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12-0417 (MECH)
�'z - TA 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: 4/17/12 Application Number: 12-00000417 Owner: Property Address: 48925 VISTA ESTRELLA ROBINSON,RICHARD LOUIS & NANCY APN: 649-570-019- - - 1480 MORAGA RD I Application description: MECHANICAL MORAGA, CA 94556 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 21000 n Contractor: u d Q Applicant: Architect or Engineer: GENERAL AIR CONDITIONIN 31170 RESERVE DRIVE �pD THOUSAND'PALMS, CA 922 6 f 1 % 20 �/NglEfitlll/I. N�' (760)343-7488 ClOg Lic. No.: 686310 �N01,�Q!!0 ----------- - - - - -- --------------=----------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that Iam license under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profess als Code, and my License is in full force and effect. - LicenseClass: C20 License No.: 686310 Date: 1 1 Contractor: E UILDER DECLARATION ' I hereby affirm under penalty of perjury that I m 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 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.). - (_ 1 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.). (_ 1 I am exempt under Sec. , B.&P.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 (Sec. 3097, Civ. C.1• Lender's Name: Lender's Address: LQPERMIT 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, 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 Nu ber Z071741501 I certify that, in the performance of the work r which this permit is issued, I shall not employ any person in any manner so as to become su '�ct to the workers' compensation laws of California, and agree that, if I should become subjec to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwit mpl with those provisions. Ii DateA /' "III I _.. Applicant: - WARNING: FAILURE TO SECURE WORKERS' SATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES 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 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 in mation is correct. I agree to comply with all .city and county ordinances and state laws relating to building con ction, and hereby authorize representatives . of thiscou�nt�y to enter upon the above-mentioned property for in tion purposes. CDate: A / ► �/ j signature (Applicant or Agent): LQPERMIT Application Number 12-00000417 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 66.00 Plan Check Fee 16.50 Issue Date Valuation 0 Expiration'Date 10/14/12 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 16.5000. EA MECH B/C >3-15HP/>100K-500KBTU 33.00 ---------------------------------------------------------------------------- Special Notes and Comments (2) HVAC CHANGE OUTS - 13SEER/78AFUE SPLIT SYSTEMS [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2010 CALIFORNIA BUILDING CODES. April 17, 2012 1.2:45:46 PM AORTEGA Other Fees BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 66.00 :00 .00 66.00 Plan Check Total 16.50 00 .00 16.50 Other Fee Total 1.00 00 .00 1.00 Grand Total 83:50 .00 .00 83.50 LQPERMIT Simplified Prescriptive Certificate of .Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones -10 - 15 ' Site Address: Enforcement Agency: Date: Permit #: 48925 VISTA ESTRELLA (SYS 1) La Quinta, CA 92253 City of La Quinta I Apr 16, 2012 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace ® AFUE 78% ❑ COP ❑ R 6 (CZ 10-13) Served by system ® Setback ® Indoor Coil ® SEER 13.0 ❑ HSPF . _ [3R 8 (CZ 14-15) 2200 sf If not already present, must be ® Condensing Unit [3EER [3Resistance 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 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 sig ned.Beginning October 1, 2010, a registered copy of the CF -111 and CF -611 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 CF -6R forms: MECH-04, MECH-21=HERS and (for split systems) MECH-25-HERS . Furnace CF -4R forms: MECH-21 and (for split systems) MECH-25 + For Split Systems: Duct leakageij<,15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH Exempted from duct leakage testinn if: .p i:'Ductsystem'was documented to have been previously sealed and confirmed through HERS verification, or s' [12. Duct systems with less th5n.40 linear feet in unconditioned space, or - 1 Existing duct systems are''constructed, insulated or sealed with asbestos ❑4. The.system.w,ill not be Ducted' (ie.;�,Ductless,Mini-Split System) (Also -Exempt f om Refrigerant Charge) 13 2: New"HVAC System Required Forms '!r' . Cut infior Chan eout with' g -- new ductsaa(all new '.i - CF 6R forms: MECH-04, MECH 20 HERSand for split systems) MECH-22 HERS and "^`c-• ducting A& all new / MECH`25'HERS _ ...» ' C 4R forms: MECH 20; and,(for split systems) MECW22, and MECH-25 ment equi) P .�f 9� '� For Split Systems:, Duct;leakage `<,6'percent, RC, CCA > 350 CFM/too,'FWD, TMAR, SIMS, and either, HSPPor PSPP. ' For PackagedUnits: Duct leakage <.6 percent ^" ❑ 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 CF -4R 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 114. 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 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: Danielle Garcia .4 Signature: Danielle Gwcia Company: HARRISON ENTERPRISES INC Date: Apr 16, 2012 Address: 31-170 RESERVE DRIVE STE A License: 686310 City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488 Reg: 212-A0018946A-00000000-0000 Registration Date/Time: 2012/04/16 20:16:30 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms + July 2010r Bin C1ty Of is QuInta Building el• Safety Dh4slon Permit # P.O. Box 1504, 78.495 Calle Tampico �,L . © L La Qulnta, CA 92253 - (760).777-7012 , -low? Building Perm it -Application and Tracidng Sleet Project Address: 4� 2 rj CJi' Q �s�CQI Owner's Name: 'char � •- c• b soo A. P. Number: 2 5 jStA Es jr-a 101 Address: Legal Description: City, ST, Zip: 22,S 3 Contractor:elephone: . Address: IV Project Description: City, ST, Zip: Tel ephone261�3I.%0 �+ �UI'�o�Y (,lni+ nn Arnunil State Lie. # : City Lie. #; 3, &O (a v Arch., Engr., Designer: Address: -177 Telephone.` Construction Type: Occupancy: State Lic. #: s �'.i.f.. Y . � Projectdype(circleone): New Add'n Alter Repair Demo Name of Contact Person: CC') G!;e- e -el (,Ocz,6317YU Sq. FL: �'2 3 #. Stories: # Units: 2 Telephone # of Contact Person: 7!o O 3 `r(b -7-4 ?'e Estimated value of Project: A1100.0.. 400 APPLICANT: DO. NOT WRITE. BELOW THIS LINE N Submittal Plan Sets- Req'd Recd TRACICIPIG Plan Check submitted PERMIT FEES Item Amount Structural Cale.s. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance • Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan tad Review, ready for coirections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up. S.M.I. H.O.A. Approval Pians resubmitted Grading IN HOUSE:- 'rd Review,.ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person AXP...t Pub. Wks..Appr Date of permit Issue School Fees Total Permit Fees