BMCH2016-019578-495 CALLE TAMPICO C�. 4 cu.
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O16-0195
Property Address:
53980 AVENIDA VILLA
APN:
774174012
Application Description:
GUTIERREZ RESIDENCE / HVAC CHANGE
Property Zoning:
Application Valuation:
$18,690.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
JUN 09 2016
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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:'' L 6 -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 Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/9/2016
Owner:
MARIA GUTIERREZ
53980 AVENIDA VILLA
LA QUINTA, CA 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, 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 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.
jc� 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: Policy 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 forthwith
comply with those provisions.
Da� Ct Iko 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'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
fol Iowing. 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.
D7te;.:'--( cN Signat� tu` re -(Applicant -or Agent):
l
nDESCRIPTION i '
`' ACCOUNT i• •QTY
;>� 'AMOUNT:
PAID PAID DATE
E
BSAS SB1473 FEE
101-0000-20306 0
$1.00
$0.00
` PAID. BY
�, 'ry ° . A RECEIPT # Y
f :` CHECK # CLTD`BYf
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
.DESCRIPTION
.•'
;ACCOUNT ;.
QTY
A.IVIOUNT;
PAID .:
PAID DATE.
HVAC CHANGEOUT - SPLIT -SYSTEM
101=0000-42402
0
$72.52
$0.00
' "PAID BY 'r
t ® ' METHOD <` #`
v RECEIPT # ''
CHECK #
CLTD BY.
n ,DESCRIPTION ? +'° x
ACCOUNT%'' sr=s
;QTY '
AMOUNT , &
:.; ` 'PAID >', . , -
'PAID DATE'
HVAC CHANGEOUT - SPLIT -SYSTEM PC,
101-0000-42600
0
$36.26
$0.00
PAID'BY X Y a
F �
r� ,. METHODS s>
RECEIPT #
CHECK #.:CLTD
C
BY'
Total Paid for CHANGEOUT: r $108.78 $0.00
DESCRIPTION #
;ACCOUNT ,.
QTY?';'
AMOUNT :
>•
, PAID -
PAIDDATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY �"
METHOD
;RECEIPT #
CHECK #.f'
CLTD BY
" Total Paid for PERMIT ISSUANCE: $91.85 '$0.00
l
A
Description: GUTIERREZ RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED Applied: 6/9/2016 MFA
Parcel No: 774174012 Site Address: 53980 AVENIDA VILLA LA QUINTA,CA 92253 Approved: 6/9/2016 MFA
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 250 Lot: 13 Issued:
UNIT 23
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $18,690.00 Occupancy Type: Construction Type: Expired: .
No. -Buildings: 0" No. Stories: 0 'No. Unites: 0 `
Details: HVAC CHANGE OUT - 20 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES.
• + � .. - - e • .. ,. � 'yAK.mae-� rrFit,ncu w nNNr auto
FINANCIAL
ADDITIONAL SITES,
INFORMATION
CHRONOLOGY
CONDITIONS
CONTACTS
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*STATE
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ZIP
- ��
PHONE
FAX- E
�
wCITY
APPLICANT
IE INC
31225 LA BAYA
WESTLAKE
CA
91362
(760)501-5427
VILLAGE
CONTRACTOR
HARRISON ENTERPRISES INC DBA
31170 RESERVE DRIVE
THOUSAND
CA
92276
(760)501-5427
FRANCISCO@CALLTHE
GENERAL AIR
PALMS
GENERAL.COM
OWNER
MARIA GUTIERREZ
53980 AVENIDA VILLA
LA QUINTA
CA
92253
(760)501-5427
FINANCIAL
INFORMATION
Printed: Thursday, June 09, 2016 8:09:21 AM 1 of 2
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DESCRIPTION �° k>
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BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
REVIEWS
r
STATUS EMARKS ..:
w
- REVIEW TYPE.
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00
1$0.00.
BSA:
HVACCHANGEOUT=
101=0000-42402
0
$72.52
$0.00
-�
DATE
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:00
Printed: Thursday, June 09, 2016 8:09:21 AM 2 of 2 '
' SY57: M 5
PARENTINSPECTIONS
PROJECTS
REVIEWS
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STATUS EMARKS ..:
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- REVIEW TYPE.
REVIEWER +
'SENT DATE
DUE DATE v, w
,NOTES
-�
DATE
ABOND
INFORMATIONATTACHMENTS
Printed: Thursday, June 09, 2016 8:09:21 AM 2 of 2 '
' SY57: M 5
Bln.#
0f Quinta
Building 8T Safety Division
P.O. Boz 1504, 78-495 Calle Tampico
1a.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Perrnit #
Project Address: 53980 Avenue Villa
Owner's Name:. Maria Gutierrez
A. P. Number.
Address: 53980 Avenue Villa
Legal Description:
City, ST, Zip: La Quinta, CA 92253
General Air Conditionin':k.,s,.
Contractor: g �
Telephone: 760-501-5427 '�•fr'' '�� '' .
Address: 31170 Reserve Drive
Project Description: Replace 4ton Heat Pump & Air Handler.
Ciiy, ST, Zip: Thousand Palms, CA 92276
Telephone: 760-343-7488
1'''
Fill -
!c#,-
State Lic. # : 686310
City#,
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lic. #: . ,
Name of Contact Person: Steven Schnierer
Construction Type: . Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft:'#Stories: #Units:
Telephone # of Contact Person: 8.18-735-7876
Estimated Value of project: $18,690,00.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACKNG
PERMIT FEES
Plan Sets
Plan Check submitted
Item , Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Caacs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted "
Mechanical
Grading plan
2" Review, ready for correctionsrissue
Electrical
Subcoetactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
pproval
Plans resubmitted
Grading
E:-
''d Review; ready for correctionsrissue
Developer Impact Fee
Approval
Called Contact Person
A.I.P.P.
LIPub.. Appr
Date of permit issue
es
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name: MARIA GUTIERREZ I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3 )
2016-06-08
A. General Information
MR -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 -ALT -02 document for each dwelling unit.
01
Project Name
MARIA GUTIERREZ
02
Date Prepared
2016-06-08
03
Project Location
53980 AVENUE VILLA
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
MARIA GUTIERREZ
07
Zip Code
92253
08
Dwelling Unit Conditioned
1525
ILnstalling:new:St
• Installing
sz
Installing-
Installing
".
Floor Area (ft2)
Identification or
Location or Area
by this SC
,j
�.
containing
Number of space conditioning
more than 40
09
Climate Zone
15
10
(SC) systems in this dwelling
1
system?
component?
components?
I feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System Information1�2*
r!
01
02
,, 03
,. 04
a
0-"05i-
06
07
08
09
10
Is the SC
In a
SC System
SC System r
CFA served
system a1
refngerant t
ILnstalling:new:St
• Installing
sz
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?
I feet of ducts?
I duct system?
SC system?
Alteration Type
System 1
Location 1
1525
Yes
Yes
Yes
No
No
No
Altered space
conditioning system.
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib).
This section does not apply to this project.
Registration Number: 216-A0213592A-000000000-0000 Registration Date/Time: 2016-06-08 18:01:38 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-08 18:01:36
Schema Version: 0.555SDD
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 split
No heating
This field or
This field or
Central split
All new
This field or
This field or
System 1
HP
component
section is not
section is not
H
cooling
SEER
20
Setback
section is not
section is not
altered
applicable
applicable
F
components
applicable
applicable
Renuired'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 testingrequired when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: 515%, or 510% 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,Flow2 300 CFM/ton required when MCH -25 is required.
Exceotions:
-Duct systems registered with HERS provider as previously sealed are, exem'p't from MCH.20 Duct Leakage Testing requirements. -
Air Handler/Furnace do Air Flow MCH Refrigerant Charge MECH 25.
-Heating-only systems and changes not require verifiication of -23
4. f M4 ,,Al *` f X" 6 {' � f4 f 4
duct insulated MCH 20 Duct,,leakage Testing -requirements.
-Existing systems constructed, or sealed with asbestos;are exempt{from
__._.i'% _1 $1 NN.- _ 01I: ..._. 3- 1, 17t — 11 s 3t.It Ak'
E. Entirely New or Complete Replacement D cu t System, with or without Equipment Changeout (Sections 150.2(b)1Diiaxand.150.2(b)1E, F)
-t i ilk. llf
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-A0213592A-000000000-0000 Registration Date/Time: 2016-06-08 18:01:38 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-08 18:01:36
Schema Version: 0.555SDD
0
CERTIFICATE OF COMPLIANCE CF111-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:
Shanley, Barbara
a
Company:
Signature Date:
HARRISON-ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-06-08 18:01:38
Address:
CEA/ HERS Certification Identification (if applicable):
31-170 RESERVE DRIVE STE A
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:
F
1. The information provided on this Certificate-lof Compliance is true and correct.
2. 1 am eligible under Division 3'6f,the. Business and Profes'sion's 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 clesign.o.rsystem design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part 6 of the California Code ofR egulations� 1.4 R#-
4. The building design features or system design features identified on this Certificate of Compliance are consistent with,the informati'on.provided on'otherrappllcable compliance documents, worksheets,
to ' ..„a x b --: R•: ,c,4t ”.
calculations plans and specifications mitt `':f th of r m n n f r: r v I:wi Fi hi it m rmlapplication'.
p sub ed o e e o ce a t.age cy q app o a t t s bu d g pe t
�:f Y_. •$�'?s �i k. '9F Say: ��.�ei �
r t�$�. # � . �`'S� " .. i; -i f# t , :Y.� p ,Y
5. 1 will ensure that a registered copy of4his Certificateo f Compliance shall_be,"made available with the building permd(s) issued fonthe,bwlding, and made available to the• enforcement agency for all applicable
inspections. provides to the building owner at occupancy:
inspections. I understand that a registered copy of this Cei til9cate of Compl ance� is#requ red to be,included_with the
Responsible Designer Name:
Responsible Designer Signafure: V V` a-#1 !
Shanley, Barbarajj
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-06-08 18:01:38
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-A0213592A-000000000-0000 Registration.Date/Time: 2016-06-08 18:01:38 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-08 18:01:36
Schema Version: 0.555SDD
1