BMCH2016-021078,-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&tyl °F Zfv QuIAZ
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE.(760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/16/2016
Application Number: BMCH2O16-0210 Owner:
Property Address: 48340 VIA SOLANA I •` -- —. DONALD ELSTIEN
APN:" 646380049 1
Application Description: CARLSON / CHANGE OUT (1) FUR N IC �>JiV 1 7 2016 92253
Property Zoning:
Application Valuation: $3,764.00 CIT6FLAQU,N7A
COi4 tf l'I1IITYDR'c'LOPitAENTDEPARfi7EfdT
Applicant: Contractor:
IE INC. HARRISON ENTERPRISES INC DBA GENERAL AIR
32115 LA BAYA 31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, CA 92276 .
(760)343-7488
Llc. 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 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 Labor 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: ko Contractor:' L 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:
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 Address:
Carrier: Policy Number:
_ I certify that in the performance of the work for which this permit is issued, 1
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 become3ubject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 6.11-71U.0' Applicant:'. e
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: I7) Signature (Applicant or Agent)1
f�------
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FINANCIAL INFORMATIONf
yDESCRIP,TION
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ACCOUNT r TY AMOUNT
PAID DATE'
., ,. £ J
,PAID , .
FURNACE
101-0000 42402
0 $36.26 . •
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,ACCOUNT m r
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7-, AMOUNT
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PAID DATE'
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FURNACE PC
101-0000-42600
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$24.17
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PAID BY
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Total Paid for MECHANICAL: 1 $60.43 $0.00
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'� AMOUNT'
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PERMIT ISSUANCE
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$91.85
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Total Paid for PERMIT ISSUANCE: $91.85 $0.00 •
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INSPECTION. 2013 CALIFORNIA BUILDING CODES.
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An. Applied to Approved ,
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Description: CARLSON / CHANGE OUT (1) FURNACE
Type: MECHANICAL Subtype: Status: APPROVED Applied: 6/16/2016 SKH
Parcel No: 646380049 Site Address: 48340 VIA SOLANA LA QUINTA,CA 92253 Approved: 6/16/2016 SKH
Subdivision: TR 27840 Block: Lot: 79 _ Issued:
Lot Sq Ft:,O Building Scl Ft: 0 Zoning: Finaled:
Valuation: $3,764.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT- (1)80AFUE FURNACE [2013 ENERGY] CARBON MONOXIDE ALARM(S)
CONTACTS
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Description: CARLSON / CHANGE OUT (1) FURNACE
Type: MECHANICAL Subtype: Status: APPROVED Applied: 6/16/2016 SKH
Parcel No: 646380049 Site Address: 48340 VIA SOLANA LA QUINTA,CA 92253 Approved: 6/16/2016 SKH
Subdivision: TR 27840 Block: Lot: 79 _ Issued:
Lot Sq Ft:,O Building Scl Ft: 0 Zoning: Finaled:
Valuation: $3,764.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT- (1)80AFUE FURNACE [2013 ENERGY] CARBON MONOXIDE ALARM(S)
Printed: Thursday, June 16, 2016 11:27:48 AM r 1 of 2 srsreMs _
CONTACTS
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APPLICANT
IE INC.
32115 LA BAYA
WESTLAKE
CA
91362
VILLAGE
CONTRACTOR
HARRISON ENTERPRISES INC DBA
31170 RESERVE DRIVE
THOUSAND
CA
92276,
FRANCISCO@CALLTHE
GENERAL AIR
PALMS
GENERAL.COM
OWNER
DONALD ELSTIEN
92253
„
Printed: Thursday, June 16, 2016 11:27:48 AM r 1 of 2 srsreMs _
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PARENTPROJECTS
BOND INFORMATION.
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LTD
FURNACEPC
101-0000-42600
$24.17
$0.00
Total Paid for MECHANICAL: $60.43 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
PARENTPROJECTS
BOND INFORMATION.
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-
CkY. of, La Quinta
B dNv et Safety Division
P.O Box 1504,-78495 Cabe Tampko'-
Permit #
La.CJA a, CA 92253 -(760) 777-7012 ,
Building Permit Application- and Tracking Sheet
ProjectAdd[ess: !� ! AAAM
Owner's Names . d ( e
A- P. Nwnbee
Address: 3 qDLIP-
v r�
Legal
City, ST. Zip:
Corarutor: General Airtac and heating
Telephone 7 /
A&hw: 31170 reserve drive -
ProjeaDescription:, t
City. S1', Zip: thousand palms 92276.
'� � ;►
Telephone: 760 343-7488 11
j7/,O'
state Lia 9: 686310. City Lic &
Arch, Boge. Desigaa: t
;
Address
;
City. ST. Zip: - ;
Telcphone: C %*uc ion Type: Ocpepankq: -
state Lir. d: Project type (Circle one): New Add'n ' Alta Repair Dem
Name of Contact Person• Sq. FL: 6 Stories p Units
Tdq*oac i of Contact Peahen 818 735-7876 EstaadW. Valise of Project:
APPLICANT: DO NOT WRITE DHOW THIS UNE '
r sa6mittal RtVd Recd _: TRAOMC. PSR1vIITF8ES
Min Seb
Pian Qeea eabmttted teem Amount
shvCturai Cala '
Rcvkw4 ready ter eonvedom Plan Check Deposit. -
Tra= Cita.
Called Costa at Parson Pian Cheek Balance.
Mfic 24 Cala.
Pians picked alp - Caaarrsafltln '
Flood Oft plea -
Plaw retaDmIW Merhakikal
GRmaf Pi+►o
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r! Review, ready for eorrectioaMmue Eleeatal ,
8atxorktae0or Idst
Called Couftd llama YlamDlag
Grant Deed
Plans pidud up SM v
H.O.A. Approval
r *
Plans resub Wed Grading
IN IIOUSB:-
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2" R AM, ready for corr"flon Jissae � Developer I®paet Fee ,
PbuWa6APPrm'al
CA castaetPessan
Pub. Wks• Appr
Date of permit Issue
School Fen
Total Pcrmdt Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name: DON ESLTEIN Date'Prepared: 2016-06-14
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
DON ESLTEIN
02
Date Prepared
2016-06-14
03
Project Location
48340 Via Solana
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
DON ESLTEIN
07
Zip Code
92253
08
Dwelling Unit Conditioned
2040
y'4W41
;
'4b^
Floor Area (ft2)
SC System
SC System ,
'CFA served
�r� +
system a
�� ,�
refrigerant
Number of space conditioning
�
Installing
09
Climate Zone
15
10
(SC) systems in this dwelling
1
ducted
.k ----
system
more th n 40
unit.
entirely new
B. Space Conditioning (SC) System Information""`A
."� f€
Ol
02
p3
04
M05
.06
07,
U8
09
10
r'
1:
.s:
the
.vfx
1 :SC Installing aFIs
y'4W41
;
'4b^
SC System
SC System ,
'CFA served
�r� +
system a
�� ,�
refrigerant
».� ,,, ,tea,:
Installing+newrSC
�
Installing
?Installrog
installing
Identification or
Location or Area
by this SC
ducted
containing s
system
more th n 40
en rely e v
entirely new
Name
Served
System (ft2)
system?
I component?
I components?
feet of ducts?
dud system?
SC system?
I Alteration Type
System 1
Location 1
2040
Yes
No
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.2(b)iDlib)
This section does not apply to this project.
Registration Number: 216-A0221173A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-06-14 22:56:50
Report Version: 2013 Rev 1:007
Schema Version: 0.555SDD -
HERS Provider: CaICERTS
Report Generated: 2016-06-14 22:56:57
CERTIFICATE OF COMPLIANCE CFlR-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)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
Centre) split
No cooling
This field or
This field or
This field or
This field or
System 1
heating
AFUE
80
AC
component
section is not
section is not
Setback
section is not
section is not
furnace
components
altered
applicable
applicable
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6, f
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:15 15%, or 5 10% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & MR -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 2 300 CFM/ton required'w_hen MCH -25 is required.
Exceptions: �..�^^� -�_" .r+
-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.requireverification of Air Flow MCH=23 or'RefrigerenfCharge MECH 25.'
Existing duct systems constructed, insulated or sealed with asbestos are exemphfrom MCH 20 Duct,Leakage Test ng requirements
A $ F J $ 11 XIN.. 44 . 4 t i:.G 4'.5 .4 4 , .. 1 R 7 n a ! '4.g,.
E. Entirely New or Complete Replacement Dud,SV tem, with or without -Equipment Changeout,(Sections150.2(b)iDiia,and,150.2(b)lE, F)
I,/' X11
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC)
This section does not apply to this project.
Registration Number: 216-A0221173A-000000000-0000
Registration Date/Time: 2016-06-14 22:56:50
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-14 22:56:57
Schema Version: 0.555SDD
t
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: Fo_
Shanley, Barbara
ZG�/��1�
Company:
Signature Date:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-06-14 22:56:50
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 th laws6 f�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; Businessland Professions Cod accept;respon`sibility 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
.w °.
for"nia Ce of Regulat ons 4
requirements of Title 24, Part 1 and P rt 6'of the Cabod
:f�+ „sem. �.�rr� ��=a.
4. The building design features or system design features'identified on�this Certificate of Compliance are�consistent withithe into rmaUon,provided on;other appiicabie'compliance documents, worksheets,
t �i �;: �v. a
calculations, plans and specifications submittedto the erif�orcementragency for appyyruyoval-with, this building permit application, '
1! �� 8 «5 YL4� v N.9 P.Yi aril 7 '
1l !
5. I will ensure that a registered copy of this Certificate of CCompliance shall be; made available bio 1_the building permits) issued forkthe bwidfng, and;_made available o the enforcement agency for all applicable
inspections. I understand that a registered copy of thistertificate of Compliance is,requiired to beJncluded..with the docum nbtion,�the�builder p ovi�des W� a building owner at occupancy.
Responsible Designer Name:Wim•
Responsible Designer Signature:
Shanley, Barbara
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-06-14 22:56:50
Address:
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip: -
Phone:
THOUSAND PALMS CA 92276
760-343-7488
1 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-A0221173A-000000000-0000 Registration Date/Time: 2016-06-14 22:56:50 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-14 22:56:57
Schema Version: 0.555SDD
I
PA