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BMCH2015-038978-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Twit 4 4 Q": COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O15-0389 Property Address: 81940 RUSTIC CANYON DR APN: 764550025 Application Description: SALUTE / CHANGE OUT (1) EVAPORATIVE COIL Property Zoning: LA QUINTA, CA 92253 Application Valuation: $3,715.00 Applicant: IE INC 31225 LA BAYA Contractor: WESTLAKE VILLAGE, CA 91362 HARRISON ENTERPRISES INC DBA 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: 1101a I I 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).: (� 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.). (1 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 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: l IIIIII VIII I'll IIII 60 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 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. <n._ 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 polity number are: Carrier: Policy Number: _ _ 1 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. A Date: InIBILG Applicant: 4:Z�--4iz-5�,_ � 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: )O Signature (Applicant or Agent):LC" Date: 10/8/2015 Owner: EUGENE.SALUTE 81940 RUSTIC CANYON �� z L--�— LA QUINTA, CA 92253 Z_ a L17 w z� O Z C3 Contractor: (-D 2 af 4 g HARRISON ENTERPRISES INC DBA GENERAL AIRS LU' r' iFo 31170 RESERVE DRIVE ' THOUSAND PALMS, CA 92276' n � (760)601-3500 0 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. <n._ 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 polity number are: Carrier: Policy Number: _ _ 1 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. A Date: InIBILG Applicant: 4:Z�--4iz-5�,_ � 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: )O Signature (Applicant or Agent):LC" FINANCIAL NFCIRWTIOW'. W DESCRIPTION PAID PAID DATE: Mt'07". R BS4S S61473 FEE 101-0000-20306 $1.00 $0.00 m lm"i.�;""� r 0 THOD,,.,:,.,4 METHOD gggpq -40 -'�-�RECE PTV-9� ECW'Wi M" Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.60 'ACCOUNT�,gV�ix ' iaF PA D�DATE �',,., wk�-' HVAC CHANGEOUT - OTHER EQUIPMENT 101-0000-42402 0 $36.26 $0.00 m i m w ......... . -1�MFiECEIPTI" X: PAID,, n,WETHODoi�1 t CHECK -CLT DESCRIPTION{_, «�z Et ACCOUNTi "'VI W PAID'DA T E�' all PIN M .` HVAC CHANGEOUT - OTHER EQUIPMENT PC- 101-0060-42600. 0 $36.26 '$0.00 :NIN".1. PAID 'BY M ET ;HOD 4 JW V -t� � MAY �,g '4 Ni C UT 15"'t i A Ou N' LW %, ..Total Paid,for CHANGEOUT: $72.52 $0.00 %W, D ESCR I PTI 0 NmV COUNT 16UN14N4 !PAODAT' E4 N PERMIT ISSUANCE 101-000042404 0 $91.85 $0.00 BY'4" A RECEIPT ' m .a.-:. abt Total Paid for PERMIT ISSUANCE: $91:85 $0.00 �;TTALS. O .00 Description: SALUTE / CHANGE OUT (1) EVAPORATIVE COIL Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 10/8/2015 SKH Approved: Parcel No: 764550025 Site Address: 81940 RUSTIC CANYON DR LA QUINTA,CA 92253 Subdivision: TR 30023-7 Block: Lot: 68 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $3,715.00 Occupancy Type: Construction.Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT - (1) STON EVAPORATIVE COIL [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. Printed: Thursday, October 08, 2015 1:37:27 PM 1 of 2 t SYS7Cti1S CHRONOLOGY CONDITIONS CONTACTS. NAME TYPE NAME ADDRESSI' CITY STATE ZIP PHONE FAX EMAIL APPLICANT IE INC 31225 LA BAYA WESTLAKE CA 91362 VILLAGE CONTRACTOR HARRISON ENTERPRISES INC DBA 31170 RESERVE DRIVE THOUSAND CA 92276 GENERAL AIR PALMS OWNER EUGENE SALUTE 81940 RUSTIC CANYON LA QUINTA CA 92253 Printed: Thursday, October 08, 2015 1:37:27 PM 1 of 2 t SYS7Cti1S INSPECTIONS PARENT PROJECTS ATTACH M E NTS Printed: Thursday, October 08, 2015 1:37:27 PM 2 of 2 r? L1 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 $36.26 $0.00 OTHER EQUIPMENT HVAC CHANGEOUT - 101.0000-42600 0 $36.26 $0.00 OTHER EQUIPMENT PC Total Paid for CHANGEOUT: $72.52 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:00 INSPECTIONS PARENT PROJECTS ATTACH M E NTS Printed: Thursday, October 08, 2015 1:37:27 PM 2 of 2 r? L1 SYSTEMS STATE OF CALIFORNIA ALTERATIONS - HVAC CEC-CFIR-ALT-04-E Revised 03/15 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: _ Enforcement Agency: Date Prepared: Permit#: ` �igti O usT 1G Cc. >1 � a-ki OQ- Lc - Equipment Type Equipment Efficiency New Ducting, Plenums, Lineset: Conditioned Thermostat Required R -value Floor Area (sq ft) ❑ Packaged )KEvaporator Coil AFUE COP ❑ R-6 (CZ 2, 8-13) Ducting Served by system Setback System ❑ Condensing Unit ❑ R-8' (CZ 11, 14, 15) Ducting Sqft (if not 01reody ❑ Split System ❑ Compressor SEER HSPF❑ R - (all CZ's) Plenums present, must ❑ Mini Split ❑ Lineset EER ❑ R-55 or R7.5) Lineset be installed) ❑ Furnace ❑ 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. ,W1. 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) -HERS', MECH-25-HERS2 Air Handler/Furnace2 (Can include new ducting) Installer Requirement: Duct leakage (< 15%, or < 10% to outside, or seal all accessible leaks), Air Flow >_ 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 CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2 CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2 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 >_ 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 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. 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-2%", 2.5-3T-2%", 3.5 to 4T-2%", ST -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. Res onsible Designer Name: k4F t ScilrNeC'er Responsible Designer Signature: S L� �-� Date Signed: 143 18 Is License: (08(0310 Company: Address: City/State/Zip: Phone: &nerc.� ;,r 31110 J e -r H hove q22'71. -7b0-343- 7N 88 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300 Bin # Qty of La Quinta Building tai Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #! Project Address: $� Q ti Q `�v S� i Owner's Name: LU eM e— SGl ,A e . A. P. Number: Address: %)'190 Legal Description: City, ST, Zip: L �iKl CA Cl 2`L4`7 ntra - Co ct r: -Telephone:to o2 r ova' `T-S c7 � 1 Address: �eSt'�r t Project Description: City, ST, Zip: vssti �vns CAaZ27lo I�e )a� �vc.. occ� 'r+c CC;, Telephone: '7 -3 o t-k 7- b 7 State Lic. # :'x$(031 C7 City Lie. #: Arch., Gngr., Designer: Address: City, ST, Zip: Telephone: ............................. ................ ....... aneY Occupancy: Construction Type-, : Lic. #: Project hP (circlele one): New Add'n Alter Repairair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 3 % i5 . 0O APPLICANT: DO NOT WRITE BELOW THIS LINE M Submittal Rcq'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Clieck Balance Title 24 Cates. Plans picked up Construction Flood plain plan . Plans resubmitted Mechanical Grading plan 2°d Review, ready forcorrectionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN HOUSE:- Re.view, 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