13-0528 (MECH)P.O. BOA 1504 - VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA;.CALIFORNIA 92253 BUILDING R. SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/25/13
ApplicationNuinber: 13-00000528' Owner:
Property Address: 78671 TALKING ROCK .TURN RICHARD JEFFE
APN: 770-300-027- - - 78671 TALKING ROCK TURN
Application description: MECHANICAL p LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL (760) 275-.6710
Application valuation: 13483
Contractor: D
Applicant: Architect or Engineer: GENERAL AIR CONDITIONING
31170 RESERVE DRIVE UP RX
�� 2
�� a THOUSAND PALMS, CA 92276 �1 `U
N I'` (760)343-7488
Lic. No.: 686310 CIYY0NCA INYA
FINANCE 11Ept
------------------
LICENSED CONTRACTOR'S DECLARATION
1 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 Professionals Code, and my License is in full force and effect.
License Class: C20 License No.: 686310
1 i' r
Dale:! Contractor: �],nw.�rt� s
T� 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).:
1 1 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.). -
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:
I,QPERMIT
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 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.
_-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 Z071741502
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 subject to the workers' compensation provisions of Section
3700 of the Labor Code, I shall forthwith comply with those provisions.
�l
Date 'T � � Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 information is correct. I agree to comply with all
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.
Date. �� Signature (Applicant or Agent):/
v V
Application Number 13-00000528
Permit . . . MECHANICAL
' Additional desc .
_ Permit Fee 35.00 Plan Check Fee
8%75
Issue,Date . . . Valuation . . .
. 0
• Expiration Date 10/22/13
Qty Unit Charge Per:
Extension
BASE, FEE
15.00-
5.00'1.00.
1. 00 11.0000 EA MECH-FURNACE >100K
11.00
1.00 .9.0000 EA MECH B/C <=3HP/100K BTU
9.00
Special Notes and Comments
HVAC CHANGE OUT - 13SEER/-78AFUE SPLIT
SYSTEM [2008 ENERGY] CARBON MONOXIDE
*ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2010 CALIFORNIA BUILDING
CODES.
----------------------
-------------------Other Fees . . . . . . BLDG STDS ADMIN (SB1473)
Other
1.00
Fee summary Charged Paid Credited
Due
- - ---------- ---------- ----------
Permit Fee _Total 35.00 .00 .00
35.00
Plan Check Total 8.75 .00 ..00
8.75•
Other Fee Total 1.00 .00 .00
1.00
Grand Total 44.75 .00 .00
44.75
LQPERAIIT -
i
-
Bin.
Citjr of La Quinta
Bulkilm Sr Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Qainta, CA 92253 - (760) 777-7012
Building Permit Application'and Tracking Sheet
Permit #
Project Address:$ (07 ( `r0.k%.iy�. 120�� Ivrr%
Owner's Name:. i C . r . L
A. P. Number.
Address:
Legal Description: — -
Contractor. Ge rerc_i Ali
City, ST, Zip: CA 9Z ZSR
telephone: 7(ap Z-7$-6-710
Project Description:
Address: 31 C70 e6erve- ri V -,t.
City, sT, Zip:_TV,a,sC-VNC' L\nns c1ZZ7b
122: 1C ce .5}ov. 61-c- 901 - 3tv
Telephone: 7(oo-3143- -MSa:
State Lia # : Ge(o 310 i City Lia #:
Arch, Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type:. Occupancy:
Project type (circle one): New Add'a Alter Repair Demo
Sq. Ft.:#Stories: # Units
Telephone # of Contact Person:
Estimated Value of Project: l3 4 83 . ov
APPLICANT: DO NOT WRITE BELOW THIS LINE }
M Submittal Req'd Recd TRACKMG PERMIT FEES
Plan Sets
Plan Check submitted item Amount
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit. .
Truss Cala.
Called Contact Pmon Plan Cheek Balance
Title 24 Cala.
Pians picked up Construction
Flood plain plan
Plans resubmitted _ . Mechanical
Grading plan
V Review, ready for correctionsfissue Electrical
Subcostactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up &ALL
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
Review; ready for correetionslissae Developer Impact Fee
Planning Approval
Called Contact Person Aix,
Date of permit issue
EPub.Appr
Total Permit Fees
Simplified Prescriptive. Certificate of Compliance: 2008 Residential WACAlterations CF-iR-ALT-HVAC
Climate Zones 10 - 15. i
Site Address: w _
Enforcement Agency:
Date:
Permit #: '
78671 TALKING ROCK TURN, La Quinta, CA 92253
City of La Qui nta
Apr. 24, 2013
Equipment Type1
t List Minimum Efficiency2
-Duct insulation
requirement
Conditioned Floor
Area
Thermostat: "
I] Package Unit
w �. .
® Furnace.
N AFUE 780/0
❑ COP
r,
13 R 6 (CZ 10-13)'
Served by system
N Setback
must
® Indoor Coil
® SEER 13.0
❑ HSPF
[3R 8 (CZ,14-15) ;'y
6123 s
If not already present, be
® Condensing Unit
Ll EER
L3 Resistance
.. w
installed)
❑Other.
•
- •
_
,
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1R -ACT -HVAC for each system. }
2. Minimum Equipment Efclencies: 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 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 -4R forms: MECH-21 and (for split systems) MECH-25•
• Condenser Coil and /or
.Indoor Coil and /or
CF -6R forms: MECH-04, MECH=21-HERS.and (for split systems) MECH-25-HERS
. Furnace'- i
CF -4R forms: MECH-21 and (for split systerris)'MECH-25 "
-r.
For Split Systems: Duct leakagei <45 percent; RC, CCA 5 300 CFM/ton (Minimum Air Flow. Requirement); TMAH
Pop Paskaged
Exempted from duct leakage testirfg; if:: • - r + '
❑'1 Uuctsysterrt:was documen eif to' -have been previously sealed and,,confirrried through HERS verification, or
: ❑ Z: Duct systems with less than 40 linear feet in unconditioned space, or
❑ 3. Existing duct systems are o istructed, insulated or sealed with asbestos :.
:•
❑:4: The' . rnwill not be Ducted::(ie::.uctlesM'ttii5p1.tt5ystern)�1isoExempt.;ixorx�kftefti eranLChar e
..........
Re ui " �'
112. Netni»`H:.AG: em q d�<JFo,
. Cut m,�o,rfangeout wrtlt`: �� a
GFS -611 oiln3 MECH-04, MEGti�2EI HERS4 pax €or Spirt sy5Eems) MECH- ZttiE-RS,:ata.'.':.':...:..::::'...:...
new .
dri (all new
ductrn;g�•adl nequiOge - "i�R.far�Yyis•3<MECH- 0' �r��.nrlits� �"s' �E�H-2,2�Nt]rCt'#:=25' ::;::-:��,..�
j'fi.. .. y..
r.. nwP,L.: •'Y.p}
. tom. _ lfy• L.... : _
..
r Duet leaks e� E: ercEnt RG CCA! 35D CFM%to i =FWI 7l�Aii, T1v1S, and either HSPP'orPSl?P. '`
For Split $yateiits-!. ° $ l? , -
:... .
For Patkaged`Uri t :Duct
13'3: New. D.uefs . ith/or withotiti :; :'
Required Forms: ,
.Indudes replacing or installing. ati_ iiew
•. _ _ ;
ducting and/or outdoor cohdensin;g 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 formsMECH-20 and (for split systems) MECH-25
equipment changed.,
For Split Systems: Duct leakage < 6 percent; RC, CCA z 300 CFM/ton; TMAH s
For Packaged Units: Duct.leakage < 6 percent
E3 4. New Ducting over 40 feet .
Required,Forms: _
. Includes adding or replacing more than 40
CF -611 forms: MECH=04, MECH-2I-HERS
linear feet of duct in unconditioned space.
CF4R forms: MECH-21
For split system or packaged units: Duct leakage <.15 percent ,
Y
❑ 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 land 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. r•
Name: Danielle Garcia . Signature: Danielle Garcia .
Company: HARRISON ENTERPRISES INC. Date: Apr 24, 2013
Address: 31-170 RESERVE DRIVE STE A: License: 686310
City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488
Reg: 213-AO02431OA-000000000-0000 Registration Date/Time: 2013/04/24 14:48:46 +HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms July 2010