The URL can be used to link to this page

12-0565 (MECH)P.O.'BOX 1504 VOICE (760) 777=7012- 78495 CALLE TAMPICO FAX -(760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT \ Date: 5/22/12 Application Nurriber. C X12-00000565�, Owner. Property Address: 7932.6. CALLS -PALMETO JIM BRYANT APN: 604-381-017-25 -25953 - 79326 CALLE PALMETO D .Application description: MECHANICAL* LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL - p�/ Application valuation: 19487 �F11 2�� Contractor: CITY OF LA QUINTA ^ ��' ��• Architect or Engineer: GENERAL AIR CONDITIONING FINANCE DEPT. 31170 RESERVE DRIVE THOUSAND PALMS; CA 92276 (760)343-7488 '1 I PC tic. No.: 686310 LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licen undei provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Profe ovals Code, and my license is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C20' VenseNo.: 686310 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ... issued. ate: •77)2 2-/17 omractor: - _ _. _ _. _ _ - - _ - -. 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 R -BUILDER DECLARATION - insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier ZENITH INS CO olicy Number Z071741501 following reason fSec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance o t e work for which this permit is issued, 1 shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to ome subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should bec subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I sha orthwith comply with those provisions. 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).: ate: 's Z Z- plicant: (_) 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 WARNING: FAILURE TO SECURE WORKERI' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER -TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000) IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT ( 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who buildsor improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License'Law.). . whose benefit work is performed under or pursuant to any permit issued as a result of this application, ( I I am exempt under Sec. , BAP.C. for this reason 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. - Date: Owner: - 2. Any permit issued as a result of this application beco null and void if work is not commenced ' within 180 days from date of issuance of such per L r cessation of work for 180 days will subject CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above f rmation is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and statelawsrelating to building cc v ction, and hereby authorize representatives of.this county to enter upon the above-mentioned property for in - ctio rposes. Lender's Name: D te:. $ Z Si ture (Applicant or Agent): - Lender's Address: �� . LQPERMIT _ Application Number :. . . 12-00000565 Permit MECHANICAL Additional desc . Permit Fee 57.00 'Plan Check Fee 14.25 Issue Date . . . . Valuation 0 Expiration Date 11/18/12 .Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9,.0000 EA MECH FURNACE,<=100K 1,q nn - 2.UU 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 33.00 Special Notes and Comments HVAC CHANGE -OUT: INSTALL 5 TON HORIZONTAL SYSTEM, FURNACE IN ATTIC & 2 TON MINI SPLIT DUCTLESS SYSTEM. 2010 CODES. ---------------------------------------------------------------------------- Other Fees BLDG STDS.ADMIN (SB1473) .1:00• ' Fee summary Charged Paid Credited Due Permit Fee Total. 57.00 .00 .00 57.00 Plan Check Total 14.25 .00 •.00 14.25 . Other Fee Total 1.00 .00 .00 1.00 Grand Total 72:25 .00 .00 72.25 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC Climate Zones 10 - 15 Ej1Pe Site Address: Enforcement Agency: Date: - #: 79326 CALLE PALMETTO. La Quinta, CA 92253 City of La Quinta May 21, 2012 ,= �. Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit. r - ® Furnace" ® AFUE 78% ❑ COP v [3R 6 (CZ.10-13) Served by system ®Setback - ' ® Indoor Coil ® t SEER 3, HSPF [30 R 8 (CZ 14 -IS) 2204 sf If not ahead resent' must be y p ® Condensing Unit EER [3' ❑Resistance installed) ❑ Other 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 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 tie 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 -111 and CF -611 shall also be on site for final inspection. ' ® 1. HVAC Changeout Required Forms: - • All HVAC Equipment CF -611 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-21-HERS and (for split systems) MECH-25-HERS - . Furnace-' CF -4R forms:- MECH-21 and (for split systems) MECH-25 For Split Systems: Dud leakage. :.15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement 1, TMAH Exempted from dud leakage testingif: < ' ❑ 1. Duct system was documented to have been previously sealed and confirmed through'HERS verification, or r t ❑ 2. Dud systems with less than;40 linear feet in unconditioned space, or ❑ 3. Existing dud systems are constructed„insulated or sealed with asbestos. ` 04. TheAystemwill not be Ducted (ie ,DuctlessMi niSphtSystem)(AIsoExemptfrom R friger�a�ntCrge) -rt ❑ 2 New, HVAC System Required Foirms ” - , . " • "` � � , . Cut in or�.Changeout with ducts,' x # x CF 6R forms MECH-04 M9Cy 20 HERS andt(for split systems) MECH 22 HERS, and new all new ( > ductingIlSi all new MECH 25 HERS �' �: y GF 4NWWR forms MECH-20 nd (for s lit MECHu22' andMECHequip25x f >.. > .systems) F For Split Systems: Ductaeakagex<6 percent,rRC CCA;>R350fCfM/ton,rFWD; TMAH; SIMS, and>eltherHSPP of PSPP For Packaged Units. Duct leakage,.<,6 percent ❑ 3 Newj,Ducts:with/or without ;)- Required Forms: Replacement . Includes replacing or installing all new ducting and/or outdoor condensing unit CF -611 forms: MECH-04,MECH-20-HERS and (for split systems) MECH-25-HERS and/or indoor. coil and/or furc&.- a -No or some` CF -4R forms: MECH-20and (for split systems) MECH-25 r 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: K, . Includes adding or replacing more than 40 CF -6R forms: MECH-04,"MECH-2I-HERS linear feet of duct inunconditioned space. CF -4R 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: s 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 21, 2012 Address: 31-170 RESERVE DRIVE STE A City/State/Zip: THOUSAND PALMS'/ CA / 92276 ' .License: fi86310 , • Phone: (760) 343-7488 .Reg: 212-A0025884A-00000000-0000 Registration Date/Time: 2012/05/21 21:01:29 HERS Provider: Ca10ERTS,Inc. 2008 Residential Compliance Forms ' r July 2010 • �t k A City 0'f.La Quinta Bulkgpg at Safety Divfslon P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 32 b Cu Ile T elm d• Owner's Name:. yn a A. P. Number. .604 + -Aff l —O '7 Address: Legal Desrription: Contractor. Caerl�rai Air (both 'Mng City, ST, Zip: I 2 Z r3 Telephone: (J�� Address:�'� ProjectDescripdon: v ' 01it: .kftlqL . IC�y yy1(.. City, ST, Zip: l 11ol Id RAM �, a q2 2-10. " 5 S - C Telephone State Lia # : City Lie, #; Arch., Eng., Designer. $� 6 u 6S ' Address: City., ST, Zip: Telephone: State Lie. #: Construction Type: • Oxu}ancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft,: 2 # Stories: # Units: Name of Contact Person:A;�P&�� Telephone # of Contact Person 3� Estimst,-d VaIue of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal T Recild Reed TRACKNG PERMrFFEES Plan Seta Plan Check submitted. item Amount Strgctural Calls. Reviewed, ready for corrections Plan Check Deposit. . Truss Cala. Called Contact Person Plan Check Balance Title 24 Calci. Plans picked up Construction Flood plain plan Plans resubmitted.. Mechanical Giading plan _ r! Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up SALL H.O.A. Approval Plans resubmitted Grading IPI HOUSE:- '" Review; ready for correctlona/lssue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees. Total Permit Fe-..s