BMCH2017-0008�. d
C�0 ��
78-495 CALLE TAVOICE (760) 777-7125
NIPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT'
Date:' 1/19/2017
Application Number: BMCH2O17-0008 Q Owner:
Property Address: 48340 VIA SOLANA DON ELSTEIN
APN: 646380049 48340 VIA SOLANA
Application Description: ESLTEIN / CHANGE OUT (1) FUR LA QUINTA, CA 92253
Property Zoning: JAN 19 2017
Application Valuation: $3,800.00
Applicant: CITY OF LA QUINTA
IE INC DESIGN AND DEVELOPMENT DEPARTMENTContractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31225 LA BAYA 31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, CA 92276
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: ,I 1�11 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 the.. 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 ttircugh 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
1 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:
(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.
�l 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: INSURANCE COMPANY OF THE WEST Policy Number: WSD5031658
1 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: 111011r) Applicant: SZZ-7�
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: ( 1 °C Signature (Applicant or Agent): �� W
Date:. 1/19/2017
Application Number: BMCH2O17-0008
Owner:
Property Address: 48340 VIA SOLANA
DON ELSTEIN
APN:_ 646380049
48340 VIA SOLANA
Application Description:. ESLTEIN / CHANGE OUT (1) FURNACE
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $3,800.00
Applicant:
Contractor:
IE INC
HARRISON ENTERPRISES INC DBA GENERAL AIR
31225 LA BAYA
31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362
THOUSAND PALMS, CA 92276
(760)343-7488
LIC. No.: 686310
' Detail: HVAC CHANGE OUT- (1)80AFUE FURNACE [2016 ENERGY] CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 ,
CALIFORNIA BUILDING CODES.
w
'DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0
$1.00
• Total Paid for BUILDING STANDARDS ADM INISTRATION'BSA: ..$1.00
DESCRIPTION
ACCOUNTQTY
AMOUNT
HVAC CHANGEOUT - FURNACE ONLY
101-0000-42402
0
$38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT- FURNACE ONLY PC
101-0000-42600
0
$25.33
Total -Paid for CHANGEOUT: $63.33
DESCRIPTION
ACCOUNT
QTY'
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 1 of 3) .
Project Name: DON ESLTEIN Date Prepared: 2016-06-14
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 •
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
.
�,
Installipg
x
Installing
Floor Area (ft2)
Identification or
Location or Area
by this SC
ducted
containing
Number of space conditioning
more than 40
09
Climate Zone
15 `r;
30
(SC) systems in this dwelling
1
system?
component?
r
feet of ducts?
unit.
SC system?
Alteration Type
System1
Location 1
2040
Yes
.
No
B. Space Conditioning (SC) System Information >uy `
��
Ol
02
03 w
04 .,.
O5
�, e
'06 �`
07f
08
09
10
Is the SC s:
Installing a
.SC System
}
SC System
CFA served
z
system a
refrigerant
Installing new SC
�,
Installipg
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
System1
Location 1
2040
Yes
.
No
Yes
No
I
No
No
f
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)lDiib)
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
HERS Provider:.CalCERTS
Report Generated: 2016-06-14 22:56:57
CERTIFICATE OF COMPLIANCECFiR-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)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 gas
All new
Central split
No cooling
This field or
This field or .
This field or
This field or,
System 1
furnace
heating
AFUE
80
At
component
section is not
section is not
Setback
section is not
section is not
components
altered
applicable
applicable
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fan's
x;
-Duct insulation requirement for new plenums: R6. ,
CF211-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: 515%, or:5 10% leakage to ou6i`de,: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 2 300'CFM/ton regwred;when MCH -25 is required.
Exceptions r._...
-Duct.systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage es ing requirementsE-Mjowg.
Heating -only systems and Air Handler/Furnace do Air Flow MCH=23;g Cha
changes not re vire"venficatipn of rRefnger nt ge MECH 2�.
s a ter»n 3
-Existing duct systems constructed, insulated or sealed with,asbesto. =are exem <from MCH 20 puet'Leakage Testfn % squire ents y
:r � � •. CA ,x S s� f V aArW�:.M �:
.
ye
E. Entirely New or Complete.Replacement Ducts ,Stem, with r without quipment Change ut (Sectionsp1 0.2(b)1Dii andk150.2(b)lE, F)
'w': 'fir I
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-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 Reoort Generated: 7016 -OF -14 77:56:57
0
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
Alterations to.Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 3 of 3 )
Documentation Author's Declaration Statement
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Shanley, Barbara
O
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 the'(awsof the State of California:
s. ,
1. The information provided on.this Certificat6�6f,Co pliance.is true and correct.
2. lam eligible under Division 3 of.the Business and Professions Code to,.accept-respdrisibility for the building design or system design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance.specifications matenalsicomponents and tppnufactured devices for the building design or systern design identified -on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and P'ar't' -of the Cahforrna Code of egulations.
�r
eof bother
4. The building design features or system design features idgntified o 7this Certifica �r m lance are c ft lstent", .ith'the i formate r?: rovided o a"` licalile om liance`documents, worksheets,
}u t 4iws g �is M p:E PP P
calculations, plans and specifications submitted to�the enfprcemen(agency pp vwit�his buil,�l�ng it applicatioon.
foa per
,i
iii
S. 1 will ensure that a registered copy of thist . cateipf C pliance shall,,110P de available wrthsthe bulld.�ng; permit(s)�issue I forith,41pulldfpg, andrmade availabld%.i he enforcement agency for all applicable
inspections. I understand that a registered copy of this Cie t irate of Co npl ance i@;;[equ Eed to gvincluded yujl i the locum t1tioghEP. Under provides too the building owner at occupancy.
Responsible Designer
Responsible Designer Signature:
Shanley, Barbarati�ZC�/�c�i2Gl
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
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.
' s
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 Reoort Generated: 2016-06-14 22:56:57
1.
Building 8L Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253- (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 48340 Via Solana
Owner's Name:. Don Elstein
A. P. Number.
Address: 48340 Via Solana
Legal Description:
City, ST, Zip. La Quinta, CA 92253
Contractor. General Air Conditioning
/
Telephone: 760-564-1687�s, ;
Address: 31170 Reserve Drive
Project Description: Replace 90,000 BTU furnace
City, ST, Zip: Thousand Palms, CA 92276
Telephone: 760-343-7488 gg•
State Lie. # : 686310 City Lie'. #;
Arch, Engr., Designer
rdress:ty., ST, Zip: .elephone:
State Lic. #:
Y `�
7 ,�
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: 818-735-7876
Estimated Value of project: $3,764.00
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Submittal Req'd 'Rev'd TRACMG PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Trass Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.*Mechanical
Grading plan
tad Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O-A. Approval
Plans resubmitted
Grading
IN 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