BMCH2016-013878-495 CALLE TAMPICO
LA QUINTA,,CALIFORNIA 92253
1
Application Number: BMCH2O16-0138
Property Address: 52975 AVENIDA VALLEJO
APN: 773323030
D VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/2/2016
Owner:
MICKIE MCGOWAN
Application Description: MC GOAN RESIDENCE/ HVAC CHANGE OUT
Property Zoning:
Application Valuation: $12,663.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
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:Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
�) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that
he or she did not build or improve for the purpose of sale.).
(_) 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 contractors) 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:
52975 AVENIDA VALLEJO
UINTA, CA 92253
PColq 0
tractor:
H RRISiONYEN9EXPRISESIN ENERALAIR
3)=SERVE DRIVE J
THOUS"laRALM 6
Llc. No.: 686310
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: _ Policy Number:
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if,[ should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: S Z l to 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 (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: T Z. (U Signature (Applicant or Agent):,_���
FINANCIAL INFORMATION
" > x - DESCRIPTION t �'>.
n<'�+, ; <''ACCOUNT�' t`�a ; jQTY>
; AMOUNT:• t PAID 'r 'PAID DATE
BSAS SB1473 FEE
101-0000_-20306 0
$1.00 $0.00 "
PAID BY
.. .}
METHOD;`RECEIPT # '' CHECK # i-, CLTD BY ,{
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
'.DESCRIPTION
TACCOUNT ;y
4
QTY
AMOUNT.
PAID
37 w
PAID DATE
HVAC CHANGEOUT — PACKAGED UNIT
101-0000-42402
0
.$36.26
$0.00
a PAI O;.BX
r
t RECEIPT=#`Q��t . '
,;�_CHECK#<
X GLTD BY'��
? �'. ' . iDESCRIPTION
=ACCOUNT4 � � a 4
h
4 QTY :
+e AMOUNT
�t <
PAID n �
'PAID`DATE
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$24.17
$0.00'
PAID.BY' 3 ; •
"4METHOD u
- RECEIPT 4-7:
'` CHECK #14
a°CLTD BY k.
Total Paid for CHANGEOUT: $60.43 $0.00
DESCRIPTION
�,.
QTY
AMOUNT x
'PAID :r
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
j. PAID BY `._ > .
METHOD
RECEIPT
CHECK # F
GLTDFBY:
Total Paid for PERMIT ISSUANCE: • $91.85 $0.00
TOTALS:. 00
4
Description: MC GOAN RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 5/2/2016 MFA
Approved: 5/2/2016 MFA
Parcel No: 773323030 Site Address: 52975 AVENIDA VALLEJO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 158 Lot: 13
issued: .
UNIT 16
Lot Sq Ft: 0 Building Sq Ft: 0. Zoning:
Finaled:
Valuation: $12,663.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 14 SEER/80AFUE PACKAGED SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
Printed: Monday, May 02, 201612:30:45 PM 1 of 2
SYSTEMS
DI i
CHRONOLOGY'"
• •
CONTACTS
NAMETYPE��
NAME �':v
ADDRESSh,~'CITY11, ESTATE
''ZIP f PHONE- FAX
r' EMAIL
APPLICANT
IE INC
31225 LA BAYA
WESTLAKE
CA
91362
(818)52.1-7930
..
VILLAGE
CONTRACTOR
HARRISON ENTERPRISES INC DBA
31170 RESERVE DRIVE
THOUSAND
CA
92276
(818)521-7930
FRANCISCO@CALLTHE
GENERAL AIR
PALMS
GENERAL.COM
OWNER,
MICKIE MCGOWAN
52975 AVENIDA
LA QUINTA
CA
92253
(818)521-793077
VALLEJO
FINANCIAL INFORMATION
Printed: Monday, May 02, 201612:30:45 PM 1 of 2
SYSTEMS
DESCRIPTION r "
ACCOUNT. ', ,
CITY
AMOUNT
PAID - .1
.. PAID DATE
RECEIPT #
,CHECK #'
METHOD
PAID BY -
..,qLTD
,
BY
BSAS SB1473 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
$36.26
$0.00
PACKAGED UNIT
<
HVAC CHANGEOUT -
101-0000-42600
0
$24.17
$0.00
PACKAGED UNIT PC
-Total Paid for CHANGEOUT: $60.43 $0.00
PERMIT ISSUANCE .
101-0000-42404
0
$91.85
$0.00
Total Paid.for PERMIT ISSUANCE: $91.85 $0.00
• • 00
.... , ..W.._,..................... ..... .............. ....... .....
INSPECTIONS
PARENT PROJECTS
REVIEWS
REVIEWTYPEREVIEWER �� RETURNED STATUS•a REMARKS OT b
SENT DATE a DUE DATE -
_ r
BOND INFORMATION
ATTACHMENTS
Printed: Monday, May 02, 2016 12:30:45 PM 2 of 2 C SYSTEMS
Bin.#
Clay. Of U Qumda
Building 8r Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application' and. Tracking Sheet
Permit #
Project Address: 52975 Avenida Vallejo
Owner's Name:. Mickie McGoan
A. P. Number.
Address: 52975 Avenida Vallejo
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor. General Air Conditioning
q
Telephone: 818-521-7930 i ��;r�= Nok
Address: 31170 Reserve Drive
Project Description:. Replace 4ton Package Unit
City, ST, Zip: Thousand Palms, CA 92276
Telephone: 760-343-7488
�1v V �`
ONE ,s
State Lie. # : 686310
City Lie". #k
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone: `�� .
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: #Units:
State Lia #: wj,tq
Name of Contact Person: Steven Schnierer
Telephone # of Contact Person: 818-735-7876
EstimatedValue of Project: $12,663.00.
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd ' .
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss C21cs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
ilood plain plan
Plans resubmitted _ _
Mechanical
Grading plan
2'd Review, ready for corrections/astte
Electrical
Subcontaetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H:OA. Approval
Plans resubmitted
Grading I.
IN HOUSE:-
'"6 Review, ready for eorrectionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue .
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
a -
.Project Name: MICKIE MCGOAN Date Prepared: 2016-04-27
-A. General Information
MR -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.
MICKIE MCGOAN
02.
Date Prepared ,
2016-04-27
03
Project Location
52975 AVENIDA VALLEJO
04,
Building Type
Single family _ -• w
05
CA City
La Quinta
06
Dwelling Unit Name '
MICKIE MC,GOAW .
Dwelling Unit, Conditioned
'
07
Zip Code
92253 +
08
Floor Area (ft2)
1823 ;
SC System
ClA served
Mla _ _ _
ANS
.
Number of space conditioning
nstallmg
•yet"
09
Climate Zone
15
10
(SC) systems in this dwelling
M"
1
ducted
* * w
containing
1 §� . �
system
more than 40
unit.
entirely new
-B. Space.Conclitioning (SC) System Information
01
02
=
0405
06
; 07
08
.09
10 .
X03
Is the SC"
(stalling as
SC System
SC System
ClA served
4system a
refrigerant t
9r._
Installing newSC
nstallmg
•yet"
nstalling
iw
Instailing
*.
Identification or •
Location or Area
by this SC
ducted
* * w
containing
1 §� . �
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
1823
Yesi
No -
Yes
No
No
No
-
`Altered space
conditioning system"
C. Extension of Existing Duct System, Greater Than.40 Feet (Section 150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 216-A0158356A,000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-04-27 23:16:38 HERS Provider: CaICERTS
Report Version: 2013 Rev 1.007 Report Generated: 2016-04-27 23:16:43
Schema Version: 0.555SDD '
CERTIFICATE OF COMPLIANCE CF111-ALT-02-E
Alterations to Space Conditioning Systems (formerly. CF -1R -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01
02
03
04
OS
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
All new
Central
All new
This field or
This field or
System 1
packaged HP
heating
AFUE
80
packaged HP
cooling
SEER
14
Setback
section is not
section is not
components
.
components
applicable
applicable
Reauired 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: 5154, or 510% leakage to outside,.or seal all accessible leaks.
CF2R-MCH-25-11 & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 845).
CF2RCF3R-MCH-23 & 6311 -MCH -23 Air Flow2 300 CFM/ton required when MCH -25 is required.
-Duct systems registered with HERS provider as previously sealed arempt exefrom'-MCH-20 Duct Leakage Testing requirement;.
-Heating-only systems and Air Handler/Furnace changes do not require'verification of Air Flow MCHJ23 or"Refrlgerant Charge Iv1,ECH� 25
-Existing duct systems constructed, insulated or sealed with asbestos -are exemptJrom MCH=20 DudtLeakage Testing re9uikemen�ts.
i : F .MAN", 3'X 3)4 . _... X is J' U X .: t..._..:... 1,1 NT 4, :s<° .A tNI KV AA'.
44Fes' . raa
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (,Sections 150.2(b)1Diia and 150.2(b)1E, F)
1;0° 164 41 f .. i
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-A0158356A-000000000-0000 Registration Date/Time: 2016-04-27 23:16:38 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-27 23:16:43
Schema Version: 0.5555DD
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. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author, Name:
Documentation Author Signature:
Shanley,. Barbara
w
Company:
Signature Date: '
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-04-27.23:16:38 "
Address:
CEA/ HERS Certification Identification (if applicable):
31-170 RESERVE DRIVE STE A
City/State/Zip: _
Phone: ,
THOUSAND PALMS CA 92276
760-343-1488
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under thelaws 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.
linfation=provided
4. The building design features or system design features identified on this Certificate ofmpliance are consistent-with;the on the aapplicable ompliance documents, worksheets,
calculations, plans and specifications submitted to the enforcementdgency fo�rpapprovai-.with this buiQng permit applicatip"n. ix
5. I will ensure that a registered copy of this Certificate ofCompliance shall be made available with the bulldfngpermrt(s)issued forthe bliilding and made avallable;tothe,enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is requited to be Included with the documentation thebullder p oxides to the building owner at occupancy.
Responsible Designer Name: I . -Z
Responsl6le Des'Igner signature: IV t 1. i �L.
Shanley, Barbara
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-04-27 23:16:38
Address:'
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip:
Phone: '
THOUSAND PALMS CA 92276
760-343-7488
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 216-A0158356A-000000000-0000 Registration Date/Time: 2016-04-27 23:16:38 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-27 23:16:43
Schema Version: 0.555SDD