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11-0919 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA.QUINTA, CALIFORNIA 92253 l Application Number: -11-00000919 ,. Property Address: 53660 AVENIDA HERRERA APN: 774-124-009-16 -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 7385 TAt!t44Q BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner:. WOLF DARYL RAYMOND 53660 AVENIDA HERRERA LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 PJ Date: 8/25/11 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.). (_) I am exempt under Sec. , S.&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 P LQPERMIT 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 ouinta, its officers, agents and employees foi 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 ISO days will subject permit to cancellation. I certify that I have read this application and state that the abov i ormation is correct. I agree to comply with all city and county ordinances and state laws relating to building n ruction, and hereby authorize representatives of this {hcounty to enter upon the above-mentioned property for n ection purposes. D D Z 1Sig re (Applicant or Agent): Contractor:U AUG 2 b 2011 Applicant: Architect or Engineer: GENERAL AIR CONDITIONING 31170 RESERVE DRIVE --.� THOUSAND PALMS, CA 92276 CITY OF !A QUINTA FINANCE DEPT. • (760),343-7488 ,\ I Lic. No.: 686310 ----------------- -------- -- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION , I hereby affirm under penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and ofessionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C20 License No.: 686310 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is • ate: a� / LL - -tractor: 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 . OWNER -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 EVEREST NATL Policy Number 7600006147101 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 beco a subject 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 ject 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 abor Code, I shall fo ith 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: 812-6111plicant: (_ 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 WARNING: FAILURE TO SECURE WO ERS' COMPENSATION 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.). (_) 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.). (_) I am exempt under Sec. , S.&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 P LQPERMIT 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 ouinta, its officers, agents and employees foi 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 ISO days will subject permit to cancellation. I certify that I have read this application and state that the abov i ormation is correct. I agree to comply with all city and county ordinances and state laws relating to building n ruction, and hereby authorize representatives of this {hcounty to enter upon the above-mentioned property for n ection purposes. D D Z 1Sig re (Applicant or Agent): Application Number . . . . . 11-00000919 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 40.50 Plan Check Fee 10.13 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/21/12 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-500YBTU 16.50 ---------------------------------------------------------------------------- Special Notes and Comments CHANGE OUT HEAT PUMP AND AIR HANDLER - 4 TON, AT GROUND LEVEL. 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; Sim lifted Prescri tive Certificate of Compliance:- 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 to 15 Site Address: Air Enforc nest Agency: Date: Permit fl: rr a., - Conditioned Floor Equipment T et List Minimum Efficiency Z Duct insolation requirement Area Thermostat ❑ Packaged Unit Fumace ElAFUE $4% El COP Over 40 ft of ducts added or.jlL Setback ndoor Coil ❑SEER 13 ❑ HSPF replaced in unconditioned space Served by system (if not already ' ndensing Unit ❑EER I 1 ❑Resistance ❑ R 6 (CZ 10-13) s present, mus! be ❑ Other ❑ R 8 (CZ 14-15) installed) 1. Equipment Type: Choose the equipment being installed: if more than one syslem, use another CF -1 R-ALT-HVACfar each system. 2. Minimum Equipment Efficiencies: 13 SEER, 73%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 ed. Beginning October 1, 2010, a registered co of the CF -1R and CF -6R shall also be on site for final inspection. it, - HVAC Changeout Required Forms: • HVAC Equipment replaced CF -6R forms: MECH-04, MECH-2i-HERS and (for split systems) MECH- 25 -HERS _All CF -4R forms: MECH: 21 and fors lits stems MECH-25 • Condenser Coil and /or CF -611 forms: 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 2:300 CFM/ton(Minimum Air Flow Requirement), TMAH For Packaged Units: Duct leakage < 15 percent Exempt d om duct leakage testing if. 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 ducts stems 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 forms: MECH 20-, and (for split systems) MECH-22, and MECH 25 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 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 -611 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) • 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. • 1 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 ' onn tion documented on other Pplic ompliance forms, worksheets, calculations, plans ands specifications submitted to the enforcement a enc fora ro al with t e permit application. Name: t!l�eh UJOtS Dyl Si tures Company , r�z?n,er^2( �, r Condi �, o r1 t Date: p Address: 30-70 l2eseruet �t �� License: 108�3/�v �07ty/State/Zip:-�%DuSGt �iLLH�S� G,} Gr�-�7� / Phone: 7/0,.373_-7484 Ca10ERTS - CF -1R Registration Page 1 of 1 Public Home 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 -1 R -ALT -HVAC Registration is complete! You may want to print this page for your records. Site Address: 53660 AVENIDA HERRERA La Quinta, CA 92253 CEC Registration: 211-A0043855A-00000000-0000 CF-IR-ALT-HVAC:ICLICK HERE TO DOWNLOAD Assigned Company:IHARRISON ENTERPRISES INC Do you know your HERS Rater? If you do, you may want to send this CF -1R to them. Ca10ERTS Rater ID: OR My Rater Quick Select:' Energy Driven Solutions, Inc Every CaICERTS rater has a license number. Ifyou need to find the rater by name [Click HERE] to search our directory. j.' SEND CF-1R.TO HERS RATER [CLICK HERE] to do another Copyright 0 2010 CaICERTS, Inc. All rights reserved. Revised: ,January 11. 2010 [Terms and Conditions] [Privacy Statement] [Class Cancellation Policy] Ca10ERTS, 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 .n� Ir � .f Alk T BBB find us on FACebook© httns://www.calcerts.com/nublic cf1R.cfm?nroiect id=133895 9/24/2011 Bin # Qty QI LA QUIn Building &r Safety Dlvislon Permlt # P.O. Box 15.04, 78-495 Calie Tampico Ql La Quinta, CA 92253 - (760). 777-7012 ��- 1 Building Permit -Application and. Tracking Sheet Project Address:Oewe,. Owner's Name: GL -r► G (( A. P. Number: Address: �31o(QO V i'i'G Legal Description: City, ST, Zip: - � Contractor: btonw&kTelephone: Address:Project Description: 41 City, ST, Zip: x 7 Tele hone: State Lic. # : 3 City Lie. #; �d �o rM Arch., Engr., Designer: Address: City,, ST, Zip: Tele hone: <•� ::• :� ;,yam '.o>•.r;; ,� n.,.�....x , cy: Construction Type: Occupancy: State Lie. # Project a circle one New Add1 n Alter Repair ' Demo Name of Contact•Person: Cp U.e eAl 6t9,4;1C5 C7XL> Sq. Ft-. #Stories: #Units: Telephone # of Contact Person: - %'� $ Estimated Value of Project: ��g�• d APPLICANT: DO. NOT WRITE. BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cities. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for correction slissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up. S.M.I. H.O.A. Approval Plans resubmitted Grading IN Mrd Review,.ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P.. Pub. Wks. Appr. Date of permit issue School. Fees Total Permit Fees