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12-0228 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number. 12-000002 2&---,, v_, Property Address: 79775'—TANGELO'-- APN: 772-230-026- - - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 15000 Applicant: AJArchitect or Engineer: alp BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: CHARLES PILLITER 79775 TANGELO LA QUINTA, CA 92253 11D Contractor: �' ( GENERAL AIR.CONDITIONI 31170 RESERVE DRIVE THOUSAND PALMS,' CA 922. (760) 343-7488 E E--- Lic. No.: 686310 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/14/12 AR E CI`1 V OF IA ").�!@NTA ------------------------------------------------------------------------------------------------- ' - LICENSED CONTRACTOR'S DECLARATION Y WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am lice ed 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 Prof ionals 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 Class: C20 License No.: 686310 • for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ate: 3/Li I Z ontractor: issued. I have and will maintain wo(kers' compensation insurance, as required by Section 3700 of the Labor fff Code, for the performance of the work for which this permit is issued. My workers' compensation ER -BUILDER DECLARATION 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 ZENITH INS CO Policy Number Z071741501 following reason (Sec. 7031.5, Business and Professions Code: Any city or couhty 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 subje 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 th , if I should become subjectt t e workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 oft Labor Code, I shall forthwith c• ply with those provisions. . ' 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: ¢ Applicant: ' _.......( _)..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 -WARNING: FAILURE TO SECURE WORKERS' C TION. 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 - - one ear of com letion the owner -builder will have the burden of rovin that he or she did not build or SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - - - - - - - - - P P 9 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 contractors) licensed pursuant to the Contractors' State License Law.). ' 1 _ 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 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 ssation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above in m�tion is correct. 1 agree to comply with all city and county ordinances an state laws relating to building cons cti n, and hereby authorize representatives of this my to�enterupoeabove-mentioned property forinsp ti n purposes. ate: 3 14 (Applicant or Agent): °LQPERMIT Application Number 12-00000228 Permit . .4.� MECHANICAL . Additional desc . Permit Fee . . . . 66.00 Plan Check Fee 1.6.50 Issue Date Valuation 0 Expiration Date 9/10/12 ` 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. r ------------- Special Notes and Comments INSTALL (2) 5 TON HORIZONTAL SPLIT SYSTEMS -.OUTDOOR UNITS AT GROUND LEVEL. 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 °LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-1R-ALT-HVAC Climate Zones 10 - 15 Site Address:. Enforcement Agency: Date: Permit #: 79775 TANGELO La Quinta, CA 92253,c ;. City of La Quinta Mar 13, 2012 Equipment Typel, List Minimum Efficie6cy2 Dud insulation requirement Conditioned Floor ,, Area` Thermostat r ❑ Package Unit ® Furnace ® Indoor Coil ® AFUE78 /o o ® SEER [3COP [3HSPF ❑ R 6 (CZ 10-13) Served by system 63 If of already present, must be ® Unit [3Condensing EER ❑Resistance. ❑ R 8 (CZ 14-15) 1700 sf , installed) ❑ Other . 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF-IR-ALT-HVAC for each system. 1. 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-611 and registered CF-4R forms (no hand filled CF-4Rs allowed) are filled out and sig ned.BegInning October 1. 2010, a registered copy of the CF-111 and CF-611 shall also be onsite for final inspection. ^ ® 1. HVAC Changeout Required Forms: • All HVAC Equipment CF-6R forms: ME H-04, MClRJ ;i+ w_^r. EXEMPTED and (for split systems) MECH-25-HERS replaced CF-411 forms: M=rrEGH 2; EXEMPTED 111Wand (for split systems) MECH-25 • Condenser Coil and /or . Indoor Coil and /or CF-611 forms: MECH-04, EXEMPTED and (for split systems) MECH-25-HERS . Furnace , ' CF-4R forms: M=,,�,. EXEMPTED and (for split systems) MECH-25 For Split Systems: Duct leakage,<15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH Exempted from duct leakage testing`,-if:' f ' ❑ 1. 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 , p_3. Existing duct systems are constructed, insulated or sealed with asbestos ' • - 0:4. The system will not be Duct�d`(i Dndless Min Split System) (AIsq Exam t fGom RefngerradF , arge) ❑ 2 New tIYAC System RequiriW F—' tom,. . , ` �.. �� . Cut mar Chan eout withr g new ducts:F(all new s f ducting; all newr�F ' A: ' + CF 6R farms MECH-04 M=�� ^^ �=^=EXEMPTED and {for split systems) MECH 22HER5 -and= ,� �' M t �t ' x ' MECH-25 HERS * �%, '° Cf-4R farms: MECH0 ,and+(for split:systems) MECH=22;;and' MECH=25= equipment), . ... For Split Systems: Duct-leakage:< 6 percent,;RC : CCA > 350 CFM/torr?{FWD TMAH, SEMS, and-either HSPP or`PSPP. For Packaged Units: Dud leakage,<,6percent 13 3. 3 New. Ducts vrith/or without; 'Required Forms: Replacement++: . Includes replacing or installing all2` new ducting and/or outdoor,, ytl. condensing unit and/or indoor,coil CF-6R forms: MECH-04, EXEMPTED, and (for split systems) MECH-25-HERS ' . and/or furnace. No or, some R forms: MEGH =�� ag �^ CF-4r.EXEMPTED and (for split systems) MECH'25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC,'CCA >_ 300 CFM/ton, TMAH Foi Packaged Units: Duct leakage < 6. percent ` ❑ 4..New Ducting over 40 feet I Required Forms:. . Includes adding or replacing more CF-6R forms: MECH-04,_�� �+ IJCDC EXEMPTED than 40 linear feet of duct in unconditioned space. CF-4R forms: M=aw ,+ EXEMPTED ` 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. ` • .. • 1 , • I • • 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 Company: HARRISON ENTERPRISES INC r Date: ,Mar 13,'2012 Address: 31-170 RESERVE DRIVE STE A License: 686310 City/State/Zip: THOUSAND PALMS / CA / 92276 " Phone: (760) 343-7488 Reg: 212-A0012775A-00000000-0000 Registration Date/Time: 2012/03/13 16:54:23 HERS Provider: Ca10ERTS,,Inc. 2008 Residential Compliance Forms July 2010 CaICERTS. - CF -1 R Registration Page 1 of 1 1 � �� Imo' • Public Home Danielle Garcia logged in [Logout] [Home] CONGRATULATIONS 'Secure Home Your CF -IR -ALT -HVAC Registration is complete! ' About Us You may want to print this page for your records. Training Site Address: 79775 TANGELO (SYS 2) La Quinta, CA 92253 CEC Registration: 212-A0012777A-00000000-0000 Rater Directory —" --- CF-lR-ALT-HVAC: CLICK HERE TO DOWNLOAD Forms Assigned Company: HARRISON ENTERPRISES INC Membership Benefits 4 Do you know your HERS Rater? If you do, you may want to send this CF -111 to them. Events CaICERTS Rater ID: OR Industry Partners My Rater Quick Select:—Selt;ct From List Every CaICERTS rater has a license number.' News If you need to find the rater by name Click HERE' to search our directory. " '' SEND,CF 1 R TO�HERS RATER To register for n„r mnnt•hl„ newsletter, [CLICK HERE] to do another please click here. Copyright © 2010 CaICERTS, Inc. All rights reserved. Revised: January 11, 2010 [Terms and Conditions] [Privacy Statement] [Class Cancellation Policy] CaICERTS, Inc., 31 Natoma St Suite 120, Folsom, CA 95630 Office: 916-985-3400,TollFree: 877 -HERS -11811, (877-437-7787) Fax: 916-985-3402 Contact Us BpTp GB dltstxt� https://www.calcerts.com/pub.lic—cflR.cftn?project—id=174474 3/13/201.2 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 79775 TANGELO (SYS 2) La Quinta, CA 92253 City of La Quinta Mar 13, 2012 Equipment Typel List Minimum Efficiency2 Dud insulation requirement Conditioned Floor Area Thermostat ❑ Package Unit ® Furnace ® Indoor Coil ® AFUE_78% ® SEER13R 13.0 ❑ COP ❑ HSPF 6 (CZ 10-13) Served by system ® Setback If not already present, must be ® Condensing Unit [3 EER [3 Resistance [3 R g CZ 14-15) ( -1700 sf installed) ❑ Other 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-4R forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October'i, 2010, a registered copy of the CF-1111 and CF-6111 shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: • All HVAC Equipment CF-611 forms: MECH-04, mr-Gw 2i wr-og EXEMPTED and (for split systems) MECH-25-HERS replaced CF-4R forms: M=r,�R,3 EXEMPTED 111NOand (for split systems) MECH-25 • Condenser Coil and /or • Indoor Coil and /or CF-611 forms: MECH-04, M=GW 2+ w_Rs EXEMPTED and (for split systems) MECH-25-HERS • Furnace CF-411 forms: M,,gig�j aj EXEMPTED and (for split systems) MECH-25 For Split Systems: Duct leakage,< 15 percent; RC, CCA 5 300 CFM/ton (Minimum Air Flow Requirement), TMAH Exempted from duct leakage testingif: ❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or ® 2. Duct systems with less tha,'n._40 linear feet in unconditioned space, or ❑ 3. Existing duct systems are Constructed, insulated or sealed with asbestos ❑ 4. Thelsystemyvyill not be Ducted"'(iec,Ducttess Mini Sp$ System)*(Als Exempt fromrRefngepntsGharge) ❑ 2. Nevt`i HVAC System Requie" i r . Cut inlor Changeout with, new duds: (all.new + * f' t CF 6R forms MECH-04, EXEMPTED, `and (for split systems) MECH�22-HERS,.and ductingA&all new , :" I , i MECH 25�HER5 �� fors 420 CF 4Rm MECH, and (for spiii;systems) MECH=22, and MEG H-25 e ui fent , PE For Split Systems: Duct leakage,<=6 percent, RC CCA=z'' 350 CFM/ton, .FYVD TMAH' STMS 'and eit er HSPP or PSPP. ,._: , For Packaged Units: Duct leakage�c6`percent ❑ 3 New-Ducts with/or without, Required Forms: Replacement . • Includes replacing or installing all,;. new ducting and/or outdoor. {' condensing unit and/or indoor,coil CF-6R forms: MECH-04, EXEMPTED, and (for split systems) MECH-25-HERS and/or furnace. No or some CF-4R forms: "''tee EXEMPTED 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 114. New Ducting over 40 feet Required Forms: • Includes adding or replacing more CF-6111 forms: MECH-04, 04F!GW 2+ .,ros EXEMPTED than 40 linear feet of duct in unconditioned space. CF-4R forms: Mr-G;;-;ij EXEMPTED For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing dud 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 Company: HARRISON ENTERPRISES INC Date: Mar 13, 2012 Address: 31-170 RESERVE DRIVE STE A License: 686310 City/State/Zip: THOUSAND PALMS / CAJ 92276 Phone: (760) 343-7488 Reg: 212-A0012777A-00000000-0000 Registration Date/Time: 2012/03/13 16:55:25 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms July 2010 CaICERTS - CF -1R Registration.. y Pae 1' of 1 . ,�; � ��i `y �V+ � i 4' �' •; re £. 1't '�d����} fi.,._�' 4.Y��� t'� � i I- , �'' r�'i. ,�r�? -3,. 4 St�'s^n�� �ly�. ,r •.�°�. t — '��+- y,"•,�'�`r•.�c ," a, '� r Public HomeDanielle Garcia logged in [Logout] - ' [Home] CONGRATULATIONS Secure Home • Your CF -IR -ALT -HVAC Registration is complete! ; About tis You may want to print this page for your records. 79775 TANGELO Training Site Address: - La Quinta, CA 92253 CEC Registration: 212-A0012775A-00000000-0000 Raier Directory CF -IR -ALT -HVAC' CLICK HERE TO DOWNLOAD ... ...... --- .._.. ...--........_...._.�_--..._ t Forms Assigned Company: HARRISON ENTERPRISES INC - Membership Benefits Do you know your HERS Rater? If you do, you may want to send this CF -1R to them. t Events 610E'RTS Rater ID: a OR Industry Partners' My Rater Qu Ick Select: ISelect From List _ Every CaICERTS rater has a, license number. * News f If you need to find the rater by name LClick HERE] to search our directory. • $ENb CF=1 R-TO;HERS RATER""""'�"' • ' To register for - our monthly newsletter, [CLICK HERE] to do another please click here. Copyright O 2010 610ERTS, Inc. All rights reserved. Revised: January 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 -11811, (877-437-7787) Fax: 916-985-3402 Contact Us ' _ 4 r Or .r BBB=Facelsackp r https://www.calcefts.com/public=cflR.cfin•?project+ id= 174472' 3/13/2012 Bin # City .of U QuInt'a Building &' Safety Dhrlsion P.O. Box 15.04, 78-495 Calle Tampico. La Quinta, CA 92253 - (760) 777-7012 Building Permit-Application and Tracking Sheet 'Permit Oa Project Address: 11 Ownec's Name: GhQriQ S PIU (1'eC A. P. Number: Address: I 1, 5 Tan 410 Legal Description: City, ST, Zip: IA QMift, 01 2263 Contractor: Address: City, ST, Zip: �'7Wo, ;.: Telephone: � � 1 � � � 6� 7 � :, ms's'.. •ra `'' ProjectDesc'ption: MS' 11 •- VAOY0611 ce, fi . . ol Telephone: k 3 " > %l�". .i s%: , y, i , �o�. �J State Lic. # : 3 L City Lic. #; &0 {o Arch., Engr., Designer: Address: C ty ST Zip:.... _. ' Telephone: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft: # Stories: # Units: State Lic. { {yY%4 /,. 4; Name of Contact Person: �o Gr' �t liLJa YL, v Telephone # of Contact Person: 7& D 3'i3 % 4 Estimated Value of Project: 7 o G � • o 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 Check Deposit Truss Calcs. Called Contact Person Plan 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 Pians picked up. S.M.I. H.O.A. Approval Plans resubmitted Grading IN '"' Review,.ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees