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BMCH2016-006778-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&tit 4 4 Qumr(u COMMUNITY DEVELOPMENT DEPARTMENT Application Number: BMCH2O16-0067 Property Address: 79055 VIA CORTA APN: 602140018 Application Description: LARRY WISER / HVAC CHANGE OUT Property Zoning: Application Valuation: $1,019.00 Applicant: IE INC 31225 LA BAYA WESTLAKE VILLAGE, CA 91362 11111111111111111111 74 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Fn I LJ SI�1 Date: 3/25/2016. F�il 2 52016 011 LARRY WISER 933 W MELINDA LN CITYOFLAQUINTA SPOKANE, WA 92253 COMMUNITY DEVELOPMENT DEPARTt Contractor: HARRISON ENTERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE fiHOUSAND 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: _517-S I Co 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 fora 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; acid 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 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 (760)343-7488 Llc. 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 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: :317-611(, Applicant:J�crI— 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 acct 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: 3 ZS Ib Signature (Applicant or Agent):��--- FINANCIAL INFORMATION DESCRIPTION :. .. '; . ..' 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 QTY '° AMOUNT PAID PAID DATE HVAC CHANGEOUT - OTHER EQUIPMENT 101-0000-42402 0 $36.26 $0.00 PAID BY METHODRECEIPT # .. 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 for CHANGEOUT: $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:00 Description: LARRY WISER / HVAC CHANGE OUT Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 3/25/2016 RSE Approved: Parcel No: 602140018 Site Address: 79055 VIA CORTA LA QUINTA,CA 92253 Subdivision: TR 28640 Block:- Lot: 56 Issued: r ADDRESSI 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. EMAIL Details: HVAC CHANGE OUT - 5 TON EVAPORATION COIL [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. ADDITIONAL CHRONOLOGY CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT IE INC 31225 LA BAYA WESTLAKE VILLAGE CA 91362 CONTRACTOR HARRISON ENTERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE THOUSAND PALMS CA 92276 FRANCISCO@CALLTHE GENERAL.COM OWNER LARRY WISER 933 W MELINDA LN SPOKANE WA 92253 -71 FINANCIAL INFORMATION Printed: Friday, March 25, 2016 12:06:37 PM 1 of 2 C SYS7Ei41S. DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION. $1.00 $0.00 BSA: HVAC CHANGEOUT - 101-0000-42402 0 $36.26 $0.00 OTHER EQUIPMENT HVAC CHANGEOUT - 101-0000-42600 0 $36.26 $0.00 OTHER EQUIPMENT PC Total Paid for CHANGEOUT: $72.52 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS: $16S.37 00 PARENT PROJECTS Printed: Friday, March 25, 2016 12:06:37 PM 2 of 2 org? SYSTEMS # QtY Of La Quanta 80ding a Safety Ai gloll P.O. Box 1504,-78-495-Calle Tampico 1a.Quinta, CA 92253 -:(760) 777-7012 67 Building Permit Application and Tracking Sheet Permit # g�MC-H Zp(�. D Project Address: 79055 Via Corta Owner's Name:. Larry & Anna Marie Wiser A- P. Number. Address: 79055 Via Corta Legal Description: City, ST, Zip: La Quinta, CA :92253 Contractor. General Air Conditioning Telephone: 442-300-2117 Address: 31170 Reserve Drive Project Description: Replace 5 ton Evaporative Coil City, ST, Zip: Thousand Palms, CA 92276. Telephone: 760-343-7488 State Lic. # : 686310 City Lie. #.: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: A. p � State Lic. #: wj 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 ContactPerson: 818-73577876 Estimated Value of Project: $1,019.00 APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Reed TRtACMG PEPJdUFEES Plan Sets Plan Check submitted Item Amount Structural Cake. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Pian Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical (',lading plan 2*1 Review, ready for correctionsTissue Electrical Subcontactor List Called Contact Person Plumbing ' Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review; ready for eorrectionsfrssue Developer Impact Fee Planning Approval. Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -111 -ALT -HVAC) (Page 1 of 3 ) Project Name: LARRY & ANNA MARIE WISER I Date Prepared: 2016-03-25 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 LARRY & ANNA MARIE WISER 02 Date Prepared 2016-03-25 03 Project Location 79055 VIA CORTA 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name LARRY & ANNA MARIE WISER 07 Zip Code 92253 08 Dwelling Unit Conditioned 2924 Oinistalling 7n tallii g Installing Floor Area (ft2) Location or Area by this SC ducted containing E system Number of space conditioning ent ely w 09 Climate Zone 15 10 (SC) systems in this dwelling 1 component? components? feet of ducts? duct system? unit. Alteration Type B. Space Conditioning (SC) System Information .= n'g mm 01 02 03 04��.f �i 05U6 ti# 07r 09 10 'Is the St—'..'Installing a-' SC System SC System CFA served ',,,system +� refriger nt t Installing ew SC Oinistalling 7n tallii g Installing Identification or Location or Area by this SC ducted containing E system more than 40 ent ely w entirely new Name Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Location 1 2924 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: 216-A0113929A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2016-03-25 07:49:01 Report Version: 2013 Rev 1.007 Schema Version: 0.555SDD HERS Provider: CaICERTS Report Generated: 2016-03-25 07:48:54 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)IE 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 Less than or System 1 furnace component . section is not section is not AC Fancoil AHU SEER 14 Setback equal to 40 R-8 altered applicable applicable feet Reauired Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. CF213-MCH-20-11 & 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 C2 2, 8-15). CF2RCF3R-MCH-23 & CF3R-MCH-23 Air flow z 30.0 CFM/ton required when MCH -25 is required. Exceotions: -Duct systems registered with HERS provider as previously sealed are exempt from, MCH -20 Duct Leakage Testing requirements. y } r, } �, # Air -Heating-only systems and Air Handler/Furnace changes do not require verification of Flow. MCH 23'or Refrigeranf Charge N1ECH 25.°, 7�" Existing duct systems constructed, insulated or sealed with asbestos are exemptfrom MCH=20 DuctFleakage Testing requl�emerts.( f:f: 11 Ili XN_ ) t .. _. I i 1 t 9. t _... ;t f t $ 1'� .1 i k E. Entirely New or Complete Replacement DucVSystem, with or without -Equipment Changeout ,(Sections iS0.2(b)iDiia�and,150.2(b)1E, F) t � l 04K`" a. i i ki, _ k % 1 This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)iC) This section does not apply to this project. Registration Number: 216-A0113929A-000000000-0000 Registration Date/Time: 2016-03-25 07:49:01 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-25 07:48:54 Schema Version: 0.555SDD :�—^.I. CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E 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: ��// //^^ Jacoby, Ian c.5ran CacobJt. Company: Signature Date: i PERMIT E RATERS 2016-03-25 07:49:01 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, 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 rt 4. The building design features or system design features identified on this Certificate of Compliance are conslsteniwith, the information provided on other,applicable compliance documents, worksheets, 1 a E - A a t — a x., i e calculations, plans and specifications submitted to the enforcement agency for -i' with.this buildlhg permit application. i 5. I will ensure that a registered co of this Certificate of;Coin liance shall be iriatle"available with the bruildin : ermit(s)' issued for'fhe buildin ,and made available to the—enforcement ehforcement a enc for all applicable g PY P g P g agency pP inspections. I understand that a registered copy of this Certificate of Compliance is -required to be,included with the documentation .the,builderprovt_des to the building owner at occupancy. Responsible Designer Name: , Responsible De"signer Signature: V III1-oe t6— If I JQ n �acob Jacoby, Ian Company: Date Signed: HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING 2016-03-25 07:49:01 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 signat0e is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 216-A0113929A-000000000-0000 Registration Date/Time: 2016-03-25 07:49:01 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-25 07:48:54 Schema Version: 0.555SDD