BMCH2016-017778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&t Y/ 4 lwQuwov
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT'
Application Number:
BMCH2O16-0177
Property Address:
79750 N N PARKWAY ESPLANADE
APN:
609610044
Application Description:
CASEY RITCHEY / HVAC CHANGE OUT
Property Zoning:
workers' compensation provisions of Section 300 of the Labor Code, I shall forthwith
Application Valuation:
$17,998.00
Applicant:
IE INC
Date: S ?S ) to —Applicant.----
pplicant:- `basis
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
Date: Ji" ZS I� Contractor
Owner:
ANTONY RITCHEY-
, 92253
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/25/2016
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALM6, 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 certificateof 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:
OWNER -BUILDER DECLARATION --
Carrier: Polity Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance of the work for which this permit.is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree tha , if I should become subject to the
any structure, prior to its issuance, also requires the'applicant for the permit to file a
workers' compensation provisions of Section 300 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisions.
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
Date: S ?S ) to —Applicant.----
pplicant:- `basis
basisfor 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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
( ) I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000. IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however; the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(� 1, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit. .
(_) I am exempt under Sec: . B.&P.C. for this reason
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
i
work for 180 days will subject permit to cancellation.
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. Q.
Lender's
Lender's
I certify that I have read this application and stare 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 purpcses.
Dat ZS I V' Signature (Applicant ar Agent): ��
FINANCIAL INFORMATION
�
`DESCRIPTION":.�" .YMi a �, ACCOUNT, `�" ' '. ' QTY, AMOUNT :' PAID
PAID.DATE'.
_ .:
A �' x
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0:00
fi yte x �`r PAID BYE Y' " t`'K METHOD �_ !:e s r'RECEI P,T #`,` CH ECK # ,.,
CL TD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
x (DESCRIPTION "}
e 5t.
ACCOUNT
AMOUNT er
r; F <. r
s9
PAID..DATEHVAC
r.l - < ?r
.err eR :�
-
INJ ,;PAID„ t =
CHANGEOUT - REPAIR/ALTERATION
101-0000-42402
no
$24.18
$0.00
;METHOD ' '
'� } RECEIPT # a'
' CHECK #'
CLTD BY,
�+ DESCRIPTION{,•+
fig` ACCOUNT( ,,
QT,Y
AMOUNT
PAID
PAID DATE`
r,W;r
r;. ? �_
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42600
0
$9.66
$0.00
PC
PAI n
��. METHOD ��
#
��� CHECK #
xCLTD BY,,
<, .. 4
k..'` E
. ::RECEIPT
, •,.�,�
r, DESCRIPTION m
""_ ` r`T ACCOUNT F
QTY
`'' AMOUNT
PAID
DATE'
LPAID
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
4. PAlD`BY�n ' i
, 'METHOD ;{ ,< yf`,.
f9° ,RECEIPT #
CHECK# `max
CLTD BY'
x rvDESCRIPTION `' '€
z ` ', ACCOUNT
?QTY
AMOUNT"`
PAID
PAIDlbATE;
,�+`
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY.,$ €' ''
< METHOD.`
f °aRECEIP.T #
CHECK #
'CLTD BY
Total Paid for CHANGEOUT: $142.62 $0.00
DESCRIPTION.•°
ACCOUNT = i
QTY'
AMOUNT
'PAID -
PAID DATE:
'"
,
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
µ PAID BY' '° , ; ti
METHOD
RECEIPT #
i,,CLTD BY"..�
,CHECK
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: CASEY RITCHEY / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 5/25/2016 RSE
Approved:
Parcel No: 609610044 Site Address: 79750 N N PARKWAY ESPLANADE LA QUINTA,CA 92253
Subdivision: TR 29323-2 Block: Lot: 67
Issued:
Lot Scl Ft: 0 Building 5q Ft: 0 Zoning:
Finaled:
Valuation: $17,998.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
ADDRESSI.
Details: HVAC CHANGE OUT - 20.5SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Printed: Wednesday, May 25, 2016 9:50:53 AM 1 of 2 MANN
Cp"ffsysTrms
NAME -TYPE
NAME
ADDRESSI.
CITY,
STATE
ZIP PHONE
FAX
EMAIL
APPLICANT
IE INC
31225 LA BAYA
WESTLAKE
VILLAGE
CA
91362
CONTRACTOR
'HARRISON ENTERPRISES INC DBA
GENERAL AIR
31170 RESERVE DRIVE
THOUSAND
PALMS
CA
92276
FRANCISCO @CALLTH E
GENERAL.COM
OWNER
ANT ONY RITCHEY
92253
Printed: Wednesday, May 25, 2016 9:50:53 AM 1 of 2 MANN
Cp"ffsysTrms
PARENT PROJECTS
Printed: Wednesday, May, 25, 2016 9:50:53 AM 2 of 2
SYSTEMS
CLTD,;
DESCRIPTION
ACCOUNT
QTY
AMOUNT
- PAID
PAID DATE
RECEIPT#
CHECK #
METHOD
PAID BY
:
BY
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
$24.18
$0.00
REPAIR/ALTERATION
HVAC CHANGEOUT -
101-0000-42600
0
$9.66
$0.00
REPAIR/ALTERATION PC
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: $142.62 $0.00
PERMIT ISSUANCE
1 101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
• • 00
PARENT PROJECTS
Printed: Wednesday, May, 25, 2016 9:50:53 AM 2 of 2
SYSTEMS
Bin # Qty' Of %a Quin: to
Building a Safety Division
Permit # P.O. Box 1504,78-495 Calle Tampico
14.Quinta, CA 92253 - (760) 777y7012
Building Permit Application' and Tracking Sheet
Project Address: 79750 Parkway Esplanade North Owner's Name:. Casey Ritchey
A. P. Number:
Address: 79750 Parkway Esplanade North
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor: General Air Conditioning
Telephone: 760-972-6934
Address: 31170 Reserve Drive
Project Description: Replace 5ton Ar, Coil, 90,000 BTU
City, ST, Zip: Thousand Palms, CA 92276
Furnace & 2 Ducts
Telephone: 760-343-7488
"'C' l
State Lic. # : 686310
City Lic. M.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
State Lic. #:rte££
" Y' : `�� , ' , ::�
;w�`;y��•.',�
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: 8.18-735-7876 Estimated Value of Project: $17,998.00.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
Recd
TRACKING
Plan Check submitted
PERMIT FEES
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit.
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Pian picked up
Constructi+n
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
tad Review, ready for corrections/issue
Electrical
Subcontactor 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 correctionsAssue -
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
N
r
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
CASEY RITCHEY I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2016-05-24
A. General Information
CF111-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one MR-ALI-01 document for each dwelling unit.
01
Project Name
CASEY RITCHEY
02
Date Prepared
2016-05-24
03
Project Location
79750 PARKWAY ESPLANADE NORTH
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
CASEY RITCHEY
07
Zip Code
92253
08
Dwelling Unit Conditioned
2274
�Is the SC
Floor Area (ft2)
Number of space conditioning
SCS stem
y
09
Climate Zone
15
10
(SC) systems in this dwelling
1
installing
Identification or
Location or Area
unit.
ducted
B. Space Conditioning (SC) System Information
Ol
02
03
04"�
i05
06
`
07
0.0
09
10
�Is the SC
Installing a
SCS stem
y
SCS stem
y
CFA served
s stem a.
''*y
r.frigerant {Installing=new
SSCstalhng
Installi g
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?
dud system?
SC system?
Alteration Type
System 1
Location 1
2274
Yes
Yes
Yes
Yes
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-A0192507A-000000000-0000
Registration Date/Time: 2016-05-24 10:37:02
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-05-24 10:37:36
Schamn Varcinn• n.SSSSnn
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
Dud Length
R -Value
System 1
Central gas
All new
heating
AFUE
0.8
Central split
All new
cooling
SEER
20
Setback
Greater than
R-8
furnace
AC
40 feet
components
components
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/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. t
-Heating-only systems and Air Handler/Furnace changes do not require verificatio of Air Flow MCH-23,or ReffigerantCh.,& MECH-25.
V
is�
-Existing duct systems constructed, insulated or sealed with asbestos,are exempt.Xfrom MCH-20Duct% Leakage Testinga�requiremenrfts.
.11.... ._ +.i" ..
E. Entirely New or Complete Replacement Duct System,. with or without -Equipment Changeout (Sections 150.2(b)1Diia;and 150.2(b)lE, F)
= IEPC-
This section does not apply to this project..
F. Entirely New or Complete. Replacement Space Conditioning System (Section 150.2(b)lC)
This section does not apply to this project.
Registration Number: 216-A0192507A-000000000-0000 Registration Date/Time: 2016-05-24 10:37:02 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-05-24 10:37:36
,rhpma Vprcinn• n SSSCnn
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: �
Jacoby, Ian
cQdri �CicbbJt
Company:
Signature Date:
i PERMIT E RATERS
2016-05-24 10:37:02
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 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 ofd egulations r
4. The building design features or system design features identified on this Certificate of Compliance are islstenLwith the informn-provided on otheriapplicable`compliance documents, worksheets,
�—mac:�#
calculations, plans and specifications submitted tothe enforcement agency for approval iwith }this building permitgapplication. 4�
si.11
5. 1 will ensure that a registered co of this Certificate ofomk liance shall be maGtle,available with the buildln ; ermit s issue..d for•the_building, and_made available,to_the enforcement agency for all applicable
inspections. I understand that a registered copy of thi"s'•Certificate of Compliance;s-required to be.included with the documentation the. builder provides to the building owner at occupancy.
Responsible Designer Name: . Y us
Responsib el Designer 5 gnature: V I �/t-*# L. —�' 4
cyan �acobJt.
Jacoby, Ian
Company: J
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-05-24 10:37:02
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: 216-A0192507A-000000000-0000 Registration Date/Time: 2016-05-24 10:37:02 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-05-24 10:37:36
Sr.hama Vprcinn• n SS5Cnn