13-1056 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
13-00001056
Property Address:
78477 CALLE
APN:
646 -182 -007 -
Application description:
MECHANICAL
Property Zoning:
LOW DENSITY
Application valuation:
5000
Applicant:
REMO
RESIDENTIAL
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT ,
BUILDING PERMIT
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: Contractor:
OWNER -BU DEC RATION
I hereby affirm under penalty of perjury that I am exam from t ontractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions o e: 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 sale3. '
(_ 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 contractors) 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/21/13
Owner:
SCHMIDT JAMES M
78447 CALLE REMO
LA QUINTA, CA 0''
Contractor: U
GENERAL AIR CO�D�
TIONl�, ' ?013
31170 RESE`�� E 4
THOUSAND PA-, S, C
(760) 343-7488 'lR QUI�yT
Lic . No.: 686310 �4 (° . A
WORKER'S COMPENSATION DECLARATION
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, 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
�/ 3/700 of the Labor Code, I shall forthwith comply with those provisions.
.Date: "'1`_r 'Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERA FUL,' ND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL F ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF CO TION, DAMAGES AS PROVIDEDFORIN
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 pe ty for inspection purposes.
Date: ignature (Applicantt.0
I
Application Number 13-00001056
Permit MECHANICAL 2013
Additional desc .
Permit Fee . . . . 71.50 Plan Check Fee
.00
Issue Date Valuation . . .
. 0
Expiration Date 2/17/14
Qty Unit Charge Per
Extension
1.00 35.7500 EA MECH FURNACE
35.75
1.00 35.7500 EA MECH CONDENSER/COMP
35.75
----------------------------------------------------------------------------
Special Notes and Comments
HVAC CHANGE OUT - 14.5 SEER 4 TON SPLIT
SYSTEM & COIL (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
PERMIT ISSUANCE M/P/E
90.57
PLAN CHECK, MECHANICAL
47.66
Fee summary, l 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
I
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RECEIVE®
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1?-Qdn4 CA 92253..-(7,60) 717-7cab CITY OF LA QUINTA
Bulling Permlit Appllscallo and 1Yacld g ees Y DEVELOPM
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Date of peraft hm
>� Dcs�ipaon:
-
Co*"Itac GENERAL A/C & HEATING
CAr-ST lip: LA QUINTA, CA 92253
Telepboft
Addm: 31170 RESERVE DRIVE
qly, St:4=•THOUSAND PALMS, CA 92276
ProJocc Cott:
CHANGE OUT A/C 4 TON• 14,5 SEER &COIL
Talvhaw 760-343-7466
State Lia d : 686310
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Date of peraft hm
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Aug 20, 2013
Dor
Thermostat
® Setback
If not already present, must be
installed)
e equipment 6eing installed; If more than one system, use another CF l -ALT- VAC for each system.
• 2, Minimum EquipMent Effldencles: 13 SEER, 78% AFUE, 7.7HSPFfor typical residenUel systems.
HERS VERIFICATION SUMMARY Listed be ow are FOUR HVAC alteration Options. The installer deal es 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-4ks allowed) are filled out and signed,aeginning October 3, 2010, a registered copy of the CF -1R
and CF -611 shall also be on site for flnal inspection.
T ®1, HVAC Changeout Required Forms:
T • All HVAC Equipment CF -6R forms: MECH-04, MECH-21-HERS and (fur split; systems MECH-25-HERS
replaced CF -411 forms: MECH-21 and (for split systems) MECH-25
r . Condenser Coil and /or
.Indoor Coll 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, J5 percent; RC, CCA < 300 CFM/ton (Minimum mr Flow Requirement), TMAH-
Exempted from duct leakage testiri�' if:..
O'i: �iicts .s n
y tem was documerr... to have be
p2.'Duct systems with fess en previously sealed and confirmed through HERS verification, or
+. : thy..:, 0 linear feet In unconditioned space, or
Q 3'. Existing duct systems are constructed, insulated or sealed with asbestos
p,4'. The. ill not be Du' • d'(le:-...t
13 2. Na ilk` `Sy '7s9n Requi ,3'- "r;�t: ,.,,.terilr? t axe tzfri ,RPfi, er,101 dirge)
. CUL In 8nge)ut wi a:�.r
new i?:(all new �LECH-04, M2• Al E �� G }Mit s
i- '
5 L OyyH RS
ductl
all new}~i' rt t=). QRS, And
;• . !r
,
equip,++' _42..�..�
For Split'
v �.:..:•, ,,,,....: .
;SCF.. •�::.
•�:.i•,yr...,::_ /t4y..FW',, Wim.. :.S anti'
For Packaged U.gits:`'bitct leakage',C: Ch; nPrr�rti" =:' a' ; : ;,
Vii, herl<13 PF 0 - PS P.
• Replae�jiiiiS'Hr° '�'� _..---;,- ...,....o., r....,,Y.
�-:No
r Includes rep(acing or installing atnewducting'and/oroutdoor.contlens.i..0 0 CF -6R forms: MECH-04, MECH-20-HEf2S, and (for split systems) MECH-25-HERS
dnd/or indoor Coil and/or fidrnaceor some CF -4R forms: mi
and (for split systems) MECH-25
equipment changed.
For Split Systems: Duca 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 4.0 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'g /Responsible Designers 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.Tltle 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. speciflcations submitted to the enforcement agency for approval with the permitappli�tl0n•
Name: Danielle Garcia
S)ghature- Danielle 6urclo
Company: HARRISON ENTERPRISES INC
Address: 31-170 RE5ERVE DRIVE STE A bate: Aug 20, 2013
City/Skate/Zlp: THOU SANb PALMS / CA / 92276 License: 686310
• Phone: (760)343-7488
Reg: 213--&0064344A-000000000-D000 Registration Date/Time: 2013/08/20 21;52':21 ITERS Provider_ CalcFRT3, l c•
2008 Residential Compliance Forms
July 2010
,
f=
—o-V,iricu rrescnpt`tve Uer1Mcate of Compliance: 2008 Residential HVAC
Climate Zones 10 - is
Site Address:
Enforcement Agency:
78477 CALLS REMO La Quinta, CA 92253 City of La Quinta
'
Equipment Typel List Minimum Efficient 2 Duct Insulation Condltione,
Y
;.
requirement Area
la Package Unit
❑ Furnace ❑ AFUE [I COP
® Indoor Coil M SEER ❑ HSPF O R 6 (CZ 10-13) Served by ;
0 Condensing Unit ❑ EER ��E3 R 8 C
z 14-i
❑ Resistan i 5) 1774 sf
•
O Other
I. Equipment type• oose th
L
Aug 20, 2013
Dor
Thermostat
® Setback
If not already present, must be
installed)
e equipment 6eing installed; If more than one system, use another CF l -ALT- VAC for each system.
• 2, Minimum EquipMent Effldencles: 13 SEER, 78% AFUE, 7.7HSPFfor typical residenUel systems.
HERS VERIFICATION SUMMARY Listed be ow are FOUR HVAC alteration Options. The installer deal es 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-4ks allowed) are filled out and signed,aeginning October 3, 2010, a registered copy of the CF -1R
and CF -611 shall also be on site for flnal inspection.
T ®1, HVAC Changeout Required Forms:
T • All HVAC Equipment CF -6R forms: MECH-04, MECH-21-HERS and (fur split; systems MECH-25-HERS
replaced CF -411 forms: MECH-21 and (for split systems) MECH-25
r . Condenser Coil and /or
.Indoor Coll 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, J5 percent; RC, CCA < 300 CFM/ton (Minimum mr Flow Requirement), TMAH-
Exempted from duct leakage testiri�' if:..
O'i: �iicts .s n
y tem was documerr... to have be
p2.'Duct systems with fess en previously sealed and confirmed through HERS verification, or
+. : thy..:, 0 linear feet In unconditioned space, or
Q 3'. Existing duct systems are constructed, insulated or sealed with asbestos
p,4'. The. ill not be Du' • d'(le:-...t
13 2. Na ilk` `Sy '7s9n Requi ,3'- "r;�t: ,.,,.terilr? t axe tzfri ,RPfi, er,101 dirge)
. CUL In 8nge)ut wi a:�.r
new i?:(all new �LECH-04, M2• Al E �� G }Mit s
i- '
5 L OyyH RS
ductl
all new}~i' rt t=). QRS, And
;• . !r
,
equip,++' _42..�..�
For Split'
v �.:..:•, ,,,,....: .
;SCF.. •�::.
•�:.i•,yr...,::_ /t4y..FW',, Wim.. :.S anti'
For Packaged U.gits:`'bitct leakage',C: Ch; nPrr�rti" =:' a' ; : ;,
Vii, herl<13 PF 0 - PS P.
• Replae�jiiiiS'Hr° '�'� _..---;,- ...,....o., r....,,Y.
�-:No
r Includes rep(acing or installing atnewducting'and/oroutdoor.contlens.i..0 0 CF -6R forms: MECH-04, MECH-20-HEf2S, and (for split systems) MECH-25-HERS
dnd/or indoor Coil and/or fidrnaceor some CF -4R forms: mi
and (for split systems) MECH-25
equipment changed.
For Split Systems: Duca 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 4.0 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'g /Responsible Designers 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.Tltle 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. speciflcations submitted to the enforcement agency for approval with the permitappli�tl0n•
Name: Danielle Garcia
S)ghature- Danielle 6urclo
Company: HARRISON ENTERPRISES INC
Address: 31-170 RE5ERVE DRIVE STE A bate: Aug 20, 2013
City/Skate/Zlp: THOU SANb PALMS / CA / 92276 License: 686310
• Phone: (760)343-7488
Reg: 213--&0064344A-000000000-D000 Registration Date/Time: 2013/08/20 21;52':21 ITERS Provider_ CalcFRT3, l c•
2008 Residential Compliance Forms
July 2010
,
f=