BMCH2017-0054la ,
78-495 3ALLE TAMPICO TAtit D 40" VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011.
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
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
( Date: IS �1 1Contractor S1Z:Z _
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).:
(1 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. 3097, Civ. Q.
Lender's Na
Lender's
WORKER'S COMPEN°ATION DECLARATION
I hereby affirm under penalty of perjury oneof the following declarations:
I have and will maintain a certificote of consent to self -insure for workers'
compensation, as provided for by Section 3790 of the Labor Code, for the performance
of the work for which this permit is issued.
1 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 insurancB carrier and policy number are:
Carrier: INSURANCE COMPANY OF THE WEST Polity Number: WSD5031658
_ I certify that in the performance tithe 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 chat, if I should become subject to the
workers' compensation provisions of Sectior 3700 of the Labor Code, I shall forthwith
comply with those provisions.
C
Date: 3 IS 1 Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIM INAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,)00). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FDR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKMOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit'subject to
the conditions and restrictions set forth on t its 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 Cit+of La Quinta, its officers, agents, and
employees for any act or omission related tc the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this app, ication becomes null and void if work is not
commenced within 180 days from date of is_uance 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 oreinances and state laws relating to building
construction, and hereby authorize represer-datives of this city to enter upon the above-
mentioned property for inspection purposes
Date: (Applicarc or Agent):'
D 3/15/287
Application Number:
BMCH2O17-0054
Owner:
w
Property Address:
80068 MERION
GARY MURPH"
®
APN:
762140001
80068 MERTON
a
Application Description:
MURPHY / REPLACE 5 TON EVAPORATIVE COIL 14 SEER
LA QUINTA, CA 92253
®
r` � wp
.Property Zoning:
o z z
Application Valuation:
$995.00
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to a
O
Applicant:
IE INC
Contractor: a
Q-1C)LU
HARRISON EN-ERPRISES IN
GEAM�&ALArk p
31225 LA BAYA
31170 RESERV= DRIVE
WESTLAKE VILLAGE, CA 91362
-
THOUSAND PALMS, CA 9227 Q
®
Z
C3
(760)343-7488
w
-----------.---------------------------------------------------------------------------------
Llc. No.: 686330
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
( Date: IS �1 1Contractor S1Z:Z _
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).:
(1 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. 3097, Civ. Q.
Lender's Na
Lender's
WORKER'S COMPEN°ATION DECLARATION
I hereby affirm under penalty of perjury oneof the following declarations:
I have and will maintain a certificote of consent to self -insure for workers'
compensation, as provided for by Section 3790 of the Labor Code, for the performance
of the work for which this permit is issued.
1 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 insurancB carrier and policy number are:
Carrier: INSURANCE COMPANY OF THE WEST Polity Number: WSD5031658
_ I certify that in the performance tithe 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 chat, if I should become subject to the
workers' compensation provisions of Sectior 3700 of the Labor Code, I shall forthwith
comply with those provisions.
C
Date: 3 IS 1 Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIM INAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,)00). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FDR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKMOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit'subject to
the conditions and restrictions set forth on t its 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 Cit+of La Quinta, its officers, agents, and
employees for any act or omission related tc the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this app, ication becomes null and void if work is not
commenced within 180 days from date of is_uance 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 oreinances and state laws relating to building
construction, and hereby authorize represer-datives of this city to enter upon the above-
mentioned property for inspection purposes
Date: (Applicarc or Agent):'
Date: 3/15/2017
Application Number: BMCH2O17-0054
Owner:
Property Address: 80068 MERION
GARY MURPH"
APN: 762140001
80068 MERIONI
Application Description: MURPHY / REPLACE 5 TON EVAPORATIVE COIL 14 SEER
LA QUINTA, C)C. 92253
Property Zoning:
Application Valuation: $995.00
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.: 68631.1
Detail: REPLACE 5 TON EVAPORATIVE COIL - 14 SEER SPLIT SYSTEM. CARBON MONOXIDE ALARM(S)
TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
FINANCIAL
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS 561473 FEE 101-0000-20306
'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 ENHANCEMENT FEE: $5.00
Bin.#
City of La Quina
Building 8T Safety Division.
P.O. Box 1504,78-495 Calle Tampico
Ia.Quinta, CA 92253 - (760) 777-7012
G 4 Building Permit Application and Tracking Sheet
Permit #
gin G1-i ao ,z_ od
Project Address: 80068 Merion
Owner's Name:. Gary Murphy
A. P. Number.
Address: 80068 Merion
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor. General Air Conditioning
A.
Telephone:
Address: 31170 Reserve Drive
PwiectDescription: Replace 5 ton evaporative coil
City, ST, Zip: Thousand Palms, CA 92276
Telephone: 760-343-7488
State Lie. #: 686310
City Lia &
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone: •.
State Lic. #: wj
Name of Contact Person: Steven Schnierer
Construction Type:. Occ-rpancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft :
#Stories: #Units:
Telephone # of Contact Person: 818-735-7876
Estimated Value of Project: $995.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss ClIcs.
Called Contact Person
Plan Check Belance
Title 24 Calci.
Pians picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
tad Review, ready for correctiousliissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review; ready for correctionslrssue
Developer Irupact Fee
Planning Approval.
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Pagel of 3) I
Project Name:
GARY MURPHY I Date Prepared:
2017-03-14
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
CF111-ALT-02 document for each dwelling unit.
01
Project Name
GARY MURPHY
02
Date Prepared
2017-03-14
03
Project Location
80068 MERION
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
"Dwelling
HOUSE
07
Zip Code
ti��"
92253
082101
Unit Conditioned
-
system
more than 40
entirely new
entirely new
Floor Area (ft)
Name
Served
System (ft2)
system?
g
Number of Space
feet of ducts?
09
Climate Zone
15
10
Conditioning (SC) Systems in
1
Yes
Yes
Yes
No
this Dwelling Unit:
No
B. Space Conditioning (SC) System Information
. rr R
01
02
03
04 NVO
U 0 05 t6m
06
07
08
09
10
SC System
SC System
CFA served
Is the SCy�Installing.a,
k_Arirf
system a
Batt` rvw?y uz r' i
refrigerant
*ori Irit c�lri,_ .
Installing new 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)
system?
component?
components?
feet of ducts?
duct system?
SC system?
I Alteration Type
SYSTEM 1
WHOLE HOUSE
2101
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 15O.2(b)1Diib)
This section does not apply to this project.
Registration Number: 417-A020059159A-000-000-0000000-0000
Registration Date/Time: 2017-03-14 13:23:19
HERS Provider: CHEERS
I
-CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-14 13:23:21
Schema Version: rev 10/16
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)
O1
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
Greater than
SYSTEM 1
furnace
component
section is not
section is not
AC
Fancoil AHU
SEER
14
Setback
40 feet
R-8
altered
applicable
applicable
Required Documentation:`
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 1-1 012'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.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are insiAlled 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. '+ "
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.
,
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)lE, F)
hst°�esnaplyTise ibn d opo h s project.
F. Entirely New or Complete Replacement Space Conditioning System .(Section 150.2(b)lC)
This section does not apply to this project.
Registration Number: 417-A020059159A-000-000-0000000-0000 Registration Date/Time: 2017-03-14 13:23:19 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-14 13:23:21
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-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
Paty6ck Spme�rs-
Company:
Signature Date:
General Air Conditioning
2017-03-14
Address:
CEA/ HERS Certification Identification (if applicable):
31170 Reserve Drive
City/State/Zip:
Thousand Palms CA 92276
Phone:
760-343-7488
Responsible Person's Declaration statement 4'>
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. ).
IN
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.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permits) issued for the building, and made available to the enforcement agency for all applicable
adtuIinspections. I understand that a registered copy of this Certificate of Coliar is -required uire'o be included with the dc mentation the builder provides to the building owner at occupancy.
N•
Responsible Designer Name:
Patrick Somersjff hl t'i::,ISrl
Responsible; Designer Signature:
LVb
Company:
Date Signed:
General Air Conditioning
2017-03-14
Address:
License:
31170 Reserve Drive
686310
City/State/Zip:
Phone:
Thousal"id PaIn15 CA 92296
16U-343-•%488
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-A020059159A-000-000-0000000-0000 Registration Date/Time: 2017-03-14 13:23:19 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-03-14 13:23:21
Schema Version: rev 10/16