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11-0938 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00000938 Property Address: 60494 WHITE SAGE DR APN: 764-270-999-112 -300231- Application description: MECHANICAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 6679 T4ht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: HOGAN PATRICIA 60494 WHITESAGE DR LA QUINTA, CA 92253 (760)777-9669 Contractor: Applicant: Architect or Engineer: GENERAL AIR CONDITION A� � i/% 31170 RESERVE DRIVE Aa- C, � THOUSAND PALMS, CA 92 (760)343-7488 Lic. No.: 686310 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am tensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fessionafs Code, and my License is in full force and effect. Licensee Class: C20 License No.: 686310 \ Date: Y3 I Contractor: NER-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.). (_) 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.). (_ 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: 8/31/11 tGAUG 31 2011 L FLA BICE 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 bject to the workers' compensation laws of California, and agree that, if I should become sub ct to the workers' compensation provisions of Section / 3700 of the Labor Code, I shall forth h comply with those provisions. Date: 8/21 /if Applicant: WARNING: FAILURE TO SECURE WORKEP&�8`194ENSATION 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 riot 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 1 have read this application and state that the above infor ation is correct. I agree to comply with all city and county ordinances and state laws relating to building const ion, and hereby authorize representatives of this county to enter upon the above-mentioned property for insp (on purposes. Date: 8 �1 Signature (Applicant or Agent): Application Number . . . . . 11-00000938 Permit . . . MECHANICAL Additional desc . Permit Fee 40.50 Plan Check Fee 10.13 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/27/12 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 4 TON HVAC CHANGE OUT CONDENSER, COIL. AND FURNACE CHANGE OUT 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 Limplified Prescriptive Certificate of Compliance:2008 Residentia/HVA CAlterations CF 1R ALT HVAC Climate Zones 10 to 15 —tea 7nnR Site Address: Enforcement Agency: Date: Permit N: Equipment T et List Minimum Efficiency' Duct insulation requirement Conditioned Floor Area Thermostat ❑ Packaged Unit ❑ Furnace ❑ AFUE 80% ❑ COp Over 40 ft of ducts added or Setback yj\Q ❑ indoor Coil ❑SEER 13 ❑ HSPF replaced in unconditioned space Served by system already ❑ Condensing Unit ❑ EER / / ❑ Resistance ❑ R 6 (CZ 10-13) sf present, must be ❑ Other I ❑ R 8 (CZ /4-15) installed) 1. Equipment Type: Choose the equipment being installed; if more than one system, -use CF -1 R -ALT -HVAC for 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. Beginning October 1, 2010, a registered copy of the CF -111 and CF -6R shall also be on site for final inspection. 1. HVAC ChangeoutqRequired Forms: • All HVAC Equipment replacCF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS F -4R forms: MECH- 21 and fors lits stems MECH-25 • Condenser Coil and/or • Indoor Coil and/or F-6Rforms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS • FurnaceF-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: ❑ I. 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: (all 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 Packaged 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 space. CF -6R forms: MECH-04, MECH-2I-HERS CF4R 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 Califomia 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 Certificate on this of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the Califomia Code of Regulations. • The design features identified on this Certificate of Complia�nsistent with the ' orm tion documented on other pylic ompliance forms, worksheets, calculations, Tans and s ecifications submitted to the enforcnc for a to al with t e ermit application. Name: MeehWcS�� Si tu res Gnn�-t o Company: te Gn,e�a.( .t1 r CDi4Gie �.`Dnr` Date: Address: 3/170 124Seteve_11 _r✓� License: F,y/State/Zip:—r—�0� P�L�S, G� 9��7� Phone: 760 -343- -7499 7nnR CaICERTS - CF -1 R Registration Page 1 of 1 Public Flume Secure Home About Us Training Rater Directory Forms Membership Benefits Events Industry Partners News To register for our monthly newsletter, please click here. Danielle Garcia logged in [Logout) [Home] CONGRATULATIONS Your CF -IR -ALT -HVAC Registration is complete! You may want to print this page for your recores. Site Address: 60494 WHITE SAGE DRIVE La Quinta, CA 92253 CEC Registration: 1211-A0044972A-00000000-0000 CF-IR-ALT-HVAC:ICLICK HERE TO DOWNLOAD Assigned Company: I HARRISON ENTERPRISES IN --- Do you know your HERS Rater? If you do, you may want to send this CF -1 R to th;m. CaICERTS Rater ID: OR ___ _ My Rater Quick Select: The Energuy CA LLC Every CalCERTS rater has a license number. /f you need to find the rater by name [Click HERE) to searcF. our directory. I .. SEND FARTO HERS RATER j [CLICK HERE] to do another Copyright 10 101.0 CalCEiR;fS. Inc. All rights reserved. Re%ised: Jan jary 11.'010 [Terms and Conditions] [Privacy Statement) [Class Cancellatiom Policy] CaICERTS, Inc., 31 Natoma St Suite 120, Folsom, CA 95630 Office: 916-985-3400,Toll Free: 877-HERS-R8R, (877437-1787) Fax: 916-985-3402 Contact Us {ri�tta MER BBB it,d u� on Fac¢bgokp Stan NtN!rvY https://www.calcerts.com/public_cflR.cfm?project_id=135045 8/30/2011 Bin # City of La Quinta • Building &r Safety Division Box 1504, 78.495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application lication and Tracking Sheet pp ng SIS t 'Permit #P.O. mum �' �� Project Address: Gl , A Owner's Name: r a,eq A. P. Number: Address: 40. Legal Description: Contractor: Address: 32U City, ST, Zip: Telephone: State Lic. # : Arch., Engr., Designer: 3 � 3 y � �v �. •: ;:•:� f����`K', CityLic. #; lo(� �o City, ST, Zip: , f �, ' : i' V Project Description: Address: City., ST, Zip: Telephoner M.• ::; ;;� •. y r r� ..y:: � � • i`f'`�/�i� r>:� k y Construction Type: Occupancy: State Lic. #: . Project type (circle one): New Add' n Alter Repair Demo Sq. Ft.:#.Stories: #Units: Name of Contact•Person: CO U -e e4 t1,0u;63 0YU Telephone # of Contact Person: ?!o O 3 Y3 S' Estimated Value of Project: .� APPLICANT: DO. NOT WRITE. BELOW THIS LINE # Submittal Plan Sets Req Recd TRACKNG Plan Check submitted PERMIT FEES Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance We 24 Calcs. Plans picked up Ccr►struction 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:- ''" Review,.ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LPTO Pub. Wks. Appr. Date of permit issue School Fees Tw° al Permit Fees