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BMCH2015-032978-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BMCH2O15-0329 79121 LIGA ST 776130032 ADCOCK VINCE REPLACE EVAP COIL $1,019.00 Applicant: GENERAL AIR CONDITIONING & HEA OUTSIDE CITY LIMITS AUG 24 2015 CITYOFLAQUINTA COMMUNITY DEVELOPMENT DEPARTMENT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: _ License No.: :LIC -0003606 Date: AZ -41 Ig AZ-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, 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.). ( 11, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 'IS ec. 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 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/24/2015 Owner: VINCENT ADCOCK 79121 LIGA STREET LA QUINTA, CA 92253 Contractor: GENERAL AIR CONDITIONING & HEA OUTSIDE CITY LIMITS (760)343-7490 Llc. No.: :LIC -0003606 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 irk for which this permit is issued. � 1 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 polity number are: Carrier:- Policy Number: _ 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: 2 - 6 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 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 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. Date: yt! U Signature (Applicant or Agent) DESCRIPTION -FINANCIAL ,• ACCOUNT ` 1' QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY - METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - OTHER EQUIPMENT 101-0000-42402 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - OTHER EQUIPMENT PC 101-0000-42600 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forCHANGEOUT: $72.52 $0.00 DESCRIPTION ACCOUNT QTY ` AMOUNT PAID . PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:•0 lu o? 3 - ` 4• CG`yOF TIA Description: ADCOCK VINCE REPLACE EVAP COIL Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 8/24/2015 PJU Approved: Parcel No: 776130032 Site Address: 79121 LIGA ST LA QUINTA,CA 92253 Subdivision: TR 24890-6 Block: Lot: 76 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $1,019.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 """"' NAME""""' ADDRESSl Details: REPLACES TON EVAPORATIVE COIL PER 2013 MECHANICAL CO[2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. Printed: Monday, August 24, 2015 1:15:33 PM 1 of 2 SYS TEti1S CHRONOLOGY CoNb[YIONS NA'ME TYPE"" """"' NAME""""' ADDRESSl CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT GENERAL AIR CONDITIONING & HEA OUTSIDE CITY LIMITS (760)771-6744 CONTRACTOR GENERAL AIR CONDITIONING & HEA OUTSIDE CITY LIMITS (760)771-6744 OWNER VINCENT ADCOCK 79121 LIGA STREET LA QUINTA CA 92253 (760)771-6744 Printed: Monday, August 24, 2015 1:15:33 PM 1 of 2 SYS TEti1S INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES MECHANICAL FINAL" BLD CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY HVAC CHANGEOUT - 101-0000-42402 0 $36.26 $0.00 OTHER EQUIPMENT HVAC CHANGEOUT - 101-0000-42600 01 $36.26 $0.00 OTHER EQUIPMENT PC Total Paid forCHANGEOUT: $72.52 $0.00 PERMIT ISSUANCE 101-0000-42404 1 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:• •0 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES MECHANICAL FINAL" BLD Printed: Monday, August 24, 2015 1:15:33 PM 2 of 2 c sysrcnns CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) Project Name: VINCE ADCOCK I Date Prepared: CF1R-ALT-02-E (Page 1 of 3 ) 2015-08-24 A. General Information CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must -be documented, use one CF1R-ALT-02 document for each dwelling unit. 01 Project Name VINCE ADCOCK 02 Date Prepared 2015-08-24 03 Project Location 79121 LIGA STREET 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name VINCE ADCOCK '�; Dwelling Unit Conditioned Installing a 07 Zip Code 92253 08 Floor Area (ft2) 3890 SC System CFA served N'system a refriger nt l Number of space conditioning CInstalling 09 Climate Zone 15 10 (SC) systems in this dwelling 1 ducted b.— i.. . containing ",.4 system more than 40 unit. entirely new ' B. Space Conditioning (SC) System Informationff .� 01 02 03 t 04 05 i, 06 07' 08 09 10 _ '�; XAIs the SC Installing a SC System SC System CFA served N'system a refriger nt l ,Installing new;SC CInstalling 'Installin'g. Installing Identification or 'Location or Area by this SC ducted b.— i.. . containing ",.4 system more than 40 entirely new entirely new Name Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Location 1 3890 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib) This section does not apply to this project. Registration Number: 215-A630060SA-000000000-0000 Registration Date/Time 2015.08-24 07:41:32 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance. Report Version: 2014-03-31 Report Generated: 2015-08-24 07:41:12 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 ) D. Altered Space Conditioning System (Sections 150.2(b)lE and F) 01 02 03 04 05 06 07 08 09 10 11 12 Heating Cooling System Heating Altered Heating Minimum Altered Cooling Minimum Required New or Identification System Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Replaced New Duct or Name Type Components Type Value System Type Components Type Value Type Duct Length R -Value Central gas No heating This field or This field or Central split Refrigerant This field or This field or System 1 furnace component section is not section is not AC lineset SEER 14 Setback section is not section is not altered applicable applicable applicable applicable Reouired Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans. -Duct insulation requirement for new plenums: R6. CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced. -Leakage rate compliance: 515%, or 510% leakage to outside, or.seal all accessible leaks. CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow >_ 300 CFM/ton required when MCH -25 is required. Exceptions: -Duct systems registered with HERS provider as previously sealed are exempt from MCH -20D Leae:Testing A quirements. -Heating-only systems and Air Handler/Furnace changes do not,require verification of Air Flo �MCA!kag!23 "or Refrigerant Chagge.MECH-25., Ait3 -nr_ -Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Ductt,Leakage Testing requirements. E. Entirely New or Complete Replacement Duct y tem, with`or w thout+Equipment Ghangeout (Sections 150.2(b)1Diiaand1150.2(b)lE, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC) This section does not apply to this project. Registration Number: 215-A6300605A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2015-08-24 07:41:32 Report Version: 2014-03-31 Schema Version: 0.555SDD HERS Provider: CaICERTS Report Generated: 2015-08-24 07:41:12 CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 3 of 3 ) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: �/ �aCo Jacoby, Ian cyan l Company: Signature Date: Stratz Permit Service 2015-08-24 07:41:12 Address: CEA/ HERS Certification Identification (if applicable): 5858 Dovetail Drive City/State/Zip: Phone: Agoura Hills CA 91301 818-735-7876 Responsible Person'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 ofthe'Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. 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 California• Code of Regulations.` 4. The building design features or system design features identified on thistertifica�te of Compliance are consistent with=the information,provided on oth �ap licab'le pliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approva[ with this building permit application. .h+a k' cx + 4 s -X Q , 5. I will ensure that a registered copy of this Certificate of.;Compliance shall beam@de available wrththe bui.lding;permit(s).issued forNthe'buildng, and,.made avalable,Cothe".;.`enforcement agency for all applicable inspections. I understand that a registered copy of this:6erti icate of Compl anceais,required to be included with the d ocumentation the bwlder provides to the building owner at occupancy. Responsible Designer Name: V I~.-. to .,..i Responsible Desig r Signature: V 161O/�C��' Shanley, Barbara Company: Date Signed: HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING 2015-08-24 07:41:32 Address: License: 31-170 RESERVE DRIVE STE A 686310 City/State/Zip: Phone: - THOUSAND PALMS CA 92276 (760) 343-7488 Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered documents and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 215-A6300605A-000000000-0000 Registration Date/Time: 2015-08-24 07:41:32 HERS•Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-24 07:41:12 Schema Version: 0.555SDD Bin.# Cly}/ �fa Qtlinta Buifding 8I Safety Division P.O. Box 1504,76-495 Calle Tampico U.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 79121 Liga Street Ownet'sxame:. Vince Adcock A. P. Number. Address: 79121 Liga Street Legal Description: City, ST, Zip: La Quinta, CA 92253 Contractor: General Air Conditioning Telephone: -xafs •':x Address: 31170 Reserve Drive Project Description: Replace Ston Evaporative Coil City, ST, Zip: Thousand Palms, CA 92276 Telephone:_ C'. p 760-343-7488 State Lie. # : 686310 City Lie'. 9.- Arch., ;Arch., Engr., Designer: Address: City., ST, Zip: Telephone: y >. State Lic. #: . ,w`.` :' :»u4�' Name of Contact Person: Steven Schnierer Construction Type:. occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: 818-735-7876 Estimated Value of Project: $1,019.00 APPLICANT: DO NOT WRITE BELOW THIS LINE 11 Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit. . Truss Coles. Called Contact Person Plan Check Balance Title 24 Coles. Plans picked up Construction Flood plain plan Plans resubmitted.'. Mechanical Grading plan tad Review, ready for correctionsfissue Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.0 -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