11-0567 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 11-00000567
Property Address:
56087 WINGED FOOT
APN:,
775-300-013- -
Application description:
MECHANICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
13552
Applic Architect or Engineer:
------------------
LICENSEDCONTRACTOR'S DECLARATION
y VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING &SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/01/11
Owner:
BROWN JANICE
56087 WINGED FOOT
LA QUINTA, CA 92253_
(760) 077-1726�'��
I hereby affirm under penalty of perjury that I am li sed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Pr essionals Code, and my License is in full force and effect.
License Class: C20 License No.: 686310
Date -4/1 f t Contr Tactor:
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 statementthathe 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
y
anapplicant for a permit subjects the applicant toa -civil penalty of not more than five hundred dollars ($500).:
(_) 1, 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, 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 contractors) licensed
pursuant to the Contractors' State License Law.).
1 _ 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
Contractor:
GENERAL AIR CO
31170 RESERVE
THOUSAND PALMS
(760)343-7488
Lic. No.: 6863
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
1. 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 bac a subject to the workers' compensation laws of California,
and agree that, if I shouldbecome bject to the workers' compensation provisions of Section
3700 of the Labor Code, I shall f 'hwith comply with those provisions.
Da(__te;-6 r ((eApplicant;
WARNING: FAILURE TO SECURE WORKERS' C MPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001. 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 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 4abe
rmationis correct. I agree to comply with albcity and county ordinances and state laws relatingto bction, and hereby authorize representatives
of this county to enter upon the above-mentioned proption purposes.
D�-a--le—:^U t (t Signa[ure_(Applicant oo;Agentl:
Application Number . . . . . 11-00000567
Permit MECHANICAL ,
Additional desc .
Permit Fee . . . 33.00 Plan Check Fee
8.25
Issue Date Valuation
0
Expiration Date 11/28/11
. Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 9.0000 EA MECH FURNACE <=100K
9.00
1.00 9.0000 EA MECH B/C <=3HP/100K BTU
9.00
'Special Notes and Comments
REPLACE INDOOR COIL CONDENSING UNIT
FURNACE 80996 AFUE 13 SEER.2010 CODES.
Other Fees - BLDG STDS ADMIN (SB1473).
---
1.00
Fee summary Charged Paid 'Credited
Due
Permit Fee Total 33.00 .00 .00
33.00
Plan Check Total 8.25 .00 .00
8.25
Other Fee Total 1.00 .00 .00
1.00
Grand Total 42.25 .00 .00
42.25
. LQPERMIT ." ..� .
Sim lifted Prescriptive Certificate of•Com liance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC
Climate Zones 10 to l5
Site Address:
I�ZODR-7 Z,0
Endo cement ency:
Date: _
Permit k:
ed
Equipment Tel
List Minimum Efficiency'
Duct insulation requirement
Conditioned Floor
Area
Thermostat
❑ Packaged Unit
.Furnace
❑ AFUE 80 w
C1 Cop
Over 40 ft of ducts added or
Setback
ndtior Coil
❑SE[R ! 3 �
11 HSPF
r
replaced in unconditioned space
Served by system
(Ifnot already
1'
Condensing Unit .
❑ EER / /
_
❑ Resistance
❑ R 6 (CZ 10-13)
sf
present, must be
❑ Other
❑ R 8 (CZ 14-15)
installed)
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF- I R -ALT --HVAC fur each system. .
2. Minimum Equipment Efficiencies: 13 SEER, 73%,4FUE, 7.7HSPFfor typical residential systems.
HERS VERIFICATION SUMMARY Listed below are four HVAC alteration Options. The installer decices what work is being done and
picks one of the appropriate Options. Each Option lists the HERS measures that mast be conducted. A copy of the fortes 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 vas in fact the work completed by the
installer. The inspector also verifies that each appropriate CF -6R and registered CF -4R fortes (no hand filled CF 4Rs allowed) are filled out and
si ed. Beginning October 1, 2010, a registered copy of the CF -IR and CF -611 shall also be on site for final inspection.
JR 1. HVAC Changeout
Required Forms:
• All HVAC Equipment replaced
CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) ME --H- 25=HERS
CF -4R forms: MECH- 21 and fors lits stems MECH-25
• Condenser Coil and /or
• indoor Coil and/or
CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HESS
• Furnace
CF -4R fortns: 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 CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS
ducts: (all new ducting and all
CF -4R fomes: MECH 20-, and (for split systems)MECH-22, and MECH25
new equipment)
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 fortes: 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 s ace.
CF -6R forms: MECH-04, MECH-2I-HERS CF -4R roans: 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 co-tform 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 i omi tion documented on other �ppIc ompliance forms. worksheets,
calculations, and
plans specifications submitted to the enforcement a enc for a ro al with t e permit application.
Name: Cl�e�
Sig ture:
Company: C�eYer2r Air ``
Date:
�5-31�II
Address: ,�A
311 /D. lQeSetev� Id7 t` t/,�
License:
City/State/Zip: ��� piLLrt�S,
Phone: 760_31V3-74eri�p
Ca10ERTS - CF -1R Registration
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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: 56087 WINGED FOOT
La Quinta, CA 92253
CEC Registration: 211-A00259IOA-00000000-0000
CF -IR -ALT -HVAC: CLICK HERE TO DOWNLOAD
Assigned Company: I HARRISON ENTERPRISES INC
Do you know your HERS Rater?
If you do, you may want to send this CF -1 R to them.
CaICERTS Rater ID:
OR Inc. _
My Rater Quick Select: Energy Driven Solutions,
Every CalCERTS rater has a license number.
If you need to find the rater by name [Click HERE] to search our airectory.
1,:: , , _SEND_CF-:1R-TO HERS�RATERy._ . _I
[CLICK HERE] to do another
Copyright,,0'2010Cal(J-.R.fS. Inc. All rights resented. Revived: .lanuan- 11. 20 10
[Terms and Conditions] [Privacy Statement] [Class Cancellation Polic_ ]
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
T
BBB Fi usortF4ggbookV 1
https:Hwww.calcerts.com/public_cflR.cfm?project_id=116097 5/31/2011
Bin #
City of La Quinta
.. Building &r Safety Division'
P.O. Box 1504, 78-495 calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and: Tracking Sheet
Permit #
Project Address:
3609' -7 LA
Owner's Name:
A. P. Number:
Address: �(rjpg 7 jl�/t
Legal Description:
City, ST, Zip: L7__'��-
Contractor:;><:;<.
Telephone: '7-l0 1 17/
<} ':>,<:::>.;:.•:
:4A:tii •:v0:}$:;•}:::i•?....: Y )vii�•SS
Address: 3
Project Description:
City, ST, Zip: 7 1/_100
;: } r.Stin}:ti.}:v. ti•: ^..:(.:?if �ti}ii;�;:.v:1? ii.;; {;F }:
Telephone: :, .;;?::•;:xs's :..::.:;..>::.:..;:::...
State Lic. # : 3 City Lie. #;
h c�am�s—
_
CIO
Arch., Engr:, Designer:
Address: :
City., ST, Zip:
Tele P honer i.
' r::; 3::f•? %}%j'}i�Sn;:��:i.S`S{f?:• `:; �i44i v.
-State Lic.
Occupancy:
Construction Type: P y:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact -Person:
Sq. Ft.:
#Stories:
# Units:
Telephone # of Contact Person,
Estimated Value of Project:
APPLICANT: DO. NOT WRITE. BELOW THIS LINE
# Submittal Req'd- IkWd ' TRACKING 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
Const action
Flood, plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plunibing
Grant Deed
Plans, picked up.
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'rd Reyiew,.ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Tots] Permit Fees