14-0100 (MECH)Q
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 14-00000100
Property Address: 48525 VISTA CALICO
APN: 649 -530 -015 -
Application description: MECHANICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 9151
1
BUILDING &" SAFETY DEPARTMENT
BUILDING PERMIT
Applicant:
Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that'l 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 Class: C20 License No.: 686310
��
Date: r 1�01)�•F Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 orshe 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 1$500).:.
1 _ r 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
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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contracts for the projects with a contractor(s) licensed "
pursuant to the Contractors' State License Law.).
I—) I am exempt under Sec. BAP.C. for this reason
Date: Owner: x
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: "
Owner:
RAE RUSSO
48525 VISTA CALICO
r LA QUINTA, CA 92253
(760)564-1661
Contractor:
= GENERAL AIR CONDITIONING
.31170 RESERVE DRIVE'
THOUSAND PALMS, CA 92276
(760)343-7488
VOICE (760) 777-7012
FAX (760) 777-7011
ISPECTIONS (760) 777-7153
Date: 1/30/14
JAN 3 j
CITY 05 ! A QUINTA
MiPT.
LiC. No.: b86310
-
-----------..------------------------ - - - - -- ----
WORKER'S COMPENSATION DECLARATION
I hereby affirm underpenalty 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, as required 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 Z071741503
_ I. certify that, in the performance of the work for which this permit is issued, I 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 with those provisions. -
:Date: 1 1 Applicant: d ,
WARNING: FAILURE TO SECURE WORKERS'. COMPENSATION COVERAGE, IS UNLAWFUL, AND SHALL
SUBJECT ANEMPLOYERTO 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT .
IMPORTANT Application is hereby made to the Director of Building 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 "
2performed under or following issuance of this permit.
. 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 agree to comply with all
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.
Date: I �J'C9 Signature (Applicant or Agent): 7 Z-
-m- -- LQPERMI-T " —".-- —..�__ - _ ^- r--�._--•-" l-,. '.�1-+r_-µ.• - .� -.r.rr .- _r - +rr ��.-.�....� _ x y_ _.�-- _ ...�
Application Number 14-00000100
Permit MECHANICAL 2013
Additional desc .
Permit Fee . . . . 83.42 Plan Check Fee ..
.00
Issue Date . . . . Valuation . . .
0
Expiration Date 7/29/14
Qty Unit Charge Per
Extension ~
1.00 35.7500 EA MECH FURNACE
35.75
1.00 11.9200 EA MECH APPL REP/ALT
11.92
1.00 35.7500 EA MECH CONDENSER/COMP
35.75
-----------------------------
Special Notes and Comments
-
Replace A/C Furnace, Coil 90,000 BTU 7826
14.5 SEER PER 2013 CODES.
-- -----------------------------
Other Fees BLDG STDS ADMIN (SB1473)
--------------
1.00
PERMIT ISSUANCE M/P/E
90.57
PLAN CHECK, MECHANICAL
52.43
Fee summary Charged Paid Credited
Due
- ----- ---------- ---_-------
Permit Fee Total 83.42 00 00
83.42
Plan Check Total .00 .00 :00.
.00
Other Fee Total, 144.00 .00 - .00
144.00
" Grand Total 227.42 .00 ..00
227.42
CQPERMIT .�.=- --
- -
Lain #
City of La Quinta
Building & SafetyDivision
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
' \
Project Address: I Z5 crli
Owner's Name: 0. V
A. P. Number:
Address: 4 g52 c; �i 5 � Cci i co
Legal Description:
City, ST, Zip: t! Qv,r CA 4 Z 2-S3
Contractor: Gt=h er c, A;c-
Telephone: �
Address: 3110 �aserv� �r
ProjectDescription:
City, ST, Zip: hpv Sc_ C1 ai 5 ZZ�
i<e \c�c-e- 3. S +o.--\ A G CCD;
Telephone: % io -
O 3y 8
3
G o �-
T3 F
v c
State Lic. # : (0S(0-3.10* City Lic. #;
Arch., Engr, Designer: .
Address:
City., ST, Zip:
Telephone:
P
:.>.:;...::>.:::::>.:•.;::::.:•:.:.: :...
:: :::: ::Construction
Type: 'Occupancy:
.#:
P oJect tyPStateLi e circle one): New Add'n Alter ReP air Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: `•
Estimated Value of Project:. (9 IS) . QL7
APPLICANT: DO NOT WRITE BELOW THIS LINE
H
Submittal
Req'd
Rec'd
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 Balance
Title 24 Cates.
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:
3d Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person,
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
I
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAlterations CF -IR -ALT -HVAC
Climate Zones 10 - 15
Site Address: Enforcement Agency: Date: Permit #:
48525 VISTA CALICO La Quinta, CA 92253 City of La Quinta ]an 29, 2014
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
® Furnace
® AFUE 785(o
❑ COP
0 R 6 (CZ 10-13)
Served by system
® Setback
® Indoor Coil
® SEER 14.5
❑ HSPF
❑ R 8 (CZ 14-15)
2635 sf
if not already present, must be
® Condensing Unit
❑ EER
❑ Resistance
installed)
❑ 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 Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems.
HERS VERIFICATION SUM14ARY Listed below ane 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 -611 shall also be on site for final inspection.
R.I. 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 -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 <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH
Exempted from duct leakage testirigf:.
❑ Z: Duct" -system was documented to have been previously sealed and confirmed through HERS verification, or
❑ 2. Duct systems with less than`.!40.1inear feet in unconditioned space, or
0 3. Existing dud systems are roKistruded, insulated or sealed with asbestos
O.A. The system will not be Ducted (ie:.Ductless ~9ini Sp#lt;..System} {Also Exempt from.Refng rant Charge)
.,_,.
2. ew:HVAG S tem
Re utr - - -
etl <foFms.
. Cut m orLhangeout with
new duets :(all new
..............
-
Gf 6R forms MECH-04, MECH 2[3HERS, and (for split systems) MECI 122 HERS; :and :
_.
l ne.
ductin ..a. d alva
�..,
CF -4R fptms
axed ifor spNt systems)�ECH 2Z, and M. ECti 25'��z��h=><.:,�.;`::•� _:':':�-.:��:-. '.
equip
:MECH-20;
For SPP ':b* SPP'
Split P Systems duct leakage < 6 perceni; RC, £CA 350 CFM/ton, fWD, MA}1, 5TNI5, and elther liS
For Packaged Units- Duct leaks e!;<:6; e�cent: ;.
g ...::::... p
_..., ` --
❑ 3. New;Qucts;vvith/or without;-::'
Required Forms: '
. Includes replacing' or installing alFhew
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 gui`riacez`:No 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: Dud 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.
CF -4R forms: MECH-21 .
Fors lits stem or g g p }
p y 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: bayano Valdez
Company: HARRISON ENTERPRISES INC Date: ]an 29, 2014
Address: 31-170 RESERVE DRIVE STE A License: 686310
]Phone:
City/State/Zip: THOUSAND PALMS / CA / 92276 (760) 343-7488
lReg: 214-A0007196A-000000000-0000 Registiation Date/Time: 2014/01/29 21:19:44
42008 Residential Compliance Forms
i
HERS Provider: CalCERTS, Inc.
July 2010
P