BMCH2017-0046M
78-495 CALLE TAMPICO
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LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O17-0046
Property Address' 52425 VIA CASTILE
APN: 777440022
Application Description: LEONARD / REPLACE 3 TON COIL
Property Zoning:
Application Valuation: $3,764.00
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: 3 J)_7 Contractor: 5(^A f '
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 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certific.—te of consent to self -insure for workers'
compensation, as provided for by Section 3770 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers'rompensation 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: INSURANCE COMPANY OF THE WES— Policy Number: WSD5031658
_ I certify that in the performance o' 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 drat, if I should become subject to the
workers' compensation provisions of Sectior 3700 of the Labor Code, I shall forthwith
comply with those provisions.
� r
Date: 3 )� 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 apdication 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, ani the applicant, each agrees to, and shall
defend, indemnify and hold harmless the Cit- of La Quinta, its officers, agents, and
employees for any act or omission related tothe work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this app9ication 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 ;tate that the above information is correct.
I agree to comply with all city and county orcinances and state laws relating to building
construction, and hereby authorize represercatives of this city to enter upon the above-
mentioned property for inspection purposes
Date: 3 r 11 Signature (Applicant or Agent):
Date: 3/1/2017
Owner:
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THOMAS LEONARD
LU
P 0 BOX 1509
DANVILLE, CA 92253
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Contractor:a
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HARRISON ENTERPRISES INC
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31170 RESERV= DRIVE
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THOUSAND PALMS, CA 92276
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(760)343-7488.
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Llc. No.: 686310
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WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certific.—te of consent to self -insure for workers'
compensation, as provided for by Section 3770 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers'rompensation 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: INSURANCE COMPANY OF THE WES— Policy Number: WSD5031658
_ I certify that in the performance o' 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 drat, if I should become subject to the
workers' compensation provisions of Sectior 3700 of the Labor Code, I shall forthwith
comply with those provisions.
� r
Date: 3 )� 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 apdication 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, ani the applicant, each agrees to, and shall
defend, indemnify and hold harmless the Cit- of La Quinta, its officers, agents, and
employees for any act or omission related tothe work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this app9ication 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 ;tate that the above information is correct.
I agree to comply with all city and county orcinances and state laws relating to building
construction, and hereby authorize represercatives of this city to enter upon the above-
mentioned property for inspection purposes
Date: 3 r 11 Signature (Applicant or Agent):
Date: 3/1/2017
Application Number:
BMCH2017-0046
Owner:
Property Address:
52425 VIA CASTILE
THOMAS LEONARD
APN:
777440022
P 0 BOX 1509
Application Description:
LEONARD / REPLACE 3 TON COIL
DANVILLE, CA 92253
Property Zoning:
Application Valuation:
$3,764.00.
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Contractor:
HARRISON EN—ERPRISES INC DBA GENERAL AIR
31170 RESERVc DRIVE
THOUSAND PALMS, CA 92276
(760)343-7488;
Llc. No.: 686310
Detail: HVAC CHANGE OUT - REPLACE 3 TON COIL[2016 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED :PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT- REPAIR/ALTERATION
101-0000-42402
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - REPAIR/ALTERATION PC
101-0000-42600
0
$5.07
Total Paid for CHANGEOUT: $17.74
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin # '
City of La Quilita.
Building &, Safety Division
Permit # 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
QGnG1-( �JZ - [�U`,�-t 6 Building Permit Application and Tracking Sheet
ProjectAddress: ,,Z�}2S V1"' ''61 e Owner's Name: Lt,
A. P. Number:
Address: 5z47_5e V; CoAl
Legal Description:
City, ST, Zip: L a jr_�V; CA Q-Z7zs3
Contractor: �+
1 � �c
Tele h n
P o c. 9�i.S O�
Address: 3}�-)D 7e eve_ 1
Project Description: -pe late, 3ktx.1,0i
City' ST, Zip:I .a 10. 1 °i 2Z710
Telephone:
`f' g
State Lic. # : (0$(031(7
City Lic. #.-
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: one:
s
.....................
:Cons
tructi n Type: O ecu erreY
#•
Project type (circle one): New Add'n Alter Repair. r
Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: 3, % to,4. &c -
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Depwit
Truss Cales.
Called Contact Verson
Plan Check Balar cc.
Title 24 Calcs.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Jrd Review, ready for corrections/issue
Developer Impac: Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks_ Appr
Date of permit issue
School Fees,
I
Total Permit Fee:
STATE OF CALIFORNIA
ALTERATIONS - HVAC
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:
D t
Prepared:
Permit#:
5242 VIA AL e+
i?lV\ G1
3
1 1-7New
' Equipment Type
Equipment Efficiency
ucting, Plenums, Lineset:
Required R -value
Conditioned
Floor Area (sq ft)
Thermostat
❑ Packaged System
WEvaporator Coil
AFUE
COP
❑ R-6 (CZ 2, 8-13) Ducting
Served by system
X Setback
❑ Split System
❑ Condensing Unit
❑ R-8' (CZ 11, 14, 15) Ducting
sgft
not already
❑ Mini Split
❑ Compressor
SEER
HSPF
❑ R-6 (all CZ's) Plenums
Present, must
pr
❑ Furnace
❑ Lineset
EER
❑ R-5 or R7.5) Lineset'
be installed)
❑ TXV
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.
1. HVAC Cha ngeout/Re pair
Required Compliance Documents to be left on site for Final:
All Equipment,
CF1R-ALT-02-E
Condenser Unit, Evaporator Coil;
CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)Z -HERS, MECH-25-HERSZ
Compressor, TXV, Lineset,
CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERSZ
Air Handler/FurnaceZ (Can include new ducting)
Installer Requirement: Dud leakage L15%, or < 10% to outside, or seal all accessible leaks), Air Flow z 300 CFM/ton, Refrigerant Charge.
Exempted from dud leakage testing if:
❑ 1. Dud system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of dud in unconditioned space, or
❑ 3. Existing dud systems are constructed, insulated or sealed with asbestos (list manufacture date of building ,
❑ 2. New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Duds' CF1R-ALT-02-E
including Mini Split CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERSZ, MECH-25-HERSZ
CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS2
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 >_ 350 CFM/ton (or alternative), Refrigerant Charge
❑ 3. All New Ducts with Replacement Required Compliance Documents to be left on site for Final:
All New Duds' and one or more of the following CFIR-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 z 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 Ducts3 CFIR-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS
Installer Required to: Dud 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.
Z Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25
3 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-25/8", 2.5 -3T -2Y.", 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.
Responsible Designer Name:
Responsible Designer Signature:
[Daegned:
License:
11
(08(o31D
Company:
Address:
Ci^ IL State/Zip:
Phone:
31170 1
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76o -3'43- 714 8,%
e va
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For assistance or questions-Yegarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300