BMCH2016-007378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O16-0073
Property Address: 54075 SOUTHERN HILLS
APN: 775101061
Application Description: TERRRY CENNON
Property Zoning:
Application Valuation: $49,570.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
c&tv,440alftro
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
A '�pMAR 0
D
CITY OF LA QUINTA
Y 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 70001 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: 3 3C) 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).:
(1 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
i 111111 11111 1111 1111 _
78
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/30/2016
Owner:
PGA WEST RESIDENTIAL HOMEOWN
P 0 BOX 1060
LA QUINTA, CA 0
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.
—�� 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 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 3I��Ilb 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 this city to enter upon the
above-mentioned property for inspection purposes.
c-�
Date:3 13011 Signature (Applicant or Agent):
FINANCIAL •• •
DESCRIPTION
ACCOUNT QTY AMOUNT'
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306 0 $2.00
•$0.00
PAID BY
METHOD RECEIPT #
CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 $0.00
DESCRIPTION
ACCOUNT
QTY,
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$217.56
$.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
$108.78
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for CHANGEOUT:. $326.34 $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:• 0•
Description: TERRRY CENNON
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 3/30/2016 RSE
Approved: 3/30/2016 RSE
Parcel No: 775101061 Site Address: 54075 SOUTHERN HILLS LA QUINTA,CA 92253
Subdivision: TR 22432-2 SEE ASSESSORS MB 769/43 Block: Lot: 6
Issued:
FOR CMS
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $49,570.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
ADDRESSI
Details:' HVAC CHANGE OUT - 19.OSEER/80AFUE SPLIT SYSTEM HVAC CHANGE OUT - 2-21.OSEER/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
IE INC
31225 LA BAYA
WESTLAKE
VILLAGE
CA
91362
CONTRACTOR
HARRISON ENTERPRISES INC DBA
GENERAL AIR
31170 RESERVE DRIVE
THOUSAND
PALMS
CA
92276
FRANCISCO@CALLTHE
GENERAL.COM
OWNER
PGA WEST RESIDENTIAL HOMEOWN
P O BOX 1060
LA QUINTA
CA
0
Printed: Wednesday,. March 30, 2016 11:10:31 AM 1 of 2 C
IVEY SYSTEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
$2.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$2.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$217.56
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$108.78
$0.00
SPLIT -SYSTEM PC
Total Paid for CHANGEOUT:. $326.34 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:1 1 1/
INSPECTIONS
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
Printed: Wednesday, March 30, 2016 11:10:31 AM 2 of 2 &ff[T
SYSTCMS
Bin. #
CJty, Of La Quin to
81MO,- 8t Safety Division
P.O: Box 1504,78-495 Calle Tampico
1.a.Quinta, CA 92253 -:(760) 777-7012
- 0 73 Building Permit Application and Tracking Sheet
Permit #
y►� Cj"
Project Address: 54075 Southern Hill
Owner'sName:.Terry Cennon
A. P. Number.
Address: 54075 Southern Hill
Legal Description:
City, ST, Zip. La Quints, CA :92253
Contractor. General Air Conditioning
Telephone: 760-898-8700
�:'' �3;? •';3. "" s.w
Address: 31170 Reserve Drive
Project. Description: Replace (1) Ston Complete HVAC System. .
City, ST, Zip: Thousand Palms, CA 92276.
Replace (1) 4ton Complete HVAC System,
Telephone: 760-343-7488
K.
;: ;.,w :. '�
Replace (1) 2ton Complete HVAC System
State Lic. # : 686310
City Lir 9.
Arch., Engr., Designer.
Address:
City., ST. Zip:
Telephone: ��
State Lie,#:j c
Name of Contact Person: Steven Schnierer
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq.Ft.: —T#
Stories- #Units:
Telephone # of Contact Person: 818-73577876
Estimated Valae of project: $49,570.00 .
APPLICANT: DO NOT WRITE BELOW THIS UNE
N.
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24 Cates.
Plans pieked.up
Construction
Flood plain plan
Plans resubmitted
Mechanical
G:mding plan
2" Review, ready for correctionslissue
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 correetionsRssue '
Developer Impact Fee
Planning Approval.
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE.OF COMPLIANCE
CF111-ALT 024E
` Alterations to Space Conditioning Systems (formerly CF -SR -ALT -HVAC) (Page 1 of 3)
Project Name: TERRY CENNON I Date Prepared: 2016-03-29
A. General Information
MR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one MR -ALT -02 document for each dwelling unit.
03
Project'Name
TERRY CENNON
02
Date Prepared
2016-03-29
03
Project Location
54075 SOUTHERN HILL
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name.
TERRY CENNON
07
Zip Code
92253
08
Dwelling Unit Conditioned
2300
� `'-,'�,'' �� �'
`" -�"'" �r
°� '� k`
Floor Area (ft2)
SC -System
SC System
CFA served
ystem a
re rfrf igera t 4
Number of space conditioning
�il stallAg I
09
Climate Zone
15
10
(SC) systems in this dwelling
3
ducted
containing R
system v
more than 40
unit.
entirely new
B. Space Conditioning (SC) System Information
al fi ;o .fi
01
02
03
05
661 �
07
) Q8
09
10
.04
jerl
3lls the SCS'
' �ihstall(ng a`
� `'-,'�,'' �� �'
`" -�"'" �r
°� '� k`
SC -System
SC System
CFA served
ystem a
re rfrf igera t 4
Z]nstaIIIg, ew SC
�il stallAg I
]n tailing
Installing
Identification or
Location or Area
by this SC
ducted
containing R
system v
more than 40
ent ely w
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
900
Yes
Yes
Yes
No
No
No
Altered space
conditioning system'
System 2
Location 2
900
Yes .
Yes
Yes
'No.
No
No
Altered space
conditioning system
System 3
Location 3
900
Yes
Yes
Yes. -7
No .
No
I.
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 216-A0118304A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Regiftration Date/Time: 2016-03-29 21:08:46
Report Version: 2013 Rev 1.007
Schema Version: 0.555SDD
HE Provider: CaICERTS
Report Generated: 2016-03-29 21:08:39
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150Z(b)1E and F)
01
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
Cooling
Cooling
Efficiency
Efficiency
Thermostat
Replaced
New Duct
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R -Value
Central gas
All new
Central split
All new
Less than or
System 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
19
Setback
equal to 40
R-8
components
components
feet
Central gas
All new
Central split
All new
Less than or
System 2
furnace
heating
AFUE
0.8
AC
cooling
SEER
21
Setback
equal to 40
R-8
components
components
feet
Central gas
All new
Central split
All new
Less than or
System 3
furnace
. heating
AFUE
0.8
AC
cooling
SEER
21
Setback
equal to.40
R-8
components
components
feet
Reauired ocumentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums`. R6.IN
-,
CF2R-MCH 20 H & CF3R-MCH-20-H —Duct Leakage.testing requlred wt�hen heating or cooling'cornp a is are Inst I ed1n Butte stems, or when
ore than'40 ff o len replaced.
-Leakagesate compliance: 515%, or!' 10% leakage to obtside� al -all accessib leaks
bl
CF2R-MCH 25-H & CF3R-MCH 25-H Refrigerant Charge Verification:rAlred when refrigerant containing components are Installed or altered (a.011.
in CZ 2, 8 15).
CF2RCF3R•MCH-23 & CF3R-MCH-23 Air Flow_ 300 CFM/ton require -Men' MCH -A is equ reed.
Exceotioni:
-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 MECI1-25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Section's 150.2(b)1Diia and 1501(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)l -C)
This section does not apply to this project.
Registration Number: 216-A0118304A-000000000-0000 Registration Date/Time: 2016-03-29 21:08:46 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-29 21:08:39
Schema Version; 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-iR-ALT-HVAC) (Page 3 of 3 )
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Jacoby,
Documentation Author Signature:
Jan dacorr.
Ian
Company:
Signature Date:
i PERMIT E RATERS
2016-03-29 21:08:46"
Address:"
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive #213
City/State/Zip:
Phone:
West Lake Village -CA 91362
818-735-7876
Responsible Person'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 oft I he Business and Professions Code to.accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer).
3. That.the energy features and performance specifications, materials; components, and manufactured devices for the building designorsystem design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and. Part 6 of the California Code of �Rlatlons
4. The building design features or system design.features identified orl"thls Certi "cf al�te bf C m liance are onsisten iith< he inform#on.provided on:'oth OP licable compliance documents, worksheets,
calculations, plans and specifications submitted to the a forcemen�gency fora' po v 1,vvA�this builditng perr' t ap�plicatI M.
5. 1 will ensure that a registered copy of this Certific to"df, pliance Alhbe"hi er allable with th0 bUllding;pe"fmit(s;issuON
etl forf4he;b�Uild g, and ad ay. bl�e to ttie ehforcement agency for all applicable
inspections. I understand that a registered copy of thi e ficate of Compliance,,Is required to be,Jncluded with the,,documentation1he�builder p ov des to the building owner at occupancy.
Responsible Designer Name: . "
Responilhle Desi jii.r Sihnaftre: V 1; �n/ �
cJY n �acobJr.
Jacoby, Ian
Company:.
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-03-29 21:08:46
Address:
License:
31-170"RESERVE DRIVE STE A
686310
City/State/Zip:
Phone: .
THOUSAND PALMS CA 92276
760-343-7488
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 216-A0118304A-000000000-0000 Registration bate/Time: 2016-03-29 21:08:46 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-29 21:08:39
Schema Version: 0.5555DD