BMCH2016-029178-495 CALLCTAMPICO
LA Q'UINTA, CALIFORNIA 92253
T41,�p 4 IFQu&rw
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O16-0291
Property Address:
44095 CAMINO LAVANDA
APN:
604180053
Application Description:
SAIEGEL RESIDENCE / HVAC REPAIR
Property Zoning:
Application Valuation:
$4,350.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
AUG 0 3 2016
CITY OF LA QUINTAL
COMMUNIT11 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 Li/cense. No.: 686310
Gate` g �k 1 t Contractor ua
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 Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/4/2016
wner:
EALE SIEGEL
1095 CAMINO LAVANDA
k QUINTA, CA 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-7488
L•Ic. 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: 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: lio 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: Signature (Applicant or Agent): Scn..�ry-
Date: 8/4/2016
Application Number: BMCH2016-0291 Owner:
Property Address: 44095 CAMINO LAVANDA NEALE SIEGEL
APN: 604180053 44095 CAMINO LAVANDA
Application Description: SAIEGEL RESIDENCE / HVAC REPAIR LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $4,350.00
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: REPLACE (10) HVAC DUCTS (2008 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2013 CALIFORNIA
BUILDING CODES.
1ILI IQ •kylyll0
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
.101-0000-20306
0
$1.00
Total Paid.for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42402
0
$12.09
DESCRIPTION.
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - REPAIR/ALTERATION PC
101-0000-42600
0
$4.83
Total Paid for CHANGEOUT: $16.92
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$91.85
Total Paid for PERMIT ISSUANCE: $91.85
wm mJAI
Description: SAIEGEL RESIDENCE / HVAC REPAIR
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 8/4/2016 MFA
Approved: 8/4/2016 MFA
Parcel No: 604180053 Site Address: 44095 CAMINO LAVANDA LA QUINTA,CA 92253
Subdivision: TR 25290 Block: Lot: 4
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $4,350.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: REPLACE (10) HVAC DUCTS [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2013
CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
CHRONOLOGY
FINANCIAL INFORMATION
Printed:.Thursday, August 04, 2016 12:25:08 PM 1 of 2 N - srsTEMS
INSPECTIONS
BOND INFORMATION
ATTACHMENTS
Printed: Thursday, August 04, 2016 12:25:08 PM 2 of 2 C
SY57: M 5
'#
•CLTD
DESCRIPTION
ACCOUNT
CITY
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
$12.09
$0.00
REPAIR/ALTERATION
HVAC CHANGEOUT -
101-0000-42600
0
$4.83
$0.00
REPAIR/ALTERATION PC
Total Paid for CHANGEOUT: .$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
BOND INFORMATION
ATTACHMENTS
Printed: Thursday, August 04, 2016 12:25:08 PM 2 of 2 C
SY57: M 5
Bin.#
Crtiy �� Quinta
Building 8z Safety Division
P.O. Box I504,78-495 Calle Tampico
fa.Quinta, CA 92253 - (760) 777-7012
Building Permit Ap'Plication and Tracking Sheet
Permit .#
Project Address: 44095 Camino Lavarida
Owner's Name:. Neale Siegel
A. P. Number.
Address: 44095 Camino Lavanda
Legal Description:
City, ST, Zip: La Quinta, CA' 92253
Contractor. General Air Conditioning
Telephone:
Address: 31170 Reserve Drive
Project Description: Replace 10 Ducts
City, ST, Zip: Thousand Palms, CA 92276
Telephone: 760-343-7488 _ �>' V
State Lic. # : 686310 City Lie'. #,
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone: Y. ��
State Lia #:
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: $4,350.00 .
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
item Amount
Structural Cale&
Reviewed, ready for corrections
Plan Check Deposit. ..
Truss Cates.
Called Contact Person
Plan Check Balance
Titre 24 Cates.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
V Review, ready for correctioustinue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE.-
'^' Review, ready for correctionslissue
Developer Impact Fee
Planning Approval-
Called Contact Person
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name: NEALE SIEGEL Date Prepared: 2016-08-03
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
NEALE SIEGEL
02
Date Prepared
2016-08-03
03
Project Location
44095 CAMINO LAVANDA
04
Building Type
Single family
05
CA City
LA QUINTA
06
Dwelling Unit Name '
HOUSE
-07
Zip Code
92253
» 013
Dwelling Unit Conditioned
2728
Installing
Installing
Installing
Floor Area ft2
Location or Area
by this SC
ducte&nn
13tc6ntaining`Y
:e W systemtcgrith
Number of space conditioning
entirely new
09
Climate Zone
15
.?10a
(SC) systems in this dwelling
1
component?
components?
feet of ducts?
duct system?
unit.
Alteration Type
B. Space Conditioning (SC) System Information
01
02
— 03
04
fl 05
! 96-
07
08
09
10
Is the SCS
I'Installing a.
"
'
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ducte&nn
13tc6ntaining`Y
:e W systemtcgrith
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
WHOLE HOUSE
2728
"Yes
No
No
Yes
No
No
Extension of existing
duct system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib)
01
02
-
System Identification or
Name
New Duct R -Value
SYSTEM 1
R-8
Reauired Documentation:
Registration Number: 416-A0002327A-000000000-0000 Registration Date/Time: 2016-08-03 20:11:59 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-03 20:12:06
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 2 of 3 )
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R & CF311-MCH-20-H — Duct Leakage Verification
- Leakage rate compliance: 515%, or 510% leakage to outside, or seal all accessible leaks
Exceptions:
Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 duct leakage testing requirements
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)iC)
N- _11r ;
This section does not apply to this project.
C E 'R,
Unrnatched cervi vi"tth Integrity
Registration Number: 416-A0002327A-000000000-0000 Registration Date/Time: 2016-08-03 20:11:59 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2013 Residential Compliance, Report Version: 2013 Rev 1.007 Report Generated: 2016-08-03 20:12:06
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:
Patrick Somers -
Pab-Cc k�SCMU-S' .
Company:
Signature Date:
General Air Conditioning
2016-08-03
Address:
CEA/ HERS Certification Identification (if applicable):
31:170 Reserve Drive
City/State/Zip:
Phone:
Thousand Palms CA 92276 �i'4`
760-=343-7488
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. f�
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
requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
4. The building desigh 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 agency for approval with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be macld availal le with the building permit(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 C pliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
ltirttc�r~he€9'tus''
Responsible Designer Signature:
. ,Om�,�,�
Patrick Somers
attiGkrYS
Company:
Date Signed:
General Air Conditioning
2016-08-03
Address:
License:
31170 Reserve Drive
686310
City/State/Zip:
Phone:
Thousand Palms CA 92276
760-343-7488
Digitally signed by CHEERST". 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 Number: 416-A0002327A-000000000-0000 Registration Date/Time: 2016-08-03 20:11:59 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-03 20:12:06
Schema Version: 0.555SDD