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BMCH2018-0059ra to 78-495 CALLE TAMPICO auiscicv LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: MECHANICAL/ Q Application Number: BMCH2O18-00 9 Property Address: 48170 PASO TI O LN APN: 646360022 ��,AA� ^^�DD �O,a Application Description: FISHER RESIDE VAC C6WIWWYLE 11A Property Zoning: Application Valuation: $17,398.00 CIN 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: Q0. C36 License No.: 686310 Date: _36-115Z Contractor:_<7;Z:�_5 " 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. 3097, Civ. C.). Lender's Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/12/2018 Owner: LOUIS FISHER 48170 PASO TIEMPO LA QUINTA, CA 922S3 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 d 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 o!.14work for which this permit is issued. � , I have and will maintain workers' c::)mpensation insurance, as required by Section 3700 of the Labor Code, for the perfornance 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: WSDS03165802 I certify that in the performance ofthe work for which this permit is issued, I shall not employ any person in any manner sa 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 2.700 of the Labor Code, I shall forthwith comply with those provisions. Date: .3 12 I Applicant: (�:Z_�— WARNING: FAILURE TO SECURE WORKERS' CCMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM114AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0D0). 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 tie Building Official for a permit subject to the conditions and restrictions set forth on th's application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is perforned under or pursuant'to any permit issued as a result of this application , the own-er, 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 actor omission related to fie work being performed under or following issuance of this permit. 2. Any permit issued as a result of this appli:ation becomes null and void if work is not commenced within 180 days from date o8 issuance of such permit, or cessation of work for 180 days will subject permit.to cancE lation. I certify that I have read this application and sate 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 punoses. Date: 1-4..18 Signature (Applican- or Agent): <�___7_ ��� �j Date: 3/12/2018 Application Number: BMCH2O18-OOS9 Owner: Property Address: 48170 PASO TIEMPO LN LN LOUIS FISHER APN: 646360022 48170 PASO TIEMPO Application Description: FISHER RESIDENCE / HVAC CHANGE OUT LA QUINTA, CA 9253 Property Zoning: Application Valuation: $17,398.00 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 - 19 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016. CALIFORNIA BUILDING CODES. FINANCIAL 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 IQTY 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 ENHANCEMEN— FEE: $5.00 tev a"1rW GEM nj+i�. DESI:R'r PERMIT # PLAN LOCATION: Project:Address: q81--)© Paso `t 0 L Project Description: Pool, Remodel, A.dd't, Elect, Plumb, Mech APN #: ax.5 A - 9D �S V Patio/Porch SF Uv �C S Applicant Name:P�er Jc State Lic: (�$(0 310 City Bus Lic: Address: 31 Z -ZS Zl 3 State Lic: City Bus Lic: City, ST, Zip:. teJ25� ti c CA 90(,Z_ r Telephone: S1?-745--71a-7G Email: Valuation of Project $ Contractor Name: �Air New SFD Construction: Address:311-70PeSPJCVe 1 Conditioned Space SF City, St, Zip i�,OusR.U-8 -PQAnnS CA q ZZb Garage SF Telephone: -AGO • 314 3 7q g& Patio/Porch SF Email: Fire Sprinklers SF State Lic: (�$(0 310 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: [ �So Total Building SF City, ST, Zip �a �- e 9 ZZS� Construction Type: Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) Project Name: BEVERLY FISHER I Date Prepared: CF1R-ALT 02-E (Page 1 of 3) 2018-03-12 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 BEVERLY FISHER 02 Date Prepared 2018-03-12 03 Project Location 48170 PASO TIEMPO LANE 04 Building Type Single family 05 CA City LA QUINTA '06 Dwelling Unit Name BEVERLY FISHER Is the SC Installing a 07 Zip Code 92253 08 Dwelling Unit Conditioned 1600 CFA served system a refrigerant Installing new SC Floor Area (ft2) Installing Installing r i Location or Area Number of Space ducted 09 Climate Zone 15 10' Conditioning (SC) Systems in 1 Name Served System (ft) Ye*", this Dwelling Unit: components? B. Space Conditioning (SC) System Information 01 02 03 04%----+ 05 i 06 i 07 08 09 10 a � 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 SYSTEM 1 WHOLEHOUSE 1600 Yes YesT Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Dill b) This section does not apply to this project. Registration Number:418-A020014786A-000-000-0000000-0000 Registration Date/Time: 2018-03-12 08:51:58 HERS'Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-03-12 08:51:59 Schema Version: rev 10/16 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)1E 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 80 AC cooling SEER 19 Setback section is not section is not components components applicable applicable Renuired Documentation: CF2R-MCH-01-E - Space Conditioning Systems insulation for ducts R6 13) R8 11 14-16) -Duct requirement the new portions of supply -air and return -air or plenums (C21-1101'42 and and (CZ and 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. ` _. -' U L CF2R and CF3R-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. ' 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. A-11 11 1= ff7l 1 s A V: L--,� ., i it fis. 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-A020014786A-000-000-0000000-0000 Registration Date/Time: 2018-03-12 08:51:58 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-03-12 08:51:59 Schema Version: rev 10/16 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-lR-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 Patr"Somerx Company: - Signature Date: General Air Conditioning 2018-03-12 Address: CEA/ HERS Certification Identification (if applicable): 31170 Reserve Drive City/State/Zip: T,: Phone: Thousand Palms CA 92276 760343-7488 Responsible Person's Declaration statement j t I certify the following under penalty of perjury, under the laws of the State of California: �a 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 responslbility#or 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 forappk oval:with this building permit application. L-0$ 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 inspections. I understand that a registered copy of this Certificate of Compliance is'required to be included with'the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Patrick Somers PatKcbSomevy Company: Date Signed: General Air Conditioning 2018-03-12 Address: License: 31170 Reserve Drive 686310 City/State/Zip: Phone: ThULISdild Pdlnls CA 92276 /bU-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-A020014786A-000-000-0000000-0000 Registration Date/Time: 2018-03-12 08:51:58 HERS Provider: CHEERS 'CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1:006 Report Generated: 2018-03-12 08:51:59 Schema Version: rev 10/16