BMCH2016-011478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O16-0114
Property Address:
54724 TANGLEWOOD
APN:
775051091
Application Description:
AASE / CHANGE OUT (1) 19SEER/8AFUE SP,ILIT SYSTEM
Property Zoning:
33
Application Valuation:
$14,487.00
Applicant:
IE INC
M
31225 LA BAYA
9i
WESTLAKE VILLAGE, CA 91362
M
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
f jte:y 2O Il. 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 Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
AASE ROBERT S & CLAU
54724 TAN GLEWOOD
LA QUINTA, CA 92253
Contractor:
.HARRISON ENTERPRISE
31170 RESERVE DRIVE
THOUSAND PALMS, CA
(760)343-7488
Llc. No.: 686310
Date: 4/20/2C16
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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 worker::'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of 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: Polity 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 forthw¢h
comply with those provisions.
Date: (Lm Applicant-�t.wcfd�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFJL,
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 tieing performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work i.:
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 corsect.
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): Sczz
FINANCIAL •• •
� `
r
k ACCOUNT `�` > QTY. AMOUNT r�. :PAID DATE;
:DESCRIPTION'.
' =` �'
BSAS SB1473 FEE
.101-0000-20306 0
$1:00 $0.00
PAIDZY, +:
$ s R :'METHOD l s 'RECEIPT # a CHECK # ' f° ' �CLTD Bic.
..
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
� ''tDESCRIPTIONY ,i
ACCOUNT +
sQTYa'
AMOUNT;`'
ya PAIDrPAID
DAfE'
Y F ;
;
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BYEra'
METHOD�s
_ :RECET#€
IF P.w`
CHECK#: F
BY'
�r...
�`xf
�CLTD
�DESCRI?TION �',
` PAID r.'a
PAID DATE'
..x y ary'�kACCOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
4._
�
METHOD r
...
RECEIPT #
5 --B'
---CHECK'#CLTD
" �
,.+.= X
it as„
r. "t=: 4. �-
.4:
Total Paid for CHANGEOUT: $108.78 • $0.00
' ` 4DESCRIPTION I"
ACCOUNT s
;QTY
AMOU_"NT,"
PAID
PAID`DA�E'
ti
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00,
... }. ' PATO BY
$,�
i r »
METHOD 7
RECEIPT # F f
CHECK #
T CLTD Br'
7.
�, .. m F-4 eN .. .,<< �+"" .R..s a.
4=
�.':..4 $,. %5.�, nn _ ,. -0'"`z.+ °i �. �,,
-. .�....-
t.
rA•'-v✓.;,g., q
i��
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: AASE / CHANGE OUT (1) 19SEER/8AFUE SPILIT SYSTEM
Type: MECHANICAL Subtype: Status: APPROVED Applied: 4/20/2016 SKH
Parcel No: 775051091 Site Address: 54724 TANGLEW60D LA QUINTA,CA 92253 Approved: 4/20/2016 SKH
Subdivision: TR 21846-3 Block: Lot: 4 Issued: .
Lot Sq Ft:.O Building Sq Ft: 0 Zoning: Finaled:
Valuation: $14,487.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 19SEER/8AFUE SPLIT SYSTEM [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
Printed: Wednesday, April 20, 2016 8:59:46 AM 1 of 2 -
SYSTEiMS
.: _:
'`
•.
t a , .
w, r ';
c;z ;PAID '�'
DATE
CHECKS# ``
METHOD }
LT D3
DESCRIPTIONµ"
, .
a ? ACCOUNT
,.
AMOWNT
PAID.: ;
RECEIPT #
PAID BY';.
r:..
G -
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:$0.00
INSPECTIONS" ...
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Wednesday, April 20, 2016 8:59:46 AM 2 of 2
SYSTEMS
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
ROBERT AASE I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2016-04-19
A. General Information
CFIR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one CF1R-ALT-02 document for each dwelling unit.
01
Project Name
ROBERT AASE
02
Date Prepared
2016-04-19
03
Project Location
54724 Tanglewood
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
ROBERT AASE
07
Zip Code
92253
08
Dwelling Unit Conditioned
2400
Installing evo SC
Installing
In talli g
Installing
tentirely
Floor Area (ft2)
Identification or
Location or Area
by this SC
ducted
containing
Number of space conditioning
more than 4
09
Climate Zone
15
10
(SC) systems in this dwelling
1
system?
component?
components?
feet of ducts?
unit.
SC system.
B. Space Conditioning (SC) System Information'
01
02
03
r� 04k�
� US � kv
� "6� ��
I 07"�
�� U$ �
� 09
10
-f.
+� �Is the SC"'—`
SIns- stalli°J "4
ng a
wr.J ha- 4+1.
ti..mpn'
i:i iwt
SC System
SC System
CFA served
system a,
re iger nt
k
Installing evo SC
Installing
In talli g
Installing
tentirely
Identification or
Location or Area
by this SC
ducted
containing
system
more than 4
entirely w
new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system.
SC system.
Alteration Type
System 1
Location 1
2400
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-A0145689A-000000000-0000
Registration Date/Time: 2016-04-19 20:54:34
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-19 20:54:51
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections.150.2(b)lE and F)
01
02
03
04
05
06
07
08
�69
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
Less than or
System 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
19
Setback
equal to 40
R-8
components
components
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: <_ 15%, or <_ 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 = 300 CFM/tun 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.
do verification Air Flow MCH -23 Charge
Heating -only systems and Air Handler/Furnace changes not require of or'Refrigerant
shy � �. EMS } w �! Ai Tf
insulated MCW20 DuctLeakage Testing-tegwrements.
-Existing duct systems constructed, or sealed with asbestos,are exempttfrom 3!
4F \'+`- tf Jt t!t 'k'.. 111 11 3S 11-11,— i� i9 kw.
N%,.�i: -•�a.Kw.' '4.e- Fs w.+ �--n.....=r «�-A.-ne.4 i'* K,,. " 'war 0- 1 -W +.r «,. •�� �.f
E. Entirely New or Complete Replacement Duct -System, with or without -Equipment Changeout (Sections 150.2(b)iDiiaaand 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-A0145689A-000000000-0000 Registration Date/Time: 2016-04-19 20:54:34 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-19 20:54:51
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFIR-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: �1
Jacoby, Ian
cyan loco Jt
Company:
Signature Date:
i PERMIT E RATERS
2016-04-19 20:54:34
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: '
is The information oroyided on.this Certificate of Comolianre is tnw anti rnrrrert.
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�wg lation 11. , ` �
*
4. 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,
F� sa ! ° F—ew � 4. ri
calculations, plans and specifications- submitted to the enforcementagency for approval with this building permit application. @y 6)
S. I will ensure that a registered copy of this Certificate ofy?mpliance shall be made.available with the buildirig;pecmit(s)pssued fordthe--building, and;made ava lableao the enforcement agency for all applicable
inspections. I understand that a registered copy of thisCerti icate of Compliance is.requi�re�d to ee included with the documentation Ahe
.,builder provides to the building owner at occupancy.
Responsible Designer Name: ' C� to
Responsible Dess g er SIgnaeure: V t ' l-� W -N.
' n
Jacoby, Ian
CacobJc
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-04-19 20:54:34
Address:
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-343-7488
Digitally signed by CalcERTS. 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: 216-A0145689A-000000000-0000 Registration Date/Time: 2016-04-19 20:54:34 HERS Provider: CaICERTS
LA building Energy Etticiency Standards - 2IJ13 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-19 20:54:51
Schema Version: 0.555SDD
i
Bfn. #
City�f La Qu*:
Buiidh?g 8L Safety Division
P.O. Box 1504, 78-495 Catte Tampico
Ia.Quinta, CA 92253 -:(760) 777-7012
a' Building Permit Application' and Tracking Sheet
Permit #
J►�Gtf 1,�1(p - D�
ProjeccAddress: 54724 Tanglewood
Owner's Name:. Robert Aase
A. P. Number.
Address: 54724 Tanglewood L
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor: General Air Conditioning
Telephone: 760-564-1292
Address: 31170 Reserve Drive
Project Description: Replace 3ton A/C, Coil, & 70,000 BTU .
City, ST, Zip: Thousand Palms, CA 92276
Furnace
Telephone: 760-343-7488 f•.y Qv;�<tea'
3
State Lie. # : 686310 City Lie'. #•:
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lie. #:'
��», � !
Name of Contact Person: Steven Schnierer
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq.Ft.;#Stories: #Unit$:
Telephone.# of Contact Person: 818-735=7876 Estimated Value of Project: $14,487.00.
APPLICANT: DO NOT WRITE BELOW THIS LINE -
q
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit.
Truss Calcs.
Called Contact Person
Plan Check Balance
Tithe 24 Cates.
Pians picked up
Construction
Flood plain plan
Plans resubmitted,' •
Mechanical
Grading plan
2i4 Review, ready for correctionstissue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review, ready for corrections/Issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees