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BMCH2015-0200Applicant: rJ " Contractor: IE INCtt HARRISON ENTERPRISES INC DBA G 1 31225 LA BAYA JUN . 0 2015 31-170 RESERVE DRIVE STE A WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, CA 92276 CITY OF LA QUINTA COMMUNITY EVELOPMENTDEPARTMENT (760)343-7488 LIC. No.: 686310 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 License No.: 686310 Date: 70 Contractori�� ' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Coritractor'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. BAP.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 Lender's WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of [he 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' co rpensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit- is ermitis issued. My workers' compensation insurance carrier and policy number are: Carrier: _ Policy Number: _ _ I certify that in the performance of tie work for which this permit is issued, I shall not employ any person in any manner so a 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. Date: •% 10 )6 Applicant: �L WARNING: FAILURE TO SECURE WORKERS' COh'PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINF.L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001i. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR :N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOM1dLEDGEMENT IMPORTANT: Application is hereby made to the 3uilding 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 Cty 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 hot commenced within 180 days from date of is!uance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and stat` 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 !O 1 .5- Signature (Applicant on Agent T ii4t Q.�i � � VOICE (760) 777-7125 78-495 CALLE TAMPICO v D FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 6/10/2015 Application Number: BMCH2O15-0200 Owner: Property Address: 78710 ROCKBERRY CT CT GARY BOYDSTUNi APN: 604431019 78710 ROCKBERFY CT Application Description: BOYDSTUN / REPLACE (2) 3 TON 19SEER/80AFUE SPLIT SYSTEM LA QUINTA, CA 92253 Property Zoning: Application Valuation: $34,634.00 Applicant: rJ " Contractor: IE INCtt HARRISON ENTERPRISES INC DBA G 1 31225 LA BAYA JUN . 0 2015 31-170 RESERVE DRIVE STE A WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, CA 92276 CITY OF LA QUINTA COMMUNITY EVELOPMENTDEPARTMENT (760)343-7488 LIC. No.: 686310 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000).of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C20 License No.: 686310 Date: 70 Contractori�� ' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Coritractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($.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. BAP.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 Lender's WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of [he 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' co rpensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit- is ermitis issued. My workers' compensation insurance carrier and policy number are: Carrier: _ Policy Number: _ _ I certify that in the performance of tie work for which this permit is issued, I shall not employ any person in any manner so a 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. Date: •% 10 )6 Applicant: �L WARNING: FAILURE TO SECURE WORKERS' COh'PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINF.L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001i. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR :N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOM1dLEDGEMENT IMPORTANT: Application is hereby made to the 3uilding 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 Cty 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 hot commenced within 180 days from date of is!uance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and stat` 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 !O 1 .5- Signature (Applicant on Agent FINANCIAL •• • Fex , w DESCRIP,,TION` t r,Ag,g QY.,AMOUNT PAD+ DATECO BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00. E : PAID BY d METHOD ,* p; RECEIPT # r CHECK # u 4 "CLTD BY��T Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00 Vii, DESCRIP,TIONk `ACCOUNT�ti AMOUNT;: j PAID * PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $145.04 $0.00 zy i"i'�3:, r° ¢r+re i� PAID;'BY , �. +* �, r . .._.,a "METHOD, r `'. ;RECEIPTS# ,nc-.�• j'i E 1 `4 CHECK # ..W CLTD BY s 4 DESCRIPTION ,� n t , _ 6ACCOUNT� x °QTY , AMOUNT ' ,' ,_ 4 • PAID y r PAIDT'DATE: HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $72.52 $0.00 ID PA'BY METHOD„ .+RECEIPT # ` ,CHECK # „ CLTD BY Total Paid forCHANGEOUT: $217.56 $0.00 DESCRIPTION �� ? _ E �.,;. ACCOUNT ` xy. ».. t U �Q N. ' ,� AMOUNT.�� g 5, AID r �� ....�. 'P.°..<, ..f�.� �r-« PAID ;DATE'- PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 €aPAIC BY c:.'� `ib vac .s i ..s ..0 • -'s :. jVIETHOU . ,. - , t .. �...` ;RECEIPT # .,. _. .:. ...c.°.( o CHECK # Fc-:; .' i ...- �. CLTD BY Total Paid forPERMIT ISSUANCE: $91.85 $0.00 TOTALS:• 00 � J • Description: BOYDSTUN / REPLACE (2) 3 TON 19SEER/80AFUE SPLIT SYSTEM Type: MECHANICAL, Subtype: Status: UNDER REVIEW Applied: 6/10/2015 SKH Approved: Parcel No: 604431019 Site Address: 78710 ROCKBERRY CT CT LA QUINTA,CA 92253 Subdivision: TR 23995-8 Block: Lot: 27 Issued: Lot Scl Ft: 0 Building Sq Ft: 0 - Zoning: Finaled: Valuation: $34,634.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 APPLICANT Details: HVAC CHANGE OUT - 19SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013.CALIFORNIA BUILDING CODES.. o FINANCIAL INFORMATION Printed: Wednesday, June 10, 2015 11:54:24 AM 1 of 2 srsTeMs 11 CHRONOLOGY • !NAME TYPE =NAME 1 ADDRESSl , , ..,.. CONTACTS CITY STATE .. . ,v. .,.'... .s... - ZIP .' PHONE FAX EMAIL s ¢ ; APPLICANT IE INC 31225 LA BAYA WESTLAKE CA VILLAGE 91362 ( o FINANCIAL INFORMATION Printed: Wednesday, June 10, 2015 11:54:24 AM 1 of 2 srsTeMs 11 BOND INFORMATION Printed: Wednesday, June 10, 2015 11:54:24 AM 2 of 2 SYSTEMS Af £ACCOUNT �. QTY Y'4,PAID PAID DAT RECEIPT CHECK METHOD '.;�rEC BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $2.00 $0.00 BSA: HVAC CHANGEOUT - 101-0000-42402 0 $145.04 $0.00 SPLIT -SYSTEM HVAC CHANGEOUT - 101-0000-42600 0 $72.52 $0.00 SPLIT -SYSTEM PC Total Paid forCHANGEOUT: $217.56 $0.00 PERMIT ISSUANCE 1 101-0000-42404 1 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS: $311.41' $0.00 BOND INFORMATION Printed: Wednesday, June 10, 2015 11:54:24 AM 2 of 2 SYSTEMS STATE OF CALIFORNIA ALTERATIONS - HVAC .� x CEC-CFIR-ALT-04-E Revised 06/14 CALIFORN A ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1) Site Address: 7 Enforcement Agency: D to Prepared: Permit#: Equipment Type Equipment Efficiency New Ducting, Plenums, Lineset: Corditioned Thermostat Required R -value Floor Area (sq ft) ❑ Packaged System (Evaporator Coil FC0� AFUE COP ❑ R-6 (CZ 2, 8-13) Ducting Ser.,ed by system Setback (Split System )$Condensing Unit , �R-8 (CZ 11, 14, 15) Ducting 2551 sgft (If not already ❑ Mini Split P ❑Com Compressor P SEER HSPF ❑ R-6 (all CZ's) Plenums present must XFurnace ❑ Lineset EER ❑ R-5 or R7.5) Lineset" 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. X 1. 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)' -HERS, MECF-25-HERS' Compressor, TXV, Lineset, CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS' 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/tcn, Refrigerant Charge. Exempted from duct leakage testing if: ❑ 1. Dud 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 ❑ 2. New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts3 CF1R-ALT-02-E including Mini Split CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS' CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS' 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 ;-> 350 CFM/ton (or alternative), Refrigerant Charge 113. 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 CFIR-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 >: 350 CFM/ton (or alternative), Refrigerant Charge Exempted from dud leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. New Ducting over 40 feet Required Compliance Documents to be left on site for Final: New ducting but less than All New Ducts3 CFIR-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. ' Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Cf arge 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, 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 wil require Suction line Diameter with insulation as the following 1.5-2T-2%", 2.5-3T-23/.", 3.5 to 4T-2%", 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 fir 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: 17 �c�niexer Responsible Designer Signature: S C� Date igned: J License: eve.-� -'Z ►o !. c8(1310 Company: GeyNwo-) A4 ,r (�,�:�ia��an Address: 311�7C> 12e.Se>;va�. r City/State/Zip: �� rd� ZrX; � Phone: 7�0-343-748g ror assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800=772-3200 Bin # .0ty of La Quinto Building 8T Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Permit # Project Address: O e..IG ot�If Owner's Name: 3 d A. P. Number: Address: '-)!R 7 I p R-,C,1,- ber GN . Legal Description: City, ST, Zip: [, q ink CA q ZZy - Contractor: TelePhone. Address: .311-70 eS Project Description: Ci --_ �' ST, Zip: P Ihcf,,5a" a?Qlms CA 422710 k7e ��aG 2 3�oAn Cnrn 1ekG {-iq/Ae .. Telephone: P o e.• b0; y 3 --X-1 8 � a' State Lic. # : (o$tb3tD City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: e one: P Con tru s ction Type: Occupancy: P Y• Lic. # Demo tYPa circle one): New Add'nAlterStoto Repair Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for coreections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3"' 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 Feces