BMCH2016-000678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&�p 4 4 Qubtrcv
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: '
l IIiIII lllll Illi I'll
BMCH2O16-0006 72
Property Address:
52777 EISENHOWER DR __....__._ _....__.
APN:
773326014
Application Description:
KASPER RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$8,763.00
Applicant:
HARRISON ENTERPRISES
INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
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
Date: Z,p 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, 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.).
(_) 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 Name
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/20/2016
Owner:
AMY KASPER
52777 EISENHOWER DR
LA QUINTA, CA 92253
Contractor,:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)601-3500
Lic. No.: 686310
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 those provisions.
Date: I LO I V Applicant: E1_-
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: l I Z -0I I to Signature (Applicant or Agent)
DESCRIPTION
FINANCIAL •
ACCOUNT
.
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 for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for CHANGEOUT: $60.43 $0.00
DESCRIPTION
ACCOUNT
CITY "
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•
Description: KASPER RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 1/20/2016 MFA'
Approved:
Parcel No: 773326014 Site Address: 52777 EISENHOWER DR LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 161 Lot: 2
Issued:
UNIT 16
HARRISON ENTERPRISES INC DBA
GENERAL AIR
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $8,763.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
31170 RESERVE DRIVE
I
Details: HVAC CHANGE OUT - 13 SEER/80AFUE PACKAGED SYSTEM [2008 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES...
CONDITIONS
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY STATE
ZIP PHONE FAX EMAIL
APPLICANT
HARRISON ENTERPRISES INC DBA
GENERAL AIR
31170 RESERVE DRIVE
THOUSAND CA
PALMS
92276 (307)752-3600
CONTRACTOR
HARRISON ENTERPRISES INC DBA
GENERAL AIR
31170 RESERVE DRIVE
I
THOUSAND CA
I PALMS
92276 (307)752-3600
OWNER
AMY KASPER
52777 EISENHOWER DR
LA QUINTA I CA
I 92253 1 (307)752-3600
Printed: Wednesday, January 20, 2016 10:17:09 AM 1 of 2 CN?SYSTEMS
REVIEWS
RETURNED STATUS_ REMARKS
REVIEW TYPE REVIEWER SENT DATE DUE DATE DATE - NOTES
BOND INFORMATION
Printed: Wednesday, January 20, 2016 10:17:09 AM 2 of 2
CRSYSTFMS
CLTD
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 a
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$36.26
$0.00
PACKAGED UNIT
HVAC CHANGEOUT -
101-0000-42600
0
$24.17
$0.00
PACKAGED UNIT PC
Total Paid for CHANGEOUT: $60.43 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
REVIEWS
RETURNED STATUS_ REMARKS
REVIEW TYPE REVIEWER SENT DATE DUE DATE DATE - NOTES
BOND INFORMATION
Printed: Wednesday, January 20, 2016 10:17:09 AM 2 of 2
CRSYSTFMS
Bin. #
City of. La QUIn t4a
Building 8r Safety Division
P.O. Box 1504,78-495 Calle Tampico
La..Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
ProjectAdd.ress: 52777 Eisenhower Drive
Owner's Name:. Amy Kasper
A. P. Number.
Address: 52777 Eisenhower Drive
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor. General Air Conditioning
'telephone:
Address: 31170 Reserve Drive
Project Description: Replace 3ton Package Unit
City, ST, Zip: Thousand Palms, CA 92276
Telephone. 760-343-7488
State Liic.. # : 686310 {xty Lia #
Archy Engr., Designer.
Address:
City., ST. Zap:
Tele hone: �w.
P
State Lia #: : '-
,�js ec
Name of Contact Person: Steven Schnierer
Construction Type:. Occupancy:
Project type (circle one): Now Add'n Alter Repair Demo
Sq. Fit.:
stories: #Units:
Telephone # of Contact Person: 818=735-787.6
Estimated value of Project .$8,763..00.
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACENG
PERMIT FEES
Plan Sets
Pian Check submitted
Item Amount
Structural Calls.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calls.
Called Contact Person
Plan Check Balance.
Tide 24 Calls.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
2`! Review, ready for correctionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
114 ROUSE:- .
3" Review; ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.U.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEC-CFIR-ALT-04-E Revised 03115 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE MR -ALT -04-E
Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1)
Site Address:
sz'7-7-7 r;
Enforcement Agency:
Da. Pre ared:
Permit#:
S�Y.�oW er 17riv�
1 o lee
E ui ment Type
q P Ypy
Equipment Efficient
New Ducting, Plenums, Lineset:
Conditioned
Thermostat
Required R -value
Floor Area (sq ft)
Packaged
❑ Evaporator Coil
%FUE
COP
❑ R-6 (CZ 2, 8- Qucting
Served by system
.Setback
Syste13)
System
13 Split System
❑ Condensing Unit
❑Compressor
13 SEER
❑ R-8' (CZ11, 14,15) Ducting
(`)SqO s ft
(If not already
❑ Mini Split
El Lineset
.
HSPF
❑ R-6 (all CZ's) Plenums
present must
be installed)
❑ Furnace
❑ TXV
EER
13R-5 or R7.5) Lineset`
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.
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)t -HERS, MECH-25-HERS"
Compressor, TXV, Lineset,
CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS=
Air Handler/Furnace' (Can include new ducting)
Installer Requirement: Dud leakage (< 159, 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 O 2. There is less than 40 linear feet of duct in unconditioned space, or
❑ 3. Existing dud systems are constructed, insulated or sealed with asbestos (list manufacture date of building
❑ 2. New HVAC S stem
Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts3
CF111-ALT-02-E
including Mini Split
CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS'
CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS'
Mini Splits require CRR -ALT -02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS
Installer Requirement: Duct leakage :< 6%, Fan Efficacy (.58W/CFM), Air Flow a 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 Ducts'
CF1R-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS
Installer Required to: Duct leakage L15% or, < 10% to outside or, or seal all accessible leaks)
❑ EXCEPTION: Existing dud 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.
' 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 dud 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.
Res ansible Designer Name:
R�espon�-sible Designer Signature:
e_�—
Dat Signed•
t "6 (to
license:
(02(0310
�va�n
Company:
�i
Address:
311'70
Ci State/Zip:I
1 h
Phone:
?foo -313- 7N 8�'
eca.� r
e5e(v� r
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-8uu-iii-3suu