11-1114 (MECH)P.O. BOX 1504
787495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
A
11-00001114 ('
-81640 TIBURON DR
767-531-007- -
MECHANICAL
LOW DENSITY RESIDENTIAL
15396
T4hf-4 4 Qum'
BUILDING & SAFETY DEPARTMENT
. Architect or Engineer:
0(ok
BUILDING PERMIT
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am lic sed under provisions of Chapter 9 (commencing with -
Section 7000) of Division 3, of the Business and Pr sionals Code, and my License is in full force and effect.
License Class: C20 icense No.: 686310
Date: ) ttractor:
R -BUILDER DECLARATION
I hereby affirm under penalty of perjury tha 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 they
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 am exempt under Sec. , BAP.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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/11/11
Owner:
GARY "LESSER
81640 TIBURON DRIVE 'D 4 0
LA QUINTA, CA 92253 '
C� 1011
Contractor:
GENERAL AIR CONDITIONI? G CITY 0!:;.A r4;fi
NlA
31170 RESERVE DRIVE
THOUSAND PALMS; CA 92276
(760)343-7488
Lic. No.: 686310
- — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
• WORKER'S COMPENSATION DECLARATION
1 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 wo for which this permit is issued, I shall not employ any
person in any manner so as to becom bject to the workers' compensation laws of California,
and agree that, if I'should become su t to the workers' compensation provisions of Section
3700 of the Labor Code, I shall fort h comply with those provisions. -
--late: 'y. icant:
WARNING: FAILURE TO SECURE WOR S' COM ENSATION 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 informa s correct. I agree to comply with all .
city and county ordinances and state laws relating to building constructi d hereby authorize representatives
of this county to enter upon the above-mentioned property for inspecti poses.
ate: L�15i ure (Applicant or Agent):.
s
Application Number . . . . . 11-00001114'
Permit . . . •MECHANICAL
Additional desc ..
Permit Fee 48.00. Plan Check Fee..
16.50
Issue Date. Valuation
0
Expiration Date". .4/08/12
' Qty Unit.Charge Per
Extension
BASE FEE
15.00
.00 9.0000 EA MECH FURNACE <=1.00K
.00
2.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU
33.00
Y
Special Notes and Comments
INSTALL 5 TON HVAC CONDENSER AND COIL,
AND 3.5 TON HVAC CONDENSER AND COIL AT
GROUND LEVEL.' 2010 CODES.
-----------------_-_--------------------------------------------------
Other Fees . . . : . BLDG STDS ADMIN (SB1473)
-
1.00
Fee summary Charged Paid Credited
---------- ---------- ---------- ----------
Due
-----------------
Permit Fee Total 48.00 .00 .00
48.00*
Plan Check Total 16.50 .00 .00
16.50
Other Fee Total 1,00 :00 .00
1.00
Grand Total 65.50 .00 .00.
y
65.50
r
LQPERMIT
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC -
Climate Zones 10 to 15
Site Address:
�l pfd %1 �l�rBr► 42
En orcein Agency:
Dat •
a --t o
Perurit u9:
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
"
Conditioned Floor
Equipment T el
List Minimum Efficiency
Duct insulation requirement
Area
Thermostat
13Packaged Unit
11 Furnace
❑ AFUE 80%
❑ COP
Over 40 ft of ducts added or
• Furnace
Setback
ndoor Coil
❑SEER 13
❑ HSPF
replaced in unconditioned space
Served by system
(lfnot already
ndensing Unit
O EER / /
❑ Resistance
❑ R 6 (CZ 10-13)
sf
present, must be
❑ Other
For Packaged Units: Duct leakage < 6 percent
❑ 3. New Ducts with Replacement
❑ R 8 (CZ 14-15)
• Includes replacing or installing all new ducting
installed)
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1 R-ALT-HVACfbr each system.
2. Minimum Equipment Efficiencies: 13 SEER. 78% AFUF-_ 7 79,4?PF fnr h.n;rn1 r ;dl t;n1 �t .
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 mast 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
i ed. Beginning October I, 201.0, a registered co of the CF -IR and CF -6R shall also be on site for final inspection.
it1. HVAC Changeout
Required Forms:
411 HVAC Equipment replaced
CF:6R forms: MECH-04, MECH-21-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 duct leakage testing if:
1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or
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 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.
• 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, plans andspecifications submitted to the enforcement a ency for appro al with t e permit application.
Name: Cot (ear UJO-t's-bit
Si lure:
Company: �
G,en,era.( Ar Cotu t; f,, o h ,1
'
Date: COD
_`
Address: 311-70 P ser^v
License: &86,3/(v
City/State/Zip: �'—�L D G� �SGtrn� �iLLt ►�S. t�l�}
/
Phone: 760 -.37-) — -7 4 8T
Sim lifted Prescriptive Certificate of Compliance: 2008 Residential HVACAIterations CF -IR -ALT -HVAC -
Climate Zones 10 to 15
Siteddress:
M ` 6 '%6 &71
E orceme gency:
Date:
Permit #:
Conditioned Floor
Equipment T e�
List Minimum Efficiency z
Duct insulation requirement
Area
Thermostat
_.; Packaged Unit
urnace
EIAFUE_
COP
Over 40 ft of ducts added or
0 Setback
door Coil
DEER
HSPF
laced in unconditioned space
�] R 6 (CZ 10-13)
Served by system
sf
(Ifnot already
present, must be
ondensing Unit
[]EER
Resistance
Other
R 8 (CZ 14-15)
installed)
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, 7.7HSPFfor 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 -6R and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and
sipted. 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 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
CF -6R fomts: MECH-21-HERS and (for- split systems) MECH-2'5-HERS
• Indoor Coil and/or
CF -4R 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
For Pack ed Units: Duct leakage < 15 percent
Exempt,
xempt d m 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 than 40 linear feet in unconditioned space, or
3. Existing ducts stems are constructed, insulated or sealed with asbestos
2. New HVAC System Required Forms:
• Cut in or Changeout with new CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS
ducts: (all new ducting and all
CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25
new equipment)
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/or without 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/orindoor coil CF -4R forms: MECH-20 and (for split systems) MECH-25
and/or furnace. No or some 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 s stem 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.
• 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 I and 6 of the Califomia Code of Regulations.
• The design features identified on this Certificate of Compliance are consistent with the/C.Ghl tion documented on oche pplicable compliance forms, worksheets,
calcu i s lans ands ecificatio submitted to the enforcement a enc fora rovae permit application.
Name:Signa
re:
Company:
Date:
/OBD-!
Address: `l y�
b
License: 31 0
City/State/Zip:IZZLPhone:
3
f'O � 7
2008 Residential Compliance Forms March 2010
CaICERTS 1'S - CF- R Registration
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CONGRATULATIONS
Your CF -IR -ALT -HVAC Registration is complete!
You may want to print this page for your records.
Site Address: 81640 TIBURON DRIVE
iLaQuinta,CA92253
CEC Registration: 1211-A0052522A-00000000-0000
Forms
CF -IR -ALT -HVAC: CLICK HERE TO DOWNLOAD
Assigned Company: HARRISON ENTERPRISES INC
Membership Benefits `_"'-_-'—
--- ----------------.___..--.____—_
Do you know your HERS Rater?
Events
If you do, you may want to send this CF -1R to them.
Industry Partners
CaICERTS Rater ID:
OR
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To register for our
Ifyou need to find the rater by name [Click HERE) to search our directory.
monthlySEND
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Copyright (0 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,Toll Free: 877-HERS-R8R, (877-437-7787)
Fax: 916-985-3402 Contact Us
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BBB :Find us.00F.aceb.o014®:-�
https://www.calcerts.com/public_cfl R.cfm?project_id=142664 10/10/2011
uaiuhK i �) - Lr - t x xegistration
Page 1 of l
Public Home Danielle Garcia logged in [Logout]
[Home]
Secure Home
CONGRATULATIONS
About Us
Your CF -1 R -ALT -HVAC Registration is complete!
You may want to print this page for your records.
Training
Site Address: 81640 TIBURON DRIVE
Rater Directory
La Quinta, CA 92253
CEC Registration: 211-A0052523A-00000000-0000
Forms
CF -IR -ALT -HVAC: CLICK HERE TO DOWNLOAD
Assigned Company: HARRISON ENTERPRISES INC
-._—'—".---�
Membership Benefits
-------------------------._.^_—_—. _.
Do you know your HERS Rater?
Events
If you do, you may want to send this CF -IR to them.
Industry Partners
CaICERTS Rater ID:
OR
News--
— ----'--•—^—^
My Rater Quick Select: ;•_Energy Driven Solutions, Inc.:
Every CaICERTS rater has a license number.
To register for our
Ifyou need to find the rater by. name [Click HERE] to search our directory.
monthly
}3,R•.1 M�SEND_CE 1R TQ I'ERSiRATER,c�' ,; 1
newsletter, please
click here.
[CLICK HERE] to do another
Copyright 02010 CaICIUfS. lnc. All rights reserved. Revised: Janus y 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
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https://www.calcerts..com/public—cfl R.cfm?proj ect_id=142665 10/10/2011
Bin #
'a
0ty of LQ Quint
&• Safety Dlvislon
Box 1504, 78-495 Calle Tampico
La Quin ta, CA 92253 - (760) 777-7012
Building Permit Application and. Tracking Sheet
•Permit #P.O.
����
1�
Project Address:NLVk
Owners Name: �r
A. P. Number:
Address: F7 Vo tj
Legal Description:
City, ST, Zip: La-
Contractor:b en
Telephone: -7690 �g�' S S
rf ; • : w
'
Address: cm,
'ProjectDescription: r' .
City. ST, Zip:
Telephone: '� • `;,: :.;: ;.:r::v<.:, %�a�s•:
'"�.
State Lic. # : 3 City Lic.
Arch., Engr., Designer:
-71
Address:
City., ST, -Zip: ._ ... _-_ ... -.- . ..._._... __......
_. ._ - - - _......
Telephone: ; } ''•w �; �,.,>:>kw�ti 4'. s
P
State Lic. #: �f";> j
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Stores: Units:at)
Sq. FL:
Name of Contact•Person: Ala%15 OYU
Telephone # of Contact Person: -7&-0 3Y-6 Estimated Value of Project: `�3 � (e • ��
APPLICANT: DO. NOT WRITE. BELOW THIS LINE
N
Submittal
Plan Sets
Req'd'
Recd
TRACKING
Plan Check submitted
PERMIT FEES
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
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 correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing .
Grant Deed
Plans picked up.
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN
7rd Review,.ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees