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BMCH2016-031278-495 CALLE TAMPICO LA QUI NTA, CALIFORNIA 92253 Application Number: Property Address: APN: I Application Description Property Zoning: Application Valuation: 4 4v Qumro DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT BMCH2O16-0312 80805 BEL LERIVE 775360026 UPTON / HVAC CHANGE OUT $16,912.00 Applicant: IE INC 31225 LA BAYA W9STLAKE VILLAGE, CA 91362, VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/16/2016 Owner: OAKLEY UPTON 80805 BELLERIVE LA QUINTA, CA 92253 r Contractor: o ( C HARRISON ENTERPRISES INC DBA GENERAL AIRf 31170 RESERVE DRIVE a' h -r mc7 THOUSAND PALMS, CA 92276?y r 1760)343-7488 Uc. 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 70001 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 DA: 2) f'- 1l10 Contractors 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.). (1 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 fcr 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 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. 1 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: INSURANCE COMPANY OF THE WEST Policy Number: WSD5031658 _ I certify that in the performance of the wofk 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: $ 14o I� 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 bene -fit 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 180days 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: $ I to ICS Signature (Applicant or Agent): n I Date: 8/16/2016 Application Number: BMCH2016-0312 Owner: . Property Address: 80805 BELLERIVE OAKLEY UPTON APN: 775360026 80805 BELLERIVE Application Description: UPTON / HVAC CHANGE OUT LA QUINTA, CA 92253 Property Zoning: Application Valuation: $16,912.00 ` Applicant: Contractor IE INC HARRISON ENTERPRISES INC DBA GENERAL AIR 31225 LA BAYA 31170 RESERVE DRIVE WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, CA 92276 (760)343-7488 -------------------------.-------------------------------------------------------------------- Llc. No.: 686310 Detail` MVAC CHANGE OUT - 18SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S)'TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $72.52 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $36.26 Total Paid for CHANGEOUT: $108.78 DESCRIPTION ACCOUNT QTY AMOUNT , PERMIT ISSUANCE 101-0000-42404 0 $91.85 Total'Paid foe PERMIT ISSUANCE: r $91.85 V ac Bin # City. Of La Quinta Building a Safety Dhdsion P.O. Box. 1504,-78-495 Calle Tampico , 14.Quinta, CA 92253 -:(760) 777-7012 12- Building Permit Application' and Tracking Sheet Permit # hk 6H ZDllo-- Project Address: 80805 Bellerive OwnersName:. Diana & Ob Upton A. P. Number. Address: 80805 Bellerive Legal Description: City, ST, Zip: La Quinta, CA 92253 Contractor. General Air Conditioning Telephone: ,,. Address: 31170 Reserve Drive Project Description: Replace 3ton A/C, Coil, & 70,000 BTU. City, ST, Zip: Thousand Palms, CA 92276 Furnace, Tankless Water Heater Telephone: 760-343-7488 State Lic. # : 686310 City Lic. #; Arch., Engr., Designer. Address: City., ST, Zip: Telephone: y Y'' `�� `� y5 rV Construction Type:. Occupancy: State Lia #:;wj Project type (circle one): New Add'a Alter Repair Demo Name of Contact Person: Steven Schnierer Sq. Ft.: # Stories: #Units Telephone # of Contact Person: 818-735-7876 [Estirnated1 Value of Project: Ib 172..60 APPLICANT: DO NOT WRITE BELOW THIS UNE !1 Submittal Rcq'd Reed TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted.. Mechanical Grading plan 2i4 Review, ready for correctionsrwue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans -resubmitted Grading IN HOUSE.- '^' Review; ready for corrections tissue Developer Impact Fee Planning Approval. Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees , Total Permit Fees CERTIFICATE OF COMPLIANCE CF111-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 ) Project Name: DIANA & OB UPTON Date Prepared: 2016-08-15 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 DIANA & OB UPTON 02 Date Prepared 2016-08-15 03 Project Location 80805 BELLERIVE 04 Building Type Single family 05 CA City LA QUINTA 06 Dwelling Unit Name HOUSE 07 Zi Code p 92253 ,1"`--- Dwelling Unit Conditioned 3669 Installing Installing Installing Floor Area (ft2) Location or Area by this SC ductedinry atc6ntaining 1 'r,e Vyjsystem;grft) Number of space conditioning entirely new 09 - Climate Zone 15 t L 10 i (SC) systems in this dwelling 1 component? components? _ feet of ducts? duct system? unit. . B. Space Conditioning (SC) System Information 01 02 03 04 gtz* n p 05 I"; V i 06;� 17:z 07 08 09 10 Is the SCS )Installing a fi;� - 4 SC System SC System CFA served system a refrigerant Installing new SC Installing Installing Installing Identification or Location or Area by this SC ductedinry atc6ntaining 1 'r,e Vyjsystem;grft) more than 40 entirely new entirely new Name Served System (ft2) system? component? components? _ feet of ducts? duct system? SC system? Alteration Type Altered space SYSTEM #1 WHOLE HOUSE 3669 Yes Yes Yes No No No conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib) This section does not apply to this project. Registration Number: 416-A0002902A-000000000-0000 Registration Date/Time: 2016-08-15 20:43:30 CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 HERS Provider: CHEERS Report Generated: 2016-08-15 20:43:33 CERTIFICATE OF COMPLIANCE CFiR-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)lE 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 Gas furnace Central split All newThis_field or This field or SYSTEM ##1 furnace AHU AFUE 80.00 AC cooling SEER 19.00 Setback section is not section is not components applicable applicable Required Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans \ t , r -Duct insulation requirement for new plenums: R6. ( - CF2R-MCH-20-H & CF3R-MCH-20-H -Duct Leakage testing required when heating or cooling components arejinstalled inducted systems, or when more than 40 ft of duct length is replaced. -Leakage rate compliance: 515%, ors 10% leakage to outside, or seal all accessible leaks.�i 1 ` �)=4' , CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant contarining 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. Exceptions: -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 verification of Air Flow MCH -23, or Refrigerant Charge MECH-25. -Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements. A -IF I It PI + I(- I If---` I )--'sl I fC" E. Entirely New or Complete Replacement Duct System, with orlwithout'E ui I ent Chan geo t Sections 150.2 b iDiia and 150.2 b 1E F) Y p p Y q P g ( () O, This section does -not apply to this -project. c F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. Registration Number: 416-A0002902A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2016-08-15 20:43:30 Report Version: 2013 Rev 1.007 -•--- I- HERS Provider: CHEERS Report Generated: 2016-08-15 20:43:33 t 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: Patrick Somers Pattv'"S01W-frk Company: Signature Date: General Air Conditioning 2016-08-15 - Address: CEA/ HERS Certification Identification (if applicable): 31170 Reserve Drive City/State/Zip:Phone: Thousand Palms CA 92276 (,.,`<<r ,o `760343-7488 Responsible Person's Declaration statement " :V11 d` 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. 4. 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 age_ ncy'for-appro'6�with this building permit application. P, 1 AA 0 " 9_ U, 'IV f! 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the -building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Compliance is "require`dto be lnclu"ded with`the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Vrim itc1ed'SI'V Responsible Designer Signature: -, e�1 Patrick Somers 66k dtr. Somers Company: Date Signed: General Air Conditioning 2016-08-15 Address: License: 31170 Reserve Drive 686310 City/State/Zip: Phone: Thousand Palms CA 92276 760-343-7488 Registration Number: 416-A0002902A-000000000-0000 Digitally signed by CHEERS TM. 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 Date/Time: 2016-08-15 20:43:30 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-15 20:43:33