BMCH2016-0214ii
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT .
Application Number:
BMCH2O16-0214
Property Address:
80384 RIVIERA
APN:
762130010
Application Description:
LANDAU RESIDENCE/ HVAC CHANGE
Property Zoning:
Application Valuation:
$S,864.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
LICENSED CONTRACTOR'S DECLARATION
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
I Owner:
__ MICHAEL LANDAU
80384 RIVIERA
JJiv 1 22016 LA QUINTA, CA 92253
CITY OFLAQUINTA
COP�hfRLi�1TY DEVEL OF,ICEt,'T DEPARTI;7EhT
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 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: 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. Q.
Lender's Name
Lender's Address:
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
of the work for which this permit is issued.
�� 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 sous 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: T% 1j,2 Applicant: --
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: h 1(e Signature (Applicant. or Agent):, � .
FINANCIAL INFORMATION
Fs yDESCRIPTION { , ACCOUNT ` F QTY; 5: } °AMOUNT
PAID DATE-
BSAS SB1473 FEE
101-0000-20306 0
$1.00
$0.00
:P r, sz .
METHOD a Y RECEIPTa# §.x :: CHECK #., -;
- :CLTD BY
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 R
,. ... F
9 METHOD '� . Q
rJ
: `
�
RECEIPT #
CHECK #•
'CLTD BY
'DESCRIPTION s
ACCOUNT <'
< QTY
` ` AMOUNT'
; 'PAID
PAID DATE,
r
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY r r
t.. ^yMETHOD r` ,f
RECEIPT#
: CHECK#.;
CLTD BY
Total Paid for CHANGEOUT:
$108.78.
$0.00
r'v > DESCRIPTION 'y x
. 'ACCOUNT .) 0: ,
QTY :
AMOUNTd
, tt PAID
PAID DATE
PERMIT ISSUANCE .
101-0000-42404
0
`$91.85
$0.00 '
< PAID.BY ,
n -,METHOD.'..n
RECEIPT*.y'
" CHECK #
CLTD BY <.
Total Paid for PERMIT ISSUANCE:
$91.85
$0.00
TOTALS:
$201.63
00
Description: LANDAU RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED ` ' Applied: 6/17/2016 MFA
Parcel No: 762130010 Site Address: 80384 RIVIERA LA QUINTA,CA 92253 Approved: 6/17/2016 MFA
Subdivision: TR 28340-2 Block: Lot: 23 Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $5,864.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT -.14 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
.1 71-----.-..
CHRONOLOGY
CONDITIONS
ST -ATE
ZIP - -
PHONE s,.
FAX .:..�
EMAIL
NAME TYPE =
_ -, * K.,AME •`; " '
N
ADDRESSi �xk
CONTACTS
v •CITY:
APPLICANT
IE INC
31225 LA BAYA
WESTLAKE
VILLAGE
CA
91362
(
FINANCIAL INFORMATION
Printed: Friday, June 17, 2016 2:42:24 PM 1 of 2 C .
SYSTEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
.RECEIPT:#
CHECK #
METHOD
PAID BY ,
CLTD ;'
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
HVAC CHANGEOUT - .
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:i0
•�
PAKLNT PKU
BOND INFORMATION
ATTACHMENTS
Printed: Friday, June 17, 2016 2:42:24 PM 2 of 2 J
SY57EM5
:. City of La Quirtta
-BuMv at Safety DMWm
Pena # ,. r P.a Box' 1504,-78-495 Cage Tampko
( La Qil n a, CA 92253 - (760) 777-7012
�%L t Building Permit Applfcatlon' and Tracking Sheet
•
Project .Ad4w- ; owncesxamc. SILI
A. P. Number.
Adder: D it
Legal Desatpaoa:
city. sr. tip: '^
Contractor: General Air ac and heating
Telephone:
NegDe=iption:
Address: 31170 reserve drive
City, sT, Zip: thousand palms 92276.
Telephone: 760 343-7488
State Lia #: 686310 City Lir &
L [ ` .
L
,
Arch., Bug'.. Daslper
,
Address'
City, ST. tip:
Telepbow:
Stato Lig. is
Name of Conlow Person: /
C,onstrudion Type:. Oocupantiy
Project typo (tilde one:): New Add'n Abler Repair Dena
Sq. Ft.: & Stories it Uatto
IESdme
Tdep one i of C lwt Person: 8.18 735-7876 ' • Vatuc of Pmjcct: �{ -
APPLICANT: DO NOT WRITE 8MOW THIS UNE
N Submittal Wd 'Reed TRA(XWG PBRAUT FM
PttnSeb Plan CbeeQubmitted hem Amonat '
StructaEai Cales.
Reviewed, ready for cmwdom Plan Chc& Deposit.
Ttas Cdcl.
Called Contact Peron Plan check Balance.
Tifle 14 CYlea
Plana pitbid up Coasersedon
now PWI plan
PWu ra01211ted Mecluk"
Gradin{ 01
P! Raiew, ready for corredioatrmm Fdec rival
Sabeoutaeflar Iht
Called Coutset Peraoa - Plumbing
Grant Decd
Plans O&W up S.M.1.
H.O.A. Approval
Plans resubmitted Grading
DY HOUSE.-
'�' Review. rude fbr correedondissue Developer Impact Fee
Planning Approval
Clued Cosuct Person A.ip.P.
Pub. Wlrs. App;
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE
CF1R-ALT 02-E
I Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Pagel of 3 )
Project Name:
SHARON LANDAU I Date Prepared:
2016-06-15
A. General Information
CF111-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
SHARON LANDAU
02
Date Prepared
2016-06-15
03
Project Location
80384 RIVIERA -
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
SHARON LANDAU
07
Zip Code
92253
08
Dwelling Unit Conditioned
2655
h:
Floor Area (ft2)
SC System
SC System
CFA served
",.; ystem a -
refrigerant i
Number of space conditioning
nstallling
09
Climate Zone
15
10
(SC) systems in this dwelling
1
ducted
containing
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) System Information
01
02
03
04
05
,..06 - ,
J; 071,k
,` 08
09
10
r
Is the SC '
Installing a .—
h:
SC System
SC System
CFA served
",.; ystem a -
refrigerant i
- Installir g neuv SC
nstallling
_
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
Location 1
2655
Yes
Yes
Yes
No
No
No
Altered spaceconditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section1SO.2(b)1Diib)
This section does not apply to this project.
Registration Number: 216-A0221405A-000000000-0000
Registration Date/Time: 2016-06-15 08:49:33
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-15 08:49:58
Schema Var.-;inn: 0.S5SSDn
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 Duct
or Name
Type
Components
Type
Value
System Type
Components
Type
Value.
Type
Duct Length
R -Value
Central gas
No heating
This field or
This field or
Central split
All new
Less than or
System 1
furnace
component
section is not
section is not
AC
cooling
SEER
14
Setback
equal to 40
R-8
altered
applicable
applicable
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 & MR -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::s 15%, or 5 10% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & MR -MCH -25-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 as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements. v�
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH'23 or Refngejant Charge NIECH 25' f
-Existing duct systems constructed, insulated or sealed with asbestos: are exempt' om MCH"=20 ak g.gwrements.
Quet,leage Testm,re
r y
t'. 'k i: -a' .7,t:. ;t -i! f'E. 'S:1r. _. .U.'S k_t ii,4 .k,X1 ..r 4 1:5'. V1 Asa.
_.mW" 1411
E. Entirely New or Complete Replacement Duct 4ystem, with or lithout,Equipment Changeout (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: 216-A0221405A-000000000-0000 Registration Date/Time: 2016-06-15 08:49:33 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-15 08:49:58
Schema Version: 0.5555DD
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF-iR-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: ��ll �
Jacoby, Ian
vran �acobJr
Company:
Signature Date:
i PERMIT E RATERS
2016-06-15 08:49:33
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
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.
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 1 and Part 6 of the California Code of Regulations.
-d's
4. The building design features or system design features identified on -this'` Certificate'of Compliance are consistent with,the informatiop;provided on.othepar1applicatile"kcms"°oinpliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement -agency fodapprovalrwith this bwl'ding permit app, kation. '
S. I will ensure that a registered copy of this Certificate'of Compliance shall be.;made available with;the building permits) issued forahe,bmlcjing,and inadeavailable to'the_enforcementagency for all applicable
inspections. I understand that a registered copy of this CgrNficate of Copplvance is,requ�i ed to be included with the d.ocumentation,the�bullder prow_tdes to the building owner at occupancy.
Responsible Designer Name: -» - %
Responsi6le Designer signature: 'V 1ni.,. f11
L7acc;
Jacoby, Ian
cyan
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-06-15 08:49:33
Address:
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-343-7488
Digitally signed by Ca10ERTS. 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-A0221405A-000000000-0000 Registration Date/Time: 2016-06-15 08:49:33 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-15 08:49:58
. Schama Varsinn: 0.5.55.Snn