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BMCH2015-044278-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BMCH2O15-0442 Property Address: 46770 CAMEO PALMS DR T4t!t 4 1aC�w COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT APN: 643194003 Application Description: EVANS / CHANGE OUT (1) 19SEER/78AFUE SPLIT SY! Property Zoning: w Application Valuation: $13,849.00 Applicant: I 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 r � Date: ► U 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, 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.). (_) 1, 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 Address: 21 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/25/2015 Owner: JAMES EVANS 46770 CAMEO PALM DR LA QUINTA, CA 92253 (760)601-3500 Lic. 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: (� ► S 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 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: Z t Signature (Applicant or Agent). Contractor: HARRISON ENTERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE THOUSAND PALMS, CA 92276 (760)601-3500 Lic. 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: (� ► S 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 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: Z t Signature (Applicant or Agent). 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 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 for CHANGEOUT: $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:0i Description: EVANS / CHANGE OUT (1) 195EER/78AFUE SPLIT SYSTEM Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 11/25/2015 SKH Approved: Parcel No: 643194003 Site Address: 46770 CAMEO PALMS DR LA QUINTA,CA 92253 Subdivision: TR 2117 Block: Lot: 58 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $13,849.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 CONTACTS Details: HVAC CHANGE OUT - 18SEER/78AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP` PHONE FAX EMAIL APPLICANT IE INC 31225 LA BAYA WESTLAKE CA VILLAGE 91362 (530)401-4024 CONTRACTOR HARRISON ENTERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE THOUSAND CA PALMS 92276 (530)401-0024 OWNER JAMES EVANS 46770 CAMEO PALM DR LA QUINTA CA 92253 (530)401-4024 Printed: Wednesday, November 25, 2015 10:22:08 AM 1 of 2 �� SYSTEMS s OF T DESCRIPTION 'ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS S81473 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 HVAC CHANGEOUT - 101-0000-42600 0 $36.26 $0.00 SPLIT -SYSTEM PC Total Paid for CHANGEOUT: $108.78 $0.00 PERMIT ISSUANCE 101-0000-42404---F 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:0• INSPECTIONS Printed: Wednesday, November 25, 2015 10:22:08 AM 2 of.2 CR SYSTEMS sin.# Qty. Of La Qulnta Building &r Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Z Building Permit Application and Tracking Sheet Permit # Project Address: 46770 Cameo Palm Drive. Owner's Name:. James Evans A. P. Number: Address: 46770 Cameo Palm Drive Legal Description: City, ST, Zip: La Quinta, CA .92253 Contractor: General Air Conditioning Telephone: >• ;�;s rx"'!: Address: 31170 Reserve Drive Proj e-ct Description: Replace 3ton A/C, Coil, & 70,000 BTU City, ST, Zip: Thousand Palms, CA 92276 Furnace Telephone: 760-343-7488 _£�' s' 1 16: 1,111160 11 State Lie. # : 686310 City Lie. #: Arch., Engr., Designer. Address: City., ST, Zip: Telephone: V Y' �. Construction Type-,. Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Steven Schnierer Sq. Ft.:#Stories: #Units: Telephone # of Contact Person: 818-735-.7876 Estimated Value of Project: $13,849.00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd'Rec'd TRACKING PERMIT FEES Plan Sets Pian Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit. . Truss C21eS. Called Contact Person Pian Check Balance. Title 24 Calci. Plans picked up Construction Flood plain plan Plans resubmitted.'.Mechanical Grading plan 2id Review, ready for correctiionslissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Pians picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review; ready for corrections/issue 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 Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) Project Name: JAMES EVANS I Date Prepared: CF1R-ALT-02-E (Page 1 of 3 ) 2015-11-24 A. General Information CF111-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one MR -ALT -02 document for each dwelling unit: 01 Project Name JAMES EVANS 02 Date Prepared 2015-11-24 03 Project Location 46770 CAMEO PALM DR 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name JAMES EVANS 07 Zip Code 92253 08 Dwelling Unit Conditioned 0 . Installing ; j nstaIIing> Installing Floor Area (ft2) Location or Area by this SC i ducted „ ak' ie is system Number of space conditioning ow;*, K— entirely new 09 Climate Zone 15 10 (SC) systems in this dwelling 1 component? components? _ duct system? unit. Alteration Type B. Space Conditioning (SC) System Information R ) � r 01 02 03 { 04� OS 06If1"-" 11 07) 08 09 10 • `� � �Is the SC Installing a SC System SC System CFA served ystem ate' refngerant t ii Installing=newlSC `a! . Installing ; j nstaIIing> Installing Identification or Location or Area by this SC i ducted k_ y[ a containing ak' ie is system more than 40 ow;*, K— entirely new entirely new Name Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Location 1 0 Yes Yes Yes No No No Altered space 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-A6405288A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2015-11-24 09:48:50 HERS Provider: CalCERTS 'Report Version: 2013-1.006 Report Generated: 2015-11-24 09:48:48 r,rhvma VPrcinn• n SSScnn 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 This field or This field or System 1 furnace heating AFUE 0.78 AC cooling SEER 19 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%, or15 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 & CF3R-MCH-23 Air Flow >_ 300 CFM/ton required when MCH -25 is required. Exceptions: -Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements. r,o A r i t < ' .a- ECx''25.( " -Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH=23, or'Reffigerant Charge MECH^25. Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH 20 Duct{Leakage Testhng•requir�ements. C R rri� - Is. _ .. 1! it it 1. )1 -, 1[ 3i II 1� E. Entirely New or Complete Replacement Duct,System, with or without,Equipment Changeout (Sections 150.2(b)1Diia*and 150.2(b)1E, F) v 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-A6405288A-000000000-0000 Registration Date/Time: 2015-11-24 09:48:50 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-11-24 09:48:48 Crhpma Vprcinn• n SSSCr)n 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: Salazar, Barbara arbara a`azar Company: Signature Date: i PERMIT E RATERS 2015-11-24 09:48:50 Address: CEA/ HERS Certification Identification (if applicable): 31225 La Baya Drive #213 City/State/Zip: Phone: West Lake Village CA 91362 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 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 ofRegulations. p / 4. The building design features or system design features identified on this Certificate of Compliance are consistent:with the information provided on other applicalilezompliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approvaliwith this building permi a plication. ¢ P P g Y PP g P RP 1 5. 1 will ensure that a registered copy of this Certificate of Compliance shall'be ma€de a ailable with"the liu ld ng pe�mit(s)_issued for+the_build-P and ad ava!Iable,to the enforcement agency for all applicable inspections. I understand that a registered copy of this,Certificate of Compliance,is.required to be.included with the. documentation.the builder provides to the building owner at occupancy. h"�rZ. `�,."-'^?. }S"� k ldA Responsible Designer Name: J Responsible Designer Signature:' 4� b 1� -A ar ara a zar Salazar, Barbara Company: Date Signed: HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING 2015-11-24 09:48:50 Address: License: 31-170 RESERVE DRIVE STE A 686310 City/State/Zip: Phone: THOUSAND PALMS CA 92276 760-343-7488 Digitally signed by CaICERTS. 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-A6405288A-000000000-0000 Registration Date/Time: 2015-11-24 09:48:50 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-11-24 09:48:48 Srhpma Vprcinn• n S,;rrnr)