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14-0812 (MECH)P.O. BOX 1504 78-495 CALL TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14`00000812'fi' Property Address: 61620 TULARE LN APN: 764-280-999-112 -300237- Application description: MECHANICAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 4864 Applicant: Architect or Engineer: pi 9mm BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: JIM BREWER 61620 TULARE LANE LA QUINTA, CA 922531 I1 Contractor: GENERAL.AIR CONDIT 31170 RESERVE DRIV THOUSAND PALMS, CA (760)34-3-.7488 Lic. No.: 686310 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760)777-7153 CIiyop. �, r< Fi° Ai Iln �r Date: 6/10/14 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION - I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division3 of the Business and Professionals Code, and my License is in full force and effect. I have and_will maimain�a certificate of consent to self -insure for workers' compensation, as provided License Class: C20 License No.: 686310 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is // /Date. IO IZF /ontractor. Ste'�� issued. I have and will maintain workers' compensation .insurance, as required by Section 3700 of the Labor ' _ Code, for the performanceottheuvoPk for which this issued.' My workers compensation OWNER -BUILDER DECLARATION insurances carrier and policy number are: - I hereby.affirm under penalty of perjury that) am exempt from the Contractor's State License Law for the Carrier ZENITH INS- CO --. Policy Number Z071741503 - 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 sublemto the workers' compensation provisions of Section License Law (Chapter.9'(commencing with Section 7000) of Division 3 of the. Business and Professions 3700 of the Labor'Code 1 shalj bnhwith comply with those provisions. 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).: Date: - - plicant: S,,.;,r� - 1 _ 1 1, as owner, of the property, or my employees with wages astheir. sole. compensation, will do,the.work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The � WARNING: FAILURE TO SECURE WORKERS' COMPENSATIONCOVERAGE IS UNLAWFUL, AND SHALL . 'Contractors' State License Law ,doesnot apply to an owner of property.,who builds orimproves [hereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILFINES UP'TO ONE1iUNDRED 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 oroffered 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-buildei will have the burden of proving that he or she did not build or- iniproveforthe 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 fora 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 buildsor improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each personuponwhose 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 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 Quinta, 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 above information 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 building construction, and hereby authorize representatives ' of this county to enter upon the above-mentioned property for inspection purposes. Lender's Name: I F kfa te:� 10 I nature (Applicant or, Agent): Lender's Address: LQPERMIT Application Number . . . . . 14-00000812 Permit . . . MECHANICAL 2013 Additional desc . . Permit Fee . . . . 35.75 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/07/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH CONDENSER/COMP 35.75 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE OUT - 14.5SEER CONDENSER ONLY [2010 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. June 10, 2014 2:54:15 PM AORTEGA ---------------------7------------------------------------------------------ Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 23.83 Fee summary Charged Permit Fee Total 35.75 Plan Check Total .00 Other Fee Total 115.40 Grand Total 151.15 LQPERMIT Paid Credited Due .00 .00 35.75 .00 .00 .00 .00 .00 115.40 .00 .00 151.15 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAlterations CF-IR-ALT-HVAC Climate Zones 10 - 15 Site Address:Enforcement Agency: Date: Permit #: 61620 TULARE LANE La Quinta, CA 92253 City of La Quinta I )un 9, 2014 Dud insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit 0 Furnace [I AFUE ❑ COP ❑ R 6 (CZ 10-13) Served by system H Setback (3 Indoor Coil W SEER 14.5 p HSPF ❑ R 8 (CZ 14-15) 1806 sf If not already present, must be H Condensing Unit [3EER E3Resistance installed) 0 Other 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF-1R-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 fad 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-1R 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-411 forms: MECH-21 and (for split systems) MECH-25 . Condenser Coil and /or CF-611 forms: MEC1­1-04, MECH-2I-HERS and (for split systems) MECH-25-HERS . Indoor Coil and /or CF-411 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 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 tti`ari:40 linear feet in unconditioned space, or 0-3i. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. The system will not be Ducted (ie. Ductless Mini-Split System). (Also Exempt from Refrigerant Charge) ❑ 2..New HVAC System Required,. Forms: . . .Cut m or Changeout+rt�th CF-SR forms MACH U4;�IECH ZD-HERS, and�(forspltt systems) MECH �2-HERS; and new duds fait new MECH 25 HERS ... du ctin a ail new 9.: a GF-4R forms MECH-20, an(fo spit sysemsJ NFEGH 72„ane MECF! 25� equiio� t). For SptttSystems .Duct teakage < 6 percent; RC, CCAS 350-:CFM/ton FWD TMAH *S GMS';;and;either HSPP or PSPP- - ,_a...z:> .... .,, �::.- -.parr.: eruct: eaka e. 6< erteni.r.. .:�� For Pac - _:::<,. 3. 'New aiucts iMrth}ot vitbai rediFins r❑ Replacement ::::..=.:. . . Indudes:,replacing";or installing att'rtew ducting: a;r dJor outdoor condens+rig;linit CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil'and/or furnaci (N6 or some CF-4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage'::<: 6 percent; RC, CCA 2 300 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-611 forms: MECH-041 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) o 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: Dayana Valdez Signature: boyana Valdez Company: HARRISON ENTERPRISES INC Date: ]un 9, 2014 Address: 31-170 RESERVE DRIVE STE A License: 686310 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488 Reg: 214-A0041782A-000000000-0000 2008 Residential Compliance Forms Registration Date/Time: 2014/06/09 20:50:58 HERS provider: Ca10ERTS, Inc. July 2010 I Bin # Permit #t�1� \,, 1 Project Address:N City of I q. Quinta; Building.BzSafety'Didision. ;. P.O. Box 1504, 78 495 Calie Tampico . La Quinta, CA 9.22153:;'(760) 777 7012 Building Permit Application and Trading Sheet O wner's Name: A. P. Number: Address: '— �ol(D,Z'0 . .1 � arm: �h Legal Description:City, ST, Zip:. - ' CA - zz's-25 Contractor: t Air- Tele hone: ."7 hO-& I q., 39 Lea- :;.:- .:.::.:...:.:.:....... .....:..: Address: 'J �� ` �( Project Description: City, ST, Zip: Qe ' I qCL o e e�f Telephone: P 7100- 343 -74 88 :?>:«:>::<:»::;<:>;:..>.;:"s:>.:;:>:::-:;:•;:::-: State Lic. # : $6310 City Lie. #.. Arch., Engr., Designer: Address: City., ST, Zip: Telephone: .:j.j?{�fiUy>^•v:i�:':Li=ii:::;{�>::::r;:;::�vvf v.:::i::i: Construction Type: Occupancy: State Lic. # Project type circle.one : New Add'n Alter Repair De mo Name of Contact Person: r\% efe-r Sq. Ft.: # Stories: #Units Telephone # of Contact Person:_ Estimaied Value of.Project: 4 aped , APPLICANT: DO NOT -WRITE BELOW :THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES. Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan,CheckDeposit Truss Cala. Called Contact Person PIan:Check Balance- Title 24 Calcs. Plans picked up Construction Flood plain plan ;Plans resubmitted Mechanical Grading plan Zed Review, ready for corrcctions/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.L. II.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"''Revicw, ready for correctionifissue Developer Impact Fee Planning Approval Called Contact Person A'.I:P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees