BMCH2018-039578-495 CALLE TAMPICO Tih/ D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/20/2018
Permit Type/Subtype: MECHANICAL/ Owner:
Application Number: BMCH2O18-0395 CAREY JOHN L / CAREY ORALIA F
Property Address: 52040 AVENIDA VALLEJO 52040 AVE NIDA VALLEJ0
APN: 773223002 LA QUINTA, CA 92253
Application Description: CAREY / HVAC CHANGE OUT 14SEER/80AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation: $10,592.00
Applicant: Contractor:
IE INC D
HARRISON ENTERPRISES INC DBA GENERAL AIR
31225 LA BAYA 31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362 SEP 2 0 2018 D THOUSAND PALMS, CA 92276
CITY OF LAQUINTA (760)343-7488
DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 686310
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: C4 Contractor .
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:
WORKER'S COMPENSATION DECLARATION
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'
:ompensation, as provided for by Section 3700 of the Labor Code, for the performance
)f work for which this permit is issued.
_ I have and will maintain workers' compensation insurance, as required by
iection 3700 of the Labor Code, for the performance of the work for which this permit is
ssued. My workers' compensation insurance carrier and policy number are:
:arrier: INSURANCE COMPANY OF THE WEST Policy Number: WSD503165802
_ I certify that in the performance of the work for which this permit is issued, I
,hall not employ any person in any manner so as to become subject to the workers'
:ompensation laws of California, and agree that, if I should become subject to the
vorkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
:omply with those provisions.
)ate: 91 4, 12 Applicant:
YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
MD SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES GP TO
)NE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
:OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
NTEREST, AND ATTORNEYS FEES.
APPLICANT ACKNOWLEDGEMENT
MPORTANT: Application is hereby made to the Building Official for a permit subject to
he conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
equest and for whose benefit work is performed under or pursuant to any permit issued
is a result of this application , the owner, and the applicant, each agrees to, and shall
lefend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
!mployees for any act or omission related to the work being performed under or
ollowing issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not
ommenced within 180 days from date of issuance of such permit, or cessation of work
or 180 days will subject permit to cancellation.
certify that I have read this application and state that the above information is correct.
agree to comply with all city and county ordinances and state laws relating to building
onstruction, and hereby authorize representatives of this city to enter upon the above-
nentioned property for inspection purposes.
late: ") �� I Signature (Applicant or Agent):
Application Number:
BMCH2018-0395
Property Address:
52040 AVENIDA VALLEJO
APN:
773223002
Application Description:
CAREY / HVAC CHANGE OUT 14SEER/80AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$10,592.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Date! '9/20/2018
Owner:
CAREY JOH N L / CAREY ORALIA F
52040 AVENIDA VALLEJO
LA QUINTA, CA 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-7488
Llc. jNo.: 686310
----------------------------!---------------------------------
I
Detail: (1) 3 TON HVAC CHANGE OUT - 14SEER/80A PACKAGED UNIT, C"BON11MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2016 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT- PACKAGED UNIT
101-0000-42402
0
$39.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$26.01
Total Paid for CHANGEOUT: $65.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83
Total Paid for PERMIT ISSUANCE: $98.83
DESCRIPTION
ACCOUNT CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416 0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:
f+ _ , l,�j►
PERMIT #
PLAN LOCATION:
Project Address: -r-�`ly�/� - j y 1�
�y�A y\�1 1id o1 V�hl
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
Applicant Name: le,►N &j,rn.e-fi
Address: 31
City, ST, Zip: CA 9 i
Telephone: 21 $-7 `7
Email:
Valuation of Project $ I O, C-1z .
Contractor Name: G- r-y,
_`al ion i
New SFD Construction:
Address: 311?0
!�
ve U
Conditioned Space SF
City, Ci St Zip-
�17wscxr�l � �1-. CqL�
g
Garage SFr�
Telephone: moo,
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: (,Z6310
City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Bedrooms: Stories: # Units:
Telephone:
Email:
e Lic: City Bus Lic:
St
Property Owner's Name: Tr1 C-Ree
VD1,Y, ,
New Commercial / Tenant Improvements:
Address: -5704c) ��,�� do vc�i
Total Building SF
City, ST, Zip q Z 2S�)
Construction Type: Occupancy:
Telephone: 7&,_ Z,1la Ic)o 3
Email:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd Rec'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
CF1R-ALT-02-E
(Page 1 of 3)
CERTIFICATE OF COMPLIANCE
systems (formerly CF-IR-ALT-HVAC) 2018-09-19
Alterations to Space Conditioning Y John Carney Date Prepared:
Project Name:
When multiple dwelling units must be documented, use one
A
General Information s stems contained within a single dwelling unit.
CF1R-ALT-02 is applicable to multiple space conditionin g Y
CFIR-ALT 02 document for each dwelling unit. 2018-09-19
02 Date Prepared
John Carney Single family
O3 Project Name 04 Building Type
03 Project Location 52040 Avenida Vallejo John Carney
06 Dwelling Unit Name
05 CA City La Quinta Dwelling Unit Conditioned 1286
92253 08 Floor Area (ftz)
07 Zip Code Number of Space
10 Conditioning (SC) Systems in 1
09 Climate Zone
15 this Dwelling Unit:
09 10
SC System Information 07 08
B. Space Conditioning ( ) Y 05 06
03 04
01 02 Installing
Is the SC Installing a Installing Installing
refrigerant Installing new SC
SC System CFA served system a g system more than 40 entirely new entirely new Alteration Type
SC System by this SC ducted containing
Identification or Location or Area z system" component? components? feet of ducts? duct system? Sc system . Altered space
Served System (ft) Y No NO conditioning system
Name Yes No
LOCATION 1 1286
Yes Yes
SYSTEM 1
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib) This section does not apply to this project.
HERS Provider: CHEERS
Registration Number: 418-A020072625A-000-000-0000000-0000 Registration Date/Time: 2018-09-19 08:51:30
Report Generated: 2018-09-19 08:51:30
Repo Version: 2018.0.001
CA Building Energy Efficiency Standards - 2016 Residential Compliance Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)
150.2(b)1E and F)
D. Altered Space Conditioning System (Sections 0 07
02
Ol
Heating
Altered
Minimum
Cooling
Cooling
Efficiency
System Type
Components
Value
All new
Central
cooling
0.8
packaged AC
components
�08
09
Cooling
Cooling
Minimum
Efficiency
Efficiency
Type
Value
SEER
14
CF111-ALT-024
(Page 2 of 3)
10
11 12
Required New or
Thermostat
Replaced
p
New Duct
Duct Length
R_Value
Type
This field or
This field or
Setback
section is not
section t
applicable
applicable
e r Document tin CZ 1-10, 12 and 13) and R8 (CZ 11 and 14 16) h is replaced
ace Conditioning Systems plenums: I (. or when more than 40 ft of duct length P
CF2R-MCH-01-E - Sp port
of supply -air and return air ducts or
onents are installed in ducted systems,
- Duct insulation requirement for the new p in CZ 2, 8-15).
CF2R and CF3R-MCH-20-H -Duct Leakage Test required when heating or cooling comp
-Leakage rate compliance: <= 15 percent or <=10 percent leakage to outside, or seal all accessible leaks.components are installed or altered (applicable
per ton required when MCH-25 is required.
CF2R and CF3 R-MCH-23 Airflow low Rate >C 300 CFM Pcation required when refrigerant containing coin
CF2R and CF3 a Testing requirements.
Excel reviously sealed are exempt from MCH 20 Duct Lea23,
es do not require verification of Air Flow MCH 23, or Refrigerant Charge MCH 25.
Duct systems registered with HERS provider as p re uirements.
Heating -only systems and Air Handler Furnace Chang
-Existing duct systems constructed• insulated or sealed with asbestos are exempt from MCH-20 Duct Leakage Testing Sections 150.2(b)1Diia and 150.2(b)1E, F)
w or Complete Replacement Duct System, with or without Equipment Changeout
E. Entirely Ne I to this project.
This section does not app y
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-A020072625A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2018-09-19 08:51:30
Report Version: 2018.0.001
Schema Version: rev 20180426
HERS Provider: CHEERS
Report Generated: 2018-09-19 08:51:30
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)
Documentation Author's Declaration Statement complete,
1.1 certify that this Certificate of Compliance documentation is accurate and co Documentation
c mentation Author signature:
'Drew Qu,eew
Documentation Author Name:
Drew Queen
Company:
I Permit E Raters
Address:
31225 L=Drive
City/state/Zip:
Westlake Village CA 91362
Signature Date:
2018-09-19
CEA/ HERS Certification Identification (if applicable):
Phone:
818-735-7876
CF1R-ALT-02-E
(Page 3 of 3)
Responsible Person'n statement
s Declaration
I certify the Fallowing under penalty of Perjury, underthe law of the State of California: ilanee lresponsible designerj.
1_ The inforrrmatlon provided on this Certificate of compliance is true and Correct.
m nents, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the
2. I a m el' it71e under Division 3 of the Business and professions Code tobceept responsibilityfor the building or system design identified on thisCertifir-ate o m orksheets,
3, That the energy features and performance specifications, rriatena s, applicable compliance documents, w
requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.e i far all applicatsle
or
the enforcement agency for approval with this building permit application.
q. The building design features or system design featuresdidentified on this Certificate of Compliance are conslsten rmit st i sued forthebul ding, and made avaliabie to the enforcementr at occupancy
calculations, plans and specifications submitte
5, i will ensure that a registered copy of this Certificate of Compliance shall be made available w�ih the butld'sngwith the pe I
ne I understand that a registered Copy of this Certificate of Compliance is required to be inludeResponsible Designer Signatulroe:the builder providesto the building ow
inspectie
Responsible Designer Name:
Patrick Somers
Company :
General Air Conditioning
Address:
31170 Reserve Drive
City/State/Zip:
Thousand Palms CA 92276
P atrick soon ,rk
Date Signed:
2018-09-19
License:
Phone:
760-343-7488
t of this
Digitally signed by ,-lEERSm" liis es Registratsignat(ire is ion provider responsibility sb lity order- in ar the accuracy of the inforrnation9istered
document, and in no way P
Registration Date/Time: 2018-09-19 08:51:30
Registration Number: 418-A020072625A-000-000-0000000-0000
Report Version: 2018.0.001
CA Building Energy Efficiency Standards 2016 Residential Compliance Schema Version: rev 20180426
HERS Provider: CHEERS
Report Generated: 2018-09-19 08:51:30