BMCH2016-021778-495 CALLE TAMPICO,
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O16-0217
Property Address:
44035 CAMINO LA CRESTA
APN:
604180041
Application Description:
RICE RESIDENCE/ HVAC CI
Property Zoning:
Application Valuation:
$12,448.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/17/2016
Owner:
JAMES RICE
---"" 44035 CAMINO LA CRESTA
UT 1 LA QUINTA, CA 92253
7
CITY Of l Fk(1t;lr+?A Contractor:
,c �b�LPitDEF^gTFc+ HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
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: % t Itc r --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 Nam
Lender's Address:
(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 policy number are:
Carrier: _ Policy Number:
I certify that in the performance of the work for which this permit is issued, l
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: " 1G., 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: (40 IC, Signature (Applicant or Agent): v
♦ •{•
FINANCIAL
DESCRIPTION. ACCOUNT QTY AMOUNT PAID
PAID DATE
BSAS SB1473 FEE 101-0000-20306
0
$1.00 $0.00
PAID BY METHOD
RECEIPT # 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
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for CHANGEOUT: $108.78 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: $201.63 00
Description: RICE RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED Applied: 6/17/2016 MFA
Parcel No: 604180041 Site Address: 44035 CAMINO LA CRESTA LA QUINTA,CA 92253 Approved: 6/17/2016 MFA
Subdivision: TR 24517 Block: Lot: 15 Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $12,448.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT -16 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES.
INT4
NAME TYPE
NAME
ADDRESSl
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
IE INC
31225 LA BAYA
WESTLAKE
CA
91362
(760)772-6911
VILLAGE
CONTRACTOR
HARRISON ENTERPRISES INC DBA
31170 RESERVE DRIVE
THOUSAND
CA
92276
(760)772-6911
FRANCISCO@CALLTHE
GENERAL AIR
PALMS
I GENERAL.COM
OWNER
JAMES RICE
44035 CAMINO LA
LA QUINTA
CA
92253
(760)772-6911
CRESTA
Printed: Friday, June 17, 2016 2:56:13 PM 1 of 2 CN?WlYSTEMS
INSPECTIONS
BOND INFORMATION
ATTACHMENTS
Printed: Friday, June 17, 2016 2:56:13 PM 2 of 2
SYSTEMS
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
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 Paidfor PERMIT ISSUANCE: $91.85 $0.00
TOTALS:0•
INSPECTIONS
BOND INFORMATION
ATTACHMENTS
Printed: Friday, June 17, 2016 2:56:13 PM 2 of 2
SYSTEMS
of LaQuinta
Btt klv 61 Safety Division
P.O Box 1504, *78-495 CaAe Tampko
1a Qui ak CA 92253 -1760) 777-7012
Building Permit-Applicadon•and Tracking Sheet
PeM* #
Project.Addm= 7.r owner'sName=.
A P. Number. Address:
Lomal Desc4tion. CRY. ST. Zip: L 10 C1 2 217
Contratwc General Air ac and heating Tele phoae: :
Adder: 31170 reserve drive NeaDescdption:
City, sT, Tp: thousand palms 92276.
Tekphoac: 760 343-7488 . '
State Uc. 0: 686310. City Lia ik i=
1:
Arch, BW..
Addr=
City. ST, zip:
Telephone: Consttrucdon Type: Ocp,patu y:
Statc Ur— Project type (cbde one): New Add'n Alter Repair Dem
Name of Contact Petsoa:y, f Sq, Ft : Swriex Utut
Tdc*lle # of Contact Pe =L 818 73517876 Estimatod. vatic of Pmjcct: '
APPLICANT: DO NOT WIWM BQ.OW THM UNE
R
Sobmltial
Req'd
Reed
TRAOMG PERWr FEM
Plan Seb
Plan Chale swbmimd Item Amour
Sh venial Cales
Rcvk*vC ready for corred[owt Plan Check Deposit.
leis•
Coned Cbntaet Persaa Plan Check Balance.
Title 21 Calci.
Plans picked Op Cbnstrwcdon
Flood pW* plan
PWa reswbes[tted Mecbaiteal
GmdtaL pl
S! Review, ready for cotrectionsrtme Electrical
Snbeoatacter Last
Carted Coataet Person Plun►Diag
Grant Decd
Plans pkktd up S.MJ,
H.O.A. Approval
Plans re wbmt#W Gradbtg
IN ROUSE-.-
'`' Review; ready far eorreetionslissae Developer Impact Fee
Pkmin` Approval
call e6 Contact Person A".P.
Pub. Wk L Appr
Date of permit bme
School Feet
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
BARBARA RICE I Date Prepared:
CFiR-ALT 02-E
(Page Iof3)
2016-06-15
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
BARBARA RICE
02
Date Prepared
2016-06-15
03
Project Location
44035 CAMINO LA CRESTA
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
BARBARA RICE
07
Zip Code
92253
08
Dwelling Unit Conditioned
2550
ZInstallin lnew.SC
Instalhn
.. , g
3'ti
;Installing
g
Floor Area (ft2)
Identification or
Location or Area
by this SC
1
containing
Number of space conditioning
more than 40
09
Climate Zone
1
15 /1 + 1
10
(SC) systems in this dwelling
1
system?
component?
components?
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System InformationIT
01
02
f 03.' ,�..
i 05j06
07
08
09
SO
a
Nis the SC '"-
Installing a
System
SCS tem
SCS em +'
CFA served
s em a
refri erant i
g
ZInstallin lnew.SC
Instalhn
.. , g
Installin
sr g
;Installing
g
Identification or
Location or Area
by this SC
�;
ducted
containing
xgJ
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
2550
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 216-A0221379A-000000000-0000
Registration Date/Time: 2016-06-15 08:38:26
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-15 08:38:50
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)1E 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
System 1
Central gas
All new
heating
AFUE
80
Central split
All new
cooling
SEER
16
Setback
Less than or
equal to 40
R-8
furnace
components
AC
components
feet
Reouired Documentation:
R
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6. If .t
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-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF311-MCH-23 Air Flow Z 300 CFM/ton required when MCH -25 is required,
Excentions: -.. �-
-Duct systems registered with HERS provider as.p viously sealed are exemp from MCH -20 Duct Leakage Testing requirements. tiia6j
MEC5.1,
Heating only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH-23°or RefngeranL Charge H-2
-Existing duct systems constructed, insulated or sealed with asbestos -are exemptifrom MCH=20 Duct Leakage Testing requirements
}.E k. a !•} '�►,_ _
X % "'°�'1y; 4 `*sa�•' .",�rr..'�., �;t ':w,m;.,^a �r:....ri -a.:pro tn.' ,'.. �,� ,y, '.«. 1..•'Yam' k'.s'
E. Entirely New or Complete Replacement Dud -,System, with or without -Equipment Changeout (Sections 150.2(.b)lDiia=and 150.2(b)lE, 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-A0221379A-000000000-0000
Registration Date/Time:
11
2016-06-15 08:38:26
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-15 08:38:50
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-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:
Bacot
Jacoby, Ian
can
Company:
Signature Date:
I PERMIT E RATERS
2016-06-15 08:38:26
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive #213
City/State/Zip:
Phone:
West Lake Village CA 91362 �,'
1818-735-7876
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 Regulation
4. The building design features or system design features, identified on this Certificate of Compliance are consistent -with the information.provided on other,appllcablecocopliance documents, worksheets,
calculations, plans and specifications submitted to the agency for approval with this building permit application. q7 } 4!
Ienforcement
5. I will ensure that a registered copy of this Certificate 6f -,Compliance shall be:;made;available with the building permits) issued for the`building, and;made available to the.enforcementsgency for all applicable
inspections. I understand that a registered copy of this•Certificate of Compliance is,requ'ired to be -included with the documentation:the bwlder pr ov des to ,the building owner at occupancy.
-
Responsible Designer Name: r ' *-- J.... V A * +
Responsible Designer Signature: V 1 � �f
Jan CO
Jacoby, Ian
L
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-06-15 08:38:26
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-A0221379A-000000000-0000 Registration Date/Time: 2016-06-15 08:38:26 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-15 08:38:50
Schema Version: 0.55SSDD