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13-0953 (MECH)P.O. BOX 1504 VOICE (760) 777-7012 FAX 78-495 CALLE TAMPICO `' 760 777-7011 ( ) LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT - • Date: 7/30/13 Application Number: 13-00000953 Owner: ■ Property Address: 48249 VISTA DE NOPAL JOHN GINSBURG APN: 646.-110-022- - - 48249 VISTA NOPAL ,Application description: y MECHANICAL' f LA QUINTA, CA 92253 A `. _Property Zoning: LOW DENSITY. RESIDENTIAL (909) 213-1063 Application valuation:. 8658 t f Contractor: Applicant: , Architect or Engineer: GENERAL AIR CONDITIONIN 31170 RESERVE DRIVE THOUSAND PALMS, CA 922 (760) 343-7488- 4 ' � • �V U fv Lic. No.: 686316 - r 40 D . — ° — — — _ — — — — — — — — — — —.- — — — — — — — — — — — — —._ _ _ _. -�_ _ — _ — _ — — — — _ _ _ — — _ — — — - —,— — — — p�p �— — — — -- -7-7_ • LICENSED CONTRACTOR'S DECLARATION -4� - WORKER'S COMPENS �`LF ®�� - �. 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 declarahC`R` T}, 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 663np - atio as provided t License Class: C20 License No.: 686310 for by Section 3700 of the Labor Code, for the performance of th ork for which is permit is-`' .r c' issued. Date: 8 z 13 Contractor. � ` ` - 1.have and will maintain workers' compensation insurance, as required,by Sectio 0 of the -Labor a'v" _ . • - • Code, for the performance of the work for which this permit is issued. My workers' compensation u - 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 Z071741502 • following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to__ 1 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 ^w. 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 `-a ti 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 - "t3700 3700 of the Labor Code, I shall forthwith 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 _r ���_�. - any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:1 t Date: Zt "Applicant:-c.Xit.tr✓L'� • ( 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' 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,AODITION-.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 f =1. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Seca" • 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 the projects with a contractor(s) licensed • 1. t 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 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 r of this county to enter upon the above-mentioned property for inspection purposes. Lender's Name: ,f - � �— Date: Z n Signature (Applicant or Agent): SLoAot,%r� Lender's Address: Application Number . . . . . 13-00000953 = Permit •. . . MECHANICAL 2013 ' Additional desc . Permit Fee . . . . 71.50 Plan Check Fee-. .00 '. % Issue Date . . . . Valuation 0 � Expiration Date 1/26/14 Qty- Unit Charge Per Extension , 1.00 35.7500 EA MECH FURNACE 35.75 1.00 35.7500 EA MECH CONDENSER/COMP 35.75 " ,_------------------------------------_-------------------------------------- Special Notes and Comments -- ' •HVAC CHANGE OUT - 13.5 SEER/78AFUE REPLACE 5 TON HVAC SPLIT SYSTEM [2008` ' ENERGY] CARBON MONOXIDE ALARM(S) TO BE.. INSTALLED PRIOR TO FINAL INSPECTION. ` 2010 CALIFORNIA BUILDING CODES. ------ -. ...- Other Fees . . • BLDG STDS ADMIN (SB1473) . 1.00 ' PERMIT ISSUANCE M/P/E. 90:57 PLAN CHECK', MECHANICAL Fee summary Charged Paid :Credited Due ------ --- - - - - -- _--- - - - - - - --____----,.i_________ 1 Permit Fee Total 71:50 - .00 .00 71'.50 *�•? ' Plan Check Total' 00 .00. 00 .00 Other. Fee Total 139.23 .00 f. .00 139_23 -Grand Total 210.73_ .00 .00 210.73, t -CQPERMIT - Bin # City of La Quinta Building 8i Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit# Project Address: L} 2 Z g q V '-s+c. a N,, Owner's Name: Jbhr G i h 5 b u' A. P. Number: Address: L1 g 2-q g V i S Legal Description: Contractor: GF:Y>e`('c—\ jkr City, ST, Zip: L� G>,a. CA q 2-2 53 Telephone: ::;:>::.;i:>>:.;::•?;;•:;::::::<'::�<:>s;:::• Address: 3 \, p sew Project Description: City, ST, Zip: rho �a.�M-5CA q Z'Z76 S O -n C U Telephone: �0 - p 0.c State Lic. # : (08(0310 City Lic. #: Arch., Engr., Designer - Address: City., ST, Zip: Telephone::«: '> :: »•: :;;>::>:>:>:;<;•s:•>:< Construction Type: Occupancy: State Lic. #::::::::::;::;::: , Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: %, (,S a . C30 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd 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 Calcs. 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:- '^' 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 Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAlterations CF-lR-ALT-HVAC Climate Zones 10 - 15 Site Address: ' Enforcement Agency: Date: Permit #: a, CA.92253 ::- : VISTA DE NOPAL La Quint City of Le�Quinta= " Jul 28, 2013 Equipment Typel, +r' ' } List Mmirriuiri Efficie'ncy2 ; Duct insulation _" ;'requirement �+ IS F p Package Unit �.. t w• Y .� � ., f - F , . ® Furnace ® Indoor Coil H AFUE % ® SEER 13.5 Mw ...f C :y a '1 • .- x Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAlterations CF-lR-ALT-HVAC Climate Zones 10 - 15 Site Address: ' Enforcement Agency: Date: Permit #: a, CA.92253 ::- : VISTA DE NOPAL La Quint City of Le�Quinta= " Jul 28, 2013 Equipment Typel, +r' ' } List Mmirriuiri Efficie'ncy2 ; Duct insulation _" ;'requirement Conditioned Floor 'Area" % _ •Thermostat . p Package Unit ,• n , . ® Furnace ® Indoor Coil H AFUE % ® SEER 13.5 .D COP'. ❑ HSPF = 13 R 6 (CZ 1j-'1 3) ' Served system ` f Setback ® Condensing Unit p EER Ll Resistance.: D R"8, (CZ 14 15) rby 068 sf in not already present, must be /nstalled):. pother . +� � � 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 -611 and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and signed.8eginning October, 1, 20101,,a registered copy of the CF=1R and CF-6R"sha11 also be on site for fina 1, inspection. - - 91. HVAC Changeout Required Forms: - - • All HVAC Equipment,,., CF -6R forms: MECH-04; MECH-2I-HERS and.(for split systems) MECH-25-HERSr + replaced CF -4R forms: MECH-21"and (for,split systems) MECH=2b . Condenser Coil and /or.In- and /or &-,6R forms: MECH-04 , MECH-21-HERS and'(for split systems) MECH-25-HERS .Furnace ail CF -4R -forms: MECH-21 split systems) MECH-25 k. For Split Systems: Duct leakage><:.:15 percent;,RC; CCA <_300 CFM/ton;(Minimum Air Flow Requirement), TMAH - Exemptedfrom duct.leakage testing tf �' 'f ;; ' ='k +' t - r Ij 1 Duct systerri. was documented to have been f previously sealed and confirmed throu_ gh„HERS verification, or, ' f - .`p 2: Duct'systems with less than 40 linear feet in unconditioned'space, or 0.3: Existing duct systems are constructed, insulated,6r sealed with asbestos 0,4: The stem vtiill not be Ducted 0e:- }lFfifitess tnt Spli!S stem Also Exem. tyfrornxfteft erar}t�Eltar e g) .:.":.... sr . a P e r 112. Flew HYAG'Systeir� Requereif Fotms 5 :; a . Cut inkor Ghangeout w,thp, �s �a ,� Fix b oinsh1ECH 04 P. 24HERS, d(fzor spht syss) MECH2 HERS, and new duffs • all new ducbri"atl new• IKHn 5 -HERS ., ��'' f Cf-4lifarni;yMECHO;.andz(iors jtsyslems �rWECl1 22,E ndJ�lEC1 equipment) �•`��. For Spht Sysems Duet leakage <6 percent, RC; CCAY35UFMJtdn; FlND; TMAIi, SIMS; and `either is or PSPP For Packaged Unrtsr Duct leakage;6,pereeirt .0 3.: New: Duetsiiith/or without�' 4y Required Fortns: „ f , s," Repiacertlent :::: ;: Y . Includes replacing or installing di hew ducting and/or outdoor condensng'unit • �;. - CF -6R forms:. MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or-fu'rnace No or some CF-4Rforms: MECH-20"6nd (for split systems) MECH-25 .I- ,equipment changed. . I • ,-. , For Split Systems: Duct leakage <`6 percent RC,' CCA z 300 CFM/ton, TMAH For Packaged Units: Duct leakage <_6 percent A', 17 4. New Ducting over 40 feet Forms: Includes adding or replacing more than 406R 'linear ±Required forms: MECH-04, MECH-2I-HERS feet of duct in unconditioned space. -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 i Compliance. Y ..:, ';- ::, ,,. .;, ,� •< ;.� [ .'I certify that the energy features and performance specifications for the design identified on'this Certificate of.Compliance"oonfbrm 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 r . , _� . w Signature: banielle 6arcio, Company: HARRISON ENTERPRISES INC .:r� �. Date: Jul 28,-2013 Address: 31-170 RESERVE DRIVE STE A. License: 686310 City/State/Zip: THOUSAND PALMS/ -CA / 92276'; _" ' �� z„ •, Phone: (760) 343-7488 S - r ll � r ^'.�. F f 1 - ts, 7'} y,f ,.t �; ��'1[.. � ..1 "�-:• i f! .' � ,: � � _. i F. � ..,rr ' •.:� / +' `-` - � �-°" � 4j" _ .0 .;fit .,� . �. 'y; .,y �. , .. ! � 4`! deg 213TA0056695A-000000000-0000 Registration Date/Time_,"2013/07/28123'.-55`33'fi HERS Provider Ca10ERTS,-Znc. 12008, Residential Compliance Forma' w. ,, ' "i,, ` J r, [.-� 'tr r♦ a �f.�.. y..ti s.. 1 r July 2010- P -