BMCH2016-0161ti
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78-495 CALLE.TAMPICO
LA QUINTA, CALIFORNIA 92253
Tiht 4 4 Qui&
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O16-0161
Property Address:
48319 BIG HORN WAY
APN:
623480030
Application Description:
CANIPE RESIDENCE / HVAC CHANGE OUT
Property Zoning:
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Application Valuation:
$17,998.00
Applicant:
IE INC
Section 3700 of the Labor Code, for the performance of the work for which this permit
31225 LA BAYA
y
WESTLAKE VILLAGE, CA 91362
Carrier:_ Policy Number:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
(760)343-7488
Llc. No.: 686310
LICENSED CONTRACTOR'S DECLARATION - ) • WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
0
Date: 5/1 01
Owner:
z
and my License is in full force and effect.
PHIL CANIPE
n
A.
48319 BIG HORN WY
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LA QUINTA, CA 92253
C
�(e Contractor. �JZ
Section 3700 of the Labor Code, for the performance of the work for which this permit
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C=
Carrier:_ Policy Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
_ I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
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CD
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Contractor:
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HARRISON ENTERPRISES DB
IR
31170 RESERVE DRIVE
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THOUSAND PALMS, CA
ZZ; C�
($500).:.
(760)343-7488
Llc. No.: 686310
LICENSED CONTRACTOR'S DECLARATION - ) • WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
_ I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C20. C36 - License No.: 686310
of tIM work for which this permit is issued.
`
3I have and will maintain workers' compensation insurance, as required by
Date:�
�(e Contractor. �JZ
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:
OWNER -BUILDER DECLARATION
Carrier:_ Policy Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
_ I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that, if I should become subject to the
any structure,. prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisions.
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
0, �__ r— e-
DIVIS (7 (le Applican ��--
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:.
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(� I, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and
State license Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(� I am exempt under Sec. B.&P.C. for this reason
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.
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:
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? 1i Signature (Applicant or Agent)iJ
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT
QTY AMOUNT - PAID PAID DATE
BSAS SB1473 FEE
101-0000-20306
0 $1.00 $0.00
PAID BY
METHOD
RECEIPT # CHECK # CLTD BY
Total Paid for BUILDING'STANDARDS ADMINISTRATION.BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY.
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BY
METHOD
RECEIPT It
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for CHANGEOUT: $108.78 $0.00
DESCRIPTION
ACCOUNT
QTY '
AMOUNT '
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT #-
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: CANIPE RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED Applied: 5/17/2016 MFA
Parcel No: 623480030 Site Address: 48319 BIG HORN WAY LA QUINTA,CA 92253 Approved: 5/17/2016 MFA
Subdivision: TR 29436 Block: Lot: 163 Issued:
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled:
Valuation: $17,998•.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 20 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES.
FINgNCIAL INFQRMAMN
Printed: Tuesday, May 17, 2016 3:44:13 PM 1 of 2,f
SYSTEiIAS
Permit Details PERMIT NUMBER
,-�
�. CH, .2. �12 0161'
BMCitYof La Cuinta
x.
INSPECTIONS
BOND INFORMATION
Printed: Tuesday, May 17, 2016 3:44:13 PM 2 of 2
SYSTEMS
CLTD3i
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
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:$0.00
INSPECTIONS
BOND INFORMATION
Printed: Tuesday, May 17, 2016 3:44:13 PM 2 of 2
SYSTEMS
Bin .#
- CJty, of Ld Qtlfflta
Building a Safety Division
P.O. Box 1504,78-495 Calle Tampico
ta.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 4.8319 Bighorn Drive
Owner'SName:. Phil Canipe
A P. Number.
Address: 48319 Bighorn Drive
Legal Description:
Contractor. General Air Conditioning
City, ST, Zip: La Quinta, CA 92253
Telephone 501553sag�°.�';�s..
a.x ^. 'tib
Address: 31170 Reserve Drive
ProjeaDescription: Replace 5ton A/C, Coil, & 90,000 BTU .
City, ST, Zip: Thousand Palins, CA 92276
Furnace
Telephone: 760-343-7488
State Lic. # : 686310 City Lic. #:
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
y 1
State Lic. #: r .., "
Construction Type: Occupancy:
Project type (circle one): New Add'a Alter Repair Demo
Sq.* Ft.: #Stories: --F# Unit;;:
Name of Contact Person: Steven Schnierer
Telephone # of Contact Person: 818-735-7876
Estimated Value of Project: $17,998,00.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Strnctaial Cal cs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted ' •
Mecharilcal
Grading plan
V Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
1TI HOUSE:-
'^' Review; ready for corrections/issue
Developer Impact Fee
Planning Approval.Called
Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEC-CFIR-ALT-04-E (Revised 03/15) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E
Alterations - HVAC C2 2; and 8-15 (formerly CF -IR -ALT -HVAC) (Page l.of 1)
Site Address:
�1831�t 3i korrN �C
Enforcement Agency
Da a Pr pared:
Permit#:
Iii () LG. n$ci
S 1-7 1(6,
Equipment Type
Equipment Efficiency
New Ducting, Plenums, Lineset:
Conditioned
Thermostat
❑ Packaged j$(Evaporator Coil
80/
Required R -value
❑ R-6 (CZ2, 8-13) Ducting
Floor Area (sq ft)
System XCondensing Unit
AFUE COP
Served by system
Setback
P(Split System 11 Compressor
2C) SEER HSPF
❑ R-8' (CZ 11, ng 14,15) Du
w3 b o sgft
(If not already
❑ Mini Split El Lineset
❑ R-6 (all C-7) Plenums
present must
Furnace ❑ TXV
EER
❑ R-5 or R7.5) Lineset`
be installed)
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.
I. 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-HERS2
Compressor, TXV, Lineset,
CF3R: MECH-20-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2
Air Handler/Furnace' (Can include new ducting)
Installer Requirement: Duct leakage (<15%, 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 132. 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'
CF11k-ALT-02-E
including Mini Split
CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2
CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS2
Mini Splits require CF1R-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow z 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
I Required Compliance Documents to be left on site for Final:
New ducting but less than All New Ducts'
I CF1R-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. -
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 -2s/", 2.5-3T-2'/.", 3.5 to 4T-2%", ST -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. l and 6 of the California Code of Regulations (CCR).
4. That the energy features and performance specifications, materials, components, and manufactured devices.forthe 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.
Res onsible Designer Name:
R ible Designer 'g�ature:
Date igne
s �he
License:
D
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G?(*31
Company,
Aic �o:.s=1�}io
Address:
311-70-Peserve--biu
oty/stateMp:
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Plane:
7(o0-343- `7`I2$
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For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: J-800-772-3300