BMCH2015-0173A� VOICE (760) 777-7125
D
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/14/2015
Application Number: BMCH2O15-0173 Owner:
Property Address: 47880 VIA TRIESTE NEAL BRUNE
APN: 643130059 47880 VIA TRIESTE
Application Description: BRUNA / CHANGE OUT (1)13SEER 3 TON COIL LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $1,019.00
Applicant:
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE STE A
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 License No.: 686310.,
Date: S 1 jy 15- 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
y 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).:
(_-j 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 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 Name:
Lender's Address:
Contractor:
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE STE A
THOUSAND PALMS, CA 92276
(760)343-7488
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
Sectiorf 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. •�
D`te:5 4 )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: 5` ISI )> Signature (Applicant or Agent): &ta�Z S�
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FINANCIAL O•
r i DESCRIPTION A'�
• ,, ACCOUNT
r
QTY .
,< AMOUNT v r, PAID PAID DATE .
BSAS SB1473 FEE 101-0000-20306
0
$1.00 $0.00.
t PAID BY r -. :i f -•METHOD - *.� }�
RECEIPT #
i L� ' x CHECK # "'CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 J
L eDESCRIPTION; r 1 . �,
`�� ACCOUNT ; "':QTY`
t, -.AMOUNT'' ,
+PAID r'F',.
PAID DATE
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42402
0
$12.09
$0.00
PAID BY
't`� ti". .' METHOD r.
°u RECEIPT,#
CHECK #
CLTD BY
,. `DESCRIPTION,"
ACCOUNT '
�QW,
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - REPAIR/ALTERATION
PC
101-0000-42600
0
$4.83
$0.00
- ` '• ,. y _, PAID BY' ' . �`
R
_, ETHOD
M
„.
RECEIPT#
T
"''CHECK # _
CLTD BY."
Total Paid forCHANGEOUT: $16.92 $0.00
,4 Q,DESCRIP,TION-=` '',ACCOUNT
,`
QTY
'AMOUNT,"
` :PAID
PAID%DATE'
PERMIT ISSUANCE •
101-0000-42404
0
$91.85
$0.00
PAI D'BY,,
s "METHOD 9 ,
RECEIPT,#.
CHECK# �..
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:0• • ••
0
h
Description: BRUNA / CHANGE OUT (1)13SEER 3 TON COIL
CHRONOLOGY
CONDITIONS
Type: MECHANICAL Subtype:
Status: APPROVED
Applied: 5/14/2015 SKH
Approved: 5/14/2015 SKH
Parcel No: 643130059 Site Address: 47880 VIA TRIESTE LA QUINTA,CA 92253
Subdivision: TR 26152 Block:
Lot: 100
Issued:
Lot Sq Ft: 0 Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $1,019.00. Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
NAME= '' `
s' ,•
Details: HVAC CHANGE OUT ; (1) 13SEER COIL [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED
PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
ZIP
r ; PHONE '
ADDITIONAL
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
�
NAME= '' `
s' ,•
ADDRES51
CITY
STATE
ZIP
r ; PHONE '
FAX
' EMAIL'
APPLICANT
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE
STE A
THOUSAND
PALMS
CA
92276
(760)771-2735
CONTRACTOR
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE
STE A
THOUSAND
PALMS
CA
92276
-
(760)771-2735
OWNER
NEAL BRUNE
47880 VIA TRIESTE.
LA QUINTA
CA
92253
1 (760)771-2735
FINANCIAL INFORMATION
Printed: Thursday, May 14, 2015 1:15:36 PM 1 of 2
SYSTEMS
, ,
INSPECTIONS
SEQID INSPECTION TYPE , l �' . INSPECTOR , SCHEDULED COMPLETED
"PAID -
PAID DATE
' RECEIPT #?
CHECK V
METHOD
PAID BY ^
CLTD
DESCRIPTION
`n ACCOUNT
QTY
AMOUNT
_
.
F
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$12.09
$0.00
REPAIR/ALTERATION
HVAC CHANGEOUT -
101-0000-42600
0
$4.83
$0.00
REPAIR/ALTERATION PC
Total Paid forCHANGEOUT: $16.92 $0.00.
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:0• • 00
PARENT PROJECTS - - -
ATTACHMENTS
Printed: Thursday, May 14, 2015 1:15:36 PM .2 of 2 CBT
SYSTEMS
INSPECTIONS
SEQID INSPECTION TYPE , l �' . INSPECTOR , SCHEDULED COMPLETED
RESULT Y REMARKS NOTES
v
- - DATE "DATE
n � s
] y , .qq
MECHANICAL FINAL" BLD
PARENT PROJECTS - - -
ATTACHMENTS
Printed: Thursday, May 14, 2015 1:15:36 PM .2 of 2 CBT
SYSTEMS
Qin #
City of La : Quin to
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
n 1� Building Permit Application and Tracking Sheet
Permit #
tCi2ol
Project Address: y%1MD VI—C, —Fr-csie
Owner's Name: Ne004 GQy�e —aYvn.e
A. P. Number:
Address: y-�2$(:V i Q t Teske
Legal Description:
City, ST, Zip: L r Qv i r A a C ✓d G Z2 S3
Contractor: c or. Gex�er� 1 G� r �
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,r
'7 3
Telephone: b I S
P � O
Address: 3 1 \ 1 0 eg ery e ��
Project Description:
City, ST, Zip: �ovScth ?CkM5 CA' �iZ2 �Co
�� ��c� 3�0�,CCA 0.1
Telephone: O-y-7y
State Lic. # : (o $ (0310 City Lic. #•:
Arch., Engr., Designer:
Address:
City,, ST, Zip:
Telephone: h
e one:
P
'
Construction n T
o e: Occupancy:
Type: P Y
State Lic. #
Project type (circle r le one)• New Add'n Alter Repairair Demo
0
Name of Contact Person:
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project: I O I i3. UtD
APPLICANT: DO NOT WRITE BELOW THIS LINE
/!
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance
Title 24 Cafes.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god Review, ready for. corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
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
Scbool Fees.
Total Permit Fees'
STATE OF CALIFORNIA
ALTERCATIONS - HVAC
CEC-CFIR-ALT-04-E (Revised 06/14) 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:
LA -T8 -�es�e
Enforcement Agency:
Dae Prepared:
Permit#:
$O \/; G I
CGS 0� L inic,
511141 IS
Equipment Type
Equipment Efficiency
New Ducting, Plenums, Lineset:
Conditioned
Thermostat
Required R -value
Floor Area (sq ft)
❑ Packaged System
3K Evaporator Coil
AFUE
COP
❑ R-6 (CZ 2, 8-13) Ducting
Served by system
A[ Setback
❑ Split System
❑ Condensing Unit
, 3
❑ R-8' (CZ 11, 14,15) Ducting
sgft
(if not already
❑ Mini Split
❑ Compressor
SEER
HSPF
❑ R-6 (all CZ's) Plenums
present must
❑ Furnace
❑ Lineset
EER
❑ R-5 or R7.5) Lineset°
be installed)
❑ TXV
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application 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 copy left on site.
X 1. HVAC Changeout/Repair
Required Compliance Documents to be left on site for Final:
All Equipment,
CF1R-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-HERS'
Air Handler/Furnace' (Can include new ducting)
Installer Requirement: Duct leakage (5_15%, or < 10% to outside, or seal all accessible leaks), Air Flow z 300 CFM/ton, Refrigerant Charge.
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'
CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS'
Mini Splits require CF1R-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow z 350 CFM/ton (or alternative), Refrigerant Charge
❑ 3. All New Ducts with Replacement I 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-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 >: 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 (< 15% 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.
' 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)
" 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-2%", 2.5 -3T -2'Y.", 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 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 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:
& &C
Responsible Designer Signature:
St �L
Date Signed:
5 14
License:
(,R,16 -310
e�,eh h r N eC f�
—
►�
Company:
Gere.T,a1 kc-C-.,ajj kar%�,
Address:
31170Zesecv,-T)c
City/State/Zip:
I�ousG�,d t7ct�+v,s q
Phone:
-7(00-343- 74 RS
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300