BMCH2017-0343LT.
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMC.H2O17-0343
Property Address: 55336 TANGLEWOOD
APN: 775154023
Application Description: HUBARD RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation: $19,423.00
Applicant:. ����•
IE INC
31225 LA BAYA AU"G 7 2017
WESTLAKE VILLAGE, CA 91362
VOICE (760) 777-7125-
FAX
77-7125FAX (760) 777-7011
INSPECTIONS (760) 777-71.53
Date: 8/7/2017
Owner:
RICH HUBARD
55336 TANGLEWOOD
LA QUINTA, CA 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
CITY OF LA QUINTA
DESIGN. AND DEVELOPMENT DEPARTMENT (7150)343-7488lc;68631
Llc. No.: 686310 �
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
a
Date:` 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 Name:
Lender's Address:
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.
-&Z�. 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: 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 io 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.
�c
Date: $ —7 1 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'SFEES.
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.
E
Date: 21 _7 1! Signature (Applicant or Agent): ��--�
Date: 8/7/2017
Application Number: BMCH2O17-0343 Owner:
Property Address: 55336 TANGLEWOOD RICH HUBARD
APN: 775154023 55336 TANGLEWOOD
Application Description: HUBARD RESIDENCE / HVAC CHANGE OUT LAQUINTA, CA 92253
Property Zoning:
Application Valuation: $19,423.00
Applicant: Contractor:
IE INC HARRISON, ENTERPRISES INC DBAGENERALAIR
31225 LA BAYA 31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, CA 92276
fi
(760)343-7488
Llc. No.: 686310
------------------------------------------------- --------------------------------------------
Detail: HVAC CHANGE OUT - 20 SEER/90 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016
CALIFORNIA BUILDING CODES.
d
FINANCIAL INFORMATION -
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
HVACCHANGEOUT- SPLIT -SYSTEM
101-0000-42402
0
$16.0.0
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for CHANGEOUT: $114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
4,0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $S.00
l
Bin #
City, ofla Quinta
Bonding u Safety Division
P.O. Box 1504,78-495 Calle Tampico
1.4.Quinta, CA 92253 -:(760) 777-7012
Building Permit Applicatlon and Tracking Sheet
Permit #
Project Address: 55336 Tanglewood
Owner's Name:. Rich Hubard
kP.Number. ,
Address: 55336 Tanglewood
Legal Description:
City, ST, Zip: La Quinta, CA' 92253
Contractor. General Air Conditioning
Telephone: 949-466-8905
Address: 31.170 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 V "
State Lic. #: 686310 City Lic iR:
Arch, Engr.,.Designer
Address:
City., ST. Zip:
Telephone: `� •.
Y
State Lic. #: wj
Construction Type Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:#Stories: #Units:
Name of Contact Person: Steven Schnierer
Telephone # of Contact Person: 818-73577876
Estimated Value of Project: $1.9,423.06.
1
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES'
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit, .
Truss Calcs.
Called Contact Person
Pian Check Balance
Tide 24 Calcs.
Plans picked up
Construction,
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
V Rei iew, 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 correetionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A I P.P.
Pub. Wks. Appr
Date of permit issue
School Fees '
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space. Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
RICH HUBARDDate Prepared:
CF1R-ALT-02-E
(Page 1 of 3)
2017-08-04
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained. within a single dwelling unit. When multiple dwelling unitsmust be documented, use one
CF1R-ALT-02 document.for each dwelling unit.
01
Project Name
RICH HUBARD
02
Date Prepared
2017-08-04
03
Project Location
55336 TANGELWOOD
04
Building Type
Single family
05
CA City
La Quinta -` '�`
' �:c`
06
`
Dwellin Unit Name
g
HOME
SC System
SC System
CFA served
refrigerant
07
Zip Code
f;`•.>-
92253
08
Dwelling Unit Conditioned
4
4321
Location or Area
by this SC
ducted
containing _
Floor Area (ft2)
.
entirely new
entirely new
wi
Name
Served
System (ft2)
system?
component?
components?
1
Number of Space
SC system?
09 '
Climate Zone
15;. "h10
4321
C onditioning. (SC) Systems in
1
Yes
No
No
No
this Dwelling Unit:
B. Space Conditioning (SC) System Information jj'
01
02
03
04 %=O
V. 65 6",
i 06'
07
08
09
10
Is the SC-
r1
Installing a
rte 4a.r3t�'a�
�x :I*t
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing,
Installing
Installing
Identification or
Location or Area
by this SC
ducted
containing _
system
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 HOME
4321
-Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension'of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 417-A020107777A-000-000-0000000-0000 Registration Date/Time: 2017-08-04 16:46:23 HERS Provider: CHEERS
CA Building Energy -Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-04 16:46:23
Schema Version: rev 10/16
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
Required Documentation: ,
CF21i-MCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums R� 1 10' 12 an j13) and R8 (CZ 11 and 14-16)
.
CF2R and CF3R-MCH-20-H - Duct Leakage Test 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 and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing componenis:are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required.
Exceptions: .+`t
- Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.
- Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MCH -25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
Vii.._.. ice. i tt` nJr �.
E. Entirely New or Complete Replacement Duct System, with or without Equipm nt 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: 417-A020107777A-000-000-0000000-0000 Registration Date/Time: 2017-08-04 16:46:23 HERS Provider: CHEERS
CA.Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-04 16:46:23
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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:
Stephanie Shryock
Stepha.nfe shryocly .
Company:
Signature Date: '
General Air Conditioning
2017-08-04
Address:
CEA/ HERS Certification Identification (if applicable):
31170 Reserve Drive
City/State/Zip:µ,_ ti
Phone:
760 343-7488
Thousand Palms CA 92276 liw�,
Responsible Person's Declaration statement
r y'
I certify the following under penalty of perjury, under the laws of the State of California: c ,� 7-1
1. The information provided on this Certificate of Compliance is true and correct. _, a Y
2. I am eligible under Division 3 of the Business and Professions Code to accept responsibilityfor 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 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.
5. 1 will ensure that a registered copy of this Certificate of Compliance shallbe�m"aK d available- h theebwlding-permits) 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 builder provides to the building owner at occupancy.
Responsible Designer Name: _
Patrick Somers i lam'" �P"�x[t
Res ponsi ble,Designer.Signature:
Stej�ha�uer5hryock.(aur3tiored)
Company:
Date Signed:
General Air Conditioning
2017-08-04
Address:
License:
31170 Reserve Drive
686310
City/State/Zip:
Phone:
Thousand Palms CA 92276
760-343-7488
Digitally signed by CHEERS'". 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: 417-A020107777A-000-000-0000000-0000 Registration Date/Time: 2017-08=04 16:46:23
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 _
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-08-04 16:46:23