BMCH2018-0020Q�i aw
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
MECHANICAL/
BMCH2O18-0020
57535 SEMINOLE DR
762350029
HARRISON / HVAC CHANGEOUT 14SEE
$10,893.00
Applicant:
IE INC
31225 -LA BAYA
WESTLAKE VILLAGE, CA 91362
A
JAN 2 3 2018
CITY OF LA. QUINTA
COMMUNITY DEVELOPMENT DEI
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: I 23 126 Contractor: J,; +— �—
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).:
U 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.).
(—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 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/23/2018
Owner:
THOMAS HARRISON
12255 CLYDESDALE DR
RANCHO CUCAMONGA, CA 92253
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 of 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
of the 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 performance of the work for which this permit is
issued. My workers' compensation insurance carrier and polity number are:
Carrier: INSURANCE COMPANY OF THE WEST Policy Number: WSD503165802
_ I certify that in the performance of 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.
Date: 1 A p p I icant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER.TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). 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 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 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 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 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 ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned property for inspection purposes.
Lender's Address: I Date: '14-31118 Signature (Applicant or Agent)
Date: 1/23/2018
Application. Number: BMCH2018-0020
Owner:
Property Address:, `;" '57535 SEMINOLE DR
THOMAS HARRISON
APN: 762350029 -
12255 CLYDESDALE DR
Application Description: HARRISON / HVAC CHANGEOUT 14SEER/80AFUE SPLIT SYSTEM
RANCHO CUCAMONGA, CA 92253
Property Zoning:
Application Valuation: $10,893.00
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 - 14SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
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
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 FEES
502-0000-43611
0. •
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Contractor Name:pp
PERMIT # LS. (� �e� ' . 00 afo
PLAN LOCATION: -
Project Address:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #: ._
\qce oto £- qO rico '870
Patio/Porch SF .
Email:
Applicant Name:
State Lie: 68(o310 City Bus Lie:
Address: S\"zZS Lca # 2 \3
State Lie: City Bus. Lie:
City, ST, Z'p; i+V�Gs��a V►��aCA Cl 13(L-4-
Telephone:. lg-.`73,5-7X7(0
Email:
Valuation of Project $ lb F43 a o
Contractor Name:pp
New SFD Construction:
Address:. 3�17Oe�Serie_
Conditioned Space SF
City, St, Zivsat.d�o.�rr`s C 42Z%to
Garage SF
Telephone: --760-3,43 -7y 8$
Patio/Porch SF .
Email:
Fire Sprinklers SF
State Lie: 68(o310 City Bus Lie:
Arch/Eng Name: '
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip .
Construction Type; Occupancy:
Telephone:.
Bedrooms:
Stories:
# Units:
Email:
State Lie: City Bus. Lie:
Property Owner's Name: c 1 �ccls
New Commercial / Tenant Improvements:
Address:. 45-753 �1
Total Building SF.
City, ST, Zip L j ka CA 9 z2S3
Construction Type; Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
k
# ,
In al,'', -�� '
Req'd
Recd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM 10).
.
Landscape Plan
d7
Subcontractor List
Grant Deed
HOA Approval.
School Fees
Burriec Debris Plan
Planning approval
Public Wotks approval
Fire approval
City Business License
CERTIFICATE OF COMPLIANCE CF111-ALT-021
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3.
Project Name: TOM & LORI HARRISON Date Prepared: 2018-01-21
A. General Information :r
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
TOM & LORI HARRISON
02
Date Prepared
2018-01-23
03
Project Location
57535 SEMINOLE DRIVE
04
Building Type
Single family
05
CA City
LA QUINTA !
06
Dwelling Unit Name
TOM & LORI. HARRISON
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
07
Zip Code
92253•
081
Dwelling Unit Conditioned
1741
by this SC
ducted
containing
system
Z
Floor Area (ft)
entirely new
entirely new
Name
`f
Number of Space
system?
09
Climate Zone
15 """
10'
Conditioning (SC) Systems in
1
SYSTEM 1
WHOLEHOUSE
1741
Yes
this Dwelling Unit:
Yes
B. Space Conditioning (SC) System Information ( I +
01
02
03
04'09
05
06 !
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
WHOLEHOUSE
1741
Yes
Yes
Yes
No
N6
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: 418-A020004217A-000-000-0000000-0000
CA Building Energy Efficiency Standards- 2016 Residential Compliance
Registration Date/Time: 2018-01-23 12:21:23
Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2018-01-23 12:21:25
CERTIFICATE OF COMPLIANCE ' CF111-ALT-024
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
All new
Central split
All new
This field or
This field or
SYSTEM 1
furnace
heating
AFUE
80
AC
cooling
SEER
14
Setback
section is not
section is not
components
components
applicable
applicable
Repuired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums FR6-(CZE 10, 12 an 'i3) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are 11 talled•in,d`ucted 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.+1'
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing corhpolis a e 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 LeakageTesting 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. EntirelyNew or Complete Replacement Duct System, With orlwithou�tE q ui pm nt C an eot (Sections 150.2(b)lDiia and 150.2 b 1E, 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-A020004217A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2018-01-23 12:21:23 HERS Provider: CHEERS
Report Version: 2016.1.006 Report Generated: 2018-01-23 12:21:25
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CFiR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 3)
Documentation Author's Declaration Statement `
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation.Author Signature:
Patrick Somers
Pab-"S&mers•
Company:
Signature Date:
General Air Conditioning
2018-01=23
Address:
CEA/ HERS Certification Identification (if applicable):
31170 Reserve Drive
City/State/Zip: r '�
Phone:
Thousand Palms CA 92276 ?
760343-7488
Responsible Person's Declaration statement'°)
I certify the following under penalty of perjury, under the laws of the State of California: a i.. yx:
moo r
1. The information provided on this Certificate of Compliance is true and correct.
Professions y;for
2. 1 am eligible under Division 3 of the Business and Code to accept responsibili the bu"ilding 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 o� system design features identifiedon 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.
P
R i !�.1P , � R K-.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall bejm5de•kavailab _with the building p ermit(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 Cbinpliance isIrequired-to be ihcluded wlth`the do' cfrrmentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Patrick Somers
Company:
Date Signed:
General Air Conditioning
2018-01-23
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: 418-A020004217A-000-000-0000000-0000 - Registration Date/Time: 2018-01-23 12:21:23
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006
Schema Version: rev 10/16 i
HERS Provider: CHEERS
Report Generated: 2018-01-23 12:21:25