BMCH2015-0375.I- r
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O15-0375
Property Address: 57515 BLACK DIAMOND
APN: 762340014
Application Description: KINLEY RESIDENCE
Property Zoning:
Application Valuation: $33,335.00
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
T4t!t 4 eldfv Q":
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
II II'lll'llll IIII IIII
47
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/1/2015
Owner:
® JOHN KINLEY
57515 BLACK DIAMOND
LA QUINTA, CA 92253
OCT 01 2,015
Contractor:
CITY OF LA QUINTA HARRISON ENTERPRISES INC DBA GENERAL AIR
IMMUNITY DEVELOPMENT DEPAPTMENT 31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
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: 10 I S 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 forthe purpose of sale.).
1
( 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 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 Address:
(760)601-3500
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: I� i b� Applicant: S> `
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): �2 '
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT .'
QTY . AMOUNT: PAID PAID DATE'
BSAS SB1473 FEE
101-0000-20306
0 $2.00 $0.00
PAID BY
METHOD
RECEIPT # CHECK # CLTD BY,
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 $0.00
DESCRIPTION
ACCOUNT :'
QTY.
.. ..AMOUNT>"
RAID,.
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 for CHANGEOUT: $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:00
Description: KINLEY RESIDENCE
Type: MECHANICAL
Subtype: Status: UNDER REVIEW
Applied: 10/1/2015 AZA
Approved:
Parcel No: 762340014 Site Address: 57515 BLACK DIAMOND LA QUINTA,CA 92253
Subdivision: TR 29147-1
Block: Lot: 44
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $33,335.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
WESTLAKE
VILLAGE
Details: HVAC CHANGE OUT - REPLACE (1) 5 TON & (1) 2 TON, 14 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S)
TO BE INSTALLED PRIOR
TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Printed: Thursday, October 01, 2015 1:59:00 PM 1 of 2 r
SYS TF.ti1S
ONS
NAME TYPE
NAME
ADDRE5S1
CONTACTSCUNUH
CITY
STATE'
ZIP
PHONE
FAX EMAIL
APPLICANT
IE INC.
32115 LA BAYA
WESTLAKE
VILLAGE
CA
91362
(760)296-1144
CONTRACTOR
HARRISON ENTERPRISES INC DBA
GENERAL AIR
31170 RESERVE DRIVE
THOUSAND
PALMS
CA
92276
(760)296-1144
OWNER
JOHN KINLEY
57515 BLACK
DIAMOND.
LA QUINTA
CA
92253
(760)296-1144
Printed: Thursday, October 01, 2015 1:59:00 PM 1 of 2 r
SYS TF.ti1S
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD.
BY
BSAS SB1473 FEE
101-0000-20306
0
$2.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $2.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$145.04
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT-
101-0000-42600
0
$72.52
$0.00
SPLIT-SYSTEM PC
Total Paid for CHANGEOUT: $217.56 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:••
BOND INFORMATION
ATTACHMENTS
Printed: Thursday, October 01, 2015 1:59:00 PM 2 of 2.
SYS 7CMS
9�
Qtr of LA Quints
' Building & SafetyDivision
P.O. Box 1504,78-495 Calle Tampico
1.a.Quinta, CA 92253 -1760) 777-7012
Building Permit Application and Tracking Sheet
I
Project Address: 57515 Black Diamond
Dili #
Qtr of LA Quints
' Building & SafetyDivision
P.O. Box 1504,78-495 Calle Tampico
1.a.Quinta, CA 92253 -1760) 777-7012
Building Permit Application and Tracking Sheet
Permit # "�
Project Address: 57515 Black Diamond
Owner'sName:.John &Pat Kinley
A. P. Number.
Address: 57515 Black Diamond
Legal Description:
City, ST, zip: La Quinta, CA 92253
Contractor. General Air Conditioning
Telephone:
Address: 31170 Reserve Drive
Project Description:
City, ST, Zip: Thousand Palms, CA 92276
Replace 5ton, 90,000 BTU Complete HVAC Systema
Telephone: 760-343-7488
State Lic. # : 686310 City Lie'. 9,
Arch., Engr., Designer:
Replace 2ton, 70,000 BTU Complete -HVAC System
Address:
City., ST, Zip:
Tele hone: `� .
P Construction Type:. Occupancy: .
State Lic. #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Steven Schnierer Sq. FL: # Stories: #Units:
Telephone # of Contact Person: 818-735-7876 X 1 Estimated Value of Project: $33,335,00
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACMG
PERMU FEES
Plan Sets
Plan Check submittedItem
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance -
Title 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted -
Mechaeical
Grading plan
2'd Review, ready for correctiousliissue
Electrical
Subcontactor List
Called Contact Person
Piumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
N HOUSE:-
'j° Review; ready for correetionsrissue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.I.P.P'.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
STATE OF CALIFORNIA 2>y st erg "G
ALTERATIONS - HVAC
CEC-CFIR-ALT-04-E Revised 03/15 CALIFORNIA ENERGY COM ISSION
CERTIFICATE OF COMPLIANCE C(1R-ALT-04-E
Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1)
Site Address: 1 `
%
SSUS
Enforcement Agency:
Date Prepared:
�ermit#:
RC1` v\ 0.KlOY��
t io s
Equipment Type
Equipment Efciency
New Cfucting, Plenums, Lineset.
Conditioned
I
$hermostat
Required R -value
Floor Area (sq ft)
I
❑ Packaged
Evaporator Coil
Foy,
COP
❑ R-6 (CZ 2, 8-13) Ducting
Served by system
Setback
System
Split System
Condensing Unit
❑Compressor
1�SEER
HSPF
❑ R-8' (CZ11,14, 15) Ducting
d4" q ft
If not already
❑ Mini Split
❑ Lineset
❑ R-6 (all CZ's) Plenums
Present, must
a installed)
#(Furnace
❑ TXV
EER
❑ R-5 or R7.5) Line;et`
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit app0cation
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 ropy
12ft on site.
P(1. HVAC Changeout/Repair
Required Compliance Documents to be left on site for Final:
All Equipment,
CF111-ALT-02-E
Condenser Unit, Evaporator Coil,
CF2R: MECH-01, MECH-20-HERS, MECH-(23 or Z4)' -HERS, MECH-25-HERS=
Compressor, TXV, Lineset,
CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS:, MECH-25-HERS'
Air Handler/Furnace' (Can include new ducting
Installer Requirement: Duct leakage (< 159'0, or < 10% to outside, or seal all accessible leaks), Air Flow 2 300 CFM/ton, Refrigerant Ch�rge.
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
❑ 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'
CF311: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS'
Mini Splits require CF1R-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HE
S
Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow 2 350 CFM/ton (or alternative), Refrigerant Charge
❑ 3. All New Ducts with Replacement
Required Compliance Documents to be left on site for Final:
All New Ducts' and one or more of the following
CFIR-ALT-02-E
replaced: Condenser Unit, Evaporator Coil,
CF2R: MECH-03, 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: 111. Existing duct systems are constructed, insulated or sealed with asbestos
❑ 4. New Ducting over 40 feet I Required Compliance Documents to be left on site for Final:
New ducting but less than All New Ducts' CF1R-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS
Installer Required to: Duct leakage (< 15% or, < 30% to outside or, or seal all accessible leaks)
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
I
' 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
Boors 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 7S 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)
fl
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
Ii ne Diameter
with insulation as the following 1.5 -2T -25/e', 2.5-3T-2%', 3.5 to 4T-2%", ST -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
t1 le
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 enforcl
ment
agency for approval with this building permit application.
Responsible Designer Name:
Responsible Designer Signature:
Dale Signed:
License:
Company:
6o.Nrtcrc,l -,c
Address:
31110
City/State/Zip:
227
Phone:
-)(-0-343 7'1
For assistance or questions regarding the Energy Standards, contact the tnergy notnne ac &row -i t