BMCH2016-042978-495'CALLE T•AMPICO t 4 4 Q*Z.
VOICE'(760) 777-7125
FAX (760) :777-7011
LA QUINTA; CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS'(760) 777-7153
BUILDING PERMIT
Date:, 11/30/2016
Application Number: BMCH2O16-0429 Owner: .
Property Address: 47060; VIA LORCA 4. ® RODNEY SPELBRING.
APN: 643160031 ® 47060 VIA LORCA .
Application Description: SPELBRING / CHANGE OUT (2) CC LA QUINTA, CA 92253
Property Zoning: NAV2
V .ZU�U
Application Valuation: $30,474,00 .
Applicant:... CITYOFLAQU�NTA Contractor
IE INC DESIGN ANDDEVE1OPMENT-DEPARTMENT HARRISON.ENTERPRISES,INC DBAGENERALAIR ..
31225.LA BAYA 31,170 RESERVE DRIVE
WESTL'AKE VILLAGE, CA 91362 THOUSAND PALMS, CA.92276
(760)343.7488
LIC. No.: 686310
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, I have and will maintain.a certificate of consent to self -insure for workers'
and my License is in full force and effect. compensation, as provided for by Section 3700 of the.L•abor Code, for the performance
License Class: C20, C36 License No.: 686310 of the work for which this permit is issued.
'.I have and will maintain workers' compensation insurance, as required by
Date: I I Contractor: �-�!�' Section 3700 of the Labor Code, for the performance of the work for which this permit
r
is issued. My workers' compensation insurance carr--ier•and policy number:are:
OWNER -BUILDER DECLARATION Carrier: INSURANCE COMPANY OF THE WEST . Policy Number: WSD5031658
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. I certify that in the performance of the work for which this permit is issued, I
city or county.that requires a permit to construct, alter, improve, demolish, or repair shall not employ any person in any.manner so as to become subject to.the workers'
:any structure, prior to its issuance, also requires the applicant for the permit to file a compensation.laws of California, and agree that,.if I.should become subject to.the
signed statement that he or she is licensed pursuant to the provisions of the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith -
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division comply with those provisions. +
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 Date: Il --u>b. o Applicant:
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
�) 1, as owner of the property, or my employees with wages as their sole AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale. ONE HUNDRED THOUSAND DOLLARS ($100;000). IN ADDITION TO THE COST OF
(Sec. 7644, Business and Professions Code: The Contractors' State License Law.does not COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE',
apply to an owner of property who builds or improves thereon; and who does the work INTEREST,'AND ATTORNEY'S FEES.
himself or herself through his'or her own employees, provided that th'e improvements
are not intended or offered for sale. If, however, the building or improvement is sold APPLICANT ACKNOWLEDGEMENT .
within one year of completion, the owner -builder will have the burden of proving that IMPORTANT: Application is hereby made to the Building Official for a permit subject to
he orshe did not build or improve for the purpose of sale.): the conditions and' restrictions setforth.'on this':application.
(_) I, as owner of the property, am exclusively contracting with licensed contractors 1.: Each person upon whose behalf this application is made; each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' request and formhose benefit work is performed under or pursuant to any permit
State License Law does not apply to an owner of property who builds or improves issued as a result of this application , the owner, and the applicant, each agrees:to, and
thereori,.and who contracts for th&projects with a contractor(s) licensed pursuant to shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents; and
the Contractors' State License Law.)... employees for any act or omission related to the work being performed under or ..
( ) I am exempt under Sec. B.&P.C. for this reason 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.
Date: Owner: work for 180 days will subject permit to cancellation: .
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:
I certify that I have read this application and state thafthe 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: Signature (Applicant or -Agent): ��
- ':',',TES'CRIPTION
ACCOUNT QTY.
AMOUNT
.B5AS SB1473 FEE
101-0000-20306 0
$2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$2.00.
"
DESCRIPTION
ACCOUNT•
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402.';
0 . "
$152.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC.. ; .
101-0000-42600
0
R
Total Paid for CHANGEOUT:
$228.00
• j.'_
DESCRIPTION ,. '
ACCOUNT-
QTY
AMOUNT,
' PERMIT ISSUANCE
101-000042404 '.. ` ':
0
$Y627.', . ;.
Total Paid for PERMIT ISSUANCE:
$96.27•':-
•
Bin #
Permit #
F
cAddress:, 47060 Via�Lc
Number. Description:.actor: General Air:Con
Address: 31170 Reserve_Dr
City, ST, Zip: Thousand Palms
Telephoner 760-343=7488
State Lic. # : 686310
Arch., Engr., Designer.
Address:
Address: 47060 Via Lorca
City, ST, Zip: La Quinta,'CA 92253
3't
ditioning and Plumbin Telephone: 831-601-1255 x
ive . Project Descriptioni.Replace (2) 4: tor..: /.90;000.BTU. co-hplet•
; CA .92276 HVAC systems .
City Lic
City., ST, Zip:
Telephone- -Y :`� '° Construction Type:. Occupancy:
State Lic. #:
Project type (C le one,): New Add'n Alter Repair.
Name of Contact_Persom Steven. Schnierer Sq: Ft Stories:.. #Units:
Telephone # of Contact Person: 818-735=7876 Estimated Value of Project:, $30,474.00.
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Recd TRACKING PERMIT FEES
Plan Sets Plan Check submitted.Item Amount
Structural Cates Reviewed, ready for cortectiomi Plan CheckDeposit. .
Truss Cale s_ Called Contact Person.
Plan Check Balance- .
Title 24 Cates. Plans picked up Construction.
Flood plain plan Plans resubmitted.. Mechaeica'•.
Grading plan
2`" Review,`ready for coirectionsrissae "
Electrical
SulieontactorList
Called Contact Person
Plutribing .
Grant Deed -
Plans.picked up
ILO . Approval
Plans reshbmitted.
Grading
IN HOUSE: -w.
ready for eorrectionshssue
Developer Impact Fee
Planning Approval.
Called Contact Person
M.P.P.
Pub. Wks. Appr ,
. Date of permit issue
School Fees
Total Petanit Fees
A: General Information 7
CF1117.ALT-02 is applicable to multiple.space conditioning, systems contained within a single dwelling unit., When multiple dwelling units must .be documented,.
use,.one CFM Akf:02 document for each dwelling unit,
01'.: Project Name RODNEY SPELBRING 02 : Date Prepared 2016-1.1=29
.03 Project Location 47060 VIA LORCA: 04 Building Type 5ingle.family
05 CA CityLA QUINTA 06 Dwelling Unit Name WHOLE'HOUSE
-- Dwelling Umt Conditioned
07 Zip Code 92253 2500
,.4 Floor Area (ft2)
Number of space conditioning
09 Climate Zone 15 I 10� (SC) systems in this dwelling 2
unit.
B:;Space Conditioning (SC) System information
01
02
03.
0405
t1 .fit
06
07
08.
09
10
GT ,:;_: I
:.
Is the SGS
(Installing a„
:la`s
SC System
SC System .
CFA served
system a
refrigerant
Installing new SC
Installing
: Installing ;
Installing
Identification or'
Location or Area
by this SC ;.
ducteatntj
o'iycontain' ng', ?i
, .t sys em?�
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 HOUSE
.-: 1250
Yes
Yes:
Yes
No
No
No
Altered space .
conditioning system
'SYSTEM 2
WHOLEHOUSE
1250
Yes
Yes
No
Yes . No No: Altered space
. conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)Wiib)
This section does not apply to this project.
CERTIFICATE OF COMPLIANCE. CFIR=ALT 02-E
AlEerationsto Spade Conditwning`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.
Re"quired '`
" . New or...
.Identification.
..Sy s tem.
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
:0.80
AC .. ..
cooling
SEER
18.00
Setback
section is not
section is not,
-
components".:
Components_
applicable'...
applicable .
All new
p
All new
This field or
This field or
SYSTEM 2
Central gas
heating
AFUE
0.80
Central
�< ',:
cooling
SEER
18:00
Setback
section is not
section is not
furnace
components .
.
AC
` ^moi
�:.a "
components
applicable.:
applicable' .:.
Required Documentation::
CFN-MCH701-E Space Conditioning Systems Ducts and, Fans
Duct insulation requirement, for new.plenums. R6:, �V ;
-Duct Leakage when duct length
CF2R=MCH-20-H,•& CF311-MCH 2O -H; testing required when heating or cooling
components are installed in ducted systems, or
more than 40 ft of is replaced.
Leakage.rate compliance: 5 15%,:or510% leakage to outside,"or,seal"alFaccessible leaks.
.
L`" °
...
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):.
CF213CF311MCH-23 & CF3R MCH -23 Air Flow2 300 CFM/ton required when MCH -25 is required.
Exceptions . .;. :`
with
-requirement
-Duct systems registered HERS provider as previously sealed are exempt from MCH 2O -Duct
Leakage Testing s,
Nj
.-Heating* only systems and Air Handler/Furnace changes do not require verificatibh�-& Air Flow -MCH43, or Refrigerant Charge MECH=25.
Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
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:'
Patrick Somers ; -
ia�Y�SPWLP�4`a- .
Company: "
Signature Date:
General Air Conditioning,
2016-11-29
Address
CEA/ HERS Certification Identification (if applicable)::
31170 Reserve Drive
City/State/Zip:
Phone: `+
R
Thousand Palms CA 92276343-7488
Res onsible Person's Declaration statement'`.
P �;;_
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. "f •
2. 1 am eligible, under Division 3 of the: Business, and Professions Code to acceptresponsibility,for the building design or system design identified on.this Certificate of Compliance. (responsible designer).
3. Thatthe 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'
requiremerits of Title 24 Partand Part.6'of the California Code of Regulations..
4.: The building design features orsystem 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 thisCertificate of Compliance shall be mabe available, with the building.perm t(s)•issued for the building, and "made available to the enforcement agency for all applicable
inspections. l understand that a registered copy of this, Certificate of Compliance is -repired-to be included with°the do uc mentation the builder.provides to'the.building owneratoccupancy.
Responsible Designer Name:
Patrick Somers Q. t'�
Responsible Designer Signature:
f •s'SUVYP.f��.
Company
Date Signed:
General Air Conditioning t
2016-11-29 '
Address:
License: ;
31170 Reserve.Drive
686310
City/State/tip:
Phonor
Thousand Palms GA 92276
760-343-7488 .