13-1183 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
VOICE (760) 777=70124 44-Q*&
'
> FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT - INSPECTIONS (760) 777-7153 .
BUILDING PERMIT
Dater 9/19/13
Application Number: 13-00001183 Owner.
Property Address: 47410 VIA FLORENCE FRANK DEL GRECO
,APN: 643-110-041-124 -26152 - 47410 VIA FLORENCE
Application description: MECHANICAL LA QUINTA,. CA 92253.,
Property Zoning: LOW DENSITY RESIDENTIAL ( D a
Application valuation: 18146
Contractor: 113
Applicant: Architect or Engineer: GENERAL AIR CONDITIONING
31170 RESERVE DRIVE �I�YQF
THOUSAND PALMS, CA 92276, LAO -1 TA
(760) 343-7488 f i!y¢,:q,GrcDEP.r.
Lic. No.: 686310
-------------------------------------------------------------------------------------------------
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 1 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.
Date: (9 Contractors— E 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 ZENITH INS CO Policy Number Z071741502
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, 1 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 (5500).: Date: ,Q Applicant:
_ (_) 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 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 1$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 thatheor she did not build or '
improve for the purpose of sale.). APPLICANTACKNOWLEDGEMENT _
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,
1 1 I am exempt under Sec ....... 'B.&P.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 `
ofthis county to enter upon the above-mentioned property for inspection purposes.
. Lender's Name;
• ^^ Date: —f )C'1 )� Signature (Applicant or Agent):
' Lender's Address: .t\ -
LQPERMIT
Application Number . . . . 13-00001183
Permit MECHANICAL 2013
Additional desc .
Permit Fee. 143.00 Plan Check Fee
.00
Issue Date . . Valuation
0
Expiration Date ". 3/18/14
Qty Unit Charge Per
Extension
2.00 35.7500 EA MECH FURNACE
71.50
2.00 35.7500 EA MECH CONDENSER/COMP
71.50
Special Notes and Comments
HVAC CHANGE OUT - (2)14.5SEER/78AFUE
SYSTEMS [2008.ENERGY] CARBON MONOXIDE
ALARM(S)'TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2010 CALIFORNIA BUILDING
CODES.
---------------.-------------------------------------------------------------
Other Fees . . . . . . PERMIT ISSUANCE M/P/E
90.57
PLAN CHECK, MECHANICAL
95.32
Fee summary Charged Paid Credited
Due
Permit Fee Total 143.00 .00 .00
143.00
Plan Check Total 00 .00 .00
.00
Other Fee Total 185.89 .00 .00
185.89 .
Grand Total 328.89 .00 .00
328.89
LQPERMIT
Bin # City Of is Quinta
Building &r Safety Division
Permit.# P.O..Box 1504, 78-495 Calle Tampico
� La Quinta, CA 92253 - (760) 777-7012
U(3 Building Permit Application and Tracking Sheet
Project Address: y 7j� J(3 Viet FI O(cxxCr Owner's Name: 'Gr.'e- lie-G'C-C—p
A. P. Number: Address: • LF7y i p Vil.,
Legal Description: City, ST, Zip: Zti �vi G A� G Z 25.3
Contractor e,
;•..
Address: 3W70 -�"eSecve bC Project Description:
City, ST, Zip: Cl Z7-76
IGS 3kOv.
c C:)i
telephone: 7
. P foo-�3-� 8�
�.�.:.;:;.�:::•<;<.,..::
>:::><:<:�;,.:>::<;«.;:><:;::<<f:>.:�;;
• �� lrxce_ lO �}or J�
� �+ 1
State Lie. #
City Lie. #:
IGLC� �Z 70 �TV cite
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
p
:.. i:: ;#:• :«:>;>:::
Construction Type: Occupancy:
Project type a : New Add'n, Alter Repair Demo
State Lie. #:
::r•� ya:J;: iS;.�:�;r Vis;'^;%;.i`;:f i;.
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone. # of Contact Person:
Estimated Value of Project: J4L .00A.
APPLICANT: DONOT WRITE BELOW THIS LINE
#.
Submittal
Req'd
Rec'd
TRACKING
PSRMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan, Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balsnee.
Title 24 Cala.'
Plans picked up
Construction
Floodplain plan
Plans resubmitted
Mechanical
Grading plan
god Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed:
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
INHOUSE:-
'"' Review, ready for correctionsfissue
Developer Impart Fee
—Pia+minQ
alfed�DnfactYers9n
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fess
S'r s l
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations. CF-lR-ALT-HVAC
Climate Zones 10 - 15
Site Address:
EnforcementAgency:
Date:
Permit #:
47410 VIA FLORENCE SYSTEM 1 La Quinta, CA 92253
City of La Quints
I Sep 19, 2013
Duct insulation
Conditioned Floor
Equipment Type1
List Minimum Efficiency2
requirement
Area
Thermostat
0 Package Unit
® Furnace
® AFUE 78%
❑ COP
0`R 6 (CZ 10-13)
Served by system
® Set3ack
® Indoor Coil
® 14. SEER 5
❑ HSPF
O R 8 (CZ 1415)
If not already present, must be
® Condensing Unit
0 EER
p Resistance
installed)
❑ Other
1. Equipment Type: Choose the equipment being installed; if more than one.system, use another CF -1R -ALT -HVAC foreach 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 -IR
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-21-HERS and (for split systems) .MECH-25-HERS
replaced
CF -411 forms: MECH-21 and (for split systems) .MECH-25
• Condenser Coil and /or
CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS 7
• Indoor Coil and /or
CF -411 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 Requiremert), TMAH
Exempted from duct leakage testing:if:
❑ 1. Duct'systern was documented to have been previously sealed and confirmed through HERS verification, or
p 2. Duct systems with less thA:40 linear feet in unconditioned space, or
❑ 3. Existing duct systems are coiistructed, insulated or sealed with asbestos
❑ 4: The. sy..stem v ill not beDucted'(ie ;Dtac#tessi�9in}:-Split-ystem;;.(Alsu;Exerrt t frotnRefti. erant>Qta,r e
❑ 2. -Ne SHV stetti
e � -
R u red:tForms: - -
- - - - - -
_.._:.. ....
. Cut ink a>;<Ehangeout wrkh
_ --_ -
'" �� �` ���
CF 6R forms MECH-04. AfE�E[ 20 -HERS nand (fiat split systems) MECIi-22 kERS, and ..�.�::.:.:::.':.:;::: . .
newducts : (ail new
• ::.. �...: .
MFCkf- 5: HERS .__•....__�::.._ _ _��'_ �:
ducttn - .d all new;=<
-.... �<•
6E-4R=.forrtts:.:MECH-20 'and>� :fors I t s stem 'M:EGH.Z2 - ECH=25> �`"_ _ _
e meet __- .. ....._
..... _. ...... _.........:.......... _ _. r,.. .<�<::_:.:<::-<::�
For Split- Systems.. ;Duct leaks
a <`6 rcEht f'C GCA z X50 CFM/ton, FWD, FNtAH, TINS, and eitfier ISPP or%P5PP.
9 Pe , .
For Packaged Units=Duct
.:.
leaks a?;<i"...,P ercent':
g
E3.3: New:pucts°;4vith/or withotit;;?;.'.
Required Forms:
Repla
. Includes replacing or installing a l hew
ducting and/or outdoor a ndensirig. unit
CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS
and/or indoor coil and/or furnace Ao or some
CF -411 forms: MECH-20 and (for split systems) MECH-25
equipment changed.
For Split Systems: 'Duct leakage < 6 percent; RC, CCA 2! 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
linear feet of duct in unconditioned space.
i
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 Garcia
Company: HARRISON ENTERPRISES INC Date: -Sep 19, 2013
Address: 31-170 RESERVE DRIVE STE A License: 686310
City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488
r
Regr-213-A0071895A-000000000-0000 Registration Date/Time: 2013/09/19 02:13:58 HERS Provider: CalCERTS,' Inc.
2008 Residential Compliance Forma July 2010
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations'- CF-lR-ALT-HVAC
Climate Zones 10 - 1S'
Site Address:
Enforcement Agency:
Date:
Permit #:
47410 VIA FLORENCE SYSTEM 2 La Quinta, CA 92253
City of La Quinta .
Sep 19, 2013
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2- .
requirement
Area
Thermostat
Q Package Unit
® Furnace
® AFUE 7801,
0 COP
(3 R 6 (CZ 10-13)
Served by system
® Setjack •
® Indoor Coil
® SEER 14.5
0 HSPF
R 8 (CZ 14 -IS)
246g sf' "
If not already present, must be
,H Condensing Unit
Q EER '
Q Resistance '
- -
installed) :.
Q Other
.r
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -IR -ALT -HVAC foneach 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 -611 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 -1R
and CF -6R shall also be on site for final inspection..
® 1. HVAC Changeout •
Required Forms:
• All HVAC Equipment 4 ' :
CF -611 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 -6R 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 5 300 CFM/ton (Minimum Air Flow Requirement), TMAH
FerPaskagedUnii
Exempted from duct leakage testirigif:
❑ 1: Duct system was documented to have been previously sealed and confirmed through HERS verification, or }' '
❑ 2. Duct*systems with less tha i:40 linear feet in unconditioned space, or
p 3. Existing duct systems are 'cohstructed,'insulated or sealed with asbestos -
0 4. The system will not be Ducted (ie :,Ructless Mini Split=System (Also Exerrrpt;frnm,:Refrigerant iia. rge)
❑ 2. New HVAC tem
. r:. : ;
redbF, ms. _
.Cut i angeout with
x
r-:..:.=::: F .�. �_ ..... _
6R forms SrTECH-04., MECEi'20HERS Viand (for: split systems) MECH�t2 FERS;:arid
new ducts : all new ,
(
h -
ducttrtg
. :�...-,orms.,<NI
.....
-
14 = -
z:3s
EG3.2�S- .ERS -- -
li
�«=..
CH 2 and> fors it-
E 0 ... !
... G ... ... ,._.:...., _., ........:.. Y_.. _.:a -.:.:.: .
For Split Syste;Duct;leakage
< 6 Rercent, i2G, GCA 350 CFM/t>an fWD M4H, SIMS, and'eithei HSf�P ' PSPP.
For Packaged Uhits. Duct
3
13-3.i New:putts,::vFith/ar without < .:
Required Forms:
Rep6
. Includes replacing or installing all.?new
ducting and/or outdoor ebrndens ng:unit
CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems)' MECH-25=HERS
and/or indoor coil and/or furnace3:No or some
CF -411 forms: MECH-20 and (for split systems) MECH-15
equipment changed:
For Split Systems: Duct leakage < 6 percent; RC, CCA > 300 CFM/ton, TMAH
For Packaged Units: Duct leakage < 6 percent '
O 4. New Ducting over 40 feet
Required Forms:
. Includes adding or replacing more than 40
CF -611 forms: MECH-04, MECH-21-HERSjr ,
linear feet of duct in unconditioned space.
CF -4R forms: MECH-21 -
For split system or packaged units: Duct leakage < 15 percent * •• r ••
f
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 iientified 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. r
• 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: bonlelle Gorcia
Company: HARRISON ENTERPRISES INC _ Date: Sep 19, 2013
Address: 31-170 RESERVE DRIVE STE A r License: 686310-
City/State/Zip: THOUSAND PALMS / CA / 92276 Phone* (760) 343-7488 '*
Reg: 213-A0071896A=000000000-0000 Registration Date/Time: 2013/09/19 02:15:49 HERS Provider: Ca10ERTS,-Inc.
•2008 Residential Compliance Forms' 4. �,," 4 f "� July 2010 '