BMCH2016-008778-495 CALLE TAMPICO C 0 D.� VOICE (760) 77.7-7125
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
.BUILDING PERMIT
Date: 4/6/2016
Application Number: BMCH2O16-0087 Owner:
Property Address: 55769 PINEHURST SUNRISE DESERT PARTNERS
APN: 775241078 300 EAGLE DANCE CIR .
Application Description: ROBERDT PRUETT/ HVAC REPLACEMENT PALM DESERT, CA 92253
Property Zoning:
Application Valuation: $925.00 �,� —
Applicant: Contractor:
IE INC' n HARRISON ENTERPRISES INC DBA GENERALAIR
31225 LA BAYA APR 06 2016 4 31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362i THOUSAND PALMS, CA 92276'
CITYOFLFI QUINTA t
COMMUNITYDE'JELOPdAEtJTD_EFA_RT;;_t;T (760)343-7488
Y 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
.-7 Date: 4 I (Contarcto
OWNER-BUIL
DE�R
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'd'o the work, and the structure is not intended or offered for. sale.
(Sec. 7044, Business and Profession's 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
Lender's Address:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under: penalty of perjury one of the following declarations
I have and will maintains 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 t6 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.
llo �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 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.
Dater4 ) Si gnature.(Applicant-or-Agent-)
�.`. .' iill
YDPWAVID WDA2TEa'D�'11#Xffil
BSAS SB1473 FEE 101-0000-20306 0 :- `$1 00 $0.00
3 f "�,Y i Mi P&2w •'P ' § x !_T . >.S v-rA
has .... x;i� Y_'i'-%N. w F4i",.vr2' °qt?^_�f r'. .. .`'�'V" S'xt -ad�T.',.r..;3 w.`�,&>�•,k'T:in i'`?<'p� ,a'4�.'.�kY-ih .^k
.f PAIDBY�,', 3yMETHOD RECEIPT#��= CHECK#p; "CLTDBY'
ui_`.to:sdiS�4`o�F3."'.ila'i$vir`�.
Total Paid for BUILDING STANDARDS ADMINISTRATION -BSA .r. $1.00' . $0.00
HMA
�� QTYAMOUNTPAIDPAID:DATEr
aD�ESCRIPTIONAim g mACCOUNT
EVAPORATIVE COOLER
101-00M-4 '02
0
$12 09
$0.00
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EVAPORATIVE COOLER PC
a
101-0000=42.600
0 ,;
$F12 09",$0.00
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..., s .. f#F{.F r::L=i k. •sie .F.?
..fs i(Y� fik$'#'.CS@n: h.
Total'P,aid forMECHANICAL.. $24.18.: $0.00
..
-e-�F�'�m�"'fir>,.�.A'e"'$k'�`:"f..�v"q a`a���':<t'..t .'�'.: v;F�a..
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�: ACCOUNT€'
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,_W5fr-sr"
PAID=DATE;
��DES�CRI�N'�
�QN� AM�� f
k.P.U��
PERMIT ISSUANCE Z,
101-000042404
0 :; ,$9185 ,
•$0.00
�RECEIPT��CHECK
#
�aT�Y
i�PABY�ME�THOD�,”
Total Paid for PERMIT ISSUANCE $91 85 $0.00
Description: ROBERDT PRUETT / HVAC REPLACEMENT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 4/6/2016 RSE
Approved: 4/6/2016 RSE
Parcel No: 775241078 Site Address: 55769 PINEHURST LA QUINTA,CA 92253
Subdivision: TR 21381-3 SEE ASSESSORS MB 769-41 Block: Lot: 2
Issued:
40 FOR CMS
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $925.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 16.5SEER/80AFUE EVAPORATOR COIL [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES
ADDITIONAL SITES
CONDITIONS
FINANCIAL INFORMATION
Printed: Wednesday, April 06, 2016 1:27:34 PM 1 of 2
SYSTEMS
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:
EVAPORATIVE COOLER
101-0000-42402
0
$12.09
$0.00
EVAPORATIVE COOLER
101-0000-42600
0
$12.09
$0.00
PC'
Total Paid for MECHANICAL: $24.18. $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
INSPECTIONS
BOND INFORMATION
Printed: Wednesday, April 06, 20161:27:34 PM 2 of 2
SYSTF. iv1S
Iain #
Crty" of La ' Quinta
Building &',Safety Division
78.495 Ca1ie Tampico
La Quinta, CA 92253 7.(760) 777-7012
Building Perm it Applicatlonand Tracking Sheet
Permit #
Project Address:
Owner's Narrie: �o141
A. P. Number:
Address: S5 �b9; Y�cY1uC��
Legal Description:
City; ST, Zip: L Qv�n� C{Z ZS
Contractor: c or: Y�cXr �o ;
j
TeleP h ne''7�O 7 I 4.
Address: 311--7O es ery
` Project Description:
City, ST, Zip:��-.ovSo�wc� Imo- c_la�,
I�c� yfior EvePt, f-C-1I c Cm.i
TeleP ho -
e. -7 n b 33� -
'� 4 8$
State Lic. # : ((0 31
City Lic. #.:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
le one:
P
Con tructi n TYPe.-.Occupancy:
Ste e Lic. #
PioJ`ec.t.tYPa circle one): New Add'n Alter r Re aii Demo
Name of Contact Person:
Ft.:
#Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of.Project: 42 S tx
APPLICANT: DO,NQT' WRITE, BELOW.THIS LINE
#
Submittal
Req'd'
Rec'd
TRilGK1NG,
PERMIT FEES
Plan Sets
Plan;Chccli Submitted
Item
Amount
Structural Cales.
Reviewed,,'readi_for corrections
Plan Check Deposit
Truss Cates.
6.x
Called Contact1Person
Plan.Check Balance.
Title 24 Cates.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2""Review, ready forcorreclions/issue .
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading.
IN HOUSE:-
'r0 Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P. 4
Pub. Wks. App.r
Date of permit issue
School Fees,
Total Permit Fees
STATE OF CALIFORNIA
ALTERATIONS - HVAC
,r
r£w.
CEC-CFIR-ALT-04-E (Revised 03/15) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E
Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1)
Site Address: —�
Enforcement Agency:
Dat Pr
flo
pared:
Permit#:
%Co `JIY\e v S�
Ci �e— I -C, bu r A —
4
It—
Equipment Type
Equipment Efficiency
New Ducting, Plenums, Lineset:
Conditioned
Thermostat
Required R -value
Floor Area (sq ft)
❑ Packaged
WEvaporator Coil
AFUE
COP
❑ R-6 (CZ 2, 8-13) Ducting
Served by system
u>Setback
System
ElCondensing Unit
❑ R-8' (CZ 11, 14,15) Ducting
sgft
(if not olreody
❑ Split System
❑ Compressor
SEER
HSPF
❑ R-6 (oil CZ's) Plenums
present, must
❑ Mini Split
❑ Lineset
EER
11R-5 or R7.5) Lineset'
be installed)
❑ Furnace
❑ TXV
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.
,W1. HVAC Changeout/Repair
Required Compliance Documents to be left on site for Final:
All Equipment,
CFIR-ALT-02-E
Condenser Unit, Evaporator Coil,
CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)' -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: Duct leakage (5_15%o, or < 10% to outside, or seal all accessible leaks), Air Flow a 300 CFM/ton, Refrigerant Charge.
Exempted from duct leakage testing if:
❑ 1. Duct system registered with HERS provider as previously sealed, or 0 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 -------- I
❑ 2. New HVAC System
Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts'
CFIR-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 CFIR-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 Duds with Replacement
Required Compliance Documents to be left on site for Final:.
All New Ducts' and one or more of the following
CFIR-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 oe24)-HERS, MECH-25-HERS
Installer Requirement: Dud leakage < 6%, Air Flow >_ 3S0 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 for Final:
New ducting but less. than All New Ducts'
CFIR-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS
Installer Required to: Duct leakage (< 15% or, < 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.
' 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%B", 2.5-3T-2%", 3.5 to 4T-2%", 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.
S. 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:
eVG �
Company:
G�1�rc,1 Acv Cohca�kipy\in
Address:
3117C)�esexv�
City/State/Zip:
b.�v
Phone:
�hd�al
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300