BMCH2016-0211f .r
78495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O16-0211'
Property Address:
48136 CALLE SERANAS
APN:
646110062
Application Description:
INGHAM / CHANGE OUT
Property Zoning:
Application Valuation:
$3,765.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
c&ht 4.4 Q"
DEVELOPMENT DEPARTMENT
J LILI DING PERMIT -
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7.153
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 Lice nse•is-in fullforce and effect.
License Class: C20 C36~ License No.: 686310
Date: 1 Contractor: :A c— to eO% &-J
WNER-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 Name:
Lender's Address:
(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'
compensat' n, as provided for by Section 3700 of the Labor Code, for the performance
of the rk 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 a Labor Code, I shall forthwith
comply with those provisions.
Date: 2 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 tesult 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 mentione,0 property for inspection purposes..
Date: i' Signature (Applicant or Agent): 2�
Date: 6/23/2016
co
o o
Owner:
N
, 2'
� a c
GREGORY INGHAM
P O BOX 870762
O
WASILLA, AK 92253
� IVB
Zi
CContractor:
.
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
.,.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 Lice nse•is-in fullforce and effect.
License Class: C20 C36~ License No.: 686310
Date: 1 Contractor: :A c— to eO% &-J
WNER-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 Name:
Lender's Address:
(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'
compensat' n, as provided for by Section 3700 of the Labor Code, for the performance
of the rk 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 a Labor Code, I shall forthwith
comply with those provisions.
Date: 2 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 tesult 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 mentione,0 property for inspection purposes..
Date: i' Signature (Applicant or Agent): 2�
w DESCRIPTION
FINANCIAL •• •
ACCOUNT QTY +; {AMOUNTS ? - , PAID" , PAID DATE'
BSAS SB1473 FEE
101-0000-20306 0 $1.00 $1.00 6/17/16
PAID. BY:; '
METHOD RECEIPT # �`::� ?. CHECK # CLTD BYE
IE INC
CHECK R16432 31951 MFA
Total Paid'for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00
o -DESCRIPTION
ACCOUNT'
QTY
AMOUNT k
" PAIDg_`
PAID DATE
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42402
0
$12.09
$12.09
6/17/16
PAID BY ,
: ^ METHOD .. _ . _
x :REC EIPT #:-
_ ; CHECK #
CLTD BY „
IE INC
CHECK
R16432
31951
MFA
DESCRIPTION +,
ACCOUNT,'., `�
QTY"
" „� AMOUNT a
;. '.
PAI D
PAID'DATE
HVAC CHANGEOUT - REPAIR/ALTERATION
PC
101-0000 42600
0
$4.83
$4.83
6/17/16
PAID.BY _ - P:
METHOD " -
z
� -RECEIPT #',,,
'CHECK #
CLTD BY ,�
IE INC
CHECK
R16432
31951
MFA
� • DESCRIPTION . -� r . `
-
"� . �,�,, -,.,
° ACCOUNT
QTY
> -
_AMOUNT ' i
P' AM n
� "PAID
PAID DATE',
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
'PAID BY
METHOD
-RECEIPT #
CHECK #s `
CLTD BY
DESCRIPTION: °
ACCOUNT ';
°'QTY
.A} ✓ 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: $125.70 $16.92
DESCRIPTION x 9 ` ' '
ACCOUNT
QTY
AMOUNT
r- PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
6/17/16
PAID BY ? a
METHOD ; '.
RECEIPT #".' '
CHEC.K # %.
-}CLTD BY '
IE INC
CHECK
R16432
31951
MFA
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:0•
Description: INGHAM / CHANGE OUT (1) COIL
Type: MECHANICAL Subtype: Status: ISSUED
Applied: 6/16/2016 SKH
Approved: 6/17/2016 MFA
Parcel No: 646.110062- . Site Address: 48136 CALLE SERANAS LA QUINTA,CA 92253;
Subdivision: TR 13640-3 Block: Lot: 42
Issued: 6/17/2016 MFA
-
Lot Sq Ft: 0 ' Building Sq Ft: 0 Zonirig:
Finaled:
Valuation: $3,765.00 Occupancy Type: Construction Type:
Expired: 12/14/2016 MFA
No. Buildings: 0 No. Stories: 0 • • No. Unites: 0
Details: HVAC CHANGE OUT - (1)145EER COIL [2013 ENERGY) CARBON MONOXIDE ALARM(S)-TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
REVISED: WOULD LIKE TO CHANGE TO COMPLETE SYSTEM CHANGE OUT. 14SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE
ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Approved to Issued
• ��� � „,,
FINANCIAL- INFORMATION
Printed:. Thursday, June 23, 2016 12:32:46 PM 1 of 2
CEWlysTrms
1 �
.
0
Approved to Issued
• ��� � „,,
FINANCIAL- INFORMATION
Printed:. Thursday, June 23, 2016 12:32:46 PM 1 of 2
CEWlysTrms
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STD
,F1 , DESCRIPTION
. r . ACCOUNTF '
AMOl1NT
PAID u`'
: PAID DATE;
'RECEIPT #
.CHECK # .
+METHOD
'. PAID BYy
t,"
,QTY
_.
BY
BSAS SB1473 FEE
101-0000-20306
.0
$1.00
$1.00
6/17/16
R16432
31951
CHECK
IE INC
MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
HVAC CHANGEOUT-
REPAIR/ALTERATION
101-0000-42402
0'
$12.09
$12.09
6/17/16
R16432
31951
CHECK
IE INC
MFA
HVAC CHANGEOUT -
101-0000-42600
0
$4.83
$4.83
6/17/16
R16432
31951
CHECK
IE INC
MFA
REPAIR/ALTERATION PC
• 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:. $125.70 $16.92.
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
6/17/16
R16432
31951
CHECK
IE INC
MFA'
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:i• .77
Printed: Thursday, lune 23, 2016 12:32:46 PM 2 of 2
SYSTEMS
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
.Project Name:: GREG INGHAM Date Prepared: 2016-06-22
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented;
use one CF111-ALT-02 document for each .dwelling unit.
01
Project Name
GREG INGHAM
02
Date Prepared
2016-06-22
03 '
Project Location
48136 CALLE SERANAS
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
GREG INGHAM
07
Zip Code
92253
08
Dwelling Unit Conditioned
1466
Installing newSC
Installing
Installingy
Installing
Floor Area (ft2)
Identification or
Location or Area
by this SC '
ducted
.
containing
Number of space conditioning
more than 40�
09
Climate Zone
15
10
(SC) systems in this dwelling
1
system?
component?
components?
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System Information
��.•
Ol
02
03 .+
04
t,�s
! 06,
,07
"Q8
09
10
•
. _..,,
.. ,,:,
\Is the SC'
..�llin.:� --�.
Instag a
M:� . •tea
=� �•
�;
'�.;� �!
SC System
SC System
CFA served
ystem a�
refrigerant
Installing newSC
Installing
Installingy
Installing
Identification or
Location or Area
by this SC '
ducted
.
containing
kl �
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
1466
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-A0232514A-000000000-0000 Registration Date/Time: 2016-06-22 19:59:07 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-22 19:58:20
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
Central gas
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
80
AC
cooling
SEER
14
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF211-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: <_ 15%, or <_ 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 exempt from MCH -20 Duct Leakage Testing requirements..
"
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH=23�or'Refngerant Charge MECH-25
-Existing duct systems constructed, insulated or sealed with asbestos -are exemptr,from MCW20.Duct Leakage Testmgregwrremenis.
`NOA40 ^;,...ea.'`. ,*,� ate+ ,:„ ;a y. ;we. ,�f,;-,*',".
.E. Entirely New or Complete Replacement DuctxSystem, with or without,Equipment Changeout,(Sections. 150.2(b)1Diiawand=150.2(b)1E, F)
fret ft 3i
M 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-A0232514A-000000000-.0000
Registration Date/Time: 2016-06-22 19:59:07
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report.Generated: 2016-06-22 19:58:20
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: / (
Shanley, Barbara
i� ex{Ji
Company:
Signature Date:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-06-22 19:59:07
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 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, 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,
4. The building design features or system design features identified on this Certificate of Compliance are consistent withrthe information provided on other,applicabl.e'compliance documents, worksheets,
.a�"�.,�: fid;
#j
calculations, plans and specifications submitted to the e�nnforcement,, gency fora p oval with this building permit applicatip"n.j
V
5: 1 will ensure that a registered copy of this Certificate of Compliance shall be.made,available with the build,ing+permit( Aissued for,the'buiding, and,made available to the, enforcement agency for all applicable
inspections. I understand that a registered copy oft hisCgrtificate of Compliance is:req aired to be included with the documentation -the provides tothe building owner at occupancy.
Responsible Designer Name: 9�; t
Responsible Designer Signature:
Shanley, Barbara
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-06-22 19:59:07
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 no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 216-A0232514A-000000000-0000 Registration Date/Time: 2016-06-22 19:59:07 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev,1.007 Report Generated: 2016-06-22 19:58:20
City. of La Quinta
Btu at Safety Melon
P.O. Box 1504,"78-49S Cage Tampko
1A.W" CA92253 --f760) 777-7012
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78-495 CALLE TAMPICO
Q.�i C 0 D
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0211
Property Address:
48136 CALLE SERANAS
APN:
646110062
Application Description:
INGHAM /CHANGE OUT (1) COIL
Property Zoning: .
Application Valuation:
$3,765.00
Applicant:
IE INC..
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
D.A
17 A
CITYQFLAQUINTA
COMMUNITY DEVELOPMENT DEPARTHENT
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: CSI l71•Il� Contractor: �& r
�I r
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 1031.5 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 Name:
Lender's Address:
Owner:
GREGORY INGHAM
P.0 BOX 870762
WASILLA, AK 92253
.VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/16/2016
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
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 carrierand.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..
17 9le
Date: %� Applicant: 1967��
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. -
APP LICANT
EES.'
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: Signature (Applicant or Agent):
FINANCIAL O• •
DESCRIPTIONts k- a 'ACCOUNT AMOUNTt,x ,PAID PAID DATEt
c�� ` 3QTY, r x
•BSAS SB1473 FEE 101-0000-20306 0
$1.00
$0.00
F�
1
g r ti` `1 PAID"BY ;; 3 d' a METHOD #' r m` RECEIPT #
CHECK # T� E
CLTD BY
m-, v. ,a f 4 T
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:. $1.00'. $0.00
$° DESCRIRTION,r;
l-
ACCO'UNTr
LQTY
AMOUNT
Fr PAID ` `'
PAID DATE,'
t
i . _
f;
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42402
0
$12.09
$0.00
x `l PAID
METHODS
2r
`RECEIPT #W
CHECK
,
CLT BY•
a
„
:DESCRIPTION • ' 3
ACCOUNTa�" �.x3
'F �4
qTY
y AMOUNTu
t, `PAIDg%-
a
PAIDhDATE;
µ .s r
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000=42600
0
$4.83:
$0.00
PC
PAID BY' `
• METHOD
RECEIPT
-,'v CHECK #.-
A CLTD BY,
qty ry
<< y *`• ^�
.
Total Paid for CHANGEOUT: $16.92 $0.00
.DESCRIPTION + r
' -ACCOUNT "a
QTY
k
PAID
EPAID DATE'
,41�
�AMOUNT,a-
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
:L PAID•BY E
4: METHOD
w `RECEIPT #
r"" E CHECK #� E' r
CLTD BY t
.<.
- i.
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:0• 00
a
0
Description: INGHAM / CHANGE OUT (1) COIL
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 6/16/2016 SKH
Approved:
Parcel No: 646110062 Site Address: 48136 CALLE SERANAS LA QUINTA,CA 92253'
Subdivision: TR 13640-3 Block: Lot: 42
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $3,765.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - (1)14SEER COIL [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
CHRONOLOGY ,
CONDITIONS
FINANCIAL INFORMATION
Printed: Thursday, June 16, 2.016 12:45:32 PM 1 of 2 Cge
SYSTEMS
�c1
kDE*.
SCRON:,'4-.-
' '
f '
CTY;CLTD
r +
T�ICK#,I'METHOD•
PAIDBYCCONT .
r°
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
$12.09
$0.00
REPAIR/ALTERATION
HVACCHANGEOUT-
101-0000-42600
0
$4.83
$0.00
1
REPAIR/ALTERATION PC
,.
Total Paid for CHANGEOUT: $16.92 $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
OF PARENT PROJECTS
REVIEWS
a�.%i}h•d.�'`.� � .�_,_ 'n.-"� ;� �,::. _ t t.>r-. ;.^ -d .,•,.{s an�� _*rf -,f.
RETURNED , r� STATUS REMARKS �• z
EVIEW `,RE
TYPEw',rVIEWER SENT DATE- DUE DATE y cg
DATE
Printed: Thursday, June 16, 2016 12:45:32 PM 2 of 2 C SYSTEMS
CF111-ALT 02-E
(Page 1of3)
2016-06-14
A. General Information
CF1R-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.. '
Ol
Project Name
GREG INGHAM
02
Date Prepared
2016-06-14
03 "
Project Location . -
48136 Calle Seranas . - k .
.04 .
Building Type ,'
Single family.._:. , •. ...
05•
CA City ' ,
La Quinta ..
06
Dwelling Unit Name .
GREG INGHAM + -
07
"
Zip Code
92253 �<
08
Dwelling Unit Conditioned
1662
,
Floor Area (ft2).
SC System..
SC System
' CFA served
/'
s em a
. - #*,* f
refs e�rantInstalhn
Number of space conditioning
-
'09
Climate Zone - -
15
.10
(SC) systems in this dwelling'
1
ducted
_ w-
system
morethan 4
unit.
ntirely new
` _ ,'mow '�...,•.. _.,: -.; _ - �`-'��,�.- � - r •
' s
B.Space Conditioning (SC) System I f+ormationes
y
O1
02'03
y 04i
,05'06
07
08
09
10
Els the SC
Installing a
,
SC System..
SC System
' CFA served
/'
s em a
. - #*,* f
refs e�rantInstalhn
xa r«a
anew -SC
r
Installin g
�
maw
Installs g
+
Installin g
a
Identification or
Location or Area
by this SC
ducted
contammg •
system
morethan 4
entirely new
ntirely new
Name,
Served
System (W)'
. ' system?
component?
components?
feet of ducts?
duct.system?
SC system?
Alteration Type.
System 3
-
Location 1 . -
* '
:1662
_ _ .,Yes
Yes
Yes ,.
No
No _. _
No' _ _
Altered space
conditioning system
C. Extension of Existing Duct System, Greater.Than 40 Feet (Section1SO.2(b)1Diib)
This section does not apply to this project. ti
t
1
Registration Number: 216-A0221175A-000000000-0000 Registration Date/Time: 2016-06-14 23:04:35. HERS Provider: CaICERTS ^
'
CAB uilding Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-14 23:04:41
• v Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -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
No heating
This field or
This field or
Central split
This field or
This field or
System 1
furnace
component
section is not
section is not
AC
Fancoil AHU
SEER
14
Setback
section is not
section is not
altered
applicable
applicable
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 in ducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: 5 15%, ors 30% 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 exempt from,MCH,20 Duct Leakage Testing requirements.,M
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23j -or Refrigerant"Charge MECH,-25.i
-Existing duct systems constructed, insulated or sealed with asbestos are exempYfrom MCH Testing requir4merits.
2OFDuct1Leakage
z
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia-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: 216-A0221175A-000000000-0000
Registration Date/Time: 2016-06-14 23:04:35
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-14 23:04:41
Schema Version: 0.555SDD
r. 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. I 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
2016-06-14 23:04:35
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 stateme"nt -
1 certify the following under penalty of perjury, under the law's of. the State of California:
1. The information provided on this. Certificate of Compliance is true and correct. 4
2. 1 am eligible under Division 3 of the;Business and Profesiions C� o- de 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, materlals,,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 Califorriia Code of,Regulations Jf -
4. , The building design features or system design feafures' dentified on this Certificate of Compliance areiconsistent t�h the i}formati' mprovided on other,applicable'compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. twill ensure that a registered copy of this"Certificate of•,Coompliance shall be;made,available with'the building permit(s)'_issu,ed forZthe building, and;made available -to-_the enforcement agency for all applicable
inspections. I understand that a registered copy of this:Certificate of Compliance ,..is required to be.included,wit�h the documentation_the�builder provides to.the building owner at occupancy.
Responsible Designer Name: �''
Responsible Designer Signature:, ><'
Shanley, Barbara
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-06-14 23:04:35
Address:'
License: -
31-170 RESERVE DRIVE STE A
686310
City/State/Zip: '
Phone:
THOUSAND PALMS CA 92276
760-343-7488 "
i
y
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-AO221175A-000000000-0000 Registration Date/Time: 2016-06-14 23:04:35 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-14 23:04:41
Schema Version: 0.555SDD
Bin.# r
Cray of LQ QU�f1ta -• .
&dkft sc Safety Dh*im
Pena
P.b Box 1504,78-495 Cage Tampico
LA.Qd,w, CA 92253 - (760) 777-7012
Building Permit A&Itcadon-and Tracking Sheet
Pmjert.Add;ess: 1
Ctwmes Name:.
A. P. Number:
Address: q 313Z .e-
ugal Desaipaon:
` City, ST. Zip; lzll
Contractor: General Air ac and heating
Tde�hone: • i�(j
Aft='. 31170 reserve drive
Nro ctDesctipdoa:
City. S.T, 4- thousand palms 92276 -
C.
,
Telephone: 760 343-7488
Slue Lia #: 686310. City Lic, S:'
Arch, Bags', Desiper.
Addre=
Ctty, ST, 4•
_
Ted�ltone:
Comtrucdon Tjrpe: om%mnw:
State Lic. B:
wgect type (oirde one): New Aden Alter Riepw Demo '
Name of Contact Pason:
Sq. Ft : # Stories: ' B Unity -
Tfthone B of Contact Pw mL 818 735-7876' F,stirmaw-value of Project:
APPLICANT: DO NOT WLM BELOW THIS LINE
Y
Snbmldat
Beq'd
Beed
TRA6MG PERMIT FEES
Plan Seb
Pisa Chat submitted Item Amount
-
SMtetaiat Cates.
Revkwed, ready for a,rratloea flan Cbe& Deposit.
Tvm Cala.
Caned Cbataet Person Plan Cha& Balance
We U Calm
Plum pidted up caastraettoa
now pan pan
Ptah resubmitted . Meebaikal
Gadtai Pau
P! Review, ready for ooerectiaurrm a Elecdial
Sabeoataetor List
et
Called contstt Person Flambing
Grant Decd
1% ptdted up S.M.L.
H.O.A. Appr d
runs rembmit d Gradfag .
IN HOISE:- ,
*` R e ew. ready fer wrreetionsThsue Developer Impact Fee
Planning Approval
*
Gaited Coataet peM" A.IJ'.Y.
Pub. Wks. Appr
Date of pmalt brae
School Fees
-.
Total Permit Fees
4
�t