BMCH2014-111578-495 CALLE TAMPICO . - VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
L BUILDING PERMIT
Date: 10/16/2014
Application Number: BMCH2O14-1115 Owner:
Property Address: 80694 VIA PESSAfn ROBERT GREEN C
APN: 777160008 80694 VIA PESSRO c
Application Description: REPLACE (1) COIL LA QUINTA, CA 92253
Property Zoning: o D
.� Application Valuation: $2,896.00 e--►
h m p
Applicant: Contractor: Pv a
HARRISON ENTERPRISES INC D84 G=0
HARRISON ENTERPRISES INC DBA G M n -
31-170 RESERVE DRIVE STE A
'31-170 RESERVE DRIVE STE A
THOUSAND PALMS, CA 92276 z ^ THOUSAND PALMS, CA 92276 z
Z
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division,3 of the Business and Professions Code;
and my License is in full force and effect.
License Class:= f License No.: 686310
Date: , 0 Contracto,, �®
4V
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 forsale.,
(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.).
(_J ['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 isNssued (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'
compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
fc.l-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 l should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions. `
Date:YIC lb 0'`
Applicants
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 theabove-mentionedproperty for inspection purposes.
Dat ,1 O '116114' Signature (Applicant or
Agent): r
FINANCIAL INFORMATION
DESCRIPTION
_ -ACCOUNT .
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306 _.
'0,
$1°00
$0.00
PAID BY
METHOD
; RECEIPT#
CHECK #
CLTD BY
D+ r
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:,.. $1.00 $0.00
DESCRIPTION
ACCOUNTi :
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42402
0
'$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK # ' :
CLTD BY
DESCRIPTION
ACCOUNT
QTY
1 ' AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - REPAIR/ALTERATION
PC
101-0000-42600
0,
$4.83
.$0.00
PAID BY
METHOD
RECEIPT.# ;;
CHECK #
CLTD BY
a
.Total Paid for CHANGEOUT . ' $16.92 - $0.00
DESCRIPTION
'ACCOUNT
QTY
t AMOUNT
PAID
PAID DATE
PERMITISSUANCE
101-0000-42404
0
$91.85.
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BYr
O
Total Paid for PERMIT ISSUANCE: $91.85 $0.00'
r. TOTALS: $109.77 $0.00
Permit Details PERMIT NUMBER
City of La Quinta BMCH2O14-1115
Description: REPLACE (1) COI L
ADDITIONAL SITES
Type: MECHANICAL
Subtype: Status: APPROVED
Applied: 10/16/2014 S KH
Approved: 10/16/2014 S KH'
Parcel No: 777160008 Site Address: 80694 VIA PESSARO LA QUINTA,CA 92253
Subdivision: TR 29894-2
Block: Lot: 166,
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $2,896.00
Occupancy Type: Const ruction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
ADDRESSI
Details: HVAC CHANGE OUT -REPLACE (1) COIL [2013 ENERGY] CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
'ZIP
rAKtIVI YKUII:L15
Printed: Thursday, October 16, 2014 4:47:43 PM 1 of 2
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
CONTACTS
NAMETYPE
NAME
ADDRESSI
CITY
STATE
'ZIP
PHONE
FAX
'EMAIL
APPLICANT.
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE
STEA
THOUSAND
PALMS
CA
92276
(760)771-0080
CONTRACTOR
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE
STEA
THOUSAND
PALMS
CA
92276
(760)771-0080
OWNER
ROBERT GREEN
80694 VIAPESSRO
LAQUINTA
CA
92253
(760)771-0080
"
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAIDDATE
RECEIPT#
CHECK#
METHOD
PAID BY
CLTD
BY
SSASSB1473FEE
101-0000-20306
0
$1.00
$0.00
O Total Paid for BUILDING STANDARDS ADMINISTRATION
BSA:
$1.00
-
$0.00
-
.
HVAC CHANG EOUT -
REPAIR/ALTERATION
101-0000-42402
0
$12.09
$0.00
HVACCHANGEOUT-
REPAIR/ALTERATION PC
101-0000.42600
0
$4.83
$0.00
O
Total Paid for CHANGEOUT:
$16.92
$0.00.
PERMIT ISSUANCE 101-0000-42404 0
$91.85
$0.00
a
Total Paid for PERMIT ISSUANCE:
$91.85
$0.00
TOTALS:
$109.77
$0.00
INSPECTIONS
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
DATE
COMPLETED
DATE
RESULT
REMARKS
'
NOTES
MECHANICAL FINAL**
rAKtIVI YKUII:L15
Printed: Thursday, October 16, 2014 4:47:43 PM 1 of 2
REVIEWS
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
RETURNED `
,4
STATUS
REMARKS
NOTES
DATE
A
Bin # -
f Qtrof La Quinta
Building 8i Safety Division
Permit # - P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
IPAU14- IIIA Building,Permit Application and Tracking Sheet
Project Address: E0691,.1. • V e: ��.5 S0.0 Owner's Name-, �o 1p C
A. P. Number:
Address: ` g ()Gq 14. V; 7e SS0.t
Legal Description:
City, ST Zip: L C� i ci 2Z1
Contractor: Ge ex-C.N A
Telephone: '7(oo- i -)1 0 $d
:•:: •, .>->:-:;.?;;.„ .,:..,.;
Address: 30-10
Project Description:
City, ST, Zip: 1 �ov so,�.c� �o.�rr. s �i 22110
� e lace 3'r VN CC,
Telephone:
Amount
State Lie. # : le$ b3 i0
City Lie. #.-
Arch., Engr., Designer:
Address:
City., ST, Zip:
Truss Cala.
ne:
te]ePhoo
Pan cY=
Construction Type:` Occupancy:
3tatc Lie. #: J
P1an-Check Balance
w Add'n Alter i r Demo
Projecttype circle one): NoRepair P .
n' P
lame of Contact Person:
Sq: Ft.: _
# Stories:
if Units:
Ccicphone # of Contact Person:
Estimated Value of Project: 2 $ Cf(o .. co
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACEING
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
P1an-Check Balance
Tidc 24 Calc's.
Plans picked up
Construction " -
Flood plain plan
Plans resubmitted
mechanical
Grading plan
2" Review, ready for corrcctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Dccd
Plans picked up
S.M.I.
Ii.O.A. Approval
Plans resubmitted -
Grading '
IN ROUSE:-
'`" Reyiew, ready for corrections(ssue
Developer Impact Fee
,
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permft issue '
School Fees
Total Permit Fees
STATE OF,CALIFORNIA
ALTERATIONS - HVAC
E512-
CEC-CFIR-ALT-04-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E
Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1)
Site Address: ,/
Enforcement Agency:
Date Prepared:
Permit#:
leb(olq 44 Vic, 1e5 a
- F L c� Q V �, n-ka
10it.
Equipment Type
Equipment Efficiency
New Ducting, Plenums, Lineset:
Conditioned
Thermostat
Required R -value
Floor Area (sq ft)
❑ Packaged System
D(Evaporator Coil
AFUE
COP
❑ R-6 (CZ 2, 8-13) Ducting
Served by system
JXSetback
❑ Split System
❑ Condensing Unit
❑ R-8' (CZ 11, 14,15) Ducting
sqft
(If not already
❑ Mini Split
❑ Compressor
SEER
HSPF
❑ R-6 (all CZ's) Plenums
present must
❑ Furnace
❑ Linesetbe
EER
❑ R-5 or R7.5) Lineset'
installed)
❑ TXV
II
I
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
form is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site.
X 1. HVAC Changeout/Repair
Required Compliance Documents to be left on site for Final:
All Equipment,
CFIR-ALT-02-E
Condenser Unit, Evaporator Coil,
CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)2 -HERS, MECH-25-HERS'
Compressor, TXV, Lineset,
CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS'
Air Hand ler/Fu rnace2 (Can include new ducting)
Installer Requirement: Duct leakage (:S_15%, or < 10% to outside, or seal all accessible leaks), Air Flow >_ 300 CFM/ton, Refrigerant Charge.
Exempted from duct leakage testing if:
❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or
❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building ....... I
❑ 2. New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts' CF1R-ALT-02-E
including Mini Split CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS'
CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS'
Mini Splits require CFIR-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow z 350 CFM/ton (or alternative), Refrigerant Charge
❑ 3. All New Ducts with Replacement I Required Compliance Documents to be left on site for Final:
All New Ducts' and one or more of the following CF1R-ALT-02-E
replaced: Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS
Compressor, TXV, Lineset, Furnace' CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge
Exempted from duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos
❑ 4. New Ducting over 40 feet Required Compliance Documents to be left on site for Final:
New ducting but less than All New Ducts' I CF1R-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS
Installer Required to: Duct leakage (:S.15% or, < 10% to outside or, or seal all accessible leaks)
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
' All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls, between floors etc.
' Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25
' All New Ducts is when at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the
dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material)
° R-5 (1" thick insulation) for linesets 1" and less. R-7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction line Diameter
with insulation as the following 1.5-2T-2%", 2.5-3T-2%", 3.5 to 4T-2%", 5T-4%"
Contractor (Documentation Author's /Responsible Designer'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 California Business and Professions Code to accept responsibility for the information on this document.
3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR).
4. 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 CCR.
5. The building design features or system design features identified on this Certificate of Compliance are consistent with the information
provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building permit application.
Res onsible Designer Name:
Responsible Designer Si nature:
Date Signed:
License:
evr�r. SLti r�
tC) 116 1114
(o8(0I0
Company:
G�necal it
Address:
311'70��
City/State/Zip:
q2z
Phone:
-7(
ex�c�t-
l4r�sr�t.dm�
O-��3-
For assistance or questionsiregarding the Energy Standards, contact the Energy Hotline at: 1-80b-772-3300