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12-0597 (MECH)P.O. BOX 1504 78-495 'CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12. 0Or 00597 Property Address: 553:00 TANGLEWOOD APN: 775-154-025- - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 12000 Td�v 4 4 QuAlk BUILDING & SAFETY DEPARTMENT . BUILDING PERMIT Owner: DOROTHY FERRANTE 55300 TANGLEWOOD LA QUINTA, CA 92253 VOICE (760) 777-7012, FAX (760) 777-7011 INSPECTIONS (760) 777-7153 'J Date: 5/30/12 Contractor: U t Applicant: Architect or Engineer: GENERAL AIR CONDITIONING M Y d 31170 RESERVE DRIVE 0 THOUSAND PALMS, CA 92276 C/r1'OF (760) 343-7488 �1N�4�iC��f//{/T f l� LiC. No:.: 686310 E,plePT 4 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 Profess" a Code, and my License is in full force and effect. Lice se Class: C20 icense No.: 686310 ^ '. ZDater'ontractor: _ 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, 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 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 ($500).: ( ) 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.). - () 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. , 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 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. 11 1 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 Z071741501 _ 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 sub' to he workers' compensation provisions of Section �,r� /37700'of a Labor Code, I shall fon ith mply with those provisions. /t� /" _""` Applicant: y WARNING: FAILURE TO SECWORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER T VCRIMINAL 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 from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. 1 certify that I have read this application and state that the above information is correct. I agree to comply with all ' ynd county ordinanc sand state laws relating to building construction, and hereby authorizer p� s county to enter pon the above-mentioned property r in tion purposes. n �m `� ^ Signature (Applicant or SI t Application Number . . . . . 12-00000597 Permit .MECHANICAL - Additional desc . Permit Fee . . . . 40.50 Plan Check" Fee 10.13 Issue Date Valuation .0 Expiration Date 11/26/12 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 HVAC CHANGE -OUT INSTALL 3 TON SPLIT SYSTEM, FURNACE, CONDENSER, COIL AT GROUND LEVEL. 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. Ob 10.13 Other Fee Total 1.00 00 .00 1.00 Grand Total 5*1.63 .00 ..'00 51.63 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC AlterationsCF-lR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 55300 TANGLEWOOD La Quinta, CA 92253 City of La Quinta May 29, 2012 Duct insulation Conditioned Floor Equipment Typei List Minimum Efficiency2 _ requirement Area Thermostat ❑ Package Unit I • ® Furnace ® AFUE 78% ' ❑ COP ❑ R 6 (CZ 10-13) Served by system ® Setback ® Indoor Coil ® SEER 13.0 ❑ HSPF [I R 8 (CZ 14-15) 1219 sf If not already present, must be ' ® Condensing Unit [j EER ❑ Resistance installed) ❑ Other Ie ' ' 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 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 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. , ® 1. HVAC Changeout Required Forms: • All HVAC Equipment CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF -4R forms: MECH-21 and (for split systems) MECH-25 . • Condenser Coil and /or • Indoor Coil and /or CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS Furnace CF -4R forms: MECH-21 and (for split systems) MECH-25 • .e For Split Systems: Duct leakage<k15.percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH . 15 PeFG@Rt F 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 ere constructed, insulated or sealed with asbestos ❑-4. The�systemvw.ill not be Ducted=(ie ;Ductless Mini -Split- Systern)•(Also7Exempt from,Refrigerant,Charge) m ❑ 2. New HVAC System Re uieed�Forms a q j . Cut Wor Changeout with",# J. .. CF 6R forms MECH-20 HERS and'(for split systems) MECH,22 HERS and new ducts(all new o",�, ducting Mpg all new ,MECH-04' MECH `25�HERS.,: r CF 4R formes afNECH-20,, -25 (for splitt gStems) MECH=22, and MECT,: equipment . )- F"t� yand Ii "'s`.`Y �" A. `"� -F f•4t�::wrM-zr`:T "' Y i . .'+, .. ..i� �Rn'. ?%.:` A.;'. ' Split Systems: f Duct.leakage 6 percent, RC, 'CCA > 350 CFM/ton; FWD,fTMAH, SMS, andl6ither HSPP'bVPSPP. For. Packaged Units: Duct leakage < 6 percent .� ❑ 3.,New,Ducts with/or without' r Required.Forms: Replacement . Includes replacing or installing all new ducting and/or outdoor condensing unit '' CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace.'No or some CF -4R forms: MECH-20 and (for split systems) MECH-25 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. I I Required Forms: • Includes adding or replacing more than 40 CF -611 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 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 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 - I t Company: HARRISON ENTERPRISES INC . Date: May 29, 2012 Address: 31-170 RESERVE DRIVE STE A °' License: 686310 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488 Reg: 212-A0027425A-00000000-0000 Registration'Date/Time: 2012/05/29 20:48:22 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 Work Order IIIIIIIIIIIIIIIIIII GENERAL AIR CONDITIONING , Job No: 134055 v wW.callthegeneral.com , 31170 RESERVE DR THOUSAND PALMS CA 92276 760-343-7488 FAX: 760-343-7494 LIC# 686310 Service At: Customer # 114973 Bill To: Customer # 114973 Rating: FERRANTE, DOROTHY '/760-77i-1965 FERRANTE, DOROTHY 760-771-1965 55300 TANGLEWOOD 55300 TANGLEWOOD LA QUINTA CA 92253 LA QUINTA CA 92253 Type: RES Source: EXISTI Open Balance: Zone: 3.LQ Map: Payment Method: MASTER CARD Subdivision: PGA PALMER Credit Limit: Skill: Tax: RIV Service Customer Directions 5/2442 CALLED DORTHY FERRANTE TO LET HER KNOW THAT THE UNIT IS ABOUT 4 LBS LOW ON FREON. PRICE IS ABOUT $438.00 ....MM Instructions XC21 3 TON CONDENSER, SL280 FURNACE WITH LH -23/37 COIL. ALSO'MERV 16 16X25X5 AND ICOMFORT T -STAT. $12,000.00, LESS DEPOSIT OF $1000. THAT WAS RAN ON 5/28. (ESTEE SOLD JOB) (ESTEE CREDITED $867.00 FROM SVC CALL JOB TOTAL $11124.00 PAY COMM.ON THIS) $11000.00 DUE UPON COMPLETION OF JOB Work Sugg Work Done 5/29/12: TIM/MARTIN/JUAN M - INST 3 TON HORIZ SPLIT SYS, MERV 16 FILTRATION 16X25X5, NEW DISCONNECT AND WHIP AND COND PAD, ICOMFORT STAT, NEW 30 AMP BREAKER AND FUSES. DUCT TESTED - PASSED 140. RAN IN HEAT / COOL. EVERYTHING AOK. 'COLLECTED: $10124 - MC *DRYWALL REPAIRS NEEDED* Call Info Call No.: 134055 Type: GASAC Scheduled: 5/29/12 7:OOAM Pri Level: 5 Eq Age: Equipment: Booked by: Sharleen Booked Date: 5/29/12 Sched by: Anne Job Info Job No.: 134055 Class: REPLACEMENT Type: GASAC Ld'Src: TECHS LS Ref: Contact: Taken: 5/28/12 5:08 PM Taken by: Sharleen Cust PO: SalesPerson: ESTEE Assignments Employee TaskCode Scheduled Time 1 JUANM 8:50:00 AM J MARTIN 8:50:00 AM (`�/-, �_. TIM • 8:50:00 AM ESTEE 11:40:00 AM Equipment Warranties Type Sys Mfg Model # Serial # Age Type Parts Ends Labor Ends FAU DUC UTGA05083 5872209915 12 Filters: Loc: Size: FAU DUC MPGA075841 599291GG3 Filters: l 14241 Loc: Size: 1) 20X30X1 1) 16X30X1 COND RHEEM FADC036JAS 6501F220009900 Filters: Loc: 13 - , 12 sin .# city..Of Qutlita Building a Safety Division P.O. Box 1504,78-495 Calle Tampico ia.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # l� Project Address: 553 0 d 1 A 11 of Q Owner's Narne:.bovftJ r rgnl A. P. Number. Address: (fit t t l Legal Description: Contractor. City, ST, Zip: I'ZS 3 Telephone•1lpQ • I _f 61; ' ¢ Address: Project Description: City, ST, Zip: $ �� 6 �✓ -out 4001r. aft OA OTO05 O05 Telephone: as State Lic. #- City Lic. #t Arch., Engr., Designer Address: City., ST, Zip: Telephone: P � ., '� Construction Type: Occupancy: State Lic. #: y;w . :�± , Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: lot # Stories: # Unity: Telephone # of Contact Person: Estimated Value of Project 12 0 O .-00 APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Pians resubmitted.. Mechaelcal Grading plan 2i6 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:- 3d 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 Total Permit Fees