BMCH2015-036778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tihr 4.fPQu&rcu
COMMUNITY DEVELOP
BUILDING P
Application Number:
BMCH2O15-0367
Property Address:
49125 SERENATA CT
APN:
646300016
Application Description:
YECK RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$13,498.00
Applicant:
IE INC.
32115 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- C2\0 C36 License No.: 686310
Date Z , l� Contractor:V o
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).:
( ) 1, 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.).
(1 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: .9/24/2015
'ECK
ENATA CT
�, CA 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)601-3500
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.
_ 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 polity 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
complyOv ith th a provisions.
CA'
D� ate': l A�tll
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UN WFUL,
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-ment^ion d property for inspection purposes.
Date: d� i� Signature (Applicant or Agent):
FINANCIAL • •
DESCRIPTION`. ACCOUNT a '; �Qw. . AMOUNT; .. R> „,. + PAID Dt iPAI f DATE
.
BSAS SB1473 FEE 101-0000-20306 0 $1.00' $0.00
r
s
METHODS",: RECEIPT #:� CHECK # �' CLTDBY-
i
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTIONS #'�
QTY
`"t AMOUNT.`Pi41D"
w
PAID DATE
�' ;tr':`fACCOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BY,";' '�
METHOD '.
RECEIPT #a ti r
CHECK #
CLTD BY'»,
,�"
, ^��
x
REDESCRIPTION ' `f�
ACCOUNT '`;
' qTY h
3y zi4MOUNTr
iPAID DATE
x5 6 a
,
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600'
0
$_36.26
$0.00
'
PAID BY ¢
'-METHO
RECEIPT #
CHECK #
CLTD BY,
0,
Total Paid for CHANGEOUT: $108.78 $0.00
DESCRIPTION,,; ` ' <'
ACCOUNT,y '
QTY
y AMOUNT;
PAID ' °µ
PAID'DATE�
fr
PERMIT ISSUANCE
101-0000-42404
0
• $91.85
$0.00
PAID BY* ;h ,t
METHOD X
RECEIPT #
r
CHECK # '
BY, "
t, N wok
x":
, r
nCLTD
Total Paid for PERMIT ISSUANCE: $91.85 " $0.00
TOTALS:••
Y
5
Y
Description: YECK RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: UNDER REVIEW _ Applied: 9/24/2015 MFA
Parcel No: 646300016 Site Address: 49125 SERENATA CT LA QUINTA,CA 92253 Approved: 9/24/2015 MFA
Subdivision: TR 21555-1 Block: Lot: 16 . Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $13,498.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No.. Unites: 0
Details: HVAC CHANGE OUT - 20 SEER/90AFUE SPLIT SYSTEM [2008 ENERGY].CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
FINANCIAL INFORMATION
Printed: Thursday, September 24, 2015 1:28:33 PM 1 of 2 CB?
SYSTEMS
x_
..
. _
CLTD '
DESCRIPTION,,
vk XA00OUNT
CITY `
"-AMOUNTu
' PAIDPAIDDATE;,RECEIPT�#
h. CHECK#-_
"METHODS
�Y.•PAIDBY;_��s
-
s
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
` $1.00 $0.00
BSA:
HVACCHANGEOUT-
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
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:
Printed: Thursday, September 24, 2015 1:28:33 PM 2 of 2
sysrrnns.
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name:
MICHAEL & DONNA YECK I Date Prepared:
A. General Information
MR -ALT --02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one CF11R-ALT-02 document for each dwelling unit.
01
Project Name
MICHAEL & DONNA YECK
02
Date Prepared
2015-09-23
03
Project Location
49125 SERENATA COURT
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
MICHAEL & DONNA YECK,
SCS stem
Y
SCS stem
Y
CFA served
Dwelling Unit Conditioned
r rf i Brant f'
g
07
Zip Code
92253
08
Floor Area (ft2)
1900
Location or Area
by this SC
�Y
ducted
�, a
containing
Number of space conditioning
more than 40
09
Climate Zone
15
10
(SC) systems in this dwelling
1
system?
component?
? r.
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System Information--',-
03
02
03..E
04$�
1;5;05 P>:06
07)1
1 08
09
10
...
�:'Is the S -mop .
C
r Inw sta.11ina'�
g
:
SCS stem
Y
SCS stem
Y
CFA served
'`� s stem a `<
r rf i Brant f'
g
Installin new SC
Installin
w g
Insiallii
Installing
g
Identification or
Location or Area
by this SC
�Y
ducted
�, a
containing
�g .
system
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
I Alteration Type
System 1
Location 1
1900
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: 215-A6335237A-000000000-0000 Registration Date/Time: 2015-09-23 11:11:21
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006
Schema Version: 0.5555DD
HERS Provider: CalCERTS
Report Generated: 2015-09-23 11:08:34
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
0.8
AC
cooling
SEER
20
Setback
section is not
section is not
components
components
applicable
applicable
Reauired Documentation:
CF2R-MCH-03-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: 5 15%, or 510% 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 C2 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2'300 CFM/ton required when MCH -25 is required.
Exceptions: - w
-Duct systems registered with HERS provider as previously sealed are exempt froin MCH -20 Duct Leakage Testing requirements.
-Heating-only systems and Air Handler/Furnace changes do not venficattion of Air Flow MCH 23=or Refrigerant Charge MEGH 25.
-require
-Existing duct systems constructed, insulated or sealed with asbestos are exemptifrom MCH=�O,OuW'Leakage Testing requirements.
{
a"►¢ i t �` ._ ._.I E Jt. A 1+_. -. _ A .._... A F. NK 1-f .AA A i
E. Entirely New or Complete Replacement Duct:System, with or without Equipment Changeout(Sections 150.2(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: 215-A6335237A-000000000-0000 Registration Date/Time: .2015-09-23 11:11:21 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-09-23 11:08:34
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: ��//
Jacoby, Ian
csran �aco Jc
Company:
Signature Date:
i PERMIT E RATERS
2015-09-23 11:08:35
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 t_o.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, matenaIs, 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 ofd eguletion ^" � f—�
4. The building design features or system design features identified on this Certificate of Compliance are consistent with=the information:provided on otherapplicable compliance documents, worksheets,
calculations, plans and specifications submitted. to the enforcement: agency for,approvaIpith this building permit application. '
00,�% �'.
S. I will ensure that a registered copy of;this Certificate of,Compliance shall,ade available with the bulldirigrpermd(s),issued for,the_build ng, andxmade available tc.. At6lrforcement agency for all applicable
inspections. I understand that a registered copy of this,Certifcate of Compliance is requced to be,included with thedocumentation provides tothe b uildng owner at occupancy.'
Responsible Designer Name:
Responsible Designer Signature: t t %-O'f - �M
Shanley, Barbara
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-09-23 11:11:21
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: 215-A6335237A-000000000-0000 Registration Date/Time: 2015-09-23 11:11:21 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-09-23 11:08:34
Schema Version: 0.555SDD
Total Permit Fees
Clay of La Qub"
aSafety dhWon
Pema # P.O Box 1504,'78-49S Caffe Tampa*
La-Qdnta, CA 92253 -t764j 777-7012
Building P&71* Applicadon' and Tracking Sheet
Projea.Addeess: Owner's Name:.
(�'� G�
A— P. Numberq tll
Address:
Legal °csc"pf10"` City. Se, Zip; LA QUINTA, CA
Camactor GENERAL A/C & HEATINGTelephone 3 qIq-9yo�
Address: 31170 RESERVE DRIVE
proj tCiption:
City, $T, Zip: THOUSAND PALMS, CA 92276
'
TekPhaIIv 760-343-7488 1 jq'C
State Lia #: 686310. City Lic, k
Arch., EW., Designer.
Address:
City. ST, Zip:
Telephone:
Consftc ion Typc: pc6�cy:
•
StaDe Lic. g: � �
.
PrtCaVPe (cirde oac): New Add'n Alter Repair Demo
Name of Contact Person: PATRICK
-.--- _ " Sq. Ft.: g Stories: A nit,.
Telephone # of Conant Person: 760-343-7488
Estimated• Value of Project
APPL.=W: DO NOT WRfTE BMOW THIS UNE
%
N Sobmital 'd Beed TRACXNG PERMT FEn.
Plan Seb Pian Cheek aabmitted Item Amount
Water"Cale+ Reviewed, Heady for correction Plan Checit Deposit
Ttirac Cala. Called Contact Pasoa Pon Check Salancc,
Tithe Zt Cnies Plan picked up
Constraatou
Flood plain plan Plan resubmitted
Mecharikal .
Grading plan 2" Revicw, ready for carrectloasRoure
Electrical
SubeonactDr List Caped Contact Pason
Plumbing
Grant Deed Plans pidtd up
3.M.I.
ILO.A. Approval Plans rembmitted
Grading
IN HOUSE.- Beview. ready for eorrmdousAssue Developer Impact Fee
Planning Approval Caw Contact Paz"
AA.P.P
Pub. Wier. Appr Date of Permit issue
Setrool Feer
Total Permit Fees