BMCH2015-036478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BMCH2O15-0364 '
54725 AVENIDA RUBIO
774271023
CARTER RESIDENCE / HVAC CHANGE OUT
$13,897.00
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/24/2015
JPer:
TN,SE CARTER
SEP 25 AVENIDA RUBIO2 4 2015UINTA, CA 92253
COMMUNCITYOFLq QllI�M�
ITY pEVEf.OPMENT DEPgRTMEN7
Contractor:
HARRISON ENTER'RISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
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: C2Q. C36 License No.: 686310
n actor.
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 thel
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.).
(� 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 Na
Lender's
WORKER'S COMPENSATON DECLARATION
I hereby affirm under penalty of perjury one otlthe following declarations:
I have and will maintain a certificate' of consent to self -insure for workers'
compensation, as provided for by Section 370C of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' ccrnpensation 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 -he work for which this permit is issued, I
shall not employ any person in any manner so 3s to become subject to the workers'
compensation laws of California, and agree thst, if I should become subject to the
workers' compensation provisions of Section 3,700 of the Labor Code, I shall forthwith
comply With tho provisions.
Date: ` �� \� 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. J
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on thi= application.
1. Each person upon whose behalf this appliation 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 theCity of La Quinta, its officers, agents, and
employees for any act or omission related to tle 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 cance1ation.
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 ordi.iances and state laws relating to building
construction, and hereby authorize represent.tives of this city to enter upon the
above -m nti^off` d prop rty for inspection purposes.
Date: 1 Signature (Applicantor Agent):
INV
FINANCIAL , 1
DESCRIPT[ (HV p F` k -1 Ile
ACCOUNT .<.AQTYaPAID
DATE;
T
BSAS SB1473 FEE 101-0000-20306 0
$1.00 $0.00
PAID BY METHOD x;RECEIPT #", CHECK #
CLTD BY
s &
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT`
;QTY,;,
PAID
#.PAIDDATEi
'AMOUNT
b:
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BY
METHOD s` '
'RECEIPT
k
. , x
e
DESCRIPTION;;.
?" ACCOUNTS '
qTY
MOUNT' M
PAID, -
'PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
g' PAID:BY •�
t
"METHOD
� RECEIPT # A,
CHECK #
CLTD BYz
,
Total Paid for CHANGEOUT: $108.78 $0.00
;DESCRIPTION;`
ACCOUNT.:
QTY
i; _ ; AMOUNT '
PAID SY
PAID DATE
r
i
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY r ,4
rMETHOD .:
� RECEIPT,# � `"
CHECK ,#'
LTDBY'
�"
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
• 1 00
Description: CARTER RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED Applied: 9/24/2015 MFA
Parcel No: 774271023 Site Address: 54725 AVENIDA RUBIO LA QUINTA,CA 92253 Approved: 9/24/2015 MFA
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 270 Lot: 11 Issued:
UNIT 25
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $13,897.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 19 SEER/70AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES.
Printed: Thursday, September 24, 2015 1:03:48 PM
FINANCIAL INFORMATION
Iof2
CONDIT iONS
CONTACTS
5.� .,F i..:_ "_ :,_ <. c
9NAME -K ADDRESSl STATE,
ZIP ;
-. - - fib,. ->-
' PHONE'r, ry FAX EMAIL
;�� -__ aura
.
,CITY s.
,..
n
«� ,
APPLICANT
IE INC.
32115 LA BAYA
WESTLAKE
CA
91362
(
Printed: Thursday, September 24, 2015 1:03:48 PM
FINANCIAL INFORMATION
Iof2
ATTACHMENTS
Printed: Thursday, September 24,ZO1S1lB:48PK8 2cf2
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00. $0.00
HVACCHANGEOUT-
101-0000-42402
0
$72.52
$0.00
.HVACCHANGEOUT-
101-0000-42600
0
$36.26
$0.00
SPLIT -SYSTEM PC
Total Paid for CHANGEOUT: $108.78 $0.00
PERMIT ISSUANCET
101-0000-42404
0'
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
ATTACHMENTS
Printed: Thursday, September 24,ZO1S1lB:48PK8 2cf2
Bin.
0ty"Of' La QUih
• sc Safety Diviarovl ta
�t #P.0. Box 1504,'78-49S Cge Tampico
L �o,
ta.QLdUk CA 92253..-(760) 777-7012
Building Permit Applicadon'and Tracking Sheet
Proje« Address:Owner's Kama ..
A P. Number: LTJ
Total Permit Fees
city.sP.zip. LA QUINTA, CA
Coatraacoc GENERAL A/C & HEATING
Tel
Addrass: 31170 RESERVE DRIVE
P eca Dmdption:
City, ST. Zip: THOUSAND PALMS, CA 92276
v G r
Tekphonw 760-343-7488I�
oil
State Lic. #: 686310. City Lia 9,.70
_
1�_
Arcfi, Bag.. Designer:
Address
City. ST. zip:
Telephone:
Cansruction Type:
pay;
Sm Lk. &: .
.
Project type (Ode, one): New AW'n Alter Repair Demo
Name ofCoaftaPerson: PATRICK
4
Sq. FL:
B Storier.
B Unit
rekphane B of Com Pelson: 760-343-7488 �
q
IF ti-atodVn oPProject d 00
APPUCANi: DO NOT WWM BELOW THIS UNE
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Sabmidal
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Rte'd
TBACRCING
PERMIT FEES
P44 Seb
Pisa Check sal mitkd
Idem Amount
Stntdaia( Claes
Revkme4 rmdy for torretttoes
Pian Check Deposit
TMO Cala.
Called Costate Person
Plan Cheek Balance
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Plans
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Flood plata plaa
Plana r'e=Nla.tted
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RVRtHew, ready for comectiourtme
E{ecnical
Subeostactor Ibt
Called Contact Pesos
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Grant DtedBS
picked up
SAIL
ILO.& Approval
Plans resubmitted
Grading
IN ROUSE:-
''' Revkw. ready for Cor"Xdp a/ksut
Developer Impact Fee
Planning Approval
CafteQ Costate Person
A".P.
fns Wks' Appy
Date of permlt Erne
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE CF111-ALT-024
Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC) (Page 1 of 3 )
Project Name: DENISE CARTER Date Prepared: 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 CFIR-ALT-02 document for each dwelling unit.
01
Project Name
DENISE CARTER
02
Date Prepared
2015-09-24
03
Project Location
54721 AVENIDA RUBIO
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
DENISE CARTER
V;FIs the SC
Dwelling Unit Conditioned
07
Zip Code
92253
08
Floor Area (ft2)
1529
"CFA served
;system a
refnger nt t
Installmg new SC
Number of.space conditioning
Falling
09
Climate Zone
15 `
10
(SC) systems in this dwelling
1
containing
system
more than 40
entirely new
unit:
B. Space Conditioning (SC) System'Information
Irk ..
01
02
03;
04
05
06- "`
07
Q8
( 09
10
V;FIs the SC
Installing a
SC System
SC System
"CFA served
;system a
refnger nt t
Installmg new SC
Installirig
Falling
Installing
Identification or
Location or Area
by this SC
ducted
containing
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
1529
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-A6336509A-000000000-0000
Registration Date/Time: 20'15-09-24 09:19:19
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-09-24 09:18:53
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-ALT 02=t
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of
D. Altered Space Conditioning System (Sections 150.2(b)1E 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 Duet
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
19
Setback
section is not
section is not
components
components
applicable
applicable
Reauired Documentation:
CF2R-MCH-03-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testingrequiredwhen 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 z 300 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
Heating -only systems and Air Handler/Furnace changes do not require.verdicaton of Air Flow MCH- -or or Refrigerant Charge MEC. -25 `>
-Existing duct systems constructed, insulated or sealed with asbestos are exempfFfrom MCH=20 DuctiLeakage Testing require merits'.
1: V, NA6. it, 11A t:E. `1Fz+. ._. id.__.. @. 4, Ik ,# Il$.5A. rt
NI) -:I . u+' sn av .-r nw an- ate- s . s +a ,F.- If k" .tea ' +s e.� '�#
E. Entirely New or Complete Replacement Duct�System, with or without -Equipment Changeout,(Sections 150.2(b)1Diia,and 150.2(b)lE, F)
11 s 4 Vit. , if r4. 444
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-A6336509A-000000000-0000 Registration Date/Time: 2015-09-24 09:19:19 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-09-24 09:18:53
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of )
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature: �
Jan
Jacoby, Ian
�aco6
Company:
Signature Date:
i PERMIT E RATERS
2015-09-24 09:18:58
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 o Reg lat of
4. The building design features or system design features identified on this Certificate`of Compliance are consistent with the information provided onjt other applii€icable compliance documents, worksheets,
f,. !, b f w�+ti [ ! t # H.�e:.a $
calculations, plans and specifications submitted to enforcemenf gency To�r�approvalFwft�h�this bwldin g per m int applicatto
f ...aa..
S. I will ensure that a registered copy of this Certificate of,Compliance shall be,inade.available wrthtle tiulldirigtpermrt(s),issued forrthe building, and,made ava)lable to:the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance -is -required to be -included,, w.it�h the documeentaationntthe�builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature: V I A..Oe
Shanley, Barbara
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING-
2015-09-24 09:19:19
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-A6336509A-000000000-0000 Registration Date/Time: 2015-09-24 09:19:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance. Report Version: 2013-1.006 Report Generated: 2015-09-24 09:18:53
Schema Version: 0.555SDD