BMCH2016-004578-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4t!t 4 4 QuIltro
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
54
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/9/2016
Application Number: BMCH2O16-0045 Owner:
Property Address: 50330 VALENCIA CT CT BRUCE & SHARON TELFORD
APN: 773390013 (n1 50330 VALENCIA CT
Application Description: TELFORD RESIDENCE / HVAC C9,ANGE OUT, LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $4,700.00 2016
Applicant: C!TYir;: Contractor:
IE INC CO'i'��i�'"EEU`�L'c%y'Di D5Ph5i.",¢34T 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: 3 k, t 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).:
(_) 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.).
(_)1, 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 N
Lender's
(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.
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 polity 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: 9 )% 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: 31 '- I 1 to Signature (Applicant or Agent): Z
DESCRIPTION
FINANCIAL INFORMATION
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
QTY
AMOUNT ;
PAID
PAID DATE
HVAC CHANGEOUT - CONDENSER ONLY
101-0000-42402
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #-
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - CONDENSER ONLY PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for CHANGEOUT: $60.43 $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: TELFORD RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 3/9/2016 MFA
Parcel No: 773390013 Site Address: 50330 VALENCIA CT CT LA QUINTA,CA 92253 Approved: 3/9/2016 MFA
Subdivision: TR 30125-2 Block: Lot: 13 Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $4,700.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 14 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES.
_j Applied to Approved
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
IE INC
31225 LA BAYA
WESTLAKE CA
VILLAGE
91362
(760)296-1038
CONTRACTOR
HARRISON ENTERPRISES INC DBA
GENERAL AIR
31170 RESERVE DRIVE
THOUSAND CA
I PALMS
92276
(760)296-1038
OWNER
BRUCE & SHARON TELFORD
50330 VALENCIA CT
I LA QUINTA I CA
1 92253
1 (760)296-1038
Printed: Wednesday, March 09, 2016 8:32:28 AM 1 of 2
SYSTEMS
INSPECTIONS
Printed: Wednesday, March 09, 2016 8:32:28 AM 2 of 2 l
SYS7EM5
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS 561473 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
$36.26
$0.00
CONDENSER ONLY
HVAC CHANGEOUT -
101-0000-42600
0
$24.17
$0.00
CONDENSER ONLY PC
Total Paid for CHANGEOUT: $60.43 $0.00
PERMIT ISSUANCE
101-0000-42404
0 1
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
INSPECTIONS
Printed: Wednesday, March 09, 2016 8:32:28 AM 2 of 2 l
SYS7EM5
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-1HVAC)
Project Name:
BRUCE TELFORD I Date Prepared:
CF1R=ALT 02-E
(Page 1 of 3 )
2016-03-08
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 CF1R-ALT-02 document for each dwelling unit.
01
Project Name
BRUCE TELFORD
02
Date Prepared
2016-03-08
03
Project Location
50330 Valencia Court
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
BRUCE TELFORD
SC System
SC System r
'CFA served
Dwelling Unit Conditioned
refriger nt t
07
Zip Code
-
92253 t
p h
08
Floor Area (ft2)
500
Location or Area
by this SC
�..
containing
Number of space conditioning
than 40
09
Climate Zone
15l, `
30
(SC) systems in this dwelling
1
system?
component?
components?
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System Information-, M
01
02
i 03 ..
A 04 &
1p j 0fl �
f-061 I 1
1 07
4 . 11
. 09
10
.. .(.-P
the SC
�.--test`.1 "tee.
Instilling a
I
SC System
SC System r
'CFA served
Systema
refriger nt t
-NInstalling ew SC
It
Installing
more
Installing
Installing
entirely
Identification or
Location or Area
by this SC
ducted
containing
V
system
than 40
entirely new
new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
500
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-A0089253A-000000000-0000
Registration Date/Time: 2016-03-08 08:25:35
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-08 08:25:37
Schema Version: 0.55SSDD
CERTIFICATE OF COMPLIANCE CF1R-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
it
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 split
All new
Central split
All new
Less than or
System 1
HP
heating
AFUE
0.8
HP
cooling
SEER
14
Setback
equal to 40
R-8
components
•
components
feet
Reouired•Documentation:
MR -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: 515%, or 510% leakage to outslde, 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 z 300 CFM/ton required when MCH -25 is required.
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.
Air Handler/Furnace do Air Flow MCH=23=6r ftefrlgerant Charge N1ECH-25.:
-Heating-only systems and changes not require verification of
-Existing duct systems constructed, insulated or sealed with asbestos are exemptsfrom MCH 20 Duct Leakage Testing requi' nis`.
-r A^'. %,V, iL.,.. _ �. i" ,J1 ,� 4 � L . _ 1 �.. _. _ 1 t A [ # � ;l..f r+» A 1
'N 44 i ' ,+...xm.- '�..:.-...... a..�.,.. .M. -,.tea e... * w +•.w.+.' t f h... w.. -«tet w.,s„r ..eP
E. Entirely New or Complete Replacement Duct,System, with or without, Equipment Changeout,(Sections 150.2(b)lDiiaancl 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-A0089253A-000000000-0000 Registration Date/Time: 2016-03-08 08:25:35 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-08 08:25:37
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-ALT-024
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: �
Jan dacobJr
Jacoby, Ian
Company:
Signature Date:
i PERMIT E RATERS
2016-03-08 08:25:35
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 o 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
requirements of Title 24, Part 1 and Part 6 of the California Code of�Regulatlons
compliance documents, worksheets,
4. The building design features or system design features Identified on this Certificate of Compliance are' consistent wlthAhe ihformatlon prrovided on#{
calculations, plans and specificati.onssubmitted to the enforcement agency for approval with this building permit application. 1lother�appljltcalile
5. I will ensure that a registered copy of this Certificate bf,Compliance shall be made`avallable with.the building:petmit(s)=issued for,the_tiuilding, 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,documentatlonthe builder provides to the building owner at occupancy.
Responsible Designer Name: t 4 L;;� F -A *.J
Responsible Designer signature: V tn"�
man
Jacoby, Ian
aco�,Y
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-03-08 08:25:35
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 no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 216-A0089253A-000000000-0000 Registration Date/Time: 2016-03-08 08:25:35 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-08 08:25:37
Schema Version: 0.555SDD
Bin .#
Qty Of La Qurnta
Building a Safety Division
P.O: Box 1504,78-495 Calle Tampico
1.a.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 50330 Valencia Court
Owner's Name:. Bruce & Sharon Telford
A. P. Number.
Address: 50330 Valencia Court
Legal Description:
Contractor. General Air Conditioning
City, ST, Zip: La Quinta, CA :92253
�Offi.
Telephone: -.�
Address: 31170 Reserve Drive
ProjectMscription: Replace 2 ton Air Handler
City, ST, Zip: Thousand Palms, CA 92276.
Telephone: 760-343-7488
C-,;
Icity Lie. M.
State Lie. # : 686310
Arch , Eagr., Designer
Address:
City., ST, Zip:
Telephone: `�
State Lia #:
Name of Contact Person: Steven Schnierer
Construction Type: . Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: 8.18-735-7876
Estimated Value of Project: $4,700.0.0
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Reed
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cities.
Called Contact Person
Plan Check Balance.
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mecimnical
Grading plan
2'! Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
J.
Grant Deed
Pians picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
N ROUSE:-
''d Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees