12-0529 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: InJ-12=0-0_0_00529
Property Address:
60607 LACE LEAF CT
APN:
764-270-999-115 -300231-
Application description:
MECHANICAL
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
12725
Applicant:
Tiht 4 4 Q"
Architect or Engineer:
a(lP
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I 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 Profes ')pals Code, and my License is in full force and effect.
License Class: C20 License No.: 686310
Date: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 offeredfor 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:
Lender's Address:
LQPERMIT
Owner:
FRANK MARRA
60607 LACE LEAF COURT
LA QUINTA, CA 92253
Contractor:
GENERAL AIR CONDITIONING
31170 RESERVE DRIVE VT� THOUSAND PALMS, CA 92276
(760)343-7488
Lic. No.: 686310
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/11/12
p
1.AnV,NT A
C)F
V;NIA
--------------
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.
JI have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
7� 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 Z071741501
I certify that, in the performance of the work for which this permit is issued, 1 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 gupject to the workers' compensation provisions of Section
J y ,3�f700 of the Labor Code, I shall rf with comply with those provisions.
plicant: It
Av
WARNING: FAILURE TO SEC E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000)• 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 thi •county to enter upon he above-mentioned property for ins echo rposes.
f a� /!/�' nature (Applicant or Agentl: i
Application Number . . . . . 12-00000529
Permit . . MECHANICAL
Additional desc .
Permit Fee . . . . 40.50
Plan Check Fee
10.13
Issue Date . . .
Valuation . . . .
0
Expiration Date 11/07/12
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 9.0000^EA MECH
FURNACE <=100K
9.00
r 1.00 16.5000 -EA MECH
B/C >3-15HP/>100K-500KBTU
16.50
----------------------------------------------------------------------------
Special Notes and Comments
HVAC CHANGE -OUT INSTALL 5 TON SPLIT
SYSTEM. 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
CaICERTS - CF -1R Registration mayvq
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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: 60607 LACE LEAF COURT
La Quinta, CA 92253
CEC Registration: 212-A0023777A-00000000-0000
CF-iR-ALT-HVAC: CLICK HERE T_O DOWNL_OAD _
:signed Company: I HARRISON ENTERPRISES INC
Membership Benefits Do you know your HERS Rater?
If you do, you may want to send this CF -1R to them.
Events CalCERTS Rater ID:
OR
Industry Partners My Rater Quick Select:;' Select From List
Every CaICERTS rater has a License number. '
News If you need to find the rater by name Click HERE to search our directory.
SEND:CF-1R TO HERS RATER
To register for
our monthly
newsletter, [CLICK HERE] to do another
please click here.
Copyright n 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 -11811, (877-437-7787)
Fax: 916-985-3402 Contact Us
�r
BBB'
httnc-//www -fl R r-fM9rnrn;P,_t ;A=1 52A7(.1 Sig ni�n1
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
60607 LACE LEAF COURT La Quinta, CA 92253
City of La Quinta
May 10, 2012
Equipment Typei
List Minimum Efficiency2
Duct insulation
Conditioned Floorrequirement Area
Thermostat
❑ Package Unit
® Furnace
® Indoor Coil
® AFUE 78%
® SEER❑
13.0
❑ COP
HSPF
13R 6 (CZ 10-13)
Served by system
® Setback
not already present, must be
® Condensing Unit
[I❑Resistance'nEER
13in R 8 (CZ 14-15)
1845 sf
stalled)
[3 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 Efflclencles: 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.
® 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-611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
• Furnace
CF-4R forms: MECH-21 d fors MECH-25
and plits systems)
For Split Systems: Duct leakage,< 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH
FGF Paskaged Un! S. D.-et Inalcan
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
❑ 4. The`system;w:ill not be Ducted Oe,,jD ctles�Mi.n,Spht_System�(AIso�Exempt from Refrrgerant,CNrge)
❑ 2. Ne'HVAC System
Requ fed „worms.,.' ;` ' » .
�.
. Cut in€o�r�Changeout with`
-}
new du: (all new
ducting all new
^�"'" �`�°�°�` � .
CF-6R.forms:IMECH-04, MECH-20 HERS, and (fo pit systems) MECHV- 2�HERS, and
MECH'-25`HERS 1.z, z WW
equipment) '
CF-,dR formMECH-20 and fors lit sANEW
H- 0, . (. y )
stem MECH-2 OletanYMEdH 25
For Split Systems: Duct leakages<f6lpercent; RC;CCAI�7350 CFM/ton FWD$TMAH,sSTMS, and'either<,I�SPP`or PSPP.
For Packaged Units: Duct leakage:<'6'percent ' -
❑ 3.,New-Ducts.with/or without -
Required Forms:
.
Replacement'
• Includes replacing or installing all new
ducting and/or outdoor condensing 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 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-411 forms: MECH-21
For split system or packaged units: Dud leakage <45 percent
❑ EXCEPTION: Existing dud 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 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, and specifications
plans submitted to the enforcement agency for approval with the permit application.
Name: Danielle Garcia Signature: Danielle Garcia
Company: HARRISON ENTERPRISES INC Date: May 10, 2012
Address: 31-170 RESERVE DRIVE STE A License: 686310
City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488
Reg: 212-A0023777A-00000000-0000
2008 Residential Compliance Forms
Registration Date/Time: 2012/05/10 20:29:10 HERS Provider: Ca10ERTS, Inc.
July 2010
Work Order
GENERAL AIR CONDITIONING
www.callthegeneral.com
31170 RESERVE DR
THOUSAND PALMS CA 92276
760-343-7488 FAX: 760-343-7494
LIC# 686310
Service At: Customer #
MARRA, FRANK & JOY HOME
60607 LACE LEAF COURT . CELL
LA QUINTA CA 92253
Type: RES Source: AIRPLU
Zone: 3 LQ Map:
Subdivision: TRILOGY
Skill: Tax: RIV
Directions
Instructions LM TO CONFIRM INSTALL APPT--AB
1111111111111111111
Job No: 132513
Bill To: Customer # Rating:
MARRA, FRANK & JOY HOME
60607 LACE LEAF COURT CELL
LA QUINTA CA 92253
Open Balance: $11,725.00
Payment Method: DUE UPON
Credit Limit:
Service Customer
Assignments
RODRIG' SOLD XC21 5TON HORIZ COMPLETE $12725.00 COLLECTED $1000.00 DEP CK 5247 $725.00 IID
REBATE $1000.00 LNX INSTALL WED 5/9
Time
STEVE
Work Sugg
JUANM
8:09:00 AM
Work Done
8:30:00 AM
Equipment
Call Info
Type Sys Mfg Model #
Job Info
Age Type Parts Ends Labor Ends
FAU LNX G40UH6041OX07 5904HO3568
Call No.:
132513 Booked by:- Anne
Job No.:
132513
Taken: 5/4/12 3:12 PM
Type:
GASAC Booked Date: 5/9/12
Class:
REPLACEMENT
Taken by: Anne
Scheduled:
5/9/12 7:OOAM. Sched by: Anne
Type:
GASAC
Cust PO:
Pri Level:
5
Ld Src:
EXISTI
SalesPerson: RODRIG
Eq Age:
Job # 132355
LS Ref:
MAINT
Equipment:
Contact:
Call # Date Tech
1 �5 4
Assignments
Employee TaskCode Scheduled
Time
STEVE
8:09:00 AM
JUANM
8:09:00 AM
RODRIG
8:30:00 AM
Equipment
Warranties
Type Sys Mfg Model #
Serial #
Age Type Parts Ends Labor Ends
FAU LNX G40UH6041OX07 5904HO3568
9
Filters: 1OX10X1
Loc:
Size:
Agreements ,
Type Agr No Status .
Sold By Start End
Discount Last Visit Next Scheduled
SPO1 410333 Active
01/05/2012 01/04/2013
20 % SPDISC 01/05/2012 1/2012
Service History
Call # Date Tech
Type Status Bal. Due
Job # 132355
132355 06/08/2012 BRIAN
MAINT
Instructions: SP1 -PD COOLING
Call # Date Tech
Type Status Bal. Due
Job # 132635
132635 05/07/2012 ADAM
NOCOOL
Instructions: AC STOPPED WORKING, CLIENT IS SCHEDULED FOR NEW INSTALL ON WED. NO CHARGE PER FRANCISCO. ALSO TECH TO CALL
FRANCISCO W/CHARGES.
Work Done: DISCONNECT IS VERY LOOSE. UNIT IS RATTLING ALOT. RE -INSTALLED DISCONNECT (NO CHARGE PER RODRIGUEZ) NEW UNIT