BMCH2016-0208-,78-194$ CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
°F 4v QwRrw
COMMUNITY DEVELOPMENT DEPARTMENT
Application Number:
BMCH2O16-0208
Property Address:
81378 JOSHUA TREE CT -
APN:
764790056
Application Description:
CARLSON / CHANGE OUT (2) HVAC
Property Zoning:
Application Valuation:
$35,472.00
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
LIDate:. 6/16/2016
Owner:
JUN 17 2016
TA BARBARA CARLSON
81378 JOSHUA TREE LN2C
TEM'S oFLnau)_ r)LA QUINTA, CA 92253
�m
CO-M,MUiNIVOEVELCP iEP)TDEPARTitIEtIT
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
Dal-elI Contractor l�l
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve; demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she 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.).
(_) 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
(_) I 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 Ad
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 carrier and polity 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.
e
Applicant: G
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
Dater (le Signature (Applicant or Agent��� r
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY AMOUNT PAID PAID DATE
BSAS SB1473 FEE
101-0000-20306 0 $2.00 $0.00
PAID BY
METHOD RECEIPT # CHECK # CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00. $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$145.04
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION 4
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$72.52
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY '
Total Paid for CHANGEOUT: $217.56 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: CARLSON / CHANGE OUT (2) HVAC SYSTEMS
CONDITIONS
Type: MECHANICAL Subtype:
Status: UNDER REVIEW
Applied: 6/16/2016 SKH
Approved:
Parcel No: 764790056 Site Address: 81378 JOSHUA TREE CT LA QUINTA,CA 92253
Subdivision: TR 30023-6 Block:
Lot: 135
Issued: .
Lot Scl Ft: 0 Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $35,472.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
FAX
Details: HVAC CHANGE OUT - (2)21SEER/80AFUE SPLIT SYSTEMS [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
IE INC.
32115 LA BAYA
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT.
IE INC.
32115 LA BAYA
WESTLAKE
VILLAGE
CA
91362
CONTRACTOR
HARRISON ENTERPRISES INC DBA
GENERAL AIR
31170 RESERVE DRIVE
THOUSAND
PALMS
CA
92276
FRANCISCO@CALLTHE
GENERAL.COM
OWNER
BARBARA CARLSON
81378 JOSHUA TREE
LN2C
LA QUINTA
CA
92253
FINANCIAL INFQRMATION. 1
Printed: Thursday, lune 16, 2016 11:19:16 AM 1 of 2
CVWSYSTEMS
INSPECTIONS
BOND INFORMATION
Printed: Thursday, June 16, 2016 11:19:16 AM 2 of 2
SYSTEMS
CLTD
DESCRIPTION -
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0-
$2.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$2.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$145.04
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$72.52
$0.00
SPLIT -SYSTEM PC
Total Paid for CHANGEOUT: $217.56 $0.00
PERMIT ISSUANCE
101-0000-42404 1
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• 00
INSPECTIONS
BOND INFORMATION
Printed: Thursday, June 16, 2016 11:19:16 AM 2 of 2
SYSTEMS
Bin. #
:. QtY. of La Quithta
awk tg & Safety Divftton
P.O. Box 1504,'78-495 Cafe Tampko
14-Qufita, CA 92253 -:(760) 777-7012
Building Permit Applicadon-andTracking Sheet
Permit #
Project Address: �fh� '—!�'
OwnersAIemG
A. P. Number.
Address: �� �ti
City. ST, Zip: .1, 2 ��
Telephone:
Legal Desatpaon:
Contractor. General Air ac and heating
Add=' 31170 reserve drive
NeaD=dption:
City, sT, tip: thousand palms 92276
Telephone: 760 343-7488
Stu Lia N: 686310. City Lir #;
Arch., Bag'., Dadpw.
Address:
City. ST, Zip:
Telepbone: Construction Type:. Occnpanky:
State Lie. #: Project type (cirde one): New Add'n Alter Repair Demo
Name of Conw Person: # Stories. # Unit$
Tdvhoae # of Contact Person 8.18 735'7876'
Ewmatod•vatuc of Project
APPIlC M, DO NOT WRITE BELOW TM UtjE
ff
Sabmlttal
Req'd
8ec'd
TRA(XWG PERMIT FEES
Ptan Seb
Plan Cheek submitted item Amount
Strucatal Cates.
Rtvtewed, n ady for eonvedons Plan Check Deposit.
Truss Cala.
Called Contact Pcnm Plan Cheek Balance
Title 24 Calci.
Plans picked up C'onsavedon
!flood tWI par
Plan resubmitted Mecbaitral
Giadla= plan
2'! Review, ready for correctionsfissue Meetrical
Sabeoataesor Lik
Called Contact Person plumbing
Grant Deed
pans picked cep SML
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
''' Rtview, ready for corrmdom4ssoe Developer Impact Fee
Planning Approval
Caltell Contact Person A.I.P.Y.
Pub. WIM Appr -
Date of permit fuse
Sebool Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE
CF1R-ALT 02-E
I Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC) (Pagel of 3 ) I
IProject Name: BARBARA CARLSON I Date Prepared: 2016-06-14 I
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 CF1R-ALT-02 document for each dwelling unit.
01
Project Name
BARBARA CARLSON
02
Date Prepared
2016-06-14
03
Project Location
81378 Joshua Tree Court
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
BARBARA CARLSON
07
Zip Code
92253
08
Dwelling Unit Conditioned
2726
Installing new SC
In stalling
=Installing
Installing
Floor Area (ft2)
Identification or
Location or Area
by this SC
ducted
containing`
system .ie'
more than 40
enn ely nn'ew
entirely new
��
Name
Number of space conditioning
System (ft2)
09
Climate Zone
15 ;r
10
(SC) systems in this dwelling
2
Alteration Type
System 1
�! r'
1363
unit.
Yes
B. Space Conditioning (SC) System Information
01
02
; if .rr03
���
i' J 05 !
'1-061 [—hN -
f 07 ....
08 §
09
10
Is the SC""'-
Installing a
SC System
SC System
"CFA served
systema
refrigerant #
Installing new SC
In stalling
=Installing
Installing
Identification or
Location or Area
by this SC
ducted
containing`
system .ie'
more than 40
enn ely nn'ew
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1363
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Location 2
1363
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 216-AO22116OA-000000000-0000 Registration Date/Time: 2016-06-14 22:00:08 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-14 22:00:25
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFiR-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)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
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
80
AC
cooling
SEER
21
Setback
section is not
section is not
components
components
applicable
applicable
Central gas
All new
Central split
All new
This field or
This field or
System 2
furnace
heating
AFUE
,t
80
AC
cooling
SEER
21
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, -- "i .,..,, __
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%, or 5 10% leakage to outside, or seal all accessible leaks. f' ,,.
-4 --,
,d r,.,..�
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components
f„— r,
are installed or altered,(applicable in CtQ; 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow Z 300 CFM/ton re uired when MCH' -25 is re uu ri e&
``Exceptions: t 1C
Nts
-Duct systems registered with HERS provider as previously sealed'are exempt from M_CH-20Duct. Leakage,Testing
requireme
17 0
w:.
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MECECH-25.
-Existing duct systems constructed, insulated or'sealed with asbestos are exempt from ikHl Duct Leakage,Testing requirement3:
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)iC)
This section does not apply.to this project.
Registration Number: 216-A0221160A-000000000-0000
Registration Date/Time: 2016-06-14 22:00:08
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-14 22:00:25
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
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
/� _� _� _�
Documentation Author Signature: �`Z�'A/
Shanley, Barbara
v
Company:
Signature Date:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-06-14 22:00:08
Address:
CEA/ HERS Certification Identification (if applicable):
31-170 RESERVE DRIVE STE A
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276 1760-343-7488
Responsible Person's Declaration statement
1 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, mateilals, 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 ofR egulations.�
4. The building design features or system design features identified on this Certificate of Com fiance are consistent.with the ihformition.provided on other applicable'compliance documents, worksheets,
ot agency for approval with this bwldmg permit application. ¢¢ j
calculations, plans and specifications submitted to the enfrcemen 4 �
y k hw kd Y...i. rd r w l .
S. I will ensure that a registered copy of thistertificate of,Compliance shall be;;made,available with;fhe buildirig permit(s).issued forAthe 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 beincluded with the,documentation.the builder provides to the building owner at occupancy.
r.,..
Responsible Designer Name: +...
Responsible De's'igner Signature:�`Zi�/L�iA�yiGGy
Shanley, Barbara
v
Company:
Date Signed:
HARRISON ENTERPRISES INC'dba GENERAL AIR CONDITIONING
2016-06-14 22:00:08
Address:
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-343-7488
13,
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-A0221160A-000000000-0000 Registration Date/Time: 2016-06-14 22:00:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-14 22:00:2S
Schema Version: 0.555SDD