BMCH2017-041178-495 CALLE TAMP[CO 4.4 Q VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 ''
FAX 760) 777-7011
DESIGN &DEVELOPMENT DEPARTMENT INSP - O.U1S 6 777-53
BUILDING PERMIT
Date: 9/14/1017
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Application Number:
BMCH2O17-0411
Owner:-
z z
Property Address:
48113 CALLE SERANAS
DEBRA CRONK-SPELBERI NG 1
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APN:
646110051
48113 CALLE SERANAS
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s
Application Description:
CRONK-SPELBERGING / CHANGE OUT (1)18SEER/80AFUE SPLIT SYSTEM
LA QUINTA, CA 92253
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Property Zoning:
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Application Valuation:
$18,929.00
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4
Applicant:
Contractor:
FOEIE
INC
HARRISON ENTERPRISES INC, ER
IR w
31225 LA 6AYA
31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362
THOUSAND PALMS, CA 92276
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
Dat I't 1-7 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).:
( ) 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.).
( ) 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 Na
Lender's Address:
(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
Df the work for which this permit is issued.
I have and will maintain workers' compensation insurance, asIrequired 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 Polity Number: WSD5031658
_ I certify that in the performance of the work for which this permit is issued, l
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. d
�► 1 I i Applican�c.� '
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIONCOVERAGE 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 �`'i L 1—) Signature (Applicant or Age �--
Date: 9/14/2017
Application Number: BMCH2O17-0411 Owner:
Property -Address: ' .48113 CALLE SERANAS DEBRA .CRONK-SPELBERING
APN: 646110051 - 48113 CALLE SERANAS
Application Description: CRONK-SPELBERGING / CHANGE OUT•(1)18SEER/80AFUE SPLIT SYSTEM LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $18,929.00
s
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
LIc. No.: 686310.
Detail: HVAC CHANGE OUT - 16SEER780AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTIOPf. 2016
CALIFORNIA BUILDING CODES.
INFORMATION
ACCOUNT
DESCRIPTION ACCOUNT QTY
AMOU-NT
TECHNOLOGY ENHANCEMENT FEE
BSAS SB1473 FEE 101-0000-20306 0.
$1.00
$5.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT -
QTY
AMOUNT
.HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
.0
$76.00
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
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: $5.00
TOTALS: .$2116.27
Bi"#
City ofLa La Quinta.
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit#
Project Address: �81�3 •CG1,�.�rara5
Owner's Name: �ebt�� Govk' .S e_ erg •
A. P. Number
Address: yg\ 3 _0I1e Set�lYvctS
Legal Description:
'City, ST, Zip:
cA 9 zzs 3
Contractor:�
��� Co..ci, i;orc�,►r�
Telephone:
$31- 333•- 6151
-
Address: 3 I' it7
Project Description:l
� C cll, '
City, ST, Zip:
CA R22�(e
q0 00� a3Sv �,r,nac�
Telephone:-j(op_3y3--74Vr t
00-
_State
State Lie. #: 1p City Lie #:
Arch, Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Construction Type:
Proj. Type MewAdd'n
Occupancy:
Alter Repair Demo
Name of Contact: e--
.>T -�Vvt "e-r
SgFt:
#Stories
# Units:
Telephone of Contact: g I�- 35-7 -7
Estimated Value of Project:
l�� q Za �
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Ree'd
TRACKING
PERMIT FEES .
Plan Sets
Plan Check Submitted
Item
Amount
Structural Calcs
Reviewed, ready for corrections
Plan Check Deposit:
Truss Calcs
Called Contact Person
Plan Check Balance:
Title 24 Calcs
Plans Picked Up
Construction: .
Flood Plain Plan .
Plans Resubmitted
Mechanical:
Grading Plan
2nd Rev, Ready for corrections /
Electrical:
Subcontractor List
Called Contact Person
Plumbing:
Grant Deed
Plans Picked Up
S.M.I.
HOA.Approval
Plans Resubmitted
Grading
IN-HOUSE
3rd Rev, Ready for corrections /
Developer Impact Fee
Planning Approval
Called Contact.Person •
A.I.P.P.
Pub. Wks. Apps
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE CF111-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name: DEBRA CRONK-SPELBERING Date Prepared: 2017-09-14
A. General Information
CF1R-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
DEBRA CRONK-SPELBERING
02
Date Prepared
2017-09-14
03'
Project Location
48113 CALLE SERANAS
04
Building Type
Single family.
05 '
CA City
La Quinta
06
Dwelling Unit Name
HOME
Identification or
_
by this SC
ducted
containing
system
more than 40
entirely new
4—
bwellin Unit Conditioned
g
Name
07
Zip Code
92253` ;
a ° -
: 08
a
Floor -Area (ft2)
1710
duct system?
SC system?
Alteration Type
SYSTEM 1
WHOLE HOME
1710
Yes
Yes
Yes
'.
Number of Space
No
09
Climate Zone
15
10°'
Conditioning (SC) Systems in
1
•
��
this Dwelling Unit:
B. Space Conditioning (SC) System Information i
01
02
03
04 �
U 05 �
Lc� 06,�& �
07
08
09
10
SC System
SC System
CFA served
Is the SC
3nry
systema
Installing a.
���, 3 : r' i
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
1710
Yes
Yes
Yes
Yes
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-A020116277A-000-000-0000000-0000 Registration Date/Time: 2017-09-14 11:06:21 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-09-14 11:06:22
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
SYSTEM 1'
Central gas
All new
heating
AFUE
0.8
Central split
All new
cooling
SEER
18
J
Setback
Greater than
R-8
furnace
AC
40 feet
.
components
components
Required Documentation: t� _
CF2R-MCH-01-E' Space Conditioning Systems
IR6(CZ
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums 1'10 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components areXinstalled in ductedsy'tems, 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. i'"a if
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components 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:
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, &rRefrigerant Charge MCH -25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements. .
fl -111 • i P �_JI ' I S p i i fr'-'" (C._
E. Entirely New or Complete Replacement Duct.System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, F)
This section does ndVzlp.ply'to thisprolect.
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-A020116277A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-09-14 11:06:21
Report Version: 2016.1.006
r -L_•--- ---.-_. __..fin/� '
HERS Provider: CHEERS
Report Generated:'2017-09-14 11:06:22
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:
Stephanie Shryock Stt pha/nte Sl yock
Company: Signature Date:
I Permit E Raters 2017-09-14
Address: CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive
City/State/Zip: Phone:
Westlake Village CA 91362 818 735 7876
Responsible Person's Declaration statement Ei I1
'F
I certify the following under penalty of perjury, under the laws of the State of California: ; f(
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 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 m hufactured 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'forTapproval,with this building permit agpplication.
5. 1 will ensure that a registered co sh a a bl a� # s� f •
g copy of this Certificate of Complianceshall belm� dekavailabl�e with the building perm+t(s) �ss�ued 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 io be'included with'the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: Responsible Designer Signature:
Patrick Somers 1i�C�� 'Striluu�5hryock (authnrvaecL)
Company:. Date Signed:
General Air Conditioning 2017-09-14
Address.' License:
31170 Reserve Drive 686310
City/State/Zip: Phone:
Thousand Palms CA 92276 760-343-7488
x. 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-A020116277A-000-000-0000000-0000 Registration Date/Time: 2017-09-14 11:06:21 HERS Provider: CHEERS
CA Building Energy Efficiency•Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-09-14 11:06:22