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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 Bin. C[Ly Of LaQuints BdWv 8[Safety Dhh(6n P-Q Box ISO4,-78-495 CAk Tampko La Qrd 4 CA 92233-t760) 777-7012 Buffdmg Permit-Applfcadon and TracUng Sheet Pemilt $ r r ' Owwes Name:. : a P. Number. Ate: .(SP m LomalDm*ftw Cim ST. Zip. Comracoor. re Ird -1�- Td Adder: ]o j&jCf,4e 7 D PmjectDesaiptiat: cfty.sT.4- Td%*O= �- "� 7 � State Lia S : "' City Lia a. I IC, S Atch., BaV, Detigta: - - 3� Adds= CRY. ST. Zip: Td*=- C=*nWW TWC Sttdt Lie : ft%ed VW (drde oma): New AWn Aller Repair Demo MM of Comma Paaon WICAW 4 Ft: # Stories: iF Units Taco= P of Cad= Person: Esdmaiod• Vatic of f Qjat APPUCW DO NOT WWM WWW TM UNE ti Sa68ittal PlanSib 8eq'd 13edd - TBA(KIIttG PERUrF FEES- Pita Chew! Imbmimd am Amort Sftvcbw l Cdea Reviewed, ntd7 ler wntdiom Pian cbab Deposit. 'IM C+ta. Called aataet Penna Plan Ched� Ba2aace- Tlde S{Calci. Pltrra l>&Ym a4p Caushaedon now PWN PW Plop sattbmdted Meettaiiul ��i P� 2``. Rerkw, rcadq fur oert�tiontlis�e Eleetrital " ftb=ttetor List Caped cout" Pana Ptnntbiog Grant Dad Phws l np SM 11 MOA. Apprwd Plants smbmltted Gmdln W HOUSE. '`` R 4rlew; sstdp for artecdon Aaft Devdoper Impact Fee lUuaWEApproval acedc=uetPana A"-!- Pub. Wks APpr " Date of permft kcat School Fees Total Permit Fees ... 't?, i,,ry. � •hili}'.� :rc C it Ur..1 ; .••..!?d}� r+, v:�: � kE, .:ni; i,A,.3; rCi:.(h;:!f ,t'.6 >; r' {j } , 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