BMCH2015-0233VOICE.(760) 777-7125
78-495 CALLE TAMPICO D A .
LA QUINTA`CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
R. BUILDING PERMIT
Q, Date: 6/29/2015
Application Number: BMCH2O15-0233 Owner:
Property Address: 48190 PASO TIEMPO LN LN MICHAEL IRVINE
APN: 646360021 P 0 BOX 7169
Application Description: IRVINE RESIDENCE HVAC REPAIR RANCHO SANTA FE: CA 92253
Property Zoning:
Application Valuation: $4,015.00
Applicant:
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE STE A
THOUSAND PALMS, CA 92276
JUN 3 0 2015
CITY OF LA QUINTA
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: C20 License No.: 686310
Date: �0 3� �r 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 hot 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 thatthe 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 ) 1, 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 contractors) 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 Address:
Contractor:
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE STE A
THOUSAND PALMS; CA 92276
(760)343-7488
Lid. 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 c4 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.
- z5E > 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: Polity 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 am become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the.
workers' compensation provisions of Section 37(X) of the Labor Code, 1 shall forthwith
comply with those provisions.
Date: J 30 )S 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 zioplication.
1. Each person upon whose behalf this applicalion 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 iss:jance of such permit, or cessation of
work for 180 days will subject permit to cancellaton.
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: �' Signature (Applicant orAgent):_1;.1;� y �—
u
131n.# Clay of La Quanta
Bullding 8t Safety Di'vtsion
Permit,# P.O. Box 1504,•78-495 Calle Tampico
La.QuInta, CA 92253 -:(760) 777 7012
Building Permit -Application and Tracking Sheet
ProjeccAddress: 48190 Paso Tiempo Lane owner's Name:. Mike & Vera Irvine
A. P. Number.
Address: 4.8190 Paso Tiempo Lane
Legal Description:
City, ST, Zip: La Quinfa, CA 92253
Contractor: General Air Conditioning
Telephone: 858-342-2872 �........ :' s,_y
Address: 31170 Reserve Drive
Project Description: Replace 5ton Evaporative Coil
City, ST, Zip: Thousand Palms, CA 92276
Telephone: 760-343-7488
p
;r�c�'~ -'
syph ✓i?r�c?V' w
State Lic. # : 686310
City Lic. M,
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone: ' ' °
State Lic. #: e^� 'r
,.i�» ..
Name of Contact Person: Steven Schnierer
Construction Type: Occupancy:
,
Project type (circle one): New Add'n Ater Repair Demo
Sq. Ft.:
# Stories:
# Unitp:
Telephone # of Contact Person: 8.18-735=7876 X 1
Estimated Value of Project: $4,015.00 .
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
'Reeld
TRACKING
PERMrPFEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit, .
Truss Cates.
Called Contact Person
Plan Check Balance _
Title 24 Calls.
Plans picked up
Constracdon
Flood plain plan
Plans resubmitted.' ,
Mecharilcal
Grading plan
2•d Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3" Review; ready for correctionsRssuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Description: IRVINE RESIDENCE HVAC REPAIR
Type: MECHANICAL
Subtype:
Status: UNDER REVIEW
Applied: 6/29/2015 EVA
Approved:
Parcel No: 646360021 Site Address: 48190 PASO TIEMPO LN LN LA QUINTA,CA 92253
Subdivision: TR 27840
Block:
Lot: 34
Issued:
Lot'Sq Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $4,015.00
Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0.
31-170 RESERVE DRIVE
Details: HVAC REPAIR / REPLACE 5 TON EVAPORATIVE COIL
CA
9227.6
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Printed: Monday, June 29, 2015 11:37:08 AM 1 of 2 sYs7EMS
XCINTACTS
.T —.ADDRESSI-
NAME TYPE
:: ,NAME
_"
CITY; STATE
YZIP
PHONE
%'FAX "� g "EMAIL kms.
z
.;
APPLICANT
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE
THOUSAND
CA
9227.6
(858)342-2872
STE A
PALMS
CONTRACTOR
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE
THOUSAND
CA
92276
(858)342-2872
STE A
PALMS
OWNER
MICHAEL IRVINE
P 0 BOX 7169
RANCHO SANTA
CA
92253
(858)342-2872
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Printed: Monday, June 29, 2015 11:37:08 AM 1 of 2 sYs7EMS
DES'CRIP1
ACCOUNT
QTY
AMOUNT:.
PAID
:PAID bA7
RECEIPTA'
.,CHECK#
METHOD .
PAID:BY
BSAS SB1473 FEE
.101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
HVACCHANGEOUT-
101-0000-42402
0
.$36.26
$0.00
OTHER EQUIPMENT
HVACCHANGEOUT-
101-0000-42600
0
$36.26
0.00
OTHER EQUIPMENT PC
HVACCHANGEOUT-
101-0000-42402
0
$12.09
$0.00
HVACCHANGEOUT-
I
REPAIR/ALTERATION PC
Total Paid forCHANGEOUT: $89.44 $0.00
PERMIT ISSUANCE
101-0000-42464
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: $182.29 $0.00
Printed: Monday, June 29,2O1S11:]7:08AM 2oyZ
STATE OF CALIFORNIA
ALTERATIONS - HVAC
M
CEC-CFIR-ALT-04-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF111-ALT-04-E
Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1)
Site Address:
Enforcement Agency:
Date Prepared:
Permit#:
48190 Paso Tempo Lane
City Of La Quinta
06/23/2015
Equipment Type
Equipment Efficiency
New Ducting, Plenums, Lineset:
Conditioned
Thermostat
it
Required R -value
Floor area (sq ft)
❑ Packaged System
19 Evaporator Coil
AFUE
COP
❑ R-6 (CZ 2, 8-13) Ducting
Served by system
lOrSetback
❑ Split System
❑ Condensing Unit
❑ R-8' (CZ 11, 14, 15) Ducting
3,265 sgft
(If not already
❑ Mini Split
❑ Compressor
SEER
HSPF
❑ R-6 (all CZ's) Plenums
present must
❑ Furnace
❑ Linesetbe
EER
❑ R-5 or R7.5) Lineset°
installed)
❑ TXV
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
f= 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.
Iff 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)2 -HERS, MECH-25-HERS
Compressor, TXV, Lineset,
CF3R: MECH-20-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS'
Air Handler/Furnace' (Can include new ducting)
Installer Requirement: Duct leakage (L15%, or < 10% to outside, or seal all accessible leaks), Air Flow z 300 CFM/ton, Refrigerant Charge.
Exempted from duct leakage testing if:
❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or
❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building
❑ 2. New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts' CF111-ALT-02-E
including Mini Split CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24}HERS', MECH-25-HERS2
CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2
Mini Splits require CF111-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3F4 MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow 2 350 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
CF111-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 z 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' CF111-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS
Installer Required to: Duct leakage (5_15% or, 5_10% to outside or, or seal all accessible leaks)
❑ EXCEPTION: Existing duct 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.
2 Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25
' 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 duct 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 -2Y.", 3.5 to 4T -2y.", 5T-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.
Responsible Designer Name:
Responsible Designer Signature:
Date Signed:
License:
Steven Schnierer
06/29/2015
686310
Company:
Address:
City/State/Zip:
I Phone:
General Air Conditioning
31170 Reserve Drive[Thousand
Palms, CA 9227
.60-343-7488
ror assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-330D