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BMCH2018-003378-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: MECHANICAL/. Application Number: BMCH2O18-0033 Property Address: 81800 GOLDEN STARFAC APN: 764520047 �I s6�� G Application Description: GRANDI RESIDENCE /HANK& it 2018 Property Zoning: Application Valuation: $11,796.00 CITY OF LA QUINTA Applicant: DESIGN AND DEVELOPMENT DEPARTMENT IE INC 31225 LA BAYA WESTLAKE VILLAGE, CA 91362 . 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 — 9MDate–'Z, tZ 1% .—Contractor: komm&m--- 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.). (_) 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. 3091, Civ. C.). Lender's Name: Lender's VOICE (760) 777-7125 FAX(760)777- - 7011 INSPECTIONS (760) 777-153 Date: 2/12/2018 Owner: JULIE GRANDI 794 MOUNTAIN LN BIG BEAR, CA 92314 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: INSURANCE COMPANY OF THE WEST Policy Number: WSD503165802 _ 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. lZ l$ _ Date: 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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each,person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. AZ- 1$ .._--. �- Signature (A pplicanfor.Agent)y�� Date: 2/12/2018 Application Number: BMCH2O18-0033 Owner: Property Address: 81800 GOLDEN STAR WAY JULIE GRAND] APN: 764520047 794 MOUNTAIN LN Application Description: GRANDI. RESIDENCE / HVAC CHANGE OUT BIG BEAR, CA 92314 Property Zoning: Application Valuation: $11,796.00 Applicant: Contractor: IE INC HARRISON ENTERPRISES INC DBA GENERAL AIR 31225 LA BAYA 31170 RESERVE DRIVE WESTLAKE' VI LLAG E, CA 91362 THOUSAND PALMS, CA 92276 (760)343-7488 ------------------------------------------------------------ Llc. No.: 686310 --------------------------------- Detail: HVAC CHANGE OUT - 14 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016 CALIFORNIA BUILDING CODES. i FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT ' QTY AMOUNT HVAC CHANGEOUT.- SPLIT -SYSTEM 101-0000-42402 0, $39.01 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $78.02 Total Paid for CHANGEOUT: -$117.03 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $98.83 Total Paid for PERMIT ISSUANCE: $98.83 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00. Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT.FEE: $5.00 J sin.# city, O� La Quo: Banding a Safety Division P.O. Box 1504,78-495 Calle Tampico L4.Qulnta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 81800 Golden Star Way Owner's Name:. Julie Grandi A. P. Number: Address: 794 Mountain Lane Legal Description: City, ST, Zip: Big Bear, CA 92314 Contractor: General Air Conditioning Telephone: 909-709-8670 r;;:'' rr.•, ryn Project Description: Replace 5 ton / 110,000 BTU complete Address: 31170 Reserve -Drive City, ST, Zip: Thousand Palms, CA 92276 HVAC split system Telephone: _ p � 760-343-7488 State Lie. # : 686310 City Lie. tR Arch., Eugr., Designer. Address: City,, ST, Zip: Telephone: State Lie. #: : ! 'Project Construction Type: Occupancy: 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: $11,796.00 . APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit. . Truss Cales. Called Contact Person Plan Check Balance. Title 24 Calci. Plans picked up Construction' Flood plain plan Plans resubmitted.'. Mechanical Grading plan V 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:- ''d Revlew' ready for correctionsRssue Developer Impact Fee Planning Approval Called Contact Person Ad.P.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees 1 CERTIFICATE OF COMPLIANCE— Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) Project Name: JULIE GRANDI I Date Prepared: CF111-ALT-02-E (Page 1 of 3) 2018-02-09 A. General Information CF111-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one CF111-ALT-02 document for each dwelling unit. 01 Project Name JULIE GRANDI 02 Date Prepared 2018=02-09 03 Project Location 81800 GOLDEN STAR WAY 04 Building Type Single family 05 CA City La Quinta �� ,++`.; x-06 Dwelling Unit Name HOUSE. SC System SC System CFA served system a refrigerant Installing new SC Installing '# 92253 "O8 Dwelling Unit Conditioned 1819 07 Zip Code ducted '* Floor Area(ft) ( more than 40 entirely new entirely new Name Served System (ft) system? component? components? feet of ducts? Number of Space SC system? 09 Climate Zone 15 10 Conditioning (SC) Systems in 1 this Dwelling Unit: SYSTEM 1 B. Space Conditioning (SC) System Information I 01 02 03 04 0 05 LLm 6M 06 44� 07 08 09 10 Is the SC Installing a SC System SC System CFA served system a refrigerant Installing new SC Installing Installing Installing Identification or Location or Area by this SC ducted containing system more than 40 entirely new entirely new Name Served System (ft) system? component? components? feet of ducts? duct system? SC system? Alteration Type Altered space SYSTEM 1 WHOLE HOUSE 1819 Yes Yes Yes No No No conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)113iib) This section does not apply to this project. Registration Number: 418-A020008338A-000-000-0000000-0000 CA Building Energy Efficiency Standards - 2016 Residential Compliance Registration Date/Time: 2018-02-09 13:39:34 Report Version: 2016.1.006 Schema Version: rev 10/16 HERS Provider: CHEERS Report Generated: 2018-02-09 13:39:35 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 150.2(b)lE 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 This field or This field or SYSTEM 1 furnace heating AFUE 0.8 AC cooling SEER 14 Setback section is not section is not components components applicable applicable Required Documentation: rit i CF2R-MCH-01-E - Space Conditioning Systems - Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums R6 (CZ -1-10, 12 and 13) and R8 (CZ 11 and 14-16) CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are installed inducted systems, or when more than 40 ft of dud length is replaced -Leakage rate compliance: <=15% or <=10% leakage to outside, or seal all accessible leaks.^ CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). CF211 and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required. Exceptions: ; .f Dud systems registered with HERS provider as previously sealed are exempt from MCH -20 Dud Leakage Testing requirements. Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MCH -25. -Existing dud systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Dud Leakage Testing requirements. ' E. Entirely New or Complete Replacement Duct System, with or Without'Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. Registration Number: 418-A020008338A-000-000-0000000-0000 CA Building Energy Efficiency Standards - 2016 Residential Compliance Registration Date/Time: 2018-02-09 13:39:34 Report Version: 2016.1.006 Schema Version: rev 10/16 HERS Provider: CHEERS Report Generated: 2018-02-09 13:39:35 19 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. (certify that this Certificate of Compliance documentation is accurate and complete'. Documentation Author Name: Documentation Author Signature: Patrick Somers Patrici'vSomery Company: Signature Date: General Air Conditioning 2018-02-09 Address: CEA/ HERS Certification Identification (if applicable): 31170 Reserve Drive City/State/Zip: ,,�' ,Phone: Thousand Palms CA 92276 ] ;760 3343-7488 ilt> Responsible Person's Declaration statement M I certify the following under penalty of perjury, under the laws of the State of California: ptt4r I. The information provided on this Certificate of Compliance is true and correct. .1 2. 1 am eligible under Division 3 of the 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 design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. ` 4. 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. r: 'l. _j� � 04 >L - . I. K )) - It S. I will ensure that a registered copy of this Certificate of Compliance shall be made available with.the,bwldmg:'.permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered co of this Certificate of Com liance'is re uiredto be included with the do mentation the builder provides to the building owner at occupancy. P g PY P 4 P g P cY Responsible Designer Name: Responsible Designer Signature: Patrick Somers PatrCcl Somers - Company : Date Signed: General Air Conditioning 2018-02-09 Address: License: 31170 Reserve Drive 686310 City/State/Zip: Phone: Thousand Palms CA 92276 760-343-7488 Digitally signed by CHEERS'"'. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 418-A020008338A-000-000-0000000-0000 Registration Date/Time: 2018-02-09 13:39:34 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006. Report Generated: 2018-02-09 13:39:35 Schema Version: rev. 10/16