BMCH2016-021878-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0218
Property Address: 50230 VIA SIMPATICO
APN: 776320035
Application Description: GARGON RESIDENCE/ HVAC CHANGE
Property Zoning:
Application Valuation: $6,400.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
BRIAN
�! — T11P
BRIAN GARGON
50230 VIA SIMPATICO
T �J'N 20.LA QUINTA, CA 92253
cITYOFL i_QUTAIT� q�
COt�h�llil';TYDEI:ELOc'�MTDEPARTf;4ElvT
LICENSED CONTRACTOR'SDECLARATION
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: i Contractor: !�..t.c_.ri—
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.).
(_) 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 Nam
Lender's Address:
Date: 6/17/2016
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-7488
Llc. No.: 686310
/0\
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.
155�z:- 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: 17 (lo 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.
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Date: ( 1 Signature (Applicant or Agent):
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Details: HVAC CHANGE OUT - 14 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE.ALARM(S) TO BE INSTALLED PRIOR TO
Type: MECHANICAL
Subtype:
Status: APPROVED
Applied: 6/17/2016 MFA
Parcel No: 776320035
Site Address: 50230 VIA SIMPATICO LA QUINTA,CA 92253
Approved: 6/17/2016 MFA
Subdivision: TR 29858-1
Block:
Lot: 117
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 . _
Zoning:
Finaled:
Valuation: $6,400.00
Occupancy Type:
Construction Type:•
Expired:,
No. Buildings: 0
No. Stories: 0
No. Unites: 0
Details: HVAC CHANGE OUT - 14 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE.ALARM(S) TO BE INSTALLED PRIOR TO
REVIEW TYPE I REVIEWER I SENT DATE I .DUE DATE (. RE ED I STATUS I REMARKS - I , . NOTES
• D INFORMATION
Printed: Friday, June 17, 2016 3:06:47 PM ' 2 of 2 C
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'
Cit}/ Of . QUinta
. - Btu 8t Safety Dii4sion " - + -
P.a Box 1504,'78-49S Calle Tampko
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!a QWnta, CA 92253 ---(760) 777-7012
'
. Building Permit •Applicadda and Tracking Sheet ,
Project Addma-r Ovrnes's Name.
A P. Number . • - Addt+css: 0 � -:3
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Legal tion: city, .� Ztp: r
Contractor: General Air ac and heating Telephone'?
'7
Adams: 31170 reserve drive Pro]eaDescciption:
City. ST, Tp: thousand palms 92276. < S -
Te ePbone: 760 343-7488
State Linc,.. d : 686310. Li,- &
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City, ST, -
Telephone: Construdlon Type: Occ 4Mq:
State Lis. d: Project type (click one): New Add'n Alter Repair Dema
Name of Contact Person:-� �,� . Sq. Ft: & Sloribs: ' ' d Unita ff,
Telephone of Cantata Peasnn: 818 735-7876 Bstunaiod• vatitc of Project I'
APPLICANT: DO NOT. WWW BMOW TWS`Um r
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Planning APproyal
CAUM Contact Pcsson A.IP.P.
Pub. Wb: Appr -
Date of permit brae
School Fees
-
- ' Total Permit Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Pagel of 3 )
Project Name: BRIAN GARGON Date Prepared: 2016-06-15
A. General Information
MR -ALT -02 is applicable to multiple space conditioning systems contained withina single dwelling unit. WheWmultiple dwelling units must be documented,
use one MR -ALT -02 document for each'dwelling unit.
01
Project Name .
BRIAN GARGON '
02
Date Prepared
2016-06-15
03
Project Location
50230 VIA SIMPATICO
04
Building Type
Single family.
05
CA City
La Quints
06
Dwelling. Unit Name
BRIAN GARGON
SCS stem
Y
SCS stem
Y
"CFA served
Dwelling Unit Conditioned
`
refs erant €
g
07
Zip Code
92253
08
Floor Area (ft2)
2894
Location or Area
by this SC
}
E.
containing
ag
system
more than 40
entirely new
entirely new
Name
Number of space conditioning
System (ft2)
09
Climate Zone
15 J rr }
30
(SC) systems in this dwelling
1
Alteration Type
System 1
Location 1
2894
unit.
Yes
Yes
_
No
No
No
Altered space
conditioning system
'A.". -,
B. Space Conditioning (SC) System Information=--";
01
02
+ . 03 "
04
05,•
06°
07
OS
09
10
�x,-'
a��Is the SC
Installing a
SCS stem
Y
SCS stem
Y
"CFA served
SY stem a
`
refs erant €
g
Installin newSC
Installin qq
g 1-
Installin
installing
g
Identification or
Location or Area
by this SC
'ducted
E.
containing
ag
system
more than 40
entirely new
entirely new
Name
'Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
2894
Yes
Yes
Yes
_
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Sectfon150.2(b)Wiib)
This. section does not apply to this project.
Registration Number: 216-A0221426A-'000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time:- 2016-06-15 09:00:26
Report Version: 2013 Rev 1.007
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2016-06-15 09:00:52
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)1E 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
No heating
This field or
This field or
Central split
All new
Less than or
System 1
furnace
component
section is not
section is not
AC
cooling
SEER
14
Setback
equal to 40
R-8
altered
applicable
applicable
components
feet
Reauired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6. I `g
CF2R-MCH-20-H & CM -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: 515%, or:5 30% leakage to outside; `or seal all accessible leaks.
CF2R-MCH-25-H & CM -MCH -25-1-1 Refrigerant Charge.Verlfication required when refrigerant containing components are. installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF311M/
-MCH-23 Air Flow z 300:CF-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.
-Heating-only systems and Air Handler/Furnace changes do not require 'venfication'of Air Flow. MCW23 or Refrigerant Charge MECH 25: `
C
-Existing duct systems constructed, insulated or sealed withasbestos,are exemp V14from MCH�Dnt{Leak1.age 7estmg�egui eme its. :
I"
E. Entirely New or Complete Replacement Duct,System, with or without, Equipment Changeout (Sections 150.2(b)1DiWand 150.2(b)1E, 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: 216-A0221426A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-06-15 09:00:26
ReportVersion: 2013 Rev 1.007
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2016-06-15 09:00:52
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:
Jacoby, Ian
can Jacob` fr.
Company:
Signature Date:
i. PERMIT E RATERS
2016-06-15 09:00:26.. .
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 stateme'rit`
I certify the following under penalty of perjury, under thelaws of the State of California:
1. The information provided on this Certificate of Compliance is.true and correct.
2. I am eligible under Division 3 of the Business and Professions Code to acceptresponsibility 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 6pf the California Code of Regulat ons.
mationFprovided
4. The building design features or system design features identified on this Certificate of Ompliance are consistent wiA11h�fo o ther licable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency forapproval with this building permit application.
5. I will ensure that a registered copy of -this Certificate of,Compliance shall tie"madeavailable with the building pe_rmit(s),issued forithe<build ng, and _matle avallableto ttie enforcement agency for all applicable
inspections. I understand that a registered copy of thisZC� . ificate of Complianceis requireed to be,included with the documentation the builder p wid`es to,tthe building owner at occupancy.
Responsible Designer Name: °' r Y.Responsible
x�-� , ..
Designer Signature: ��//
J_
Jacoby, Ian
n �cobJt
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-06-15 09:00:26
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: 216-A0221426A-000000000-0000
CA Building Energy Efficiency Standards 2013 Residential Compliance
Registration Date/Time: 2016-06-15 09:00:26
Report Version: 2013 Rev 1.007
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2016-06-15 09:00:52