BMCH2017-021678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
IE INC
31225 LA BAYA
Twr4•f�Qa;.rw
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
BMCH2O17-0216 Owner:
58162 ARACENA JEANE TROXEL
764610021 58162 ARACENA
TROXEL / HVAC CHANGEOUT -14S ' 0 AF ®. LA QUINTA, CA 92253
$3,900.00
JUN 0 8 2017
DContractor:
WESTLAKE VILLAGE, CA 91362 .
Date: 6/7/2017,
A#1 SERVICES HEATING & AIR CONDITIONING
CITY OF LA QUINTA 78206 VARNER RD #D-189
DESIGN AND DEVELOPMENT DEPARTMENTPALM DESERT, CA 92211
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, 06 License No.: 97733333
Date: (J,0 a)�� Contractor: � C�
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:
(760)565-2691
Uc. No.: 977333
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: REPUBLIC UNDERWRITERS INSURANCE COMPANY Policy Number: ATW
_ 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: tel 9'
n 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: i3' Q �� Signature(Applicant orAgent): �—�_�---
Date: 6/7/2017
Application Number: BMCH2017-0216
Owner:
Property Address: 58162 ARACENA
JEANE TROXEL
APN: 764610021
58162 ARACENA
Application Description: TROXEL / HVAC CHANGEOUT - 14SEER/ 80 AFUE
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $3,900.00
Applicant:
Contractor:
IE INC
A#1 SERVICES HEATING & AIR CONDITIONING
31225 LA BAYA
78206 VARNER RD #D-189
WESTLAKE VILLAGE, CA 91362
PALM DESERT, CA 92211 '
(760)565-2691
------------------------------------- -------------------------------------------------------
LIc. No.: 977333
Detail: HVAC CHANGE OUT - 14SEER/.8AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016,
CALIFORNIA BUILDING CODES.
DESCRIPTION
ACCOUNT QTY AMOUNT
BSAS.SB1473 FEE
101-0000-20306 0 $1.00
rwAririei inicncnnnrinni
DESCRIPTION
ACCOUNT
DESCRIPTION
ACCOUNT QTY AMOUNT
BSAS.SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $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 CHANGEOUT: $114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE .
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin.#
City, 0f LCf inta
MOO.-8z Safety Aivirion
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit-AMicadon and Tracking Sheet
Permit #
Project Address: 58162 Arcena
Owner'sName:.Jeane Troxel
A. P. Number.
Address: 58162 Arcena
Legal Description:
City, ST, Zip: La Quinta, CA., 92253
Contractor. A#1 Services Heating & A/C �
Telephone; 208-870-4328
Address: 78206 Varner Road #D-189
Project Description: Replace 2.5 ton heat pump
City, ST, Zip: Palm Desert, CA 92211
Telephone: 760-342-3610
-M
City Lia 9,
State Lic. # c 977333
Arch., Engr, Designs.
Address:
City, ST, Zip.
Telephone:
State Lie. #:
Construction Type: Occupancy:
Project tYPa (circle one): New Add'n Alter Repair Demo
Sq. FL: # Stories: # Unity:
Name of Contact Person: Steven Schnierer
Telephone # of Contact Person: 818-735.-7876
Estimated Value of Project: $3,900.0.0
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Rcq'd
Recd
TRACENG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Strndural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Calci.
Pians picked up
Construction '
Flood plain plan'
Plans resubmitted
Mechanical
Grading plan
2'! Review, ready for correct'ionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review; ready for corrections/issue
Developer Impset Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr '
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
JEANE TROXEL I Date Prepared:
s�
CF1R-ALT-02-E
(Page 1 of 3)
2017-06-06
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
CF1R-ALT-02 document for each dwelling unit.
01
Project Name
1EANE TROXEL
02
Date Prepared
2017-06-06
03
Project Location
58162 ARCENA
04 .
Building Type
Single family
OS
CA City
La Quinta
4 06
Dwelling Unit Name
HOME
SC System
SC System
.,
,
refrigerant
07
Zip Code92253
y
"
t
" 08
Dwelling Unit Conditioned
Identification or
Location or Area
by this SC
-4 ..
,::Y�
Floor Area (ft)
.3890
entirely new
entirely new
Name
Number of Space
System (ft)
09
Climate Zone
15 x
10'
Conditioning (SC) Systems in
1
Alteration Type
this Dwelling Unit:
B. Space Conditioning (SC) System Information
01
02.
03
04
165 1MW
6A,=
07
08
09
10 .
Is the SC
c �k:.t'r
Installin. a
W."1 1 g��g:,rit'�
SC System
SC System
CFA served
system a
refrigerant
Installing new SC"
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
Altered space
SYSTEM 1
WHOLE HOME
3890
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-A020096870A-000-000-0000000-0000 Registration Date/Time: 2017-06-06 16:52:54 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-06 16:52:54
Schema Version: rev 10/16
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 1501(b)lE and F)
O1
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
This field or
This field or
SYSTEM 1
HP
heating
AFUE
0.8
HP
cooling
SEER
14
Setback
section is not
section is not
components
components
_
applicable
applicable
Required Documentation: iM
CF2R-MCH-01-E - Space Conditioning Systems
- Duct Insulation requirement for the new portions of supply -air and return -air ducts or plenum R6 (CZ 1-% 12a d 13) and R8 (CZ 11 and 14-16)
an
CF2R and CF3R-MCH-20-H -Duct Leakage Test required when heating or cooling components are Installed In dUftetl Systems, than 40 ft duct length is
or when more
-Leakage rate compliance: <=15% or <=10% leakage to outside, or seal all accessible leaks.
of replaced .
CF2R and CF3R-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 �.7
Exceotions: '3 ^
Duct systems registered with HERS provider as previously sealed, are exempt from MCH -20 Duct Lea Inrequirements.
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, wffh or withoutf iipmenf If'hangeotit (Sections 150.2(b)lDiia and 150.2(b)1E, F)
.'3 1trk. i�
This section does nod apply�o 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: 417-A020096870A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registratlon Date/Time: 2017-06-06 16:52:54
Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-06-06 16:52:54
r=
W
CERTIFICATE OF COMPLIANCE CF1R-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:
Stephanie Shryock
Ste�ha vt%e,Slu-yor,#c•
Company:
Signature Date:
A#1 Services Heating & Air Conditioning
2017-06-06
Address:.
CEA/ HERS Certification Identification (if applicable):
78026 Varner Road #D-189
City/State/Zip:
''
Phone.
a
Palm Dessert CA 92211
(,60)'342-3610
Responsible Person's Declaration statement 3
"x ,1
w1s«;<
I certify the following under penalty of perjury, under the laws of the State of California: g
1. The information provided on this Certificate of Compliance is true and correct.
2. I am eligible under Division 3 of the Business and Professions Code to accept responsibility7or the'b'Uliding design or system.design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications, materials, components, and manufactU 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.
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.<approval with this building permit appI ICation. �-
5. I will ensure that a registered copy of this Certificate of Compliance shall beim de available wlth the builds g.permit(s) ssued for the building, for
and made available to the enforcement agency all applicable
t :ata 7 � F a
inspections. I understand that a registered copy of this Certificate of Compliance is required fo be fndLde`d vVith°the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: M
Cara Goldberg Jt'tr' ,, hl CPtfa
Responsible, Designer Signature:
,'* "ytGtvlieiSYU;,yack�(cutthorv�ec�)
Company:
Date Signed:
A#1 Services Heating & Air Conditioning
2017-06-06
Address:
License:
78026 Varner Road #D-189
977333
City/State/Zip:
Phone:
Palm Dessert CA 92211
(760) 342-3610
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 Number: 417-A020096870A-000-000-0000000-0000
Registration Date/Time: 2017-06-06 16:52:54
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016. 1.005 Report Generated: 2017-06-06 16:52:54
Schema Version: rev 10/16