BMCH2017-003178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE -(760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/21/2017
Application Number:
BMCH2O17-0031
Owner:
License Law for the following reason (Sec. 7031.5,.Business.and Professions Code`. Any
Property Address:
53801 AVENIDA RAMIREZ
PAMELAJOHNSON
any structure, prior to its issuance, also requires.the applicant for the:permit to file a
compensatidn lawsWlCalifornia; and agree that, if I should become subject to the
APN:
774161017
26701 CALLEIUA
comply with those provisions.
3 of the Business and Professions Codeyor that he or she' is exempt therefrom and the,
Application Description:
JOHNSON / A/C CHANGEOUT
CAPISTRANO BEAl
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora
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Property Zoning: Application Valuation:
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1-7 App t
permit subjects the applicant to a civil penalty of not more•than five hundred dollars
($500).:
$10,088.00
(_) I, as owner of the property, or my employees with wages as their sole
nQW_1�18
compensation, will do the work, and the structure isnot intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does:not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or. improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES. .
Applicant:
Contractor:IE
APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner-builderWill have the burden of proving that
INC
he or she did not build or improve for the purpose of salei).
HARRISOMENTER31225
(_) 1, as owner of the property, am exclusively contracting -with licensed contractors
1. Each person upon whose behalf this, application is made, each person at whose
LA BAYA
request and for whose benefitwork is performed under or pursuant to any permit
31170 RESERVE D
issued as a result of this application , the owner, and the applicant, each agrees to, and
WESTLAKE VILLAGE, CA 91362
THOUSAND PALM , CA S
2276
(_) I am exempt under Sec. B.&P.C. for this reason
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
r
Date: Z 23 ��. fC_ n` tract:
(760)343-7488
Lic. No.: 686310
�_
z
g
g
O
U
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of,perjur .one of the following declarations
AIR
I haveand 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 wworrkk forwhich this permit is issued.
C haveand 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: INSURANCE COMPANY OF THE WEST Policy Number: WSD5031658
I hereby affirm under penalty of perjury.that l am exempt from the Contractor's -State
License Law for the following reason (Sec. 7031.5,.Business.and Professions Code`. Any
I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter,'improye; demolish; or repair
shall hot employ any person in any manner so as to become subject to'the workers'
any structure, prior to its issuance, also requires.the applicant for the:permit to file a
compensatidn lawsWlCalifornia; and agree that, if I should become subject to the
signed statement that he or she is -licensed pursuant to the provisions of the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencin&with Section 7000) of Division
comply with those provisions.
3 of the Business and Professions Codeyor that he or she' is exempt therefrom and the,
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora
D a
Z1
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1-7 App t
permit subjects the applicant to a civil penalty of not more•than five hundred dollars
($500).:
WARNING:TAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(_) I, as owner of the property, or my employees with wages as their sole
ANDSHALL SUBJECT AMEMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure isnot intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does:not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or. improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES. .
himself or herself through his or her own employees,:provided that the'improvements
are not intended or offered for sale. If, however, thebuilding or improvement is sold
APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner-builderWill have the burden of proving that
IMPORTANT: Application is hereby made to:the Building Official for a permit subject to
he or she did not build or improve for the purpose of salei).
the conditions and restrictions set forth on this application.
(_) 1, as owner of the property, am exclusively contracting -with licensed contractors
1. Each person upon whose behalf this, application is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' •;
request and for whose benefitwork is performed under or pursuant to any permit
State License Law does_ not apply to an owner of property who builds or. improves
issued as a result of this application , the owner, and the applicant, each agrees to, and
thereon, and who contracts for the.projects with a*contractor(s) licensed pursuantto,^.
'shall defend, indemnify.and hold harmless the City of La Quinta, its officers, agents, and
the Contractors' State License Law.). -
employees for ahy.act or omission related to the work being performed under or
(_) I am exempt under Sec. B.&P.C. for this reason
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
Date: Owner:
work f6r-180 days will'subject permit to cancellation.
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
Lender's Add
I:certify that I have read this application and state that the above information is correct.
-1 agree to comply with all city and countyordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enterupon the
above-mentioned property for inspection purposes.
Application Number:
BMCH2017-0031 .
Property Address:
53801 AVENIDA RAMIREZ
APN:
774161017
Application Description:
JOHNSON /A/C CHANGEOUT
Property Zoning:
Application Valuation:
$10,088.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Date: 2/21/2017
Owner:
PAMELA JOHNSON
26701 CALLE JUANITA
CAPISTRANO BEACH, CA 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-7488
LIc. No.: 686310
--------------------=------------------------------------------------------------------------
Detail: REPLACE 4 TON HEAT PUMP & AIR HANDLER - (1)14SEER/80AFUE CENTRAL PACKAGED HP [2016 ENERGY] CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION. PER 2016 CALIFORNIA BUILDING CODES.
' Y ;Y -j. w':{ :..lr .Y, ! A .a',`. ry•Y i
£Y� i F,..
DESCRIPTION.:
'ACCOUNTS .
QTY
AMOUNT.
BSAS 561473 FEE
101;0000'20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
,. ,
`
ACCOUNT;:'
CITY
AMOUNT
HVACCHANGEOUT-REPAIR/ALTERATION
101=0000-42402 :_
0
$25.34
DESCRIPTION:, t
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - REPAIR/ALTERATION PC
101-0000-42600
0
$10.14
Total Paid for CHANGEOUT:
$35.48
DESCRIPTION-
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE:
$96.27
.'
DESCRIPTION
-ACCOUNT 4
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
".502-0000-43611
0
$5.00
' .'•
x z Total Paid for,TECHNOLOGY ENHANCEMENT FEE:
$5.00
ON
C.
.S
Bin. #
City of Ld .Quinta
Building 8i Safety AivisIon
`P D . Box f 504, 78-495 Ca11e. Tampico
La QuinM CA.92253 -:(760)--77T7012
Building Permit. don',and Tracking,SFleet
Permit #
6M G 14 a0l 7
Project Address: 53801 Avenida Ramirez
Owner,SName:,Pamela Johnson
A. P. Number.
Address:; 83801 Avenida Ramirez
Legal Description:
City, ST,'ZiP: La.Quihta, CA 92253.
Contractor: General Air Conditioning'71TeIephoner
760-7-5648 3$ • x :
Address: 31170 Reserve Drive
Project•Descr'iption:.:Replace 4 ton heat pump.&.air handler .
City, ST, zip: Thousand Palms, CA 92276
Telephone: 760-343-7488
�. �. --•
rM
My-
State Lic. # : 686310
City Lic, #.:
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone: v -Y'' `�
State Lia #: y
• .• ..•. -4��,`. .�
Name of contact Person: Steven Schnierer` r
Construction'Type: Occupancy:
•Project type (circle one): New Add'n Alter Repair Demo. .
Sq. Ft-:
#Stories:'
#Units:
Telephone # of Contact Person: 81'8-735-7876
Estimated Value.of Project: $10;088.00 .
APPLICANTc,Db.11tOT WRITE BEIpW THIS LWE:
#
Submittal
Req'd
Itec'd
T'RACMG
•PERMITFEES
Plan Sets
.'Plan Check submitted
Item Amount
Structural Coles.
Reviewed, read .tor. corrections
Plan Check Deposit.
Truss Catcs.
Called Contact Person
Plan Check Balance.
Titie24 Calcs.
flans picked':up•.
Construction '
Flood plain plan
-Plans resubmitted..
Meehariical
Grading plan
'
,2'' Review, ready for correefionstiissue..
`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:LP.P..
Pub. Wks. Appr
Date of permit issue
School Fees
TotaUPermit Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF=IR=ALT-HVAC) (Page 1 of 3 )
Project Name: PAMELA JOHNSON Date Prepared: 2017-02-17
A. General Information .
MR -ALT -02 is applicableto 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
PAMELAJOHNSON .
02
Date Prepared
2017-02-17
03..
Project Location
53801 AVENIDA RAMIREZ
04
,Building Type
Single family
05
CA City.
LA QUINTA
06
Dwelling Uriit..Name,
WHOLE HOUSE
SC System
SC System
CFA served
system a
Dwelling Unit Conditioned
Instaliing new SC
OT
Zip Code '•
92253'
t,
08
Floor Area.(ft2)
1695,
by.this 5C
ductedh1
contalnmg
1
Number of space conditioning
entirely new
09 .
Climate Zone
15
lilvdl
(SC) systems in this dwelling
unit.
1
B. Space Conditioning -(SG) System Information.
Ol
02
03 .
04 ..:
05
i 06
07 .
08
09.
10
Is the�S C
�I tall• _
mg a
1
SC System
SC System
CFA served
system a
refrigerant
Instaliing new SC
Installing
Installing
Installing
Identification or
Location or Area
by.this 5C
ductedh1
contalnmg
t "system
more than 46
entirely new
entirely new
Name
Served :
S.ystem (ft2)
system?
component? .
components?
feet of ducts?
duct system?
SC system.?
Alteration Type . .
SYSTEM 1
WHOLE HOUSE
1695
Yes
Yes
Yes
No
No
No.
Altered �psacconditioninystem
C. Extension of Existing Duct System, Greater Than. 40 Feet (Section150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 417-AO013747A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2017-02-17 11:49:06
Report Version: 2013 Rev 1.008.
HERS Provider: CHEERS
Report Generated: 2017-02-17 11:49:08
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -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
'orName
Type''..
-Components
Type ..
Value
System.Type
Components
Type
Value
Type
Duct. Length
R -Value
All new
All new
This field or
This field or
SYSTEM 1
Central
packaged HP
heating ..
AFUE
80.00
Central
packaged.HP
cooling
SEER
14.00
Setback
section is not
section is not
components
components
applicable
applicable
Reouired Documentation: �-
d.84
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans w,
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF3R-MCH-20-H- Duct.leakage testmgrequired when heating or cooling components are installed�in ducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: <_ 15%, or <_ 10% leakage.to outside, or seal all accessible leaks.'
CF2,R-MCH-25-H & CF3R-MCH725-H Refrigerant Charge Verification required when refrigerant containing componere installed or altered (applicable in CZ 2; 8-15).
CF2RCF3R-MCH-23 & CF.3R 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 Leak ge.,Testi g requirements.
-Heating-only systems and Air Handler/Furnace chariges;do not require verification of Air Flow.MCH-23 or Rk6rigerant Charge MECH-25.
-Existing duct systems constructed; insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
E. EntirelyNewor Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)lE, F)
` This s ctio des dt app y10 rA
th` slp o ect.
F: Ergirely New or Complete Replacement Space. Conditioning System.(Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 417-A0013747A-000000000-0000 Registration Date/Time: 2017-02-17 11:49:06
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008
HERS Provider: CHEERS
Report Generated: 2017-02-17 11:49:08
CERTIFICATE OF COMPLIANCE CF1111-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:
Patrick Somers
Patrick,Soyne k
Company:
Signature Date:
General`Air Conditioning
2017-02-17
Address:
CEA/ HERS Certification Identification (if applicable):
31.170 Reserve Drive
City/State/Zip:
'ph
Thousand Palms CA' 922,76 On
.760 3.43-7488
Responsible Person's Declaration statement
-
I certify the following under penalty of perjuryunder the laws of the State of.California:t �a
1: The information provided on this Certificate of Compliance is true and correct. x
2. l am eligible"under Division 3 ofthe Business and Professions Code to accept responsibility'fo -the"build ng design or system design identified on this Certificate of Compliance (responsible designer).
3. Thai.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, PSrt 1 and Part 6 of the California• Code of Regulations. .
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,
calculations,,plans and specifications submitted to the enforcement agencyffor_ap _royal with this building permit application.
5. 1 will: ensure that a registered copy of this Certificate of:Compliance shall be,m�ayyd''e available with the building permits) issued for the building, and made available to the enforcement agency, for all applicable
i l wi— 'k's3. � �
4.,r, 3 ewe * {:°ii , Z w i v'k-�
inspections. I understand that a registered copy of this Certificate of Compliance is`re}quired-to be"included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
�:1'r 3�'s "tecl arvlo
Responsible. Designer Signature:
=: NN1,Th,tegen
Patrick Somers
arcckrsov�
Company:
Date Signed:
General Air Conditioning .
2017-02-17.
Address:
License:
31170 Reserve Drive
686310
City/State/Zip:
Phone:
Thousand Palms CA 92276
760-343-7488
Registration Number: 417-A0013747A-000000000-0000
CA Building. Energy Efficiency Standards - 2013 Residential Compliance
Digitally signed by CHEERS'". This digital. signature is provided in order
to secure the content of this registered document, and in no way implies
Registration Provider responsibility for the accuracy of, the information.
Registration Date/Time: 2017-02-17 11:49:06 HERS Provider: CHEERS
Report Version: 2013 Rev 1.008 Report Generated: 2017-02-17 11:49:08