BMCH2016-02154
T78-495 CALLE TAMPICO . rarw
VOICE (760) 777-7125
LA QUINTA, CALIFORNIA FAX (760) 777-7011 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/17/2016
Application Number: BMCH2O16-0215 Owner:
Property Address: 79816 CASTILLE DR JENNY DEBONIS
APN: 609610026 (-- -=- — 79816 CASTILLE DR
Application Description: DEBONIS RESIDENCE / HVAC CHANGE OU I, LA QUINTA, CA 92253
Property Zoning: 1C0,1AI11UR1.1Y
---•------�
Application Valuation: $16,498.00
7 LCJItiApplicant: Contractor:
IE INCCITY Or LAQuil"ITADEhELOFb1ElJTOEF'iRif,"�t'=T HARRISON ENTERPRISES INC DBA GENERAL AIR
31225 LA BAYA 31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, CA 92276
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.
License Class: C20, C36 License No.: 686310
CDate- �1 -Contractor. 91w.Z1 `rte
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:
(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.
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: Policy Number: _
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 with those provisions.
(� 17 ) to
Date: 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 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-mentioned property for inspection purposes.
41
Date 7 )to Signature (Applicant or Agent):
DESCRIPTION
FINANCIAL ••
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 #
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: DEBONIS RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED Applied: 6/17/2016 MFA
Parcel No: 609610026 Site Address: 79816 CASTILLE DR LA QUINTA,CA 92253 Approved: 6/17/2016 MFA
Subdivision: TR 29323-2 Block: Lot: 49 Issued:
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $16,498.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 16 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES.
i
CONDITIONS 1
FINANCIAL INFORMATION
Printed: Friday, June 17, 2016 2:47:54 PM 1 of 2 V?WSYSTEMS
INSPECTIONS
REVIEWS
REVIEW TYPE REVIEWER _ SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
Printed: Friday, June 17, 2016 2:47:54 PM 2 of 2 .;, lYSTEMS
CLTD
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:
HVAC CHANGEOUT -
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•
INSPECTIONS
REVIEWS
REVIEW TYPE REVIEWER _ SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
Printed: Friday, June 17, 2016 2:47:54 PM 2 of 2 .;, lYSTEMS
r City Of U QiD :
131,19ft a Safety M*ton
6 P.O Box 1304,•78-49S Cage TartLpko
ter. Qufiw, CA 92253 --(760) 777-7012
BuMing Permit licadon and Tracking APp � Sheet
PeYirUt #
Projea.AddtcssRib (� '—G I(� Clwaa'sName . �/ t t_ pO v/r
A. P. Number. Address: `7 { l v � r),
Legal Desarpboa: City, ST, Zip:
Contractor General Air ac and heating Tetepnone:
Address: 31170 reserve drive PoojeaDesmipaon:
City. ST, Zip: thousand palms 92276. L V WA
Telephone: 760 343-7488 G y `
8633110 • City Lie., u r (7
Sade Uc, d : 6Designer.
Address:
City. ST. zip:
Tdephe- Construction Type: Oooupanky:
Stft Lie- 6: Project type (pWc one): New Add'n Alta Repair Demo
Name of Contapt Person: Sq. FL: d Stories P Uait�
!1
Telephonc i of Contact Person: 818 735-7876 � . V of Pmjmt
APPLICANT: DO NOT V"M Tm UM
Y
SabmltW
Req'd
Beed
TRAfYOriG PERMIT FM
Ptsn Seb
Pian Cheett sabmitted Item Amoaat
Structural Cates.
Reviewed, ready ter corrections Pian Cbndk Deposit.
Tuns Cala.
Called Contact Persaa Pun Check Balance
�e M Cater.
Plans pled up Co on
Rood Pith pus
Ptap resubmitted Met k2"
Grading Pi"
r! Rmew, ready for enrrections/is n Elatieal
Sabeontactor Lust
Caged Contact Person Plumbing
Grant Deed
planspkhtd np glyy
H.O.A. Approval
Plans resabmtw C.Mmag
U7 BOISE:-
'•' Review; ready for correcdo'n0ssue Developer Impact Fee
Piaootng Approval
CbI[eQ Coatect person
Pub. Wks. Appr
Date of permitbsue
Seiool Fen
Tobi Permit Fees
ALTERATIONS a HVAC
CEC-CFIR-ALT-04-E Revised 06;141 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E
Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1)
Site Address:
Cnfcrcemerrt Agency:
I`ate Frei)ared:
Permi`.-.1.
Equipment Type Equipment Efficiency
I _D Ing�P- v -u s'- -if- ef:
It
Conditioned
Floor Area (sq ft)
Thermostat
Required R;value -y , _
❑ Packaged System
fflvaporator Coil AFUE
COP
�. ,..."R`"`_ w."
❑ R-6 .(CZ 2, 8-13) Ducting
Served by system
[I Setback
❑ Split System
condensing Unit
❑ R-8' (CZ 11, 14, 15) Ducting
sgft
(if not already
❑ Mini Split
❑ Compressor SEER
HSPF
❑ R-6 (all CZ's) Plenums
present, must
07urnace
❑ Lineset�JrSEER
❑ R-5 or R7.5) Lineset4
be installed)
❑ TXV —
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.
1.'HVAC Changeout/Repair
Regwred Compliance Documents to be left on srte forr.Final
All Equipment,
CF111-ALT-02-E
Condenser Unit, Evaporator Coil,
CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)2 -HERS, MECH-25-HERS'
Compressor, TXV, Lineset,
CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS', 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 >_ 300 CFM/ton, Refrigerant Charge.
Exempted from duct leakage testing if:
❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. 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 -------- I
❑ 2. New HVAC System Required Compliance Docuiiierit$ to be Iw.5n"sitefo—Final G 'i
-
_ _ _ ------gym =•--..
All new equipment and All New Ducts3 ' CFR -ACT -0_2-E
including Mini Split CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS2
CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2
Mini Splits require CFIR-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS
Install& Requ.ire6en#1Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow >_ 350 CFM/ton_ (or alternative), Refrigerant Charge
❑ 3. All New Ducts with Replacement
Regwred'Compiiance Documerits 'to iie left'onsite for,final. f
All New DuctS3 and one or more of the following
CF1R-ALT-02-E
replaced: Condenser Unit, Evaporator Coil,
CF2R: 6AECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS
Compressor, TXV, Lineset, Furnace2
CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Air Flow >- 350 CFM/ton (or alternative), Refrigerant Charge
Exempted from duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos
114. New Ducting over 40 feetRequ ed Complia`nce'Docu`'ments"to be left on`site,for;Final
New ducting but less than All New•Ducts3 CFIR-ALT-02-E, CF2R: MECH-20-HERS, CF3Ri`MECH=20 HERS
Installer Required to: Duct leakage (:S.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 It installed. This includes in walls, between floors etc.
' Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25
3 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, dud material)
R-5 (1" thick insulation) for linesets 1" and less. R-7.5 (1.5" thick insulatiori) for linesets over 1 inch. Most mfg will require Suction line Diameter
with insulation as the following 1.5-2T-2%', 2.5-3T-2%", 3.5 to 4T-23fi", 5T-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 1 and 6 of the California Code of Regulations (CCR).
4. 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 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.
Responsible Designer Name:
Responsible Designer Signature:
Date Signed:
License:
Company:
A ess:
`
Gty/State/Zip:Phone:
Y?
7
7
For assistance or 4uestions regarding the.Energy Standards, contact the Energy Hotline at'. 1-800-772-3300