BMCH2017-0352r . V ZP � � VOICE (760) 777-7125
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 FAX (760),777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/10/2017
Application Number: BMCH2O17-0352 /®do' Owner. -
Property Address: 81110 BARREL CACTUS RD RD P�D
L...�r"-' —0 LAddNtE 30RD=N
APN: 764410012 81r110�B _ RREL CACTUS RD
Application Description: BORDEN RESIDENCE / HVAC CHANGE OUAUG LA QUIN�TA, CA 92253
Property Zoning: ® 201?
Application Valuation: $30,260.OQ
Cl) vtJIJY�A
Applicant: DESIGN AND DF,il�r,'vf,El�!7 (�EPARH%RISON ENTERPRISES INC DBA GENERAL AIR
IE INC
ivr
31225 LA BAYA 31170 RESER-!E 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
v
illffDa0N10 1 l-7 ,KContractor:
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:
(760)343-7483
Llc. No.: 686710
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury o.oe of the following declarations:
I have and will maintain a certificate of consent to self -insure for w6rkers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
_s 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 insu ance carrier and policy number are:
Carrier: INSURANCE COMPANY OF THE WEST Polity Number: WSD5031658
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 Secti=:in 3700 of the Labor Code, I shall forthwith
comply with those provisions.
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 ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth onithis application.
1. Each person upon whose behalf this application is made, each person at whose .
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless :he City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for 1 agree to comply with all city and county cdinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
Lender's Name:_
`Date:$ f0 Signature (Applicant or'Agent):
Lender's Address:
Date: 8/10/2017
Application Number: BMCH2017-0352 Owner:
Property Address: 81110 BARREL CACTUS RD RD LANCE BORDEN
APN: 764410012 81110 BARR=L CACTUS RD
Application Description: BORDEN RESIDENCE / HVAC CHANGE OUTS LA QUINTA, • A 92253
Property Zoning:
Application Valuation: $30,260.00
Applicant: contractor:
IE INC HARRISON EWTERPRISES INC.DBA GENERAL AIR.
31225 LA BAYA 31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, CA 92276
(760)343-74E8
LIc. No.: 686-10
---------------------- ------------------------------------------------------------------------
Detail: (2) HVAC CHANGE OUTS - 18 AND 19 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2016 CALIFORNIA BUILDING CODES.
c;
FINANCIAL •• •
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT -SPLIT-SYSTEM
101-0000-42402
0
$152.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$76.00
Total Paid for CHA►NGEOUT: $228.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin #
City of La Quinta
Budding sl• 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: 81110 Barrel Cactus Road
Owner's Name:. Lance Borden
A. P. Number.
Address: 81110 Barrel Cactus Road
Legal Description:
City, ST, Zip: La Quinta, CA' 92253
Contractor. General Air Conditioning
Telephone: ,'�y��sst's
Address: 31170 Reserve Drive
Project Description: Replace 4.ton / 90K BTU complete
City, ST, Zip: Thousand Palms, CA 92276
HVAC system
Telephone: 760-343-7488
10 �:
-
ty Lic. C-
Replace 3 ton / 70K BTU complete HVAC system
State Lie. # : 686310
Arch, Engr., Designer:
Address:
K
City., ST, Zip:
Telephone: Y" `� g ' Construction Type: Occupancy:
State Lie. #: Project type circle one): New Add'n Alter Repair Demo
Name of Contact Person: Steven Schnierer
Sq. Ft.: # Stories: #Units:
Telephone # of Contact Person: 818-73577876
Estimated value of Project: $30,260,00 .
APPLICANT: DO NOT WRITE BELOW THIS UNE
# _
Submittal
Req'd
Recd
TRACE NG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Thus Cates.
Called Contact Person
Plan Check Balance
Titre 24 Calci.
Pians picked up
Construction
Flood plain plan
Plans resubmitted.' .
Mechanical
Grading plan
Z'! Review, ready for correctionsPusue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN SOUSE:-
*d Review; ready for corrections/issue
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 -IR -ALT -HVAC) (Page 1 of 3)
Project Name: LANCE BORDEN Date Prepared: 2017-08-09
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
CF111-ALT-02 document for each dwelling unit.
01
Project Name
LANCE BORDEN
02
Date Prepared
2017-08-09
03
Project Location
81110 BARREL CACTUS ROAD
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
HOME
07
Zip Code
92253
0-81
Dwelling Unit Conditioned
2560
Installing
Installing
-`
Floor Area (ft2)
Location or Area
by this SC
ducted
containing
system
Number of Space
entirely new
09
Climate Zone
15
10
Conditioning (SC) Systems in
1
component?
components?
e ,
duct system?
this Dwelling Unit:
g
Alteration Type
B. Space Conditioning (SC) System Information
01
02
03
04
it 05
!. b0,
07.
.08
09
10
Is the SC
Ts rt
Installing a
ntC; +,--.i w :r }
.: ? f t Is ec7rt.
SC System
SC System
CFA served
systema
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 (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
SYSTEM 1
WHOLE HOME
INN
Yes
Yes
Yes
No
No
No
Altered space
conditioning cyctgm
SYSTEM 2
WHOLE HOME
1280
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: 417-A02010867SA-000-000-0000000-0000
Registration Date/Time: 2017-08-09 16:22:56
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-09 16:22:57
' 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 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
All new
This field or
This field or
SYSTEM 1
Central gas
heating
AFUE
0.8
Central split
cooling
SEER
19
Setback
section is not
section is not
furnace
components
AC
components
applicable
applicable
All new
- W
k `All new'
This field or
This field or
SYSTEM 2
Central gas
heating
AFUE
0.8
Central split
��,
cooling
SEER
18
Setback
section is not
section is not
furnace
componentscomponents
AC
'.'
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems
k
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 140;`•12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF311-MCH-20-H - Duct Leakage Test required when heating or cooling components are installed inducted 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 CF3R-MCH-2S-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: r-�
from MCH- D g e_ e
Duct systems registered with HERS provider as previously sealed are exempt Duct Lea Testing re lui ts.
Heating -only systems and Air Handler Furnace changes do not require verification of Air flow MCH -13; or Refrigerant Charge M6H=25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
. L!€€! 11C V"l 11°47 ::Mr'S M_U VVILr€ J11F_ `LfFILy
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia 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: 417-A020108675A-000-000-0000000-0000
Registration Date/Time: 2017-08-09 16:22:56
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-09 16:22:57
Schema Version: rev 10/16
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:
Stephanie Shryock
Stxph--i1-ShryocJ-
Company:
Signature Date:
General Air Conditioning
2017-08-09
Address:
CEA/ HERS Certification Identification (if applicable):
31170 Reserve Drive
City/State/Zip: ,Jj<
Phone:
Thousand Palms CA 92276rl+ i
760.-343-7488
r
.
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. V. ski ,f
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsilAity,for the building design or system design identified on this Certificate of Compliance (responsible designer).
I. That the energy features and performance specifications, materials, components, and mahufactu 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 application.
.a9?c..
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with thebuilding permit(s) i§sued 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:ResponsibleDesigne�r.Signature:
�Ybt
Patrick Somers
Stulan��Shryoclo(authorvraed)
Company:
Company :
Date Signed:
General Air Conditioning
2017-08-09
Address:
License:
31170 Reserve Drive
6$6310 -
City/State/Zip:
Phone:
Thousand Palms CA 92276
760-343-7488
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=A020108675A-000-000-0000000-0000
CA -Building -Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-08-09 16:22:56
Report Version: 2016.1.006.
HERS Provider: CHEERS
Report Generated: 2017-08-09 16:22:57