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