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11-1346 (MECH)i P.O. BOX 1504 78495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&ty/ 4 14 Q".. BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 11-0000134.6 Property Address: 4756:5=VIA MONTIGO APN: 643-120-028-256 -26152 - Application description: MECHANICAL Property Zoning: , LOW DENSITY RESIDENTIAL Application valuation: 10 ADr ilicant: � Architect or ngineer. -------------------------7--- ----- -------------- LICENSED CONTRACTOR'S DECLARATION 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 iCla ss. C20 Licens X86310 Date: i - �^'Confractori'+� WNER-BUILDER DECLARATION A 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 foysale (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.). - I _ 1 1, as Uw11er ui the pluperty, am exclusively • contracting w)th l;,5w66d aamrselor0 19 ognotrum thn prnjnnt (Cnr.' 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 contractorls) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. BAP.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 ISec. 3097, Civ. C.). Lender's Name: Lender's'Address: L? PERMIT Owner: DUVALL CLARK 47565 VIA MONTEGO` LA QUINTA, CA 92253 ( Contractor: GENERAL AIR CONDITIONING 31170 RESERVE DRIVE THOUSAND PALMS, CA 92276 (760)343-7488 Lic. No.: 686310 VOICE (760) 777=7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/20/11 r l� rr C2t'1 F LA S✓ _ IA ---------------------------------------------- • . 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. ' I have and will maintain workers' compensation insurance, asrequired 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 Z071741501 I certify that, in the performance of the work for which this permit is issued, 1 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 of the Labor Code, I shall forthwith comply w' provisions. —Date:''^+I ±V_'Appli� t: WARNING: FAILURE TO SECURE WOR ION 7COVERAGE 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 3706yOF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPnRTONT Annliratinn ifi harphy m11de tg the Diromr 9f Buildinq 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 Quinta, 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 �orize pl�with all city and county ordinances and state laws relating to building construction, and uesentatives of this county to renter upon the above-mentioned property for inspectio oses. q Date: `"O I Signature-(Applicant7orA n I*' -"-' Application Number 11-00001346 Permit . . MECHANICAL Additional desc . " Permit Fee 24.00 Plan Check Fee ., 6.00 Issue Date Valuation . . . 0. Expiration•Date 6/17/12 Qty Unit Charge Per Extension BASE FEE 15.0.0 1.00 9..0000 EA MECH APPL REP/ALT/ADD .9.00 -------------------------- - - - - -- -- ---- Special Notes and Comments UNINSTALL ONE 5 TON COIL THAT WAS INSTALLED ON PRIOR'PERMIT # 11-1241 ON 11-17-2011 AND REPLACE WITH ANOTHER 5 TON HVAC COIL 2010 CODES PER A.J. -----------------_---------------------------------------------------------- Other Fees BLDG STDS ADMIN (SB1473) 1.00 Fee summary. Charged Paid Credited-, Due Permit Fee Total 24.00. .00 .00 24.00 Plan Check Total 6.00 .00 .00 6.00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 31.00 .00 .00 31.00 LQPERMIT - - plifiedPrescriptiveCertificatedCompliance:-2008Residential HVAC Alterations CF-IR-ALT-HVf ate Zones 10 to 15 . Site Add es s: Enforce Agency Da e: Permit N: d ' / Conditioned Floor —Equipment T et List Minimum Efficiency Z Duct insulation requirement Area Thermostat ❑ Packaged Unit ❑ Furnace p ❑ AFUE' �v ❑ COp Over 40 ft of ducts added or Setback Indoor Coil ❑SEER 13 ❑ HSP F replaced in unconditioned space Sen.ed by system (Ifnot already ConUnit 1:1 O EER / / ❑Resistance O R 6 (CZ 10-13) sf present, must be 11 Other ❑ R 8 (CZ 14-15) installed) 1. Equipment Type: Choose the equipment being installed: if more than one system, use another CF-lR-ALT-3VACfor each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE; 7.7HSPFfor typical residential syslems. HERS VERIFICATION SUMMARY Listed below are four HVAC alteration Options. The installer derides 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 I, 2010, a registered copy of the CF -lit and CF -611 shall also be on site for tical inspection. jg 1. HVAC Changeout Required Forms: • All HVAC, Equipment replaced m CF -6R fors: MECH-04, MECH-2I-HERS and (for split systems) MECH; 25 ,HERS _ -MECH-2.T -. CF=4R fo-ffft�: MECH= 21 and- fors lits stems • Condenser Coil and /or • Indoor Coil and/or CF -6R forms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R 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 Reczuirement), TMAH For Packaged Units: Duct leakage < 15 percent Exempted f9on, duct leakage testing if.. Duct system was documented to have been previously sealed and confirmed through HERS veification, or ❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 2. New HVAC System Required Forms: with new • Cut s: al Chang outducting ducts: (all new ducting and all CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS new equipment) CF -4R forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 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 slit 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 linear feet of duct in unconditioned space. CF -6R forms: MECH-04, MECH-2I-HERS CF -4R forms: MECH-21 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 dentified 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 ' ortn tion documented on ot.ier pylic ompliance forms, worksheets, calculations, plans ands specifications submitted to the enforcement agency fora ro al with t e permit application Name: C(eejj w0_-,(--6,DqI Si tore: Company: //�� P y: 6' ,en eraj A /� i t�OttA; �.(ti t` Date: / Address: 3t 170 P&Set've-License: City/State/Zip:—��D�S � 89�`4-S, Phone: 7(0_343--74 ,CaICERTS - CF -1R Registration Page 1 of 1 Public Home Secure Home About Us Training Rater Directory — .Forms Assigned Company:JHARRISON ENTERPRISES INC Membership Benefits Do you know your HERS Rater? Events _. If you do, you may want to send this CF= IR to them. - - - - - - - Industry Partners CaICERTS Rater ID: OR News-------.._ _......•� _—•------"---- My Rater Quick Select: Energy Driven Solutions, Inc. ^ Every CaICERTS rater has a license number. To register for our If you need to f nd the rater by name [Click HERE] to search our directory. monthly newsletter, please click here. Danielle Garcia logged in [Logout] [Home] CONGRATULATIONS Your CF -IR -ALT -HVAC Registration is complete! You may want to print this page for your records. Site Address: 47565 VIA MONTEGO Quinta, CA 92253 CEC Registration: 1211-A0059823A-00000000-0000 CF -IR -ALT -HVAC: CLICK HERE TO DOWNLOAD [CLICK HERE] to do another Copyrig'lu «02010 CaICERTS. Inc. All rights reserved. Revised: January 11. 2010 [Terns and Conditions] [Privacy Statement] [Class Cancellation Poli:y] CaICERTS, 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 i1 �r T BBB find us on EaC6botiDlx©1 u.rt rmm m,v httnc-//www r.nlr.Prk r.nm/niihlir. t,fl R r-fm9nrniat-t iA=1 1;n'101 1 1 /1 F,/7(11 1 Site ,odd ass:O EnforcetWgt Agency Date: Permit #. Equipment T et List Minimum Efficiency Z Duct insulation requirement Conditioned Floor Area Thermostat ❑ Packaged Unit ❑Furnace ❑AFUE 8� f'o ❑COP Over 40 ft of ducts added or Setback Indoor Coil ❑SEER 13 ❑HSPF_ replaced p laced in unconditioned space Served b s Y stem Y (ij*not already ❑ Nndensing Unit ❑ EER—// ❑ Resistance ❑ R 6 (CZ 10-13) sf present, must he ❑ Other ❑ R 8 (CZ 14-15) installed) 1. Equipment Type: Choose the equipment being installed: if more than one system, use another CF -1 R -ALT -HVAC for each syslem. 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 si ied. Beginning October I, 2010, a registered co of the CF -IR and CF -6R shall also be on site for final ins ection. 1. HVAC Changeout Required Forms: • All HVAC_Eouipment replaced CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH; 25 -HERS _ CF -4R funrfs: MECH= 21 and`(fors lits stems) MECH-2.T • Condenser Coil and /or • Indoor Coil and/or CF -6R forms: 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 For Packaged Units: Duct leakage < 15 percent Exempte4 f cin 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 duct systems are constructed, insulated or sealed with asbestos ❑ 2. New HVAC System Required Forms: • Cut in or Changeout with new ducts: (all new ducting and all CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS new equipment) CF -411 forms: MECH 20-, and (for split systems)MECH-22, and MECH 25 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 linear feet of duct in unconditioned space. CF -611 forms: MECH-04, MECH-2I-HERS CF -411 forms: MECH-21 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) • 1 certify that this Certificate of Compliance documentation is accurate and complete. • 1 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 I and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the orrn tion documented on other pylic ornpliance forms, worksheets, calculations, plans ands specifications submitted to the enforcement a enc fora rcial with t e perrgit application. Name: !(cert W0_tSdjj Sig tures Com an //�� p Y• n ell -e('2( ! y r f t�0i1GLt ��`O r! t` Date: Address: 31170 Peserue o`tt✓e, License: k_ity/state/Zip: _7—A_o11-6a4,,t Pa,&f 5, 6,q 99-a--1 Phone: 760-3 74E8 Bin Permit # 1 Project Address: - " City f La Quinta Building U Safety Division P.O. Box 15.04, 78-495 Calle Tampico< La Qulnta, CA 92253 - (760) 777-701,2 Building Permit Application and Tracking Sheet Q Ownec's Name: V , A. P. Number: Address: 4-7 S(oS Legal Description: City, ST, Zip: L& Contractor: Telephone: %& ^` ;• %; ' Address:NUL City, ST, Zip: Telephone State Lie. # i '•.`ks`:<:>:<•<:z:> ,:;: , ?y'•i City Lie. Project Description: j ® s LU /` /7 /� �2G� �- i4 Arch., Engr., Designer: Address: City., ST, Zip: gym..+.. -.�, ... ... -._-_.-�.- __ .. .. ._�..- �._.._... ... .-��u-. .._. - - State Lie. #::'y'{� Name of Contact Person: yY';i:fh.K} � iti;`§4;±�i:ivii?+:. ����;.;f••?Y. y < y `' % fid;; `:':>•;;:; f , CC:) litJ,c%t5 vrU Construction Type: Occupancy: Project type (circle one): New.. Add'n _Alter Repair Demo Sq. Ft :# Stories: #Units: ' , Telephone # of Contact Person: -7& D 3 Y3 -7 �' Estimated Value of Project:0. APPLICANT: DO. NOT WRITE. BELOW THIS LINE # Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan. Check Balance Title 24 Cities. Pians picked upCoastrdction Flood plain plan Plans resubmitted Mechanical Grading plan 2n° Review, ready for corrections/issue Electrical Subcontactor'List Called Contact Person Plumbing . Grant Deed Plans picked up. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review,.ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees