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BMCH2017-0467f; 78-495 CALLS TAMPICO. . LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: 4 44millirw. DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT MECHANICAL/ 6MCH2O17-0467 80224 RIVIERA 762130020 HILTON / HVAC CHANGEOUT 20SEER/.8AFUE SPLIT SYSTEM $19,423.00 Applicant: IE INC 31225 LA BAYA WESTLAKE VILLAGE, CA 91362 PD NOV 0 3 2011 DD CITY OF LA QUINTA DESIGN AND DEVELOPMENT DEPARTMENT 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 n - Date: 111511–) Contractor._SZ�Z7—�� 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).; L_J 1, 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 Na Lender's AddrE VOICE (760) 777-7125 FAX (760).777-7011 INSPECTIONS (760) 777-7153 Date: 11/3/2017 Owner: DAVID HILTO I 4430 SHEPHERDS LN LA CANADA F_INTRIDGE, CA 92253 Contractor: HARRISON EMTERPRISES INC DBA GENERAL AIR 31174D RESERVE DRIVE THOUSAND PALMS, CA 92276 (760)343-7483 Llc. No.: 686510 WORKER'S COMPEMSATION DECLARATION I hereby affirm under penalty of perjury om of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section _700 of the Labor Code, for the performance of the work for which this permit is issued- �� I have and will maintain worker' 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 insurance carrier and policy number are: Carrier: INSURANCE COMPANY OF THE WEST Policy Number: WSD503165802 _ I certify that in the performanceof the work for which this permit is issued, I shall not employ any person in any manned so 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 Secti*n 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: FAILURE TO SECURE WORKERS. COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CR IbIINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDEDFOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACI:NOWLEDGEMENT IMPORTANT: Application is hereby made lo the Building Official for a permit subject to the conditions and restrictions set forth or this application. 1. Each person upon whose behalf this a plication 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, : nd the 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 ssuance of such permit, or cessation of work for 180 days will subject permit to cancella tion. 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 ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above- mentioned property for inspection purpos.as. Date: i) 3 l'7 Signature (Applicant or Agent): Date: 11/3/2017 Application Number: BMCH2017-0467 Owner: Property Address: 80224 RIVIERA DAVID HILTON APN: 762130020 4430 SHEPHERDS LN Applicationbescription: HILTON / HVAC CHANGEOUT 20SEER/.8AFUE SPLIT SYSTEM LA CANADA FLINTRIDGE, CA 92253 , Property Zoning: Application Valuation: $19,423.00 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)343-7485 ----------------------- -------------------------------------------------------------------- Llc. No.: 686310 Detail: HVAC CHANGE OUT - 20SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. DESCRIPTION ACCOUNT I 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 CHAVJGEOUT: $117.03 DESCRIPTION ACCOUNT QTY i 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 MANAGEWNT FEE: $10.00 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 •0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 J Bin.# City, of LA QUihta Budding u Safety Division P.O. Box 1.504, 78-495 Calle Tampico La.Quinta, CA 92253 - (760) 77T7012 &6�. Building Permit Application and Tracking Sleet Permit # � �r7-� ect Address: 80224 Riviera r Owner's Name:. David Hilton . Number. Address: 4430 Shepherds Lane Legal Description: City, ST, Zip: La Canada, CA 91011 Contractor. General Air Conditioning nr Mm Telephone: 818-790-7666znw ;6; Address: 31170 Reserve Drive Project Description: Replace 5 ton A/C, coil, & 90,000 BTU City, ST, Zip: Thousand Palms, CA 92276 furnace Telephone: 760-343-7488 State Lic. # : 6863104City Lie. #; Arch , Engr., Designer. Address: City., ST, Zip: Tele hone: P Y �'�� State Lia #: r �` Name of Contact Person: Steven Schnierer Construction Type: , Occcpancy: Project circle one New Add'a Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 818-7354876 Estimated Value of Project: $19,423.00 . APPLICANT: DO NOT WRITE BELOW THIS UNE M Submittal Req'd Reed TRACMG PERMtT FEES Plan Sets Pian Check submitted Item Amount Structural Cafes Reviewed, ready for corrections Plan Check Dgposit • . Truss Cates. Called Contact Person Plan Check Bslance Tine 24 Cates. Pians picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'! Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Ptans picked up S.M.L ILO.A. Approval Plans resubmitted Grading IN HOUSE:-" 1id Review; ready for correctionsfissae Developer Iacpact Fee Planning Approval Called Contact Person A.I.P.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 -1R -ALT -HVAC) (Page 1 of 3) Project Name: DAVID HILTON Date Prepared: 2017-11-02 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 DAVID HILTON 02 Date Prepared 2017-11-02 03 Project Location 80224 RIVIERA 04 Building Type Single family 05 CA City La Quinta — 06 Dwelling Unit Name `Dwelling HOME 07 Zip Code 92253 f;. system a Unit Conditioned 1800 Installing Installing Installing g08 Floor Area ( ft • ) Location or Area by this SC ducted . C,� .I more than 40 entirely new entirely new Name Served Number of Space system? 09 Climate Zone 15 10'' Conditioning (SC) Systems in 1 SYSTEM 1 WHOLE HOME 1800 Yes this Dwelling Unit: Yes - B. Space Conditioning (SC) System Information ` :rr + = l 01 02 03 04 ' 05 06% 07 08 09 10 . Is the SC Installing_a, ;:r`Vi s VV��1':lt�riF�� 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 (ft2) system? component? components? feet of ducts? duct system?. SC system? Alteration Type SYSTEM 1 WHOLE HOME 1800 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib) This section does not apply to this project. Registration Number: 417-A020126096A-000-000-0000000-0000 CA Building Energy Efficiency Standards - 2016 Residential Compliance Registration Date/Time: 2017-11-02 13:40:23 Report Version: 2016.1.006 Schema Version: rev 10/16 HERS Provider: CHEERS Report Generated: 2017-11-02 13:40:24 CERTIFICATE OF COMPLIANCE CF111-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)1E and F) ` 01 02 03 04 0S 06 07 08 09 10 11 12 Heating Cooling System 1-1e9thng Altered Healing Miiiiiiium Altorod Cooling Minirniim RPrluirPd 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 0.8 AC cooling SEER 20 Setback section is not section is not components components applicable applicable Required Documentation: CF211-MCH-01-E - Space Conditioning Systems - Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums R6 (.CZ 1-10, 12 anc! 13) and R8 (CZ 11 and 14-16) CF2R and CF311-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 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. -- Exceotions: 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, whitorflu withouEq uiPm nt Cha eot (Sections 150.2 b 1Diia and 150.2(b)lE, F) Urr matchad 15�exj 4z+rvi�e Irkt-mriN This section does not apply to thissproiect. 'IF. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. . Registration Number: 417-A020126096A-000-000-0000000-0000 Registration Date/Time: 2017-11-02 13:40:23 HERS Provider: CHEERS CA Building Energy Efficiency Standards - 2016 Residential Compliance , Report Version: 2016.1.006 Report Generated: 2017-11-02 13:40:24 Schema Version: rev 10/16 CERTIFICATE OF COMPLIANCE CF111-ALT-024 Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)' (Page 3 of 3) Documentation Author's Declaration Statement L I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Stephanie Shryock stpPh"al- shryock. Company: Signature Date: I Permit E Raters 2017-11-02 Address: CEA/ HERS Certification Identification (if applicable): 31225 La Baya Drive City/State/Zip: Phone: Westlake Village CA 91362 35-7876 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California: f ` r. 1. The information provided on this Certificate of Compliance is true and correct. a ,` 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 i 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. Arhd...-., `@.-.?'4.-- 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building'permit(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 C pliance Isequlred to be included withythe documentation the builder provides to the building owner at occupancy. Responsible Designer Name: �.;nrro hed Sar ric(-Step>h Responsible Designer Signature: Wu� 11 414k.(aui3wrv�eci.) Patrick Somers Company: Date Signed: General Air Conditioning 2017-11-02 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-A020126096A-000-000-0000000-0000 Registration Date/Time: 2017-11-02 13:40:23 HERS Provider: CHEERS CA Building Energy.Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-11-02 13:40:24 Schema Version: rev 10/16