BMCH2016-021678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
`��G•f�4ur rw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O16-0216
Property Address:
54330 AVENIDA OBREGON
APN:
774242003
Application Description:
ISABELLA RESIDENCE / HVAC CHAN
Property Zoning:
Application Valuation:
$14,737.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760)'777-7153
0 Owner:
�1 RICHARD ISABELLA
534330 AVENIDA OBREGON
OiUT,Jv,V;172��6 LA QUINTA, CA 92253
-
6-1iUNTACOPJidUi TYDEIVTDEPARTI',hEtdT
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: rel n 1/c. 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).:
(_) 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.).
(_) 1, 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 Nam
Lender's
Date: 6/17/2016
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
oft�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 policy number are:
Carrier: Policy Number: _
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 agree that, 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: 651 17 IL2 Applicant:' S"�rLL
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.
Date: % 11 1 Signature (Applicant or Agent)'—
FINANCIAL • +
DESCRIPTION E
ACCOUNT.,F':
QTY
AMOUNT
PAID :;
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
•PAID BY..
METHOD .'.
¢
RECEIPT#
,CHECK# >
,CLT DBY..
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
$0.00
DESCRIPTION
" ACCOUNT
QTY
;' AMOUNT ,
?PAID
�`
PAID DATE
HVAC CHANGEOUT - SPLIT-SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BY
. ; METHOD ;., ;
`r, RECEIPT #
CHECK #''
y
CLTD BY
ACCOUNT. y
AMOUNTf
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT-SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID:BY
�k " a, n METHOD A .,
RECEIPT # :.; ; .
;' CHECK #'
CLTOBY
Total Paid for CHANGEOUT:
$108.78
$0.00
DESCRIPTION -:•
ACCOUNT °t'
QTY `
, AMOUNT : ' x
"PAID ''°
,'
PAID DATEY
PERMIT ISSUANCE
101-0000-42404.
0
$91.85
$0.00
+' `• PAID'BY `
METHOD t d
=:RECEIPT #
'� %CHECK #
:; CLT ',BY
Total Paid for PERMIT ISSUANCE:
$91.85
$0.00
•
•
• 00
Description: ISABELLA RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED Applied: 6/17/2016 MFA
Parcel No: 774242003 Site Address: 54330 AVENIDA OBREGON LA QUINTA,CA 92253 Approved: 6/17/2016 MFA
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 266 Lot: 5 Issued:
UNIT 24'
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $14,737.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0'
Details: HVAC CHANGE OUT-18.SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. PER 2013 CALIFORNIA, BUILDING CODES.
CONDITIONS
FINANCIAL INFORMATION
Printed: Friday, June 17; 2016 2:52:01 PM 1 of.2
' SYSTEMS
CONTACTS
'NAME TYPE ¢ NAME t.�
ADDRE551-_-_
CITY STATE
` ZIPS -,P ONE
FAX��
EMAIL
.`"
}
APPLICANT IE INC
31225 LA BAYA
WESTLAKE CA
91362 (310)871-8761
VILLAGE
CONTRACTOR HARRISON ENTERPRISES INC DBA
31170 RESERVE DRIVE
THOUSAND CA
92276 (310)871-8761
FRANCISCO@CALLTHE
GENERAL AIR
PALMS •
GENERAL.COM
OWNER RICHARD ISABELLA
534330 AVENIDA
LA QUINTA CA
92253 (310)871-8761
OBREGON
FINANCIAL INFORMATION
Printed: Friday, June 17; 2016 2:52:01 PM 1 of.2
' SYSTEMS
!0
4
INSPECTIONS
_ . PARENT PROJECTS
... 7M
BOND INFORMATION
Printed: Friday, June 17, 2016 2:52:01 PM 2 of 2
SYSTEMS
-v..
CLTD
DESCRIPTION
ACCOUNT
CITY
AMOUNT
"PAID
PAID DATE
. RECEIPT # `
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$0.00
SPLIT -SYSTEM
HVACCHANGEOUT-
101-0000-42600
0
$36.26
$0.00
SPLIT -SYSTEM PC
Total Paid for CHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:0i
INSPECTIONS
_ . PARENT PROJECTS
... 7M
BOND INFORMATION
Printed: Friday, June 17, 2016 2:52:01 PM 2 of 2
SYSTEMS
15
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of U. Quirtta
�,l �0 Bl 81 safety n,�on
�1 P.O. Box 1504,•78-49S Cage Tampko
V La Q&4 CA 92253 --(760) 777-7012
Building Permit ApPlicadon and Tracking Sheet
Pennit
Project Add=* %q � ,U
Ctwna•s Namc .L r -
L .
A. P: Number.
Address: ,�' Ile
Legal Desaiptiot:
city. Sf, tip:
Contractor. General Air ac and heating
Td l
Adder: 31170 reserve drive
PtojcgD=dption:
City. ST, Trp: thousand palms 92276
ILA oc r
Tekphone: 760 343-7488
L n
State Lir- #: 686310. Lie, B:
Ate, EW',
Add=,
City, ST, Zip: sar
Td4*m: Conucdon Type . Qoaspa¢cy:
Stag Lic. 6: project type (citde oat): New Add'n Alta Repair Dena
Name of Contact Pumm (4111,11 S4 Ft. # Stories A Unit
Telephone i cf C.mwt Penson: 818 735'-7876' Rima od•yaline of Project:
APPLICANT, 00 NOT WRITE 9MOW TM UNE
N
Sabmltfsl
. Req'd
Reed
TRACRDVG PE RbIIT FEE
Plan Seb
Plan Chale eabmivad item Amotat
structw2l Cake.
R -towed, ready for o nvWom - Pian Cbt* Deposit
Tmms Cola.
Called Cbntatt Pusan , - Plan Cheek M"ftce ,
Title u Qlea
Ptatn pidtid up Caaatractton
Flood Pieria plan
Pians resubmitted Mecbarikd
Gmdlag ply
r! Review, ready for oemctioasfissae Fdemi.al
Sabtottatsor List
titled Coatacs Yaaoa Plumblag
Gnat Decd
mm picked rep
H.O.A. Approval
Plans nstbmit0ed- Grading .
IN HOUSE-
'•' W.Vtew, ready fer eorreetionviss'ne Developer Impact Fee
running APPr oval
CYtted Contact Person A.i.P.Y.
Pob. Win. Appr
Date of permit issue
Sekool Fea
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Project Name:
RICK & JENNIFER ISABELLA I Date Prepared:
CF1R-ALT 02-E
(Page 1of3)
2016-06-15
A. General Information
CFIR-ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one MR -ALT -02 document for each dwelling unit.
01
Project Name
RICK & JENNIFER ISABELLA
02
Date Prepared
2016-06-15
03
Project Location
54330 AVENUE OBREGON
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
RICK & JENNIFER ISABELLA
07
Zip Code
9225308
'. v ♦
Dwelling Unit Conditioned
1502
:# } .Yriw•f'�mt1 ;.YJ
8a� ''.�.^.Tx`+"�''
"II.% 'bri' •y,.6
ifiFf"a
Floor Area (ft2)
SC System
SC System
/
CFA served
�erg
� ,system a)-4",
refrigerant {
Number of space conditioning
m ,y
Gnstalling
09
Climate Zone
15 /
10
(SC) systems in this dwelling
1
ducted
o Maining
system
more than 40
unit.
entirely new
,
Name
Served
System (ft2)
system?
component?
B. Space Conditioning (SC) System 'Information
� �� � �.��� �
r ,< .-' .r'` ,r�:"1 ty :.•,, ...-moi
01
02
( 03
t 04'a
�5
06 �i
07
08
09
10
�'
4 t.
k -.
'. v ♦
„�
FIs the SC
,1 4 d" .f '.d '"�,
Installing a
:# } .Yriw•f'�mt1 ;.YJ
8a� ''.�.^.Tx`+"�''
"II.% 'bri' •y,.6
ifiFf"a
SC System
SC System
/
CFA served
�erg
� ,system a)-4",
refrigerant {
� 4^'Mu
Installing new.SC
m ,y
Gnstalling
�«. •�^..^
Installing
�Instatling
Identification or
Location or Area
by this SC
ducted
o Maining
system
more than 40
entirelynew
entirely new
,
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1502
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: 216-A0221386A-000000000-0000 '
Registration Date/Time: 2016-06-15 08:43:36
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-15 08:44:00
Schema Version: 0.555SDD
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)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 Dud
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Dud Length
R -Value
Central gas
All new
Central split
All new
Less than or
System 1
furnace
heating
AFUE
80
AC
cooling
SEER
18
Setback
equal to 40
R-8
components
components
feet
Reauired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing 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::5 15%, or 5 10% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH-2S-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required when MCH -25 is required.
Exceptions:
-Duct systems registered with HERS provider es previously sealed are exempt from MCH -20 Duct Leakage Testing requirements. ..
-Heating-only systems and Air Handler/Furnace changes do not require verificati6n`of Air Flow MCH-23'Charge MECH-25:'.
Existing duct systems constructed, insulated or sealed with asbestos are exemptfrom MCH=20 Duct'Leakage Testin} requi�e`merits..
E. Entirely New or Complete Replacement DuctV-4S,s�tem, with or -w�..it,h.. o�u�t-,Equipment Cmmha�.nge�out (�Sµect�i,o�n�s,. -1¢5i0.2(b�)1Diiarand L150.
.2(b)lE, F)
+
t' x
Y This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC)
This section does not apply to this project.
Registration Number: 216-A0221386A-000000000-0000
Registration Date/Time: 2016-06-15 08:43:36
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-15 08:44:00
Schema Version: 0.5555DD
CERTIFICATE OF COMPLIANCE CFIR-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.
Documentation Author Name:
Documentation Author Signature: �
Jan dacobJt,
Jacoby, Ian -
Company:
Signature Date:
i PERMIT E RATERS
2016-06-15 08:43:36
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive #213
City/State/Zip:
Phone:
West Lake Village CA 91362
818-735-7876
Responsible Person's Declaration statement's
1 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 correct.
-and
2. 1 am eligible under Division 3 of the;Business and P rofessions 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 1 and Part -hof the Califotnia Code of egulation f r""`�"
es hec<appticabie'compliance documents, worksheets,
4. The building design features or system design features identified on this Certificate of Compliance are consistent withithe information.provided on ot
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.'
li t ''
r r rtl..� m. fl ! . i,A R. } t a ..
5. I will ensure that a registered copy of'this"Certificate of,dompliance shall,be maile;available wrtk� he bullding,permit(s);issued for0e i cling, and:madi available to;the a forcement agency for all applicable
inspections. I understand that a registered copy of this;Certificate of Compliance is,req Hired to be included with the documentation the builder provides to the building owner at occupancy,
Responsible Designer Name: Y C� Jr'*
Responsible Designer Signature: '' w�/ 1
�AcobJr
Jacoby, Ian
c9an
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-06-15 08:43:36
Address:
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-343-7488
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 216-A0221386A-000000000-0000 Registration Date/Time: 2016-06-15 08:43:36 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-15 08:44:00
Schema Version: 0.555SDD.