BMCH2016-006678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4t�t 4 4 4"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O16-0066
Property Address:
44125 CAMINO LAVANDA
APN:
604180052
Application Description:
PAUL VILLANUEVA / HVAC REPLACE
Property Zoning:
Application Valuation:
$13,897.00
Applicant:
IE INC
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:3 2-S Contractor: i
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 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
Lender's Address:
11111111111111111111
73
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/25/2016
Owner:
PAUL VILLANUEVA
44125 CAMINO LAVANDA
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 ork 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:
Carrier: _ Polity 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.
Date: 3 2 S 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
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: 3 Z Signature (Applicant or Agent):
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT' QTY AMOUNT:
PAID' PAID DATE
BSAS SB1473 FEE
101-0000-20306 0 $1.00
$0.00
PAID BY
METHOD.,RECEIPT #
CHECK # 'CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00' $0.00
`DESCRIPTION
ACCOUNT
QTY
AMOUNT-
PAID
PAID DATE,
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
'ACCOUNT -
`QTY
AMOUNT,
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY
METHOD ";
'RECEIPT #
CHECK #
CLTD BY.
Total Paid for CHANGEOUT: $108.78 $0.00
DESCRIPTION
ACCOUNT.
QTY'
AMOUNT •
PAID '
PAID -DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD .:
RECEIPT #
CHECK #
CLTD.BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: PAUL VILLANUEVA / HVAC REPLACE
Type: MECHANICAL Subtype:- Status: UNDER REVIEW
Applied: 3/25/2016 RSE
Approved:
Parcel No: 604180052 Site Address: 44125 CAMINO LAVANDA LA QUINTA,CA 92253
Subdivision: TR 25290 Block: Lot: 3
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $13,897.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
STATE
Details: HVAC CHANGE OUT-19.OSEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
NAME TYPE
NAME
ADDRESSI
CONTACTS
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@CALLTHE
GENERAL.COM
OWNER
PAUL VILLANUEVA
44125 CAMINO
LAVANDA
LA QUINTA
CA
92253
Printed: Friday, March 25, 2016 11:47:09 AM 1 of 2
SYSTEti1S
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD'
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
$72.52
$0.00
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:• ••
PARENT PROJECTS
REVIEWS
REVIEW TYPE IREVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
BOND
INFORMATION
ATTACHMENTS
Printed: Friday, March 25, 2016 11:47:09 AM 2 of 2'
SYSTEMS
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC) (Page 1 of 3 )
Project Name:
PAUL & MARIA VILLANUEVA I Date Prepared:
2016-03-25
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 MR -ALT -02 document for each dwelling unit.
01
Project Name
PAUL & MARIA VILLANUEVA
02
Date Prepared
2016-03-25
03
Project Location
44125 Camino Lavanda
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
PAUL & MARIA VILLANUEVA
Dwelling Unit Conditioned
r'Ins"talling a'^
07
Zip Code
92253
08
Floor Area (ft2)
1324
SC System
CFA served
',,system a
refrigerant t
Number of space conditioning
I
09
Climate Zone
15
10
(SC) systems in this dwelling
1
`ducted
containing
system
more than 40
unit.
entirely new
B. Space Conditioning SCS stem Information
01
02
03
04',
O)l
U8
j� 09
10
ki
FIs the SC.-...,..
r'Ins"talling a'^
SC System
SC System
CFA served
',,system a
refrigerant t
Installing neAkInstalling
I
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
Location 1
1324
Yes
Yes
Yes
No
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-A0113932A-000000000-0000
Registration Date/Time: 2016-03-25 07:51:46
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-25 07:51:38
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3.1
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
Central gas
All new
Central split
All new
Less than or
System 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
19
Setback
equal to 40
R-8
components
components
feet
Reauired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & MR -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: 515%, or 516% 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 t 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 riequirements...
'`of
Air Flow CH 23; or Refrigeranftharge N1ECH=2}.
Heating -only systems and Air Handler/Furnace changes do not require verificationM
Existing duct systems constructed, insulated or sealed with asbestos are exempt;from MCA -20 Dutt"Leakage Testing requirements.
_J f 14 1f 14.-_.._
E. Entirely New or Complete Replacement Duct -System, with or without, Equipment Changeout (Sections 150.2(b)1Diia andJ,S0.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)iC)
This section does not apply to this project.
Registration Number: 216-A0113932A-000000000-0000 Registration bate/Time: 2016-03-25 07:51:46 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards— 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-25 07:51:38
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-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
c.Yan loco Jt
Company:
Signature Date:
i PERMIT E RATERS
2016-03-25 07:51:46
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 Buslness 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, matetials, components, and manufactured devices for -the building design or system design identified on this Certificate of Compliance conform to the
t[ +w,� ({
requirements of Title 24, Part 1 and Part 6 of the California Code of R6jr
gulations. i�
4. The building design features or system design features identified on this Certificate of Compliance are consistentwith.the informatlon:provided on other applicatile�compliance documents, worksheets,
calculations, tans and specifications submitted to the enforcemen a enc for
p p l g y approval with this buildin ermit a lication.
g P qP � (
. � r � » " � :�
5. 1 will ensure that a registered copy of this Certificate of.Corhpliance shall,bee iad_e,available with the building. pgrmd(s);issued forahe tiullding, and made avallab a to the enforcement agenty for all applicable
inspections. I understand that a registered copy of thrls Certificate of Compliance is..required to bewincluded witjh the documentaation,the�bullder provides to.the building owner at occupancy.
Responsible Designer Name: .g.«
Responsible De'sign'er Signature: " n�/5. ..��
�f:cob'
Jacoby, Ian
cyan
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-03-25 07:51:46
Address:
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-343-7488
Digitally signed by Ca10ERTS. 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-A0113932A-000000000-0000 Registration Date/Time: 2016-03-25 07:51:46 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-25 07:51:38
Schema Version: 0.555SDD
Bin.#
CkY. Of La Qulht'a
Buikling 8r Safety Division
P.O. Box 1504, *78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
0�(o Building Permit Application and Tracking Sheet
Permit #
gYv�L 20 lo—
Project Address: 44125 Camino Lavanda
Owner's Name:. Paul & Maria Villanueva
A. P. Number.
Address: 44125 Camino Lavanda
Legal Description.
City, ST, Zip: La Quin ta, CA :92253
Contractor. General Air Conditioning
Telephone: 3s.
Address: 31170 Reserve Drive
Project Description: Replace "3 ton A/C, Coil, & 70,000 BTU FAU
City, ST, Zip: Thousand Palms, CA 92276
Telephone: 760-343-7488
State Lic. # : 686310
City Lic. #.:
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone: „ `��.
y
State Lia #: %mow ' ? ~
Construction Type:. Oaxipancy:
Project type (circle one): New Add'n Alter Repair . Demo
Sq.Ft.: #stories: #Units:
NameofContactPerson: StevenSchnierer
Telephone # of Contact Person: 81 B-735-7876
Estimated Value of Project $13,897.00 .
APPLICANT: DO NOT WHITE BELOW THIS UNE
#
Submittal
Plan Sets
Req'd
Recd
TRACKING
Plan Check submitted
PERMIT FEES
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calks.
Called Contact Person
Plan Check Balance
Tide 24 Calks.
Plans picked up
Construction
Flood plain plan
Pians resubmitted
Mechanical
Grading plan
2'4 Review, ready for correctionsrmue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
-Plans resubmitted
Grading
IN HOUSE:-
'^' Review; ready for correctionsfissae
Developer Impact Fee
Planning Approval •
Called Contact Person
A.%P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees