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BMCH2015-0355- 78-495 CALLE TAMPICO - LA QUINTA, CALIFORNIA 92253 Application Number: BMCH2O15-0355 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Property Address: 55114 FIRESTONE n AF'N: 775153044 shall not employ any person in any manner so as to become subject to.the workers' C Application Description: PLUMMER /CHANGE -OUT (1)16SEER/80AFUE SPLIT TEM signed statement that he or she is licensed pursuant to the provisions of the . Property Zoning: Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division ZZ 3 of the Business and Professions Code) or that he or she is exempt therefrom and the Application Valuation: $17,800.00 c� permit subjects the applicant to a civil penalty of not more than five hundred dollars WARNING: FAILURE TO SECURE WORKERS' CO.APENSATION COVERAGE IS UNLAWFUL, ($500).: rri O: () 1, as owner of the property, or my employees with wages as their sole Applicant: compensation, will do the work, and the structure is not intended or offered for sale. O T (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not IE INC 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 31225 LA BAYA are not intended or offered for sale. If, however, the building or improvement is sold z c irn within one year of completion, the owner -builder will have the burden of proving that WESTLAKE VILLAGE, CA 91362 n 1. Each person upon whose behalf this application is made, each person at whose 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 Dater � �C Contractor:—�.°.W � VOICE (760) 777-7125 x FAX (760)777-7011 INSPECTIONS (760) 777-7153 Date: 5/17/2016 Owner: PLUMMER OKHLI 1' FIRESTONE INTA,tA 92253 N. HA RISON ENTERPRISES INC DBA GENERAL AIR CONDITIONING 31 70 Rt5ERUE DRIVE STE A TH' USAND PALMS, CA 92276 ))343-7488 No.: 686310 WORKER'S COMPENSAMON DECLARATION I hereby affirm under penalty of perjury one o+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=fbr 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 ermitis issued. My workers' compensation insuranc2 carrier and policy number are: OWNER -BUILDER DECLARATION Carrier: Policy Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of -he 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 D S 1' 7 I �D Applicant. G basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a r permit subjects the applicant to a civil penalty of not more than five hundred dollars WARNING: FAILURE TO SECURE WORKERS' CO.APENSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO () 1, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,00)). 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 FOF 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 th a 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 thi= 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, as owner of the properly, 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 --ity 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. (� 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 cancelkation. 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 Lender's Address:' I certify that I have read this application and sta to that the above information is correct. I agree to comply with all city and county ordirances and state laws relating to building construction, and hereby authorize representa-ives of this city to enter upon the above-mentioned property for inspection purposes. �J Da� _ I Signature (Applicant or Agent) { •• FINANCIAL {, " DESCRIPTION':: V` ACCOUNT -QTY i "AMOUNT- PAID 'PA BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 9/14/15 �PAI134BY '" ' " r `��,METHOD ':RECEIPT, # _ , CHECK # CLTD:BY .:z IE INC CHECK R9192 26285 SKH Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 rE DESCRIPTION $` "ACCOUNT QTY ' :AMOUNT PAID { 'PAID DATE! HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $72.52 $72.52 9/14/15 ' PAID BY , METHOD RECEIPT #,' r CHECK # wCLTD BY' IE INC CHECK R9192 26285 SKH PESCRIPTION y' :: ACCOUNT` QT3YE' AMOUNT ;,.. PAID ; PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $36.26 $36.26 9/14/15 BY µy. METHOD k', RECEI# , PTOZ CHECK #. CLTD BY._' IEINC CHECK R9192 26285 SKH Total Paid for CHANGEOUT: $108.78 $108.78 r'DESCRIPTION:'. y ,ACCOUNT : : 'QTY ' ;` AMOUNT ; ;r :. PAID ' :::. ,PA 1D DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 9/14/15 PAID. BY METHOD .' RECEIPTV,.. CHECK #' CLTD BY ' IE INC CHECK R9192 26285 SKH Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: ` r Description: PLUMMER / CHANGE -OUT (1)16SEER/80AFUE SPLIT SYSTEM Type: MECHANICAL Subtype: Status: ISSUED Applied: 9/14/2015 S.KH Approved: 9/14/2015 SKH Parcel No: 775153044 Site Address: 55114 FIRESTONE LA QUINTA,CA 92253 Subdivision: TR 21846-2 Block: Lot: 2 Issued: 9/14/2015 SKH Lot Sq Ft:'O Building Sq Ft: 0 Zoning: Finaled: Valuation: $17,800.00 Occupancy Type: Construction Type: Expired: 3/12/2016 SKH No. Buildings: 0. No. Stories: 0 No. Unites: 0 ADDRESS1. Details: HVAC CHANGE OUT - (1)16SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. ADDITIONAL SITES FINANCIAL INFORMATION Printed: Tuesday, May 17, 2016 3:52:04 PM 1 of 2 SYSTEMS CONDITIONS NAME TYPE NAME; ADDRESS1. CONTACTS .,CITY; STATE - ZIP PHONE FAX, ,. EMAIL APPLICANT. IE INC 31225 LA BAYA WESTLAKE VILLAGE CA 91362 (951)255-4020 CONTRACTOR HARRISON ENTERPRISES INC DBA GENERAL AIR CONDITIONING 31-170 RESERVE DRIVE STE A THOUSAND PALMS_ LA QUINTAw CA CA 92276 (951)255-4020 nln►NER ' PLUMMER 0KHU1 SSii4 FIRESTONE 'T 92253 (951)255-4020 FINANCIAL INFORMATION Printed: Tuesday, May 17, 2016 3:52:04 PM 1 of 2 SYSTEMS INSPECTIONS ..... PARENT PROJECTS.. Printed: Tuesday, May 17, 2016 3:52:04 PM 2 of 2 ' SYS TEARS "PAID LTD DESCRIPTIONS u • ACCOUNT QTY - :AMOUNT PAID PAID DATE "RECEIPT:# CHECK# ; ,METHOD BYµ' �BY..2 .t „y w. _ .. a; p -� .. BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 9/14/15 R9192 26285 CHECK IE INC SKH Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: HVAC CHANGEOUT - 101-0000-42402 0 $72.52 $72.52 9/14/15 R9192' 26285 CHECK IE INC SKH SPLIT -SYSTEM HVAC CHANGEOUT - 101-0000-42600 0 $36.26 $36.26 9/14/15 R9192 26285 CHECK IE INC SKH SPLIT -SYSTEM PC Total Paid for CHANGEOUT: $108.78 $108.78 PERMIT ISSUANCE 101-0000-42404 0 -$91.85 $91.85 9/14/15 R9192 26285 CHECK IE INC SKH Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: INSPECTIONS ..... PARENT PROJECTS.. Printed: Tuesday, May 17, 2016 3:52:04 PM 2 of 2 ' SYS TEARS JIM IC yr I. L.rvrtrvi� ALTERATIONS —HVAC CEC-CHR-ALT-04-E (Revised 03115) CALIFORNIA ENIERGY 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: clII'+ Permit#: s e G 1 IS' Equipment Type Equipment Efficiency New Ducting, Plenums, Lineset: Condition �d Thermostat Required R -value Floor Area (sq ft) ❑ Packaged EvaporatorCoil❑ g AFUE COP R-6 (CZ 2, 8-13) Ducting Served by -system 9Setback System �'CondensingUnit }�R-8, (CZ 11, 14,15) Ducting 1 �O sgft (If not already X Split System ❑ Compressor 1(o SEER HSPF ❑ R-6 (dll CZ's) Plenums present must ❑ Mini Split ❑ Lineset EER ❑ R-5 or R7.5) Lineset' be installed) jKFurnace ❑ TXV HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At?ermit application this form is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand fil?edforms allowed) and a copy left on site. D 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-01, MECH-20-HERS, MECH-(23 or 24)' -HERS; MECH-25-HERS' Compressor, TXV, Lineset, CF3R: MECH-20-HERS, MECH-(23 or24)-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 2 300 CFM/ton, Refigerant 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 Ducts' CF11R-ALT-02-E Including Mini Split CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HESS', 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) MICH-25-HERS Installer Requirement: Duct leakage < 6%, Fan Efficacy (.S8W/CFM), Air Flow z 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-HEMS 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. Existin ducts stems are constructed, insulated or sealed with asbestos ❑ 4. New Ducting over 40 feet RequiredCompliance Documents to be left on site for Final: New ducting but less than All New Ducts' CF1R-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS Installer Required to: Duct leakage L, 15% or, < 10% to outside or, or seal all accessible leaks) 0 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/Furhace 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 dud material, and up to 25 percent may consist of reused parts from the dwelling unit's existing dud system (e.g., registers, grilles, boots, air handler, coil, plenums, dud material). R-5 (1" thick insulation) for linesets 1" and less. R-7.5 (1.5" thick insulation) for Iinesets over 1 Inch. Most mfg will requi e, Suction line Diameter with Insulation as the following 1.5-2T-2%", 2.5-3T-2'/.", 3.5 to 4T-2%", 5T -4'/e" 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 wits the, information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted tothe enforcement agency for approval with this building permit application. Responsible Designer Name: Reensible Designer Signature: Date gned• License:' eve Sc��n' er' JAL=— G 1 1 S -3.1 C? Company:' re,-"e-rc-1 A:r Address: 31170 ?ee Ci State/Zip: IhoUsa ��ms9Zz7(, Phone: 7(,03 3 7982 Cpy sVVr-e For assistance or questions regarding the Energy Standards, contact. the Energy Hotline at: 1-800-772-3300 sin.# CI� Of u QL((nta Bullding 8z 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: 55114 Firestone Owner's Name:. Okhui Plummer A. P. Number. Address: 55114 Firestone Legal Description: City, ST, Zip: La Quinta, CA 92253 Contractor: General Air Conditioning Address: 31170 Reserve Drive 'telephone: 951-255-402011, �s`>.s:�: Project Description: Replace 5ton A/C, Coil, 90,000 BTU . City, ST, Zip: Thousand Palms, CA 92276 Furnace & 8 Ducts Telephone: 760-343-7488 State Lie. #: 686310 City Lic. #; Arch, Engr., Designer Address: City, ST, Zip: ;mow: Telephone: ° ' ° State Lic. #:^�' ;w�,isy;�. ,N Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq.'Ft.: #Stories: #Units: Name of Contact Person: Steven Schnierer Telephone # of Contact Person: 818-735-7876 Estimated Value of Project: 17,800.00 . APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd 'Ree'd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calm Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Pian Check Balance Tide 24 Cala. Plans picked up Construction Flood plain plan Pians resubmitted Mechanical Grading plan r4 Review, ready for corrections/issue Electrical Subcoutactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L 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