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12-0253 (MECH)
P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12� 0000 0253 Property Address:7856'5-DESCANSO LN APN: 646-340-001- - - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 8500 Applicant: T4'tt 4 4 Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHELLEY BETTY FARMER 78565 DESCANSO LANE�� LA QUINTA, CA 92253 !�r Contractor: I GENERAL AIR CONDITIONING VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/19/12 f�....__d5, 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: Ir LQPERMIT of La Quinta, its officers, agents'and employees for any act or omission related to theworkbeing 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 in r ation is correct. 1 agree to comply with all city nd county ordinances and state laws relating to building cons tion, and hereby authorize representatives o is county to/ enter upon the above-mentioned property for ins ion pur ses. Date: 9/1 ,Sign re (Applicant or Agent): 31170 RESERVE DRIVE THOUSAND PALMS, CA 92276 (760)343-7488 Lic. No.: 686310 ------------------------------------------------------------------------------------------------- ' LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of perjury that I am lice edu d visions of Chapter 9 (commencing with Section 70001 of Division 3 of the B sinass and Prof ionals Code, and my License is in full force and effect. 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 Lice Class: C20 License No.: 686310 - Date: 3 tractor: _ 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 ER -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 for 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 so as to becomes ject 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 sub' to 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 forth comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by 3 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: Applicant: ( 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 l0000 WARNING: F LURE TO SECURE WOR S' C PENSATION 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 (_ 1 I, 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 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, _ (_ 1 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 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: Ir LQPERMIT of La Quinta, its officers, agents'and employees for any act or omission related to theworkbeing 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 in r ation is correct. 1 agree to comply with all city nd county ordinances and state laws relating to building cons tion, and hereby authorize representatives o is county to/ enter upon the above-mentioned property for ins ion pur ses. Date: 9/1 ,Sign re (Applicant or Agent): Application Number . . . . . 12-00000253 Permit . . . MECHANICAL Additional desc . Permit Fee 40.50 Plan Check Fee 10.13 Issue Date . . . . Valuation . . . . 0� Expiration Date 9/15/12 ,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/>100K-500KBTU 16.50 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE -OUT: INSTALL NEW 5 TON UPLIFT SPLIT SYSTEM AT GROUND LEVEL, FURNACE, CONDENSER & 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 6►n City of La Quinta -Building a Safety DMston P.O. Box 1504, 78.495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit f Project Address: Owner's Name: A. P. Number: Address: cj (Q 5 �� S C Gt n 50 LA ne- Legal Description: City, ST, Zip:CA I 22 b �J .. Contractor: f j�ti�f J �yC �yi• Telephone: ' Address: 3 Project Description: H City, ST, Zip: L'� btim U I 6 Tele hone:>,�- p :r :• f.Y ra:: r i cot (A n State Lie. #: 3 City Lie. Arch., Engr., Designer: Address: ._y., Y • , Telephone:' k '�:; State Lie.r>f. Construction Type: Occupancy: Project type. (circle one): New' Add'n After Repair 'Demo: Sq. Ft.: 'L�-0 # Stories: # Units: Name of Contact•Person: GD 111-e edi Gies c7Yl> Telephone # of Contact Person: - �� Estimated Value of Project: APPLICANT: DO. NOT WRITE. BELOW THIS LINE # Submittal Req'd Rec'•d TRACKING PERMIT FEES Plan Sets' Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Calcs. Pians picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" 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:- 'rd 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 CaICERTS - CF -1R Registration Page 1 of 1 Public Home Danielle Garcia logged in [Logout] [Home] Secure Home About Us Training Rater Directory Forms Membership Benefits Events Industry Partners News CONGRATULATIONS Your CF -IR -ALT -HVAC Registration is complete! You may want to print this page for your records. Site Address: 79565 DESCANSO LANE La Quinta, CA 92253 CEC Registration: 212-A0013573A-00000000-0000 CF -1R -ALT -HVAC: CLICK HERE TO DOWNLOAD HARRISON ENTERPRISES INC Do you know your fiERS Rater? If you do, you may want to send this CF -SR to them. CalCERTS Rater ID: OR My Rater Quick Select: —Select From List Every CaICERTS rater has a license number. If you need to find the rater by name [Click HERE] to search our directory. SEND CF -111 TO HER&RATER To register for our monthly newsletter, [CLICK HERE] to do another please click here. Copyright © 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,TollFree: 877-HERS-R8R,(877-437-7787) Fax: 916-985-3402 Contact Us moi» BBB f W. us on Facobookp w •a,., , https://www.calcerts.com/public_cflR.cfm?project_id=175724 3/19/2012 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 79565 DESCANSO LANE La Quinta, CA 92253 City of La Quinta Mar 19, 2012 Dud insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace ® Indoor Coil ® AFUE78 / % ® SEER 13.0 ❑ COP ❑ HSPF ❑ R 6 (CZ 10-13) Served by system ®Setback If not already present, must be ® Condensing Unit [3 EER [3 Resistance ❑ R 8( CZ 14 -IS) 2940 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 -411 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 -411 forms: MECH-21 111 Wand (for split systems) MECH-25 • Condenser Coil and /or • Indoor Coil and /or CF -6R forms: MECH-04, 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 Exempted from duct leakage testing if: [11. 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 [13. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. Thefsystem,will not be Ducteed (ie. gctless�Mini-Split-System.),(Also=Exempt.from,Re€rigerant<Chajrge) ❑ 2. New HVAC System Required Forms: . Cut Wor Changeout with" ' ' i CF -6R forms: MECH-04, MECH-20,HERS;ifand roi split systems) MEC 22 -HERS, and new ducts: (all new newLicdu � all new l`f MECH-25=HERS i� .- - �,.y-,.-ti �+ CF forms: MECH MECH-25 equipment) %r/ -4R 20 and (for split systems) MECH-22, and , 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/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 -4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • I that this Certificate of Compliance documentation is accurate and complete. _certify • 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, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: Danielle Garcia Signature: Danielle Garcia Company: HARRISON ENTERPRISES INC Date: Mar 19, 2012 Address: 31-170 RESERVE DRIVE STE A License: 686310 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488 Reg: 212-A0013573A-00000000-0000 2008 Residential Compliance Forms Registration Date/Time: 2012/03/19 11:08:16 HERS Provider: CalCERTS, Inc. July 2010