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14-0936 (MECH)P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA.QUINTA, CALIFORNIA 92253 : BUILDING & SAFETY DEPARTMENT o INSPECTIONS (760).777-7153 BUILDING PERMIT +, Date: 6/25/14 Application Number: 14-00000936 Owner: ' Property Address: 47965 VIA FIRENZE LEONELL MCCANN APN: 643-130-007-7 -26152 - 47965 VIA FIRENZE Application description: MECHANICAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL (760) 671-3110 Application valuation: 9374 D d Contractor: Applicant: Architect or Engineer: GENERAL AIR CONDITIONING ��� ?�q; 31170 RESERVE DRIVE' THOUSAND PALMS, CA 92276 (760) 34377488 CITYOFLAQUWTA Lic. No.: 686310 FINANCEQEP'r --------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am 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 Professionals 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 issued. Dyate�:�bl �'^511`T Contractor/ ��_ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor L V Code, for the performance of the work for which this permit is issued. My workers' compensation 2J 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 ZENITH INS CO Policy Number Z071741503 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 become 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 subject 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 Labor Code, I shall forthwith 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):: DaJJteApplicant (_) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and t✓ + /' the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' 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.) - APPLICANT ACKNOWLEDGEMENT (_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf.this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). _ whose benefit work is performed under or pursuant to any permit issued as a result of this application, -I -am exempt under Sec. , BAP.C. for this reason - 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. Date: - Owner: - 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 - CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct.. I agree to comply with all , work for which this permit is issued (Sec. 3097, Civ. C.). - city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. - - Lender's Name:r - Datink e: Signature (Applicant or Agent): 17m— Lender's Address: LQPERMIT Application Number 14-00000936 Permit . . . ': MECHANICAL'_2013 Additional desc . PermitFee 83.42 Plan Check Fee . .00 Issue Date Valuation 0 Expiration Date 12/22/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.00 11.9200 EA MECH APPL REP/ALT 11.92 1.00 35:7500 Ell 11ECI1 CONDENSER/ COMP 35.75 ---------------------------------------------------------------------------- Other Fees . . . . . . . . PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 52.43, 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 143.00 00 .00 143.00 Grand Total 226.42 .00 .00 .226.42 LQPERMIT " Iain # City of La `Quinta . Building &r Safety Division Permit # P.O. Box 1504, 78-495 Cage Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking-Shee. Project Address: Ll Owner's Name: L eov c-l) M eCa,.r\ A. P. Number: Address: LA ci G S• \f i F- ,r ey.. z e Legal Description: City, ST, Zip: G viv, CA C1.ZZ53 Contractor:C ex�er�l %��r ter` d�� i o i Telephone: -Ifo I) - p Address: 3 i d t_ Project Description: City, ST, zip: 4.o S YY\ s Q Z Z-1 (, e: 1 c.ce 31-S fio--� A G Co' Telephone: .6 C> - 3L43 - "� ti 89 State Lie. # : (0 3 j O City Lie. #; Arch., Engr., Designer. Address: City., ST, Zip: Telephone: `' ?`>` r%>:>:'• >: ::.,. Construction Type: Occupan.y State Lie. #:::>::`%> i w Add'n Alt✓r Project type (circle one): New Repair Demo Name of Contact Person: G GYM e•. Sq. Ft.: # Stories: # Units: Telephone #,of Contact Person: 60 - 3y 3 - 7 Li 2 Estimated Value of Project:. 9, 3 7 °�• '=o p Submittal Req'd APPLICANT: DO NOT WRITE BELOW THIS LINE Rec'd TRACKING PEPMIT FEES. Plan Sets Plan Check submitted Item 7Amnnt Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cala. 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 Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correctionslssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees C Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAlterations CF-iR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 47965 VIA FIRENZE La Quinta, CA 92253 City of La Quinta ]un 20, 2)14 Dud insulation Conditioned Floor Equipment Typel List,Minimum Efficiency? requirement Area . Thermostat ❑ Package Unit ® Furnace ® Indoor Coil 11 AFUE 80% ®SEER 14.5 ❑ COP ❑ HSPF i] R 6 (CZ 10-13) Served by system ® Setback If not a.ready present, must be ® Condensing Unit [3 EER ❑ Resistance ❑ R 8 (CZ 14-15) 2957 sf installed) ❑ Other I , 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 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 -4R forms (no hand filled CF-4Rs allowed) are filled out and signed. Beginning October 1, 2010, a registered copy of the CF -111 and CF -6R shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: . All HVAC Equipment CF -611 forms: MECH-04, MECH-21-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 -6R forms: MECH-04, MECH-21-HERS and (for split systems) MECH-25-HERS . Furnace CF -4R forms: MECH-21 and (for split systems) MECH-25 For Split Systems: Dud leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH 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 t6: .40 linear feet in unconditioned space, or ❑ 3� Existing duct systems areicanstructed, insulated or sealed with asbestos ❑ 4. The system -will not be Du,::" 41 (ie. Ductless Mini -Split System) (Also'Exempt from Refrigerant Charge) ❑ 2: New HVAC System Required: Forms: . Cut in orsChangeout;with neve ducts:. (all new.' Cl 6R forms MECH 04„ MECki 20 HERS artd {farfspGt systems) MECH 22 HERS and 9 and.all neva .. .: MECH-2- . H .. >:.. :. _ -..... GF -4R forms MECH-20and {forspiit systems) NtECtf-22 and MECH equipment). For Split Systems Duct leakage < 6:percent; RC, CCA > 350 CFM/ton, FlND ;TMAH,, STb95 :andreither H�PP or PSRP :=:-:` s.... 4 .,, _ _ For Pa ka - c ed U n ,� . - 3 Neve ..-.:.. _ ::::.:<.;:; ❑ Ducts woth/ov wtthopt' ::... ......, :...:, . .... ... R urr esied,For!�s::�:::::.:.,..,::' Replacement` . : ; . . Includes- replae n:g:or installing alUnew d6i ting andjor outdoor condensing unit CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and�br furnace.. Nb or, some CF -4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage:::. 6 percent; RC, CCA z 300 CFM/ton, TMAH For Packaged Units: Dud 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 -411 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: Dayan Valdez Company: HARRISON ENTERPRISES INC Date: Jun 20, 2014 Address: 31-170 RESERVE DRIVE STE A License: 686310 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488 Reg: 214-A0046472A=000000000-0000 Registration Date/Time: 2014/06/20 20:15:19 HERS ProPider: Ca10ERTS, Inc. 2008 Residential Compliance Forms. July 2010 F�