BMCH2016-032978-495 CALLL TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O16-0329
Property Address:
78280 BIRKDALE CT CT,
APN:
770280010
Application Description:
YOUNG RESIDENCE / HVAC
Property Zoning:
Application Valuation:
$8,998.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
c&tit- 4 4 Oubtro
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
I
AUG Li 1 2016
CITOFFLAQUINTA
COMMI,'idITY DEyELCF�ti;Ef:T DEFARTt'Et1T
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.
Licens Class C20 C36 License No.: 686310
Date:_ \ Contractor.
ti
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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/31/2016
Owner:
JAMES YOUNG
78280 BIRKDALE CT
LA QUINTA, CA 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-7488
Llc. No.: 686310
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 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.
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: INSURANCE COMPANY OF THE WEST Policy Number: WSD5031658
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 ith tVse provisions.
Date: `� Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE I UNLAWFUL,'
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FI ES 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 enl ned property for inspection purposes.
Dater 1 \ Signature (Applicant or Agent):
U
Date: 8/31/2016
Application Number: BMCH2O16-0329
Owner:
Property Address: 78280 BIRKDALE CT CT
JAMES YOUNG
APN: 770280010
78280 BIRKDALE CT
. Application Description: YOUNG RESIDENCE / HVAC
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $8,998.00
Applicant:
Contractor:
It 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: HVAC CHANGE OUT - 14 SEER/70AFUE SPLIT SYSTEM [2008 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
PER 2013 CALIFORNIA BUILDING CODES _
U
3otal:Paid for PERMIT ISSUANCE: - $91.85 . . ,
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT
QTY AMOUNT
BSAS SB1473 FEE 10170000-20306
•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
3otal:Paid for PERMIT ISSUANCE: - $91.85 . . ,
BIn.
PenTdt
Project Adders: V
•
City of, La Quinta
IMUft at Safety Division
P.O. Box 1504,'78.49S Cage Tampko
La- QWnta, CA 92253 --(760) 777-7012
Permlt Application and Tracking Sheet
I wner's NamA
BuildingP�qle
P. Number:
ddtt:ss:
Legal Dcscri d :
Comma - -
ity, ST, tip;
�Address:
0
DCity,
sT,tip:
Tdephane: N?. I g
State tac, # :
Arch., EV..
/�lnn C
Lih S: A �
( F
Adder
City, ST, Zip:
Telef ftone:
State Lit. 6:
Name of Contw Perron:
Tdephoae i of Contact Penson
Construction Type: Oocupa q:
Project type (circle oat): New Add'n Alter Rcpair Dean
Sq. Ft.: d Stork- l} Unit
Estimated• Vatic of Project:
APPLICANT: DO NOT WFM BELOW TM UNE
N
Sabmltttl
ReVd
'Reed TRA :*MG PERMIT FM
Plan Sets
Pian CYedc sabmltted Item Ahmoaat
�a atchral Calces
Reviewed, ready for convWoau Plan Chock Deposit.
haat Gra.
Called Contact Penaa Plan Check Balance.
Tide 14 CdcL
Maas pidcid up Coastrudon
Flood pWv pia
Plans retnbmitted Mec\ahiiui
��i plan
P! Review, ready for oarrectiowliaue Electrical
Subonaaor Ust
Called Condut Person Plambtag
Grant Deed
Pym Pfd up &My
H.O.A. Approval
Plans rembn1W Gndtag
IN ROUSE:-Review.
ready for co needonallan Developer Impact Fee
Plahmiag Approval
Called Cosuct Person A U.P.
Pnb. Wits. Appr
Date of permit Issas
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE ' CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC) (Page 1 of 3 )
Project Name: JAMES YOUNG Date Prepared: 2016-08-30
A. General Information
CFIR-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. t ,
1
01
Project Name. A
JAMES YOUNG -
02
Date Prepared
2016-08-29
' 03 -
Project Location _
78280 BIRKDALE COURT_
04
Building Type _
Single family.
05
CA City -
La Quinta - ` - -
06
Dwelling Unit Name
JAMES YOUNG a
07
Zip Code -`
92253 -
08
Dwelling Unit Unit Conditioned
6788
rinstalling-new SC
Installing r
�Installi g
-elnstolling
Floor Area (ft2)
Identification or
Location or Area ,
- -
ducted
containing
Number of space conditioning
- - -
09
Climate Zone
15 ` -
10
(SC) systems in this dwelling
1
system?
component?
components?
feet of ducts?
unit.
SC system?
S. Space Conditioning (SC) System Information
01
02
03
..'ti.._
04, kiy
y'� p5 r �s
06 *
07 `.
I o8
09
10
`Is the SC _ —
. '.,Installing a
SC System -
SC System
CFA served
"-,system a�—»
refrigerant *
rinstalling-new SC
Installing r
�Installi g
-elnstolling
Identification or
Location or Area ,
by this SC
ducted
containing
system
more than 40N
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
Altered space
System 1
Location 1
_ _
.6788 _
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.
II I
Registration Number: 216 -AO 322596A-000000000-0000 Registration Date/Time: 2016-08-30 00:17:59 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-08-30 00:18:38
Schema Version: 0.555SDD
1
CERTIFICATE OF COMPLIANCE CF111-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01
02
03
04
0S
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
All new
Central split
All new
This field or
This field or
System 1
furnace
- heating
AFUE
80
AC
cooling
SEER
14
Setback
section is not
section is not
components
components
applicable
applicable
Reoulied Documentation:
CF211-MCH-01-E - Space Conditioning Systems Duds and Fans
-Dud Insulation requirement for new plenums: R6.
MR -MCH -20-1-1 & MR -MCH -20-H — Dud 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: 515%, or 510% leakage to outside, or seal all accessible leaks.
MR -MCH -25-H & MR -MCH -25-1-1 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 requirements. r
'
-Heating-only systems and Air Handier/Furnace changes do not require veriflcation of Air Flow M6 -23,•6r Refrigerant Charge MECH=25.
Existing duct systems constructed, Insulated or sealed with asbestos are exempt from MCH -20 Duct'Leakage Testing requirements.
.,,+r`4. A E 7\ f E t t. i i i 4.. t ;. � .wk I c a •: � �..
E. Entirely New or Complete Replacement Duct System, stem, wi�th or without.E, uipment-Cha{ngeout�(Sections1J50.2(b)iD�Tiia and.�15�0
.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-A0322596A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-08-30 00:17:59
Report Version: 2013 Rev 1.008
Schema Version: 0.555SDD
HERS Provider: CaICERTS'
Report Generated: 2016-08-30 00:18:38
�1
CERTIFICATE OF COMPLIANCE CF11R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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:
Shanley, Barbara
�� ��
Company:
Signature Date:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-08-30 00:17:59
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 lamis 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 iusinessand 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 r6 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 too the enforcemeni agency for approval with this bui ding permit appilcatl;A. ")1x ,
ar ar
S. I will ensure that a registered copy of this Certificate of.Compllance shall be ma' available with`the building pgrmlt(sj,issued for.the'builcIA& and_made available.to the enforcement agency for all applicable
Inspections. I understand that a registered copy of this Certificate of ComplianceJs required to be included ,with the documentatlon'the builder provides to the buHding owner at occupancy.
s
Responsible Designer Name: ai V`V 4wJi
Responsible Designer Signature: IL
Shanley, Barbara
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-08-30 00:17:59
Address:
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip:
Phone:
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 noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 216-A0322596A-000000000-0000 Registration Date/Time: 2016-08-30 00:17:59 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generated: 2016-08-30 00:18:38
Schema Version: 0.555SDD