BMCH2015-036678-495 CALLS TAMPICO C` U �� VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY SLOP
LA QUINTA, CALIFORNIA 92253 �n INSPECTIONS (760) 777-7153
E L T D ARTMENT
BII t1NG PERMIT#
SEP 2 Date: 9/24/2015
Application Number: BMCH2O15-0366 7 215 Owner:
Property Address: 78540 VIA SONATA CIRICHARD PALMISANO
APN: 646290013 co CITY
tiO Q MQuWTq 78540 VIA SONATA
Application Description: PALMISANO RESIDENCE / HVAC CHANGE OUT DEPARTMENT LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $16,847.00
Applicant: Contractor:
IE INC. } HARRISON ENTERPRISES INC DBA GENERAL AIR
32115 LA BAYA 31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, CA 92276
(760)601-3500
LIc. No.: 686310
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that lam 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 O�oor:
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 thel
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 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: -
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 tho a provisions.
Date: �A�pplicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS )LAWFUL,
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
e--menti ed property for inspection purposes.
Date \�Signature_(APPlicant'orAgent):
�FINANGIALINFORMATION '
NOR e mom y
:.
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HVAC CHANGEOUT- SPLIT -SYSTEM PC
'101-0000-426-,6o
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' 0
6 26
$0.00
�PAI�B
M ; M �
CRECEIPT, #
.. CHE #�
�'BY
Total Paid for CHAN"
G,
E OUT -$10'8.,718,,- :�..
�, $0.00
•
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DESCRIPTION
�,t�JF3£Gi5/i.:F fs Sra�YN�,CF�R& >�PI
�ACCOUNT��
�
QTY'
AMOUNT ,,
, PA,D,
PAID DATE
PERMIT ISSUANCE
'401-000042404'
0
$91.85
$0:00
1
.. RAIDiBY
�M HOD
R CEI #
CHECK #
C r, BY
Total Paid `for PERMIT ISSUANCE: $91.85
$0.00
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Description: PALMISANO RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 9/24/2015 MFA
Approved: 9/24/2015 MFA
Parcel No: 646290013 Site Address: 78540 VIA SONATA LA QUINTA,CA 92253
Subdivision: TR 21555-4 Block: Lot: 13
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $16,847.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 15 SEER/90AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
Printed: Thursday, September 24, 2015 1:22:01 PM 1 of 2
CRTWSYSTEMS
Y DESCRIPTION
'ACCOUNT
QTY,;
AMOUNT
PAID r
. PAID DATE
RECEIPT #
CHECK #
METHOD
PAID, BY '" -
CLTD.
BY
BSAS SB1473 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
0.
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• i ••
REVIEWS
.,.,STATUS'. REMARKS
REMARKS
REVIEW TYPE REVIEWER . SENT DATE DUE' DATE NOTES'
-DATE
....., . BOND
INFORMATION
.
ATTACHMENTS
Printed: Thursday, September 24, 2015 1:22:01 PM 2 of 2 r,. ,
�� SYSTEMS
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
RICHARD PALMISANO I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2015-09-21
A. General Information
CF1R-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.
02
01
Project Name
RICHARD PALMISANO
02
Date Prepared
2015-09-21
03
Project Location
78540 VIA SONATA
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
RICHARD PALMISANO
07
Zip Code
92253
A
08
Dwelling Unit Conditioned
Floor Area
1804
Installing
}Installing
Installing
(ft2)
Location or Area
by this SC
ducted
'
system
Number of space conditioning
entirely new
09
Climate Zone
15 '{ k�'
10
(SC) systems in this dwelling
1
component?
components?
feet of ducts?
duct system?
unit.
Alteration Type
B. Space Conditioning (SC) System Information ^'
01
02
03 �
A, 04
Uk
S
� 6 ��
06-14'1,x
08
{�
09
10
FIs the SC
F ��s
installing a
SC System
SC System r
tx
CFA served
ystem a
cefn'XigecantInstallingsnew:SC
Installing
}Installing
Installing
Identification or
Location or Area
by this SC
ducted
containing
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
1804
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-A6332581A-000000000-0000 Registration Date/Time: 2015-09-21 13:13:41 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-09-21 13:08:21
Schema Version: 0.5555DD
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
All new
Central split
All new
Less than or
System 1
furnace
heating
AFUE
0.78
AC
cooling
SEER
13
Setback
equal to 40
R-8
components
components
feet
Required Documentation:
CF2R-MCH-03-E - Space Conditioning Systems Ducts and Fans,
-Duct insulation requirement for new plenums: R6. , 1111
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%, or 510% 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 '2 300 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 -,.-
,; =. .' ; ' ""A W err N x 'Ra
-Heating-only systems and Air Handler/Furnace changes do not require venficatin of Air FI`owMCH23 or Refrigerant Charge MEC
Existing duct systems constructed, insulated or sealed with.asbestos�are exempt from MCW220 Duct�Leakage Testing requiremerfs.
r: , N%.r
-E. Entirely New or Complete Replacement Duct System, with or without,:Equipment Changeout (Section14 s 150.2(b)1Diiasand 1b0.2(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: 215-A6332581A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-09-21 13:13:41
Report Version: 2013-1.006
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2015-09-21 13:08:21
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
cyan dacobJt
Company:
Signature Date:
i PERMIT E RATERS
2015-09-21 13:08:21
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 la'ws;'of the State of California:
t• kap
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 land Part 6of the California {ode of Regulat ons
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the inforrri; provided on,othe app licabOMmpliance documents, worksheets,
_n
calculations; plans and specifications submitted to the enforcement;agency for-approval;wttliahis building permit application.
5. 1 will ensure that a registered copy of -this Certificate of,Compliance shall be,made available with the buil ding:; permit(s)sissued forthe',build rig, and, ad availableto the;ehforcement agency for all applicable
inspections. I understand that a registered copy of thi's CeRif�icate of Compliance is required to be included with the documentation the builder provides tpQhe building owner at occupancy.
Responsible Designer Name:
Respons161e Designer Signature:
Shanley, Barbara
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-09-21 13:13:41
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-A6332581A-000000000-0000 Registration Date/Time: 2015-09-21 13:13:41 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-09-21 13:08:21
Schema Version: 0.55SSDID
B�. #
City of . a QUillta
a Safety DhWon
hwwt #
P.O Box 1504,-78-49S Cage Tamptco
l a.Qiii 4 CA 92233 -=(760) 777-7012
Budding Permit -Application' and Tracking Sheet
Projed.Add�ess: 40 V icu 5on
Owner's Names . 1 Ch0.rc, mClnCk.OI l' GIJI�
A. P. Number
'
Address: .
Legal Desc"p1on:
city, sr, zip. LA QUI NTA, CA
Contractor GENERAL A/C & HEATING
Telephone -lam YJ20�
Project Descxiption:
Addrf: 31170 RESERVE DRIVE
City, ST, Zip: THOUSAND PALMS, CA 92276
f-tV� G D 5Arn� Loc—
T= 760-343-7488
),'C J a,l suwe—
State Lic, N: 686310. City Lie. p;
I
Arch- ling.. Deslgnea:
Addresx
City. ST. Zip:
Tetepltoae: Constntdion Type: Ocaepaacy:
State Lic. #:
Project type Mde ont): Now Add'n Ahm Rqw Demo
Name of Coaw Person: PATRICK sq: FL: Stories: unit
Telephone a of Contact Person: 7.60-343-7488 Estirnatod• Vatic of Project:
APPLICANT: DO NOT WINTE BELOW THIS LINE
N Sabmttpi Rey'd Reed TRACKING P)3RMiT FSE9
Pl" Seb Pisa Cteeek anbmitkd item Amoaat
Strutt" Cates.
Reviewed, ready for correr*iom
Pun cDeposit.
Tcsm gyp•
Called Contact PM=
Plan Check Balance"
T[tte Calci.
Ptaas pteited op
Coastmedon
Flood plain plan
Plan "submttkd
Mecu iiul
Gradingplan
2" Review, ready for eomedioasrmte
Electrical
Sabooataelor uk
Called Coated Person
Plawbing
Gnat Deed
PhBs ~ up
Ii O A. Approval
Plans resabmitted
Grading
IN flousE.-
'�' Review; rwdy for eorrediowlissao
Developer Impact Fee
Phunlna Approval
Caped Conuct Pelson
A.LP,P,
Pub. Whs AppyDate
of permit issue
School Fees
Total Permit Fees