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BMCH2016-010078-495 CALLE TAMPICO. LA QUINTA, CALIFORNIA 92253 �a 4 rwQ�«rw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O16-0100 Property Address: 80101 PALM CIRCLE DR APN: 600080034 Application Description: KOONS RESIDENCE / HVAC CHANGE OUT Property Zoning: Application Valuation: $14,737.00 Applicant: IE INC 31225 LA BAYA WESTLAKE VILLAGE, CA 91362 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 Date:, 44 I _Contractor: - OWNER -BUILDER DECLARATION I hereby affirm under penalty oPperjurythat 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 Owner: MARTIN KOONS 80101 PALM CIRCLE DR LA QUINTA, CA 92253 Contractor: HARRISON ENTERPRISE1 INC 31170 RESERVE DRIVE THOUSAND PALMS, CA (760)343-7488 Llc. No.: 686310 16 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. Ste_ 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. Date: 13 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 actor 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. Date:4 13 1tr Signature (Applicant or Agent): f 1 t f 1 Description: KOONS RESIDENCE / HVAC CHANGE OUT Type: MECHANICAL Subtype: Status: APPROVED . Applied: 4/13/2016 MFA Parcel No: 600080034 Site Address: 80101 PALM CIRCLE DR LA QUINTA,CA 92253 Approved: 4/13/2016 MFA Subdivision: TR 4518 & INT IN COMMON AREA Block: Lot: 23 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation:, $14,737.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT- 18 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION Printed: Wednesday, April 13, 2016 8:12:15 AM 1 of 2 CRTWIYSTEMS 'CONTACTS -NAME ; ADDRESSI ;N Y :CITY STATE.17 tP,IiONE ' - FAX EMAIL* g_ APPLICANT IE INC 31225 LA BAYA WESTLAKE CA 91362 (760)408-5541 VILLAGE CONTRACTOR HARRISON ENTERPRISES INC DBA 31170 RESERVE DRIVE THOUSAND CA 92276 (760)408-5541 FRANCISCO@CALLTHE GENERAL AIR PALMS GENERAL.COM OWNER MARTIN KOONS 80101 PALM CIRCLE DR LA QUINTA CA 92253. (760)408-5541 FINANCIAL INFORMATION Printed: Wednesday, April 13, 2016 8:12:15 AM 1 of 2 CRTWIYSTEMS ` DESCRIPTION:. ACCOUNT QTY' w .AMOUNT; PAID; PAID.DATE RECEIPT # CHECK # METHOD PAID BY CLTD rt , 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 $0.00 •�0 'AKENT F'KG Printed: Wednesday, April 13, 2016 8:12:15 AM 2 of 2 CRWYISTEMS Bin. # �l Of rt.d Quo:% ta 0 V Building 8L Safety Division P.O. Box 1504,78-495 Calle Tampico [a.Quinta, CA 92253.-:(760) 777-7012 Building Permit Application' and Tracking Sheet Perinit # 6JaO' Project Address: 80101 Palm Circle Drive owner'sxame:.Martin .Koons A. P. Number. Address: 80101 Palm Circle Drive Legal Description: Contractor: General Air Conditioning City, ST, zip: La Quinta, CA. 92253 Telephone: 760-408-5541 Address: 31170 Reserve Drive ProjeotDescription: Replace 4ton A/C, Coil, & 90,000 City; ST, Zip: Thousand Palms, CA 92276 BTU Furnace Telephone: 760-343-7488 _�.sy, ''v :.r` ri State Lie. #: 686310 City Lie. ii`: Arch, Engr., Designer. Address: City., ST; Zip: Telephone:`� Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo State Lic. #:� j, y Name of Contact Person: Stev6n:Schnierer Sq. Ft: •. #.Stories: #units: Telephone # of Contact Person: 818-735-7876' Estimated Value of Project:. 14,737.00 . APPLICANT: DO NOT WRITE BELOW THI$ LINE # Submittal Req'd Recd TRACKIIVG PERMIT FEES Plan sets Plan Check submitted item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit. . TMSS Calcs. Called Contact Person Plan Check Balance Title 24 Cake. ' Plans picked up Construction Flood plain plan Plans resubmitted _' . Mechanical Grading plan 2id Review, ready for correctionstiissue Electrical Subcoutactor List Called Contact Person Plumbing Grant Deed Plans picked up t SAU H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review; ready for corrections/issue ' Developer Impact Feeq. Planning Approval Called Contact Person A.LP.P. Pub. Wks: Appr Date of permit issue School Fees Total Permit Fees STATE OF CALIFORNIA ALTERATIONS -HVAC Rti -M CEC-CFI R -ALT -04E Revised 03/15 CALIFORNIA ENERGY COMMISSION mk '' CERTIFICATE OF COMPLIANCE CF1R-ALT-04-f Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1) Site Address: Enforcement Agency: Date. Prepared: Permit#: 80101 Palm Circle Drive City Of La Quinta April 13, 2016 Equipment Type Equipment Efficiency New Ducting, Plenums, Lineset: Conditioned Thermostat Required R -value Floor Area (sq ft) 0 Packaged Xtvaporator Coilu 80 %AFUE COP 13 R-6 (CZ 2,'8-13) Ducting Served by system VSetback System XCondensing Unit 18 ❑ R-8' (CZ 11, 14, IS) Ducting 1560 sgft (Ifnot already ]Split System 0 Compressor SEER HSPF ❑ R-6 (ol/CZ's) Plenums present must ❑ Mini Split 0 Linesetbe EER 13 R -S or R7.5) Lineset` installed) Furnace ❑ 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. P(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)2 -HERS, MECH-25-HERS2 Compressor, TXV, Lineset, CF3R: MECH-20-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2 Air Handler/Furnace' (Can include new ducting) Installer Requirement: Duct leakage LIS%, or < 10% to outside, or seal all accessible leaks), Air Flow Z 300 CFM/ton, Refrigerant Charge. Exempted from duct leakage testing if: 0 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 1 ❑ 2. New HVAC System_ Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts' 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)-HERS2, MECH-25-HERS2. Mini Splits require CF1R-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS Installer Requirement: Duct leakage < 6%, Fan Efficacy (.SSW/CFM), Air Flow 2 350 CFM/ton (or alternative), Refrigerant Charge ❑ 3. 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 CF111-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' CF311: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Installer Requirement: Duct leakage:S 6%, Air Flow z 3S0 CFM/ton (or alternative), Refrigerant Charge Exempted from duct 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 Ducts' CF.IR-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS. Installer Required to: Duct leakage (< IS% 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 Charge verification MECH-25 ' 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 will require Suction line Diameter with insulation as the following 1.5-2T-2Ys", 2.5-3T-2%", 3.5 to 4T-2%11, ST -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. S. 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: Steven Schnierer April 13 2016 686310 Company: Address: City/State/Zip: Phone: - General Air Conditioning 31170 Reserve Drive Thousand Palms, CA 92276 760-343-7488 ror assistance or questions regaramg the Energy stanaaras, contact the Energy Hotline at: 1-800-772-3300