12-0799 (MECH)ry P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO j FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/19/12
Application Number:J 1 2`09_00079--91 Owner:
Property Address: 50320 VALENCIA CT JULIE PARKERSON
APN: ' 773-390-014- - - 50320 VALENCIA C
Application description: MECHANICAL LA QUINTA, CA 92 $� A
Property Zoning: LOW DENSITY RESIDENTIAL • U
Application valuation: 5360
• Contractor: JUL 2012
Applicant: Architect, or Engineer: GENERAL AIR CO IT
31170 RESERVED zVE" CITYO LA QUINTA
_ THOUSAND PALMS, ONCE DEPT,
(760.)343-.7.488 -
r LiC. No. 6863,10
-
------------------------------
' LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION '
hereby affirm under penalty of perjury that I am licens 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 Profes Idnals 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
Lice Class: C20 License No.: -686310 • for by Section 3700 of the Labor. Code, for the performance of the work for which this permit is
issued.
Date: Yt 'i ntractor: - - I 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
- -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 county that requires a permit to _ I certify that, in the performance of the work r 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 as to become su ) ct 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 subje the workers' compensation provisions of Section _
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or - 3700 of the Labor Code, I shall forthw' omply with those provisions.
that.he-or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by , 7 f S.. any applicant for a'permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: 19 pplicant:
(_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
'f the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMP NSATION.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 SECTION 3706 OF THE LABOR CODE, INTEREST; AND ATTORNEY'S FEES.- - -- - - '
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.). - APPLICANT ACKNOWLEDGEMENT
nt-
(_ 1 1, 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 for a 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 builds or improves thereon, and who contracts for the projects with a contractor(s) licensed ; 1. Each person upon whose behalf this application is made, each person at whose request and for `
t. 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—) 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 omissionrelatedto 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 sation 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 foi the performance of the I certify that I have read this application and state that the above.info ation 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 constr n, and hereby authorize representatives _
of this �toenter the above-mentioned property for inspe n purposes.Lender's Name:Date: ure (Applicant or Agentl:
Lender's Address: '
LQPERMIT - _ _
10
Application Number 12-00000799
Permit MECHANICAL
,
Additional desc
Permit- Fee :-.: 31:50
Plan 'Check Fee`.;
7.88
-Issue Date
Valuation
0•
• .Expiration Date.. 1/15/13
_
Qty Unit Charge'. Per
Extension
BASE
FEE
15.00
1.00 16:5000 EA MECH
B/C >3=15HP/>100K-500KBTU
16.50
Special Notes"and.Comments
HVAC; CHANGE -OUT: INSTALL 2.5 TON
CONS ENSER &, COIL. ,2010 CODES..
---------------------- - - - - -_ -----------------------------------
other Fees BLDG STDS_ ADMIN (SB1473)'
-------------
1.00
Fee summary .•.Charged.
-- - - - - -
Paid Credited
Due
-- - - - - - - - - - - - - - ---
Permit Fee Total .31.50'
.00 .00.
31.50
Plan Check Total 7.88
:00 00',
7.88
Other Fee -Total 1.00`.
00 00
1.00
Grand Total 40.38
00 00:
40..38
LQPERMIT
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations. ,'_ CF-lR-ALT-HVAC
Climate Zones 10 - 15 -
Site Address:
Enforcement Agency:: •
Date: -
Permit 7
50320 VALENCIA COURT L'a Quinta, CA 92253
City of La Quinta
Jul 18, 2012
Equipment Type
List Minimum Efficiency2 •-
Duct insulation ,
- requirement
Conditioned Floor
Area
r �:.•
;. Thermostat
❑ Package Unit,
" _
'❑
•
..* '
❑ Furnace -
® Indoor Coil : '.
❑ AFUE •- -
® SEER 13.0
COP ' `
❑ HSPF
❑ R 6 (CZ 10-13)
Served by system
® Setback ,
If not already present, must be ,
® Condensing Unit
❑EER
❑ Resistance -
R 8 (CZ 14-15)
2883 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 1, 2010, a registered copy of the CF-111
and CF-611 shall also be on site for final inspection. '
0.1. HVAC Changeout
Required Forms:
. All HVAC Equipment
CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS' "
replaced r
CF-411 forms: MECH-21 and (for split systems) MECH-25
. Condenser Coil and /or
CF-6R forms: MECH-04, MECH-21=HERS and (for split systems) MECH=25-HERS
Indoor Coil and /or
. Furnace
CF-411 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), TMAHFor-
- ,'y.:
Pacliaged ..
Exempted from duct leakage testing' f:: �.
.
,❑ 1'Duct system-was documented to have been previously sealed and confirmed through HERS verification, or
::❑ 2. Duct systems with less 65 40 linear feet in unconditioned space, or '
03. Existing duct systems are constructed, insulated or sealed with asbestos
0'4. Thesystem will not be Ducted_�(le. Ductless.Mir Split System)l(Also;Exempt from Refrigerant Charge)
❑ 2 NewgHVAC System
Required'Forms 4�:; 1. ' R�T ' • .
... •� .
. Cut inlorChan eout with•!
s' 9
new ducts ,'(all new
CF-6forms MECH_ -04 MCM20 HERS nd`(for split systems) MECH 22 HERS sand -
duct4jg all new
MECH'25'HEItS
- r 4 • - -.
CF 4R:forms:tMECH�2O,�nd(forsplitµsyst) MECH 22, and ME H;25�
equipi[t@ntj.
a a. ��_,'��_i'
For Split`Systems: Duct leakage'<s6
percent, RC; CCA ,350 CFM/ton," FWD fMAIi; SIMS, and either HSPP or=PSPP
For Packaged Units. Duct
<6
leakage percent
13 3. NewxDucts with/or.withouit
Required Forms:
Replacement �• ; rte` .
'
.Includes replacing or installing all°new
,• :•} a
ducting and/or outdoor condeiis"fing`unit
CF-6R forms: MECH-04; MECH-20-HERS, and (for split systems) MECH-25-HERS
and/or indoor. coil and/or furnaces No or some
CF-411 forms: MECH-20 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; '
❑ 4. New Ducting over 40 feet`
Required Forms:'
. Includes adding or replacing more than 40
CF-6R forms: MECH-04, MECH-2I-HERS
'.linear feet of duct in unconditioned space.' <<
CF-4R forms: MECH-21 ' }=
For split system or, packaged unitss Duct leakage < 15. percent.:
,❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. ,i d
Contractor (Documentation Author's,/ Responsible Designer's Declaration_ Statement) f
• I certify that this Certificate of Compliance`documentation is accurate and complete.
e 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. - • -r ti "
• 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 Si nature:Uanielle Garciar
Company: HARRISON. ENTERPRISES INC . , a . Date:.lul 18, 2012 '
Address: 31-170 RESERVE DRIVE STE A License: 686310
City/State/Zip: THOUSAND PALMS / CA / 92276'. ti t• - Phone: (760) 343-7488
Reg: 212-A0038329A-00000000-0000. Registration Date/Time: 2012/07/1.8 20:10:07 KERS Provider: Ca10ERTS, Inc.
.2008 Residential Coinpliance .Forms ` `� + , July 2010
City of La Quina
Buffog a Safety. Division
P.O. Box 1504,*78-495 Caffe Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
ProjectAddrrss: 32 Uai� oc,aCI
Owner's Name:. JVIIQ Park�e�'so ►
A P. Number. 0 1 H
Address: .
Legal Description:
City, ST, Zip: L-kvn 225 3
Contractor.{�
�.,� �v-e_� 6-� � r •
M
Telephone: � ;_ � .3.. ,.
Address: 3) (Z.�S�r g
Project Description: �V� 2 •S
City, ST, Zip: -T� a v�S c` �oQ�u,S C a a
Telephone(l60)
State Lic. # : 99, 6 ?a I
City Lia #;
Arch., Engr., Designer
Address:
City., ST. Zip:
Telephone:
State Lic. #: . :�`� s, '
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person:
Estimated Value"of Project c5 2)(0
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
'Submittal
Req'd
Reed
TRACMG
PERMIT FEES
PIan Sets
Pian Ckeck submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit. .
'Russ Cates.
Called Contact Person
Plan Check Balance
Tide 24 Cates.
Plana picked up
Constructloo
Flood plain plan
Pians resubmitted
Mechanical
Grading plan
r' 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 correetionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees