BRES2016-0330r
78-495 CALLE TAMPICO 4VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELO T D RT
�� INSPECTIONS (760) 777-7153
F
1LDy1V�E�M1[�J'"�`�� Date: 11/16/2016
Application Number: BRES2016-0330 NOV 1 6 2016 ner:
Property Address: 56228 PALMS DR Iv 1 ICHARD OSHINS
APN: 764020019 1936 GLENVIEW DR
Application Description: OSHINS RESIDENCE/HVAC & WATER HEATER CITY OF LA QUINTA LAS VEGAS, NV 92253
Property Zoning:
Application Valuation: $18,250.00 DESIGN AND DEV
ELOPP�ENT DEPARTMENT
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
- ; —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 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
Lender's Add
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: 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.
Dat—e� II-bll�r 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: Applicationis 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.
Application Number:
BRES2016-0330
Property Address:
56228 PALMS DR
APN:
764020019
Application Description:
OSHINS RESIDENCE / HVAC & WATER HEATER
Property Zoning:
Application Valuation:
$18,250.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Date: 11/16/2016
Owner:
RICHARD OSHINS
1936 GLENVIEW DR
LAS VEGAS, NV 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-7488
Llc. No.: 686310
---------------------------------------------------------------------------------------------
Detail: HVAC CHANGE OUT - 16 SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] WATER HEATER CHANGE OUT — 75 GALLON/GAS [2013 ENERGY] CARBON
MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES
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
AIR HANDLER
101-0000-42402
0
$38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
AIR HANDLER PC
101-0000-42600
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FURNACE
101-0000-42402
0
$38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FURNACE PC
101-0000-42600
0
$25.33
Total Paid for MECHANICAL: $114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
1 0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600
0
$7.60
Total Paid for PLUMBING FEES: $20.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$2.37
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $2.37
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin .#
Crty. �f La Qtirnta
Building 8r Safety Division
P.O. Box 1504,78-495 CalleTampico
La.Qulnu, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 56228 Palms Drive
Owner'sName:.Carol Oshins
A. P. Number.
Address: 1936 Glenview Drive
Legal Description:
City, ST, Zip: Las Vegas, NV 89134
Contractor. General Air Conditioning and'Plumbing
Telephone:. 702-808-8900
O
Address: 31170 Reserve Drive
Project Description: Replace 5 ton A/C, coil, & 90,000.BTU .
City, ST, Zip: Thousand Palms, CA 92276
furnace
Telephone: 760-343-7488?r''V�
Replace 75 gallon water heaterM. .
State Lic. # : 686310
City Lie'. 9.
ch., Engr., Designer.dress:
F
y, ST, Zip:
Telephone:>- .Y `�
State Lia #:N:.2. "
. ^ <tErw•i%�ti .:
Name of Contact Person: Steven Schmierer
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; $118,250.00.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACK NG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Ca1es•
Called Contact Person
Pian Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Pians resubmitted
Mechartical
Grading plan
V 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:-
'"' Review; ready for correctionsrissue
Developer Impact Fee
Planning Approval
Called Contact Person
AXP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS —WATER HEATER
CEC-CPiR-ALT-01-E (Revised 06/14)_ CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF111-ALT-01-E WATER HEATER
Prescriptive Residential Alterations for Water Heater (Page 1 of'2)
A. GENERAL'.INFORMATiON
Site address:BuildIng
Type: Single Family Dweiling
.S�v 2Z� �c.1rnS� VG o Multi Family Dwellings
City, Zip !rode:.
L, ti.. C31 v.i Cifmate tone:
G. WATER HEATING SYSTEMS Section, 150.2 b 1G
Ol
02
03.
04
05
06
07
08
09
10'
lI
iz
13
14
15
Water
;Water
Water'
#of
Water _
Fuel
Rated
Rated
Heating .
Heating
Standtiy,
Exterior
Back -lip
Central
Dwelling
Heating
Heating
Heater
Water
Heater
Type
Input
Input
Ffficiency
Efficiency
•Loss'(%)
Insul.- .
Solar
DHW System
UnItUHW
System
System
Type
Heaters
. Storage
Type
Value
Type
Value
R; Value
Savings
Distribution.
System
Identification
Type
In
Volume
Fraction,
Type
Distribution
or.
system •
(gal)
Type
Name
7S
Got-
17b,=
1 Va. -
.5�''
N A.
'NIA
I
WATER HEATING SYSTEMS'
Water heating compliance for an alteration Is described in Section 150.2(b)1G. For single dwelling'a.gds or propane '-water h'eater, with a storage tank of -60 gallonstiiaximum
br instantane44s (tankless) can be. used. Owe] 0ng. Unit distribution systems are,limited to Standard trunk and' brarich.or, demand recirculatlon'for gas or propane water•.
teater..Demand recirculation is not allowed for electric wafer heater. If there is no natural gas connected to the building, an electr]c water h.e'ater may bQveplaced with
another electric water heater. However, changfng'from gas to electric is not allowed. Multi -faintly central•systems must use certified i~gUipment;as delined.urider Section.' '
iff land' 11T3.
NOTE: If the proposed installation -does not meet the requirements allowed specifically for alterations, use form CF1R-NCB=01 to docui ment�the waterhea ter alteration,
Instructions for sections with.cofamn numbers are given below:
1. Water Heating System Identification or Name: enter a unique name for the Water Heating System.- .
2. Water heating system type: Dohestic Hot Water (DHW); Hydr_onic,. Combined Hydrbnic, or Central. DHW is for domestic hot water, hydron'Ic is a water heating
system used for space heating only; combined hydronic are when the water, heaterwlll,provide both space conditioning and domestic hot water.
3. Water heater type: For npn-central systems only Small Storage or Small Instantaneous are allowed. For central systems pick from Large Storage, Small. Storage,
Heat Pump, Boiler, Large Instantaneous, Small Instantaneous,or Indirect.
CERTIFICATE OF COMPLIANCE CFMALT-01-E WATER HEATER •
Prescriptive Residential Alterations for Water Heater ` (Page 2 of 2)�
4. 'Number of water heaters in system: In single-family and multl-family with water heaters in each dwelling unitsthe value Is 1. For multi -family centralsystems
serving multiple dwelling units enter the total number of water heaters.
5. Water heater volume (gal): tank capacity'in gallons. Por individual water heaters for a dwelling unit this will be 60 gallons or less, If Instantaneous, enter n/.a.. For
multi=family central systems enter the total storage volume;
6. Fuel Type: Gas, Propane, Electric (Only if natural gas is not available)
7. Rated Input Type: Enter the equipment input rating type, for gas or propane fired units are Btuh, for electric fired systeryi;the units are kW.
'8. Rated Input Value: Enter the numeric value of rated input.
9. -Heating Efficiency Type: Energy Factor, AFUE, or Thermal Efficiency. From product literature or a California Energy Commission directory.
10. Heating Efficiency -Value: Enterthe value from product literature or a California EnergyC'omigisslon directory
11, Standby Loss (percent): Applies only to large storage water heaters, Enter n/a for small storage or instantaneous water heaters:.
12:. Exterior Insulation R -Value: Enter the R -value if extericininsulation on the storage tank,ls installed
13. Back-up solar savings fraction: If compliance requires a back-up solar system, Indicate the solar contribution (e.g., 0.30). External calculations are.required..
-14. Central DHW Distribution System: For multi -family buildings with using a central distribution system a demand recirculation system'with at least two distribution
loops must be installed. This requirement applies to any building with eight or more units. Ifthe system is non -central or project is Individual units enter n/a.
15. Dwelfing UnRDHVU Distribution Type:. For a Central DHW this field shall be¢tandard. If. non -central then pick, from Standard, Demand Recirculation Manugl
Control, Demand Recirculation. -Sensor Control. If non -central electric water heater this must'be Standard, no recirculation system shall be installed.
DOCUMENTATION AUTHOR'S DECLARATIOIN STATEMENT
• I certify that. this Certificate of Compliance -documentation is accurate and complete. ..
Name: o0wner uthorlied agent oContractor
Signature:,. '
Jcwsv
Company;, (heir a o. ' ov.d�-> �ov�l pl.ew to ��n
CogtraOorlicense d: �g(o3'lb
Address: 3`i.70�Secve. _JT-
Phone: -760- � 3 A 2�
City/State/Zip:' --:.
Sor.d!1'a1�cvt�, CA X22 -7(d
Date: t? its�ilo o
For assistance Or questions regarding the Energy, Standards, contact the Energy Hotline at:. 1-.400'7
STATE OF CALIFORNIA
ALTERATIONS - HVAC
Ra,
CEC-CFIR-ALT-04-E Revised 03/15 CALIFORNIA ENERGY COMMISSION ��
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E
Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1)
Site Address:
Enforcement Agency:
Date Prepared:
Permit#:
56228 Palms Drive
City Of La Quinta
November 16, 201
Equipment Type
Equipment Efficiency
New Ducting, Plenums, Lineset:
Conditioned
Thermostat
Required R -value
Floor Area (sq ft)
❑ Packaged
XEvaporator Coil
80%AFUE
COP
❑ R-6 (CZ 2, 8-13) Ducting
Served by system
XSetback
System
XCondensing Unit
❑ R-8' (Q 11, 14, 15) Ducting
3,800 sqft
(if not already
Split System
❑ Compressor
16 SEER
HSPF
❑ R-6 (all CZ's) Plenums
present, must
❑ Mini Split
❑ LinesetFurnace
EER
❑ R-5 or R7.5) Lineset°
be installed)
❑ TXV
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
form is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site.
X1. HVAC Changeout/Repair
Required Compliance Documents to be left on site for Final:
All Equipment,
CFIR-ALT-02-E
Condenser Unit, Evaporator Coil,
CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)2 -HERS, MECH-25-HERS2
Compressor, TXV, Lineset,
CF3R: MECH-20-HERS, MECH-(23 or 24)-HERS2, MECH-2S-HERS2
Air Handler/Furnace' (Can include new ducting)
Installer Requirement: Duct leakage (< 1S%, or < 30% to outside, or seal all accessible leaks), Air Flow 2 300 CFM/ton, Refrigerant Charge.
Exempted from duct leakage testing if:
❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or
❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building
❑ 2. New HVAC System
Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts'
CF1R-ALT-02-E
including Mini Split
CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS2
CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2
Mini Splits require CFIR-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow z 350 CFM/ton (or alternative), Refrigerant Charge.
❑ 3. All New Ducts with Replacement
Required Compliance Documents to be left on site for Final:
All New DuctS3 and one or more of the following
CFIR-ALT-02-E
replaced: Condenser Unit, Evaporator Coil,
CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS
Compressor, TXV, Lineset, Furnace
CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge
Exempted from duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos
❑ 4. New Ducting over 40 feet
Required Compliance Documents to be left on site for Final:
New ducting but less than All New Ducts3
I CFIR-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS
Installer Required to: Duct leakage (:L15% or, < 10% to outside or, or seal all accessible leaks)
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
' All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls, between floors etc.
2 Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25
3 All New Ducts is when at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the
dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material)
R-5 (I" thick insulation) for linesets 1" and less. R-7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction line Diameter
with insulation as the following 1.5-2T-25/8", 2.5-3T-2%", 3.5 to 4T -2%e", 5T-4%"
Contractor (Documentation Author's /Responsible Designer'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 California Business and Professions Code to accept responsibility for the information on this document.
3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR).
4. 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 CCR.
5. 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
agency for approval with this building permit application.
Responsible Designer Name:
Responsible Designer Signature:
Date Signed:
License:
Steven Schnierer
November 16, 2016
686310
Company:
Address:
City/State/Zip:
. Phone:
General Air Conditioning
31170 Reserve Drive
Thousand Palms, CA 92276
760-343-7488
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300