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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 .., .. --17,. , ...: �. . _, � "'••''�"• .: • ... :., rpt ��} -�.,.; ^. ' '""" "r'yw.""Yy."'Y""..w� :5�rewa' :.•t..' 'w"p""'� 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 Binding Pem* Applicadon and Trading Sheet pmt f Pmjc%A.Ad4w-. 9( 6 &rq n aS owner's Nam-. a A. P. NumberAte: "if ar Legal tion: .. City. ST, Zip. �r cn ma - (7 eli fdco w- 07— oW — aUy Address ProjectDa siptiwe: Sty. ST. Tp:T[4gvxa4 la4ir 11 O C' cx,+ Tdephon- 3 7 3 — 7 8� Stan Ido. @ :'666-21a City Lia B;Or Addrassw (Sty. ST. Zip: T°� eaion type:. oo«,pan�y: State Lir. a: project typo (civic one): New Add'n Alter RepairdDe=o Name of COMOM Sq. FL: & Swries. A Una Tdcphonc Y of Contact Parson Estimated Vallee of Project: gy APPLICANT DO NOT www MOW TM Um d • . Sabmltpl RN'd Ree'd TRAQMG PxRwr FBES- !'� ' Pian CLet4 tuebmltted Item Stretdatal Cala Revlcmr4 ready for eorrecdm Plan Check Deposit. T tett calx. W Caataet Prion Plan Check Balance. Title 74 C" s pieked cep Construction " Flood 092 pica ty resnbmUtul Meet aitni rV mai P Aevltw, ready ice coerecdonsreme 0eetrled Stebeoattetor Litt Called Contact Person Plneatstag Grant Decd plans Ocked up S M.I. H.O.A. Approval plans raabmttied . ' Gradheg Review. ready for forredwas/issne Developer Impact Fee Fbwdag APPS Caned Coapet person Pub. Wis. APpr " Date of permit issue Sefocl Fees Total Pc mit Fees 6 ' 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