11-0799 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: r000 0 -7 9 9x"
Property Address:
53360 AVENIDA NAVARRO
APN:
774-095-007-18 -000000-
Application description:
MECHANICAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
7.981
Applicant:
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
BEACH MARK S
53360 AVENIDA NAVARRO
LA-QUINTA, CA 92253
Contractor:
GENERAL AIR CONDITIONING
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/25/11
DftLAru
CITY AF LA AUINTA '
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'ISec. 3097, Civ. C.).
Lender's Name:
Lender's Address: Pic
LQPERMIT "
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.
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 retry uthorize representatives
oft _is cou ty tj enter upon t above-mentioned property for
Date: h ature (Applicant gen
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276.
(760)343-7488
,1I
Lic. No.: 686310
-----------------------
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that Iam licensed under 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 Professionals 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 Cla C20 License No.: 6 310
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
te: ntractor:
issued. .
I have and will maintain workers' compensation insurance, as required by Section 3700. of the Labor
Code, for the performanceofthe work for which this permit is issued. My workers' compensation
' OWNER -BUILDER 11CL11111ON -
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 EVEREST NATL Policy Number 7600006147101
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 become 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 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
37 0 of the Labor Code, I shall forthwith comply with those "ons—
that he she o exempt therefrom and the basis for the alleged exemption. Any violation Section 7031.5 by
-� ,
d
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars IS5001.:
li
ate:plicant:
(_) 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
WARNING: FA URE TO SECURE WORKERS' 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
(_) 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 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 or pursuant to any permit issued as a result of this application,
(_ I I am exempt under Seca , B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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'ISec. 3097, Civ. C.).
Lender's Name:
Lender's Address: Pic
LQPERMIT "
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.
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 retry uthorize representatives
oft _is cou ty tj enter upon t above-mentioned property for
Date: h ature (Applicant gen
Application Number -11-00000799
Permit . . MECHANICAL
Additional desc .
Permit Fee 40.50' '. Plan Check Fee
10.13'-
3•Issue
IssueDate Valuation.
0
a 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 3 1/2 TON HVAC SYSTEM, HEAT
PUMP, .AIR HANDLER. 2010 CODES.-
ODES.'---------------------------------------------------------
:
-------------------------- --------------- -------------- ---
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
f
- LQPERMIT
Sim lifted Prescriptive Certificate of Compliance: 2008. Residential HVAC Alterations CF -IR -ALT -HVAC:
Climate Zones 10 to 15
f — te t✓ If t u v
Residential Compliance Forms A f" - A M10
Site .4ddress:
E» orcetnent Agency:
Date: Permit #:
Equipment T e' List Minimum Efficient 2
Duct insulation requirement
Condi-ioned Floor
Area Thermostat
El Packaged Unit D
Furnace ❑ AFUE 80 �o ❑ COP
Over 40 ft of ducts added or
Setback
Indoor Coil ❑SEER / 3 ❑ HSPF
replaced in unconditioned space
Served LT system (/fnot already
Condensing Unit ❑ EER / / 11 Resistance
❑ R 6 (CZ 10- 13)
sf present, must be
❑ Other
❑ R 8 (CZ L4-15)
installed)
1. Equipment Type: Choose the equipment being installed: if more than one system, use another CF -1 R-ALT-HVffCfor 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 wa,a 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-4Zs allowed) are filled out and
si ned. Beginning October 1, 201.0, a registered copy of the CF -IR and CF -6R shall also be on site for final ies ection.
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 s lits stems) MECH-25
for
• Condenser Coil and /or
• Indoor Coil and/or
CF -6R forms: 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
Exempted from duct leakage testing if..
❑ I. 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
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 -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
linear feet of duct in unconditioned space.
CF -6R forms: MECH-04, MECH-2I-HERS CF -4R 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 :)n this Certificate of Compliance.
• I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance confcrm to the requiremenis of Title 24;
Parts I and 6 of the California Code of Regulations.
• "rhe design features identified on this Certificate of Compliance are consistent with the • orm tion documented on other appli' ompliance forms, worksheets,
calculations, and
plans specifications submitted to the enforcement a enc for a ro al with t e en -nit application.
Name: C(eerl !.(fp s��
Si ture:
Company.
P C7�en,e�aj /-til^ Conet! f-.`ot?t` Date:
/ 7
Address: 3f Li
1-70 KL°Serve, /`r
�; ✓� cense: l0�,�o3/v
City/State/Zip:-�-� PiC.Lty-S, Phone- /.,n-2t1�_-t,1.PD
f — te t✓ If t u v
Residential Compliance Forms A f" - A M10
-CaICERTS - CF -IR Registration
vubaa Home
Soeure Name
,.-±,Dut us
Forms
Mr-b-tlp B.-e4j,
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CONGRATULATIONS
Your CF -IR -ALT -HVAC Registration is complete!
You may want to print this page for your records.
Site Address: 53360 AVENIDA NAVARRO
ILa Quinta, CA 92253
CEC Registration: 1211 -AO036886A-00000000-0000
CF -IR -ALT -HVAC: CLICK HF.RF. To r)owNj.0An
Assigned Company: I HARRISON ENTERPRISES INC
Do you know your HERS Rater?
If you do, you may want to send this CF -1R to them:
'CaICERTS Rater ID: I
OR
My Rater Quick Select: Energy Driven Solutions, Inc. -
Every CalCERTS rater has a license number.
If you need to find the rater by name [Click HERE] to search our direetory.
SEN.D;IC-F-.lR.TQ.HER$,RATER:.
[CLICK HERE] to do another
Copyright 0 2010 CalC ERTS. Inc. All rights reserved. Revised:.lanuary 11.20 10
[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
BBB find us on FacebqokD,:
-https.://www.calcerts.,com/public'—cf-IR..cfib?project—id=126861 7/22/20.1.1.
i
F
,4,GTHROUGH:
REBATE
r, GENERAL
1E`
* * - Air. Conditioning & Heating
31-170. Reserve Drive • Thousand Palms, CA 92276
(760) 343-7488 9 Fax (760) 343-7494
www.cal lthegeneral.com
Residential Comfort Survey
INSTALL DATE JOB# / CUSTOMER#
NAME - U AAA" )-q va (�
JOB AD
'AN - Z;d��
TATE ( & ZIP CODE
PHONEC 1(XU l CELL FAX
SEPARATE BILLING ADDRESS? ❑ YES LINO
NEW EQUIPMENT
COND'
FAUl
COIL
TSTAT
FILTRATION
MISC
PERMITYES ❑ NO
DUCT WO
N
EXISTING EQFJIPMENT
COND M #
FAUM#
S#
S#
COIL M# S#
UNIT LOCATION:3D�1�-Q7
7 :I",.
CRANE? S ❑ NO SIZE
WARRANTY
PLATFORM SIZE
ATTIC HEIGHT OPENING .
❑ FINANCING. DAYS ❑ CREDIT CARD ❑ C.O.D. 'Cl COSTCO
Dill ff
-
City .of La Quinta
Building &r Safety Divlslon
Permit # �(�
P.O. Box 15.04, 78-495 Calle Tampico
La Quinta, CA 92253 - (760)777-7012
Building Permit -Application and. Tracking Sheet
Project Address:
17a
/I/ :Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:>r�r;»><>;...,•��;y
k .
Telephone: _7&0— ,7S-3,oC
Address:
Project Description:
City, ST, Zip:
O�
Telephone:
:.r7• :;^' i{iii''^v:ii:• {i^ti i}::iiti4:wy\ iv; +r ri j: ;'r v�.v'i.; {�.•:.;•i'r'?^:vii ::::{. -:
J r
�?,:4,.Cfj:Y:}:"";i:�':{:v"•{r+'..'..::4.inrv5::'ii+j~:
-
}
State Lie. # : 3
City Lie. #:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
.::,..,:•':^::'^`><:;;{•w,.s.;:,;{..
'-.Mov
Type: Occupancy:
State Lie.
X,
:Construction
.:::•rs::':�;<`.....:,.i�;:;s.>.::.;<•:.>:{.•;Y�:.
Prot type circle one) New Aed'n Alter Repair "Demo
Name of Contact- Person;
T"Stories:
# Units:
Telephone # of Contact Person:
_ O Estimated Value of Project: MOO
APPLICANT: DO. NOT WRITE. BELOW THIS LINE
#
Submittal
Req'd
Rec'•d
TRACMG
PERMIT FEES
Plan Sets"
Plan Check submitted
Item Amount .
Structural Calcs.
Reviewed, ready for corrections
Plan Cficck Deposit
Truss Calcs..
Called Contact Person
Plan "Check Balance.
Title 24 Cales.
Plans picked up
Constrdaion
Flood plain plan
Plans resubmitted
Me'chaacal
Grading plan
2nd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumb"irg .
Grant Deed
Plans picked up.
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN"HOUSE:-
'"' Reyiew,.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