BMCH2015-0365a
7w
VOICE (760) 777-7125
8-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 /1 FAX (760) 777-7011
COMMUNITY DEVELOPMEN DE ARTMENT INSPECTIONS (760) 777-7153
BUILDING R"M�T
S,� o O Date: 9/24/2015
Application Number: BMCH2O15-0365 P G 42 ff 11 w er:
Property Address: 79717 LIGA CO Cl Ol�i EN LHOMMEDIEU
APN: 776180013 V NNN!)y�FVoFrq �T 17 LIGA
Application Description: LHOMMEDIEU RESIDENCE / 3 HVAC CHANGE OUT OPtif �A QUINTA, CA 92253
Property Zoning: f?qR fNT
Application Valuation: $50,072.00
Applicant: Contractor:
IE INC. HARRISON ENTERPRISES INC DBA GENERAL AIR
32115 LA BAYA 31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, CA 92276
(760)601-3500
Llc. No.: 686310
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:: C20 C36 License No.: 686310
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).:
( ) 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. (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
Lender's
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:- 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 thos provisions.
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- rrenvo ned pro erty for inspection purposes.
Date7� ` Signature -'(Applicant of Agent):
FINANCIAL INFORMATION
PESCRIPTION ACCOUNT QTY AMOUNT
PAID' PAID DATE
BSAS SB1473 FEE 101-0000-20306
0 $3.00
$0.00
PAID BY .,METHOD
RECEIPT #
CHECK # CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $3.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$217.56
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$108.78
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for CHANGEOUT: $326.34 $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:• 00
Description: LHOMMEDIEU RESIDENCE / 3 HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 9/24/2015 MFA
Approved: 9/24/2015 MFA
Parcel No: 776180013 Site Address: 79717 LIGA LA QUINTA,CA 92253
Subdivision: TR 24890-6 Block: Lot: 37
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $50,072.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
APPLICANT
Details: (3) HVAC CHANGE OUT - 5 TON 20 SEER, 4 TON 21 SEER, 2 TON 23 SEER SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S)
TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
IE INC.
32115 LA BAYA
WESTLAKE
VILLAGE
CA
91362
(760)258-6700
CONTRACTOR
HARRISON ENTERPRISES INC DBA
GENERAL AIR
31170 RESERVE DRIVE
THOUSAND
PALMS
CA
92276
(760)258-6700
OWNER
STEVEN LHOMMEDIEU
79717 LIGA
LA QUINTA
CA
92253
1 (760)258-6700
Printed: Thursday, September 24, 2015 1:11:16 PM 1 of 2
CRsysrc,ins
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Permit Details
- PERMIT NUMBER
City of La Qpinta ,
..,
BMCH26115!0365
PARENT PROJECTS
Printed: Thursday, September 24, 2015 1:11:16 PM 2 of 2
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CLTL�
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
,
BY
BSAS SB1473 FEE
101-0000-20306
0
$3.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$3.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$217.56
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0'
$108.78
$0.00
SPLIT -SYSTEM PC
Total Paid for CHANGEOUT: $326.34 $0.00
PERMIT ISSUANCE
101-0000-42404 1
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: $421.19 $0.00
PARENT PROJECTS
Printed: Thursday, September 24, 2015 1:11:16 PM 2 of 2
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LA -W4 CA 92253..-(760) 777-7012
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Contractor: GENERAL A/C & HEATING
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Address: 31170 RESERVE DRIVE
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Estimated• Value of project: : J0
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CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC)
Project Name:
STEVE LHOMMEDIEU I Date Prepared:
CF111-ALT-014
(Page 1 of 9 )
2015-09-24
A. General Information
MR -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
STEVE LHOMMEDIEU
02
Date Prepared
2015-09-24
03
Project Location
79717 LIGA
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
STEVE LHOMMEDIEU
07
Zip Code
92253
013
Dwelling Unit Conditioned
4025
Installing
palling,
Installing
Floor Area (ft2)
Location or Area
by this SC
Iducted
containing
system
Number of space conditioning
entirely en w
09_
Climate Zone
15
10
(SC) systems in this dwelling
3
component?
components?
_
duct system?
unit.
Alteration Type
B. Space Conditioning (SC) System'lnformation-'
01
02
r 03 `
04
05
is 1E
006 4
IAL
07 -,
i 08
1
09
_
10
the SC—
` 'Installing a`
SC System
SC System
CFA served
"%,,system a-«
refrigerant t
*Installing new SC
Installing
palling,
Installing
Identification or
Location or Area
by this SC
Iducted
containing
system
more than 40
entirely en w
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1342
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Location 2
1342
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 3
Location 3
1342
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 215-A6336501A-000000000-0000
Registration Date/Time: 2015-09-24 09:12:10
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-09-24 09:11:45
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
20
Setback
section is not
section is not
components
components
applicable
applicable
Central gas
All new
Central split
All new
This field or
This field or
System 2
furnace
heating
AFUE
0.8
AC
cooling
SEER
21
Setback
section is not
section is not
components
components
applicable
applicable
Central gas
All new
Central split
All new
This field or
This field or
System 3
furnace
heating
AFUE
0.8
AC
cooling
SEER
23
Setback
section is not[section
is not
components
-
components
applicable
applicable
Reauired Documentation:CF2R_,-
MCHation -Space Conditioning Systems Ducts and Fans y P4O
insulation for
R6. "CF2R-MCH-20-H
-Duct requirement new plenums:
-Duct
when heating installed inducted
thanft
duct length is
& CF3R-MCH-20 H —Duct Leakage testing requirecJ or cooling components are systems, or when more of
Leakage rate compliance: 515%, or 510% leakage to outside or seal'all accessible]eaks. 4 °
replaced.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required whenrefrigerant containing components are installed or altered (applicable
in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required when MCH-2S.is equlred. R S
� }� D E R.
Exceptions: ;i
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MECH-25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 215-A6336503A-000000000-0000 Registration Date/Time: 2015-09-24 09:12:10 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-09-24 09:11:45
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-ALT-024
Alterations to Space Conditioning Systems (formerly CF -1R -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: n
Jacoby, Ian
c9an �aco Jt.
Company:
Signature Date:
i PERMIT E RATERS
2015-09-24 09:11:46
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive #213
City/State/Zip:
Phone:
West Lake Village CA 91362
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 of the 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, mate ria ls,'compo nnents, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part land Part 6 of the California Code of�Regulation
4. The building design features or system design features identified on this Certificate of Compliance are consistentwith.the information provided on other,,applicable compliance documents, worksheets,
calculations, plans and specifications submitter! to the enforcement agency for proval with this building permit application. "'+� I I 11
5. I will ensure that a registered copy of this Certificate of,Compliance shall be made available with the building permrt(s) issued for the building, and made available to the,enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is,required to be,included with the,documentationkthe builder provides to the building owner at occupancy.
�..
Responsible Designer Name: » —J
Responsible Designer Signature:`
Shanley, Barbara
��
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-09-24 09:12:10
Address:
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-343-7488
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A6336501A-000000000-0000 Registration Date/Time: 2015-09-24 09:12:10 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-09-24 09:11:45
Schema Version: 0.555SDD