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11-0647 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00000647 Property Address: 55275 LAUREL VALLEY APN: 775 -181 -082 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 8385 Tiht 4 4 Qum& BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a rolessional, Code, and my License is in full force and effect. License Class: C20 License No.: 686310 e:6�' � ontractor: 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 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 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. , 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: nK Lender's Address: r 1 LQPERMIT Owner: RANDALL SCHONING 55275 LAUREL VALLEY LA QUINTA, CA 92253 Contractor: GENERAL AIR CONDITIONING 31170 RESERVE DRIVE THOUSAND PALMS, CA 92276 (760)343-7488 Lic. No.: 686310 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/14/11 D JUM i " 201 1 UI Ak�_d%JQ 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 become ject to the workers' compensation laws of California, and agree that, if I should become su c to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forth comply with those provisions. 16-ate:614 1•t pplicant: WARNING: FAILURE TO SECURE WORKERS' 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 i for ation is correct. I agree to comply with all city and county ordinances and state laws relating to building con ru tion, and hereby authorize representatives of this unty to enter upon the bove-mentioned property for in a ion purposes. te: G I `� I ature (Applicant or Agent): Application Number . . . . . 11-00000647 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 40.50 Plan Check Fee 10.13 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/11/11 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/>100K-500KBTU 16.50 ---------------=--------------------------------------------------------- Special Notes and Comments --- INSTALL 5 TON 13 SEER A/C SYSTEM & INDOOR COIL. 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 Sim lifted Prescri tive Certificate of Compliance:- 2008. Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 to 15 Site Address: �A n ` S K - En rent Agency: Date: { Permit #: Equipment T et List Minimum Efficiency 2 Duct insulation requirement Conditioned Floor Area Thermostat ckaged Unit rnace ❑ AFUE 0 0 JF ❑ COP Over 40 ft of ducts added or Required Forms: Setback oor Coil ❑SEER t 3 ❑HSP- replaced in unconditioned space Served by system (lfnot already ndensing Unit ❑ EER / / ❑ Resistance ❑ R 6 (CZ 10-13J sf present, Hurst be Cl Other Exempted from duct leakage testing if: ❑ R 8 (CZ 14-15) ❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or installed) 1. Equipment Type: Choose the equipment being installed: if more than one system, use another CF -1 R -ALT -HVAC fur each system. 2. Minimum Equipment Efficiencies: 13 SF_FR_ 7R% AFrIF 7 7MRPF M, n.„t ..l .•a�:a��,: t �., , , 2008 Residential Compliance Forms n.r.,,- b ?010 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 si ed. Beginning October I, 2010, a registered co 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 • 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 Packaged Units: Duct leakage < 15 percent Exempted from 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 duct systems are constructed, insulated or sealed with asbestos ❑ 2. New HVAC System Required Forms: • Cut in or Changeout with new ducts: (a)l 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 Packa ed 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 s ace. 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. • 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. • 'rhe design features identified on this Certificate of Compliance are consistent with the' ortn, lion documented on other apph ompliance forms, worksheets, calculations, plans andspecifications submitted to the enforcement agency for appro al with t epen-nit application. Name: Co I(een ujo_:�%6P1 Sig Lure: I Company. /� 67er)-era.r/ / 1i r Date: Address: .30-70 12,aSerue ant ✓e, License: 1o8�3/CJ ity/State/Zip: •-7_A,0"Z0,,­t Pa�LftZ, Gid IC Phone: 7&0 -3 43 - 74 ff8 2008 Residential Compliance Forms n.r.,,- b ?010 CaICERTS - CF -1R Registration Page 1 of 1 .i .. VON- T��, Publfo Hume: Seetu:eliome Al7t/Ut US Tiaiiring Rater l�iacrory Forms tvlcit�t�cfsDtp J3rnefits Evenu Danielle Garcia logged in [Logout) [Home] CONGRATULATIONS Your CF -1 R -ALT -HVAC Registration is complete! You may want to print this page for your records. Site Address- 55275 LAUREL VALLEY 11-a Quinta, CA 92253 CEC Registration:121 I-A0028216A-00000000-0000 CF -IR -ALT -HVAC: ICLICK HERE TO DOWNLOAD Assigned Company: IHARRISON ENTERPRISES INC ndustyYartncr, Do you know your HERS Rater? — If you do, you may want to send this CF -IR to them. - - Ketirs To register for our CaICERTS Rater ID: monthly OR newsletter, please My Rater Quick Select: EnergyDriven Solutions, Inc. _�._�..._.........-.............._......._...__...___......__�.._ 222.2.....__. click here. Every CaICERTS rater has a license number. Ifyou need to find the rater by name [Click HERE] to search our directory. [777SEND CF -1 R TO HERS RATER [CLICK HERE] to do another CopyrighrS-''_010 CaICERTS, Inc. All ri?his reserved. Revised: Januay 11, 2()10 [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 4 BBB Find us on Facebook®D httns://www.calcerts.com/Dublic cf1R.cf n?nroiect id=118389 6/13/2011 DUI tf :City of La Quinta Building &r Safety Division Permit # \ P.O. Box 1504, 78.495 Calle Tampico �Vc La Quinta, CA 92253 - (760) 777-7012 Building Perm- it Application and. Tracking Sheet Project Address: 5-;2-'7 d a -V Owner's Name: A. P. Number: Address'-' S- vim[ Legal Description: City, ST, Zip: Lp— C� Contractor: : c .�.;•.,�,;::<4� f.;,{i>f'+• ' / a it l; ` �Lt �•w,.'' \h tai• V:.! 4ti �: .y: Telephone:sq / 311.3. Address: 3 Project p O/14 City, ST, Zip: Telephone: i•.<:• :.: ::}.:}.:;:..}.:•.::.:::: Yf Y;4'1' ffy}i:i?�;:i?f}::i:<�.Y::+�firLv{y.:t •.:}Kv :: Fi}\�:.+:}•{,::.}•.t.i.'•::i:<•i:%f:?i%'\�^:Y.i%�: � 1... N.a..+L, �`O• C -%C c -=,it( 1 . State Lic. #: 3 City Lie. #; Arch., Engr., Designer: Address: City., ST, Zip: Telephone: ti+'+•�: C•:%:Qi;'}}iii\Y7?i: •+...... ............ •s::::;:�3.::i�>:•:>:;.•.• ..... <.i.s};::•. w>v •:�::•zn:,n:;<:>,f',.;4`'<' ?v':✓:iyyi - Construction Type: Occupancy: State Lic. #c }i}C:ti:.ir+i':.v:i`4:`'iY�:fy+fj+ iiiiri:4•}ii{i;ii+:Yi}�:i}:ii:,(�. fi,?Si.`i. t: �4 ��i •}:�.:...::::.:<::;.::::>:.f..:;if:•:iiri}i>:•i:a#a�> J type one): )� Project a New Add'n Alter Repair Demo Name ofContact-Person: Sq. Ft.: #. Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO. NOT WRITE. BELOW THIS LINE H Submittal Req'd Recd TRACMG 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"a 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:- Jr° 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