BMCH2017-0150l
78-495 CALLE TAMPICOD ZP QuMm
LA QUINTA, CALIFORNIA 92253 9....- ..•,�
DESIGN &DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O17-0150
Property Address: 49025 CALLE FLORA
APN: 658210009
Application Description: DAVENPORT / CHANGE OUT (1) FURNACE
Property Zoning:
Application Valuation: $4,963.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE,.CA 91362
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
0
Dom: h2lg
Owner: z
DAVENPORT JOHN DAVID TRUST z
6414 N SANTA FE STE B
n
D
OKLAHOMA CITY, OK 92253
m
O OCD
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Z
rV
Contractor:
�
HARRISON ENTERPRISES INC DBA grifRAL
AIR
31170 RESERVE DRIVE
D
THOUSAND PALMS, CA 92276
M
z
(760)343-7488
Lic. No.: 686310
---------------------------------------------------------------------------------------------
i
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
- F
Date: -4 24 I'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.).
(_) 1, 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:
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: INSURANCE COMPANY OF THE WEST 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 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: 9 �+ i Applicant: t >y–—
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:4 Z4 1-7 Signature (Applicant or Agent)G A
Application Number:
BMCH2017-0150
Property Address:
'49025 CALLE FLORA
APN:
658210009
Application Description:
DAVENPORT/ CHANGE OUT (1) FURNACE
Property Zoning:
Application Valuation:
$4,963.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Date: 4/24/2017
Owner:
DAVENPORTJOHN DAVIDTRUST
6414 N SANTA FE STE B
OKLAHOMA CITY, OK 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-7488
Llc. No.: 686310
---------------------------------------------------------------------------------------------
Detail: HVAC CHANGE OUT - (1) 80AFUE FURNACE. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA
BUILDING CODES.
I
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INFORMATIONFINANCIAL
'DESCRIPTION. ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - FURNACE ONLY
101-0000-42402
0
$38.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - FURNACE ONLY PC
101-0000-42600
0
$25.33
Total Paid for CHANGEOUT: $63.33
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
r
Bin tf
Qty of La Q'UhAa
Building a Safety Division
Permit ;1 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
Project Address: !i CiflZS 1,1� T \or Owner's Name: �C%-\14 e-
A. P. Number:
Address: '•'l0lo2'- Com.A
Legal Description:
City, ST, Zip: CA Z2�S3
Contractor: 0
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Telephone: 0 3 + o
Address: 3� �-%� .e
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Project Description:
City_.ST, Zip: (�oV_Scx- RkArvLS
CA -q-:;� 2=63
e!
T eh one: b
P O-3 7
�-1 S
4 S
State Lic. # : , (o h(o310
City Lic. #c "
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
--Con
patcy:
tructi n Type: Occupancy:
State Lic. ,.
i .
it le ne New Add'n Alter Repair.
Demo type c
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: t cy(0 3 . co
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Dced
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'rd Revicw, ready for corrections/issue
Developer Impa_t Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fe:s
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
DAVENPORT DAVE I Date Prepared:
CF1R-ALT-02-E.
2017-04-24
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units mijst ha rinmrnpritari, i,vsa one
CF1H-AUr-02 document for each dwelling unit.
01
Project Name
DAVENPORT DAVE
02
Date Prepared
2017-04-24
03
Project Location
49025 CALLE FLORA
04
Building Type
Single family .
05
CA City
LA QUINTA
06
Dwelling Unit Name
WHOLE HOUSE
07
Zip Code
..`
92253
�.
`08
Dwelling Unit Conditioned
4336
system
more than 40
entirely new
entirely new
Floor Area (ft2)
Dame
Served
System (ft2)
t
component?
Number of Space
feet of ducts?
09
Climate Zone
15 ?
. 10'
Conditioning (SC) Systems in
1
Yes
No
Yes
No
this Dwelling Unit:
No
B. Space Conditioning (SC) System information
f r• t
01
02
03
04
05
06
07
08
09
10
SC System
SC System
CFA served
Is the SCy
systema
�(Installing ,a
refrigerarit
�y�
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Dame
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
SYSTEM 1
WHOLE HOUSE
4336
Yes
No
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-A020090809A-000-000-0000000-0000
Registration Date/Time: 2017-04-24 12:08:41
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance -Report Version: 2016.1..ons Rannrt r:--taf4•')ni'7-nn-')n 11•n Q-A)
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 gas
All new
Central split
No cooling
This field or
This field or
This field or
This field or
SYSTEM 1
furnace
heating
AFUE
80
AC
component
section is not
section is not
Setback
section is not
section isnot
components
altered
applicable
applicable
applicable
applicable
Required Documentation:
'
CF2R-MCH-01-E - Space Conditioning Systems Y S'' r '
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums R6 (CZ 117.1.0.. 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 ducted 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 arer:lnstalled or altered (applicable in CZ 21 8-15).
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -251 s required. }'
Exceptions: :t
Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Test g requirements.
Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH -23, or liefrigerant Charge MCH -25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
t.
E. EntirelyNew or Complete Replacement Duct System, with or wit&hout`E ul `ment Chan 'eotit Sections 150.2 b lDiia and 1S0.2(b)1E, F
p p Y Q P g ( ())
Thlssectlon 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-A020090809A-000-000-0000000-0000 Registration Date/Time: 2017-04-24 12:08:41 HERS Provider: CHEERS -
CA Building Energy Efficiencv Standards - 2016 Residential ComDliance Reoort Version: 7n16,.1 .nn,; Ronnrt r:cner t-4- I'ni
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:
Doc4fnentati4n A4th4r Slgnawre;
Patrick Somers
Company:
Signature Date:
General Air Conditioning
2017-04-24
Address:
CEA/ HERS Certification Identification (if applicable):
31170 Reserve Drive
City/State/Zip: - y4
Phone:
Thousand Palms CA 92276
760343-7488
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
} 4�
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 responsibiliij;for the bu ding 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 foo{approval with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shadbe made available with 6 e".building-permits) 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: & ,�
Patrick Somers its'? : 1f3s T`
Responsible Designer Signature:
ci Y%C.IvSOvfA0
Company :
Date Signed:
Genet) Air Conditioning
2017-04-24
Addres�i"
License:
31170 Reserve Drive
686310
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-A020090809A-000-000-0000000-0000
Registration Date/Time: 2017-04-24 12:08:41
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Comoliance Rpnnrt Vprclnn- )nl r, 1 nnr