BMCH2017-049178-495 CALLE TAMPICO _,.:; ,
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
PermitType/Subtype:
MECHANICAL/
Application Number:
BMCH2O17-0491
D \
Property Address:
50805 EL DORADO DR
APN:
777290015�///�,
O
Application Description:
KEEGAN / HVAC CHANGEOUT
16 SEER/8 AF E SPN/ TEM
f Q
Property Zoning:
C ?O,
040 ,
Application Valuation:
$21,094.00
`�n'OF
✓ln 0�f(0 MQ!/jMq
Applicant:
MOfPgA't
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
Date: 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).:
(_J I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure isnot 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.).
(_J 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.).
(_J 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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/30/2017
Owner:
EDWARD KEEGAN
\50805ELDORADO DR
PAWINTA. CA 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-7488
Llc. No.: 686310
WORKER'S COMPENSAT?ON 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 3701 of the Labor Code, for the performance
of t _ rk for which this permit is issued.
have and will maintain workers' ccrnpensation 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 Polity Number: WSD503165802
I certify that in the performance of fie 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 3100 of the Labor Code, I shall forthwith
comply with those provisions.
IL LO T�
Date:� Appy
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 perform Rd under or pursuant to any permit
issued as a result of this application , the owne?, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the,:ity 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 cancelhtion:
I certify that I have read this application and stste 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 representa9ves of this city to enter upon the
above-mentioned property for inspection purposes.
..(__ 1_ e—
Date: 11/30/2017
Application,blumber:•, :__,SMCH2017-0491 Owner:
Property Address`50805 ELDORADO DR EDWARD KEEGAN
APN: 777290015 50805 EL DORADO DR
Application Description: KEEGAN / HVAC CHANGEOUT 16 SEER/80 AFUE SPLIT SYSTEM LA QUINTA, CA 9:.253
Property Zoning:
Application Valuation: $21,094.00
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: (2) HVAC CHANGE OUTS - (1&2) 16SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(Sf TO BE INSTALLED -PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
`.."DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATIOM BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$78.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$156.04
Total Paid for CHANG•=OUT: $234:06
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83
Total Paid for PERMIT ISSUANCE: $98.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
,0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin. #
C,it�r Of 1.Ci QuIn t
BAring 8r Safety Dh*ion
P.O Box 1504,78-495 Calle Tampico
[a.Quinta, CA 92253 -:(760) 777-7012
Building Pennit Application and Tracking Sheet
Permit #
ProjerAAdd=. : 50805 EI Dorado Drive
Owner's Name:. Edward Keegan
A- P. Number.
Address: 50805 EI Dorado Drive
Legal Description:
City, ST, Zip: La Quinta, CA 92253 -
Contractor. General Air Conditioning
Telephone: 760-564-3382
Address: 31170 Reserve Drive
Project Description: Replace 3.5 ton / 90,000 BTU complete
City, ST, Zip: Thousand Palms, CA 92276.
HVAC_ system
Telephone: 760-343-7488
-r" Replace 2.5 ton / 70,000 BTU complete HVAC system
State Lic. # : 686310
ty Lic. 9 -
Arch, Engr., Designer.
Address:
City., ST. Zap:
Tele hone: `��.
P T 1
> r _
Statc Lia #: C
Name OfCOntattPerson: Steven Schnierer
Construction Type:. Occupancy":
ProjecE type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: #Units:
Telephone # of Contact Person: 818-735-7876
Estimated Value of project $21,094.00
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Reed
TRACENG
PERMIT FEES
Plan Sets
Pian Check submittedItem
Amount
Strnctaral Calc&
Reviewed, ready for corrections
Plan Check reposit. .
Truss Calks.
Called Contact Person
Pian Check plana
Title 24 Calcr.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Meehatilcal
Grading plan
2a° Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
2" Review; ready for correctionslissuc
Developer Impact 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 -IR -ALT -HVAC)
Project Name:
EDWARD KEEGAN I Date Prepared:
CF1R-ALT-02-E
(Page 1 oft)
2017-11-29
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
EDWARD KEEGAN
02
Date Prepared
2017-11-29
03
Project Location
50805 ELDORADO DRIVE
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
HOUSE
Identification or
Location or Area
by this SC
ducted
containing
system
•07
Zip Code
92253
08
Dwelling UnitConditioned
4200
System (ft)
'system?
E+''#
components?
Floor Area (ft2)
duct system?
SC system?
Alteration Type
lea
Number of Space
Altered space
09
Climate Zone
15 ' 4 '" ""
pic�
Conditioning (SC) Systems in
1
No
No
..y
conditioning system
this Dwelling Unit:
B. Space Conditioning (SC) System Information ( }}
#"; i I -
01
02
03
04
! 05
6-6'**.
07
08
09
10
SC System
SC System
CFA served
Is the SC
system a inry
Installing.a. F
t of ig rant
x uvjFt lt�'It
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 I.
LOCATION 1
-2100
Yes
Yes
Yes
No
No
No
conditioning system
space
S'iSTElvl 2
LOCATION 2
2100
Yes
Yes
Yes
NoNoNoAltered
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)IDiib)
This section does not apply to this project.
Registration Number: 417-A020130984A-000-000-0000000-0000
CA Building Energy Efficiency Standards.- 2016 Residential Compliance
Registration Date/Time: 2017-11-29 13:39:22
Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-11-29 13:39:24
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-i=
Alterations to Space Conditioning Systems (formerly CF-lR-ALT HVAC) (Page 2 of 3.)
D. Altered Space Conditioning System (Sections 150.2(b)lE and F)
01
02
03
04
OS
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 gas
All newAll
Central split
new
This field or
This field or
SYSTEM 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
16
Setback
section is not
section is not
components
components
applicable
applicable
Central gas
All new
heating
.+
Central split
Icooling
All new
SEER
16
Setback
This field or
is not
This field or
is
SYSTEM 2
furnace
AFUE
0.8
i
ACS f
�=
section
section not
components
j
components
applicable
applicable
Required Documentation:.
CF2R-MCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and retUtn-air ducts or plenums: 6(Ci'140=1�2 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 Installed In ducited 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-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: IA 3
I 1770M •�"'"
Leakage
Duct systems registered with HERS provider as previously sealed are exempt from MCH 2ODu ct Testing requl dements.
Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow-MCH'23;'br Reirig&arit Charge MCH -25.
-Existing duct systems constructed, insulated or sealed with asbestos are.exempt from MCH -20 Duct Leakage Testing' requirements.
uniFFT-27nea Service
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2WIC)
This section does not apply to this project.
Registration Number: 417-A020130984A-000-000-0000000-0000 Registration Date/Time: 2017-11-29 13:39:22 HERS Provider: CHEERS
i CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-11-29 13:39:24
Schema Version: rev 10/16
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:
Shay Johnson
Company:
Signature Date:
I Permit E Raters
2017-11-29
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya.Drive
City/State/Zip: r
}
Phone:
Westlake Village CA 91362
818-735-7876
Responsible Person's Declaration statement "' f
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 of the Business and Professions Code to accept responsibility for the. building design or system design Identified on this Certificate of Compliance (responsible designer).
., 4,,.
"'
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 6o f 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-epprovalpith this building permit application.
ac� 9 L_ . H, � rz
5. 1 will ensure that a registered copy of this Certificate of Compliance ssSall be`mt e;available 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 co of this Certificate of Co Iiande Is required-to`be include d wltfi-the documentation the builder provides to the building owner at occupancy.
P g PY P,P g
Responsible Designer Name: Unmatched IA
S spons able#De sig r�Signature:
Patrick Somers
Company :
Date Signed:
General Air Conditioning
2017-11-29
Address:
License:
31170 Reserve Drive
686310
City/State/Zip:
Phone:
I housand NalMS LA 912 /6
/bU-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-A020130984A-000-000-0000000-0000 Registration Date/Time: 2017-11-29 13:39:22
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-11-29 13:39:24