BMCH2017-0505V
78-495 CALLE TAMPICO Q.�i
D 4 Qum&
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT'
BUILDING PERMIT
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
MECHANICAL/
BMCH2O17-0505
54305 AVENIDA MARTINEZ
774253014
GREENE / EVAP COIL REPLACEMENT
Applicant:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA.92276
1Jv3t41K� d701N3+Y30 r3ti3G AL°.Z��
d ... rl vao�wo
IV 19 3?0
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: _ License No.: 686310
Oate: I' Conf ntractor t:�.-din ,S -��—
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 6r 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.).
(__j 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 Na
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/21/2017
Owner:
JONATHAN GREENE
54305 AVENIDA MARTINEZ
LA QUI NTA, CA 92253
Contractor:
HARRISON ENIERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PA_MS, CA 92276
(760)343-7488
Llc. No.: 686310
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one cf the following declarations:
_ I have and will maintain a certificaC-.of consent to self -insure for workers'
compensation, as provided for by Section 37M of the Labor Code, for the performance
of the work for which this permit is issued. '
�.j have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the perfownance 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 -he 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 th at, if I should become subject to the
workers' compensation provisions of Section _700 of the Labor Code, I shall forthwith
comply with those provisions.
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,OfA). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOF IN SECTION 3706 OF -THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNO"AILEDGEMENT
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 tie 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 issua ice of such permit, or cessation of work
for 180 days will subject permit to cancellation.
I certify that I have read this application and sta-e 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 representat-nares of this city to enter upon the above=
mentioned property for inspection purposes. -
11 /Sia`natu�p IQBnIirnnt-nrAapnt-1•.�:,e
I
Date: 12/21/2017
Application Number: BMCH2O17-0505
Owner:
Property Address: '54305 AVENIDA MARTINEZ
JONATHAN GREENE
APN: ' 774253014_
54305 AVENIDA MARTINEZ
Application Description: '.GREENE / EVAP COIL REPLACEMENT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:.
Applicant:
Contractor:
HARR150N ENTERPRISES INC DBA GENERAL AIR
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
r THOUSAND PALMS, CA 92276
(760)343-7488
Llc. No.: 686310
Detail: EVAP COIL CHANGE OUT - 14 SEER. CARBON MONOXIDE ALARM(S)
TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING
CODES.
V�
FINANCIAL
INFORMATION
DESCRIPTION
FINANCIAL
INFORMATION
DESCRIPTION
ACCOUNT-
CITY
AMOUNT
APPLIANCE REPAIR/ALTERATION
101-0000742402
0
$13.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
APPLIANCE REPAIR/ALTERATION PC
101-0000-42600
0
$5.20
Total Paid for MECHANICAL: $18.20 .
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83
Total Paid for PERMIT ISSUANCE: $98.83
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
.0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 '
aa
--'--' GE'M tft it Di SERs
PERMIT#.0aif
PLAN LOCATION:
Project Address: �c{ 3g5 A (�
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
Garage SF.
Telephone: -7�p _3_�e�g�
Patio/Porch SF
Email:
Applicant Name: a
,
Address:
State Lic: City Bus Lic: .
City, ST, Zip: �s�.� V � a
Telephone:
Email:
Valuation of Project s J loaf-- ao
Contractor Name:G-c,__,GCom,
l �, � a: a--�o,�r
New SFD Construction:
Address: 3 1\1p �EServe�
Conditioned Space SF
City, St, Zip����," 0.1YY1S �227�
Garage SF.
Telephone: -7�p _3_�e�g�
Patio/Porch SF
Email:
Fire Sprinklers . SF
State Lic: bgo3-10 City Bus Lic:
Arch/Eng Name:
Construction Type:. Occupancy:
Address:
Grading:
City, St, Zip
Construction Type: Occupancy:
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic: .
Property Owner's Name: �
New Commercial/ Tenant Improvements:
Address: 543os
Total Building. SF
City, ST, Zip Q5hka CA cizz,512i
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
'I "N ,.
OFFICE USE ONLY
#.
Submittal
Req.'d
-Rec'd
Plan Sets
.
Structural Calcs
Truss Calcs f
Title 24 Calcs
Soils Report
Grading Plan (PM 10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees '
Burrtec Debris Plan
Planning approval .
Public Works approval
Fire approval
City Business License
r�
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 1 of 3)
Project Name: JONATHAN GREENS Date Prepared: 2017-12-21
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one
CF1R-ALT-02 document for each dwelling unit.
01
Project Name
JONATHAN GREENE
02
Date Prepared
2017-12-21
03
Project Location
54305 AVENIDA MARTINEZ
04
Building Type
Single family
05
CA City
La Quinta
w06
Dwelling Unit Name
HOUSE
07
Zip Code
92253
08
Dwelling Unit Conditioned
1500
Installing
'Installing
Installing
Floor Area (ft)
Location or Area
by this SC
ducted
3
€€
1 �';
Number of Space
entirely new
09
Climate Zone
15
10`
Conditioning (SC)Systems in
1
component? .
components?
feet of duds?
dud system?
this Dwelling Unit:
Alteration Type
B. Space Conditioning (SC) System Information (
F OLM f Ri•..-_.. f
01
02
03 .
04 %
W 0 05
06 Ift
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 duds?
dud system?
SC system?
Alteration Type
SYSTEM 1
WHOLE HOUSE
1500
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Dud System, Greater Than 40 Feet (Section 150.2(b)IDiib)
This section does not apply to this project.
• a
k
Registration Number: 417-A020135754A-000-00070000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-12-21 12:26:49
Report Version: 2016.1.006
Schema Version: rev 10/16
-HERS Provider: CHEERS
Report Generated: 2017-12-21 12:26:50
CERTIFICATE OF COMPLIANCE CF111-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
it
12
Heating
Cooling
tyctam
Heating
Altered
Halting
Minimum
Altered
Cooling
Minimum
Required
Now 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
No heating
This field or
This field or
Central split
This.field or
This field or
SYSTEM 1
furnace
component
section is not
section is not
AC
Fancoil AHU
SEER
14
Setback
section is not
section is not
altered
applicable
applicable
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems W
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenum R 30, 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 in.ducted.systems, or when more than 40 ft of duct length is replaced
-Leakage rate compliance: <=15% or <= 10% leakage to outside, or seal all accessible leaks. j
CF2R and CF311-MCH-25-H Refrigerant Charge verification required when refrigerant containing components.are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required.ri ..
'
Exce tions:
P
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 MCH -25.
-Existing duct systems constructed; insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
iE. EntirelyNew or Complete Replacement Duct System, with or withouEQui ment Cha. e (Sections 150.2 b 1Diia.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: 417-A020135754A-000-000-0000000-0000 Registration Date/Time: 2017-12-21 12:26:49 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-12-21 12:26:50
• Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE r CFiR-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:
Documentation Author Signature:
Patty Hernandez
Patty Nernamd'ek
Company:
Signature Date:
I Permit E Raters
2017-12-21
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive
City/State/Zip:Phone:
(818;735-7876
Westlake Village CA 91362
Responsible Person's Declaration statement j`
g p y under the laws of the State of California:
I certifythe following under penalty ofperjury,
1. The information provided on this Certificate of Compliance is true and correct.
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;approvallwith this building permit application.
OW i�._
for
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the bwlding.'peVmit(s)•issued for the building, and made available to the enforcement agency all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is required'to be included'wrth the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Patrick Somers
Patty (a4Ad-rqe&)
Company:
Date Signed:
General Air Conditioning
2017-12-21
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: 417-A020135754A-000-000-0000000-0000 Registration Date/Time: 2017-12-21 12:26:49
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-12-21 12:26:50