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BMCH2016-0252r ` •1' 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&tit 4 � I QUIAZI COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/12/2016 Application Number: BMCH2O16-0252 Owner: Property Address: 79195 RANCHO LA QUINTA DRMARILYN JONES APN: 602100003 D 79195 RANCHO LA QUINTA DR Application Description: JONES / CHANGE OUT (1)20SEER/80AFUEPSPF1lTSVATiE_Mi. !.5LA QUINTA, CA 92253 Property Zoning: Application Valuation: $17,998.00 4TY Of 1 Applicant: Contractor: IE INC. HARRISON ENTERPRISES INC DBA GENERAL AIR 32115 LA BAYA 31170 RESERVE DRjVE WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS. CA 92276 (760)343-7488 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: License No.: 686310 a nate:�� 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).: (_) 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 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 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of ttie 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 th 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. A Vit, E Date: { Ih Applicant:, WARNING: FAILURE TO SECURE WORKERS' CONDENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001 IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1-4 SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOW_EDGEMENT 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 applicadion is made, each person at whose request and for whose benefit work is performe:1 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 is=uance,of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and stat=_ 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 representatiNes of this city to enter upon the above-mentioned property for inspection purposes. Dater I� (� Signature (Applicant o� Agent):"J`xeiZ�L Description: JONES / CHANGE OUT (1)20SEER/80AFUE SPLIT SYSTEM Type: MECHANICAL Subtype: Status: APPROVED Applied: 7/12/20165KH Approved: 7/12/2016 SKH Parcel No: 602100003 Site Address: 79195 RANCHO LA QUINTA DR LA QUINTA,CA 92253 Subdivision: TR 27840 Block: Lot: 56 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Firialed: [3 Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 . Details: CHANGE OUT (1)20SEER/80AFUE SPLIT• SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. Description: JONES / CHANGE OUT (1)20SEER/80AFUE SPLIT SYSTEM Type: MECHANICAL Subtype: Status: APPROVED Applied: 7/12/20165KH Approved: 7/12/2016 SKH Parcel No: 602100003 Site Address: 79195 RANCHO LA QUINTA DR LA QUINTA,CA 92253 Subdivision: TR 27840 Block: Lot: 56 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Firialed: Valuation: $17,998.00 Occupancy Type: Construction Type:, Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 . Details: CHANGE OUT (1)20SEER/80AFUE SPLIT• SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. - - - - -� :- - IVI ON FINANCIAL INFO ATI Printed: Tuesday, July 12, 2016 10:32:07 AM 1 of 2 sys7r:Ms I _,....INSPECTIONS PARENT PROJECTS........, Printed: Tuesday, July 12, 2016 10:32:07 AM 2 of 2 SYSTEti15 77 DESCRIPTION `, ACCOUNT QTY, AMOUNT, _ PAID', PAID DATE RECEIPT #.` CHECK # METHOD x'. <PAID BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00' BSA: HVACCHANGEOUT- 101-0000-42402 0 $72.52 $0.00 SPLIT-SYSTEM HVAC CHANGEOUT - 101-0000-42600 0 $36.26 $0.00 SPLIT -SYSTEM PC' Total Paid for CHANGEOUT: $108.78 $0.00 PERMIT ISSUANCE 101-0000-42404 . 0 . $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:i 00 _,....INSPECTIONS PARENT PROJECTS........, Printed: Tuesday, July 12, 2016 10:32:07 AM 2 of 2 SYSTEti15 CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) Project Name: MARILYN JONES I Date Prepared: CF111-ALT 02-E (Page 1 of 3 ) 2016-07-09 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 MR -ALT -02 document for each dwelling unit. 01 Project Name MARILYN JONES 02 Date Prepared 2016-07-08 03. Project Location 79195 RANCHO LA QUINTA DR. 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name MARILYN JONES 07 Zip Code 92253 08 Dwelling Unit Conditioned 3100 Ainstallmg new S nstall g C ally g Floor Area (ft2) Identification or Location dr Area by this SC ducted containing system more than 40 entirely new entirely new Name Number of space conditioning System (ft2) 09 Climate Zone 15 `F, 10 (SC) systems inthis dwelling 1 Alteration Type System 1 Location 1 3100 unit. Yes . - B. Space Conditioning (SC) System Information 01 02 ° x,03- 04 05, 6 07 08 09 10 ,Is the SCS" Installing a Nwk'N SC System SC System CFA served �sy stem a refrigerant Ainstallmg new S nstall g C ally g Identification or Location dr 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 3100 Yes Yes . - I Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Sectinn1.50.2(h)IDiiLi) This section does not apply to this project. Registration Number: 216-A0255057A-000000000-0000 Registration Date/Time: 2016-07-09 00:07:44 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-09 00:08:28 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)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 Duct or Name Type Components Type Value System Type Components Type Value Type Duct Length R -Value All new All new This field or This field or System 1 Central gas heating AFUE 80 Central split cooling. SEER 20 Setback section is not section is not furnace components AC componens applicable applicable Required Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. CF2R-MCH-20-H & 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: :5 15%, ors 10% 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 2:,300, CFM/ton required.. when MCH -25 is required., Exceptions: _ _ -Duct systems registered with HERS provider as previously sealed are exempt from MCH 20 Duct Leakage Testing requiremepts..- Heating-only systems and Air Handler/Furnace changes do not. require venficattiion of Air Flow MCH 23 yor Refrigerant Charge MEC H 25 ! - Existing duct systems constructed, insulated or sealed with.asbestos;are exem kfrom MCW220 Du�tYleakage Test(ng regui a ents. Imo. f. 11 � V4 s 01, a T11 U ;1 X"'I" E. Entirely New or Complete Replacement Ducts m, with or without-Equipment Changeout (Sections:lSO 2(b)1Diiaxand�150.2(b)lE, F) 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-A0255057A-000000000-0000 Registration Date/Time: 2016-07-09 00:07:44 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-09 00:08:28 CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -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: Q -- Shanley, Barbara a Company: Signature Date: HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING 2016=07-09 00:07:44 Address: CEA/ HERS Certification Identification (if applicable): 31-170 RESERVE DRIVE STE A City/State/Zip: Phone: THOUSAND PALMS CA 92276 760-343-7488 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, responsibiIity 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 Regulafions. {{, 4. The building design features or system design features identified on .this Certificate of Compliance are consistent with -the information -provided onrotr applicable'compliance documents, worksheets, he ...,,=STM' € 4 ? M ___.._,.• Y ^+,�... x-rJY calculations, plans and specifications submitted. to the enforcementagency for'-approval,with this building permit application. r-a ti.it�t �t:,et k Af 5. I will ensure that a registered copy of this Certificafe�of, Compliance shall be made,available with'the buildingip'ecmit(s�>issued for<the building, and;made availableto tfi enforcement agency for all applicable inspections. I understand that a registered copy of this.Certificate of Comphance,iswrequiired to be.included,with the the builder pro_v des to the building owner at occupancy. �documentation Responsible Designer Name: f 'two VA 4. Responsible Designer Signature: V Shanley, Barbara �. Company: Date Signed: HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING 2016-07-09 00:07:44 Address: License: 31-170 RESERVE DRIVE STE A 686310 City/Ltato/Zip: Phonoi THOUSAND PALMS CA 92276 760-343-7488 Digitally signed by CaICERTS. This digital signature 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-A0255057A-000000000-0000 Registration Date/Time: 2016-07-09 00:07:44 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-09 00:08:28 Bin. # . City. of La. Quints 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 # Project Address: 79195 Rancho La Quinta Drive ---------------- Owner's Name:. Marilyn Jones A P. Number. Address:. 79195 Rancho La Quinta Drive Legal Description: City, ST, Zip: La Quinta, CA :92253 Contractor General Air Conditioning r3s>.>`` Telephone: ,;..,?z; s. . Will, Address: 31170 Reserve Drive- Project Description: Replace 5 ton A/C, Coil, & 90,000 BTU City, ST, Zip: Thousand Palms, CA 92276. Furnace . ., . Telephone 760-343-7488 'a CNV O. ✓i:' State Lia # : 686310 City Iiia #.. Arch., Engr., Designer Address: City., ST, Zip: Telephone: " `� P I; Y. � <; State Lie. #: ..,� . ; Name of Contact Person: Steven Schnierer Conslrudion Type:. _Occupancy: Project type (circle one): New Add'i Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 8.18-735-.7876 Estimated Value of Project: $17,998.00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Chcd-. Deposit_ . Tmss Calcs. Called Contact Person_ Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted MechaeicA Grading plan tad Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked upS.M.I. H.O.A. Approval Plans resubmitted Grading -iN HOUSE:- '^' Review; ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees