BMCH2017-003978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O17-0039
Property Address:
51775 AVENIDA CORTEZ
APN:
773152013
Application Description:
DONAHUE / A/C CHANEOUT
Property Zoning:
Application Valuation:
$10,285.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
T4hr44&4"
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT .
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:Z Z 1 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).:
(_) 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 ) 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
1 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
Lender's
VOICE (760) 777-7125
FAX (760).777-7011
INSPECTIONS (760) 7774153
Date:
2/23/2017
Owner:
MARILYN DO.NAHUE
51775 AVENIDA CORTEZ
LA QUINTA, CA 92253
z
W
S
FdZCorENJI�AU'
ntractor:
UJ
HARRISON ENTERPRISES INLL
�R�
31170 RESER-JE DRIVETHOUSAND PALMS, CA 922
—
z
(760)343-74818
M
Z
Lic. No.: 686=10
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 ork 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: INSURANCE COMPANY OF THE WE,T Policy 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 mannerso 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.
c
Date:'2 Z-311-7 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 ($10r-000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED -0R 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 :his application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is perfc rmed under or pursuant to any permit issued
as a result of this application , the owner, avid the applicant, each agrees to, and shall
defend, indemnify and hold harmless the Cry of La Quinta, its officers, agents; and
employees for any act or omission related b 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 i-suance 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.
t
Date: Z3 \7 Signature (Applica it or Agent):
Date: 2/23/2017
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:
1
Application Number:
BMCH2017-0039
Owner:
Property Address:
51775 AVENIDA CORTEZ
MARILYN DONAHUE
APN:
773152013
51775 AVENIDA CORTEZ
Application Description:
DONAHUE / A/C CHANEOUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$10,285.00
Date: 2/23/2017
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:
1
m7FINANCIAL INFORMATION' . .
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 - PACKAGED UNIT
101-0000-42402
0
$38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT- PACKAGED UNIT PC
101-0000-42600
0
$25.33
Total Paid for CHANGEOUT: $63.33
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
TOTALS: $165.60
sin.#
CIt 'f La Qi(fnta
Building 8t Safety Division
P.O. Box 1504,78-495 Calle Tampico
4.Quinta, CA 92253 -:(760) 777-7012
- 003 Building Permit•Applicationand Tracking Sheet
Permit #
UMC F1 a 0 17
Project Address: 51775 Avenida Cortez
Owner's Name:. Marilyn Donahue
A. P. Number.
Address: 51775 Avenida Cortez
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor: General Air Conditioning`Fs
g."''
Telephone: 760-396-4699 WINsx;�;a
Address: 31170 Reserve Drive
Project Description: Replace 3.5 ton cas / electric package un t
City, ST, Zip: Thousand Palms, CA 92276
-
Telephone: 760-343-7488
State Lic. # : 686310 City Lie'. M
Arch., Engr., Designer-
esignerAddress:
Address:
City., ST. Zip:
Telephone: v �.
State Lic. #:%�+.?
^rte �..,.1�in
Name of Contact Person: Steven Schnierer
Construction Type:. Ocatpancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. FlL:'
#Stories:
#Units:
Telephone # of Contact Person: 8,18-735.-7876
Estimated Value of project: $10,285.0 3.
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACIMG
PERMPP FEES
Plan Sets .
Plan Check submitted
Item Amount
Structural Caics.
Reviewed, ready for corrections '
Plan Check Deposit. .
Truss Cala.
Called Contact Person
Plan Check balance -
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
tad Review, ready for correctioWiissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked tip
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review; ready for correctionsfissue
Developer Iupact Fee
Planning Approval
Called Contact Person
M.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-lR-ALT-HVAC) (Pagel of 3) I
Project Name:
MARILYN DONAHUE I Date Prepared:
2017-02-22
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
MARILYN DONAHUE
02
Date Prepared
2017-02-22
03
Project Location
51775 AVENIDA CORTEZ
04
Building Type
Single family
05
CA City
LA QUINTA y
06
Dwelling Unit Name
MARILYN DONAHUE
Identification or
Location or Area
by this SC
ducted
containing
07
Zip Code
92253.
F
08
Dwelling Unit Conditioned
1492
Served
System (ft)
system?
component?
Floor Area (ft)
feet of ducts?
duct system?
SC system?
Alteration Type
i .
Number of Space
1492
09
Climate Zone
15
410`
Conditioning (SC) Systems in
1
Altered space
`,,s^
this Dwelling Unit:
B. Space Conditioning (SC) System Information
01
02
03
04 '
00516-.
�- �1 056*� `. °
07
08
09
10 '
SC System
SC System
CFA served
Is the SC
.-€nry'3-
systema
Installing_a,
V'r'�Q 14Vi::r?
refrigerant
with I I~egril-1
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
SYSTEM 1
WHOLEHOUSE
1492
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)
Registration Number: 417-A020029225A-000-000-0000000-0000
This section does not apply to this project.
Registration Date/Time: 2017-02-22 11:06:21
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-02-22 11:06:25
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CFlR-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
All new
Central
All new
This field or
This field or
SYSTEM 1
packaged HP
heating
AFUE
0.8
kd HP
pacage
cooling
SEER
14
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and return-alr ducts or plenums R6 (CZ 1 10 12�andJ13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are installed cte
in dud 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.! . ( U
4 4
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing compohents.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. 4 l
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct leakage Testing 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.
n.._AI 3T_
E. Entirely New. or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, F)
Thiss ecto doesnlot appy torthls 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-A020029225A-000-000-0000000-0000 Registration Date/Time: 2017-02-22 11:06:21 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016. 1.005 Report Generated: 2017-02-22 11:06:25
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:
Patrick Somers
Pa&6Ck Sp•yyi k
Company:
Signature Date:
General Air Conditioning
2017-02-22
Address:
CEA/ HERS Certification Identification (if applicable):
31170 Reserve Drive
City/State/Zip:
Phone:
Thousand Palms CA 92276 _„,.
760-343-7488
Responsible Person's Declaration statement i 4
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. I 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 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 made)availabW-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 the builder provides to the building owner at occupancy.
Responsible Designer Name:N.
Utvfiatehed r'V3'~
'� k i= Responsible Designer Signature:
Patrick Somers
�a ttri civ Sornerb
Company:
Date Signed:
General Air Conditioning
2017-02-22
Address:
License:
31170 Reserve Drive
686310
City/State/Zip:
Phone:
I houSarid Palms CA 911/6
760-343-7488
Registration Number: 417-A020029225A-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: 2017-02-22 11:06:21 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-02-22 11:06:25
Schema Version: rev 10/16