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BMCH2015-043378-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tit(t 4 4 Qum& COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O15-0433 Property Address: 78027 LAGO DR APN: 658270014 Application Description: GLEASON / CHANGE OUT (2) 16SEER/80AFUE SPLIT Property Zoning: LA QUINTA, CA 92253 Application Valuation: $23,000.00 Applicant: o HARRISON ENTERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE = z 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.: 688�6''33^11_00 J1aze /11 1� 1 1-:7 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 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, 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 Na Lender's Address: 62 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/13/2015 Owner: RAYMOND GLEASON C� '— w 78027 LAGO DR LA QUINTA, CA 92253 U—) ae¢ o ¢ NJ z c N = z Igo =e LL Contractor: > o HARRISON ENTERPRISES INC DB/A GENERALZAIR: 31170 RESERVE DRIVE �--- -- THOUSAND PALMS, CA _J 9227b: o (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. 1 -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 3760 of the Labor Code, I shall forthwith comply with those provisions. Date: 1 1J 15 Ap�� • 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. Dat V3 )111— Sig�tu"dre (Applicant or Agent): FINANCIAL .• 1. DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD '�; ':° RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0. $145.04 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $72.52 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for CHANGEOUT: $217.56 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT. PAID PAID DATE PERMIT ISSUANCE .101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:• • •• Description: GLEASON / CHANGE OUT (2) 16SEER/80AFUE SPLIT Type: MECHANICAL Subtype: Status: APPROVED Applied: 11/13/2015,SKH Approved: 11/13/2015 SKH - Parcel No: 658270014 Site Address: 78027 LAGO DR LA QUINTA,CA 92253 Subdivision: TR 3941 & INT IN COMMON AREAS Block: Lot:' 14 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $23,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NAME TYPE Details: HVAC CHANGE OUT (2) 16SEER/80AFUE SPLIT SYSTEMS [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. 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 CONTRACTOR HARRISON ENTERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE THOUSAND PALMS CA 92276 OWNER RAYMOND GLEASON 78027 LAGO DR LA QUINTA CA 92253 FINANCIAL INFORMATION Printed: Friday, November 13, 2015 12:19:33 PM 1 of 2 Ci"—w— SYSTEMS PARENT PROJECTS REVIEWS RETURNED STATUS REMARKS REVIEW TYPE REVIEWER SENT DATE DUE DATE DATE NOTES Printed: Friday, November 13, 2015 12:19:33 PM 2 of 2 CRE" SYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY 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 $145.04 $0.00 SPLIT -SYSTEM HVAC CHANGEOUT - 101-0000-42600 0 $72.52 $0.00 SPLIT -SYSTEM PC Total Paid for CHANGEOUT: $217.56 $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 RETURNED STATUS REMARKS REVIEW TYPE REVIEWER SENT DATE DUE DATE DATE NOTES Printed: Friday, November 13, 2015 12:19:33 PM 2 of 2 CRE" SYSTEMS (' C[�/ 0� Qurnta Building f Safety Aivision P.O. Box 1504, 78-495 Calle Tampico La.QL inta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet. Permit # ;I Owner's Name:. Raymond Gleason Bin.# C[�/ 0� Qurnta Building f Safety Aivision P.O. Box 1504, 78-495 Calle Tampico La.QL inta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet. Permit # Project Address: 78027 Lago Drive Owner's Name:. Raymond Gleason A. P. Number. Address: 78027 Lago Drive Legal Description: Contractor. General Air Conditioning City, ST, Zip: La Quinta, CA `92253 Telephone: .,. MIN Ts��"; Address: 31170 Reserve Drive Project Description: Replace (2) 3ton, 70,000 BTU Complete City, ST, Zip: Thousand Palms, CA 92276. HVAC Systems Telephone: 760-343-7488 gop City Lie. #: State Lic. # : 686310 Archy Engr., Designer. Address: City., ST. Zip: Tele hone: p Statc Lrc #: Name of Contact Person: Steven Schnierer w Y. ��`� y w .� Construction Type: .. Occupancy: Project.•type (circle one): New Add'n Alter Repair Demo Sq. Ft,: # Stories: -T# Units: Telephone # of Contact Person: 818-735-7876 Estimated value of project: $23,000.00 . APPLICANT: DO NOT WRITE BELOW THIS LIME # Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Pian Check submitted item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Plan Check Balance_ Title 24 Calci.. Pians picked up Construction Flood plain plan Plans resubmitted.. Mechanical Grading plan V 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/issuc. Developer Impact Fee Planning Approval Called Contact Person AJ.P.P. Pub. Wks. Appr ' Date of permit Issue School Fees Total Permit Fees ' STATE OF CALIFORNIA ALTERATIONS - HVAC CEC-CFiR-ALT-04-E Revised 03115 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF111-ACT-04 E Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1) Site Address: BOzi Enforcement Agency: Date Prepared: permit#: v ;i 0 It I Ini I's- Equipment Type Equipment Efficiency New Ducting, plenums, Lin( Conditioned Thermostat ❑ Packaged XEvaporator Coll �AFUE COP Required R. -value El R-6 (CZ2, 8-13) Ducting Floor Area (sq ft) Served by system XSetback �System ja Condensing Unit System ❑ Compressor ��SEER HSPF 13R-8' (CZ214,15) Ducting' Z =UCo sgft (If hot already Mini ❑ Mini Split ❑ Lineset CZ1, ❑ R-6 (all 's) Plenums present must $Furnace O TXV EER I? R-5 or R7.S) Uneset" be Installed) 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. Forfinal inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site. --HVAC W1. Required Compliance Documents to be left on site for Final: All Equipment CF111-ALT-02-E Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH423 or 24)2 -HERS, MECH-25-HERS' Compressor, TXV, Lineset CF3R: MECH-2D-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2 Air Handler/Furnace" (Can include new ducting) Installer Requirement: Duct leakage (: 1S%, or < 10% to outside, or seal all accessible leaks), Air Flow t 300 CFM/fon, 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 0. 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-HERSZ Mini Splits require MR -ALT -02-E, CFZR-MECH-01, and (CF211-63R) MECH-25-HERS Installer Requirement: Duct leakage :< 6%, Fan Efficacy (.S8W/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 Anal: All New Ducts' and one or more of the following C17I11-ALT-024 replaced: Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-2S-HERS Compressor, TXV, Lineset Furnace2 CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS Installer Requirement: Duct leakage:5 6%, Air Flow a 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 I Required Compliance Documents to be left on site for Final: New ducting but less than All New Ducts' I CF111-ALT-02-E, MR: 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. 2 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-25/", 2.5-3T-2%", 3.5 to 4T -2W, 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 informationon 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 erformance 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 perrilit application. Date Signed: license: Responsible Designer Name: Responsibie Designer signature: Com an Address: Qty/State/Zip: _ Phone: p Compan: -7488 Pncra •ASC Cor S1Ai 311-7O ese v� 97r. Iti 0.1 ct2t7b V\i s... c.. . u..�n., ter• t.nn.772-3300 For assistance or questions regarding me energy aaanuu,,u, .. ••.a . •••- - o, - - —