BMCH2016-000278-495 CALLE TAMPICO
.LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O16-0002
`tee 4'P Rumrw
COMMUNITY DEVELOPMENT DEPARTMENT INSP
BUILDING PERMIT
Property Address:
79603 POMO
APN:
776180022
Application Description:
BRONSON / CHANGE OUT (2) 78AFUE FURNACE
Property Zoning:
Application Valuation:
$7,946.00
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: T2s 11(o 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).:
(_J 1, 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 ani 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 Name
Lender's
Owner:
RICHARD BRONSON
79603 POMO
LA QUINTA, CA 92253
68
VOICE (760) 777-7125
NS_( -760)y777-7153
t� =
e�7 c�
Date: E/8/201E
C= cwt
d ea
F3
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)601-3500
Lic. 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.
- `�� 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: _ Policy 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: llall—Applicant: ��--�.CJ� C►�r `
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 $ kx� Signature (Applicant or Agent)
1 17 111
�IACCOWT�.
DESCRIPTIONPAID PAID DATE
' WAMOUNT4,t,N
BSAS SB1473 FEE 101-0000-20306 0 $1.00
$0.00
PAID THOD
4JCHECK # LTD BYJ
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 .$0.00
F's
DESCRIPTION A
jj.�� ACC 6UNT-1
PAID
A
PAID DATE?
HVAC CHANGEOUT - FURNACE ONLY
101-0000-42402
0
$72.52
$0.00
7 ;PAID ,py,METHOD
R !Px,
n RECEIPT
-�'& CHECK
CLTD BY,
j
v-
DESCRIPTION
)UN'�JvVl
V
PAIDaNA
;
PAID DATE
,ACCOUNT
HVAC CHANGEOUT - FURNACE ONLY PC
101-0000-42600
0
$48.34
$0.00
t� rxf
tcc
j�l B
�
s #
CLTD BYE
,MET;CHECK
Total Paid for CHANGEOUT: $120.86 $0.00
4� N
DATE'
RIP .110
Cqq�NT;
t,.m
1A
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAI D_ BYP, 'xvm,
TH61)
#
CHECK
�CLTDZY,:,t
,ti 4 7,
L4
- I .. I .
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
'`1•
OVUM PERMIT NUMBER
r City of La Quinta BMCH2O16-0002
Description: BRONSON / CHANGE OUT (2) 78AFUE FURNACE
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 1/8/2016 SKH
Approved:
Parcel No: 776180022 Site Address: 79603 POMO LA QUINTA,CA 92253
Subdivision: TR 24890-6 Block: Lot: 48
Issued:
Lot Sq Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $7,946.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - (2)78AFUE FURNACES [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
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NAME TYPE NAME
ADDRESS1
CITY
STATE ZIP
PHONE
FAX EMAIL
APPLICANT IE INC
31225 LA BAYA
WESTLAKE
CA
91362
VILLAGE
CONTRACTOR HARRISON ENTERPRISES INC DBA
31170 RESERVE DRIVE
THOUSAND
CA
92276
GENERAL AIR
PALMS
OWNER RICHARD BRONSON
79603 POMO
LA QUINTA
CA
92253
Y ,
e
� e
Printed: Friday, January 08, 2016 12:02:52 PM
1 of 2
LJ {..1 LJ LJ SYSTEMS
INSPECTIONS
Printed: Friday, January 08, 2016 12:02:52 PM 2 of 2 CJ?
SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
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
FURNACE ONLY
HVAC CHANGEOUT -
101-0000-42600
0
$48.34
$0.00
FURNACE ONLY PC
Total Paid for CHANGEOUT: $120.86 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
INSPECTIONS
Printed: Friday, January 08, 2016 12:02:52 PM 2 of 2 CJ?
SYSTEMS
B,rt.#
Permit #
Project Address: 79603 Pomo
Qt}/ 0f La QUII1td
Building u Safety Afvision
P.O. Box 1504,78-495 Calle Tampico
ia.Quinta, CA 92253 - (760) 777-7012
Building Permit Application' and Tracking Sheet
Owner's Name:. CJ Bronson
A. P. Number:
Address: 79603 Pomo
Legal Description:
City, ST, Zip: La Quinta, CA :92253
Contractor: General Air Conditioning
Address: 31170 Reserve Drive
Telephone: 760-771-9612 :,>• > �� :>x'
Project Description: Replace (1) 90,000 BTU Furnace & (1)
City, $T, Zip: Thousand Palms, CA 92276 •
Telephone: 760-343-7488
110,000 BTU Furnace
State Lic. # : 686310
City Lic. #
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
State Lic. #:%
V Y' '``' `°
:,<.....w » r
Construction Type: • Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Steven Schnierer
Sq. Ft.:
# Stories:
# Unitp:
Telephone # of Contact Person: 8.18-7.35-7876 Estimated.Value of Project: $7,946.00
- APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
Reed
TRACKING
Plan Check submitted.
PERMIT FEES
Item Amount
Structural Calls.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Caics.
Called Contact Person
Pian Check Balance.
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
tad Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'"' Review; ready for correctionsRssue
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
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name:
Cl BRONSON I Date Prepared:
2016-01-06
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
CJ BRONSON
02
Date Prepared
2016-01-06
03
Project Location
79603 POO
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
CJ BRONSON
07
Zip Code
92253
08
Dwelling Unit Conditioned
3800
!"'.
.Installing=new;SC
'
Instalh lin;g
'�1^^.
""w+,
Installing
Installing
Floor Area (ft2)
Identification or
Location or Area
by this SC
system
ducted
containing
Number of space conditioning
more than 40
09
Climate Zone
15
10
(SC) systems in this dwelling
2
system?
component?
components?
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System Information /� " ," R
11 �� n r��
'� Ji �
Jf
01
02
; 03 ,
X 04'&
tri USI k�
f F 061
11 07)), �
11 08 I J
t 09
10
'FIs the SC`""
Installing a
,�/`
SC System
SC System
CFA served
' a
.
refrigerant 4
!"'.
.Installing=new;SC
'
Instalh lin;g
'�1^^.
""w+,
Installing
Installing
Identification or
Location or Area
by this SC
system
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
3800
Yes
No
Yes
No
No
No
Altered space
conditioning system
System 1
Location 2
3800
Yes
No
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-A0011532A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time
Report Version: 2013-1.006
.,rhpma Vpminn• n SSSSnn
2016-01-06 12:51:19
HERS Provider: CaICERTS
Report Generated: 2016-01-06 12:51:39
CERTIFICATE OF COMPLIANCE CF1R-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)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
All new
No cooling
This field or
This field or
Less than or
System 1
Central gas
heating
AFUE
0.78
Central split
component
section is not
section is not
Setback
equal to 40
R-8
furnace
components
AC
altered
applicable
applicable
feet
All new
No cooling
This field or
This field or
Less than or
System 1
Central gas
heating
AFUE
0.78
Central split
component
section is not
section is not
Setback
equal to 40
R-8
furnace
components
AC
altered
applicable
applicable
feet
Required Documentation:
CF2R-MCH-03-E - Space Conditioning Systems Duds and Fans
-Dud insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF3R-MCH-20-H — Dud 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 <_ 10% leakage to outside, or seal all accessible leaks. ,^
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when efrigerant 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 re cared?
Exceptions: 1 \ k I
f�
-Duct systems registered with HERS provider as previously sealed'are exemp.Leak
t from MCH -20 Ductage Testing requirements. 0
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MECH-25.
Existing dud systems constructed, insulated or sealed with asbest s a4exempt from MCH- Duct leakage Testing reGqu eme u.
.� . e:_
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, F)
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-A0011532A-000000000-0000
Registration Date/Time:
2016-01-06 12:51:19
HERS Provider: CACERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2016-01-06 12:51:39
Srhpmcw Vpminn• n rrrrnn
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: %
Salazar, Barbara
arbara Salazar
Company:
Signature Date:
i PERMIT E RATERS
2016-01-06 12:51:19
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 manufac.t�u--r.�ed devices for the building design or,system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. y I /_ 1 I FF � t(r 'T i 1 �-.,
with,the info i r vid d on oth r.a licabie com fiance documents, worksheets
4. The building design features or system design features identified on this Certificate of Compliance are consistentrmat on p o e e pp p d ,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
S. 1 will ensure that a registered copy of this Certificate of Compliance shall be made -available with the building permit(s): issued for the building, and made available to the—enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance,is_required to be, included with the. documentation theYbuilder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Desig er Signature: 'V A�y%�
Salazar, Barbara
,(�arbara a[azar
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-01-06 12:51:19
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: 216-A0011532A-000000000-0000 Registration Date/Time: 2016-01-06 12:51:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2016-01-06 12:51:39
Crhpma Vpminn• n SSSCnn