13-1100 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00001100
Property Address: 81225 GOLF VIEW DR
APN: 762-390-034- -
Application description: MECHANICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 6685
Applicant:
�A,Pkvl
Architect or Engineer:
V
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Professionals Code, and my License is in full force and effect.
License Class:
��CC20 License No.: 686310
.Dano��Contractor.: �
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 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 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
4 r VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/04/13
Owner:
BARBARA & MICHAEL KLEIN
81225 GOLF VIEW DRIVE
LA QUINTA, CA 92253
(
Contractor: D
GENERAL AIR CONDITIONING
31170 RESERVE DRIVE /�
THOUSAND PALMS, CA 92276 SEI_p v 4 2013
(760)343-7488
Lic. No.: 686310 CITY OFLAQUINTA
FINANCE DFpr
-----------------------------------------------
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.
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 Z071741502
6/_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
VV person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor Code I shall forthwith comply with triose provisions.
Dat 1.7 Applicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 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 thi4co y o enter upon the above-mentioned property for inspection purposes.Date:�� Signature (Applicant orAgent): V
LQPERMIT
Application Number . . . . . 13-00001100
Permit . . . MECHANICAL 2013
Additional desc .
Permit Fee . . . . 71.50 Plan Check Fee .00
Issue Date . . Valuation . . . . 0
Expiration Date 3/03/14
Qty Unit Charge Per Extension
1.00 35.7500 EA MECH FURNACE 35.75
1.00 35.7500 EA MECH CONDENSER/COMP 35.75
----------------------------------------------------------------------------
Special Notes and Comments
HVAC CHANCE OUT - 14SEER/78AFUE HEAT
PUMP AND AIR HANDLER (2008 ENERGY]
CARBON MONOXIDE ALARM(S) TO BE INSTALLED
PRTOR Tn FTNAT. TNSPRCT.T.ON. 2010.
CALIFORNIA BUILDING CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00
PERMIT ISSUANCE M/P/E 90.57
PLAN CHECK, MECHANICAL 47.66
Fee summary
-----------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged Paid
71.50 .00
.00 .00
139.23 .00
210.73 .00
Credited Due
.00 71.50
.00 .00
.00 139.23
.00 210.73
Bin #
Qty Of is Quin to
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quints, CA 92253 - (760) 777-7012
Building Permit. Application and Tracking Sheet
Permit #
Project Address: 21 -Z -Z G00.� \. erw ���-
Owner's Name:
A. P. Number:
Address: g 12 25e.
A� J 1
Legal Description:
City, ST, Zip: CA 62253
C C1� t�OhlV�Tel
.�Contractor:
Address: 311,__�u \ ,-,,ye_
Project Description:
City, ST, Zip: I�IOUSct.a _�c. S gZZ�lo
�at:� Z�oh i �eck�uVIA
Telephone: -7 -3 -
b0 y 3 7�(-88
State Lic. # :
City Lic. #c
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:Construction
3•`•`;'s
T e: Occupancy:
YP
State Lic. #:
Project hPa Add'n Alter Repairair Demo circle one : New
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: (p$5 : Co
APPLICANT: DO NOT WRITE BELOW THIS LINE
tl
Submittal
Req'd
Recd
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.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
''" Review, ready for correctionsfissue
Developer Impact Fee '
Planning Approval
Ca lied Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAlterations CF-IR-ALT-HVAC
Climate Zones 10 - 15
Site Address:
7City
Enforcement Agency:
Date:
Permit #:
81255 GOLF VIEW DRIVE La Quinta, CA 92253
of La Quinta
Sep 3, 2013
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
0 Package Unit
® Furnace
® AFUE 7801,
❑ COP
0 R 6 (CZ 10-13)
Served by system
® Setback
p Indoor Coil
H SEER 14.0
® HSPF 7.7
0 R 8 (CZ 14-IS)
3816 sf
If not already present, must be
® Condensing Unit
0 EER
[3Resistance
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 Elilciencies: 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-1111
and CF-6R 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
CF-611 forms: MECH-04, 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
Exempted from duct leakage testir+g;if:
[j E"Duct-system Was documeh.t.6d to have been previously sealed and confirmed through HERS verification, or
❑ 2. Duct systems with less thah''40.linear feet in unconditioned space, or
p 3. Existing duct systems are constructed, insulated or sealed with asbestos
e.:-wi not be Dud ss= : S it:5 , ern: >. . sa_Exem t-<ro: Refri eratit:Ghar e
[1-4. The.•syst na ;...II uc (ie� Ductle :NNnI-..P1 _.�y�
. ..._...
❑ 2 w-: S m
. Ne H1fAC to
Re ur -
red. arms.: --
4 - --
-. s . <:.,,
. Cut In.or Cbangeout with>
�. .. _-:-=.:%::i?Ff ;<:.:::: r3ir '.: „a,'; tio^;�._.r. ',:.ter S _:%:::.. .' :'.5.,�.'i �.:. ... ": @><? , ; ... _::.._ .........
GF-6R fprrrrs MECH-04 MECHc20=HERS4arzd fors lit MECH ZRS,ua.nd.:.::.:.:.::"..�.�.::�::::
new ducts` : ail new
ducttng all new..:. s
_
.F � �a,<..�:�:,::;:;>.:::.?..systems)
-
.. M.
-
CF-4R forms iNECH-20 an>l(€or split syst�enss'MEC+i :22Fand MECH 25
e i ment. dy_...
,:
For Split"Systems.Dutt leakage
<;b percent, ItG; CCA 350 CFM/ton, 1 WD, FMAH, SIMS, and either #iSPP or PSPP.
For Packaged `Units:,Duct
3. New-,Ducts' ith/or Without.;::`.;:
Required Forms:
Replacestienti`
. Includes replacing or installing all::new
ducting and/or outdoor'condens6g`: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-411 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
E3 EXCEPTION: Existing duct 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, plans and specifications submitted to the enforcement agency for approval with the permit application.
Name: Danielle Garcia Signature: Danielle Gorcio
Company: HARRISON ENTERPRISES INC Date: Sep 3, 2013
Address: 31-170 RESERVE DRIVE STE A License: 686310
City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488
Reg: 213-AO06744OA-000000000-0000
2008 Residential Compliance Forms
Registration Date/Time: 2013/09/03 10:06:56 HERS Provider: CalCERTS, Inc.
July 2010