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BMCH2015-0034. Cr. . 78-495 CALLE'TAMPICO LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O15-0034 Property Address: 55060 FIRESTONE APN: 775153033 Application Description: GENERAL AIR CONDITIONING/CLAY/REPLACE A/C, COIL, AND FURNACE Property Zoning: Application Valuation: $13,732.00 Applicant: IE INC. 32115 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 License No.: 686310 / Date: S )S Contractor.�ui.� 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).: , (_J 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. J 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 Na Lender's Add VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/5/2015 Owner: JOHN AND CARRIE CLAY 55060 FIRESTONE LA QUINTA, CA 92253 7 C', r' QC, 0 Q, Contractor, ,; HARRISON ENTERP SSSf/INC f)BA G 31-170 RESERVE 'Cl) THOUSANDPALMS CA/922.76r (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 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. Date: 451 15 Applicant: �u_—a ��—�— 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: 5 LS Signature (Applicant or Agent):JtMwTL FINANCIAL / • DESCRIPTION ACCOUNT QTY AMOUNT PAID PA16 DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA; $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $72.52 $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 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forCHANGEOUT: $108.78 $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: GENERAL AIR CONDITIONING/CLAY/REPLACE A/C, COIL, AND FURNACE Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 2/5/2015 SKH Approved: Parcel No: 775153033 Site Address: 55060 FIRESTONE LA QUINTA,CA 92253 Subdivision: TR 21846-2 Block: Lot: 2 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $13,732.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 , No. Stories: 0 No. Unites: 0 NAME-' Details: HVAC CHANGE OUT-18SEER/.8AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CONDITIONS CONTACTS NAME TYPE NAME-' ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL APPLICANT IE INC. 32115 LA BAYA WESTLAKE VILLAGE CA 91362 (760)564-8254 CONTRACTOR HARRISON ENTERPRISES INC DBA G 31-170 RESERVE DRIVE STE A THOUSAND PALMS CA 92276 (760)564-8254 OWNER JOHN AND CARRIE CLAY 55060 FIRESTONE LA QUINTA CA 92253 ( Printed: Thursday, February 05, 2015 1:57:46 PM 1 of 2 CR CY.STFM.S DESCRIPTION, ACCOUNT QTY 'AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD 'PAID BY' CLTD 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 $72.52 $0.00 SPLIT -SYSTEM HVACCHANGEOUT- 101-0000-42600 0 $36.26 $0.00 SPLIT -SYSTEM PC Total Paid forCHANGEOUT: $108.78• $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:$0.00 INSPECTIONS SEQID . INSPECTION TYPE INSPECTOR.. SCHEDULED COMPLETED- DATE DATE . RESULT REMARKS NOTES MECHANICAL FINAL" PARENT PROJECTS REVIEWS REVIEW TYPE 5 REVIEWER SENT DATE -DUE DATE . ' RETURNED STATUS REMARKS NOTES DATE Printed: Thursday, February 05, 2015 1:57:46 PM 2 of 2 CR CYCTfM.t Bin # Permit # 5o%O�s' ¢ " Cray of La' Q urn is . "Building 8£ Safety Division P.O. Box 1504; 78-495 Calle Tampico. La Quinta, CA 92253 - (760.) 777-7012 Building Permit Application and Tracking Sheet ProjectAddress: �� 0(60Owner's Name: .i0 rr�e C1a A. P. Numbc . Z5-!> 03 Address: S5 Ulo© '� feS�0Y1>✓ Legal Description: City, ST, Zip: Lc, ntract r o er til � r � � P Address: 31 �, ��SQ�cv ` Project.Description: City, ST, Zip:'. -4: CA CIZZ-7lo �e lace y1o� A L C15i 1 G X10 od0 Telephone: `7to0-3443'7�1$ `•,;::.:..,. K State Lie. #: G$ (o3 10 City Lie. #; a Arch., Engr., Designer: Address: City., ST, Zip: Telephone:.Occupancy:' Constntction Type: State Lie. #: oAdd'n roJ•c t (circle one): Alter Repair air Demo P 17Pc Name of Contact person: Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE #! Submittal Rcq'd Rcc'd TRACIM\IG PERMIT TEES Plan Sets PIan Check submitted Item Amount Structunal Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person. Plan Check Balance • Tillc 24 Calts. Pians picked up Construction . Flood plain plan Plans resubmitted Mechanical Grading plan 2°' Review, ready for corrections/issue Electrical Subcontactor List Called Contact-Pcrson Plumbing Grant Deed Plans picked up S.M.X. I1.0.A. Approval Plans resubmitted Grading IN If OUSE:- '`° Review, ready for corrcctionsrtssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.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 -IR -ALT -HVAC) (Page 1 of 3 ) Project Name: JOHN & CARRIE CLAY Date Prepared: 2015-02-03 A. General Information CFIR-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 JOHN& CARRIE CLAY 02 Date Prepared 2015-02-03 03 Project Location 55060 FIRESTONE 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name JOHN & CARRIE CLAY 07 Zip Code 92253 08 Dwelling Unit Conditioned 1400 'w'Ia ^q -.WbL .4r:; .._ �'�`' " lYbk �� •'h Floor Area (ft2) SC System SC System CFA served system a refrigerant Number of space conditioning Installing 09 Climate Zone 15 10 (SC) systems in this dwelling 1 ducted containing system more than 40 unit. entirely new .,aNF�""'��'4.R �-�IZCS'Y+�' .'�.Ri '�E'•r... .Y3v. 9K_?R^Y^�SarYi� tly°`"�!Y.m, B. Space Conditioning (SC) Systemlinformation Ol 02 ' 03; ` �$ 04 05 ' ' 06 'G . sA,071%# !", 0 8J.y 09 10 / �g a y '¢'SWRkW" - '., "� .( - ,�Is'the SC=�" -, a "s4� �rinstalling a. 'w'Ia ^q -.WbL .4r:; .._ �'�`' " lYbk �� •'h SC System SC System CFA served system a refrigerant Installing new SC Installing Installing 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 Altered space System 1 Location 1 1400 Yes Yes Yes No No No 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: 215-AO03465OA-000000000-0000 Registration Date/Time: 2015-02-03 13:49:46 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-02-03 13:49:10 Schema Version: 0.551SDD 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)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 • Less than or System 1 furnace heating AFUE p g AC cooling SEER 18 Setback equal to 40 R-8 components components feet 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: <_ 15%, or 5 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 & CF311-MCH-23 Air Flow 2:300 CFM/ton required when MCH 25 is required., -- y 5 , i { Exceptions: 1. as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements - Duct systems registered with HERS provider zi -Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH 23, or ReV. AI frigerant Charge MECH-25. -Existing duct systems constructed, insulated orsealed with asbestos are exempt from MCH -20 Duct Leakage TestingrequirementS'.' " = ��, MM 5 ;• rl .4 f., •T i ;+em+.^w, •.. .: }',e"r' 3.¢ a±rrs*a.. •.r ,.vt .arw-?m -s.. �,,:ae:.c',cr•' - :;i: ' &: Cwr:' vEa✓' $ 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-AO0346SOA-000000000-0000 Registration Date/Time: 2015-02-03 13:49:46 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-02-03 13:49:10 Schema Version: 0.551SDD 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: Jacoby, Documentation Author Signature: c cJciIT �crC0 Ian Company: Signature Date: Stratz Permit Service 2015-02-03 13:49:01 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,desiign4identified on this Certificate of Compliance (responsible designer). tea' * � -, -1 z , .�, z , 'v'^ x- , 3. That the energy features and performance specifications, materials, components, and manufactured device0or 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. The building design features or system design features identified on this Certificate of Compliance are consistent with theinformation provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted.to the enforcement agency for approval with this building permit application ,� ,�-.,. rs n. .:.Ds^. z ..: ., i :� # � . �„ PIP f1 . 5. I will ensure that a registered copy of`this Certificate of Compliance shalfbemade;available with the building permrt(ssued for the bwlding, and-mad'e;ayailable to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Cornpliance is required to be included with the documentation the'liuilder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Valdez, Dayana Company: Date Signed: HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING 2015-02-03 13:49:46 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-A0034650A-000000000-0000 Registration Date/Time: 2015-02-03 13:49:46 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version:'2014-03-31 Report Generated: 2015-02-03 13:49:10 Schema Version: 0.551SDD