BMCH2016-026678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
' k'. T4ht 4 4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:. BMCH2O16-0266
Property Address: 78898 BRECKENRIDGE DR
APN: 770110020
Application Description: WILLIE RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation: $11,234.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
D
2016
t;l I Y UI• IA QUINTA
COMMU14ITY DEVELOPMENT DEPARTMENT
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
Oate: _ 77 1 o o0tractor. �
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 N
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS. (760) 777-7153
Date: 7/20/2016
Owner:
MARC WILLIE
78898 BRECKENRIDGE 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 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.
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.
�
�_ Sig�"'n turea(Applicant or -Agent): ��
FINANCIAL • + •
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
TOTALS:00
Description: WILLIE RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED Applied: 7/20/2016 MFA
Parcel No: 770110020 Site Address: 78898 BRECKENRIDGE DR LA QUINTA,CA 92253 Approved: 7/20/2016 MFA
Subdivision: TR 25389-4 Block: Lot: 15 Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $11,234.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 14 SEER/80AF IE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES.
Applied to Approved
ADDITIONAL
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME • ADDRESSI
CITY
STATE 21P PHONE
FAX
EMAIL
APPLICANT
IE INC 31225 LA BAYA
WESTLAKE
CA 91362 (760)220-0782
VILLAGE
CONTRACTOR
HARRISON ENTERPRISES INC DBA 31170 RESERVE DRIVE
THOUSAND
CA 92276 (760)220-0782
FRAN CISCO@CALLTH E
GENERAL AIR
PALMS
GENERAL.COM
OWNER
MARC WILLIE 78898 BRECKENRIDGE
LA QUINTA
CA 92253 (760)220-0782
DR
Printed: Wednesday, July 20, 2016 10:56:51 AM 1 of 2 a' sYSTEMs
INSPECTIONS
PARENT PROJECTS
ATTACHMENTS
Printed: Wednesday, July 20, 2016 10:56:51 AM 2 of 2'>
SYS7fM5
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
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
0
$91.85.
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• i•
INSPECTIONS
PARENT PROJECTS
ATTACHMENTS
Printed: Wednesday, July 20, 2016 10:56:51 AM 2 of 2'>
SYS7fM5
Bin. #
CI�/ 0I.C1 Qi1lri ta
Building U Safety Division
P.O. Box 1504,78-495 Calle Tampico
L..Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 78898 Breckenridge Drive
Owner's Name:. Marc Willie
A. P. Number.
Address: 78898 Breckenridge Drive
Legal Description:
Contractor General Air Conditioning
City, ST, Zip. La Quinta, CA .92253
Telephone: .3
Address: 31170 Reserve Drive
Project Description: Replace Ston A/C, Coil, & 90,000 BTU
City, ST, Zip: Thousand Palms, CA 92276.'
Furnace
Telephone 760-343-7488
;le.✓i
City Lie'. V,:
State Lic.'# : 686310
Arch., Engr., Designer. .
Address:
City., ST, Zip:
Telephone:
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: #Stories: #Units:
State Lie. #:•' .- � � . �.�'.
Name of Contact Person: Steven Schnierer
Telephone # of Contact Person: 818-735-7876
Estimated Value of project $11,234.00 .
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Reed
TRACKNG
PERMIPFEES'
Plan Sets
Plan Check submitted
Item Amouat
Structural Calcs.
Reviewed, ready for corrections
Plan Cheek Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correctionsfissue '
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review; ready for correctionsrasue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees '
Total Permit pees
CERTIFICATE OF COMPLIANCE
. Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
MARC WILLIE I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2016-07-19
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
MARC WILLIE
02
Date Prepared
2016-07-19
03
Project Location
78898 Breckenridge Drive
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
MARC WILLIE
07
Zip Code
92253
08
Dwelling Unit Conditioned
2002
Floor Area (ft2)
SC System
SC System
CFA served
,,system a
re igerant #
Number of space conditioning
i�lnstalling
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
Ii �" ntttir
+ kez�
�i
O3
02
03
041
05
',.Its
06
I� I�
I1 07
11 08 1]
09
30
��
.._
.,
•
�'�,,
-3 11s the SC"'"'
' 'l6—stalling a
SC System
SC System
CFA served
,,system a
re igerant #
kInstaIIing new SC
i�lnstalling
I stalli g
Installing
Identification or
Location or Area
by this SC
`ducted
containing
«. system *
more than 40
enn ely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
2002
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-A0265602A-000000000-0000 Registration Date/Time: 2016-07-19 08:36:34 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-19 08:37:12
Schema Version: 0.555SDD
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
80
AC
cooling
SEER
14
Setback
section is not
section is not
components
components
applicable
applicable
Reouired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF213-1VICH-20-H & CF311-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 510% leakage to outside, or seal all accessible leaks.
'
CF211-1VICH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF21RCF311-1VICH-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 Leakageiesting requirements.
-Heating-only systems and Air Handler/Furnace changes do not require verificatlon ofAir Flow MCH-'23;"or Refrigera-nfCharge MECH`-2+i"
-Existing duct systems constructed, insulated or sealed with asbestos are exempt;from MCH 20 butt Leakage Testing requirements.
1.1.._ if I 11 11 .. fill I[ %\,
E. Entirely New or Complete Replacement Duct System, with or without,Equipment Changeout (Sections 150.2(b)1Diia,and. 5 .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)iC)
This section does not apply to this project.
Registration Number: 216-A0265602A-000000000-0000 Registration Date/Time: 2016-07-19 08:36:34.
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2016-07-19 08:37:12
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: �/ �
Jan
Jacoby, Ian
dacobJr
Company:
Signature Date:
i PERMIT E RATERS
2016-07-19 08:36:34
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 buildingdesign 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 ofrRe Dlaliun ( ,, f*
q
4. The building design features or system design features identified ori this Certificate of Compliance are consistent with the informatfon.provided onother: pa pIIcable o compliance documents, worksheets,
calculations, plans and specifications submitted to the eniorcement agency for'approvahwith this building permit application.`
via„ z bti 1r if,e k� a� sE rr
S. I will ensure that a registered copy of this Certificate of Compliance shall.be. made;available with the building peimit(s)-issued for.the.building, and made available,to the 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 the�b6ilder provides to the building owner at occupancy.
-
Responsible Designer Name: �`, >�.«- «.�
Responsible De'sign'er Signature: V I�/
Jacoby, Ian
c.Qan �acobJr
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-07-19 08:36:34
Address:
License:
31-170 RESERVE DRIVE STE A
686310 ,
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-343-7488
Digitally signed by Ca10ERTS. 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-A0265602A-000000000-0000 Registration Date/Time: 2016-07-19 08:36:34 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-19 08:37:12
Schema Version: 0.555SDD