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BMCH2017-048878-495 CALLE.TAMPICO 0(/ DCl/ LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: MECHANICAL/ Application Number: BMCH2O17-0488 Property Address: 49321 VISTA MIRASOL APN: 602300028 Application Description: SCHILLING RESIDENCE / (2) HVAC CHANGE OUT Property Zoning: ' Application Valuation: $59,974.00 Applicant: IE INC 31225 LA BAYA WESTLAKE VILLAGE, CA 91362 N 0 V 2.8 2017 CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT 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 Da` te�—{I- 28 11 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.). (� 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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/28/2017 Owner: FRANK SCHILLING 49321 VISTA MIRASOL LA QUINTA, CA 92253 Contractor: HARRISON ENTERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE THOUSAND PALMS; CA 92276 (760)343-7488 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. �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: INSURANCE COMPANY OF THE WEST Policy Number: WSD503165802 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. 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: 11/28/2017 Application Number: 6MCH2O17-0488 Owner: Property Address: 49321 VISTA MIRASOL FRANK SCHILLING APN:. 602300028 49321 VISTA MIRASOL Application Description: SCHILLING RESIDENCE / (2) HVAC CHANGE OUT LA QUINTA, CA 92253 Property Zoning: Application Valuation: $59,974.00 Applicant: Contractor: IE INC HARRISON ENTERPRISES INC DBA GENERAL AIR 31225 LA BAYA 31170 RESERVE DRIVE WESTLAKE VILLAGE, CA 91362. THOUSAND PALMS, CA 92276 (760)343-7488 ---------------------------------------------------------------------------------------------- Llc. No.: 686310 Detail: (4) HVAC CHANGE OUT - (2) 18 SEER (2) 19 SEER/80AFUE SPLITSYSTEM. CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES e. FINANCIAL / . DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000'-20306. 0 $3.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $3.00 DESCRIPTION ACCOUNT QTY AMOUNT - HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000 42402 0 $156.04 r DESCRIPTION ACCOUNT CITY AMOUNT HVAC CHANGEOUT.- SPLIT -SYSTEM PC 101-0000-42600 0 $312.08 Total Paid for CHANGEOUT: $468.12 DESCRIPTION ACCOUNT CITY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $98.83 Total Paid for PERMIT ISSUANCE: $99.83. DESCRIPTION ACCOUNT CITY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT' CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Bin.# City, of. La Quinta Building & Safety Division P.O. Box 1504,78-495 Calle T-amptco La.Qu1n6, CA 92253 -:(760) 777-7012 Building Permit -Application and Tracking Sheet Permit # Project Address: 49321 Vista Mirasol Owner's Name:. Frank Schilling A. P. Number-.' Address: 9820 Northcote Avenue Legal Description:, City, ST, Zip: St. John, IN 46373 Contractor: General Air Conditioning Telephone: 219313-3370 �,• �:ma " xa '•�" Address: 31170 Reserve DriveProject Description:` Replace (2) 4 ton / 90,000 BTU City, ST, Zip: Thousand Palms, CA 92276. complete HVAC systems wi z;• . atf .. ; Telephone: P 760-343-7488 :..,�, „ r ,� , •. � Replace (1) 3 ton / 70,000 BTU complete HVAC system Replace 2 ton heat pump and air handler State Lic. #: 686310 City tic. fR Arch., Engr., Designer. Address: City., ST. Zip: Telephone: 1cM State Lie. #: IZ41 Construction Type: Occupancy: 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: $59,974.00 APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd TRACKNG PERMIT FEES - Plan Sets Plan Check submitted Item Amount Structdfal Cales. Reviewed, ready for corrections Plan Check Deposit, . Truss Calcs. Called Cantact Person Plan Check Balance • Title 24 Cales. Plans picked up Construction' Flood plain plan Plans resubmitted.'. Mecharilcal Girading plan 2i4 Review, ready for corrections/issite 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 School Fees Total Permit Fees CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) Project Name: FRANK SCHILLING I Date Prepared: CF1R-ALT-02-E (Page 1 of 4) 2017-11-27 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 CF1R-ALT-02 document for each dwelling unit. 01 Project Name FRANK SCHILLING 02 Date Prepared 2017-11-27 03 Project Location 49321 VISTA MIRASOL 04 Building Type Single family 05 CA City La Quinta ' 1,06 Dwelling Unit Name HOUSE Identification or Location or Area by this SC ducted containing system 07 Zip Code 922534 08 Dwelling Unit Conditioned 2 4240 System (ft2) system? ci components? Floor Area (ft ) duct system? SC system? Alteration Type . Number of Space 09 Climate Zone �.� 15 lOr Conditioning (SC) Systems in 1 SYSTEM 1 UNIT AREA 1 T Yes this Dwelling Unit: Yes B. Space Conditioning (SC) System Information I ` - . 01 02 03 04 Q5 ti l ; 06 P ' ' 07 08 09 . 10 SC System SC System CFA served Is the SCInstalling urk system a a, . roi � .. IAr V, refrigerant �+ �tx''I�h : f tagpiii J. Installing new 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 Altered space SYSTEM 1 UNIT AREA 1 1060 Yes Yes Yes No No No conditioning.system Altered space SYSTEM 2 UNIT AREA 2 1060 Yes Yes Yes No No No conditioning system Altered space SYSTEM 3 UNIT AREA 3 1060 Yes Yes, Yes No No No conditioning system Altered space SYSTEM 4 UNIT AREA 4 1060 Yes Yes Yes No No No conditioning system Registration Number: 417-A020130368A-000-000-0000000-0000 Registration Date/Time: 2017-11-27 13:06:17 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-11-27 13:06:19 Schema Version: rev 10/16 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-iR-ALT-HVAC) (Page•2 of 4) C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib) This section does not apply to this project. D. Altered Space Conditioning System (Sections 150.2(b)1E and F) O1 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 Coolmg� . Cooling Efficiency Efficiency Thermostat Replaced New Duct or Name Type Components Type ' Value m: Sy 4.All ;_Components Type Value Type Duct Length R -Value new $I $'* All new This field or This field or SYSTEM 1 Central gas furnace heating AFUE 0.8 Central split .r - ?. - cooling €�r SEER 18 Setback section is not section is not components ) t tco,mponents applicable applicable All new new This field or. This field or SYSTEM 2 Central gas heating AFUE 0.8 Central spht"x a cooling SEER 18 Setback section is not section is not furnace components AC components applicable applicable All new All new This field or This field or SYSTEM 3 Central gas furnace heating AFUE, i W8� t Centrals ht + p ; ACS t i coolingy : & SEER 19 Setback section is not section is not components ;`componentsNkw applicable applicable All new All new This field or This field or SYSTEMA Central split heating AFUE 083rmt Central split hr AC €-VI>A:^( qr��cooling o, 4 SEER 19 Setback section is not section is not HP components components applicable applicable Required Documentation: CF2R-MCH-03-E - Space Conditioning Systems - Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16) CF2R and CF311-MCH-20-14 - Duct Leakage Test 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: <=15% or <= 10% leakage to outside, or seal all accessible leaks. CF2R and CF311-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per 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 verification of Air Flow MCH -23, or Refrigerant Charge MCH -25. -Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements. Registration Number: 417-A020130368A-000-000-0000000-0000 Registration Date/Time: 2017-11-27 13:06:17 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-11-27 13:06:19 Schema Version: rev 10/16 CERTIFICATE OF COMPLIANCE CUR -ALT -02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 4) E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Section s.150.2(b)1Diia and 150.2(b)IE, 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. c - • Registration Number: 417-A020130368A-000-000-0000000-0000 CA Building Energy Efficiency Standards - 2016 Residential Compliance HN _ Registration Date/Time: 2017-11-27 13:06:17 HERS Provider: CHEERS Report Version: 2016.1.006 Report Generated: 2017-11-27 13:06:19 Schema Version: rev 10/16 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 4 of 4) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Y Patty. Hernandez, Patty ffer� Company: Signature Date: Permit E Raters 2017-11-27 Address: CEA/ HERS Certification Identification (if applicable): 31225 La Baya Drive City/State/zip:Phon e: Westlake Village CA 9136 2 818_735-7876 Responsible Person's Declaration statement 0V _ �..r.�..-..r:l I certify the following under penalty of perjury, under the laws of the State of California: d 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;forthe ;building design or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, components, and manufactu ed 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 of Regulations. ,. 4: 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. Ilk 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be:made available with the buildingspermlt(s) issued for the building, and made available to the enforcement agency for all applicable t ib kA ' ;cs,--.;:. t? i e ''+S � .{ 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. , Responsible Designer Name: U r'nuftche at,f 4Ts Re,ponsible�.Desigrier Signature: diiy}Eeiruinde� (aMt3.orv�eci,) Patrick Somers Company: Date Signed: General Air Conditioning 2017=11-27 Address: License: 31170 Reserve Drive 686310 City/State/Zip: Phone: Thousand Palms CA 92276 760-343-7488 Digitally signed by CHEERS'". This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 417-A020130368A-000-000-0000000-0000 Registration Date/Time: 2017-11-27 13:06:17 . HERS Provider: CHEERS - CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-11-27 13:06:19 Schema Version: rev 10/16