BMCH2015-01641
69
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t 78-495 CALLE TAMPIPICO � , 4
i LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
I
+I BUILDING PERMIT
I
i Application Number: BMCH2O15-0164
Property' Address: 48131 VISTA CIELO
APN: 646100042
Application Description: CUMMINGS RESIDENCE/ HVAC(
Property Zoning:
Application Valuation:
CIT` OFLAUUINTP
COMMUNITYDEVELOPMENT DEPARTMENT
j Applicant:
j HARRISON AIR CONDITIONING
7989 PALOMAR AVE
YUCCA VALLEY, CA 92284
r
MAY 12 2015
1
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
C and my License is in full force and effect.
License Class: C20 License No.: 776175
( Date: �'Z �� Contr or:
/
OWNER- DER 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
I 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: 5/11/2015
Owner:
ANN CUMMINGS
48131 VISTA CIELO
LA QUINTA, CA 92253
Contractor:
HARRISON AIR CONDITIONING
7989 PALOMAR AVE
YUCCA VALLEY, CA 92284
(760)228-0962
Llc. No.: 776175
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 ther 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 37 0 of the Labor Code, I shall forthwith
corrlply with those provisions.
D te: 1�7_— a- f T 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 thiscity to enter upon'the abov8'
mentioned property for inspection purposes.. n
Date: 2 f Signature (Applicant r Agent)
f
t.
FINANCIAL INFORMATION,
.SMESCRIPTION v '
K 3 d
ACCOUNT
QTY Q
>; AMOUNTF
PAID €
PAID;DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
r PAID By �',; x:
METHOD ' 3
y RECEIPT #
CHECK #
r `CLTD BY,
DESCRIP..TION V
ACCOUNT J.<{'
QTY
„AMOUNT :<
'PAID'`>'
PAID DATE
6,a
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-426000
$36.26
$0.00
PAIDBY�RECEIPT
k-
METHOD
#,
HECK*.
C
,
moi: tj`.'b
•.%
Total Paid forCHANGEOUT:$108.7&
$0.00
DESCRIPTION ;; ay};
a `ACCO '�
;QTY+
ANIOUNTfYfPAID'
Al DATE:
u K
a
r
PERMIT ISSUANCE
1017-0000-42404 '
0
..$91.8s
$0.00
. x
r PAID
ETHD O
M
;RECEIPT#
"CHECK #
BY
. .... ,.
�CLTD.'
Total Paid forPERMIT ISSUANCE:' $91.85
$0.00
•TALS:,, $200.63
$0.00
Description: CUMMINGS RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 5/11/2015 MFA:
Approved: 5/11/2015 MFA
Parcel No: 646100042 Site Address: 48131 VISTA CIELO LA QUINTA,CA 92253
Subdivision: TR 20052-1 Block: Lot: 42
Issued:,
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $0.00, ' Occupancy Type: Construction Type:.
Expired:
No. Buildings: 0 No. Stories: 0 • No. Unites: 0
Details: 'HVAC CHANGE OUT - SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING
r
Printed: Monday, May 11, 2015 7:58:01 AM 1 of 2 SYSTEMS
• ••
CHRONOLOGY
-
•
CONDITIONS
7FAXya.:;.,•�
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NAME.TYPE . ' NAME �,
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CONTACTS
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, ADDRESSl- =� CITY _STATE _
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ZIP- PHONE.,-r yEMAIL
APPLICANT.
I HARRISON AIR CONDITIONING
7989 PALOMAR AVE
YUCCA VALLEY
CA
92284
(760)625-1090
CONTRACTOR
HARRISON AIR CONDITIONING
7989 PALOMAR AVE
YUCCA VALLEY-
CA
92284
(760)625-1090
OWNER
ANN CUMMINGS
48131 VISTA CIELO
LA QUINTA
CA .
92253
.(.760)625-1090
Printed: Monday, May 11, 2015 7:58:01 AM 1 of 2 SYSTEMS
DESCRIPTION! "ACCOUNT R <, QTY' =AMOUNT yPAID k "PAID DATE RECEIPT # CHECK # > ': METHOD
..
HVAC CHANGEOUT - 101-0000-42600 0 $36.26.. $0.00
SPLIT-SYSTEM PC -
Total Paid forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE 101-0000-42404 0 $91.85 .$0.00 a
• Total Paid forPERMIT.ISSUANCE: $91.85 $0.00
• 6663
INSPECTIONS
r• • 'SEQID : INSPECTICIN TYPE.` =INSPECTOR v,, SCHEDULED, COMPLETED ff, RESULT;- ,, ` •;REMARKS ', ;: � w NOTES
g x+ z . , d C "", y., ""4.- t
AI{ : ; DATE
MECHANICAL FINAL" BLD
y
PARENT PROJECTS
REVIEWS
�- "" x �.,"•�..a� rET
RURNED US
� , ��STAT�'r,REMARKS
REVIEW, TYPE REVIEWER SENT DATEt ' DUE DATE "` .ter - {,_ ? _ NOTES
F
# DATE. r r x
80NDANMR •
ATTACHMENTS
Printed: Monday, May 11, 2015 7:58:01 AM 2 of 2
CRNVIYSTEMS
Qin#
City of La Quinta:
Building & Safety Division
NN� �� P.O. Box 1504, 78-495 Calle Tampico
V La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Permit # /
���y�`�
g 1
Project Address:` —1 I ( V(,$ 4 C I,e (v
Owner's Name: ` n
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Tele h ne
P o
Address:go pa,
Project Description:�a' Lam% cr�v[K.7.
City, ST, Zip: G�c • 922 S 3
(✓
Telephone:
hone —22 4
a �-a 2
State Lic. # 1-7
City Lie.
Arch., Engr., Designer:
Address:
City., ST, Zip:
h
Telephone:
one:
�>
Con stru ti n T
c o e: Occupancy:
Type: P Y:
State to Lic. #:
Project hPa circle one):. New Add'n Alter Repairair De mo
Name of Contact Person: �p $
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 7 Q' Z�—Q�l t'i 2
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading.plan
tad 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
School Fees .
Total Permit Fees
STATE OF CALIFORNIA I` -
ALTEkATIONS - HVAC
-EC-CFI R -ALT -04-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E
Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1)
Site.pddress: n
Enforcement Agency:
Date Prepared:
Permit#:
...e
Equipment Type
Equipment Efficiency
New Ducting, Plenums, Lineset:
Conditioned.
Thermostat
Required R -value
Floor Area (sq ft)
❑ Packaged System
❑ Evaporator Coil.
AFUE
COP
❑ R-6 (CZ 2, 8-13) Ducting
Served by system
❑ Setback
❑ Split System
❑ Condensing Unit
❑ R-8' (CZ 11, 14, 15) Ducting
sqft
(if not already
❑ Mini Split
❑ Compressor
SEER
HSPF❑
R-6 (all CZ's) Plenums
present must
❑ Furnace
11 Lineset
EER
❑ R75 or R7.5) Line set°
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.
"11. 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-HERS2
Compressor, TXV, Lineset,
CF3R: MECH-20-HERS, MECH-(23 or 24)-HERSZ, MECH-25-HERS'
Air Handler/Furnace2 (Can include new ducting)
Installer Requirement: Duct leakage (:L15%, 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 Ducts3 CF1R-ALT-02-E
including Mini Split MR: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23.or 24)-HERSZ, MECH-25-HERSZ
CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS'
Mini Splits require CF111-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge
113. All New Ducts with Replacement Required Compliance Documents to be left on site for Final:
All New Ducts3 and one or more of the following CF1R-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 dud 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 Ducts3 CF1R-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS
Installer Required to: Duct leakage (:S.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
3 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%", 3.5 to 4T -2Y.", 5T -4y."
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.
S. 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 applic on.
Responsible Designer Name,
Responsibl signer Signature:
Date Signed:
license:
C"o�pang :
ress:
Eity/State/Zip: -
�'�
Phone:
S. oy Gz .
w ,A.e
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For "assistance or questions regarding the Energy Standards, contact tVEnergy Hotline at: -i-806-772-3300
t