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BMCH2017-0106�b 78-495 CALLE TAMPICO D "i �i4MlACl/ LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEP RTMENT GI BERM D u Application Number: BMCH2O17-0106 2�� Property Address: 56850 MERION Pr�AK 3 1 APN: 762032011 �� -- --n'm0p% Application Description: Property Zoning: MOFFITT/HVAC REPLACE COIL ONLY-14SEEf� tl- SST ,�TDiI tv"fl `Oflp�lht3N_ ITYDEVEL_ �'I`� Application Valuation: $1,104.00 Applicant: 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 ga-ttee.. 316111-7 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 ofthe 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).: ( 11, 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.). (1 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 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 Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/31/2017 Owner: JOHN MOFFITT 9323 N GOVERNMENT WAY #407 HAYDEN, ID 83E35 Contractor: HARRISON ENTERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE THOUSAND PALMS, CA 92276 (760)343-7488 Lic. No.: 686316 WORKER'S COMPENSATION DECLARATION ereby affirm under penalty of perjury one of the following declarations: _ 1 have and will maintain a certificate of consent to self -insure for workers' mpensation, as provided for by Section 3700 of the Labor Code, for the performance the work for which this permit is issued. I have and will maintain workers' ccmpensation insurance, as required by ction 3700 of the Labor Code, for the performance of the work for which this permit is ;ued. My workers' compensation insurance =arrier and policy number are: irrier: INSURANCE COMPANY OF THE WEST Polity Number: WSD5031658 _ I certify that in the performance of the work for which this permit is issued, I all not employ any person in any manner so as to become subject to the workers' mpensation laws of California, and agree that, if 1 should become subject.to the Drkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith mply with those provisions. i 3 31 1 7 Ap�licant: ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, JD SHALL SUBJECT AN EMPLOYER TO CRIMIAAL PENALTIES AND CIVIL FINES UP TO VE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF )MPENSATION, DAMAGES AS PROVIDED F06 IN SECTION 3706 OF THE LABOR CODE, TEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT (PORTANT: Application is hereby made to the Building Official for a permit subject to e conditions and restrictions set forth on thi- application. L. Each person upon whose behalf this applie.ation is made, each person at whose quest and for whose benefit work is performed under or pursuant to any permit issued a result of this application, the owner, and -he applicant, each agrees to, and shall !fend, indemnify and hold harmless the City of La Quinta, its officers, agents, and nployees for any act or omission related to tie work being performed under or Ilowing issuance of this permit. L. Any permit issued as a result of this appliotion becomes null and void if work is not mmenced within 180 days from date of issuance of such permit, or cessation of work r 180 days will subject permit to cancellatior- ertify that I have read this application and st ate that the above information is correct. gree to comply with all city and county ordir-ances,and state laws relating to building nstruction, and hereby authorize representatives of this city to enter upon the above- entioned property for inspection purposes. It �'a it' e� 3t t7 Signature (Applicant or Agent):,= ,—�� Date: 3/31/2017 Owner: JOHN MOFFITT 9323 N GOVERNMENT WAY #407 HAYDEN, ID 83835 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 REPLACE 3 TON EVOPARITVE COIL ONLY- 14SEER SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE NSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. Application Number: BMCH2O17-0106 Property Address: 56850 MERION APN: 762032011 Application Description: MOFFITT/HVAC REPLACE COIL ONLY-14SEER SPLIT SYSTEM Property Zoning: Application Valuation: $1,104.00 Date: 3/31/2017 Owner: JOHN MOFFITT 9323 N GOVERNMENT WAY #407 HAYDEN, ID 83835 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 REPLACE 3 TON EVOPARITVE COIL ONLY- 14SEER SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE NSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. DESCRIPTION ACCOUNT I QTY I AMOUNT BSAS SB1473 FEE 101-0000-20306 1 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT- REPAIR/ALTERATION 101-0000-42402 0 $12:67 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - REPAIR/ALTERATION PC 101-0000-42600 0 $5.07 Total Paid for CHANGEOUT: $17.74 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for PERMIT ISSUANCE: $96.27 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMETIT FEE: $5.00 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3) Project Name: JOHN MOFFITT Date Prepared: 2017-03-27 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' JOHN MOFFITT 02 Date Prepared 2017-03-27 03 Project Location 56850 MERTON 04 Building Type Single family 05 CA City LA QUINTA 06 Dwelling Unit Name WHOLE HOUSE Is the SC nry Installing_a. ; `refr "Installing 07 Zip Code 3 9225308 Dwelling Unit Conditioned 2353 CFA served system a g rant ew SCS Floor Area (ft) Installing Installing t` 2 Location or Area by this SC ducted containing system more than 40 entirely new Number of Space 09 Climate Zone 15 10` Conditioning (SC) Systems in 1 feet of ducts? duct system? SC system? I `f this Dwelling Unit: WHOLE HOUSE B. Space Conditioning (SC) System Information 01' 02 03 04 4 Nos" 06 07 .08 09 10 Is the SC nry Installing_a. ; `refr "Installing SC System SC System CFA served system a g rant ew SCS Installing Installing Installing Identification or Location or Area by this SC ducted containing system more than 40 entirely new entirely new Name Served System (ft2) I system? component? I components? feet of ducts? duct system? SC system? I Alteration Type SYSTEM 1 WHOLE HOUSE 2353 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Sect ion1S0.2(b)1Diib) This section does not apply to this project. Registration Number: 417-A020087631A-000-000-0000000-0000 Registration Date/Time: 2017-03-27 17:54:25 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-27 17:54:28 Schema Version: rev 10/16 r CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -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 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: f. CF2R-MCH-01-E - Space Conditioning Systems - Duct insulation requirement for the new portions of supply -air and return -air ducts or plenumsR6-(CZ 1 1 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 duct length is replaced -Leakage rate compliance: <= 15% or <= 10% leakage to outside, or seal all accessible leaks.? ; �— -a CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are, Instnst alled or altered (applicable In CZ 2, 8-35). CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required L` Exceptions: 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. R' '111--jil X: I A—A W7A`-' I...a€ E. Entirely New or Complete Replacement Duct System, with or without Equipment Ch ngeo (Sections 150.2(b)1Diia and 150.2(b)1E, F) t I This section does no apply to s p� ject. 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-A020087631A-000-000-0000000-0000 Registration Date/Time: 2017-03-27 17:54:25 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-27 17:54:28 Schema Version: rev 10/16 CERTIFICATE OF COMPLIANCE CF111-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -1R -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: Patrick Somers Pa&6Ck S0Merb Company: Signature Date: General Air Conditioning 2017-03-27 Address: CEA/ HERS Certification Identification (if applicable): 31170 Reserve Drive City/State/Zip: Thousand Palms CA 92276 �K Phone: 760A43-7488 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. 1 _s 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 mariufactu ed 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. g9_ M ) K S. I will ensure that a registered copy of this Certificate of Compliance shall ee made•a�vailablewith the building p �rm¢(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Compliance is required to be incOcIdd with -the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: �. nnW,-he rvi Responsible.I1'�1181 Ii VSignature: Patrick Somers PbEw,'ck�So�ntievb Company: Date Signed: General Air Conditioning 2017-03-27 Address: License: 31170 Reserve Drive 686310 City/State/Zip: Phone: Thousand Palms CA 92276 1760-343-7488 Registration Number: 417-A020087633A-000-000-0000000-0000 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 Date/Time: 2017-03-27 17:54:25 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03=27 17:54:28 Schema Version: rev 10/16 i Bin.# Qty Of Lel Quin Building 8i' Safety Division P.O. Box 1504, 78-495 Calle Tampico La.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # a ��il- n►�6 Project Address: 56850 Merion Owner's Name:. John Moffitt A. P. Number. Address: 9323 N Government Way #407 Legal Description: City, ST, Zip: Hayden, ID 83835 Contractor: General Air Conditioning Mffl Telephone: 509-499-1203`:: Address: 31170 Reserve Drive Project Description: Replace 3 ton evzporative coil City, ST, Zip: Thousand Palms, CA 92276 Telephone: 760-343-7488 2' State Lie. # : 686310 City Lic. #.: , Arch, Engr., Designer. Address: City, ST, Zip: Telephone: Construction Type:. Occupancy: State Lia #: : j�Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Steven SchniererSq. Ft.: # Stories: #Units Telephone # of Contact Person: 818-735-7876 Estimated Value of project $1,104.00 APPLICANT: DO NOT WRITE BELOW THIS UNE ft Submittal Req'd Reed TitACIMG PERK= FEES Plan Sets Plan Check submitted.Item Amoaat Structural Calcs. Reviewed, ready for corrections Plan Check Deposit. . Truss Cales. Caged Contact Person Plan Check Ealance Title 24 Calks. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2i0 Rtview, ready for correctionsrtssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up SMI. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review, ready for correctionsrissue Developer Impact Fee Planning Approval Called Contact Person Ad.P.P. Pub. Wks. Appr " Date of permit Issue School Fees Total Permit Fees