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14-0196 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000196 Property Address: 48201 CALLE FLORISTAS APN: 646-092-001- - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 17949 Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION •4 �6��IL1 (Ain 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: C20 / License No.: 686310 Date: Z6 ( Contractor:�z- 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 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 _ 1 I am exempt under Sec. , B.&P.C. for thireason 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 Owner: TONY GAGE 48201 CALLE FLORISTA LA QUINTA, CA 92253 ( VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/26/14 Contractor: D GENERAL AIR CONDITION 31170 RESERVE DRIVE 120% THOUSAND PALMS, CA 92 6 FEB 2 6 (760)343-7488 Lic. No.: 686310 CITYOFLAQUINTA FINANCE DEPT. ----------------------------------------------- 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. 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 Z071741503 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 subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 ofthe Labor Code, I shall forthwith comply with those provisions. �� ✓/ a, ate: G17Js11�1 Applicant: _457LZ tld� 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 ouinta, 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 this my to enter upon th/eabo ve-mentioned property for inspection purposes. Date: Zfo hi Sign ur2C a (Applicant or Agent): ��' Application Number . . . . . 14-000.00196 Permit . . . MECHANICAL 2013 Additional desc . . Permit Fee . . . . 71.50 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 - Expiration Date 8/25/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.00 35.7500 EA MECH CONDENSER/COMP ---------------------------------------------------------------------------- 35.75 Permit . . . PLUMBING 2013 Additional desc . . Permit Fee . . . . 11.92 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/25/14 Qty Unit Charge Per Extension 1.00 11.9200 EA PLBG WATER HEATER/VENT 11.92 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE OUT - 14.5SEER/78AFUE, HVAC 5 TON SPLIT SYSTEM & 40 GALLON WATER HEATER [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 47.66 PLAN CHECK, PLUMBING 7.15 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 83.42 .00 .00 83.42 Plan Check Total .00 .00 .00 .00 Other Fee Total 146.38 .00 .00 146.38 Grand Total 229.80' .00 .00 229.80 LQPERMIT r2 Din# Qty Of La Quinto Building 8T 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: i4a z-0 1' Co.I I C_ Floris} q ' Owner's Name: (pry GcG e A. P. Number: Address: Lj 8 ZO 1 C0.\1 t✓ (71 o ri s}0. Legal Description: City, ST, Zip: L Qv it e CA Ci ZZ 53 Contractor:n- Address: 31-70 1ZcServc Ur Project Description: City, ST, Zip: uvsc.hcl 7wkrr\S 1A g2Z7b Ac c., doh .A C- SfioY, Coi 1. Telephone: - 7 y O Ga1 1 9� Uo0 �1 o State Lic. # : Gg6 31 O City Lie. #; e_ a Arch., Engr., Designer: Address: City., ST, Zip: Telephone: ...................................................... : Construction Type: Occupancy: State Lie. #: Project a circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: J-7 CI -49. OD APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal . Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item , Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. 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 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.I.P.P. Pub. Wks. Appr Date of permit issue Schodl Fees Total Permit Fees Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAltersations CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Pe�Jr'� i�j #• 48201 CALLE FLORISTA La Quinta, CA 92253 City of La Quinta Feb 20, 2014 % - l of p Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace 0 AFUE 78% ❑ COP [3R 6 (CZ 10-13) Served by system ® Setback ® Indoor Coil ® SEER 14.5 ❑ HSPF ❑ R 8 (CZ 14 -IS) 1552 If not already present, must ® Condensing Unit ❑ EER ❑ Resistance be installed) ® Other > 40' Ducts 1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1R -ALT -HVAC for each system. 2. Minimum Equipment Efficiencies: 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 -411 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 . Indoor Coil and /or CF -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS . Furnace CF -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 Exempted from duct leakage tetting:if: ❑ 1. Duct system was docuriiented to have been previously sealed and confirmed through HERS verification, or ❑ 2, Duct systems.with less thin' ::40 linear feet in unconditioned space, or ❑ 3: Existing duct systems a4 -'.constructed, insulated or sealed with asbestos [14.' The syst&h will not be Ducted (ie. Ductless Mini -Split System) (Also Exempt from Refrigerant Charge) ❑ 2:.New HVAC System Required:Forms: . Cutin or Changeoutlntith CF-61�Enrms MECH 04 NIECfi 20 HERS artd lfor splitsysteris) MECH 22 -HERS, and new ducts 11 new:.: ductin MECH5=htERS:=; -_ - :2 ..:.... °arid all neva : CF-4R€orms MECH-20; antiftfr sprit systems} MECH 22 and MECH 2S equipment) For 5 ht sterns:.. Duct leakage,< 6 percent; RC CCA > 350':CFM/ton, F1ND;::TMAH STMS,::a.nd::either HSPP pr PSP_P.:i _ `= ': For Pa Duct.leaka: e. 6' r n cka n ._.. ..._. ,..,...._..,....,. t.. :..... :...:.:.: iii;`;" ed U its .... _ .... ... _9 _..._ _ ..... ...:. _.... - ❑ 3. Ncwr t?ucts"viritlr/ar ReplacemenE . Includes:repladhg::or installing alF.hew dtictir grand%or.:oiitdo'or con derl Unit ... CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS anld r:coo ' djbr furnace:?,No or some CF -4R 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 ❑ 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: Dayana Valdez Signature: boyano Valdez Company: HARRISON ENTERPRISES INC Date: Feb 20, 2014 Address: 31-170 RESERVE DRIVE STE A License: 686310 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488 Reg: 214-A0012051A-000000000-0000 Registration Date/Time: 2014/02/20 15:27:38 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010 Prescri tiye• Certificate of Compliance: Residential ' . CF -IR -ALT -DIM Residential Alterations Page -I of 2 Project Flame: q 8 7-01 Ca\1c.� Fjorisk&Climate Zone: ►S. Permit (#: General Information Site Address:. q zo x Cc.kx Flora} 4 Enforcement A enc : C: t Lco i Date: z Lto ISI ' Buildin T in le Family O Multi mily I Projec(T a lacement or Change Out of Water Heater WATER HEATING List newl'v installed tauter heaters and Goiters for Guilt domestic hot water heaters (DWH) and Mdrottic space heating. NeAI.y installed D.tVH heaters and boilers trust be gas. prypane. or nue the existing el.tl . Water Water. � (Darr fid. Number In Tank EnterqEST-i-Ky Type r, -q Type Roc' System Capacity (gal) TherR-Vatuet External Tank (asu�ma Stwi-C, St C\G a 1 40 o '� Iz conform to the requirements of Title 24, Pat I and 6 of the California Code of Regulations. . The building design features identified on this Certificate of Compliance rite consistent with the information provided to document this building design on the other applicable compliance forms. worksheets, cakulatiors plans and spociGc>tlti«u submitted to the enfocccttmemt agency for approvitl with this building rt application, Name: St ever Sc�Y, sigumrco: ` S� �Z 1. Indicate Type (Storage Gas, Heat Ptunp: Instantmeouu. etc4 2. Recirculating systenti serving nutltiple dwelling units shall meet the. recirculation requirements of §I A't). requirements do not allow the installation of a recirculating water heating system for single dwelling units. 3. The evernal water heating. tank and &pes shall be insulated to meet there uirements o The Prescriptive. Contractor or Honaeotnaer (Documentation Author's/Respondble Building Designer's Declaration Statement) • I certify that this Certificme 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 building design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24, Pat I and 6 of the California Code of Regulations. . The building design features identified on this Certificate of Compliance rite consistent with the information provided to document this building design on the other applicable compliance forms. worksheets, cakulatiors plans and spociGc>tlti«u submitted to the enfocccttmemt agency for approvitl with this building rt application, Name: St ever Sc�Y, sigumrco: ` S� �Z t r=r e.f' Conmparry: Date: z1 Z4. G�herc,l %� r Corc��i�tniYt Address: license: 31\70 `<�S��cve �r C.8(0310 City/Sta(dZip: Phone: I k-�v saga �G�rY; s, C -A G zz�� -7(�O- 343--7489