BMCH2016-0078U � VOICE (760) 777-7125
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 FAX (760) 77.7-7011COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/4/2016
Application Number: BMCH2016 0078 Owner: C7
Property Address: 54445 AVENIDA HERRERA 'PAUL ROWE 3
APN: 774245022 54445 AVENIDA HERRERA
Application Description: ROWE / HVAC CHANGE OUT LA QUINTA, CA 92253
Property Zoning: QC-.)
rn
Application Valuation: $13,465.00 m --p �v
CD o
-v
Applicant: Contractor: M rJ
IE INC HARRISON ENTERPRISES INC DBA
AIR -2, y
31225 LA BAYA 31170 RESERVE DRIVEm C2
WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, CA 92276 T,
(760)343-7488 rn
Llc. 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, C36 License No.: 686310
-7
Date:,4 14 1 lko Contractor:'
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, after, 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).:
( 11, 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.).
(
11, 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
.1 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:
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.
SS 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.
f�
Date:'4 I14 1lo Applicant: =ter✓
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 coirect.
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.
1, r
Date: 1-1 4 ( Signature (Applicant or Agent): S�—
DESCRIPTION'.'4. ;;
FINANCIAL INFORMATION
'ACCOUNT QTY 71AMOUNT 'a
PAID
PAID DATE.,.
BSAS SB1473 FEE
101-0000-20306 0 $1.00
$0.00
PAID BY
METHOD 'RECEIPT #
CHECK # j
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00' $0.00
DESCRIPTION
A000UNT
QTY
;; AMOUNT`; .
:PAID,'
PAID;D.ATE.
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$36.26
$0.00
PAID BY a z.:.
METHOD
RECEIPT #
CHECK #
CLTD BY ;'
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID -
PAID DATE
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$24.17
$0.00
PAID BY
;:METHOD
RECEIPT-#
CHECK # .
CLTD BY
Total Paid.for CHANGEOUT: $60.43 $0.00
-`DESCRIP.TION
ACCOUNT
QTY
AMOUNT' x
PAID
PAID -DATE;
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT # w
CHECK #
CITD BY:
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:$0.00
Description: ROWE / HVAC CHANGE OUT
CONDITIONS
Type: MECHANICAL Subtype:
Status: APPROVED
Applied: 4/4/2016 SKH
Approved: 4/4/2016 SKH
Parcel No: 774245022 Site Address: 54445 AVENIDA HERRERA LA QUINTA,CA 92253
STATE
ZIP
z
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 290
Lot: 10
Issued:
UNIT 26
31225 LA BAYA
WESTLAKE
VILLAGE
Lot Scl Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $13,465.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
THOUSAND
PALMS
Details: HVAC CHANGE OUT - (1) 14SEER/80AFUE SYSTEM [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
(760)564-2697
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
""""' """"NAME "
AD649S1
CONTACTS
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
IE INC
31225 LA BAYA
WESTLAKE
VILLAGE
CA
91362
(760)564-2697
CONTRACTOR
HARRISON ENTERPRISES INC DBA
GENERAL AIR
31170 RESERVE DRIVE
THOUSAND
PALMS
CA
92276
(760)564-2697
FRANCISCO@ CALLTH E.
GENERAL.COM
OWNER
PAUL ROWE
54445 AVENIDA
HERRERA
LA QUINTA
CA
92253
(760)564-2697
Printed: Monday, April 04, 2016 12:56:39 PM 1 of 2
SYSTEMS
BOND INFORMATION
Printed: Monday, April 04, 2016 12:56:39 PM 2 of 2 CR?
SYST[MS
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
$36.26
$0.00
PACKAGED UNIT
HVAC CHANGEOUT -
101-0000-42600
0
$24.17
$0.00
PACKAGED UNIT PC
Total Paid for CHANGEOUT: $60.43 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
• $0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTAL5; $153-28 00
BOND INFORMATION
Printed: Monday, April 04, 2016 12:56:39 PM 2 of 2 CR?
SYST[MS
STATE OF CALIFORNIA '
ALTERATIONS - HVAC
l t
CEC-CFIR-ALT-04-E (Revised 03/15) CALIFORNIA ENERGY COMMISSION '*40"r
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E
Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1)
Site Address:
Enforcement Agency:
Dae Prepared:
Permitil:
SL',4 G; Aver'\da, �Ie rexc-
G O� Lc. Qv.r��c,
�i -+ IL,
Equipment Type
Equipment Efficiency
New Ducting, Plenums, Lineset:
Conditioned
Thermostat
Required R -value
Floor Area (sq ft)
)'Packaged
❑ Evaporator Coil
$�'�, AFUE
COP
❑ R-6 (CZ 2, 8-13) Ducting
Served by system
Setback
System
❑ Split System
❑ Condensing Unit
❑ Compressor
'J
I'1
❑ R-8' (CZ 11, 14, 15) Ducting
) G CO sgft
(If not already
SEER
HSPF
❑ R-6 (all CZ's) Plenums
present, must
❑ Mini Split
❑ Lineset
EER
❑ R-5 or R7.S) Lineset'
be 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.
1. HVAC Changeout/Repair
Required Compliance Documents to be left on site for Final:
All Equipment,
CFIR-ALT-02-E
Condenser Unit, Evaporator Coil,
CF2R: MECH-01, 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 (L15%, or < 10% to outside, or seal all accessible leaks), Air Flow >_ 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 on site for Final:
All new equipment and All New Ducts3 CFIR-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 2 350 CFM/ton (or alternative), Refrigerant Charge
❑ 3. All New Duds with Replacement
Required Compliance Documents to be left on site for Final:
All New Ducts3 and one or more of the following
CF1R-ALT-02-E
replaced: Condenser Unit, Evaporator Coil,
CF2R: MECH-01' MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-2S-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 duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos
❑ 4. New Ducting over 40 feet
I Required Compliance Documents to be left on site for Final:
New ducting but less than All New Ducts,
I CFIR-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS
Installer Required to: Duct leakage (:S_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 Charge 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 will require Suction line Diameter
with insulation as the following 1.5-2T-2s/a", 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 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.
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:
Responsible Designer Signature:
Dae Si ned:
License:
e� erg --Sc:� i e
Sz �2
4 4 1 Lo
(c8b31 O
Company:
Ge-nc-rc.\ i aklorim
Address:
311-703
Cit /State/Zip:
Phone:
et6cacvC—\ 1�r
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-806-772-3300
Bin #
City of La Quinta
Building &• Safety Division
78-495 Calle'Tampico
La Quinta, CA 92253 - (760) 777-7012
Permit Application and Tracking Sheet
Permit #
11 ``Building
Project Address: s!-�L`4, eh cl f t eC't ��
Owner's Name: lJGv1 �0 we
A. P. Number:
Address: 5HH4S �vav���Q11eY,X-e'rC-
Legal Description:
City, ST, Zip: L th ]r q C A C12 z S 3
Contractor:Telephone:
o� Y�
� O
—
Address:
Project Description:
City, ST, Zip: 11.ovS mv\8 ��im s CA of 22 -7�,
Re 1 C,C.a 'S or. ?Ac-�-- ee ,= Ur.:
Telephone: o e. 1 _-J
t�0-3 3 4
State Lic. # : (A6310
City Lic. #•.
Arch., Engr., Designer:
Address:
City,, ST, Zip:
Telephone: hone:
Construction Type: e: ccu
Occupancy:
Y P P Y:
Sta to Lic. # •
Project type (circle le n e : New Add'n Alter Repair Demo
Name of Contact Person: S� eveh Sctnv%i etre
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 1M--735-7a-7C,
Estimated Value of Project:
APPLICANT: DO' NOT WRITE BELOW THIS LINE
N Submittal Req'd Rcc'd 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
I.Title 2d Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°° Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN If OUSE:-
'"! Rcyiew, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. APPr
Date of permit issue
Schodl Fees,
Total Permit Fees
z