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BMCH2017-0158ra 78-495 CALLE TAMPICO Tait O.�i D 4 Qum& VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 v FAX (760) 777-7011 DESIGN &DEVELOPMENT DEPARTMENT FAX (760) 777-7153 BUILDING PERMIT Date: 4/28/2017 Application Number: BMCH2O17-0158 Owner: Property Address: 79820 HEMINGS WAY IYAD KOURY APN: 604520017` 79820 HEMINGS WY Application Description: KOUREY RESIDENCE / HVAC C ANG - OUT._s�'----� LA QUINTA, CA 92253 Property Zoning: Application Valuation: $17,737.00 APR 2 g 2017 Applicant: 0 Contractor: IE INC CITYE)F(A QUANTA HARRISON ENTERPRISES INC DBA GENERAL AIR 31225 LA BAYA VE W STLAKE VILLAGE, CA 91362 DESIGN AND D I/; DPMENTDEPARTMENT THOUSAND PALMS31170 RESERVE , CA 92276 (760)343-7488 Llc. No.: 686310 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 X12 8 %7 ' 0Contractor: 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 dipot build or improve for the purpose of sale.). I ) 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 Lender's Address: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one cf 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. �l 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: WSD5031658 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. li 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. 11 C Date: 4/28/2017 Application Number: BMCH2017-0158 Owner: Property Address: 79820 HEMINGS WAY IYAD KOURY APN: 604520017 79820 HEMINGS WY Application Description: KOUREY RESIDENCE / HVAC CHANGE OUT LA QUINTA, CA 92253 Property Zoning: Application Valuation: $17,737.00 Applicant: Contractor: IE INC HARRISON ENTERPRISES INC DBA GENERAL AIR 31225 LA BAYA 31170 RESERVE DRIVE WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, CA 92276 (760)343-7488 Llc. No.: 686310 --------------------------------------------------------------------------------------------- Detail: HVAC CHANGE OUT - 21 SEER/90 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. r t 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 $76.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $38.00 Total Paid for CHANE EOUT: $114.00 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for PERMIT ISSIANCE: $96.27 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 G Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 STATE OF CALIFORNIA ALTERATIONS -41VAC CEC-CFIR-ALT-04-E Revised 01/16 CALIFOR JIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF111-ALT-04-E Alterations - HVAC CZ 2, and 8-15 (Page 1 of 1) Site Address: Enforcement Agency: Da Pr pared: Permit#: 1 79 SZO W e Y,0,i C: C>Q L0- 'f z at 1--� Equipment Type Equipment Efficiency New Ducting or Lineset: Required R -value Corditioned 2 Floor Area (ft) Thermostat ❑ Packaged D<Evaporator Coil /�'/ AFUE COP ❑ R-6 (CZ 1-10, 12&13) Ducts Ser,red by system XSetback System Condensing Unit =� , ❑ R-8 (CZ 11, 14-16J Ducts 75 -� 2 � ft (if not already Split System ❑ Compressor 21 SEER HSPF ❑ > R-2.8 Lineset° present must ❑ Mini Split ❑ Lineset be installed) JW Furnace ❑ TXV EER 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. X 1. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CF111-ALT-02-E Condenser Unit, Evaporator Coil, CF2R-MCH-01-E, MCH -20-H, MCH -(23 or 24)2-H, MCH -25-H2 Compressor, TXV, Lineset, CF3R-MCH-20-H, MCH -(23 or 24)-H2, MCH -25-H2 Air Handler/Furnace2 (Can include new ducting) Installer Requirement: Duct leakage (5 15%, or s10%to outside, or seal all accessible leaks), Air Flow z 300 CFM/tat, 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 duat 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' CF1R-ALT-02-E including Mini Split CF2R-MCH-01-E, MCH -20-H, MCH -22-H, MCH -(23 or 24)-H2, MCF: 25-H2 CF3R-MCH-20-H, MCH -22-H, MCH -(23 or 24)-H2, MCH -25-H2 Mini Splits require CF1R-ALT-02-E, CF2R-MCH-01-E, and (CF2R-CF3R) MCH -25-H Installer Requirement: Duct leakage < 5%, Fan Efficacy (0.58W/CFM), Air Flow >_ 350 CFM/ton (or alternative), Refrgerant Charge 113. 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-MCH-01-E, MCH -20-H, MCH -(23 or 24)-H, MCH -25-H Compressor, TXV, Lineset, Furnace' CF3R-MCH-20-H, MCH -(23 or 24)-H, MCH -25-H Installer Requirement: Duct leakage < 5%, Air Flow Z 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 Required Compliance Documents to be left on site for Final: New ducting but less than All New Ducts' CFIR-ALT-02-E, CF2R-MCH-20-H, CF3R-MCH-20-H Installer Required to: Duct leakage (< 15% or, :510% to outside or, or seal all accessible leaks) ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. ' All new ducting requires R-8 insulation when more than 40 ft installed in CZs 11 & 14-16 and R-6 in CZs 1-10, 12 &13, and R-6 insulation 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 MCH -(23 or 24), or Refrigerant Charge verification MCH -25 ' All New Ducts is when at least 75%of the duct system is new duct material, and up to 25%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-2.8 (1" thick insulation) for linesets 1" and less. 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 Compl ance 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 -or 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 Design ame: Res onsible Des' Signature: _ Da a Sig ed: License: CkjeVIN c% ie�t^ 4 2-6 1-7 /off 31u c,�mpany: C7�herF\ A:c Co��io i1� Address: \ 311"70 13,—�..cc�sowd�o.�ms ty/State/Zip: 92Z7b Phone: -7(oo-343- 7488 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-200-772-3300 Bin ff Permit 71 Project Address: 3 9 $Z O ICity of La QCiiilta Building &' Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-701,2 Building Permit Application and Tracking Sheet W e mvr%r S a Owner's Name: .1 A . kOU A. P. Number: Address ej $ Zp Nemi r (Jq� Legal Description: Ci ST, Zi / ` Contractor:- e-Yl>✓C'C. a��P Tele hon c:.-760- `?`IS- Ll )'a 9 Address: 311 0 �cscx`,� - Project Description: qA-�., qp City, ST, Zip: (1r`ov s a� ? �'tnS Chi 4 Z Z7 t o C p eA-,_ V iAC_ s�c Telephone: ' %b fl- 3 - 7 `f S State Lic. # : S631 O City Lie. Arch.,'Engr., Designer: Address: City, ST, Zip: T ne: ele h 0 P K. Occupancy: Construction n traction TYP e: ecu an cY= , tate ic. # S L . Alter Re air ' Demo circle one): New Add'n P Name of Contact Person:� SG�r� Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 7t i 3's� ec:� APPLICANT: DO NOT WRITE BELOW THIS LINE t/ Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Der-osit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction " Flood plain plan Plans resubmitted Mechanical Grading plan 2"' Review, ready for corrcctions/issue Electrical SubcontactorList Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. R.O.A. Approval Plans resubmitted Grading IN ROUSE:- 'rd Rcyicw, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Ms. Appr Date of permit issue School Fees, I . Total Permit Pecs