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BMCH2016-019778-495 CALLE TAMPICO +, 4 VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDIN°.i PERMIT Date: 6/9/2016 Application Number: BMCH2O16-0197 Owner: Property Address: 53770 AVENIDA JUAREZ APN: 774151002 Q TANNER JAMES MICHAEL & LINDA 53770 AVENIDA JUAREZ Application Description: TANNER RESIDENCE / HVAC CHA[JUN LA QUINTA, CA 92253 Property Zoning: U G 206 Application Valuation: $9,374.00 Applicant: CITY OF Lfi, QUINTA COtAMUNITYDEVELOFNEWDEPARTMENT Contractor: IE INC 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 Dhtteilb �► lto ro`C nM.Mbr: 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 Lender's Add (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 � 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. D :� �'►l t. q ic<_ Spy 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. . D t�!CZ 1 Q1 gnau-re;('Appli`cant 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 • + 00 Description: TANNER RESIDENCE / HVAC CHANGE OUT Type: MECHANICAL Subtype: Status: APPROVED Applied: 6/9/2016 MFA Parcel No: 774151002 Site Address: 53770 AVENIDA JUAREZ LA QUINTA,CA 92253 Approved: 6/9/2016 MFA Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 199 Lot: 23 Issued: UNIT 19 Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $9,374.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT - 14 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES. CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT IE INC 31225 LA BAYA WESTLAKE CA 91362 ( VILLAGE CONTRACTOR HARRISON ENTERPRISES INC DBA 31170 RESERVE DRIVE THOUSAND CA 92276 ( FRANCISCO@CALLTHE GENERAL AIR PALMS GENERAL.COM OWNER TANNER JAMES MICHAEL & LINDA 53770 AVENIDA LA QUINTA CA 92253 ( JUAREZ Printed: Thursday, June 09, 201610:23:51 AM 1 of 2 V[] SYSTEMS INSPECTIONS BOND INFORMATION ATTACHMENTS Printed: Thursday, June 09, 2016 10:23:51 AM 2 of 2 C sysTFMS 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:$0.00 INSPECTIONS BOND INFORMATION ATTACHMENTS Printed: Thursday, June 09, 2016 10:23:51 AM 2 of 2 C sysTFMS Description: TANNER RESIDENCE / HVAC CHANGE OUT Type: MECHANICAL Subtype: Status: APPROVED Applied: 6/9/2016 MFA Parcel No: 774151002 Site Address: 53770 AVENIDA JUAREZ LA QUINTA,CA 92253 Approved: 6/9/2016 MFA Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 199 Lot: 23 Issued: UNIT 19 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $9,374.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT -14 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES. Printed: Thursday, June 09, 2016 10:23:51 AM 1 of 2 CR?WlYSTEMS CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME. ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT IE INC 31225 LA BAYA WESTLAKE CA 91362 ( VILLAGE CONTRACTOR HARRISON ENTERPRISES INC DBA 31170 RESERVE DRIVE THOUSAND CA 92276 ( FRANCISCO@CALLTHE GENERAL AIR PALMS I I I GENERAL.COM OWNER TANNER JAMES MICHAEL & LINDA 53770 AVENIDA LA QUINTA CA 92253 ( JUAREZ Printed: Thursday, June 09, 2016 10:23:51 AM 1 of 2 CR?WlYSTEMS BOND INFORMATION Printed: Thursday, June 09, 2016 10:23:51 AM 2 of 2 CN? < lYSTFMS CLTD DESCRIPTION ACCOUNT CITY 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 1 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:00 BOND INFORMATION Printed: Thursday, June 09, 2016 10:23:51 AM 2 of 2 CN? < lYSTFMS Bin. # Cl 0f 1.A Quo:ta Building 8L Safety Division ( P.C►- Box 1504,78-495 Calle Tampico 14.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 53770 Avenida Juarez Owner's Name:. James Tanner A. P. Number. Address: 53770 Avenida Juarez Legal Description: City, ST, Zip. La Quinta, CA 92253 Contractor: General Air Conditioning Telephone: .r .. Address: 31170 Reserve Drive Project Description: Replace 3.5ton A/C, Coil, & 90,000 BTU City, ST, Zip: Thousand Palms, CA 92276 Furnace Telephone: 760-343-7488 '-_ �1v State Lic. # : 686310 City Lic. 9. Arch, Engr., Designer. Address: City, ST, Zip: Telephone: State Lic. #: r Name of Contact Person: Steven Schnierer Construction Type: . Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: 8187735-7876 Estimated Value of Project: $9,374.00 APPLICANT: DO NOT WRITE BELOW THIS LIME N Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. 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 corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 7i° Review', ready for corrections'Assue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees i CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly C0 -1R -ALT -HVAC) (Page 1 of 3 ) Project Name: JAMES TANNER Date Prepared: 2016-06-08 .A. General Information MR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one MR -ALT -02 document for each dwelling unit. 01 Project Name JAMES TANNER 02 Date Prepared 2016-06-08 03 Project Location 53770 AVENIDA JUAREZ 04 Building Type Single,family 05 CA City La Quinta 06 Dwelling Unit Name JAMES TANNER SC System SC System r CFA served \ ls•,..system a ', Dwelling Unit Conditioned :w. fl"M gpw�.. -;Installing new SC 07 Zip Code 92253 08 Floor Area (ft2) 1503 by this SC 'ducted co taining system Number of space conditioning entirely new 09 Climate Zone 15 ,' 10 (SC) systems in this dwelling 1 component? components? feet of ducts? duct system? unit. Alteration Type B. Space Conditioning (SC) System Information 01 02 03 A 04�K 05 1 V� I (-061 1-�k J 1 07�) 1169 11 09 10 the SCS ± Installing a SC System SC System r CFA served \ ls•,..system a ', flK^'^ #N'.w a refrigerant :w. fl"M gpw�.. -;Installing new SC r 1 CIn�st "'in' ,.;ne► Installing Installing Identification or Location or Area by this SC 'ducted co taining system more than 40 entirely new entirely new Name Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Location 1 1503 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)lDiib) This section does not apply to this project. Registration Number: 216-A0213606A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2016-06-08 18:14:42 Report Version: 2013 Rev 1.007 Schema Version: 0.555SDD HERS Provider: CalCERTS Report Generated: 2016-06-08 18:14:39 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3 ) D. Altered Space Conditioning System (Sections 150.2(b)1E and F) 01 02 03 04 05 06 07 08 09 10 11 12 ` Heating Cooling System Heating Altered Heating Minimum Altered Cooling Minimum Required New or Identification System Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Replaced New Duct or Name Type Components Type Value System Type Components Type Value Type Duct Length R -Value All new All new This field or .This field or System 1 Central gas heating AFUE 78 Central split cooling SEER 14 Setback section is not section is not furnace components AC components applicable applicable Reauired Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. i CF2R-MCH-20-H & CF3R-MCH-20-H - Duct Leakage testing required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced. -Leakage rate compliance: 515%, or15 10% leakage to outside, or seal all accessible leaks. - CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required when MCH -25 is required. Exceptions: -Duct systems registered with HERS provider as previously sealed are exe p from MCH120 Duct Leakage Testing requirements. -Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH-23,-"orRefnge"rant Charge WIECH=2 0 -Existing duct systems constructed, insulated or sealed with asbestos are exemptfrom MCH 20 Duct~Leakage Testing requirements.C �4 1t, E. Entirely New or Complete Replacement Duct System, with or without,Equipment Changeout (Sections 150.2(b)1Diia,and,150.2(b)1E, F) 1� u ti% t et This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. Registration Number: 216-A0213606A-000000000-0000 Registration Date/Time: 2016-06-08 18:14:42 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-08 18:14:39 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E 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: /J _- Documentation Author Signature: �`Z��` Shanley, Barbara O Company: Signature Date: HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING 2016-06-08 18:14:42 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 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 Business and Professions Codeetto accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. 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 California Code of Regulations�� �"^"� 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other,-appllca6le compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval;with this building pe rmitapplication. ° '3 4 f w P - ' u end. {, . ... T I { , �.1- } ! N a .d 5. 1 will ensure that a registered copy of this Certificate of;Compliance shall. be made available with.the bulldingpermit(s) issued for'the building, and made avallable to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Compliance is.required to be -included with the, documentation the.bullder provides to the building owner at occupancy. Responsible Designer Name: Responiltile Designer Signature: V I I— Shanley, Barbara Company: Date Signed: HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING 2016-06-08 18:14:42 Address: License: 31-170 RESERVE DRIVE STE A 686310 City/State/Zip: Phone: THOUSAND PALMS CA.92276 760-343-7488 Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information.. Registration Number: 216-A0213606A-000000000-0000 Registration Date/Time: 2016-06-08 18:14:42 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-08 18:14:39 Schema Version: 0.5555DD