13-0955 (MECH)P.O. BOX. 1504,.
VOICE (760)777-7012
T4ht 4 a D
78-495 CALLE TAMPICO : FAX (760) 777-7011 ,
LA QUINTA, CALIFORNIA 92253 " . BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153,
BUILDING PERMIT
` Date: 7/30/13
Application Number: 13-00000955 Owner.
Property Address: 47440 VIA FLORENCE DOROTHY BERKEY
APN: 643-110-040-124 -26152 - 47440 VIA FL 253
Application description: MECHANICAL
LA QUINTA,
Property Zoning: LOW DENSITY RESIDENTIAL (
+' Application valuation: 91`64 At(', O f} 2013
t H �+ y
_ Contractor .
Applicant: Architect or Engineer: GENERAL AIR C ND 440VIP17A
31170 RESERVE DRIVE {FINAHCEDEPT -
" THOUSAND PALM 92276 '
(760)343-7488
Lic. No..:: 686310
------------------------------------------7-------------
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._ 1 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: Contractor: 1 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 . 'Icertify 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 + 11 �—
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (Date .$ Z 13 Applicant:
1 _ 1 1, 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 Cale: 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANTApplication 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. , 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 ouinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
bate: 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. -
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:
Date: Z 1 Signature -(Applicant or Agent):
Lender's Address:
LQPERMIT '
Application Number : . . . 13-00000955
Permit . . . . MECHANICAL 2013
Additional desc .
Permit"Fee 71.50 Plan Check Fee ".
-00
Issue Date Valuation
0
Expiration Date 1/26/14
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 CHANGE.OUT - 14.5 SEER/78AFUE
REPLACE 3.5 TON -HVAC SPLIT SYSTEM (2008
ENERGY] CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION.
2010 CALIFORNIA BUILDING CODES.
----------------------------------------------------
Other.Fees . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
ISSUANCE M/P/E
90.57
_PERMIT
PLAN CHECK, MECHANICAL
47.66 "
Fee summary Charged Paid -Credited
----------
Due
-----------------
Permit Fee Total 71.50 .00 .00
71.50
Plan Check Total .00, .00 .00
.00
Other Fee Total 139.23 ..00 .00
139.23
Grand Total 210.73 .00 .00
210.73
LQPERMIT - - -
-
Bin #
City of La Quinta
" 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 #
c
3 /
Project Address: Z4 7 y44 0 V c (Dr
Owner's Name: •� r 2r�`' e^C key
A. P. Number:
Address: Q-•1 y yu Vit;. -1— olce ✓'—
Legal Description:
City, ST, Zip: (Q Qviln3ta. CA ci ZZ53
Contractor: Ge-4\exC—\ kr
Telephone: % �»>?:?;?:::«::::->>:z":<::r..!•.:
Address: 3\\70 _Q'e_Se.�rvc rive
Project Description:
City, ST, Zip:ToVSc C A CiZ27(o
�e lace 3• Stove i4 L �f0 t3Tu
Tele h 0 ne . `J�o y - 7 8 t4
P 3 3 y
r yr r� c�
State Lic. # : (:)&1310
City Lic. #•-.
Arch., Engr., Designer:
Address:
City:, ST, Zip:
a,<.,,•>
OCnstruction Type: ccu acYTelephone:
State Lic. #:
Project a circle one): New Addn Alter Re
$'P. ' air Demo
(
J ) P
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: 4 Q 1(a4. 00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
-
Called Contact Person
Plan Check Balae.ce
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 correctionslissue .
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fee
. -� � • r {.. , - ` _ ... a v• � �- .•;'` °� .
I It
CAlterations CF-iR-ALT-HVAC
Simplified Prescriptive Certificate of Compliance:'2008 Residential HVA
Climate Zones 10 - 15
Site Address:
47440 VIA FLORENCE La Quinta, CA 92253
Enforcement Agency:
City of La Quinta
Date: - _
Jul 28,
Permit #:
2013•
z
Equipment Typel
List Minimum Efficiency2
Duct insulation
requirement
Conditioned: Floor
Area
Thermostat '
❑ Package Unit
10 Furnace "
® Indoor Coil
® AFUE 78%
®SEER 14.5.
❑ COP
❑ HSPF
0 R 6 (CZ 10-13) : ,
Served by, system
Cl Setback
If not already present, must be
® Condensing. Unit
Q EER
❑ Resistance
O R 8 (CZ 14-15 )
2605 sf y
installed)
13 Other_
1
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1R -ALT -HVAC for;each system.
,z
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 -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• r�
CF=6R'forms: MECH-04, MECH-2I-HERS and (for split systems)�MECH-25-HERS I'
• Furnace
CF -4R forms: MECH-21 and fors lits stems MECH-25 l
( p systems),
,.'
For Split Systems: Duct leakage -..:.<..'.j5 percent; RC, CCA :5,300 CFM/ton (Minimum`Air Flow Requirement), TMAH
-5 peFeent
Exempted from duct leakage testirr if:
b1:.Duct-system irras.documenteff to have been previously sealed and confirmed through HERS verification, or Y '
❑'2: buct systems with less than.:40linear feet in unconditioned space, or `
• ❑ 3 Existing duct systems are constructed, insulated or sealed with asbestos
1
•, ❑:4 Thesy3tem11 not be Ducted (ie DfiuctlEs,MtniSplit�5ystern)plsyEkemQt from Refeattt Cfaarge)
M C.
. ..', y-�
........
❑ 2. Newr,�fflJ ::System Requeretf 1=otms 3 ,�
.Cut ipso Ghangeout wrttit ;CF-6t2fornis MECH-04, MECH 2fl HERS,and�(%r split sysEetis). MEC HERS and
news (ail neer
P1ECH, 25 i1Ei?S'� �.._ _ - '..� .. •1-�:.:.
ti
ducttn :.and a,...... �� .., 4;.
�,�- 11 n ew. :::.- z ::,:. :.r ....:. r �_...-r
..fir - Ni
equipmettt) R:=#°rrrrsMECH-iO; ar►tf(for spit syste s'EGH-Z2�itd NtFCtf 25 �
�'r `�sY,
..
k �� +-� ;, _�`t fi,� _ �cs.�*"�tv..ux-�� a'��a•�.2�a^'� ry� .`aa �i .;r�: z�
For Sptit Systems Duct lea..... percent RG, CCAS 350 CEM/ton; FWI3, MAH," ST3W5, andxeltFier HS P or PS P.
For (Packaged Unrts: Duct leakage;;: 5.:percent ::,::
❑ 3.,New;,D.utu'", th/or without&:.: -
Required Forms:' '
116011 a.
. indudes replacing or installing.a!If.:nets
ducting and/or outdoor condensin:: 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 -4R forms: MECH-20 and (for split systems).MECH-25
-equipment changed.
4
f
For Split Systems: Duct leakage < 6 percent;' RC, CCA 2:,300 CFM/ton, TMAH
For Packaged Units: Duct leakage < 6 percent g..
❑ 4. New Ducting over 40 feet
Required Forms:
Includes adding or replacing more than 40
CF -6R forms: MECH-04, MECH72I-HERSr-
linear feet of duct in unconditioned space.
CF -4R forms: MECH-21
For split system or packaged units: Duct leakage <,15 percent f �4
❑ 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. t'
• 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. c
Name: Danielle Garcia Signature: Danielle Garcia
Company: HARRISON ENTERPRISES INC. Date: Jul 28, 2013
Address: 31-170 RESERVE DRIVE STE A License: 686310.
City/State/Zip,: THOUSAND PALMS / CA / 92276. ,` Phone: (760) 343-7488 " 1t
+. •" .y_ Y<•� 4 : Fes•,/ i t r^*• .. .r J •-T CZ•.l' ` •' 1 'x , . '•
Reg: 213-A0056687A-000000000-0000 Registration Date/Time: 2013/07/28 23:15:59•' HERS Provide r:�Ca10ERTS,.Inc.,-
2008 Residential Compliance Forms" , x
i'� f} July 2010