Company:IHARRISON ENTERPRISES INC
Do you know your HERS Rater?,
If you do; you may.want to send this CF -1R to them.
..'CaldRTS Rater ID:
OR
My Rater Quick Select: "Energy Driven Solutions, Inc._;
_ `Every CaICERTS rater has a license number.
If you need to find the rater by name [Click HEREJ to search our directory.
CE 413, ,,,E HERS; RATER
[CLICK HERE] to do another ,
t
Copyright t0,201 0 CaICERTS. Int 'All rights reserved. Revised:.lanuary l I. 2010
[•terms and Conditions] (Privacy Statement] (Class Cancellation Policv)
CaICERTS, Inc., 31 Natoma St Suite 120, Folsom, CA 95630
Office: 916-985-3400,Toll Free: 877 -HERS -11811 (877-437-7787)
Fax: 916-985=3402 Contact Us
y� 1
BBB :; FtttO us on FaCebtQk® J
t
i
https://www.calcerts.com/public_cf R1;cf n?projectid=135006
8/30/2011
Bin
•
City. of b. -Q.0 a
Building 8t SafetyMiston
P.O. Box 15.04, 78-495 *Calk .,tamptco
Qulnita, CA 92253 = (760) 777-70:12 .
00ding.Permit-Application and Tr-ackiflg Sheet
Permit #
Project Address:
Owner's Name:
A'. P. Number:
p
Address:r i a -c -g,
Legal Description:
City,. ST
Contractor:^
Address:
City, ST, Zip: �+ -',`
Telephone:L L
D1^
Y
�.
!'/�/;:•::%'1oo•:ISS"
,.�fr,%/•:'`;.\s :.flf>:q 1.:;;;:.; •Cy'jf. �.n`•� f ,
:.. ,�f .. ,
Telephone:.% J`�li� (o�og s4 :• < �:<
Project Description: (n46-d4w
_ - .
State Lic. #.City
Lia
Arch., Engr., Designer:
Address:
City., ST, Zip:..
Telephoner .
State Lic. #:
'• �"• • -
�•"
• <: f, <n�a�: �,, '. `
.?�' t%� .•
>` fi ;F,.,fi/4,�,;4 •';
Construction Type: Occupancy:
.
Project New .' Add n Alter Repair Demo
Name'of Contact -Person:
41_�;A45 &YU
Sq: Ft.:
# Stories:
# Units:
Telephone # of Contact Person: '7!n O
3c3 % $
Estimated Value of Project: CID
APPLICANT:_ DO. NOTWRITE. BELOW THMUNE . p'
#
Submittal
Plan Sets.
Req'd`
Rec'•d:
TRACKING
Plar Check submitted
PERMIT FEES
Item Amount
Structural Cafes.
Reviewed, readyfor corrections
Plan Check Deposit
Truss Cafes.
Called, Contact Person
Plan Check Balance.
Title 24 Cafes.
Plans picked.up .
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2p° Review, ready for. correctionstissue .
Electrical
Subcontactor List
Called ContactPerson
Plumbing .
Grant Deed
Plans picked up..
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
7rd Review,.ready for correctfonsrssue
Developer Impact Fee
Planning Approval
Caped Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School. Fees
Total Permit Fees