BMCH2016-032878-495 CALLE TAMPICO
• LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O16-0328
Property Address:
78999 BRECKENRIDGE DR '
APN:
770320039
Application Description:
LINDSEY RESIDENCE / HVAC
Property Zoning:
Application Valuation:
$18,498.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Tit!t 4 4 Q"2�
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
�JvU
_G 31 2016
C011•�P�'L7iIC1T 0; LtiQL��
.r._� Lc.LCI n.th'TDFFAG
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.
Licens Class C20. C36 License No.: 686310
Date. ` � 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
.VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760).777-7153
Date: 8/31/2016
Owner:
VICTORIA & GREG LINDSEY
789949 BRECKENRIDGE
LA�QUINTA, CA 92253
RISON 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:
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 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 Vith ose provisions.
Date: %\ Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE ¢ 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 186 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
1 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 a io`ned property for inspection purposes.
Date: �� \ Signature (Applicant or Agent):
r
Date: 8/31/2016
Application Number: BMCH2016-0328
Owner:
Property Address: 78999 BRECKENRIDGE DR
VICTORIA &GREG LINDSEY
APN: 770320039
78999 BRECKENRIDGE
Application Description: LINDSEY RESIDENCE/ HVAC
LA QUINTA, CA 92253
Property Zoning:
'Application Valuation: $18,498.00
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
------------------------------------------------------------------------------------
LIc. No.: 686310
=-----------
n.etail: HVAC CHANGE OUT- 20 SEER/90AFUE SPLIT SYSTEM [2.008 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
PER 2013 CALIFORNIA BUILDING CODES
DESCRIPTION
ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306. 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
Total Paid for CHANGEOUT: $108.78
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000=42404
0
$91.85
Total.Paid:for PERMIT ISSUANCE: $91.85
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La Qrd 4 CA 92233-t760) 777-7012
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CERTIFICATE OF'C0MP0ANCE"'f`t'vrtt:(.}r„i.:1s;
�;G,� !` 1.11: �r.•:. ;ii:�:. <''..�"tad-'
131 CFMALT-024,;
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3) I
Project Name:
GREG LINDSEY I Date Prepared:
2016-08-27
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 CFIR-ALT 02 document for eachdwelling unit. "'
t,iNe %lrl.j l•,;7 .:.;•.lGt !t''( .:1})r}. jf! f}!tC !.r ,!-
""01”
Project'Name-_ -'"-" -- -
LINDSEY""`""'""" _'_'•`""` ' - "'
02'
Date Prepared '
2016-08-27
�03_.I
ProJert Location ? . _:
78999 BRECKENRIbGt DRIVE
-04
Building TypeSingle
family�� T
-OS-
CA'City—.-------
La
-06•-
Dwelling Unit Name- - -_ ___
GREG LINDSEY_.__..
{�t .:17.1 i, t L,. { -
�.. fil:V{l:i rl li it.:i:Sll ••`
-
Is the st' "
DwellIng :Unit Conditioned
•"•
- 07- -
Zip Code-._...,----~----•-•- -~- .-
-... �
92253- -- ' ---- �--�-- - ----- --
..08_
i s{t SC System >w 4•
(i:,qi SC System-. iI
„CFA served
ystem a
M'. -t1 -Ni d`�if{i:7'{! i.l 1%01
lei"dil
Floor Area (ft2)
f' i.w.e t._...f..: , .i'1'{!.[it •r-41i•1.1r
;•r"Itc! viii, r•,•r.. .�;rai; i•� a 1 —
Installing
_._____
l Identification or'
' Location or Area
Number,of-space conditioning.
ducted
09 -
Climate
more than 40
440
entirely new
(SC) systems In this dwelling_
�F! ,?-�
tirf 2'`"[•-L.. !,. ( : li.(j :
) St h '1.{ � }!A ♦ 1 1 h ,. X71... � • � n tJ". i . «.7C ,rG
•N1&t
_s
�init
V..1.Mw-•O�..PP<Y•,T1H-..M
I compo�ents7
t,bylfU
,. l�,t(,!13r .rl:li Yr•t i t(;.L, t�'_.�3"!;['d'E'!
t, YN;P.('.Ni. {'1'!. .1(e. •l4Ji •t3el+.:t,•.rlJMfin.SL.:l 'Ii R CI i.: i. • Il,, .:
....4aP-�i.,+<•'••.m°:.n.rwrl
..;(Alteratton,Type
•.1-
1 ."t-1 fi<ivi,a. i.` Vet"I i,tl v:iil i:G,L1 CL.[11J:'i:!Ytt;;:.^. tt..".!U:!i!A [Y_I•...i; fen •. *,L :.. t:
' O. Space:Condltloning (SC) System InformatlonX�1-"V, t t�fiil
yyyw
�,.Oj't:,'P
•rcPO4't<<•,r
�,Q6OT
($,
09
10
{�t .:17.1 i, t L,. { -
�.. fil:V{l:i rl li it.:i:Sll ••`
-
Is the st' "
Installing a �`.'
•"•
, ., (
--
i s{t SC System >w 4•
(i:,qi SC System-. iI
„CFA served
ystem a
a t �
r� ig71n
nstallinB neuS/, SC
I still t g
n alit g
Installing
l Identification or'
' Location or Area
by this SC
ducted
containg
system
more than 40
440
entirely new
entirely new
MTS-'r•-YY°-1tia-
11llM..
Name I
't wY<MM°a. Mw1•+ui
Served!,nc>17c:,
•MSV.-�...•
(ft2)
M..� ^•W+.h+,.'...:.
System?
.K --. it•
component?
V..1.Mw-•O�..PP<Y•,T1H-..M
I compo�ents7
iN-+'b w ._I,
feet of ducts?
✓�Y�I.V.+../.raw.4'J."w
duct system?
r..-•w.�--.MaM...rgw '.r. ..
SC system?i)�
....4aP-�i.,+<•'••.m°:.n.rwrl
..;(Alteratton,Type
;System
t:M.;r,• s I [5
System 1
tCt'a, �� I urt ;.r o
Location 1, �< ,y
1
1 2013
t Yes
t4) <!�i ;
` Y"
es
! u ;{1u
,Yes
i �f w
ZI.t.N <
No
;i i -
Not
•''.: i'
No
!' ''Aitered`space`
!/ • - ••
'conditiariing system,
�^
_ i'. .. .. i J. ._ ... ..... ..w,.a ,�: .wrr r1...3. .. } �. ,. �..h .•. •.i r Lv. .a. ./L•.. sf. ; ,i.I 4Y f {t'J". 1.♦ 1 .1.• Ilk, 1 • 161 j �ai!'l{4 ii %�•ii
i I I I
1t hiri; L:i�.: '!a r � rt{ot.:,. r r�b:Y/itC,e 't {,r¢>u r: i. S. ViJW lVli;f i-'tl ! Coil. V"r i>7L �^ia;f, K it.Gk•itt"�i s{::it1(';:r' rE:a Jk.Gf si �i 1.
C. Extension of.Exlstjrg Qi ucQy� tem, Greaier•Than 40 Feet (Section150.2(b)ipiib) , _ ., ,. - ; ,A , } } � ,
r[ :r: s _ } t '4Rt_ ti ! -� vt►zrritti= r,t r}t.r t;" } t Ut
_ � i' -This section does not apply to thisproject: -- --.. l
J'__.._...n, „}...... TT ♦.• µi
�' (.•'l:t,.> � +Lv L!:. /•':S}fin..tu l:fi:A +tart 'P +`q ots i. !t• :• r f f
�" ,7 {t t, tit•i �t iiia �R w.,�,. ? �C;rJ�b�.;�; 1ti-i I;•.
. r
i • jJj%�:::j j:t: fi?. xn ;):7»"Ci6 i t'it: `.ijjl:rAi txl4x i ?_t:�..i (lL, ': �: fa rj MS`l •'Y:.i ti'•f �! 1
'itegisuati'o61hi 15er":
1�
CERTIFICATE OF COMPLIANCE CF111-ALT-024
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Skolons 150.2(b)1E and F)
01
02
03
w 04
OS
06
07
08
_ 09
10
11
-12
Heating
y
Cooling
System , .
Heating • -
Altered
VHeating
Minim�upi..
Altered
Cooling
Minimum
Required
New or
Identification
System.
_Heating
ficlency
Efficiency
Cooling
Cooling
Efficiency.
Efficiency
Thermostat
Replaced
New Duct
or Name
Type
Components
;: Type.
Value
System Type
Components.
Type _
_ —ye I UA_Type
Duct Length.
R -Value.
System i
Central gas
All new'
heating.
' AFUE
80
Central split
All new
cooling
'
,
SEER
20
Setback
This field or
section Is not
This field or
section Is not
_
-�rnace
.Components
Y
I
AC
_
components .
_ F _
I i- ,�,
, _
r r
,applicable
w appiic,�ble
Reouired Documentation: ' I is ' J r
CF2R-MCH-01-E- Space Conditioning Systems Ductsand Fans •ts;,'
r I
-Dud Insulation requirement for new plenums: R6. I
CF211-MCH-20-H & CF3R.MCH-20,H — Duct Leakage testing required when heating or coling components are installed in ducted systems, or when. more than 40ft of duct length is replaced.. i
-Leakage rate compliance: 515%, or S 10% leakage to outside, or seal all acces;lble leaks. I I .'I
I .y , 4
CF2R-MCH-2S-H & MR -MCH -25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable In a 2, 8-15).
- - -
CF2RCW-MCH-23 & CF3R-MCH,23 Air Now 2;300>;ffti/ton required when MCH -25 is required.
Exceptloll
-Du ts 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 verificaW of Air Flow MCH -23, gr Refrigerant Charge MECH=2g,
-Existing duct systems constructed, Insulated of sealed with asbestos are exempt from MCH -20 DuCt Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct Ay!tem, with pr without Eq lipmentirk nee ut�� ectigns 1�5Q.2(b:)� Diia.and 1$0.2(b)1E, F) - '
t, -)Jr ,
This section does notapply'to this projec4.
A
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)iC)
T.
This section does not apply to this project.
A
1
Aegistratl6h Number: 216-A0320381A-000000000-0000 Registration Date/Time: 2016-08-27 22:37:41 HERS -Provider: C410ERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007' Report Generated: 2016-08-27 22:38:21
CERTIFICATE OF COMPLIANCE CF111-ALT-024
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:
Shanley, Barbara
Company:
Signature Date:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-08-27 22:37:41
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 statemtnt:,
I certify the following under penalty of perjury, under the,hwsof the State of California:
1. The Information provided on,this,Certiflcatf0f Compliance,.Is true and correct.
2. 1 am eligible under Division 3 of the auslness and Professions Code to accgpt:responsibllity for the building design or system design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications, maferlais'components, and manufactured devices for the building design r system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part i and Part -,of the California Code of R 'g la! ons...
4. The building design features or system design features Identified or this Certifica f C'mpilance are�cona�istent�wifh3the I form tlQrhprovided o - tFie pplicaDlecompliance documents, worksheets,
calculations, plans and specifications $ubmltted to he forcement�agency fo apprsw wit this bull ng Perr i t ap�,�Icati2rw. i�
Certiflcat C wktiAt bu�ttiflgipermit(;)rissuetl forth buil��g, and maae available�tQthdgnforcement agency for all applicable
S. 1 will ensure that a registered copy of this of mpllance shal(�e ma, R,atiail,@Ole .O
bu�Jding at occupancy.
Inspections. I understand that a registered copy of this, ertl tate of Conpance�requ(fed to belndudedtt! kh theocumspation theufler pr�Qvides tothe owner
Responsible Designer Name:*
Responsible Designer Slgnature: .,�»
�Ay��%
Shanley, Barbara
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-08-27 22:37:41
Address:
Ucense:
31-170 RESERVE DRIVE STE A
686310
qty/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 no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 216-A0320381A-000000000-0000 Registration.Date/Time: 2016.08-27 22:37:41 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007, Report Generated: 2016-08-27 22:38:21