BMCH2016-0263i�II�Cl/
44
r I �Lf�/ VOICE (760) 777-7125
78-495 CALLE TAMPICO C 0 D
' FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT- DEPARTMENT INSPECTIONS (760)777-7153
BUILDING PERMIT
Date: 7/20/2016
Application Number:
BMCH2O16-0263
Owner:
Property Address:
53945 AVENIDA RAMIREZ
HECTOR GUERRERO
APN:
774161023
'53945 AVENIDA RAMIREZ
Application Description:
GUERRERO RESIDENCE / HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
[r,�
Application Valuation:
$19,619.00
�O�c
JUL 2
U
Applicant:
QUINTA
Contractor:
IE INC
CITE OF LA
HARRISON ENTERPRISES INC DBA GENERAL AIR
31225 LA BAYA
COMML''IdITYDFVELOPMENTDEPAp1MEN1
31170:RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362
THOUSAND PALMS, CA 92276
(760)343-7488
Llc. No.: 686310
LICENSED CONTRACTOR'S DECLARATION
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.: 6886633100
ate: �IZ�IIV 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 exempttherefrom•and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for
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 contractors) 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 Name
Lender's
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, 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.
:ant:
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: �7 (� Sign (Applicant oar -.Agent): S
FINANCIAL INFORMATION'
DESCRIPTION ACCOUNTQTY
AMOUNT
PAID - =PAID DATE'
BSAS SB1473 FEE 101-0000-20306
0
$1.00
$0.00
PAID BY "_ METHOD ,
RECEIPT #-
CHECK .# . CLTD BY `F
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
° ` e. ACCOUNT,"
QTY.
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
''. PAID BY« ;
METHOD„
RECEIPT•#, .F
'kCHECK#.,
CLTD BY,
DESCRIPTION , w
-.ACCOUNT
QTY'AMOUNT
, '"s
:. ,' PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC.
101-0000-42600
0
$36.26
$0.00
•PAID. BY
r METHOD
RECEIPT #
. CHECK #
CLTD_BY
Total Paid for CHANGEOUT: $108.78 $0.00
x ',DESCRIPTION `
k`;. ACCOUNT,
QTY
AMOUNT
, PAID-�
PAIDDATE
APPLIANCE REPAIR/ALTERATION
101-0000-42402
0
$12.09
$0.00
., PAID BY
METHOD
RECEIPT #'
CHECK #
CLTD BY
DESCRIPTION:
ACCOUNT ,
QTY
AMOUNT' "'
PAID
PAID DATE'
APPLIANCE REPAIR/ALTERATION PC
101-0000-42600
0
$4.83
$0.00
PALD BY • 'r
,METHOD
,>{ 'RECEIPT #
CHECK #
CLTD BY.
Total Paid for MECHANICAL: $16.92 $0.00
DESCRIPTION
ACCOUNT -
QTY
AMOUNT
PAID-
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY '
METHOD, ''
RECEIPT # g
CHECK #
u CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: $218.55 00
Description: GUERRERO RESIDENCE VACCHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 7/20/2016 MFA
Approved: 7/20/2016.MFA
Parcel.No: 774161023 Site Address: 53945 AVENIDA RAMIREZ.LA QUINTA,CA 92253
Subdivision: SANTA CARM_ ELITA VALE LA QUINTA Block: 235 Lot: 11
Issued:
UNIT 22
Lot Sq Ft: 0. Building.Sq Ft: 0-, Zoning:
Finaled:
Valuation: $191-619.00 Occupancy Type: Construction Type:
Expired:
No: Buildings:.O No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT 14�SEER/80AFUE SPLIT SYSTEM AND 12 DUCTS.[2008 ENERGYJCARBON MONOXIDE AIARM(S) TO BE.
INSTALLED PRIOR TO FINAL INSPECTION. PER 2013:CALIFORNIA BUILDING CODES,_
a
.�
HARRISON. ENT INC 'DIBA
7HOySANP!-.-:
GtNERALAIR
PALMS
•HECTOR
GUERRERO.'
• ®®
(760)578-1136
RAMIREZ
'� i 5 r:+Y <.. W-.�A�.•a r,? ,'. '„5�,
M"ke
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RN
—mm
Am
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.R
LINF0RM4TIO
yft.�a3l
'•Yu'+ .. -•V�"!.�'Txv
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""�.'3$.W'`. - w.• .° .A...,`So-,.�,� +
IBM=
..
" ` ...
'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
APPLIANCE
101-0000-42402
0
$12.09
$0.00
REPAIR/ALTERATION
APPLIANCE
101-0000-42600
0
$4.83
$0.00
REPAIR/ALTERATION PC
Total Paid for MECHANICAL: $16.92 $0.00
PERMIT ISSUANCE
101-0000-42404
0
.$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• ��
INSPECTIONS
PARENT PROJECTS -
Printed: Wednesday, July 20, 2016 10:25:42 AM 2 of 2
CRW"YSTEMS
Bin.#
Ch''{/ 0� LQ: QMfid 1
(� Building.ff Safety Division
P.O. Box 1501,78-4.95 Calle Tampico
La..Quinta; CA 92253 -:(760) 777-7012
BUiidin Pen�nit A .. iication and Tracpn Sheet
g _ Pp g
Permit # I,, .
Project Address: 53945 Avenida Ramirez
Owner's'Natne:. Hector Guerrero
A P. Number.
Address: 53945 Avenida Ramirez
Legal Description:
City. ST,,Zip: La'Quinta, CA :92253
Contractor. General Air Conditioning
Telephone: 760-578-1136
p
. >..'�. IM
Address: 31170 Reserve Drive
Project Description:..Replace 3on Heat Pump, Air Handler &
City, ST, Zip: Thousand Palms, CA 92276.
12 Ducts
Telephone-'
P 760-343-7488
City Lie. #:
State Lic. # : 686310
Arch., Engr., Designer-
esignerAddress:
Address:
City., ST, Zip:
Telephone:
fH
State Lic_ #: %
r; .r
.Construction Type:.. Occupancy:
: Project type (circle one):' ° New Add'n Alter . Repair Demo
Name of Contact Person: Steven Schnierer
Sq. Ft,: # Stories:
# Units:
Telephone # of Contact Person: 818-73577876 '
—Estimated Value of Project: $19,619.00 .
APPLICANT:MO NOT WRITE BELOW THIS'UNE
to
Submittal
Req'd
'Rec'd .'
11tACMG
PERMIT FEES'
Plan Sets
an Check submitted
item Amount
Structural Calcs.
.Reviewed, ready for corrections.
Plan Chcck Deposit. .
Truss Calcs.
Called Coutact Person
Plan Check Balance
Title 24 Calcs.
Plans; picked up
Construction
Flood plain plan
Plans.resubmitted
Mechanical
Grading plan '
2°P Review, ready for-corrections/issue
Electrical' '
Subcoutactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked uli
S.N&
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review;: readyfow corrections/issue
Developer Impact Fee "
Planning Approval.
Called Contact Person
A&P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees '
Total Permit Fees
CERTIFICATE OF COMPLIANCE CFiR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: HECTOR GUERRERO Date Prepared: 2016-07-19
A. General Information
MR -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
HECTOR GUERRERO
02
Date Prepared
201&'07-19
03
Project Location
53945 Avenida Ramirez
04�
Building Type
Single family
05
CA City
La,Quinta
06
Dwellih&Unit Name.
HECTOR GUERRERO
Is the SC
Dwelling Unit Conditioned.
07
Zip Code -
92253
08
=
Floor Area (ft2)
1434
CFA served
system a
refngera t .a
Installing ewC
Number of space conditioning
Installing
09
Climate Zone
15 Y
30
(SC) system's in this dwelling
1
.
containing
z.. si
system
more than 40
entirely new
unit.
B. Space Conditioning, (SC) System Information -
01.
02
R 03
Od05
`.,
06
07
0
09
10
{" :..:
.
Is the SC
s 'Q
Installing a
SC System
SC System -
CFA served
system a
refngera t .a
Installing ewC
Instalh g' e
Installing
Installing
Identification or
Location or.Area.
by this SC
ducted
.
containing
z.. si
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
Locatio.n 1
1434
Yes .
Yes
Yes
Yes
No
No
Altered space
conditioning system.
C. Extension of Existing Duct System, Greater Than 40 Feet'(Section1S0.2(6)1Dii6)
This section does not apply to this project.
Registration Number: 216-A0265589A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-07-19 08:33:37 HERS Provider: CalCERTS
Report Version: 2013 Rev 1.007 Report Generated:2016-07-19 08:34:02
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFIR-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
Efficlency
_Thermostat
Replaced
New Duct
or.Nanie
Type
Components
Type
Value
System Type
Components.
Type
Value
Type
Duct.Length
R -Value
System 1
Central split
All new
heating
AFUE
80
Central split
All new
cooling
SEER
14
Setback
Greater. than
R-8
HP
HP
qO feet
components
components
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans'
-Duct insulation requirement for new plenums:.R6.
MR -MCH -20-H & MR -MCH -20-H — Duct Leakage testing [eguired when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced.
Leakage rate compliance: 515Y, or 510% leakage to outside or seal all accessible leaks.
CF2R=NICH-25 H & U311 -MCH -25-H Ref�ige�ant Charge Verification required when refrigerant containing components are installed or altered, (applicable in CZ 2, 8-15).
Cf2RCF3R-MCH-23 & CF39-MCH-23 Air:Flow t300CFM/ton required ,when°MCH-25 is-regiiired
Excebiions:
-Ductsystems registered with HERS provider as`previowly sealed are exempt from MCH -20 Duct Leakage Testing requirements. - -
g . �a
Heatin -only systems and Air Handler/Furnace cbahges do.not require verification of Air Flow MCH-23�or Refrigerant Charge MEGH 25.
.. - ..I, � .,fix' � t� - - {ya -.
Exiling duct systems constructed, insulated or sealed with asbesfoare exemptlfrom MCH-2ODuLeakage Testfgaregwrements.
-.. •' �'�' <r e_z, FaaVik
;�E;c� e. •. waw + _ .
E. Entirely New or Complete Replacement Duct*System, with or without Equipment Changeout (Sections 1150 2(b:)1Dn6and<150:2(b)1E, F)
This: section does not apply to this project.
F. Entirely New or Corn plete`Replace m6nt Space Conditioning.System (Section.150.2(b)1C) .
This section.does,not apply to this project:
Registration Number: 216-A0265589A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-07-19 08:33:37
Report Version: 2013 Rev 1.007
Schema Version: 0.5555DD
HERS Provider: CaICERTS
Report Generated: 2016-07-19 08:34:02
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 k accurate and complete.
Documentation Author Name:
Documentation Author Signature: �/ �
Jan
Jacoby, Ian
dacobJt.
Company:
Signature Date:
i PERMIT E RATERS
2016-07=19 08:33:3.7
Address:
CEA/ HERS CertificationIdentification (if applicable):
31225 La Bap Drive 4213
City/State/Zip:
Phone: -
.West Lake Village CA -91362
818-735-7876. .
Responsible Person's Declaration statement, .
I certify the following u1nder penalty of perjury, under the laws&the State of California: .
1. The information provided on,this Certificate of Compliance fs true and correct.
2. 1 ameligible under Division 3'of tK 86smess and Professions Code to,accept,responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer).
3. That Uie.eneFgy features and performance specifications mate aais co1. mponents, and manufactured devices for -the building designror.system design.identified on this Certificate cf Compliance conform to the
requirements of Title 34, Part 1 and P rt 6 of the. California Code of Regul to ions 0 °
—'e -'.
his of
4. The building,design features or system design features identified on Certificate Compziance are cons stennLwithe information provided on�other applicable compliance documents, worksheets,
calculations, plans and specificaLons submitted'to the a forcementp gency foray p ova WI ith this bwld�ing permit application y
a iw yam. . +,
S. i will ensure ttiat;a registered°copy, oftFiis Gertifcate of Compliance`shall tie)inade`a_vailable with:Ehe bulldmg:permit(s)'issued forthetbuildjng andhmade available to fhe;enforcement agency for all applicable
inspections. l understand that a registefed copy of this Geficate of Complanceis reg ir_ed fo,_be.�included w itch thud ocumenta ionthebuilder.provides tothe building owner at occupancy.
Responsible Designer Name: _
Jacoby Ian
Resporisible Des gner Signature: /�
cSran �acobL .
Company:'
Date Signed:
HARRISON, ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-07-i9'08:33:37
Addressi
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-A0265589A-000000000-0000 Registration Date/Time: 2016-07-19 08:33:37 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-19 08:34:02
Schema Version: 0.555SDD