BMCH2015-030278-495 CALLE TAM PICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
BMCH2O15-0302
50920 CALLE PALOMA
. haw
COMMUNITY DEVELOPMENiDEPARTMENT
BUILDING PERMIT
770103005
STARA RESIDENCE HVAC CHANGE OUT
$6,791.00
Applicant:
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE STE A
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 License No.: 686310
Date: 11 Q S Contr�
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 tkeapplicant 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 Codd:: 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:).
(_) 1, 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 contract_or(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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760)777-7153
Date: 8/4/2015
Owner: .
TED ST, RA '
50920'CALLE PALOMA
LA QUINTA, CA 92253
Contractor:
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE STE A
THOUSAND PALMS, CA 92276
(760)343-7488
Llc. No;: 686310
WORKER'S CbMP.ENSATION DECLARATION
I hereby affirm under penalty ofperjury oneof 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 -pee mit is issued. '
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.woekers 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'anymanner so as to become subject to the workers'
compensation law's of California, and agree'that, if l should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
��. ��t''�
Date,: 'l 15. Applicant:rte` S2
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
CINE 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 toAhe Building Official for a permit subject to
the conditions and'restrictions.set forth onthis application.'
1. Each person upon whose behalf this application is made, each person at whose
request and,forwhose benefit work is performed under or pursuant to any permit
issuedas a result'of.this application ,the owner; and the applicant, each agrees to, and
shall defend indemnify,ancl;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
fol lowing.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 tdcancellation.
I certify that I have read this application and state that the above information is correct.
1 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.
eSU-i.Pi S�
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Description: STARA RESIDENCE.HVAC CHANGE -OUT
Type: MECHANICAL . Subtype: Status: APPROVED. _.
Applied' 8/4/2015_ EVA.
Approved: 8/4/2015`EVA-
Parcel No: 770303005 Site Address: 50920 CALLE PALO MA LA C1UIN7A,CA 92253
Subdivision: DESERT CLUB TR UNIT 5 Block::.*., Lot: 62
Issued: -
Lot 5q ff. 0 Buildirg•Sq Et: 0 Zoning: `
Fineled:
Valuation $6,791.00 Occupancy Type :. construction.Type::
Expired:
No Buildings No 'Stories' -0 No. Unites 0
Details: HVAC C ANGE;OUT -18 SEER / 80AFUE SPLIT SYSTEI j1013 ENERGY] CARBON MONOXIDE ALARMS)✓TO BE INSTALLED' PRIOR TO
FINAL INSPECTION 2013 CALIFORNIA°BUILDING CODES '
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DESCRIPTION
ACCOUNT
qTY
AMOUNT
PAID,.
PAID DATE.
RECEIPT #
CHECK #
• METHOD
PAID BY.
CLTD
_ .
_
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 forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0:00
TOTALS:00
INSPECTIONS
SEQID INSPECTION TYPE
INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL"*
BLD
BOND INFORMATION
ATTACHMENTS
Printed: Tuesday, August 04, 2015 1:00:02 PM 2 of 2 °,.
SYSTEMS
Bin. #
City, of .4 Quina
Building Bt Safety,Division.
P.O. Box (504, '78=495: Calle -Tampico
Ja,Qulnta, CA 92253 --(760).777-7012
Building Permit Appl ca0.— and Tracking Sheet
Permit #
MG 1�
ProjeccAddress: 50920 Calle Paloma'
Owne.r'sNmne:. Ted Stara
A. P. Number.
Addressr 50920 Calle Paloma
Legal Description:
City, 'ST, Zip:; La Quinta, CA 92253
Contractor. General Air Conditioning'telephone:
707-39.1-3442
Address: 31170 Reserve Drive
:Project Description:
City, ST, Zip: Thousand Palms, CA 92276
'Replace 2ton Mini Split Heat;Pump & Air Handler
Telephone: 760-343-7488
Cy �'.
City Lic. #;
State Lic. # : 686310
Arch, Bngr., Designer
Address:
City., ST, Zip:
Telephone: :a
y
State Lie. #: .:.....�'....." »,%u
Construction Type: Occupancy:
;Project type (circle one): •'New Add'ti. Alter Repair Demo
Name of Contact Person: Steven Schnierer
Sq._Ft.:
#Stories:
#Univ:
Telephone # of Contact Person: 818-735-7876 x 1
Estimated Value of,Projecfi $6,791.00
APPLICANT: DO NOT WRITEB . W -THIS=UNE
#
Submittal
Req.
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cafes.
Reviewed, ready.for corrections
Plan Check Deposit. .
Truss Cafes.
Called Contact Person
Plan Check Balance.
Tille v Calcs.
U
Pians picked up
Constractlon
Rood plain plan
• Plans resubmitted
Mecharilcal
Grading plan
rd Review, ready for corrections/issue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted.
Grading
IN ROUSE:-
''d keyiew, 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 Fees
STATE OF CALIFORNIA
ALTERATIONS - HVAC
u
CEC-CFIR-ALT-04E Revised 06114 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF111-ALT-044
Alterations - HVAC CZ 2, and 8-15 (formerly CF-IR-ALT=HVAC) (Page 1 of 1)
Site Address:
-909zo C031e-
Enforcement Agency:
C, NN Oq Lo, Qvir\*e.
Dae Prepared:
lavklts
Permitil:
Equipment Type
Equipment Efficiency
New Ducting, Plenums, Lineset.
Conditioned
Thermostat
Required R -value
Floor Area (sq ft)
❑ Packaged System
❑ Evaporator Coil
APUE
COP
❑ R,6 (CZ 2, 8-13) Ducting
Served by system
(Setback
❑ Split System
❑ Condensing Unit
❑ R-8' '(CZ 11,14,15).Ducting
sgft
(If not already
XMIni Split
❑ Compressor
l $ SEER
HSPF
D R-6 (all CZ's) Plenums
present must
❑ Furnace
❑ Lineset
EER
❑ R-5 or R7.5) Unesee
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 b 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
Required Compliance Documents to be" left on site for Final:
All Equipment,
CF1R-ALT-02-E
Condenser Unit, Evaporator Coil,
CF2R: MECH-OS, MECH-20-HERS, MECH-(23 or 24)'-HERS,'MECH-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 �c 15%, or < 10% to outside, or seal all accessible leaks), Air Flow,e 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
❑ 2. New HVAC System
Required Compliance Documents to be left onsite 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 or24YHERS, MECH-25-HERS'
CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS=, MECH-25-HERS'
Mini Splits require CF111-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R);MECH-25-HERS
Installer Requirement: Duct leakage:5 6%, Fan Efficacy (.58W/CFM), Air Flow L 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'
CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Air Flow 2 350 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' CF1R-ALT-02-E, CF2R:, MECH-20-HERS, CF3R: MECH-20-HERS
Installer Required to: Duct leakage I<45% or, < 10% to outside or, or seal all accessible leaks)
❑ EXCEPTION: Existing ducts stems 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 Iinesets 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-2%", 2.5-3T-2%", 3.5 to 4T -2Y..", 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.
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:.
Re onslble Designer Signature:
'Dat ed:
license:
sieve NCXP-r
f,.- z ��G
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(0$10310
Company:
Ge-ner0., A\,
Address:
3t\-701�eSezve -Z�r
City/Slate/Zip:.
�ovSa�ndl�aivnS; 9Z2-A�
Phone: '
'760-343-7488
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: l-8UU-77Z-5suU