BMCH2016-0275r
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN &
iUILDt 'G PEWIT'S
CIT! 0� ul; 01J;W?
Application Number: BMCH2O16-0275
Property Address: 44725 CALLE PLACIDO
APN: 604381026
Application Description: BAUTISTA RESIDENCE / HVAC
Property Zoning:
Application Valuation: $4,015.00
Applicant:
IE INC
31225 LA BAYA
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.: 686310
Date: -7 Zg IL, Contractor: S _
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 Na
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7.153
Date: 7/28/2016
Owner:
ALEJANDRO BAUTISTA
44725 CALLE PLACIDO
LA QUINTA, CA 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170'RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-7488
LIc. 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.
C±-- 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: INSURANCE COMPANY OF THE WEST Policy Number: WSD5031658
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.
Date: 2' - 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: -7IK, Signature (Applicant or Agent):
_ Date: 7/28/2016
Application Number: BMCH2O16-0275 Owner:
Property Address: 44725 CALLE PLACIDO ALEJANDRO BAUTISTA
APN: 604381026 44725 CALLE PLACIDO
Application Description: BAUTISTA RESIDENCE / HVAC LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $4,015.00
Applicant: Contractor: .
IE INC HARRISON ENTERPRISES INC DBA GENERAL AIR
31225 LA BAYA 31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, CA 92276
(760)343-7488
Llc. No.: 686310
---------------------------------------------------------------------------------------------
Detail: COIL REPLACEMENT ONLY - 14 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY,] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. PER 2013 CALIFORNIA BUILDING CODES. f
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS S131473. FEE 101-0000-20306
0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
APPLIANCE REPAIR/ALTERATION
101-0000-42402
0
$12.09
DESCRIPTION•
ACCOUNT.
CITY
AMOUNT
APPLIANCE REPAIR/ALTERATION PC
101-0000-42600
0
$4.83
Total Paid for MECHANICAL: $16.92
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$91.85
Total Paid for PERMIT ISSUANCE: $91.85
Description: BAUTISTA RESIDENCE / HVAC
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 7/28/2016 MFA
Approved: 7/28/2016 MFA
Parcel No: 604381026 Site Address: 44725 CALLE PLACIDO LA QUINTA,CA 92253
Subdivision: TR 25953 Block: Lot: 34
Issued:
Lot Sq Ft: 0 Building Sci Ft: 0 Zoning:
Finaled:
Valuation: $4,015.00 Occupancy Type: Construction Type:
Expired:.
No. Buildings: 0 No. Stories: 0 No. Unites: 0
STATE
Details: COIL REPLACEMENT ONLY - 14 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
CONTACTS
-
NAME TYPE° NAME' "r
+
;; ADDRESSl 4-
CITY.•
STATE
R"
ZIP,
tea. �,,•. ,,.
PHONE FAX EMAIL°
, .
,
APPLICANTIE INC
31225 LA BAYA
WESTLAKE
CA
91362
(760)360-1352
VILLAGE
CONTRACTOR HARRISON ENTERPRISES INC DBA
31170 RESERVE DRIVE
THOUSAND
CA
92276.
(760)360-1352
FRANCISCO@CALLTHE
GENERAL AIR
I
PALMS
GENERAL.COM
OWNER ALEJANDRO BAUTISTA
44725 CALLE PLACIDO
I LA QUINTA
CA
92253
(760)360-1352
Printed: Thursday, July 28, 2016 8:31:03 AM 1 of 2
SYSTEMS
�'i Pr Permit Details PERMIT NUMBER.' q
3 .City of La•Quinta, ` BMCH2016 X0275
DESCRIPTION
ACCOUNT
CITY
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:
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:0• 00
INSPECTIONS
"' PARENT PROJECTS
Printed: Thursday, July 28, 2016 8:31:03 AM 2 of 2
SYSTEMS
Bin. #
CIty, Of La Quinta
Building 8i Safety Divuion
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet.
Permit #
Project Address: 44725 Calle Placido
Owner's Name:. Alejandro Bautista
A. P. Number.
Address: 44725 Calle Placido
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor. General Air.Conditioning & Plumbing
Telephone: 760-360-1352 , ,.;"; ;g=tea. .v
Address: 31170 Reserve Drive
ProjectDescripton; Replace 5ton Coil
City, ST, Zip: Thousand Palms, CA 92276
Telephone: 760-343-7488
��^V
,. ,
State Lic. # : 686310
City Lie. fR:
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone: P . � •� ,
State Lia #: ' `
. Y
Name of Contact Person: Steven SchniererSq.
Construction Type: Occupancy: .
Project Alter Repair Demo
Ft.:
#Stories: # Units:
Telephone # of Contact Person: 818-73577876
Estimated Value of Project: $4,015.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
0
Submittal
Req'd
Recd
TRACMG
PERMIT' FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cales.
Called Contact Person
Pian Check Balance
Title 24. Calci.
Plans picked up
Construction
Flood plata plan
Plans resubmitted.'.
Mechanical
Grading plan
r Review, ready for correctionstiissue
Electrical
Subcoutactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'"' 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
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
ALEJANDRO BAUTISTA I Date Prepared:
CF1R-ALT 02=E
(Page 1 of 3 )
2016-07-26
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 CF1R-ALT-02 document for each dwelling unit.
O3
Project Name
ALEJANDRO BAUTISTA
02
Date Prepared
2016-07-26
03
Project Location
44725 Calle Placido
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
ALEJANDRO BAUTISTA
07
Zip Code
92253
08
Dwelling Unit Conditioned
2292
Floor Area (ft2)
SC System
SC System
CFA served
„FIs
'N;�ystem a
refngekant
Number of space conditioning
Install g
09
Climate Zone
15
10
(SC) systems in this dwelling
1`
ducted
containing
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) System Information E_
b r*
01
02
03
04+�
1
11 . 07 ))
08 1
09
10
f k05
i d06
.11
. .:_,
the SC�`"'"
Y 4. /"`x .'.1 `3-,
Installing a
SC System
SC System
CFA served
„FIs
'N;�ystem a
refngekant
Installing -new Sc
Install g
Instal1in g
Installing
Identification or
Location or Area
by this SC
ducted
containing
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
2292
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 216-A0279626A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-07-26 22:53:58 HERS Provider: CaICERTS
Report Version: 2013 Rev 1.007 Report Generated: 2016-07-26 22:54:43
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-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
No heating
This field or
This field or
Central split
Less than or
System 1
furnace
component
section is not
section is not
AC
Fancoil AHU
SEER
14
Setback
equal to 40
R-8
altered
applicable
applicable
feet
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%, or15 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 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 Leakage�Testing requirements.,�
verification W23, Refrigerant
-Heating-only systems and Air Handler/Furnace changes do not require of Air Flow MCor Charge MECH
duct insulated MCH'"20 Duct`Leakage Testing
-Existing systems constructed, or sealed with asbestos -are exemptfrom requirements.
00% N.4k "S'N" s f d t f-[ q . .. 1't _ .. R" AA 14 JJ i t 4.1 I 't c, .
''x'041, ,`�-'�.-.-.. `+�r,t t.r •--.�..r: +�� �.r �..t *t .,..,,...,.." Pf 9ss asmms ,�,�' ..
E. Entirely New or Complete Replacement Duct System, with or without.Equipment Changeout (Sections I50.2(b)1Diia and 150.2(b)1E, 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-A0279626A-000000000-0000 Registration Date/Time: 2016-07-26 22:53:58 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-26 22:54:43
Schema Version: 0.555SDD
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 is accurate and complete.
Documentation Author Name:
Documentation Author Signature: n
Jan
Jacoby, Ian
dacoC
Company:
Signature Date:
i PERMIT E RATERS
2016-07-26 22:53:58
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
14
requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. g
4. The building design features or system design features identified on this Certificate of Compliance are}consistent.wrth the information provided on other:appllcable compliance documents, worksheets,
calculations, plans and specifications submittedao the enforcement agency for"approval;with this building permit application. If
.. ,o 'F, 4? 8 a , 4A, Al #.4 �4 t C F � d
S. I will ensure that a registered copy of this Certificate of Compliance shall be.made'available with'ttie buildirtg permits) issued for, 1he building, and,made avafiable to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is required to bewincluded with the documentation_the,builder provides to the building owner at occupancy.
Responsible Designer Name: 11
Responsible De's lgner Signature: V ��-5--0 L..if 9
Jacoby, Ian
vran �acobJr
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-07-26 22:53:58
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-A0279626A-000000000-0000 Registration Date/Time: 2016-07-26 22:53:58 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-26 22:54:43
Schema Version: 0.555SDD