13-0413 (MECH)P.O. BOX 1504
78-495 CALLE-TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
13-00000413.
Property Address:
78096 CALLE NORTE
APN:
770 -012 -019 -
Application description:
MECHANICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
7982
Applicant:
Tiht44Q"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
-------=----------------------------7-------------
LICENSED CONTRACTOR'S DECLARATION
- I hereby affirm under penalty of perjury that) 7am licensed under provisions of Chapter 9 fcommencing 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; ae�
OWNER -BUILDER 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 Professions Code: Any city or county that requires a permit to
construct, after, 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 ($5001.:
(_ 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 sale.)..
(_ 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.).
(_ 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
4; VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
QUINN JB PATRICK/SANDRA
78096 CALLE NORTE
LA QUINTA, CA 92253
Contractor:
GENERAL AIR•CONDITIONING
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276 '
(760)343-7488
Lic. No.: 686310
Date: 4/04/13
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 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
3700 of the Labor Code, I shall forthwithcomply with those provisions.
Date: 4 Q Applicant: +
WARNING: FAILURE,TO SECURE WORKERS' 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 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 fromdate 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 property for inspection purposes.
Date: 4' 4 '.)3 Signature (Applicant or Agent): 11_� S�:t--
LQPERMIT
Application Number . . . . . 13-00000413
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . . . 33.0.0 Plan Check Fee
8.25
Issue Date . . . . Valuation . .
0
Expiration Date 10/01/13
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 9.0000 EA MECH FURNACE <=100K
9.00
1.00. 9.0000 EA MECH B/C <=3HP/100K BTU
9.00
----------------------------------------------------------------------------
Special Notes and Comments
HVAC CHANGE -OUT - 14 SEER/AFUE 78, (1) 5
TON AIR CONDITIONER. (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
Fee summary Charged Paid Credited
-------
Due
-----------------
Permit Fee Total 33.0,0 .00 .00_
33.00
Plan Check Total 8.25. .00 .00
8.25
Other Fee Total 1.00 .00 .00
1.00
Grand Total 42.25 .00 .00
42.25
LQPERMIT
04/04/2013 01:42PM 8187353575
IPERMIT ERATERS
PAGE 10111
City- of* La Quinta
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P.O Box 1504,'78.495 CAe T
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L= Qukta, CA 92233 - 4760) 777-70
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Btti &g Permit Application and Trac
Sheet
PwJcdAddpm', 78096 CALLE NORTE
pw esNo=. QUINN, SANDRA
& VALERIE
A. P. Number.
A4&va: 78096 CALLE N
RTE
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city, sT, up: LAQUINIA
CA 92253
Oxft wr: GENERAL AIR CONDITIONING 'C
Addr=* 31170 Reserve Drive
PA4jdDoriptlon: CHANGE
es
-OUT (1) 5TON A/C ,4SEER,
City. 9.rw, Thousand Palms, CA 92276 REPLACE (1) FURN
E 80,000 BTUS.
760-343-7488
State 686310
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04/04/2013 01:42PM 8187353575,'` IPERMIT ERATERS PAGE 11/11
Simplified prescriptive Certificate of Compliance: 2008 Residential HVACAI
rations CF -IR -ALT -HVAC
Climate Zones 10 - 15
Site Address: Enforcement Agency:
Date: Permit #:
78096 CALLE NORTE La Qulnta, CA 92253 City of La Qulnta
Apr 4, 2013
Duct insulation
Conditioned Fmor
Equipment Typel
List Minimum Efficlency7
requirement
Area
Thermostat
❑ Package Unit
® Furnace
CA Indoor Coll
® AFUE % ❑ COP
® SEER 13.0 ❑ HSPF
D R 6 (CZ10-13)
R 8
Served by sys
1578 sf
em
lffl Setback
If not already present, must be
H Condensing Unit
0 EER E3 Resistance
i3 CZ 14-15
Installed)
C3 Other
1. Eguipnl&nt 7yDe: Choose epurpment being Installed; !f more than one system, use another CF-1R-T-H
for r each system.
2. Minimum Equipment Eflfcienciesd 13 5>;ER, 78% AFUE 7.7HSPF for typical resldentlal systems,
HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The insta
er decides what work Is being done
and picks one of the appropriate Options. Each Option lists the HERS measures that must be
nducted. A copy of the forms shall
be left.on site for final inspection and a copy given to the homeowner. At final, the inspector
rifles that the work listed on this
form was in fact the work.completed by the Installer. The inspector also verifies that each ap
priate CF -6R and registered CF -4R
forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1,' 2010,
a registered Copy of the CF -IR
and CF -6R shall also be on site for final Inspection.
0 1. MVAC Changeout
Required Forms:
. All HVAC Equipment
CF -611 forms: MECH-04, MECH-2I-HERS and (for split systems) I
iECH-25-HERS .
replaced
CF -411 forms: MECH-21 and (for split systems) MECH-25
. Condenser Coil and /or
CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) I
IECH-25-HERS
. Indoor Coil'and /or
CF-4R.forms: MECH-21 and (for split systems) MECH-25
. Furnace
For Split Systems: Duct IealCage'f 15, percent; RC, CCA <_ 300 CFM/Yon (Minimum Air Flow
equirement), TMAH
Exeem ed.�fmm ;duct leaks• :e.:t'estlr.
systeijz:ur2s:dociime 8d10 have been previously sealed and confirmed throug
HERS verification, or
::.:..
2 .ti, —j.yt[em's::iroitFi'.less°tl1 O linear feet in unconditioned space, or
j 3 ';Ezisfing duct SysLems.:afe strslcted,. Insulated or sealed with asbestos
Ill not te' e
roe)
equi
. eaut,wi t, sy
cut I, r1.9 .. E �Cli-04', � -
new (alf`new 11
ERS,;'�nd: . ;
M :•:.....
:...>:.»
duct) ,:a11 n :. _
ECH li': :r•s tic
equip ., e:.. ,:,:. � r
_31
Foe �._.:.. ` S;
ForPaiCt8�8d;.Units: f7uct%lealiag' ;+�- f"' .�„N .:f'
nd! .� . ;o. p...
❑.3 :. %r.:wititio4lJl
i4tml JCI'.
Required Forms.
4.1
.Inzltft!@Sreplaeing`dF installlrtg:- ffinew
ducting" and/or outdoor cEsnden .fn!q�unit
CF -6R forms: MECH-04, MECH-20-HERS, ai
id (for split systems) MECH-25-HERS
and/or Indoor coil and/or: fti)t16Q'Mo.or some
CF -4R forms: MECH-20 and (for split syste
s) MECH-25
equipment changed.
For SpUt Systems: Duct leakagd: <'6 percent; RC, CCA >_ 300 CFM/ton, TMAH
For Packaged Units: Duct leakage < 6 percent
O4. New Ducting over 40 feet Required Forms:
. Includes adding or replacing more than 4C CF -6R forms: MECH-04, MECH-2I-HERS
linear feet of duct in unconditioned 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 Stateme
)
. I certify that this Certificate of ComDllance documentation is accurate and complete.
• I am eligible under blvision 3 of the California Business and ProfesslonS Code to accept responsiblllty for
the design Identified on this Certificate of
Compliance.
• I certify that the energy features and performance specIfIcatlons for the design Identified on this CertiA
ate of Compliance conform t0 the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations.
. The design features identified an this Certificate of Compliance are consistent with the Inrormatlon documented
on other applicable compliance
forms, .worksheets, calculations, plans and speciflcatlons submitted to the enforcement agency for appy
val with the permit apDllcation.
Name: Danielle Garcia Signature: Danielle Garcia
Company: HARRISON ENTERPRISES INC
Date: Apr 4, 2013
Address: 31-170 RESERVE DRIVE STE A
License: 686310
City/State/Zip-. THOUSAND PALMS / CA / 92276
Phone: (760) 343-7468
Reg: 213-A001996SA-000000000-0000 Registration pate/Time: 2013/04/04 02:46:04 HERB Provider: Ca10ERTS, Inc.
2008 Residential Compliance F6rms July 2010