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BMCH2015-009978-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Twr 4 lwClwmr�, COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O15-0099 Property Address: 78561 E DEACON DR APN: 770220006 Application Description: DUFFIELD AL (2) HVAC CHANGE OUT Property Zoning: Application Valuation: $9,374.00 Applicant: GENERAL AIR CONDITIONING 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 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: _ License No.: :LIC -0003606 S ate: 3210 3 i� 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).: (1 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 ) 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 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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: ALBERT DUFFIELD P 0 BOX 4080 INCLINE VILLAGE, NV 92253 Contractor: GENERAL AIR CONDITI( 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 (760)343-7490 Llc. No.: :LIC -0003606 Date: 3/25/2015 MAR. 3 0 2015 COMMUNITY DEVEpp Q DEPARTMENT 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. 5� 1 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:— Polity 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. pate: 3 30 1 15m Applicant: SLA e— 5� 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. date: Signature (Applicant or Agent): CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) C F 1 R -ALT -02-E (Page 1 of 3 ) Project Name: AL DUFFIELD I Date Prepared: 2015-03-23 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 AL DUFFIELD 02 Date Prepared 2015-03-23 03 Project Location 78561 DEACON DRIVE #E 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name AL DUFFIELD - Dwelling Unit Conditioned 2�R ;,"-n's *�' '`t* Installing a 07 Zip Code 92253 OB Floor Area (ft2) 2870 SC System CFA served system a� .� rage faitnstalling.new Number of space conditioning Installrig 09 Climate Zone 15 10 (SC) systems in this dwelling 2 ducted containing system more than 40 unit. entirely new B. Space Conditioning (SC) System' Information: , t 01 02 03 ` 04�. 05 06 07 0i8 09 10 .:.. - `.:�mY�+' Is the SC 2�R ;,"-n's *�' '`t* Installing a i•%%mc>f � Ye *4 ,� 'A' W k.4 'Ys��l+i� 't" SC System SC System CFA served system a� .� rage faitnstalling.new SC Installrig lalling Installing Identification or Location or Area by this SC ducted containing 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 1390 Yes Yes Yes No No No Altered space conditioning system System 2 Location 2 1390 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib) This section does not apply to this project. Registration Number: 215-A0075759A-000000000-0000 Registration Date/Time: 2015-03-23 13:03:16 HER$ Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-03-23 13:02:41 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)1E and F) 01 02 03 04 05 06 07 08 09 10 11 12 He 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 0.8 AC cooling SEER 15 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 0.8 AC cooling SEER 15 Setback section is not section is not components components 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%, or 5 10% leakage to outside, or seal all accessiple'leaks. � � �+*� � r �" �� r CF2R-MCH-25-H & CF3R-MCH-25 H Refrigerant Charge Verification required when refrigerant ontaining•components qre ihstalled or altered (applicable in C2a2, 8 CF >_ -MCH-23 & CF3R-MCH-23 Air Flow 300 CFM/tori required;when MCH,25 giii a '3 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 requite verification ow of Air FI,MCH-23, or Refrigerant Charge MECH-2S. -Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH420 Duct Leakage Testing requirements. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, 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: 215-A0075759A-000000000-0000 Registration Date/Time: 2015-03-23 13:03:16 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-03-23 13:02:41 Schema Version: 0.55SSDD 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. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: c an aCo Jacoby, Ian J Company: Signature Date: Stratz Permit Service 2015-03-23 13:02:47 Address: CEA/ HERS Certification Identification (if applicable): 5858 Dovetail Drive City/State/Zip: Phone: Agoura Hills CA 91301 818-735-7876 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 th_e, building.design.or system design identified on this Certificate of Compliance conform to the ow requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certific' at hof Compliance are nsistent theinnfformat or rovided on cther.`applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. +4 h 90 * 3W vt . 5. 1 will ensure that a registered copy of this Certifica a o C.1 . pliance shall_be made.available with the building'permit(s) issued forrthe,liuild ng, and�made avail.able,to the;enforcement agency for all applicable inspections. I understand that a registered copy of this•Certificate of Compliance_is-requjred to be included with the_documentation the builder provides to -the building owner at occupancy. ^'. :�• °�4 tr....y !r Responsible Designer Name: ' ,.� Responsible Designer Signature: $. 1 4 -��ni Valdez, Dayana Company: Date Signed`. - HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING 2015-03-23 13:03:16 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 noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 215-A0075759A-000000000-0000 Registration Date/Time: 2015-03-23 13:03:16 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-03-23 13:02:41 Schema Version: 0.S5SSDD 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 Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $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 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 forCHANGEOUT: $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:01 0.00 Description: DUFFIELD AL (2) HVAC CHANGE OUT Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 3/25/2015 PJU Approved: Parcel No: 770220006 Site Address: 78561 E DEACON DR LA QUINTA,CA 92253 Subdivision: TR 28470-1 Block: Lot: 6 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $9,374.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NAME Details: (2) HVAC UNIT CHANGE OUT FURNACE,CON DENSER 78% AFUE,15 SEER 3 TON & STON PER 2013 MECHANICAL CODES 2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. CHRONOLOGY CONDITIONS FAX _ EMAIL NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE APPLICANT GENERAL AIR CONDITIONING 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 CONTRACTOR GENERAL AIR CONDITIONING 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 OWNER ALBERT DUFFIELD P 0 BOX 4080 INCLINE VILLAGE NV 92253 'DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 1 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: Printed: Wednesday, March 25, 2015 2:55:22 PM 1 of 2 RWSYS TfMS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE 'RECEIPT # CHECK # METHOD PAID BY CLTD BY HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $145.04 $0.00 HVAC CHANGEOUT - 101-0000-42600 0 $72.52 $0.00 SPLIT -SYSTEM PC Total Paid forCHANGEOUT: $217.56 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid forPERMIT ISSUANCE: $91.85 $0.00 TOTALS:0.40.00 BOND INFORMATION Printed: Wednesday, March 25, 2015 2:55:22 PM 2 of 2 CRWSYSTEMS rr ,^, f Bin ## Cray of La Quinta. -Building 8r Safety Division Permit #f P.O. Box 1504, 78-4.95 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Project Address:.-78S(1=.I r Owner's Name: A) to A. P. Number: Address:C .,, Legal Description: City, ST, Zip: L. CL Q%jiyxi G CA Q 2257 Contractor: ,t ,� �l A; r -��Q ; Telephone: � ?-� Address: 3 `\'10 eSt' c've Project Description: City, ST, Zip: vSG.�a�G�rc1S CA 42VX_ J�e 1acr------------- Telephone: %% i 1PAC: J S Gm State Lic. #: 6463.10 City Lia #: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: eP :-:>;-::: ':;,>;"i'->:;:` ';::':;z:;;: Construction Type: Occupancy: YP oJ edtYPc circle one): New Add'.n Alter' Repair DemoPr State Lic. #: vi:•i<'i'^i.;i.;?.tri.:.. :.`bx•:<y :;iiia:::i::::. .� Name of Contact Person: 5�.5��; Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: CC7 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rcq'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Clicck Deposit Truss Cala. • Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked u' Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'J Review, ready for'corrcclions/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. N.O.A. Approval Plans resubmitted Grading IN ROUSE:- 3" Revicnv, ready ror eorrcctionsrissuc Developer Impact Fee Planning Approval Called Contact.Person A.I.P.P.. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees