14-0813 (MECH)P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
_ __ Date: 6/10/14
Application Number: 14-000008.13 r�r�l - Owner:
Property Address: 56235 VILLAGE DR GERRISH
APN: 764-040-001- - - 56235 VILLAGE DRIVE
Application description: MECHANICAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL rD� ,� rl'—1
Application valuation: 35746 j!I J &A IU!
Contractor: �'I (yp�1
Applicant: Architect or Engineer. GENERAL AIR CONDITZ„N NG ,�ii;i
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92 7 6afy OF !.A QUINFA1
(760)343-7488 F$W$k110EOEPT
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 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 Cl ss: C20. License No.: 686310 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
t►- issued.
/ate: Contractor: 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 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 o he Labor Code, I shall forthwith comply with those provisions. ti
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(I W 1 Applicant: � �
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 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 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 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 theprojects with 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—) 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: - / c- • _
` - •-. ate�ature (Applicant or AgenU:--�.it�tJ� _ �'--�t • ;`
Lender's Address: r+ •+�'
LQPERMIT
Application Number . . 14-00000813`
t.
Permit . . MECHANICAL 2013
Additional desc
'.
Permit Fee 143.00 Plan Check Fee
.00
Issue Date Valuation
0
Expiration Date 12/07/14
Qty- Unit Charge Per
Extension
-2.00-, 35.7500 EA MECH FURNACE
71.50 = .
-' 2.00 35.7500 EA MECH CONDENSER/COMP
- 71.50
----------------------------------------------------------------
i� -----Special Notes and Comments
" +
_ HVAC CHANGE OUT - (2) .13.5SEER/80AFUE
SPLIT SYSTEMS [2010 ENERGY] CARBON
MONOXIDE ALARM(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION. 2013 CALIFORNIA
BUILDING CODES.
-
June 10, 2014 2:56:38 PM AORTEGA _
------------------------------=---------------------------------------------
Other Fees . . . BLDG STDS ADMIN (SB1473)
2.00
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 187.89 .00 .00
187.89
Grand Total 330.89 .00 .00
330.89 +
a
LQPERMIT _.
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations - CF-lR-ALT-HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
56235 VILLAGE DRIVE - #1 SYSTEM La Quinta, CA 92253
City of La Quinta
]un 4, 2014
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
p Package Unit
® Furnace
® AFUE 78%
SEER
U COP
0 R 6 (CZ 10-13)
Served by system
® Setback
®Indoor Coil
® 13.5
E3 HSPF
R 8 (CZ 14-15)
4469 sf
If not already present, must be
® Condensing Unit
0 EER
13Resistance
installed)
p Other
.
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 EffictencJew 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 -1R
and CF -6R shall also be on site for final inspection.
H 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 -411 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
For Split Systems: Duct leakage < 15 percent; RC, CCA:5 300 CFM/ton (Minimum Air Flow Requirement), TMAH
Exempted from duct leakage. testing:.if:
p 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or
0 2, Duct systems with less ttiaii:40 linear feet in unconditioned space, or
0-3i. Existing duct systems are`:constructed, insulated or sealed with asbestos
0 4. The system will not be Dt*0 (ie. Ductless Mini -Split System) (Also Exempt from Refrigerant Charge)
❑ 2..New HVAC System
Requilretl:,Forms:
.Cut In orChian eout:with
g -'
...:..
new new::.:.`.:::
_�:..
,�,,�.... _ _ - �.',:�x�_, . ::=s;:,<•x<.:�:�::;:w,, ..:�a.'.; -,:;�;..
CF-6R`farms MECH U4 SII CHf 2fl HERS, and {forspfit systems) MSCI 22 -HERS; and
:. .:.
_MECHduct! new
HERS.. _ F: 3
=25
; R foYrns Mf CH-20'and (forlit sm22,asnd MECH-25:' :
For Spirt Systems:.-Diri:t leakage < 6 {3eCcent; RC, CCAf:`2`*350;CFM/xoo, F16i1L3 >TMAH,%S EMS.;;:.aad either HSPP or PSPF;:: '?
,_ v ...
^Duct.f a.ka e, 6. ercent.......,Q,......,....:....r•:..:::.;.,�-_,,::....,.�:.:. ._ - -
For Pa ..<
_..... - _ � ... �......... .....:. ....,..
❑ 3. Nevr:Duits!tivith/or-witfioiif� :: ':'
e F
Regteer. d..orhts
Replaiemetit :::.:: . .
. Indudes:.replacing or installing all view
duciiirg'and or:outdoor condensi6"'Unit
CF -6R forms: MECH-04, MECH-20-HERS, and (for'split systems) MECH-25-HERS
and/or iridoor coil acid/or furnace -.Nb or some
CF -411 forms: MECH-20 and (for split systems) MECH-25
equipment changed.
For Split Systems: Dud leakage' -::<:.6 percent; RC, CCA >_ 300 CFM/ton, TMAH
For Packaged Units: Dud leakage < 6 percent
0 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 dud in unconditioned space.
CF -4R 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: Doyon Valdez
Company: HARRISON ENTERPRISES INC - Date: ]un 4, 2014
Address: 31-170 RESERVE DRIVE STE A License: 686310
City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488
Reg: 214-A0040608A-000000000-0000 Registration Date/Time: 2014/06/04 18:20:43 HERS Provider: Ca10ERTS, Inc:
2008 Residential Compliance Forms July 2010..
. a
i<
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAlterations CF-IR-ALT-HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
56235 VILLAGE DRIVE - #2'SYSTEM La Quinta, CA 92253
City of La Quinta
Jun 4, 2014
Dud insulation
Conditioned Floor
Equipment.Type1
List Minimum Efficiency2
requirement
Area
Thermostat
p Package Unit
® Furnace • . •- -.
® Indoor, Coil
®AFUE 73%
® SEER 13.5
❑ COP®
E3HSPF
0 R 6 (CZ 10-13)
Served by system
Setback, } '
not already present, must be
® Condensing Unit
Q EER
❑ Resistance
0 R 8 (CZ 14-15)
69 sf
in
installed)
❑ Offer
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 EHiciencrs 13 SEER, 78% AFUE, 7.7HSVF 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 competed by the installer. The inspector also verifies that each appropriate CF-611 and registered CF-411
forms (no hand filled CF-411s 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. ..
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
. Indoor Coil and /or
CF-611 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
For Split Systems: Duct leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement),
UnRism Dust leakage'- 4_6 pemen*
Exempted from duct leakage. testing-if:
1. Duct system,was dottgneiitited to have been previously sealed and confirmed through HERS verification, or
0 2. Duct systems with less thari:40 linear feet in unconditioned space, or
(3-3i- Existing duct systemsare::. fistructed, insulated or sealed with asbestos
[14. The system will not be Ducted '(ie. Ductless Mini-Split System) (Also Exempt from Refrigerant Charge)
❑ 2.'Atew HVAC System
Requirred: Forms: ..........
. Cut to or Ch.",-,
9' "
new ucts 'a :riew'::::
CF-SR finrms� MECH 04 ;i�lECht=Zfl HERS, anr# {forsplit systQFns) MECkt �2-HERS; and
- � r
tin new ..
duc g ate, att V
ECH- -- - - -
-.=�:`='='<€?=::==`':�:_,.:_�':-:;.:.,;;
q {orms MfCH-20, and (ftii split syserr�s) MEGH-22, and MECf+-25- .:: a
For SpltE Systems G Duct teaka�e;,<;6 percent; RC, CCA 350':GFM/ton, FyUi3, TFAAH, S EMS,.:.and: either##5PP or PSP€►::
:..._ -
..
For P
3. Never:Ductsaarfihjarwithout;.>;>>.=;<'�:;.:::,:�
:Re'gurr�ef=:forms::°:?:�•^°;:`:....:..:...'.:'::,.".`:`?::'' -
en
. Includes replacing`. or installir?g all..';-hew
ducting: ain.d%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 fursaci.- N6 or some
CF-411 forms: MECH-20 and (for split systems) MECH-25
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
CF-611 forms: MECH-04, MECH-2I-HERS
linear feet of duct in uncondidoned space.
CF-411 forms: MECH-21
For split system or packaged units: Duct leakage < 15 percent
Q 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. 4
• I am eligible under Division 3 of :he 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 omthis 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: Doyano Valdez
Company: HARRISON ENTERPFISES INC, - Date: Jun 4, 2014
Address: 31-170 RESERVE DRI'JE STE A License: 686310
City/State/Zip: THOUSAND PALMS / CA 192276 Phone: (760) 343-7488
Reg:.214-A0040612A-0000000-00-0000 Registration Date/Time: 2014/06/04 18:23:23 HERS Provider: CalCERTS,.Inc. i
2008 Residential Compliance Forms:
July 2010 k,
Bin #
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico.
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
1
Project Address: S(o235' -\All
Owner's Name:
A. P. Number:
Address: s(oZ3s V i l\ CZ e U�
Legal Description:
City, ST; Zip: Lc� CIA G 22S-3
Contractor:
Telephone: '—23' 9SG
z` :
'Address: 311- O . ��Ser v �r
Project Description:
City, ST, Zip: ho s o.1vv�S CA
S-V" Cor- X4VAt=
Tele hone. O-324 3=74 &.6
:::<.:z>.>::l <.;;' ;:.:?,;.;<;• ;•:;:•:::>.
State Lic. # : (.g6310
City Lie. #.. _
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
Setate Lic. #
«: ;<a::
f
k<•'v<:`•::::<':f;:: ;s>>:- < : >> v>:
Construction Type: Occupancy:
Project type (circle one): New Add'n A-ter Repair Demo
Name of Contact Person: S.� SC�h� ey Q(
Sq. Ft.:
# Stories: TrUnits:
Telephone #,of Contact Person:
Estimated Value of Project: 3s 7 zi (o , CX-D
APPLICANT: DO NOT WRITE BELOW THIS LINE
tl Submittal Req'd Recd TRACKING PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deport
Truss Calcs.
Called Contact Person
Plan Check Balame
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical k
Grading plan
2"" Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Pcrson
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
1rd Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees