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11-1299 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00001299 Property Address: 54780 AVENIDA DIAZ APN: 774-291-002-23 -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 11484 T4'!t 4 4Q" Applicant: Architect or Engineer: r `1> BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am li nsed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and P ssionals Code, and my License is in full force and effect. Lic a Class: C20 License No.: 686310 Date: � 2 S � �Xntractor: OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury t at 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.). I—) 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 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/05/11 Owner: LAFFRANCHINI WALTON D 74280 HIGHWAY ill PALM DESERT, CA 92260 Contractor: Lf;.— i, U J 20111 GENERAL AIR CONDITIONING d 31170 RESERVE DRIVE C'115'0F1 QU1N IA THOUSAND PALMS, CA 9 • 6 (760)343-7488 Lic. No.: 686310 ------------------ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 ZENITH INS CO Policy Number Z071741501 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 sub' to the workers' compensation laws of California, and agree that, if I should become subject he workers' compensation provisions of Section 3700 of th abor Code, I shall forthwith ply ith those provisions. ate: 1 � s � pplicant: WARNING: FAIL RE TO SECURE WORKERS' COaTION 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, indemnity 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 permijopurpo ation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above in is correct. I agree to comply with all city and county ordinances and state laws relating to building consand hereby authorize representatives of county to enter upon the above-mentioned property for insps. Date: (?—& C. Sig re (Applicant or Agent): . Application Number . . . . . 11-00001299 Permit . . . MECHANICAL Additional desc . Permit Fee . . . 38.00 Plan Check Fee 7.63 Issue Date . . . . Valuation. 0 Expiration Date 6/02/12 Qty Unit Charge Per Extension BASE FEE 15.00 00 9.0000 EA MECH FURNACE <=100K .00 1.00 16.5000.EA MECH B/C >3-15HP/>100K-500KBTU 1.00 6.5000 EA MECH AH <=10K CFM .16.50 6.50 .00 6.5000 EA MECH OTHER MECH EQUIPMENT .00 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE -OUT: INSTALL 4 TON AIR HANDLER & HEAT PUMP. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 38.00 .00 .00 38.00 Plan Check Total 7.63 .00 ..00 7.63 Other Fee Total 1.00 .00 .00 1.00' Grand Total 46.63 .00 .00 46.63 LQPERMIT Simplified Prescri tive.Certificate of Compliance:— 2008 Residential HVA C Alterations CF -IR -ALT -HVAC► Climate Zones 10 to IS Site Address: Enforceme Agency: Date: Permit #: �� 57q-7 Ou Conditioned Floor Equipment T el List Minimum Efficiency z Duct insulation requirement Area Thermostat ❑ Packaged Unit ❑ Furnace O AFUE 80 % OCOP Over 40 ft of ducts added or Setback ❑ Indoor Coil ❑SEER /3 O HSPF replaced in unconditioned space Served by system (if not already Condensing Unit O EER 1 / ❑ Resistance OR 6 (CZ 10-13) ❑ R S .(CZ /4-15) sf present, mast be installed) XLQther !. Equipment Type: Choose the equipment being installed, if more than one system, use another CF- IR -AL T -HVA Cfur each system. 2. Minimum Equipment Efficiencies: 13 SEER, .78%AFUE, 7.7HSPFfor 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 si ed. Begin inOctober 1, 2010, a registered copy of the CF -IR and CF -611 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: McCH- 2T and ror s lit's stems MECH-25 • Condenser Coil and/or CF-611forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS • Indoor Coil and/or CF -4R forms: MECH- 21 and (for split systems) MECH-25 • Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA > 300 CFM/ton(Minimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent Exemptep fr�m duct leakage testing if. X 1._ Duct system was documented to have been previously sealed and confirmed through HERS verification, or O 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: (all new ducting and all CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS CF -411 forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 new a ui menu 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 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 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) • 1 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 I and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the ' orm tion documented on other pplic ompliance forms, worksheets, calculations, plans ands specifications submitted to the enforcement agency fora to al with t epen-nit application. Name: Co I been UO -*,s 6 Si ture: /� en -e -era_( Com/ ( At^ GOi1GLe�.`ONt Date: l z_ �--1 Address: .3117D 12eserve,(art` ✓,✓ License: to8�3/ry City/State/Zip: -�k0� � �� 5� G1=} Gr��7� / Phone: 7/� _3Tj — 7,T ff? CaICERTS - CF -1 R Registration Page I of I Public Home Secure Home About Us Training Rater Directory Forms CF -IR -ALT -HVAC: 'CLICK HERE TO DOWNLOAD Assigned a Compny: I JHARRISON ENTERPRISES INC MembershipBenefits. .... ..... . . . . . . . .... ........... .... ...... ......................... .............. . EventsDo you know your HERS Rater? If you do, you may want to send this CF-]Rto them. Industry Partners CaICERTS Rater ID: I OR News My Rater Quick Select: "Energy Driven Solutions, Inc. Every CaICERTS rater has a license number. ........ ...... To register for our /f you need to find the rater by name [Click HERE] to search our directory. monthly S 7E N D,CF1R,T0 HERSfkATER newsletter, please click here. [CLICK HERE] to do another Danielle Garcia logged in [Logout] [Home] CONGRATULATIONS Your CF- I R -ALT -HVAC Registration is complete! You may want to print this page for your records. 54780 AVENUE DIAZ Site Address: !La Quinta, CA 92253 CEC Registration: 1211 -AO06266OA-00000000-0000 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' 916-985-3400joll Free: 877-HERS-R8R, (877-437-7787) Fax: 916-985-3402 Contact Us BBB' https://www.calcerts.com/public—cfl R.c'jLM--9pr6ject—id= 153339 12/2/2011 rtin # .0ty Of %a Quin to Building 81• Safety Division , Permit # P.O. Box 15.04, 78.495 Calle Tampico , w La Quinta, CA 92253 - (760) 777-7012 Building Permii Application and. Tracking Sheet Project Address: j gQ Owner's Name:-rEr r% w A. P. Number: Address: 7 Pj �V- — Q-ta_ Legal Description: City, ST, Zip: C a—Q C -22 Contractor: Telephone: Address: Project Description: 1 C/tn. City, ST, Zip:'�� Telephone i.�.•• . r � lfr>r r`�: �; ;�:�3 i:'<£f.'?:::�•: •<J ^• :VIS::::% State Lie. # : 3 City Lie. �0 Arch., Engr., Designer: Address: City, ST, Zip: Telephone: :rf •�e�{, raEa•:::::: R ;�.:.� • ,: ' ``' `� Construction T e: Occupancy'. p :r; y.�� w//�n'• l/r;.}•+r . ./t yp �r$�i�•7 fieri>ii;:'i�+{ii t <' `��fi� '. f State Lie. #: ;;n,3,�,.i yr`4 'Project type (circle one): New Add'n Alter Repair Demo Name of Contact -Person: p fi( �dt l�CJGL% J �?l�h Sq. Ft : # Stories: # Units: Telephone # of Contact Person: - Estimated Value of Project: A APPLICANT: DO. NOT WRITE. BELOW THIS LINE tI Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Title 24 Cales. I.Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2r' Review, ready for correctionsAssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up, S.M.I. H.O.A. Approval Plans resubmitted Grading IN Review,.ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School. Fees [Total Permit Fees