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11-0798 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00060798 Property Address: 79125 CINDY CT APN: 604-361-042-90 -27899 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 13000 Ta�/ 4 4 Q" Architect or Engineer: P(A 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.: 0.6-310 ,,�ata: ?ontractor: - UILDER 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 Profession's Code: 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 70001 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 We civil penalty of not more than five hundred dollars ($500).: 1, 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.l. (_ 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.). I—) I am exempt under Sec. , 8.&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: BROWN ROSS KENT 79125 CINDY COURT LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/25/11 D 1' JUL 25 2091 .1 CITY OF LA OUINTA Contractor: ? F9l4A_kcE n, -*P*' GENERAL AIR CONDITIONING 31170 RESERVE DRIVE THOUSAND PALMS, CA 92276 (760)343-7488 Lic. No.: 686310 ----------------------------------------------- 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. 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 EVEREST NATL Policy Number 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 43&0opf�thabor Code, I shall forthwith comply 'tfrthose r visions. ate: plicant: WARNING: FAILURE TO SECURE WORK ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). 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 Quints, 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 informati�correcl,agreemply with all city and county ordinances and state laws relating to building construction,sentatives of this counn to emer upon the above-mentioned property for inspection te: C 4 nature (Applicant or Agent): Application Number . . . . . 11-00000798 Permit . . . MECHANICAL. Additional desc . Permit Fee . . . . 40.50 Plan Check Fee 10.13 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/21/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 -------------------------------------------------------•--------------------- Special Notes and Comments INSTALL NEW 5 TON CONDENSER, COIL AND FURNACE, 2010.CODES. ----------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged -------------------- Paid Credited -------------------- Due ----------------- Permit Fee Total 40.50 .00 .00 40.50 Plan Check Total 10.13 .00 .00 10.13 Other Fee Total 1.00 .00 .00 1.00 Grand Total 51.63 .00 .00 51.63 LQPERMIT Simplified Prescriptive Certificate of Compliance: -2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 to 15 Site Address: s En orcement Agency: Date: Penttit 0: –7— Conditioned Floor Equipment,Typel List Minimum Efficiency Z Duct insulation requirement Area Thermostat ❑ Packaged Unit ❑AFUE 8D% ❑ COP Over 40 ft of ducts added or Setback LFrnace oor Coil ❑SEER t 3 ❑ HSPF replaced in unconditioned space Served by system pfnor already ndensing Unit ❑ EER / / ❑ Resistance ❑ R 6 (CZ 10-13) sf present, 6e ❑ Other ❑ R 8 (CZ 14-l5) llennrsr installed) 1. Equipment Type: Choose the equipment being installed: if more than one system, use another CF-IR-ALT-HVACfor 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 signed. Beginning October I, 2010, a registered copy of the CF -1 R and CF -6R 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 and fors lits stems) MECH-25 • Condenser Coil and /or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS • Indoor Coil and/or CF -4R forms: MECH- 21 and (for split systems) MECH-25 • Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA >_ 300 CFM/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 duct systems are constructed, insulated or sealed with asbestos ❑ 2. New HVAC System • Required Forms: • Cut in or Changeout with new CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS ducts: (all new ducting and all CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 new equipment) 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 -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 CF -6R forms: MECH-04, MECH-2I-HERS CF -4R forms: MECH-21 linear feet of duct in unconditioned space. 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. • 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' orm, tion documented on other applir ompliance forms, worksheets, calculations, lans andspecifications submitted to the enforcement a enc fora ro al with t e permit application. Name: 1leevj Si ture: Company: p en 41 r CDndht �,`Dr` C7 Date: / Address: ,.3117D %�>°Seiv� �s` ✓t�i License: City/State/Zip:— —�� � � 5. ��} Phone: 7&00 -3q3_ -74F9 2008 Residential Compliance Forms Alf"11A ?n to CaICERTS - CF -1 R Registration Page 1 of 1 Public Hoene Danielle Garcia logged in [Logout] [Home] Secure Home CONGRATULATIONS About t1s Your CF -IR -ALT -HVAC Registration is complete! 'iiaiwt Y ag You may want to print this page for your records. Rater Direaq Site Address: 79125 CINDY COURT La Quinta, CA 92253 CEC Registration: 211-A0036354A-00000000-0000 Memberahipos CF-IR-ALT-HVAC: CLICK HERE TO DOWNLOAD Evert- Assigned Company: PARRISON ENTERPRISES INC lndimryMrtnees Do you know your HERS Rater? News If you do, you may want to send this CF -IR to them. To register for our CalCERTS Rater ID: monthly OR _ newsletter, please My Rater Quick Select: Energy Driven Solutions, Inc. click here. Every CalCERTS rater has a license number. If you need to find the rater by name [Click HERE] to search our directory. I SEND CF -1 R TO HERS RATER., _ [CLICK HERE] to do another Copyright (0 2010 Cal CE 10-S. Inc. All rights reserved. Revised: January 11. 2010 [Terms and Conditions] [Privacy Statement] [Class Cancellation Policy] CaICERTS, Inc., 31 Natoma St Suite 120, Folsom, CA 95630 Office: 916-985-3400,Toll Free: 877,-HERS-R8R, (877-437-7787) Fax: 916-985-3402 Contact Us .r, c tm� I BBB firsd:usonFar,Q60ok® van vrm r�,:r https://www.calcerts.com/public_cflR.cfm?project_id=126369 7/20/2011 FINANCING THROUGH: REBATES 4AL "\LiC 1611ENERAL * * Air Conditioning & Heating 31-170 Reserve Drive • Thousand Palms, CA 92276 (760) 343-7488 9 Fax (760) 343-7494 www.callthegeneral.com Residential INSTALL DATE -7 /;�l /// (.4 NAME Comfort -Survey - - JOB# l R67CUSTOMER# R75 -- JOB 5 -- JOB ADDRLESS ! 7 ! J CITY, r - STATE ZIP CODE PHONE -- CELL FAX SEPARATE BILLING ADDRESS? ❑ YES Cl NO NEW EQUIPMENT COND tk - c_-qf 10 Q-0-90 0 FAU SO 230 U- 050 V CS 6 (f - COIL TSTAT ' 2J- Y000 FILTRATION &V?) 16f. 00//a D MISC PERMIT'YES DUCT WORK NOTES WORN 0 FINANCING DAYS EXISTING EQUIPMENT CONDM# S# FAUM# S# COIL M# S# UNIT LOCATION: CRANE? ❑ YES Cl NO SIZE WARRANTY PLATFORM SIZE ATTIC HEIGHT OPENING ❑ CREDIT CARD ❑ C.O.D. ' ❑ COSTCO Dill It City of La Quinta Building 8L Safety Division P.O. Box 15.04, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Perm -it -Application and. Tracking Sheet 'Permit # �� Project Address: -P 1 Owner's Name: 8 A. P. Number: Address: 79/9.5" Legal Description: City, ST, Zip: Telephone: PRIM}Contractor: • 'f Address:CID N Project Description: % ���G City, ST, Zip:'—� 0 / Telephone: +#; State Lic. # . 3 City Lie. Arch., Engr., Designer: Address: City, ST, Zip: Telephone:' <• ;> vow>} < ' ••:'>.�{:.�inl}i:Yrr :>i${i:•+'•i�$i�:.jijF.}t?Pr/C h }•1 l'l•�;.•`/./is'+/•': 'isi:•4.:i�v;:•.�,+}i}'4i� f•}}���{•i State Lic. #c Construction Type: Occupancy: Project type circle one • New d 'n Alter Repair Demo Name of Contact'Person: Sq. Ft.: #.Stories: F# units: Telephone # of Contact Person: Estimated Value of Project:{) „ APPLICANT: DO. NOT WRITE. BELOW THIS LINE # 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 Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" 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 corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees