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BMCH2015-02307,$-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 - 4 4 Qamlk COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O15-0230 Property Address: 55300 TANG LEWOOD APN: 775154025 Application Description: FERRANTE RESIDENCE HVAC CHANGE OUT Property Zoning: Application Valuation: $8,998.00 Applicant: IMMUNITY u/pv\HARRISON ENTERPRISES INC DBA G ,JUN 3 0 2015 31-170 RESERVE DRIVE STE ATHOUSAND PALMS, CA 92276 CITYOFLAQUINTA DEVELOPMENT DEPARTMENT 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: J3O 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, 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.). (_ 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 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 Date: 6/29/2015 Owner: DOROTHY FERRANTE 55300 TANGLEWOOD 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 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 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. r. Date: IS 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 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. Date: w Signature (Applicant or Agent): INFORMATION e # DESCRIPTIONr;,"+_ixACCOIINTj QTY " AMOUNTA-P "�k PAID PAID DATE' a BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 'PAID BY.RECEIPT:#Cy ` a i CHECK # rr CLTD BY '.. � , , Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION P A t `; ACCOUNT` QTYk :� AMOUNT? PAIO� € PAID DATE: - .. ., .- , i HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $72.52 $0.00 k PAIDsBY `, M ' ;tea:RECEIPT.# CHECK # L CLTD BY h» «ETHOD rc § # ACCr O AMOUNT, PAID" c`DESCRIPTION DATEQTYrNT 8 d Sa'o--S GP.A...,-aID a. HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $36.26 $0.00 ' _ �� METHOD +� `.RECEIPT # CHECK #`.i CLTD BY �PAIDBY€`� t> �,� y Total Paid forCHANGEOUT: $108.78 $0.00 r DESCRIPTIONY r> ACCOUNT>. ar QTY '`AMOUNT PAIDs PAID DATE A PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 'D B PAIY •. METHOD ' RECEIPTS# CHECK #.. CLTD BY w _ >' 4 a -fix :, a, t , ... .: ;fir � ;. .Total Paid for PERMIT ISSUANCE: $91:85 $0.00 TOTALS:00 R sin.# Permit # BMC 'N 20 5 v2 3 0 Project.Address: 55300 Tanglewood Qty Of -La Qulhta Building 8L Safety Division P.O. Box 1504,78-495 Caife Tampico La..Quinta, CA 92233 - (760) 777-7012 Building Permit Application and Tracking Sheet Owner's Name:. Dorothy Ferrante A. P. Number. T7 7 S - 1.:5 t-) - Oz5 Address: 55300. Tanglewood Legal Description: City, ST, Zip: La Quinfa, CA 92253 Contractor: General Air Conditionin 9 Telephone:760-771-1965 . �x Address: 31170 Reserve Drive Project Description: Replace Ston A/C, Coil, & 70,000 City, ST, Zip: Thousand Palms, CA 92276 Telephone: 760-343-7488��c,f`'; t>?� BTU Furnace State Lic. # : 686310 City Lic. #; Arch., Engr., Designer Address: City., ST, Zip: Telephone: State Lic. #: '~ Name of Contact Person: Steven Schnierer Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq.* Ft.: #Stories: 0Unitg: Telephone # of Contact Person: 818-735=7876 x 1 [Estimated VaIae of Project $8,998.00 . APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted item Amount Structural Calm Reviewed, ready for corrections Plan Check Deposit. . Truss Cales. Called Contact Person Plan Check Balance Title 24 Calci. Plans picked up Construction Flood plain plan Plans resubmitted.' . Mecharilcal Grading plan 2id Review, ready for correctionstissue Electrical Subcontactor List Caked Contact Person Plumbing Grant Deed Plans picked up S.MX H.O.A. Approval Plans resubmitted Grading IN HOUSE: '^' Review; 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 Description: FERRANTE RESIDENCE HVAC CHANGE OUT Type: MECHANICAL Subtype: Status: APPROVED Applied: 6/29/2015 EVA Approved: 6/29/2015 EVA Parcel No: 775154025 • Site Address: 55300 TANGLEWOOD LA QUINTA,CA 92253 Subdivision: TR 21846-3 Block: Lot: 1 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $8,998.00 Occupancy Type: Construction Type: Expired: - No. Buildings: 0 No. Stories: 0 No. Unites: 0 - - Details: • HVAC CHANGE OUT*- 14 SEER /.80 AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION Printed: Monday, June 29, 2015 9:36:50 AM 1 of 2 SYSTEMS �. �V. .1�� A ul I IUIVl, i 51 I E� . 5 ",.CHRONOLOGY �_. r.__....r i�i,. ,. CONDITIONS - - FINANCIAL INFORMATION Printed: Monday, June 29, 2015 9:36:50 AM 1 of 2 SYSTEMS SEQID- INSPECTION TYPE INSPECTOR SCHib6MOLEfil5d; `,ACSbL*' REMARKS,-` TES DATE DATE MECHANICAL FINAL" BLD T, .' Rft6RNW._:7 TAW ,'REVIEW :REVIEWER SENT D EtUE DATE DATE:I = ( v 4- ' NOTES'' BOND INFORMATION Printed-. Monday, June 29, 2015 9:36:50 AM 2 of 2 0TWSYSTEMS JA ..... . . .. . ..... CLTD4 ,—.DESCRIPTION �ACCO ACCOUNT MOUNT' PAID BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: HVACCHANGEOUT- 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 CE PERMIT ISSUANCE . 1-0 1 $91.85 $0.00 . Total Paid for PERMIT ISSUANCE: .$91.85 $0.00 TOTALS:, $201.63 $0..00 SEQID- INSPECTION TYPE INSPECTOR SCHib6MOLEfil5d; `,ACSbL*' REMARKS,-` TES DATE DATE MECHANICAL FINAL" BLD T, .' Rft6RNW._:7 TAW ,'REVIEW :REVIEWER SENT D EtUE DATE DATE:I = ( v 4- ' NOTES'' BOND INFORMATION Printed-. Monday, June 29, 2015 9:36:50 AM 2 of 2 0TWSYSTEMS CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 ) Project Name: DOROTHY FERRANTE Date Prepared: 2015-06-23 A. General Information CFIR-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 DOROTHY FERRANTE 02 Date Prepared 2015-06-23 03 Project Location 55300 TANGLEWOOD 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name DOROTHY FERRANTE 07 Zip Code 92253 08 Dwelling Unit Conditioned 1621 Installing=new 5C r I sta(hng Insfalling «Installing Floor Area (ft2) Identification or Location or Area by this SC ducted containiig Number of space conditioning more than 40 09 Climate Zone 15 a ,- 10 (SC) systems in this dwelling 1 system? . component? J' , feet of ducts? unit. SC system? B. Space Conditioning (SC) System Information f n' "I 'N�' 01 02 ,03 04A ltr 05 i � E 06 #! 07 a 8 09 10 � � NS S FIs the SC"-'" , < r.� is a.A-. Installing a r....•-� System SCS stem y j SCS stem _ 'CFA served t ystem a —. � refrigerant t Installing=new 5C r I sta(hng Insfalling «Installing Identification or Location or Area by this SC ducted containiig system more than 40 entirely e v entirely new Name Served System (ft2) system? . component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Location 1 1621 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib) This section does not apply to this project. Registration Number: 215-AO16826OA-000000000-0000 CA Building Energy Efficiency Standards.- 2013 Residential Compliance Registration Date/Time: 2015-06-23 08:31:38 Report Version: 2014-03-31 Schema Version: 0.555SDD HERS Provider: CaICERTS Report Generated: 2015-06-23 08:30:34 P CERTIFICATE OF COMPLIANCE CF111-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)lE 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 Central gas All new Central split All new This field or This field or System 1 heating AFUE 0.8 AC cooling SEER' 14 Setback section is not section is not furnace components components applicable applicable Reouired Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans .} -Duct insulation requirement for new plenums: R6. 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%, or 510% leakage to outside,'orseal 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 2300 CFM/ton required when MCH=25'is required. Exceptions: rys� •' ' ` .-.t . - Duct systems registered with HERS provider as previously sealed are,exempt ffpm'IVICH-20 Duct LeakagerTesting requirements: ON Nir -Heating-only systems and Air Handler/Furnace changes do -not regk it verificastion of Air Flo BCH -23 or Refrige�rantChargge•-MECH 25. insulated MCH -20 Duc�tfLeakage Testing requirements.-. -Existing duct systems constructed, or sealetl with asbestos are exempt�fyrom � ,� '► '►'�.B ,ter ,�-. __ ,-.. -.�,.� : _.._._._ ._. n - -T- a -. _.. - - i ' y Vii, " �� y"""� �k � .trj+ 1L1 E. Entirely New or Complete Replacement Duct System, with" or w� thout�Equipment Changeout (S_ections 150.2(b)mlDiia and 150.2(b)1E, F) 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: 215-AO16826OA-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2015=06-23 08:31:38 Report Version: 2014-03-31 Schema Version: 0.5555DD HERS Provider: CaICERTS Report Generated: 2015-06-23 08:30:34 CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -1R -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: Documentation Author Signature: can �acobJ Jacoby, Ian J Company: Signature Date: Stratz Permit Service 2015-06-23 08:30:39 Address: CEA/ HERS Certification Identification (if applicable): 5858 Dovetail Drive City/State/Zip: Phone: Agoura Hills CA 913011 818-735-7876 Responsible Person's Declaration statement`s I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate f Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to 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, materiels, 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.. @b jp � 4. The building design features or system design features identified on his Certificatef C mpl e are consistent ,t'h f ati`onn,,}p�rovided o pplicayblle•c�ompliance documents, worksheets, y�jlgothe -F t i a� i ► df! i #� . a �' calculations, plans and specifications submitted to`the enforcement agency for approval with this building per application: ' A�!_ +r * h.+�e.a4 �w ><b as ,.�.K ,, S. I will ensure that a registered copy of, this Certificat f_C,ompliance shallb *1; ;0d with�the buildirig;pecmit(s$issued forrthe buil *ing, and made available fo 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.thebuilder provides to the building owner at occupancy. T -i. k: Y, t,*.'f 3r^tA Jnr'>'' fc *:� Iia "'fa. ,W .t i4 F" :tE 5'rt"'�M... .if "^ ws Responsible Designer Name: P i�ai p k.r.-_ g B x I ' Res onsible Desi ner Si nature: '�� Valdez, Dayana Company: Date Signed: HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING 2015-06-23 08:31:38 Address: License: 31-170 RESERVE DRIVE STE A 686310 City/State/Zip: Phone: THOUSAND PALMS CA 92276 (760) 343-7488 Digitally signed by CaICERTS. 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: 215-AO16826OA-000000000-0000 Registration Date/Time: 2015-06-23 08:31:38 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-23 08:30:34 Schema Version: 0.555SDD