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BMCH2016-045278-495 CALLE TAMPICO ' 0 V & � VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 12/20/2016 Application Number: BMCH2O16-0452 Owner: Property Address: 47030 VIA LORCA FREDERIC SCHNE=BERGER APN: 643160032 Application Description: HVAC CHA• SCHN R 92253 Property Zoning: D Application Valuation: $16,000.00 q Applicant: DEC 2 U 2016 Contractor: ERKIES ELECTRICAL HEATING AND AIR 0 ERKIES ELECTRICF.L HEATING AND AIR P 0 BOX 1366 CITY OF IA QUINTA P 0 BOX 1366 . PALM SPRINGS, CA 92263 DESIGN AND DEVELOPMENT DEPARTMENT PALM SPRINGS, CA 92263 (760)323-8786 Llc. No.: 986116 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: C10, C20 License No.: 986116 Date ZO Contracto 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 thaYthe 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 Lender's WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one ofthe following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 370Dof 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: NORGUARD INSURANCE COMPANY Policy Number: DAWC700675 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 300 of the Labor Code, I shall forthwith comply with those provisions. Date: ZO 16 Applicant WARNING: FAILURE TO SECURE WORKERS' CO NI PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR;N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to theiBuilding 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 Cty 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 is=uance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and stat2 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 representati-es of this city to enter upon the above-mentioned property for inspection purposes. Date: ZD �6 Signature (Applicant of Agent) Application Number: BMCH2016-0452 Property Address: 47030 VIA LORCA APN: 643160032 Application Description: HVAC CHANGEOUT; SCHNEEBERGER Property Zoning: Application Valuation: $16,000.00 Applicant: ERKIES ELECTRICAL HEATING AND AIR P O BOX 1366 PALM SPRINGS, CA 92263 Detail: Date: 12/20/2016 Owner: FREDERIC SCHNE=BERGER , 92253 Contractor: ERKIES ELECTRIUL HEATING AND AIR P 0 BOX 1366 - PALM SPRINGS, C4 92263 (760)323-8786 LIC. No.: 986116 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 IQTY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $152.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $76.00 Total Paid for CHANGEOUT: $228.00 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for PERMIT ISSUANCE: $96.27 -Y c STATE OF CALIFORNIA ALTERATIONS - HVAC �� CEC-CFIR-ALT-04-E (Revised 06114) 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#: -VTA Lon -CA Equipment Type )1/) AY—1 ACY` Equipment Efficiency New Ducting, Plenums, Lineset: ConUtio d Thermostat Required R -value Floor Area (sq ft) ❑Packaged System ® Evaporator Coil AFUE COP ❑ R-6 (CZ 2, 8-13) Ducting Served by system 11Setback U/Split System ® Condensing Unit❑ R-8' (CZ 11, 14, 15) Ducting v0 sgft (if not olreody ❑ Mini Split ompressorNA SEER HSPF 11R-6 (oll CZ's) Plenums present must G(Furnace C8 Lineset EER F� R-5 or R7.5) Lineset 4 be installed) 1 12 TXV HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below At permit application this fo4 is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allow?d) and a copy left on site. 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-HERS2 Air Handler/Furnace2 (Can include new ducting) Installer Requirement: Dud leakage (:L15%, or < 109 to outside, or seal all accessible leaks), Air Flow a 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 duct ii unconditioned space, or ❑ 3. Existing dud 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 Duds' CFIR-ALT-02-E including Mini Split CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24--HERS2, MECH-2S-HERS2 CF3R: MECH-20-HERS, MECH-22-HERS; MECH-(23 or 24) -HERS', M=CH-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 113. All New Ducts with Replacement Required Compliance Documents to be left on site for Final: All New Ducts3.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 Ducts' CFIR-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS Installer Required to: Duct leakage L15% 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. 2 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) 4 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-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 airs eligible under Division 3 of the California Business and Professions Code to accept responsibility for the ihformnation 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: Date Signed: , License: i FE D• Af, Company: Address: City/State/Zip: Phone: PO d.PA r+ CAkv ;drd O2 ACM .SP/LZN6S -A `i2 (,Z- _ pp 7Co J�3'�71J For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300 8'b Pf Ful Bin # City of LQ Qi•ihto Building a Safety Division Permit # . _ 78-495 Calfe Tampico La Quinta, CA 92253 - (760) 777-701,2 ZD - SZ - F3uilding Permit Application and Tracking Sheet Projec t Address- t- 030 V_A bo C Owner's Name: A. P. Number: Address: Legal Description: Ale- CK LAC _ E �Jq City, ST, Zip: Contractor: r: S T le h ne: e P o Address: aQ a-- .Iv AW, C NLf o tj Project Description: City_ ST, Zip -.AJ yk) �Ci(� EP LAci- �' — V� e Tleh one. P 7 %Q ,)02, _ S T `C n S Z � S State Lic. # n / "l ��o l �O City Lic..#.-. : Arch., Engr., Designer: Address: City, ST, Zip: h Telephone: one: ........................... Construction TY e• Occupancy: P , State a L#. t ic. roJect type (circle ne • New Add'n Alter RepairDemoP Name of Contact Person: D NL Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: (� 02 I�� Estimated Value of Project: �� 000 APPLICANT: DO NOT WRITE BELOW THIS LINE t/ Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Revicwed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Revicw, ready for corrcctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN IfOUSE:- 3'! Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date orpermit issue School Fees, Total Permit Fees