BMCH2015-0456� �, Iillllllllllllllllll
24
'ait 4 4a91arw
78-495 CALLE TAMPICO VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 12/9/2015
Application Number:
BMCH2O15-0456
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
Owner:
Property Address:
52880 AVENIDA CARRANZA
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
ALLEN RICHMAN
APN:
773322007
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
`
Property Zoning:
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
Application Valuation:
$8,274.00
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
( ) I, 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
Applicant:
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
iJ
rhN`
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
Contractor:
IE INC.1
32115 LA BAYA
f,
C E C a 1C
�_.
�i J
2015 LJ
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362
•
THOUSAND PALMS, CA 92276
;r..,•T�
'T
(760)601-3500
Llc. No.: 686310
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:` l5 Contractor:
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 Nrk for which this permit is issued.
�� 1 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 polity number are:
OWNER -BUILDER DECLARATION
Carrier: _ Policy 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 that, 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 3700 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: I q IS Applicant:
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
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
( ) I, 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
work for 180 days will subject permit to cancellation.
Date: Owner:
I certify that I have read this application and state that the above information is correct.
CONSTRUCTION LENDING AGENCY I agree to comply with all city and county ordinances and state laws relating to building
I hereby affirm under penalty of perjury that there is a construction lending agency for construction, and hereby authorize representatives of this city to enter upon the
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). above-mentioned property for inspection purposes.
Lender's
Lender's
Date: IZ Q Signature (Applicant or Agent):
FINANCIAL • •
DESCRIPTION ACCOUNT CITY 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
CITY
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
CITY
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
CITY
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: RICHMAN / CHANGE OUT (1) 13SEER/78AFUE SPLIT SYSTEM
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 12/9/2015 SKH
Approved:
Parcel No: 773322007 Site Address: 52880 AVENIDA CARRANZA LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 157 Lot: 20
Issued:
UNIT 16
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $8,274.00 Occupancy Type: Construction Type:
Explred:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - (1)13SEER/78 AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Printed: Wednesday, December 09, 2015 10:33:35 AM 1 of 2
' 9MVsysrcMs
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE _
_
ADDRESSI
CITY ....R..
5....
TATE
x „
ZIP. PHONE FAX, EMAIL "'
APPLICANT
IE INC.
32115 LA BAYA
WESTLAKE
CA
91362
VILLAGE
CONTRACTOR
HARRISON ENTERPRISES INC DBA
31170 RESERVE DRIVE
THOUSAND
CA
92276
GENERAL AIR
PALMS
OWNER
ALLEN RICHMAN
28728 TIMBERLANE ST
AGOURA HILLS
CA
92253
Printed: Wednesday, December 09, 2015 10:33:35 AM 1 of 2
' 9MVsysrcMs
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:• 00
INSPECTIONS
PARENT PROJECTS
❑�1
Printed: Wednesday, December 09, 2015 10:33:35 AM 2 of 2. CN?W
SYSTEMS
Bin. #
Qty of La Quinta
' Building 8i' Safety Division
P.O. Box 1504,78-495 Calle Tampico
[a.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 52880 Avenida Carrania
Owner's Name:. Al Richman
A. P. Number
Address: 52880 Avenida Carranza
Legal Description:
City, ST, Zip: La Quinta, CA '92253
Contractor: General Air Conditioning
...c3a??�'.`'
Telephone:
Address: 31170 Reserve Drive
Project Description: Replace 3ton Heat Pump & Air Handler
City, ST, Zip: Thousand Palms, CA 92276
Telephone: 760-343-7488
"'" t ' ' F•'••�• � �
State Lie. # : 686310
City Lie. #•.
Arch., Engr., Designer
Address:
City., ST, Zip:
•Y � ., <. �°
Telephone:`�� ;
State Lic. #: ::,,,,.�,,,�/,yy�ti� ,�V '•
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: 8.18-73577876 x 1
Estimated Value of Project: $8,274.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'd TRACIONG PERMIT FEES
Plgn Sets Plan Check submitted Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2id Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
W HOUSE:-
'^' Review; ready for correctionsfissue
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
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
AL RICHMAN I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3 )
2015-12-03
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 CF111-ALT-02 document for each dwelling unit.
01
Project Name
AL RICHMAN
02
Date Prepared
2015-12-03
03
Project Location
52880 AVENIDA CARRANZA
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
AL RICHMAN
07
Zip Code
92253
08
Dwelling Unit Conditioned
0
Ciristalling 1I�srtalling
Installing
Floor Area (ft2)
Location or Area
by this SC
ducted
containing
system
Number of space conditioning
entirely new
09
Climate Zone
15
10
(SC) systems in this dwelling
1 -
component?
components?
feet of ducts?
duct system?
unit.
Alteration Type
B. Space Conditioning (SC) System Information cr�t5. �/-C--,, n
01
02
03 ,
�047
frjbS I l
I1 061M
I i 07) �
� � 08 � I
� 09
10
�
,�
kls the SC
� �-,� ---�....:.
Installing a
..►.._..� � .3
�+ .�.�
a ss u
i....s v'
SC System
SC System
CFA served
`'Systema
refrigerant t
Installing new S.
Ciristalling 1I�srtalling
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
0
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: 215-A6428633A-000000000-0000
Registration Date/Time: 2015-12-03 08:50:21
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-12-03 08:50:16
Crhpma Vprcinn• n SSSCnn
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)IE 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
All new
All new
This field or
This field or
System 1
Central split
heating
AFUE
0.78
Central split
cooling
SEER
13
Setback
section is not
section is not
HP
components
HP
components
applicable
applicable
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: 5 15%, or <_ 30% 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.
�* . - .
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH 223�r Refrigerant Charge MECH=2�5
-Existing dud systems constructed, insulated or sealed with asbestos are exempt from MCH 20 Duct Leakage Testing requirements.(7'�
J1
\ •.tit ----
E. Entirely New or Complete Replacement Duct,System, with or without,Equipment Changeout (Sections 150.2(b)1Diia.and 150.2(b)1E, F)
►� � 11?.� k -,C a 11 d y ur
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: 215-A6428633A-000000000-0000
Registration Date/Time: 2015-12-03 08:50:21
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-12-03 08:50:16
Grhpma 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: / C+
arbara a ar
Salazar, Barbara
Company:
Signature Date:
i PERMIT E RATERS
2015-12-03 08:50:21
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
-1
requirements of Title 24, Part 1 and Part 6 of the California Code of RegulaUonsr�
,�"^�
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.
�
�"4, ti ,21.,r �i. �� is 1. !° --r
5. I will ensure that a registered copy of this Certificate of -Compliance shall, be-made.available with_the building.permit(s),issued forthe building, and,made available to the—enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance—is req fired to be,included with the;documlentationYthe�builder provides to -the building owner at occupancy.
4
Responsible Designer Name: ►+►• 11 '1 ..
Responsible Designer Signature: V Im �% L % �►
ar ara a Lar
Salazar, Barbara
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-12-03 08:50:21
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 no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A6428633A-000000000-0000 Registration Date/Time: 2015-12-03 08:50:21 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-12-03 08:50:16
Crhpma Vprcinn• n SS,;rnn