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BMCH2017-050778-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: QUM& c&'�t 4 4 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT MECHANICAL/ BMCH2O17-0507 79977 RIVIERA 762120001 LANDSTROM / EVAP COIL CHANGEOUT $1,104.00 Applicant: HARRISON ENTERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE THOUSAND PALMS, CA 92276 6i Q IJ �1 DEC 21 2017 CITE' OF LA QUIRRA I COUTMNITY DEVEWFN!ENT DEPARTt ;ENT i 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 DIM I Zt li Contr tca or OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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).: (J 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.lend ing 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: 12/21/2017 Owner: SHARON LANCSTROM 79977 RIVIERA LA QUINTA, CA 92253 Contractor: HARRISON ENTERPRISES INC DBA GENERAL AIR 31170 RESERME DRIVE THOUSAND PALMS, CA 92276 (760)343-7488 Llc. No.: 6863-.0 . WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3100 of the Labor Code, for the performance of a work for which this permit is issued. 'I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the penormance 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 if 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 agreethat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions. D- ale: 21 "l App ,7s: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI+AINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10[,,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED =0R IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made V) 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 perf xmed 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 Cty of La Quinta, its officers, agents, and employees for any act or omission related -o 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 Qdinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above- mentioned property for inspection purposes. Date Z Zl -7 Signature (Applic: nt or Agent) —x^uL . Date: 12/21/2017 Application Number:. BMCH2O17-0507 Owner: Property Address: 79977 RIVIERA SHARON LANDSTROM APN: 762120001 79977 RIVIERA Application Description: LANDSTROM / EVAP COIL CHANGEOUT LA QUINTA, CA 92253 Property Zoning: Application Valuation: $1,104.00 Applicant: Contractor: HARRISON ENTERPRISES INC DBA GENERAL AIR . HARRISON EN—ERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE 31170 RESERVE DRIVE THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276 (760)343-7485 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. FINANCIAL •• 1, 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 APPLIANCE REPAIR/ALTERATION 101-0000-42402 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT APPLIANCE REPAIR/ALTERATION PC 101-0000-42600 0 $5.20 Total Paid for MECFANICAL: $18.20 DESCRIPTION ACCOUNT QTY 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 ENHANCEMIENT FEE: $5.00 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Pagel of 3) 1 IProject Name: SHARON LANDSTROM I Date,Prepared: 2017-12-21 I 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 SHARON LANDSTROM 02 Date Prepared 2017-12-21 03 Project Location 79977 RIVIERA 04 Building Type Single family 05 CA City La Quinta-',rq"- ` 06 Dwelling Unit Name HOUSE SC System SC System CFA served system a `Dwelling Installing new SC 07 Zip Code 92253 47 08 Unit Conditioned 3091 by this SC ducted containing system Z Floor Area (ft ) entirely new entirely new Name �7 Number of Space system? 09 Climate Zone feet of ducts? 10` Conditioning (SC) Systems in 1 SYSTEM 1 WHOLE HOUSE ' Yes this Dwelling Unit: Yes B. Space Conditioning (SC) System Information s .. 01 02 03 04 OS 06 1 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 ducts? duct system? SC system? Alteration Type SYSTEM 1 WHOLE HOUSE 3091 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib) This section does not apply to this project. Registration Number: 417-A020135750A-000-000-0000000-0000 CA Building Energy Efficiency Standards - 2016 Residential Compliance Registration Date/Time: 2017-12-21 12:20:41 Report Version: 2016.1.006 Schema Version: rev 10/16 HERS Provider: CHEERS Report Generated: 2017-12-21 12:20:42 N 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 Syslein 11aa1'ui6 Altered 11coting Minimum Altarod Cooling Minimum Ragi0rarl New nr 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 No heating .This field or This field or Central split Central gas This field or This field or SYSTEM 1 component section is not section is not AC Fancoil AHU . SEER furnace 14 Setback section is not section is not altered applicable applicable applicable applicable Required Documentation: CF21-MCH-01-E - SacConditioning Systems - Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1 10,•12 and 13) and R8 (CZ 11 and 14-16) CF2R and CF311-MCH-20-11 - 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. nth , CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing co p ventre installed or altered (applicable in CZ 2, 8-15). CF2R and CF311-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required. r Exceptions: fr 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 or0. without Equipment Changeout (Sections 150.2(b)iDiia 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-A020135750A-000-000-0000000-0000 CA Building Energy Efficiency Standards - 2016 Residential Compliance Registration Date/Time: 2017-12-21 12:20:41 Report Version: 2016.1.006 Schema Version:, rev 10/16 HERS Provider: CHEERS Report Generated: 2017-12-21 12:20:42 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. PQwmentation Author Name: Documentation Author Signature: Patty Hernandez Patty nernar`de'� Company: Signature Date: 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 '" s t. 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. aE 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibilityfor;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. `l 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-approJal with this building permit application. day 1 0` �1 : bt O.L ;i "- for the for 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be:made available with the building permit(s)-&ued the building, and made available to enforcement agency all applicable inspections. I understand that a registered copy of this Certificate of Compliance is required to be incfuded with the documentationthe builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Patrick Somers Patin' Re'"n—iv'k (a'"d--4e&) 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-A020135750A-000-000-0000000-0000 .. CA Building Energy Efficiency Standards - 2016 Residential Compliance Registration Date/Time: 2017-12-21 12:20:41 Report Version: 2016.1.006 Schema Version: rev 10/16 HERS Provider: CHEERS Report Generated: 2017-12-21 12:20:42 ' ' ........ .... _— GEM"rt is DESEWT-- .-- ------- _-... PERMIT # PLAN LOCATION: Project Address: '-) qCJ "J -) -70werg Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: � \0.c.e Patio/Porch SF Email: Applicant Name: S�-�e� Sc1r.r�ecer State Lic: (ag(o310 City Bus Lic: Address: State Lic: City Bus Lic: City, ST, Zip:ce' Vi k a e CA 91362 - Telephone: Email: Valuation of Project $ i t 104-. cxo Contractor Name: C� � New SFD Construction: Address: alt-t'o � Conditioned Space SF City, St, Zip t c�s�� \ms CA gZ21� Garage SF. Telephone: -7am-343_ _�,4 g& Patio/Porch SF Email: Fire Sprinklers SF State Lic: (ag(o310 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: S�'A-o^ �� ceM New Commercial / Tenant Improvements: Address: '� q 7 -� �k,v� ec a Total Building SF City, ST, Zip Construction Type: Occupancy: Telephone: "7k+Q-7-11- 9[eZy Email: 78495.CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # Submittal Req'd -Rec'd i Plan Sets y . r Structural Calcs # Submittal Req'd -Rec'd i Plan Sets I r Structural Calcs Truss Calcs Title.24 Calcs Soils Report • Grading Plan (PM 10) T L Landscape Plan Subcontractor List Grant Deed ' r HOA Approval School Fees Burrtec Debris Plan Planning approval Public Works approval Fire approval City Business License i r • T L 4 i ' r t