BMCH2016-0010,.-._..:,_ I.IIIIIII"II•IIIII'11 --�
74
78-495 CALLE TAMPICO
U VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIO
BUILDING PERMIT
1W/2
Application Number: BMCH2O16-0010 Owner:
Property Address: 79806 HEMINGS WAY BRIAN AND HEATHER
APN: 604520018 79806 HEMMINGS WAY
Application Description: POTTER / CHANGE OUT (1) SPLIT SYSTEM LA QUINTA, CA 92253 p C
Property Zoning: D rn
Application Valuation: $5,000.00 _
Applicant:
HARRISON ENTERPRISES INC DBA -GENERAL AIR
31170 RESERVE DRIVE
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. C36 License No.: 686310
Date: I I'Zn 11(0 Contractor
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)601-3500
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.
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:
OWNER -BUILDER DECLARATION
Carrier: _ Polity Number: _
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California,. and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisions.
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
�
Date: I r ( to Applicant:
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT. AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(1 I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale. '
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(1 I, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.),
following issuance of this permit.
L_J I am exempt under Sec. B.&P.C. for.this reason
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.
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction fending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
I certify that I have read this application and state that the above information is corrgct.
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: ) to Signature (Applicant or Agent)l L• ^- 2—� ,
FINANCIAL INFORMATION"
!V
'DESCRIPTION �trfp,,� 2 Wukt
-BSAS SB1473 FEE 101-0000-20306
0 $1.00, $0.00
PAID BY;�,M % at
ENL_
R
4LTD`:13V�f
Total Paid for'BUILDING STANDARDS ADMINISTRATION BSA: s1,.00 $0.00
AE, A K,
-W
1 .1 -A
-*%',
0A66
. - I ~DESCRIPTION
�,,CCOUNTi�;,U'k� 0k
, m„QTY-
K
4�1,'6AMOUNT
HN,
E`4:
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-1424021.
0
$72.52
$0.00
v, PAID gy
"IN , METHOD'S d.
�T
PsRi'�' F�MECEIPT?
K 4'
N_,
i ” S -,
DES. ON gm,
E>{.`
7 AMOUNT
'Ml-,,,,"�,I,, PAIW,.z,�V�q
PAID DATE
. ,
_e
" 1'�. �y -,nl i *,,�.Mn
P;4k
M
HVAC CHANGEOUT SPLIT -SYSTEM PC
101-000042600
0
$36.26
$0.00
'N
. N
MAI
MEN
=059=,
Total?aid aid for CHANGEOUT:.. $108..78 $0,00
_x
DESCRIPTION'
3
ACCOUNT
BMJ'j�
�PAID_ g
MATU
Wi
�M�7 RE�
MEAIVIOUNT
-t�VAIMzJ��
"74m,44li- pr
"m
b, ze,4,-� 7W
PERMIT ISSUANCE
101-0000-42404
0
$91.85,
$0.00
CHECK -0,
1,11 5 m
Total Paid for PERMIT ISSUANCE: $91.85 $0.001.
OS: $0.00
TTAL $201.63
Description: POTTER / CHANGE OUT (1) SPLIT SYSTEM
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 1/27/2016 SKH
Approved:
Parcel No: 604520018 Site Address: 79806 HEMINGS WAY LA QUINTA,CA 92253
Subdivision: TR 24197-5 Block: Lot: 18
Issued:
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $5,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NAME TYPE
Details: HVAC CHANGE OUT - 19SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME--ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
HARRISON ENTERPRISES INC DBA
GENERAL AIR
31170 RESERVE DRIVE
THOUSAND
PALMS
CA
92276
(760)902-2561
CONTRACTOR
HARRISON ENTERPRISES INC DBA
GENERAL AIR
31170 RESERVE DRIVE
THOUSAND
PALMS
CA
92276
(760)902-2561
OWNER
BRIAN AND HEATHER
79806 HEMMINGS WAY
LA QUINTA
I CA
1 92253
1 (760)902-2561
Printed: Wednesday, January 27, 2016 1:10:47 PM 1 of 2 C
SYSTims
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CL
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:00
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE Ir DATE RETURNED STATUS REMARKS.NOTES
DATE
Printed: Wednesday, January 27, 2016 1:10:47 PM 2 of 2 Orp
sysrrnns
BOND
INFORMATION
ATTACHMENTS
Printed: Wednesday, January 27, 2016 1:10:47 PM 2 of 2 Orp
sysrrnns
Bin.#
C1ty Of .La Quinta
Building 8r Safety Division
P.O. Box 1504,78-495 Calle Tampico
LA.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 7.9806 Hemmings Way
Owner's Name:. Brian & Heather Potter
A. P. Number:
Address: 79806 Hemmings Way
Legal Description:
City, ST, Zip: La Quinta, CA .92253
Contractor: General Air Conditioning
Telephone: 760-902-2561
Address: 31170 Reserve Drive
Project Description: Replace Ston A/C, Coil & 90,000 BTU
City, ST, Zip: Thousand Palms, CA 92276
Furnace
Telephone:
P 760-343-7488
s:..,•,;�.;�,,:�
State Lic. # : 686310
City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone: v Y ::`�. ; > :'
State Lie. #: ^.,
y :,<.....w ry�u ,�
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: 8.18-735-7876
Estimated Value of Project: I
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Pian Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance.
Tide 24 Calcs.
Pians picked up
Construction
Flood plain plan
Pians resubmitted..
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcoutactor 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 eorrectionslissue
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
ALTERATIONS - HVAC
CEC-CFiR-AL -04-E Revised 03115 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CHR -ALT -04-E
Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1)
Site Address:
Enforcement Agency:
Date Prepared:
Permit#:
79806 Hemmings Way
City Of La Quinta
January 27, 2016
Equipment Type
Equipment Efficiency
New Ducting, Plenums, Lineset:
Conditioned
Thermostat
Required R -value
Floor Area (sq ft)
❑ Packaged
Evaporator Coilgp�/,AFUE
COP
❑ R-6 (CZ 2, 8-13) Ducting
Served by system
;Setback
System .
Split System
XCondensing Unit
Q Compressor
19
,
❑ R-8 (CZ 11, 14, Ducting
2018 sgft
�
I not already
Y
❑ Mini Split
P
Q Lineset
SEER
HSPF
p R-6 (all CZ's) Plenums
nu
Present must
pr
be installed)
Furnace
Q TXV
EER
13R-5 or R7.5) Lineset'
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.
-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-Ol, MECH-20-HERS, MECH-(23 or 24)' -HER$, 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 (:<.15%, or < 30% to outside, or seal all accessible leaks), Air Flow t 300 CFM/ton, Refrigerant Charge.
Exempted from duct leakage testing If:
111. 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'
CF111-ALT-02-E
including Mini Split
CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 of 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 2 350 CFM/ton (or alternative), Refrigerant Charge
❑ 3. All New Ducts with Replacement
Required Compliance Documents to be left on site for Final:
All New Ducts' 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 2 350 CFM/ton (or alternative), Refrigerant Charge
Exempted from duct leakage testing if: ❑ 1. Existing ducts stems are constructed, Insulated or sealed with asbestos
❑ 4. New Ducting over 40 feet I Required Compliance Documents to be left on site for Final:
New ducting but less than All New Ducts' I CF1R-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS
Installer Required to: Duct leakage (:S.15% or, < 10% to outside ori 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 11=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-2a/e", 2.5-3T-2'/,", 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:
RR sible Si tures
Date Signed:
license:
Steven Schnierer—e
January 27, 2016
686310
Company:
General Air Conditioning
Address:
31170 Reserve Drive
City/State/Zip:
Thousand Palms, CA 92276
Phone:
760-343-7488
For assistance or questions regarding the Energy Standards, contact the tnergy notune at; ,-outrr is -»w
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEG-CFIR-ALT-04-E Revised 03/15 CALIFORNIA ENERGY COMMISSION ''tiKW
CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E
Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1)
Site Address:
Enforcement Agency:
Date Prepared:
Permitil:
79806 Hemmings Way
City Of La Quinta
Janua 27, 2016
Equipment T e
YP
Equipment Efficiency
New Ducting, Plenums, Lineset:
Conditioned
Thermostat
Required R -value
Floor Area (sq ft)
❑ Packaged
REvaporator Coil
80%AFUE
COP
d R-6 .(CZ2, 8-13) Ducting
Served by system
(F;Setback
System
Split System
XCondensing Unit
Q Compressor
`-
19
, 14, 15) Ducting
❑ R-8 (ll
2018 sgft
�T
I not alread
(f
Y
❑ Mini Split
Q Lineset
SEER
HSPF
p R-6 (all CZ'sJ Plenums
(Xs)
t
present, must
be instolled)
Furnace
Q TXV
EER
13R-5 or R7.5) Lineset°
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.
01. HVAC Changeout/Repair
Required Compliance Documents to be left on site :for Final:
All Equipment,
CF1R-ALT-02-E
Condenser Unit, Evaporator Coll,
CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)'•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 (:S.15%, or < 30% to outside, or seal all accessible leaks), Air Flow>_ 300 CFM/ton, Refrigerant Charge.
Exempted from duct leakage testing if:
Cl 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'
CFIR-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 CFIR-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow a 350 CFM/ton (or alternative), Refrigerant Charge
113. All New Ducts with Replacement
Compliance -Documents to be left on site for Final:
All New Ducts' and one or more of the followinIR-ALT-02-E
tauirecl
replaced: Condenser Unit, Evaporator Coil,
2R: MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS
Compressor, TXV, Lineset, Furnace'
3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Air Flow 2 350 CFM/ton (or alternative), Refrigerant Charge
Exempted from dud leakage testing if: ❑ 1. Existing ducts stems 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 Duds'
CF1R-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 Duds is when at least 75 percent of the dud 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 W' 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 1.5-2.T-2%", 2.5-3T-2'/.", 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:
R�, p�RsIN Design er Si tures r
Date Signed:
license:
Steven Schnierer
M.Sz— �''e
January 27, 2016
686310
Company:
General Air Conditioning
Address:
31170 Reserve Drive
City/State/Zip:
Thousand Palms, CA 92276
Phone:
760-343-7488
For assistance or questions regarding the Energy Standards, contact the tnergy nowne dt:-ouv-i.