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12-0344 (MECH)
P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 12-00000344 -_ 80595 VIA TALAVERA 777 -270 -022 - MECHANICAL LOW DENSITY RESIDENTIAL 7495 Architect or Engineer: PIP* BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: LINNES DALE/SARA PO BOX 1044 EASTSOUND, WA 98245 Contractor: t� GENERAL AIR CONDITIONING 31170 RESERVE DRIVE e THOUSAND.PALMS, CA 92276 •(760)343:,7488 t Lic.• No.: 686310 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/02/12 AR 0 2 2012 CITY OF LA WINTA 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 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 permitissuedas a result of this application becomes null and void if work is novcommenced within 180 days from date of issuance of suchkiormation 'ssation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the ais correct. I agree to comply with all city and county ordinances and state laws relating to buildinn, and hereby authorize representatives of this county toenter upon the above-mentioned property purposes. ' }-.Si azure (Applicant or Agent): y LICENSED CONTRACTOR'S DECLARATION - - WORKER'S COMPENSATION DECLARATION _ hereby affirm under penalty of perjury that I am lice ed 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 Prof ionals 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 Lit Class:. C20 License No.: 686310 ate: 1 z tractor. _ 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, 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 ZNS CO Policy Number Z071741501 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 f 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 subj c 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 he 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 ply ith 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).: - ate: 4Z plicant: - - 1 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 '. WARNING: FAILURE TO SECURE WORKERS' COMPEN ATION 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 I, 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 fora permit subject to they 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 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 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 permitissuedas a result of this application becomes null and void if work is novcommenced within 180 days from date of issuance of suchkiormation 'ssation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the ais correct. I agree to comply with all city and county ordinances and state laws relating to buildinn, and hereby authorize representatives of this county toenter upon the above-mentioned property purposes. ' }-.Si azure (Applicant or Agent): y Application Number 12-00000344 Permit MECHANICAL Additional desc . Permit Fee . . . . 40.50 Plan Check Fee 10.13 Issue Date Valuation• D Expiration Date 9/29/12 Qty Unit Charge Per Extension - BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU. 16.50 Special Notes and Comments HVAC ADDITION ` ADD NEW 5 TON REPLACEMENT SPLIT SYSTEM IN ATTIC. 2010 CODES: ---------------------------------------------------------------------------- Other Fees . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited. Due Permit Fee Total 40.50 .00 .00 40.50 Plan Check Total ;10.13•.• .00 .00 10.13 Other Fee Total. 1:00 .00 :00 1.00 Grand Total 51.63 .00 .00 51.63 r LQPERMIT .. Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-iR-ALT-HVAC - - - Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 80595 VIA TALAVERA La Quinta, CA 92253 City of La Quinta Mar 30, 2012 Duct insulation Conditioned Floor - Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace ® Indoor Coil ® AFUE 78% ® SEER 13.0 ❑ COP[3 ❑ HSPF R 6 (CZ 10-13) Served by system ® Setback If not already present, must be ® Condensing Unit . ❑ EER ❑ Resistance ' ❑ R 8 (CZ 14-15) 2081 sf installed) ❑ Other. 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-611 and registered CF-4R forms (no hand filled CF-4Rs allowed) are filled out and sig ned.Beginning October 1, 2010, a registered copy of the CF-1111 and CF-6111 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 CF74R forms: MECH-21 and (for split systems) MECH-25 • Condenser Coil and /or • Indoor Coil and /or CF-6R 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 - • i.;_,� For Split Systems: Duct leakageiy< 15 percent; RC, CCA :51.300 CFM/ton (Minimum Air Flow Requirement), TMAH For. Paskaged Une r, 9- -rt 'Aal(aq4 ;.Q 15 ,> perseRk Exempted from duct leak age testing, if: ❑ E-Duct-system was documentedto have been previously sealed and confirmed through HERS verification, or ' [12. Duct systems with less than 40.linear feet in unconditioned space, or . [13. Existing duct systems are constructed, insulated or sealed with asbestos 0"4. The system...will not be Ducted (ie�Ductless-Mini-Split System)>(AIsoTExempt from Refrigerant ,.Charge) & - :...: e 112. New HVAC System Requir"ed Forms'.~'."` b," . Cut inlor Changeout withl ducts.a(all -" t -�-- -, CF 6R forms .MECH 04, MECH 20 HERS, ands fors lits sterns MECH=22 HERS, and (, P Y ) - new new ducting t all new �. ;MECH 25 HERS k - MAF CF 4R forms MECH 20 MECH 22, 25 s _ and ,(fo'r split systems) and MECH For Spht'S.ystems: Duct leakage <t6 percent, RC, :CCA > 350 CFM/ton,,FWD, TMAH, STMS, and either HSPP`oc PSPP Duleakage < 6::percent For Packaged Units:'ct ❑ 3. New,Ducts with/or without' Required Forms: ' Replacement .Includes replacing or installing all new _• , ducting and/or outdoor condensing; 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, CF74R forms: MECH-20 and (for split systems) MECH-25 equipment changed. ' For Split Systems: Duct leakage, < 6 percent; RC, CCA >_ 300 CFM/ton; TMA_ H . 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 f 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. • • 1 - • 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: Mar 30, 2012 , Address: 31-170 RESERVE DRIVE STE A „ License: 686310 City/State/Zip: THOUSAND PALMS / CA / 92276 s-- Phone: (760) 343-7488 A - Reg: r t Reg: 212-A0015710A-00000000-0000• Registration Date/Time: 2012/03/30 11:07:27 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance.Forms ' +s. si - �" 'July 2010 CaICERTS - CF IR Registration Page 1 of 1 ***IMPORTANT NOTICE*** The server is being monitored for performance. Please save your work as you go. We may d N Public Home Danielle Garcia logged in [Logout]' a [Home] CONGRATULATIONS Secure Home - I - ` Your CF -IR -ALT -HVAC Registration is complete! About us �' ,You may want to print this page for your records. Training Site Address: 80595 VIA TALAVERA La Quihta, CA 92253 CEC Registration: 212-AO01571OA-00000000-0000 Rater Directory ... _...................... -................................. _........ __.._... _...... �--._._.._._.._.._ .... _._.._...._....__._.�___-----....... ......... -..... -- ........ ._ CF -IR -ALT -HVAC: CLICK HERETO DOWNLOAD Forms .............................................A...Company: HARRISON ENTERPRISES INC ....................---....._.............__.....--..._._......._............_.._......_..__._._..._..._.._..._.—____._.....__.._.._........__._......_..... ----- Membership Benefits Do you know your HERS Rater? + - • • .If you do, you may want to send this CF -1R to them. Events CaICERTS Rater ID: OR Industry Partners , My Rateruick Select 1t Select From List iqr Q _ + u" Every CaICERTS rater has a license number. News IF you need to rind the rater by name Click HERE to search our directory. ' ;< SEND CF �1RT0 HERSRATER To register for our monthly newsletter, [CLICK HERE] to do another please click here. Copyright ©2010 CaICERTS, Inc. All rights reserved. Revised: January 11, 2010 [Terms and Conditions] [Privacy Statement] [Class Cancellation Policy] CaICERTS, Inc., 31 Natoma St Suite 120, Folsom, CA 95630 Office: 916-985-3400,TollFree:, 877 -HERS -11811, (871-437-7787) - t Fax: 916-985-3402 Contact Us BBBi1tE SUS Or1,FyfiiC � :vnrvv„ns, ,+ s https://www.ca'lcerts.com/public_cflR.cfm?project_id=178092 3/30/2012 Bin # City f La Quinta - 30 Permit # , `(,� Building &' Safety Divlslon P.O. Box 1504, 78-493 Calle 7amplco . �l La Qulnta, CA 92253 - (760): 777-7012 Building Permit Application and Tracking Sheet Project Address:a Owner's Name: d, A. P. Number: '-177 271 C)o 2Z `�— Z Address: V q '-q a Id &M. Legal Description: City, ST, Zip: 2 Contractor: Telephone: Address:TD s� Project Description: s r City, ST. Zip:7_ — �0504 V . �. . 5 r Telephone: State Lic. # : 3L City Lic. #;Cod Arch., Engr., Designer: Address: City T Zip:.. Telephoner . ..f Construction Type: Occupancy: State Lic. f Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: C p Gl G� �yL, sq Ft : /Z O ' #Stories: #Units: Telephone # of Contact Person: 7!o Ll 3 leb % g g Estimated Value of Project: APPLICANT: DO. NOT WRITE. BELOW THIS LINE q Submittal Req'd Recd 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. Tide 24 Cales. Plans picked up Construction. Flood plain plan Plans resubmitted Mechanical Grading plan 2ad Review, ready for correctionsAssue Elect cal Subcontactor List Called Contact Person Plumbing . Grant Deed Plans picked up. S.M.I. H.O.A. Approval Plans resubmitted Grading IN 7rd Review,.ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P.. Pub. Wks. Appr. Date of permit issue School. Fees Total Permit Fees 34.3-149%