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11-0755 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: -11'00000755 -- Property Address: `57635—SEMINOLE DR APN: 762-380-004'- - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 18360 A Architect or Engineer: a1 A- BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION - hereby affirm under penalty of perjury that I amA ensed under provisions of Chapter 9 (commencing with Section 000) of Division 3 of the Business; nd fessionals Code, and my License is in full force and effect. Lic a Class: C20 License No.: 686310 Date 9 Z 1 Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the followingreason (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 7006) 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 - .irtiprovements 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, has 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 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, Owner: STEVEN ROLLER 57635 SEMINOLE LA QUINTA, .CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/12/11 Contractor: GENERAL AIR CONDITIONING o 31170 31170 RESERVE DRIVE rJ!D THOUSAND PALMS, CA (760) 343-7488 9227 Ijel 7 '� '+r- ^ 2011 Lic. No.: 686310 fi���SdrfilTMA 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. 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 7600006147101 _ 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 sub' ct to the workers' compensation laws of California, and agree that; if I should become subjec t the workers' compensation provisions of Section 3700 of Labor Code, I shall forthwi[ mpl with those provisions. Dater r i Applicant: WARNING: FAILURE TO SECURE WORKERS'OMP SATION 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 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 inf tion is correct. I agree to comply with all city and county ordinances and state laws relating to building cons con, and hereby authorize representatives of th' .county to enter upon a above-mentioned property for ins n purposes. ate: YrS' nature (Applicant or Agent): Application.Number 1.1-00000755 Permit . . . MECHANICAL Additional desc Permit Fee 66.00 Plan Check Fee 16.50 Issue Date Valuation 0 Expiration Date 1/08/12 Qty Unit Charge. Per Extension. BASE FEE 15.00 2.00- 9.0000 EA MECH FURNACE <=100K 18.00 2.00 16.5000•EA MECH B/C >3-15HP/>100K-500KBTU 33.00 -----------------------------------------------"----------------------------- Special Notes and Comments INSTALL 2 NEW 4 TON HVAC SYSTEMS, CONDENSER, COIL & FURNACE. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2010 CODES. -----------------_-_-----------------.----------------- Other Fees . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 66.00 :00 .00 66..00 Plan Check.Total 16.50 .00 .00. 16.50 Other Fee Total 1.00• .00 .00 .1.00 Grand Total 83.50 .00 .00 83.50 LQPERA1IT Simplified Prescri tive Certificate of Compliance:- 2008 Residential HVACAlterations CF -IR -ALT -HVAC Climate Zones 10 to 15 Site Address: Enforcement .4genc : Date: Permit dl: Equipment T et List Minimum Efficiency z Duct insulation requirement Conditioned Floor Area Thermostat ❑ Packaged Unit urnace o ❑ AFUE 80 �t� ❑ COP Over 40 ft of ducts added or Setback Coil Ittondensing ❑SEER t3 ❑ HSPF replaced in unconditioned space Served by system (I nut alreadndoor I Y Unit ❑EER ❑Resistance ❑ R 6 (CZ 10-13) sf present, must be ❑ Other ❑ R 8 (CZ /4-15) installed) 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1 R -ALT -HVAC fur each system. 2. Alinimunt Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF fa• 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 si ed. Beginning October I, 2010, a registered copy of the CF -IR and CF -611 shall also be on 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 -411 forms: MECH- 21 and fors lits stems MECH-25 • Condenser Coil and/or • Indoor Coil and/or CF-611Forms: 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 - E❑ 01. 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 MEC14-25-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 -611 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 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 on this Certificate of Compliance. • 1 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 pplic ompliance forms, worksheets, calculations, andspecifications plans submitted to the enforcement agency for appro al with t e perngit application. Name: 1(eeil ujo_�1-66r? Sig Lure: Company: G,en,er^a( Air Con,, -t; 0,1/ Date: �Z--�l -C/ Address: ,31170 PeSerU� �/` of ✓� License: City/State/Zip:--�D S G� Phone: -760-3413_-74ES" 2MY Residential Compliance Fa -ms March 2010 Sim lifted Peescri• tkve Certificate of.Com liance: 2008. Residential HVACAIteradons .. CF -IR -ALT -HVAC Climate Zones 10"to 15 2008 Residential Compliance Forms tn,, ,•ti Mtn Site Address: 3 Enforceme rt Agency: Date: -7 Permit M Equipment T et List MinimuFEfficienc aDuct insulation re uirement Conditioned Floor Area Thermostat ❑ Packaged Udit 40 ft ducts rnate ❑ AFUE.Bo%Over of added or_ Setback ndoorCoil ❑SEER /3 re laced in unconditioned s ace p p Served b s stem Y Y (IJ'not already ondensing Unit ❑ EER / / ce ❑ R 6 (CZ 10-13) sf present, mast he ❑Other ❑ R 8 (CZ 14-15) installed) 1. Equipment Type: Choose the equipment being installed: if more than one system; use another CF -1 R-ALT-HVACfor each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFfor 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-611'and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and si ed. Bezinning October 1, 2010, a registered copy of the CFA R and CF -6R shall also be on site for final inspection. I. 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 • 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 O 2. New HVAC System Required Forms: • Cut s: Changeout with new ducts: (all l 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 40 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 on this Certificate of Compliance. • f 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 consistentwith' the ' orm tion documented on other applic ompliance forms, worksheets, calculations, and 'enc plans specifications submitted to the enforcement a fora 'r.al with t e permit application. Natne: ll�eh Sig ture: Company 6 e 'era.( A%r Gon`0A.,"^I Date:Z -1�� Address: er a �r` ✓� License: &006,310 IC--ItY/State/Zip: -7—k0c1ZaP­,t Pa.LrmS, 6>1 9'3-�-7�o Phone: 760 -341,3-74ff9 2008 Residential Compliance Forms tn,, ,•ti Mtn 'CaICERTS - CF -1R Registration Page 1 of 1 Pu61fo Nome Seaare Honte About Us Crait) in Itraret vim-aor� Corms Membership Bea, itc Evenu todnury t�rnnees news To register for our monthly newsletter, please click here. Danielle Garcia logged in [Logout] [Home] CONGRATULATIONS Your CF -IR -ALT -HVAC Registration is complete! You may want to print this page for your records. Site Address: 57635 SEMINOLE La Quinta, CA 92253 CEC Registration: 211-A0033848A-00000000-0000 CF -IR -ALT -HVAC: CLICK HERE TO DOWNLOAD Assigned Company: 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: OR My Rater Quick Select: The Energuy CA LLC - Every CalCERTS rater has a license number. lfyou need to find the rater by name [Click HERE] to search our directory. SEND CF -1 R TO HERS RATER j [CLICK HERE] to do another Copyright ,02010 CalCERfS. Inc. A1) rights reserved. Re vised:.lanuar. 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 BBB Pined us an Facebook© https://www.calcerts.com/public—cflR.cfm?project—id=123887 7/11/2011 CaICERTS - CF -1 R Registration Page 1 of 1 Public Home Secure Home About W Tminfnl; hater Dinmory Forms Alnmbenbip Bentflu a Scents tadaatry t'anacrs To register for our monthly newsletter, please click here. Danielle Garcia logged in [Logout) [Home]. CONGRATULATIONS Your CF -I R -ALT -HVAC Registration is complete! You may want to print this page for your records. Site Address: 57635 SEMINOLE La Quinta, CA 92253 CEC Registration: 21 I-A0033852A-00000000-0000 CF -IR -ALT -HVAC: CLICK HERETO DOWNLOAD Assigned Company: IHARRISON ENTERPRISES INC .Do you know your HERS Rater? If you do, you may want to send this CF -IR to them. CaICERTS Rater ID: OR My Rater Quick Select: The Energuy CA LLC Every CaICERTS rater has a license number. Ifyou need to find the rater by name [Click HERE] to search our directory. I SEND CF. -1 R TO HERS RATER 1 [CLICK HERE] to do another . Copyright :K..'-' 2010 Cal(.IiRTS. inc. All rions reserved. Re%ised: January 11. '010 - [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 SQ' BBBFirref us on FaQlebciokc BBB r�,u https://www.calcerts.com/public—cflR.cfm?project—id=123891 7/11/2011 A Dill -it Qty Of La QU'fn� t—il' "Building 8t Safety Division Permit #G� P.O. Box 15.04, 78-495 Calle Tampico' 1 La Quinta, CA'92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: SZ �3 S �� I O /� ! Owner's Name: &evea A. P. Number: / Address: S? �,�� ! 6&oq r ✓l O ,,0— Legal Description: City, ST, Zip:9 �� Telephone: I t `1 -7,4-q :: '•3:'ffw;�c �x Contractor: Address: 3 Project Description: City, ST, Zip:'—� Telephone: 3 � „:•,};.+.:,;:.>:?:<;.:;?>>:;:>::;.;:;<:;:; 'Lic. '#.. State Lic. # : 3L City Arch., Engr., Designer: Address: City., ST, Zip: Telephone:' �:.�;��:.}..,..,.:.x?,:}.;• , � � � >? ``' "{' ''"'' - ConstructionT.y Occupancy: _ State Lic. #: ,::;: Y fi:>i:•i: if?:>?...<:C<•..Y:�•fs.+ %f:<f . Project type (circle one): New Add'n Alter Repair Demo Name of Contact • Person: Lp� GcJ Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: ? =Estimated Value of Project: APPLICANT: DO. NOT WRITE. BELOW THIS LINE # Submittal Req'd Recd TRACIMG PERMIT FEES Plan Sets.Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact PersonPlan Check Balance Title 24 Calcs. 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 Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees