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12-0113 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:12— 00 Property Address: 56708 PALMS DR APN: 764 -020 -003 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 15464 Ap Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: URS & MARIAN STEINMANN 56.708 PALMS DRIVE LA QUINTA, CA 92253 r rU Contractor: GENERAL.AIR CONDITI 31170.RESERVE DRIVE THOUSAND PALMS, CA (760.}343-7488 Lic.`No.: 686310 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/07/12 LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licen d under, provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following. declarations: - Section 70 0)'of Division 3 of the Business and Profe ionals 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 Lice ass: C20' License No.: 686310 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is ��Date: Zissuedontractor: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 OWNER -BUILDER DECLARATION.. insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt,from the Contractor's Siate License Law for the Carrier ZENITH INS CO Policy Number. Z071741501 following reason (Sec..7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I'certify that, in the'performance of the'work for which this permit is issued, I 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 beco- a 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 become bject•to the workers' compensation provisions of Section LicenseLaw (Chapter'9 (commencing with Section 7000);of,Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall f with comply with those provisions. that he or she isexempttherefrom and the basis for the alleged, exemption. Any violation of Section 7031.5 by any applicant for permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)-: D Z 1 Z- icant:, - (_ 1 1, as owner of -the property, or my employees with wages as their sole compensation, Will do the work, and the structure isnot intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAIL RS`- RE TO SECURE WOR MPENSATION 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 PENALTIESANDCIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that'the ' DOLLARS (5100,000): - 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 _) 1, 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 builds or 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 orpursuant to any permit issued as a result of this. application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason - 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. Date: Owner: 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 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 ab i ormation is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to buildin n ruction, and hereby authorize representatives of this county to enter upon the above-mentioned property f i pection purposes. Lender's Name: - . D e: Z 1 Z Si lure (Applicant or Agent): Lender's Address: LQPERMIT Application Number Permit Additional desc . Permit Fee . . . . Issue Date . . . . Expiration Date . . . . . . 12-00000113 MECHANICAL 66.00 Plan Check Fee . . 16.50 Valuation . . . . 0 8/05/12 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 16.5000 EA MECH B/C'>3-15HP/>100K-500KBTU 33.00. ---------------------------------------------------------------------------- Special Notes and Comments HVAC REPLACEMENT: INSTALL 2 SYSTEMS 3 & 3.5 TON UNITS LOCATED AT GROUND LEVEL. 2010 CODES. -------------------------------------------------7-------------------------- Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 .Fee summary Charged Paid Credited Due Permit Fee Total 66.00 .00 .00 66.00 Plan Check Total 16.50 .00 .00 16.50 Other Fee Total 1.00 00 .00 1.00 Grand Total 83.50 .00 .00 83.50 LQPERMIT Simplified Prescriptive' Certificate of Compliances 2008 Residential HVAC Climate Zones 10 to IS CF -IR -ALT -HVAC 2008 Residential Compliance Forms March 2010 Site Address: 5b-1 K alms. Dr. Enforcement Agency: Date: � Permit #: EquipmentTypel List Minimum Efficienc Z Duct insulation requirement Conditilined Floor Area Thermostat ❑ Packaged Unit h�fttrnace �FUEBo�w ❑COP Over 40 ft.of ducts added or - replaced in unconditioned space Serve b Setback V>door Coil �ER 13 ❑ HSPF_ ❑ R 6 (CZ 10-13) system (1J'not already be Condensing Unit EER ❑ Resistance sf present, must ❑ Other ❑ R 8 (CZ 14-15) installed) 1. Equipment Type: Choose the equipment being installed; iif more than one system, use another CF -1 R -ALT -HVAC jor each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7..7HSPFjor typical resldentlal.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 CF411s allowed) are filled out and si ed. Beginning October 1, 2010, a registered copy of the CF -IR and CF -6R shall also be on site for final inspection. 1. HVAC Changeout Required Forms: • All HVAC E ui ment replaced q P p CF -6R forms: MECH-04, MECH-2I -HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MECH-. 21 and fors lits stems MECFI-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 CEM/ton(Minimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent Exempted from duct leakage testing if.. ❑ 1. 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 ducts stems are constructed, insulated or sealed with asbestos ❑ 2. New HVAC System Required Forms: • Cut in or Changeout with new ducts: (all 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)MECH-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 unit and/or indoor CF -411 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 space 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) •. 1 certify that this Certificate of Compliance documentation is accurate and complete. • 1 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 Califomia Code of Regulations. • The design features identified.on this Certificate of Compliance are consistent with the ' orm tion documented on other pplic ompliance forms, worksheets, calculations, plans andspecifications submitted to the enforcement agency for appro al with t epen-nit application. Name: 1feeh � �Bn •Si lure: Company: Generu,( Date: 2 � � Address:.307aeserU� /< &nt t/p, Licenser t�v8�o3/v City/State/Zip: __rA-L -6a411t dJf�, GR a a % Phone: %6D •-3'13- 7 "�ffA> 2008 Residential Compliance Forms March 2010 tegistration, CaICERTS. - CF -JR. V,S��n�ann .Page I of Public Home Secure Home About Us Training Rater Directory Danielle Garcia logged in [Logout] [Home] CONGRATULATIONS' Your CF -IR -ALT -HVAC Registration is complete! You :may, want to print this page for your records. 5670.8 PALMS DRIVE (SYS 1) Site Address: t � QiiiritaCA 92.253, CEC,Registration: 2112-A0005.832A-00000.000-0000 .. . ....... . ..... ................. Forms CF-IR-ALT=HVAC: CLICK. HERETO DOWNLOAD Assigned Company: HARRISON, ENTERPRISES INC MembershipBenefits ................................. . ...................... ............. ................ .... ............. .............. . I ....... . ... .... ... . .......... ....... . . . .... .. . .. ..... ... . .. ....... ........ . . . . .... ... .. ... .. .. . .......... Do you khOw your HER&Rater?,. Events If you do, youmaywant to send this CF -1114th them. Industry Partners CaICERTS Rater ID: I OR. News My Ra . ter Quick Seleit: j Energy Driven.Sol Every C610ERtS rate-r-'has—a *—ficen'se,number. To register for our !f you need to find the rater';,byname jC1ick,'ffE)ZE],tcsearch our directory. monthly R WR newsletter, please click here. [CLICK HERE] to do another Copyright iP CaICERTS, Inc. All ri,-hisjesened. Revised: January 11, 2010 [Terms and Conditions] [PriJacy State mentl.[Class Cancellation Policy] CaICERTS', Inc., 31 Natoma'St. Suite 120, Folsom, CA95630 Office: 916-985-3400,Tol.] F.reie: 877-HERS-R8K- (877437-7787) Fax: 916-985-3402 Contact Us BBB 6W '165623. .https://www.calpert.s.com/pub.lic cf1R.qfM?Pr0jectJd� 2/2/2012 ihake 1 of 1Ca10ERTS . T IR Regtrat®n : s [Home] Secure Home CONGRATULATIONS i About Us Your CF -I R -ALT -HVAC- Registration: is complete! You may want to print this page for your' records. I Training Site Address: . 56708PALMS.DRIVE (SYS 2). i Rater DirectoryLa.Quinta, CA -92253 — CEC Registration: 212=A0005833A-00000000-0000 i Forms C&IR-ALT-HVAC: CLICK.HERE:TO DOWNLOAD i Assigned Company: HARRISON ENTERPRISES•INC i Membership Benefits --.._.....:_.._...._._.._._...._......_.......-..,.-.._._.........._............. _....,....._._. Do you iknow'your:HERS Rater? Events If you do, you may want to send this.CF=.1R to them. Industry Partners CaICERTS Rater ID: . OR News My Rater -Quick -Select _elect From.ust_ Every CaICERTS rater has a license number. To register for our If you need to find the rater by name" Chck WERE ., to.search ourvdirectory. monthlyWZSENDYCF 1f2T0'NERSRATER' "�� newsletter, please . click here. [CLICK HERE].to do another Copyrighi,,0 ^_010 Ca10ER.TS,.lnc. All rights reserved. Revised: Januar• 11. ^_010 [Terms and Conditions] [Privacy Statement] [Class Cancellation Policy] CaICERTS, Inc., 31 Natoma St Suite 120jolsoK CA 95630 Office: 916-985-3400,Toll Free:.877-HERS-R811(877-437-7787) Fax: 916-985-3402 Contact Us aEBB'! Fmd us oi� Fg @l at)kQ' https://www.calcerts.com/public_cf1Rxfm?project_id=165.624 2/2/2012 Bin # - Qw of b Quina Building K Safety Divislon P.O. Box 1504, 78-495 Calle Tampico ; La Qulnta, CA 92253 - -(760).'77,7-7012 Building Permit Application, and T , ckrng Sheet Permit # Project Address: 5Owrier'.s Name F A. P. Number: Address:.: 1i r Legal Description:'City, ST, Zip: 4' ', G C 912 2 5 Contractor: E: `• Tele hone:,, �p nr�s>>c,;. -, tr PcojectDescript,on: MAC I ' 1 City, ST, Zip: Telephone:3 I, ;z„: r• m� r`{rY::'s . l o ectad s r State Lic. # : 3 City Lic. C. lod �o Arch., Engr., Designer: Address: Telephone: P �yf%Iv �..f;f: {.v:nft_.;fr•4it State Lic. #:?�fr�'r %ff s fv 'Construction Type: Occupancy: P c3' project'type (circle.one): New Add'n Alter Repair Demo Sq: Ft.: 32 2 rj #:Storiesc TUnits: Name of Contact Person: p (,(c e-1 �a-%f�5 OYU Telephone # of Contact Person: '7!o D 3 LI—6 %' �� Estimated Value of Project: it APPLICANT: DO. NOT• WRITE. BELOW THIS LINE r # Submittal Req'd Recd - TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Title 24 Cafes. Plans picked up I.Const Flood plain plan Plans resubmittedMechanical Grading plan 2"".Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up. AS.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'rd Review,.ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person. A.LP'P. Pub. Wks. Appr Date Of permit issue School Fees TotalTermit Fees '