BMCH2015-0353Z
VOICE (760) 777-7125
78-495 CALLE TAMPICO:
LA QUINTA, CALIFORNIA 92253 DEVELOPMENT DEPARTMENT FAX (760) 777-7011
COMMUNITY EINSPECTIONS (760) 777-7153
BUILDING-PERMIfi '
Date: 9/11/2015
Application Number:. BMCH2O15-0353. Owner:
Property Address: 55499 OAKHILL BRENDA FRANK
APN: 55499 OAK HILL
Application Description: FRANK / HVAC CHANGE OUT - 16SEER CONDENSER ONLY' e = LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $8,868.00
Applicant: Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR CONDITIONING ® n HARRISON ENTERPRISES INC DBA GENERAL AIR
31-170 RESERVE DRIVE STE A j^ la CONDITIONING
THOUSAND PALMS, CA 92276 D 31-170 RESERVE DRIVE STE A
2015 THOUSAND PALMS, CA 92276
••, NI� �E 0 �ENIDEPAPZMENT ' (760)343-7488
Llc. No.: 686310
LICENSED CONTRACTOR'S DECLARATION. "
I hereby affirm under penalty of:perjury�th'at I am.licensed under provisions of Chapter
9 (commencing with Section 7000) of Division Sofahe Business and Pr_ofessions Code,
and my License is in full force and effect.
License Class: C20 License No.: 686310
- � S
>�Date: I+ IS Contractor: �� \
OWNER -BUILDER DECLARATION -
I hereby affirm under penalty of perjury that I 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, orrepair
any structure, prior to its issuance, also requires the applicant forthe,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 a'ny applicant;for•a
permit subjects the applicant to a civil penalty of not more than five hundred dollars'
($500).:
(� 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:.5tate, 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 em ployees,*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 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 Na
Lender's Add
'WORKER'S COMPENSATION DECLARATION
I''hereby affirm under penalty of perjury' one'of.the following declarations:
I have and wili°maintain a• ertificate 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
Section3700 of the,Labor.Code, for the performance of the work for which this permit
is issued., M orkers compensation.insurance carrier and policy number are:
Carrier: �` Policy Number: A
I ce'rtify,tfiat in'tlie 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.
Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL'SUBJECT AN EMPLOYER TO 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 Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each'person•upor 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 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 city to enter upon the above•
mentioned property for inspection purposes.
Cil ++ I IS Signature (Applicant or Agent): SQL
a'._.'...._.i.•
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY AMOUNT PAID PAID DATE
BSAS SB1473 FEE
101-0000-20306 0
$1.00 $1.00 9/11/15
PAID BY
METHOD RECEIPT # CHECK # CLTD BY
HARRISON ENTERPRISES INC DBA G
CHECK R9161 26280 AOR
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA' $1.00 $1,00
DESCRIPTION
ACCO UN +T
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT -CONDENSER ONLY
101'-0000-4402
0
$36.26
$36.26
9/11/15
PAID BY
'METHOD
RECEIPT#•
CHECK#
-CLTD BY
HARRISON ENTERPRISES INC DBA G
CHECK
R9161
26280
AOR
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID.
PAID DATE
HVAC CHANGEOUT - CONDENSER ONLY PC
101-0000-42600
0
$24.17
$24.17
9/11/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
HARRISON ENTERPRISES INC DBA G
CHECK
R9161
26280
AOR
Total Paid forCHANGEOUT: $60.43 $60.43
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID-
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
9/11/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
HARRISON ENTERPRISES INC DBA G
CHECK
R9161
26280
AOR
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:
Description: FRANK / HVAC CHANGE OUT-16SEER CONDENSER ONLY
Type: MECHANICAL
Subtype: '
Status: ISSUED
Applied: 9/11/2015 AOR
Approved: 9/11/2015 AOR
Parcel No: Site Address: 55499 OAK HILL LA QUINTA,CA 92253
Subdivision:
Block: Lot:
Issued: 9/11/2015 AOR
Lot Sq Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $8,868.00
Occupancy Type:
Construction Type:
Expired: 3/9/2016 AOR
No. Buildings: 0
No. Stories: 0
No. Unites: 0
Details:
. . . .it.... ii 1
Printed: Friday, September 11, 2015 12:27:18 PM 1 of 2
SYSTEMS
DESCRIPTION
ACCOUNT
QTY
ICLTD
AMOUNT
PAID
PAID DATE
RECEIPT #t
CHECK #
� METHOD
PAID BY
BY
BY
HARRISON
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
9/11/15
R9161
26280
CHECK
ENTERPRISES INC DBA
AOR
G
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
HVAC CHANGEOUT -
HARRISON
101-0000-42402
0
$36.26
$36.26
9/11/15
R9161
26280
CHECK
ENTERPRISES INC DBA
AOR
CONDENSER ONLY
G
HVAC CHANGEOUT -
HARRISON
CONDENSER ONLY PC
101-0000-42600
0
$24.17
$24.17
9/11/15
R9161
26280
CHECK
ENTERPRISES INC DBA
AOR
G
Total Paid forCHANGEOUT: $60.43 $60.43
HARRISON
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
9/11/15
R9161
26280
CHECK
ENTERPRISES INC DBA
AOR
G
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS� $133.28 $153!28
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
4
Printed: Friday, September 11, 2015 12:27:18. PM 2 of 2 F
'SYS7Eti1S
fi
RnNn INFORMATION
h
ATTACHMENTS
4
Printed: Friday, September 11, 2015 12:27:18. PM 2 of 2 F
'SYS7Eti1S
ALTERATIONS - HVAC
CEC-QF1R-At-f-04-E (Revised 03/15) �. CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E
Alterations - HVAC CZ 2, and 8-15 (formerly CF -1R -ALT -HVAC) (Page 1 of 1)
Site Address:
5-Syaq palms U; I1
Enforcement Agency:
CGT O Lc--G)v,nt�
Dat Pr pared:
q I► 15
Permit#:
Equipment Type
Equipment Efficiency
New Ducting, Plenums, Lineset:
Conditioned
Thermostat
Required R -value
Floor Area (sq ft)
❑ Packaged
❑ Evaporator Coil
AFUE
COP
❑ R-6 (CZ 2, 8-13) Ducting
Served by system
XSetback
System
XCondensing Unit
❑ R-8' (CZ 11, 14, 15) Ducting
gal O sgft
(If not already
❑ Split System
❑ Compressor
16 SEER
HSPF
❑ R-6 (all CZ's) Plenums
present must
❑ Mini Split
❑ Linesetbe
EER
❑ R-5 or R7.5) Lineset°
installed)
❑ Furnace
❑ TXV
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
form is allowed to be filled out by hand. For final inspection all.,forms are to be registered (no hand filled forms allowed) and a copy left on site.
p(1. HVAC Changeout/Repair
Required Compliance Documents to be left on site for Final:
All Equipment,
CF1R-ALT-02-E
Condenser Unit, Evaporator Coil,
CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)2 -HERS, MECH-25-HERS2
Compressor, TXV, Lineset,
CF3R: MECH-20-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2
Air Handler/Furnace' (Can include new ducting)
Installer Requirement: Duct leakage (L15%, or < 10% to outside, or seal all accessible leaks), Air Flow >_ 300 CFM/ton, Refrigerant Charge.
Exempted from duct leakage testing if:
❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or
❑ 3. Existing duct systems are constructed, irisulated or sealed with asbestos (list manufacture date of building 1
❑ 2. New HVAC System
Required Compliance Documents to.be left on site for Final:
All new equipment and All New Ducts3
CF1R-ALT-02-E
including Mini Split
CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2
CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2
Mini Splits require CFSR-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge
❑ 3. All New Ducts with Replacement
Required Compliance Documents to be left on site for Final:
All New Ducts' and one or more of the following
CF1R-ALT-02-E
replaced: Condenser Unit, Evaporator Coil,
CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS
Compressor, TXV, Lineset, Furnace
CF3R: MECH-20-HERS, MECH-.(23 or 24)-HERS,.MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge
Exempted from duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos
❑ 4. New Ducting over 40 feet
Required Compliance Documents to be left on site for Final:
New ducting but less than All New Ducts3
CF1R-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS
Installer Required to: Duct leakage (< 15% or, < 10% to outside or, or seal all accessible leaks)
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with'asbestos.
' All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls, between floors etc.
2 Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25
3 All New Ducts is when at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the
dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material)
' R-5 (1" thick insulation) for linesets 1" and less. R-7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction line Diameter
with insulation as the following 1.5-2T-2%', 2.5-3T-2%'.', 3.5 to 4T-2%", ST -4%"
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this. Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the information on this document.
3. 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 (CCR).
4. That the energy features and performance specifications, materials, components, and manufactured devices'for the building design or
system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the CCR.
5. The building design features or system design features identified on this Certificate of Compliance are consistent with the information
provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building permit application. ,
Responsible Designer Name:
Responsible Designer Signature:
Date Signed:
License:
Company:
Address:
City/State/Zip:
Phone:
C-,cxle- '
3%00 2esexvcl�r
9 7771
-b0 - 3143-74 h8
i i
v k%Jwls
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-860-772-3300