BMCH2017-002778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O17-0027
Property Address:
78255 WINNIE WAY
APN:
770340013
Application Description:
BLAKE / A/C CHANGEOUT
Property Zoning:
Application Valuation:
$5,235.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
C 0 D Qa!Kro01�P2/17/2017 777-7125
D F777-7011
DESIGN & DEVELOPMENT DEPARTMEN F ---B1 ' PE 10 777-7153
BUILDING PERMIT
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: Z 11 t, Contractor: 1'C.wYL
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).:
( 11, 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.).
( 11, 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 Addre:
CITY QF (A QUINTA
DESIiff
PATRI I ,�NPawo'PMENT DEPARTMENT
7860 N RIVER RD
MILWAUKEE, WI 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-74B8
Llc. No.: 68E310
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certi=icate of consent to self -insure for workers'
compensation, as provided for by Section3700 of the Labor Code, for the performance
of work for which this permit is issued.
tha 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 insura nce carrier and polity number are:
Carrier: INSURANCE COMPANY OF THE kkEST Polity Number: WSD5031658
I certify that in the performanc2 of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subjectto the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Secion 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 2 1—L 17 Applicant: c-uuu.7- �y
WARNING: FAILURE TO SECURE WORKER;' COMPENSATION COVERAGE 15 UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CEIMINAL 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 =ity of La Quinta, its officers, agents, and
employees for any act or omission relatec.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 o-. issuance of such permit, or cessation of work
for 180 days will subject permit to cancel ation.
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 repre=entatives of this city to enter upon the above-
mentioned property for inspection purpo=es.
Date: 1% 11 Signature (Applicant or Agent): �extFL
Application Number:
BMCH2017-0027
Property Address:
78255 WINNIE WAY
APN:
770340013
Application Description:
BLAKE / A/C CHANGEOUT
Property Zoning:
Application Valuation:
$5,235.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Date: 2/17/2017
Owner:
PATRICIA BLAKE
7860 N RIVER RD
MILWAUKEE, WI 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-74-38
Llc. No.: 68E310
---------------------------------------- ----------------------------------------------------
Detail
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
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-000042600
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 SSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin.#
Cray �f Quinta
Bonding & Safety Division
P.O. Box 1504,78-495 Calle Tampico
P.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 78255 Winnie Way
Owner's Name:. Pat Blake
A P: Number
Address: 7,8255 Winnie Way
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor. General Air Conditioning
Telephone: 760-564-3721 ,
Address: 31170 Reserve Drive
Project Description: Replace 3 ton AJC
City, ST, Zip: Thousand PalMs, CA 92276
Telephone: 760-343-7488
State Lic. # : 686310 <aty Lic. #.:
Arch., Engr., Designer.
Address:
City, ST. Zip:
Telephone:
State Lic. #: i�w%'.
Name of Contact Person: Steven Schnierer
Construction Type:. Cccupancy:
Project type (circle one): New Addie Alter Repair Demo
Sq. Ft.:#Stories: # Units:
Telephone # of Contact Person: 818-735-7876
Estimated Value of project $5,235.00 .
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMITTEES-
Plan Sets
Plan Check submitted
item Amount
Strgctaiai Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Caics.
Called Contact Person
Pian Chec:c Balance
Title 24 Calci.
Plans picked up
Constructooa
Flood plain plan .
Pians resubmitted..
Mechanical
Grading plan
V Review, ready for correctioaMissue
Electrical
Subcontattor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
l]V HOUSE:-
'^' Review', ready for correctionslissue
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 CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3)
Project Name: PAT BLAKE I Date Prepared: 2017-02-15
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
PAT BLAKE
02
Date Prepared
2017-02-15
03
Project Location
78255 WINNIE WAY
04
Building Type
Single family
05
CA City
LA QUINTA
06
Dwelling Unit Name
PAT BLAKE
Identification or
Location or Area
by this SC
ducted
containing
07
Zip Code
92253
"
Dwelling Unit Conditioned
1000
Served
System (ft)
system?
x,08 ;
Floor Area (ft)
feet of ducts?
duct system?
SC system?
I Alteration Type
Number of Space
09
Climate Zone
15
10
Conditioning (SC) Systems in
1
Altered space
SYSTEM 1
WHOLEHOUSE
1000
this Dwelling Unit:
Yes
B. Space Conditioning (SC) System Information
01
02
03
04 `
''OS °,
06 ` '
07
08
09
30
SC System
SC System
CFA served
Is the SC-
x5.ti,
system a
Installing a
—Z,,:' � ,tip _..l�stctE
refrigerant
f1
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 (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
I Alteration Type
Altered space
SYSTEM 1
WHOLEHOUSE
1000
Yes
Yes
Yes
No
No
No
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: 417-A020026749A-000-000-0000000-0000
Registration Date/Time: 2017-02-15 10:33:19
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-02-15 10:33:22
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)lE 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
No heating
This field or
This field or
Central split
All new
This field or
This field or
SYSTEM 1
furnace
component
section is not
section is not
AC
cooling
SEER
14
Setback
section is not
section is not
altered
applicable
applicable
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums•. R6 (CZ 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 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 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, or Refrigerant Charge MCH -25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
r�
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 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-A020026749A-000-000-0000000-0000
Registration Date/Time: 2017-02-15 10:33:19
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017`07-15 10:33:22
Schema Version: rev 10/16
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:
Patrick somas
Pat 6Ck1S&Me4-b
Company:
Signature Date:
General Air Conditioning
2017-02-15
Address:
CEA/ HERS Certification Identification (if applicable):
31170 Reserve Drive
City/State/Zip:
Phone:
Thousand Palms CA 92276
760-343-7488
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 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! r;611 be made'available with the building permit(s) 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 docu"mentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
J ,r, a.;'�tta ..i �t'a:
Responsible Designer Signature:
, 1.- �1 ,r
__
Patrick Somers
�a tVick; So-wcerk
Company:
Date Signed:
General Air Conditioning
2017-02-15
Address:
License:
31170 Reserve Drive
686310
City/State/Zip:
Phone:
Thousand Palms CA 92276
760-343-7488
Registration Number: 417-A020026749A-000-000-0000000-0000
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 Date/Time: 2017-02-15 10:33:19
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-02-15 10:33:22
Schema Version: rev 10/16