BMCH2016-0097r 1
78-495 CALLE TAMPICO D J NM{A�ii/ VOICE (760).777-:7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/13/2016
Application Number:
BMCH2O16-0097
'Owner:
Property Address:
53133 AVENIDA RUBIO
ARDEN ENSMINGER
APN:
774042019 i
53133 AVENIDA RUBIO
Application Description:
ENSMINGER RESIDENCE / HVAC CHANGE OUT
LA QUINTA, CA 92253
z~
Property Zoning:
Application Valuation:
$11,689:00
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Applicant:
Contractor:
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IE INC
HARRISON ENTERPRI ES INC
BAgC 5
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31225 LA BAYA
31170 RESERVE DRI
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WESTLAKE VILLAGE, CA 91362
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THOUSAND PALMS,
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(760)343-5562
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Llc. No.: 968141
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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 License No.: 968141
LD1; �i 13 �ontractor:�� ��—
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 toconstruct, 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 exempttherefrom and they
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 notmore 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 N
Lender's Address:
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 LabofCode, 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.
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 herebV..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 actor 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: 11-4 1 I re-(Xppli�Agent):
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PAID P,,AID DATE,
i:f4v.`.X`.-A'9
yrs rVM""" y,;.. _�;'>'.z�..��d."..!:.5._:�,�.^rY..�3.�:f:.
,� . DESCRIPTION=u g!
s ",< ; .^ ..:: "..A000UNTw' QTY AMOUNT
aer't.,»"+.ax,c.33 kz�fi.a.,i<.:�r',Fl A`,:+.w:.a....k�,v?.`.i<`�'-3t3'nhAi.�1,x...A:
BSASSB1473"FEE 101000020306.
0::, :$160;•.
$0.00
, n Y' f .,. ,.• Y1,'2.ti q{i .'" *� „
PAID;BY���� <3 y ' METHOD.`
�$ „� ��
i ,.x°.:A"'i•:+e.; sem. 'a:'rs,':k s:...°f.�. ''r;. r`t'"'f't. �:
v v'f,w.)a3i°'hr-I .tijw%s*�Xf
=RECEIPT# ��CHECK
r rx.,.. '�+'..,£ �s,.;fl:Pt �x.tva,
p'sA'3.t,<-'•�k €
#��� CLTD BY,.
;
TotaLPaid,for BUILDING;STANDARDS ADMINISTRATION BSA: $1 00 $0.00
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?� �DESCRIP•TION�
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OWN, CCOU
QTY
AMOUNT
„�Z'%>
PAID
>�t�s.a�.,.: n,#L,«,�x"."�,'s".%z,v✓;'iP::.i;.;..i;�_
PAID DATE
HVAC CHANGEOUT - PACKAGED UNIT
101 0000=42402',
0
$36 26 '
$0.00
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PAID ..
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HVAC CHANGEOUT - PACKAGED UNIT:P,C
101 000042600.
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$24 17
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PAIDrBY�<,METHOD
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RECEIPT # s
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CLTD..BY
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Total-Paid for.CHANGEOUT: '$66.41"$0.00
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DESCRIPTION,',,
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PAID DATE
PERMIT ISSUANCE
PERMIT„
101 0000=42404'01;$91x85
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$0.00-
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:a." PAID BY ,....:
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METHOD :
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RECEIPTS#yrsCLTD:,BY
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Total_ Paid for PERMIT ISSUANCE $91 85 .. , $0.00
., ". ._-. '_'. '..: :.....:. ....•� :.._.rs,+ s<:. ,.rr_„�.::i-phi ,.n�;.:.;:, ..5_ ..-, ..
Description: ENSMINGER RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 4/13/2016 MFA
Approved: 4/13/2016 MFA
Parcel No: 774042019 Site Address: 53133 AVENIDA RUBIO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 177 Lot: 7
Issued:
UNIT 18
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $11,689.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
CITY STATE
Details: HVAC CHANGE OUT -14 SEER/80AFUE PACKAGED SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
Printed: Wednesday, April 13, 2016 7:48:51 AM 1 of 2
SYSTEMS
CONDITIONS
CONTACTS.
NAME TYPE NAME ADDRESSi
CITY STATE
ZIP PHONE FAX EMAIL
�FIs
APPLICANT IE INC
31225 LA BAYA
WESTLAKE
CA
91362
(
FINANCIAL INFORMATION
Printed: Wednesday, April 13, 2016 7:48:51 AM 1 of 2
SYSTEMS
DESCRIPTION
~ ACCOUNT'
QTY:
AMOUNT,,
PAID'.
,PAID DATE
`.RECEIPT #:
CHECK #
:METHOD
PAID BY
CI TD s;
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$6.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00.
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$36.26
.$0.00
PACKAGED UNIT
HVAC CHANGEOUT -
101-0000-42600
0
$24.17
$0.00
PACKAGED UNIT PC
Total Paid for CHANGEOUT: $60.43 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• 0•
INSPECTIONS
PARENT PROJECTS -
Printed: Wednesday, April 13, 2016 7:48:51 AM 2 of 2
SYSTEMS.
Bin.#
Ow l�f � Qi1(nta
Btriiding Sr Safety Division
V� P•O. Box 1504,78-495. Calle Tampico
Ia.Quinta, CA 92253 -:(760) 777-7012
Building Pennit Application and Tracking Sheet
Permit # I,,
�'a..� 1 `� �
Project Address: 53133 Avenida Rubio
Owner's Name:. Arden .Ensmin er
A- P. Number:
Address: 53133 Avenida Rubio
Legal Description:
City, ST, Zip: La Quinta, CA. 92253
Contractor General Air Conditioning
Telephone:
Address: 31170 Reserve Drive
Project Description: Replace 2.5ton Package Unit
City, ST, zip: Thousand Palms, CA 92276
Telephone: 760-343-7488
WC''
%').� q.."yM. ECJ.
State Lic. # : 686310 City Lic. #.:
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone: .
State Lic. #:, w��y� r
Name of Contact Person: Steven Schnierer
Construction Type: . Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories: #Units:
Telephone # of Contact Person: 818-735=7876
Estimated Value of Project $11,689:00.
APPLICANT: DO NOT WRITE BELOW THIS LINE
# .
Submittal
Req'd'
Recd -.
TRACMG
PERMrr FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.'.
Mecharilcal
Grading plan
tad Review, ready for correctionsfissue
Electrical
,Subcontaetor List
Called ContactPerson
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
1j6 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
STATE OF CALIFORNIA
ALTERATIONS - HVAC
'i.);
CEC-CFI1R-ALT-04E (Revised 03/15) CALIFORNIA ENERGY COMMISSION '
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E
Alterations'- HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Paged of 1)
Site Address:
Enforcement Agency:
Date Prepared:
Permitil:
53133 Avenida Rubio
City Of La Ouinta
April 13, 2016
Equipment Type
Equipment Efficiency
New Ducting,' Plenums, Liheset:
Conditioned
Thermostat
Required R -value .
Floor Area (sq ft)
X Packaged
❑ Evaporator Coil
u
$� AFUE
COP
OR 6 '(CZ 1, 8-13) Ducting
Served by system
XSetback
System
Y
❑ Ctindensin Unit
g
14
❑ R-8' (CZ 11,.14, 15) Ducting
1 120 sgft
(If not already
❑ Split System
❑ Compressor
T SEER
HSPF.❑
R-6`(all CZ's) Plenums
present must
❑ Mini Split
❑ Linesetbe
EER
1.1R-5 or R7.5) Lineset'
installed)
❑ Furnace
❑ UV
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
form is allowed to be filled out by hand.. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site.
P(1. HVAC Changeout/Repair
Required Compliance Documents to_be left on site for Final:
All Equipment,'
CFIR-ALT-02-E
Condenser Unit, Evaporator Coil,
CF2R:.MECH-ol, MECH-20-HERS, MECH-(23 or 24)2-1HERS, MECH-25-HERS2
Compressor, TXV, Lineset,
CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS', MECH-25-HERSZ
Air Handler/Furnace2 (Can.include new ducting)
Installer Requirement: Duct Ieakage:(:S_15%, or < 10% to outside, or seal all accessible leaks), Air Flow 2 300 CFM/ton, Refrigerant Charge.
Exempted from duct leakage testing if: .
❑ 1. Duct system registered with HERS. provider as previously sealed, or ❑ 2. There is less than 40 ]!near feet of duct in unconditioned space, or -
❑ 3. Existing dud systems are constructed, insulated or sealed with asbestos (list manufacture date of'building
❑ 2. New HVAC System
Required Compliance Documents to be left on site for Final:
All new equipment and All New Duds'
CF1R-ALT-02-E "
including Mini Split
CF2R: MECH-01, MECH=20-HERS; MECH-22-HERS, MECH-(23 or 24)-HERSZ, MECH-2S-HERS'
CF3R`. MECH-20-HERS, MECH-22-HERS,MECH-(23 or 24} HERSI,,PECH-25-HERSZ
Mini Splits require CF1R-ALT-02-E, CF2R=MECH-01, and (CF2R-CF3R) MECH-25-HERS
Installer Requirement: Dud leakage :< 6%, Fan Efficacy (.58W/CFM), Air Flow'Z 350 CFM/ton (or alternative); Refrigerant Charge
113. All New Ducts with Replacement
Required Compliance. Documents'to be left on site for Final:
All New Ducts' and one or more of the following
CF1R-ALT-02-E
replaced: Condenser Unit, Evaporator Coil,
CF2R: MECH-01, MECH-20-HERS, MECW(23 or 24) -HERS, MECH-25-HERS
Compressor, TXV, Lineset, Furnace
CF3R: MECH-20-HERS,.MECH-(2.3.or 24) -HERS, MECH-25-HERS
Installer Requirement: Dud leakage.< 6%, Air Flow 2 350 CFM/ton (or alternative), Refrigerant Charge
Exempted from duct leakage testing if: ❑ 1. Existing dud systems are constructed, insulated or sealed with asbestos
❑ 4. New Ducting over 40 feet Required Compliance Documents to be left on site for Final:
New ducting but less than All New Duds' CFIR-ALT-02-E,CF211: MECH-20•11ERS, CF3R: MECH-20-HERS
Installer Required to: Duct leakage (:L15% or, L10% to outside or, or seal all accessible leaks).
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
' All new ducting R-8 required when more than 40 ft installed and R-6 when -less than 40 ft installed. This includes in walls, between floors etc.
2 Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25
' All New Ducts is when at least 75 percent of the dud system is new duct material, and up to 25 percent may consist of reused parts from the
dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material)
° R-5 (1" thick insulation) forlinesets 1" and less. R-7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction line Diameter
with insulation as the.following 1.5-2T-2%", 2.5-3T-2'/°", 3.5 to 4T-2%", 5T -4Y"
Contractor (Documentation Author's /Responsible Designer's Declaration'Staternent)
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 California Business and Professions Code to accept responsibility for the information on this document.
3. That the energy features and performance specifications for the design Identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. (CCR).
4. 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 CCR.
S. The building design features or system design features identified on this Certificate of Compliance are consistent with the information
provided on otherapplicable compliance documents; worksheets; calculations, plans and specifications submitted to the enforcement
agency for approval.with this building permit application.
Responsible Designer Name:'
Designer signature: -
Re�s
Date Signed:
License:
Steven SChnierer
�onsible
�.. JL ��
Aril 13 2016
686310
Company:
Address:
City/state/Zip:
Phone:
General Air Conditioning
31170 Reserve Drive
housand Palms, CA 92276
I 760-343-7488
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300