BMCH2017-000278-495 CALLE TAMPICO
Raw
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O17-0002
Property Address: 53305 AVENIDA ALVARADO
APW 774073015
Application Description: HENTZ / CHANGE OUT HVAC SYSTEM
Property Zoning:
Application Valuation: $16,690.00
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
� r
Date: ( 1t 11 Contractor:_�t�u�J�i�
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'improve ments
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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of t -ie following declarations:
I have and will maintain a certificate cif 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' con-pensation 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
I certify that in the performance of th 2 work for which this permit is issued, I
shall not employ any person in any manner so alto become subject to the workers'
compensation laws of California, and agree that, if l should become subject to the
workers' compensation provisions of Section 37CO of the Labor Code, I shall forthwith
comply with those provisions.
s
Date: I ft li 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 117 SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the E.uilding 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 issmance of such permit, or cessation of
work for 180 days will subject permit to cancellat on.
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.
6
_ �A
Date: I ►1 t�l Signature (Applicant or bgent):�L�—
Date: 1%11/2017
Owner:
BRIAN HENTZ
53305 AVENIDA ALVARADO
LA QUINTA, CA 92253
•
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N
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y
ZELL
siiContractor:oHARRISON
ENTERPRISES INC D A G ERA�!'
31170 RESERVE DRIVE
z
s
THOUSAND PALMS CA 92276
(760)343-7488
Llc. No.: 686310
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of t -ie following declarations:
I have and will maintain a certificate cif 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' con-pensation 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
I certify that in the performance of th 2 work for which this permit is issued, I
shall not employ any person in any manner so alto become subject to the workers'
compensation laws of California, and agree that, if l should become subject to the
workers' compensation provisions of Section 37CO of the Labor Code, I shall forthwith
comply with those provisions.
s
Date: I ft li 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 117 SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the E.uilding 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 issmance of such permit, or cessation of
work for 180 days will subject permit to cancellat on.
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.
6
_ �A
Date: I ►1 t�l Signature (Applicant or bgent):�L�—
Owner:
BRIAN HENTZ
53305 AVENIDA ALVARADO
LA QUINTA, CA 92253
Date: 1/11/2017
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
Llc. No.: 686310
---------------------------------------------------------------------------------------------
Detail: HVAC CHANGE OUT - 16SEER/8AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
e
Application Number:
BMCH2O17-0002
Property Address:
53305 AVENIDA ALVARADO
APN:
774073015
Application Description:
HENTZ / CHANGE OUT HVAC SYSTEM
Property Zoning:
Application Valuation:
$16,690.00
Owner:
BRIAN HENTZ
53305 AVENIDA ALVARADO
LA QUINTA, CA 92253
Date: 1/11/2017
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
Llc. No.: 686310
---------------------------------------------------------------------------------------------
Detail: HVAC CHANGE OUT - 16SEER/8AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
e
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION WA:"
$1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for CHANGEDUT:
$114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT'
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE:
$96.27
Bin. #
Of Quintd
Building 8t Safety Division
P.O. Box 1504,'78-49S Calle Tampico
P.Quinta, CA 92253 -:{760} 777-7012
Building Permit Application and Tracking Sheet
Permit #
2f�Ji
Project Address: 53305 Avenida Alvarado
Owner's Name:. Brian Hentz
A. P. Number.
Address: 53305 Avenida Alvarado
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor: General Air Conditioning.
Telephone: 760-408-4445
Address: 31170 Reserve Drive
Project Description: Replace 4 ton heat pump and air handler
City, ST, Zip: Thousand Palms, CA 92276 .
Telephone: 760-343-7488
State Lic. # : 686310 City Lic. #;
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone:
2' `' ':?•
State Lic. #:'~"
,.;<: :�j�;4�.�.`. .
Name of Contact Person: Steven Schnierer
Construction Type:. Occupancy:
Project type (circle one): New Add'e Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 8.18-735-7876
Estimated Value of Project: 16,690.00
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACKNG
PERMIT FEES
Plan Sets
Plan Check submitted'
Item Amount
Structural Cafes..
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cafes.
Called Contact Person
Pian Check Balance
Tide 24 Cafes.
Plans picked up
Construction
Flood plain plan
Pians resubmitted..
Mechatka!
Grading plan
2`1 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 DOUSE:-
'^` Review; ready for corrections/issue.
DeveloperImpact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr %
Date of permit Issue
School Fees
Total Permit Fees
x
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems. (formerly CF -IR -ALT -HVAC)
Project Name:
BRIAN HENTZ I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3)
2017-01-10
A. General Information
CFIR-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
BRIAN HENTZ.
02
Date Prepared
2017-01-10
03
Project Location
53305 Avenida Alvarado
04
Building Type
Single family
05
CA City
LA QUINTAL
06
Dwelling Unit Name
BRIAN HENTZ
SC System
SC System
CFA served
Is the SC
art
system a
Installing,a
OIj:;� r�1.
refrigerant
�«. ftt'
I'nstallmg new SC
Installing
Installing .
t :
` `�*K,
j
' `
Dwelling Unit Conditioned
1420
07
Zip Code
92253
08
more than 40
entirely new
entirely new
Ndme
Served
Floor Area (ftZ)
system?
component?
components?
feet of ducts?
duct system?
Number of Space
Alteration Type
09 '
Climate Zone
15
0'
Conditioning (SC) Systems in
1
r
this Dwelling Unit:
WHOLEHOUSE
B. Space Conditioning (SC) System Information (( !
Ol
02
03
04
05 �
i" ' '. 06'+x i
07
08
09
10
SC System
SC System
CFA served
Is the SC
art
system a
Installing,a
OIj:;� r�1.
refrigerant
�«. ftt'
I'nstallmg new SC
Installing
Installing .
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Ndme
Served
System (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
Altered space
SYSTEM 1
WHOLEHOUSE
1420
Yes
Yes
Yes
No
No
No
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: 417-A020002468A-000-000-0000000-0000
Registration Date/Time: 2017-01-10 12:14:12
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-10 12:14:13
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)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 split
All new
Central split
All new
This field or
This field or
SYSTEM 1
heating
AFUE
0.8
cooling
SEER
16
Setback
section is not
section is not
HP
.
components
HP
components
'
applicable
applicable
Required Documentation:
CUR-MCH-01-E - Space Conditioning Systems ' f
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums R6;(CZ 1 10 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are in$talled Im d`ucted systems, or when more than 40 ft of duct length is replaced
Leakage rate compliance: <= 15% or <= 10%leakage to outside, or seal all accessible leaks.
CF2R and CF311-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required.
Exceptions:
Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct LeakageTesting requirements.
Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MCH -25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or Wiffibuit Equipment Ch ing}eout (Sections 150.2(b)1Diia and 150.2(b)lE F)
This s'e'ction 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: 417-A020002468A-000-000-0000000-0000 Registration Date/Time: 2017-01-10 12:14:12 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-10 12:14:13
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. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Patrick Somers
Pat ,Cok,SOinewb-
Company:
Signature Date:
General Air Conditioning
2017-01-10
Address:
CEA/ HERS Certification Identification (if applicable):
31170 Reserve Drive
686310
City/State/Zip:
:Phone:
Thousand Palms CA 92276°=�'.�,
y
760;343-7488
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: 'a
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibillty 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 Regulations.
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;approvalmith this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be.ma8e-available with thd-building-permit(s)-isssued 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 the builder provides to the building owner at occupancy. .
Responsible Designer Name: a :
'i Y1i" 4 `,°:„raviok:S�":Ometr�
Responsible Designer Signature:
Patrick Somers
Company:
Date Signed:
General Air Conditioning
2017-01-10
Address:
License:
31170 Reserve Drive
686310
City/State/Zip:
Phone:
Thousand Palms CA 92276
760-343-7488
..Registration Number: 417-A020002468A-000-000-0000000-0000
Digitally signed by CHEERS'”. 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 Date/Time: 2017-01-10 12:14:12
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-10 12:14:13