BMCH2016-022778-495 CALLE TAMPICO '
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O16-0227
Property Address:
53955 AVENIDA VELASCO
AM:
774164023
Application Description:
LEONARD / HVAC CHANGE
Property Zoning:
Application. Valuation:
$18,690.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
`sur 4 � IQu6tcv
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/23/2016
Owner:
KEVIN LEONARD
53955 AVENIDA VELASCO
LA QUINTA, CA 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS; CA"§'2276; -
(760)343-7488.
Llc. No.: 686310
-
------------------------------------------------------------------------- ----- ------- - - - - -
--
LICENSED CONTRACTORS 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.: 68631100j
Date: � 9 � Contractor: (.ham G e,#7 eel L_
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 islicensed 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).:
(_) 1, 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.).
(� 1, 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 ) 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:
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 wo or 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.
Date: - v 3 6 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-meDtioned property for inspection purposes.
Date: Signature (Applicant or Agent): �~
FINANCIALINFORMATION,
DESCRIPTION s ACCOUNT!'_,'>QTY AMOUNT�r�`� �'DATE;
„:.Al
BSAS SB1473 FEE 101-0000-20306 0
$1.00 $0.00
q PAID BY F Y �' " .METHOD RECEIPT #n CLTDBY
.,
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:: $1.00 $0.00
DESCRIPTION `p
kN` ACCOUNT ;;,
QTY:..£
AMOUNT E
PAIDy•!.
°PCi1DDATE;
,_
o�
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
.$72.52
$0.00
a PAID, BY �: `r,
E'
`� 'RECEIPT # :�"
CHECK # `
BY''
_
`Et,' ,rMETHOD ,
s ;=
wCLTD
«_
`a DESCRIPTION a Z.
"' ACCOUNT �`
QTY
T
;�
AMOUNT
PAID
PAID DATE
d'.
�. . s
HVAC CHANGEOUT - SPLIT -SYSTEM PC'
101-0000-42600
0
$36.26
$0.00.
PAID
METHOD
RECEIPT,# tia
sCHECK #
CLTD BY
i;
j Total Paid for CHANGEOUT: $108.78 $0.00
t DE
*
CITY
PAID:DATEACCOUNT
�.
.
:
PERMITISSUANCE
101-0000-42404
0
$91.85
$0.00
.f PAID BY' - ; N. t'.
:,.; METHOD v��, "
R T # d
ECEIP.
CHECK #
° GLTD BY
n, ,
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: 00
•c
Description: LEONARD HVAC CHANGE OUT
CONTACTS
Type: MECHANICAL - Subtype:
Status: UNDER REVIEW
Applied: 6/23/2016. SKH
Approved:
Parcel No: 774164023 Site Address: 53955 AVENIDA VELASCO LA QUINTA,CA 92253
Subdivision: SANTA CARIVIELITA VALE LA QUINTA Block: 238
Lot: 11
Issued:
UNIT 22
PHONE FAXr.; EMAIL�-
Lot Scl Ft: 0 Building Scl Ft: 0
Zoning:
Fi-naled:
Valuation: $18,690.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
CA
Details: HVAC CHANGE OUT - 20SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S)
TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
VILLAGE
..........
FINANCJAL INFOilk'" M" ' AT 10 N j.
Printed:. Thursday, June 23, 2016 12:41:23 PM 1 of 2
ORWYSTEMS
CONTACTS
NAME TYPE NAME _
ADDRESSlr
CITY
�.,SfktE <
ZIP
PHONE FAXr.; 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 KEVIN LEONARD
.53955 AVENIDA
LA QUINTA
CA
92253
VELAsco,
..........
FINANCJAL INFOilk'" M" ' AT 10 N j.
Printed:. Thursday, June 23, 2016 12:41:23 PM 1 of 2
ORWYSTEMS
'411,`.DESCRIPTION ^� °
77 7,7
ACCOUNT
`;, QTY
'AMOUNT,"
PAID
PAID_ DATE
RECEIPT #
"b CH_ ECK #�'
METHOD
PAID BY F i��
.,.. .. .
}
.,.
r
-.,.
P
7
.,.
"�: `' �
a�
.w
a f �<;. ^,..,..
BY
BSAS SB1413 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
0
"
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
.10-1-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
MENOMINEE
Printed: Thursday, lune 23, 2016 12:41:23 PM 2 of 2
WSYST;ms
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
.Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name: KEVIN LEONARD Date Prepared: 2016-06-22
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
KEVIN LEONARD
02
Date Prepared
2016=06-22
• 03
Project Location
53955 AVENIDA VELASCO.
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
KEVIN LEOHARD
07
Zip Code
92253
08
Dwelling Unit Conditioned
1282
..: _
A"�Is the SC
. =,.s
Installing a="4-
Floor Area (ft2)
SC System
SC System
CFA served
Number of space conditioning
refngerent
09
Climate Zone
15
10
(SC) systems in this dwelling
1
Location or Area
by this SC
ducted
containing
unit.
more than 40
B. Space Conditioning SCS stem Information
p g ( ) Y
Al
01
02
03
04VA
s4
06t
07'
08 }
09
10
..: _
A"�Is the SC
. =,.s
Installing a="4-
y.;: '44 '+tt
SC System
SC System
CFA served
ystem a*
refngerent
InstaIIin a SC
Installer'
Installin -.
Installin
Identification or
Location or Area
by this SC
ducted
containing
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
1282.
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration.Number: 216-A0232588A-000000000-0000 Registration Date/Time: 2016-06-22 21:17:48 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 RPnnrt CPnararPri• 7nl r,-ni;-7.7 ')1-17-*)')
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3-)
D. Altered Spate 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
Central gas
All new
Central split
All new
This field or
This field or
'section
System 1
furnace
heating
AFUE
807-
AC
cooling
SEER
20
Setback
section is not
is not
components
components
applicable
applicable
Required 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 iri ducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: < 15%, or 510% leakage to outzide; 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).
CF211CF311 MCH -23 & CF3R-MCH-23 Air-FIow.2:300 CF.M/ton required whemMCH-25 is required.
Exceptions:
-Duct systems registered with. HERS provider as previously sealed are exempt from (NCFJ 20 Duct Leakage Testing requirements.
-Heating-only systems and Air Handler/furnace changes do not require verification1f Air Flow MCH -23 orRefrigerant Charge IVIECH 25
g
Existing duct systems constructed, insulated or sealed with asbestos are exemp1from MCH 20 quet;Leakage Test r regui e`menks. 3
'<V'•.fysd Mme. " '�`,Y im ^7• t..i �Y
E. Entirely New or Complete Replacement DuctlSrystem, with or without�Equipment Changeout.(Sectionsl15p.2(b)1Diia.and--150.2(b)lE, F)
Wit. f� *qe Via:. Ai
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-A0232588A-000000000-^000
CA Building Energv Efficiencv'Standards - 2013 Residential Compliance.
Registration Date/Time: 2016-06-22 21:17:48
Report Version: 2013 Rev 1.007
HERS Provider: CalCERTS
Report Generated: 2016-06-22 21:1.7:77
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:
Documentation Author Signature:
Shanley, Barbara
O
Company:
Signature Date:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-06-22 21:17:4"8
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 th4l`ws of the State of California:
1. The information provided on this Certificate_ of Compliance is true and correct.
2. I 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 materials c pnents, and manufactured evices for the building,clesign or, design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part:6of the California Code of Regulations.
., y .,-
4. The building design features or system design features identified on his Certifiate of Comp lance are4consistent with,the informafo�n�.provided o othe applicable compliance documents, worksheets,
y
calculations, plans and specifications sutimittetl to the a orcement a enc for t in " 4 �� : +
p p g y pproval,wrth this building permit application.
u, ;� . s�'
.
5. I will ensure that a registered copy of this Certificate of Compliance shall be made available with$the building permit(s),issued for.the buildirig, and made avallable-b the enforcement agency for all applicable
inspections. I understand that a"registered copy of this Certificate of Compllance,is,requireed to bg included with the�documentaationfthe bu builder provides to;the building owner at occupancy. -
Responsible Designer Name: 4 t
r 7 °y A ay
Responsible Desigrier Signature: _i�N
Shanley, Barbara
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-06-22 21:17:48
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: 216-A0232588A-000000000-0000 Registration Date/Time: 2016-06-22 21:17:48 HERS Provider: CaICERTS
CA Building Eriergy'Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-22 21:17:22
City of La Quinta
luffta Diwdba
P.O Box 1504,78-495 cage Tampico
ta.QL*" CA 92253 - i760) 777-7012
Butt ing PernMA Hcadon and Traddng Sheet
Pennit #
Project Addicts:
Owaa's Nam=.- V. in
A. P. Number. Addmw.Lgd� 94S Q
City. ST, Zip:
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Addt+ess 3 AfQI-VLo / prpjoctDipbimr
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City, $T, Zip= (Vl ou lc (n3S o
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Address
City, ST. ZW=
Tdoh= Tyc. , 0="Mcy:
Stair uc- is Pwjcot typo (cWe oae): New Add'n AD= Repair Draw .
Name of Conw Paste: Sq. Fl.: B Stories p Unita
Telephone Y of Contact Person:F.stanntrd Valitc of PrajaC tS
APPLICANT: DO NOT WRr E BMOW THUS LIKE
Y , Sobmltgl
Plan Sets
Rcq'd
Reed PERMIT FEES -
Pias Qeck aabmitEed Item Asaoaat
Strattstisi (aria
Reviewed, ready for oorreetiom Ptah Cheek Deposit,
lyses Cala
Caned Cbataet Pains, Pisa Cheek Bids=
Tide 24 Cake.
Plaas pkw up Cxastrsedon
now Plain Plea
Plass nwsbn.dff" Meeturikal
GRdInL Plan
2'! Review, ready for enwee@oasfa " Electlial
Sabeostattor Idst
Casted Contact Person Plumbing
Great Deed
Pkm ~ yp S M I
II.O.A. Approval
Plans rewbwllied Grading
ll'i Ii0t2SBr
"R -Lew. ready for owrvdioaslhsae Developer Impact Fee
Plandq Approval
caw Contset Pasoa . .:
Pob. WkL APpr '
Date of permit Issue
School Feu
Total Permit Fees