BMCH2016-017678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O16-0176
T4tit^l lwQ"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Property Address:
79915 FIESTA DR
APN:
600061004
Application Description:
DENEWILER / HVAC CHANGE OUT
Property Zoning:
compensation laws of California, and agree that, if I should become subject to the
Application Valuation:
$16,737.00
Applicant:
comply wi h those provisions.
IE INC
31225 LA BAYA
Date: 5 2 + 1 V Applicrnt:
WESTLAKE VILLAGE, CA 91362
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.: 6863100
Dt ate: S 2S ) Contractor�—��
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
.i
Date: 5/25/2016
Owner:
ROBERT DENEWILER
79915 FIESTA DR
LA QUINTA, 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 th�tptork 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:
OWNER -BUILDER DECLARATION
Carrier: _ Policy Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply wi h those provisions.
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
Date: 5 2 + 1 V Applicrnt:
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(_) I, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or .
the Contractors' State License Law.).
following issuance of this permit.
(_) I am exempt under Sec. . B.&P.C. for this reason
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.
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 Na
Lender's Add
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: ``� It, Signature (Applicant or Agent) ��
FINANCIAL • 1
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
•TALS: $201.63 $0.00
Description: DENEWILER / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 5/25/2016 SKH
Approved: 5/25/2016 SKH
Parcel No: 600061004 Site Address: 79915 FIESTA DR LA QUINTA,CA 92253
Subdivision: PM 28469 Block: Lot: 3
Issued:
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $16,737.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NAME
Details: HVAC CHANGE OUT - 21SEER/80AFUE SPLIT SYSTEM [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
ZIP
PHONE
FAX
EMAIL
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY STATE
APPLICANT
IE INC
31225 LA BAYA
WESTLAKE CA
VILLAGE
91362
CONTRACTOR
HARRISON ENTERPRISES INC DBA
GENERAL AIR
31170 RESERVE DRIVE
THOUSAND CA
I PALMS I
92276
I
I
I
FRANCISCO@CALLTHE
I GENERAL.COM
OWNER
ROBERT DENEWILER
79915 FIESTA DR
I LA QUINTA I CA
1 92253
Printed: Wednesday, May 25, 2016 9:35:47 AM 1 of 2
§?s Ys7EM s
INSPECTIONS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKSDATE NOTES
ATTACHMENTS
Printed: Wednesday, May 25, 2016 9:35:47 AM 2 of 2 CRUI
SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID JPAID
DATE
I 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
1 0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
INSPECTIONS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKSDATE NOTES
ATTACHMENTS
Printed: Wednesday, May 25, 2016 9:35:47 AM 2 of 2 CRUI
SYSTEMS
ain.#
City of La Quinta
Building 8L Safety Mislon
P.O. Box 1504, '78-495 Calle Tampico
14.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
ProjeccAddress: 79915 Fiesta Drive
Owner's Name:. Bob Denewiler
A. P. Number.
Address: 79915 Fiesta Drive
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor: General Air Conditioning
Telephone: �3ST'
Address: 31170 Reserve Drive
Project Description: Replace 4ton A/C, Coil, & 90,000 BTU .
City, ST, Zip: Thousand Palms, CA 92276
Furnace
Telephone: 760-343-7488
State Lic. # : 686310
City Lie. #.:
Arch., Engr., Designer:
Address:
City., ST, Zip:
'Telephone:
State Lie. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: #Stories: #Units:
Name of Contact Person: Steven Schnierer
Telephone # of Contact Person: 8.18-735-7876 Estimated Value of Project: $16,737.00.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
Recd
TRACMG
Plan Check submitted
PERMIT FEES
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Platt Check Balance
Title 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.',
Mechanical
Grading plan
2s4 Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review; ready for corrections/issue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
BOB DENEWILER I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2016-05-24
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
BOB.DENEWILER
02
Date Prepared
2016-05-24
03
Project Location
79915 FIESTA DRIVE
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
BOB DENEWILER
07
Zip Code
92253
08
Dwelling Unit Conditioned
1733
the SC
Floor Area (ft2)
,�%
Number of space conditioning
SC System
09
Climate Zone
15
10
(SC) systems in this dwelling
1
Installing
Identification or
Location or Area
unit.
ducted
B. Space Conditioning (SC) System Information—
F�
Ol
02
0304
er
� ��
� f "6'� ��
07��
09
10
t
105
�
the SC
Mstalling a
,�%
SC System
SC System
CFA served
ystem a
refrige nt t
Shams
_
*.Installing ne SC
'Y
Installing I
'I sn talli g
Installing
Identification or
Location or Area
by this SC
ducted
k_ Y
containing
i N M
system
M'
more than 40
�". �r
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
dud system?
SC system?
Alteration Type
System 1
Location 1
1733
Yes
Yes
Yes
No
No
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: 216-A0192474A-000000000-0000
Registration Date/Time: 2016-05-24 10:29:14
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-05-24 10:29:47
I;chama Varcinn• n SSSCnn
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
Central gas
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
21
Setback
section is not
section is not
components
components
applicable
applicable
Required 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: 515%, or <_ 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 & CF3R-MCH-23 Air Flow>_ 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.—
-Heating-only systems and Air Handier/Furnace changes do not require verificati n'of Air Flow ,MCHn23, orRefrigerant Charge MECH-2
from
-Existing duct systems constructed, insulated or sealed with asbestos are exempt MCH'20 Duct Leakage Testing requi�emerit's.rn
.I'� 1 1 •\. t f 1 f ! f i1�. 1`� !! i i i 1 J l a. r f f l 1 1 l4
E. Entirely New or Complete Replacement Duct'System, with or without,Equipment Changeout (Sections 150.2(b)1Diia,and 150.2(b)lE, F)
-, ► Ire a-= 04 �. W 04 k ]I r % II i 1 1 --
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-A0192474A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-05-24 10:29:14
Report Version: 2013 Rev 1.007
Srhama Varcinn• n SSSCnn
0
HERS Provider: CalCERTS
Report Generated: 2016-05-24 10:29:47
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: nn
Jacoby, Ian
cyan Cl(faco Jt.
Company:
Signature Date:
i PERMIT E RATERS
2016-05-24-10:29:14
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 ofRegulations.
1 i f t�� %
n
��
4. The building design features or system design features identified on this Certificate of Compliance are.consistent with,the information provided on other, applicable compliance documents, worksheets,
r+ f - d..r � � f r -�^--' YC� t
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit—application. `
1
tt �r ..+YY sr
h x�y Mall,
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be.madelvailable with the building permit(s),issued for the building, and,made available tothe,enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation 3the lbuilder provides to -the building .nowner at occupancy.
Responsible Designer Name: 1F i ;.. i ..7
Responiible Designer Signature: V 1 i..+0� L..�
J9
Jacoby, Ian
n �acobNr.
Company:
Date Signed: `
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-05-24 10:29:14
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-A0192474A-000000000-0000 Registration Date/Time: 2016-05-24 10:29:14 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-05-24 10:29:47
Cchama Vi-minn• n SSSCnn