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12-0424 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: r 12-00000424 Property Address: -49010 VISTA ESTRELLA APN: 649 -580 -004 - Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 11000 T4ht'4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: CARLO NORDQUIST 49010 VISTA ESTRELLA LA QUINTA, CA 92253 Contractor: Applicant: Architect or Engineer: GENERAL AIR CONDITIONING 31170 RESERVE DRIVE THOUSAND,PALMS, CA 92276 (760)343-7488 ` h Lic. No.: 686310 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/18/12 rAPR 1 2012 CITY OF LA QUINTA FINANCE DEET LICENSED CONTRACTOR'S DECLARATION a WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am' ensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 o the Business and r fessionals 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 Class: C20 License No.: 686310 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is yete: ( ZCp.6.c1o1. / 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 WNER-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 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 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 becomubject to the workers' compensation laws of California, - the 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 su ct to the 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 L or Code, I shall fort th comply with 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: q (° pplicant: (_) 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 WORKERS11GPENSATION 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.). (_) 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(sl licensed pursuant to the Contractors' State License Law.). (_) 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.). Lender's Name: Lender's Address: LQPERMIT 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 d void if work is not commenced within 180 days from date of issuance of such permit, or c ss tion of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above infor i is correct. I agree to comply with all city and county ordinances and state laws relating to building constru n and her y authorize representatives offtthiiss county to enter upon the above-mentioned property for inspec ad te: ( gnature (Applicant or Agent): ur Application Number . . . . . 12-00000424 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 40.50 Plan Check Fee 10.13 Issue Date . . . . Valuation . . . . 0 Expiration Date.. 10/15/12 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 CHANGE -OUT THIRD HVAC SYSTEM, FURNACE CONDENSER, COIL. 2010 CODES. SEE ALSO PERMIT # 12-415. - --------------------------------------------------------- Other Fees . . . . . . . BLDG STD,S 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, x 1.00 Grand Total 51.63 .00 .00 a 51.63 " LQPERMIT - " CaICERTS ,- CF -1 R Registration Page 1 of 1 Public Home Danielle Garcia logged in [Logout) [Home] CONGRATULATIONS Secure Home c Your CF -IR -ALT -HVAC Registration is complete! About Us You may want to print this page for your records. Training Site Address: 49010 VISTA ESTRELLALa Quinta, CA 92253 CEC Registration: 212-A0019144A-00000000-0000 Rater Directory CF -IR -ALT -HVAC: CLICK HERE TO DOWNLOAD Forms Assigned Company: HARRISON ENTERPRISES INC a 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 Rater Quick Select: ;-Select From List I Every CaICERTS rater has a license number. News If you need to find the rater by name Click HERE to search our directory. SENDCFIRTOHERSRATER ';_.M To register for .' our monthly newsletter, [CLICK HERE] to do another please click here. - ' Copyright ti 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-R8R,(877-437-7787), Fax: 916-985-3402 Contact Us . BBB , • WEF�NsI L https://www.calcerts.com/public_cflR.cfin?project_id=181718 • 4/17/2012 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit.#: 49010 VISTA ESTRELLA La Quinta, CA 92253 City of La Quinta Apr 17, 2012 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ® Furnace ® AFUE 780% ❑ COP ❑ R 6 (CZ 10-13) Served by system ® Setback ® Indoor Coil ® SEER 13.0 [3HSPF ❑ R 8CZ 14-15) ( 1250 sfEER If not already present, must be ®Condensing Unit ❑ 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 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 splifsystems) 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 -411 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 testirig: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 ' C] 3. Existing duct systems are constructed, insulated or sealed with asbestos 0`'4. The�system�will not be Ducted•(ie,DuctlessfMini-Split,SyStem)x(AIso-Exempt from, Refrige ant Charge) ❑ 2. New HVAC System Requir.,'ed Forms:, � �� `" ftj . Cut iWor Changeout with" new duct9" (all new n..,: CF 6R forms: MECH-04, MECH .20 HERS, and^(for split systems) MECH-22 HERS, and ducting Ak all new MECH=25'HERS ! �`" ! 4: CF forms:[MECH-20, MECH 22, MECH 25) eq ui .ment and (for split systems) and For Split Systerns:.Duct leakage; r6 percent, RC;'CCA#> 350 CFM/ton,',FWD TMAH STMS and either HSPP . PSPP For Packaged Units: Duct leakage <'6 percent `' ❑ 3. New-Ducts'wlth/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 -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: A • 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 Signature: Danielle Garcia Company: HARRISON ENTERPRISES INC Date: Apr 17, 2012 Address: 31-170 RESERVE DRIVE STE A License: 686310 City/State/Zip: THOUSAND PALMS / CA / 92276•" .. Phone: (760) 343-7488 Reg: 212-A0019144A-00000000-0000 Registration Date/Time: 2012/04/17 18:55:10 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms i`• July 2010 ' Bin # Qt) of La Qurntia Req Id, Bullding & SafetyDhAlon Permit # ```` P.O. Box 1544; 78-495 Calle 7amplco La ,�,1�t Qulnta, CA 92253 - (760): 777-7012 Building Permit Application and Tracking Sleet Project Address: -1 6470 V St Q f41�ell4 Owner's Name: C 4 .I N br U ,51 A. P. Number: ` Addres ` kilt Legal Description: City, ST, Zip: CIA Contractor: C, Telephone �' ,, Add iess: 3 Project Description: Ci ST, Zip: P:' t�r1(1k In, c I'll.. n On,, AA; �— 1171 116., A x 1 1^1 [A. ate Lic. # : V(, ' City Lie. #; Cv® {o ch., Eagn, Designer: dress: hi S`T 7, il+.lephone:. f Construction Type: Occupancy: i}cW State Lic.�> Project -type. .circle one): New Add'n Alter Repair Demo Name of Contact Person: Cc') (,(;e evlS vyV 'Sq. Ft.: 2 U # Stories: #- Units: Telephone # of Contact Person: ?!o O 3 q-6 %4 $ Estimated Value of Project: APPLICANT- nn Nnr u'/nlre i2m tmuu ruwc. 2 um�_ # Submittal Plan Sets Req Id, Reed TRACKNG Plan Check submitted PERMIT FEES Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calls. Called Contact Person Van. Check Balance • 1'iHe 24 Calls. Pians picked up Construction Flood plan plan Plans resubmitted Mechanical Grading plan 2a4 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 7rd 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