BMCH2016-036478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O16-0364.
Property Address: 61620 TULARE LN LN
APN: 764550059
Application Description: BREWER RESIDENCE / HVAC
Property Zoning:
Application Valuation: $4,026.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
aw
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING: PERMIT
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.
Date:=l0a Ile Conte tractor ��% `
VOICE'(760) 777-7125
FAX (760) 77.7-7011
INSPECTIONS (760) 777-71S3
Date: 10/11/2016
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HARRISON ENTERPRISES INCr0
31170•RESERVE'DRIVE
THOUSAND PALMS, CA 9227_x6
(760)343-7488
Llc. No.: 686310
-----------------------------------
WORKER'S COMPENSATION DECLARATION
Owner:
:JAMES BREWER
61620 TULARE LN
LA CtUINTA, CA 92253
Contractor:
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I hereby affirm under penaltyof perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided fog by Section 3700 of the Labor Code; for the performance
of th • ork for which this;permrt is'issued.
I' -have and will mamtam,workers' compensation insurance, as required by
Section 3700 of the Lab'oc Code; for;the performance;of the work for which this permit
is issued. �My workers' compensation insurance carrier and policy number are:
OWNER -BUILDER DECLARATION. Carrier: INSURANCE COMPANY OF THE WEST Policy Number.VVSD5031658
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 I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter;'improve, demolish, or repair shall not employ any person in any manner so as to become subject to the workers'
any structure; prior to its issuance, also requires the applicant for the permit to file a compensation laws of California; and agree that, if I should become subject to the
signed statement that he or she is licensed pursuant to theprovisions of the ` workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000)'6f•Division comply with those provisions.
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 Dat_
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).: WA
(_) I, as owner of the property, or my employees with wages as their sole AN
compensation, will do the work, and the structure is not intended or offered for sale. ON
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not CO
apply to an owner of property who builds or improves thereon, and who does the work INT
himself or herself throu h his or her own em to ees rovided that the im rovements
RNING:`FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
D SHACL'SUBJECT AN•EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES
UP TO
EHUNDREDrTHOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
MPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
EREST, AND ATTORNEY'S FEES. '
g P Y ..P P
are not intended or offered for sale. If, however, the:building or improvement is sold' APPLICANT.ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that IMPORTANT: Application.is hereby made�to the Building Official for a permit subject to
he or she did not build or improve for the purpose of sale.). the conditions and restrictions sef-forth on this application.
(_) I, as owner of the property, am exclusively contracting with licensed contractors 1..Each person upon:.whose behalf this application is made, each person at whose .
to construct the project. (Sec. 7044, Business and Professions Code: The Conf�actors' request and for, whose, benefit work is performed under or pursuant to any permit
State License Law does not apply to an owner of property who builds or improves -issued as a result of.this application; the owner, and the applicant, each agrees to,, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to . • shalt defenii;,indemnifij and Hold harmless.the City of La Quinta, its officers, agents, and
the Contractors' State License Law.). employees-forvany act or omission related to the work being performed under or
(_) I am exempt under Sec. . B.&P.C. for this reason following issuarice'of this permit:
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:
2: Any permit issued as a result of this application becomes null and void if work is
not commenced 'within 180 days from hate of issuance of such permit,. or cessation of
work for180 days'will,subject permit to cancellation.
I certify that�l 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:,—_�:O 11 l(o r. Signatures(ApplPcantor;Agenf):°'°='
Application Number:
BMCF 2016-0364
Property Address:
61620 TULARE LN LN
APN:
764550059
Application Description:
BREWER RESIDENCE / HVAC
Property Zoning:
Application Valuation:
$4,026.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Date: 10/11/2016
Owner:
JAMES BREWER
61620 TULARE LN
LA QUINTA, CA 92253
Contractor:
-HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-7488
Llc. No.: 686310
Detail: COIL CHANGE OUT - SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) T&BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2013
CALIFORNIA BUILDING CODES
.. •
I
DESCRIPTION
ACCOUNT QTY
AMOUNT
BSAS 561473 FEE
101=0000-20306:' . 0
$1.00
Total Paid for. BUILDING STANDARDS ADMINISTRATION BSA:'
$1.00
DESCRIPTION
ACCOUNT.''
QTY
AMOUNT
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42402
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT- REPAIR/ALTERATION PC
—T—=]
;,101-0000742600: '..
0 —I
$5.07
+Total Paid for CHANGEOUT:
$17.74
DESCRIPTION
7, .,ACCOUNT,`_,`
QTY
AMOUNT
PERMIT ISSUANCE
= . %(101-0000-42404.
0
$96.27
,' ;yTotal Paid for PERMIT ISSUANCE:
$96:27
Bin. #
. .
C�ty::of La.. QurnIM
Bq((4109 Bf,Sar&y Dh&.6, `-
P.O. Box 1504,78-495 Calle .T'arnpfco
IA Qu hdn CA 92253 -:(766)777-7012
Building Permit A J: cation aril Tracking Sheet
Permit #
Project Address: 61620 Tulare Lane
Ownes'sName:. Jim & JannaBrewer
A. P, Number.
'Address: 61620 Tulare Lane
Legal Description:
Contractor. General Air Conditioning & Plumbingz--r"
City, ST, Zip: La Quinta, CA •92253
Telephone:-• 760=61.9-3924
Address: 31170 Reserve Drive
Project Description: Replace 4 ton Coil
City, ST, Zip: Thousand Palms, CA 92276
Telephone: 760-343-748$
State Lic. # : 686310 City Lia #.:
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone:
m Vii! »� ,�
:i'Construction Type: Occupancy:
State Lic. #:
Prolect•type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Steven Schnierer
Sq. Ft.: #Stories:
#Units:
Telephone # of Contact Person: 818-7-35-7876
Estimated Value of project. $4;026.00 .
APPLICANT: DO NOT.Wi31TE BELOWTHIS,'LINE
#
Submittal
Req'd
Reed
TRACKWG
PERMIT FEES
Plan Sets
Plan Check submitted
item Amount
Structural Calm
Reviewed, ready for corrections
Pian.Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Tide 24 Calcs.
Plans picked-up
Construction
Floodplain plan
Plans resubmitted
Mechanical
Grading plan
2'! Rtview, ready for correctiousfissue
Electrical
Subcoutactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
$:M.L
H.O.A. Approval
-Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for correctionsfissue
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
f—
CEC-CFIR-ALT-04-E Revised 03/15 CALIFORNIA ENERGY COMMISSION X00'
CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E
Alterations - HVAC CZ 2, and.8-15 (formerly CF4R-ALT-HVAC) (Page 1 of 1)
Site Address:
Enforcement Agency:
Date Prepared:
Permit#:
61620 Tulare Lane
City -Of La Quinta
October 11, 2016
Equipment Type
Equipment Efficiency
New Ducting, Plenums, Lineset:
Conditioned
Thermostat
Required R -value
Floor Area (sq ft)
❑ Packaged
REvaporator Coil
80%AFUE
COP
❑ R-6 (CZ 2, 8-13) Ducting
Served by system
Setback
System
❑ Condensing Unit
❑ R-8' (CZ 11, 14, 15) Ducting
1,500 sgft
(If not already
❑ Split System
❑ Compressor
SEER
HSPFpresent
❑ R 6.(all CZ's) Plenums
must
❑ Mini S
Split
p
❑ Lineset
EER
13 R-5 or R7.5) 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.
R1. HVAC Changeout/Repair
Required Compliance Documents to`be left on site for Final:
All Equipment,
CF111-ALT-02-E
Condenser Unit, Evaporator Coil,
CF2R:. MECH-03, MECH-20-HERS, MECH-(23 or 24)' -HERS, MECH-25-HERS'
Compressor, TXV, Lineset,
CF3R: MECH-20-HERS, MECH-(23 or 24)-HERS2, 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 a 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 CFIR-ALT-02-E, CF211WECH-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 Ducts' and one or more of the following
CRR -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 or24)-HERS;.MECH-25-HERS
Installer Requirement: Dud 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 Ducts3
CFIR-ALT-02-E, CF2R: MECH-20-HERS, CF3R:. MECH-20-HERS
Installer Required to: Duct leakage L15% at, < 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
' 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-2%", 2.5-3T=2%", 3.5 to 4T -2%", -ST -4W'
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:
Date Signed:
License:
Steven Schnierer
Ocotber 11, 2016
686310
Company:
Address: -
City/State/Zip:
Phone:
General Air Conditioning
31170 Reserve Drive
Thousand Palms, CA 92276
760-343-7488
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300