Loading...
11-1104 (MECH)P.O. BOX 1504 - 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-0000110y Property Address: 79720 IRIS CT APN: 604-251-004-4 -24208 - Application description: MECHANICAL. Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 11300 Applicant: J eo — Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION - I hereby affirm under penalty of perjury that I am licensqd under provisions of Chapter 9 (commencing with Section, 7000) of Division 3 of the Business and ProfesAonals Code, and my License is in full force and effect. License Class: C20 ILicenseNo.: 686310 D ,OoKO __Contra __ ,T ctor N -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 (5500).: (_ 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.). (_ 1 1, 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 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: SHARPE SANDY 79720 IRIS CT LA QUINTA, CA 92253 ( U1 Contractor: GENERAL AIR CONDITIONI 31170 RESERVE DRIVE THOUSAND PALMS, CA 92 76 (760)343-7488 Lic. No.: 686310 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/07/11 7 .. U r% 20 1777,C 1YOJwFLA�,. Ii 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. 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 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 b ome subject to the workers' compensation laws of California, and agree that, if I should beco subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shayl orthwith comply with those provisions. 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 (5100,0001. 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 i r ation is correct. I agree to comply with all city and county ordinances and state laws relating to building cons �rtion, and hereby authorize representatives of this county to enter upon the above-mentioned property for ins tion purposes. to - Date: Signaiure-(Applicant-or Agent): w`� r,} r Application Number 11=000011.04 Permit . . . MECHANICAL Additional desc . Permit Fee . . . 40.50 Plan Check Fee 10.13 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/04/12 Qty Unit Charge Per Extension BASE'FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>l00K-50bKBTU 16.50 Special Notes and Comments _ HVAC CHANGE OUT INSTALL NEW 4 TON SYSTEM FUNACE ,INDOOR COIL, CONDENSER. 2010 CODES. ------------------------'---------------------------------------------------- Other Fees . . . . BLDG STDS ADMIN (SB1473)' 1.00 Fee summary Charged Paid Credited ------------=--------------------------- Due ----------------- Permit Fee Total 40.50 .00 .00 40.50 Plan Check Total 10.13 .00 .00 10:13. Other Fee Total- 1.00 .00 .00 1.00 Grand Total 51.63 .00 .00 51.63 LQPERMIT A V _Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAIterations CF -IR -ALT -HVAC Climate Zones 10 to 15 Site Address: En orcemen gency: Date: Permit #: (Floor Equipment T et List Minimum Efficiency Duct insolation requirement Conditioned Area Thermostat ckaged Unit urnace ❑ AFUE 80% ❑ COp Over 40 ft of ducts added or XSetback door Coil ka—, ❑SEER 13 ❑ HSPF replaced in unconditioned space Served by system (1f» or already n densing Unit ❑EER R/ / 11 Resistance 13 R 6 (CZ 10-13) sf present, must be 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 -HVAC jur each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFfortypical 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 ed. Beginning October 1, 201.0, a registered co of the CF -IR and CF -6R shall also be on site for final inspection. . HVAC Changeout it, 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 -1 - • 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 Packaed Units: Duct leakage < 15 percent Exempte f m duct leakage testing if: I. Duct system was documented to have been previously sealed and confirmed through HERS verification, or ❑ 2. uct 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 Replacement I 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 I Reouired Fnrmc- • Includes adding or replacing more than 40 CF -6R forms: MECH-04, MECH-2I-HERS CF -4R forms: MECH-21 linear feet of duct in unconditioned space 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. •_ "flie 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 agency for appro al with t e pcUit application. Name: Lo Iteell k/o_�-s6n Si ture: j j Company: tan _ en,e�a.( /-fir r COi1dr f•`Oh i` Date: Address: .31170 Peset^tle_ ^ t License: City/State/Zip:--r—itOt�SGt gLLH�s� GR 9�� 7� Phone: -760_33_74 Ca10ERTS - CF -1R Registration Page 1 of 1 r� Public Home Danielle Garcia logged in (Logout) [Home] Secure Home About Us Training Rater Directory CONGRATULATIONS Your CF -IR -ALT -HVAC Registration is complete! You may want to print this page for your records. Site Address: 79720 IRIS COURT La Quinta, CA 92253 CEC Registration: 211-A0051982A-00000000-0000 Forms CF-IR-ALT-HVAC:ICLICK HERE TO DOWNLOAD [CLICK HERE] to do another Copyright (0 2W CaICE M'S, 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 ,r r` R' BBB'finilusonFac66ggit©;� https://www.calcerts.com/public—cflR.cfin?project id=142116 10/6/2011 Assigned Company:HARRISON ENTERPRISES INC Membership Benefits Events Do you know your HERS Rater? - If you do,.you may want to send this CF.1Rto them. _ Industry Partners Ca10ERTS Rater ID: News OR My Rater Quick Select: I Energy Driven Solutions, Inc. Every CalCERTS rater has a license number. To register for our If you need to find the rater by name [Click HERE] to search our directory. monthly !SENp,CEAR.T0 HERS newsletter, please -:RATER-] click here. [CLICK HERE] to do another Copyright (0 2W CaICE M'S, 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 ,r r` R' BBB'finilusonFac66ggit©;� https://www.calcerts.com/public—cflR.cfin?project id=142116 10/6/2011 Bin #. . City of La Quin t'a Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Qulnta, CA 92253 - (760) 777-7012 Building Permit -Application and. Tracking Sheet , Permit # t �tD Project Address: 797,P-6 -- Owner's Name: A. P. Number: Address: 7�t7�p City, ST, Zip: Legal Description: Contractor: Address: 3 I City, ST, Zip: 7Lz Telephone: r, {Jl .BE •< >. Telephone: jdx,.' Project Description: TV n /4 G State Lie. # : 3 City Lie. #; 61b (o Arch., Engr., Designer: Address: Construction Type: Occupancy: City., ST, Zip: Telephone: • 42 State Lic. Name of Contact- Person: p (,(c �t �� c7yV Projecttype.(circle one): New Add'n Alter Repan Demo Sq. Ft : #Stories: # Units: Telephone # of Contact Person: -7& O 3113 % S Estimated Value of Project: (3 eo. @C7 # Submittal Plan Sets APPLICANT: DO. NOT WRITE. BELOW THIS LINE Req'd Recd TRACKING PERMIT FEES 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'd 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