BMCH2017-028079-495 CALLE TAMPICO,
D
VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011DESIGN
& DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/3/2017
Application Number: BMCH2O17-0280
Owner:
Property Address: 53854 AVENIDA MADERO
ERIC AFAN
APN: 774143007
53854 AVENIDA MADERO
Application Description: AFAN RESIDENCE / HVAC CHANGE OUT
LA QUINTA, CA 92253cc
Property Zoning:
~ ¢ w
Application Valuation: $22,694.00
z
c3Y'f
Applicant:
IE INC
® X01
Contractor:� o w
HARRISON ENTERPRISES INC DB fGEN'ERA -�^ C
31225 LA BAYA
31170 RESERVE DRIVE v' )
WESTLAKE VILLAGE, CA 91362
THOUSAND PALMS, CA 92276 0 (((--��--
o
L�'_�
(760)343-7488
Llc. No.: 686310
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: _ License No:: 686310
Date: 3 1% Contractor: Sk'o-�
LJ _
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:
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,,l shall forthwith
comply with those provisions.
Date: 3it1 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
consti ruction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes. /
Dater 3 Ll Signature (Applicant or Agent): 'A++—�=�
Date: 7/3/2017
Application Number: BMCH2017-0280
Owner:
Property Address: 53854 AVENIDA MADERO
ERIC AFAN
APN-'774143007
53854 AVENIDA MADERO
Atplication Description: AFAN RESIDENCE / HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $22,694.00
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: HVAC CHANGE OUT & 10 DUCTS - 21 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
PER 2016 CALIFORNIA BUILDING CODES.
121
FINANCIAL •R •
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 - REPAIR/ALTERATION
101-0000-42402
0
$126.70
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - REPAIR/ALTERATION PC
101-0000-42600
0
$50.70
DESCRIPTION �
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for CHANGEOUT: $291.40
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
Btn.#
c,/ Of Qurnta
Bullding 8r Safety Division
P.O. Box 1504,78-495 Calle Tamptco
L..Qulnta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 53854 Avenida Madero
Owner's Name: Eric Afan
A. P. Number
Address: 53854 Avenida Madero
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor: General Air Conditioning �
Telephone: 760-799-2237 ,�, �,�=•��sa .= ..�, w •
Project Description: Replace 3 ton heat pump, air handler
Address: 31170 Reserve Drive
City, ST, Zip: Thousand Palms, CA 92276
& 10 ducts
Telephone: 760-343-7488
State Lic. # : 686310 City Lie'. M.
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: Steven SchniererFEstiniatedValue
Construction Type: . Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
q. Ft.: # Stories: # Units:
Telephone # of Contact Person: 818-73577876
of Project: $22,6941.00.
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rtc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural CHIC&
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cales.
Called Contact Person
Plan Check Balance.
Title 24 Cates.
Plana picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
r'. Review, ready for correctionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted .
Grading
IN HOUSE:.
3" Review; ready for correctionslissue
Developer Impact Fee
Planning Approval:
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
,I -
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3)
Project Name: ERIC AFAN Date Prepared: 2017-07-03
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
ERIC AFAN
02
Date Prepared
2017-07-03
03
Project Location
53854 AVENIDA MADERO
04
Building Type
Single family
05
CA City
La Quinta N
X06
Dwelling Unit Name
HOME
07
Zip Code
92253. �,.
�
A0,
1,)Dwelling Unit Conditioned
1284
linstallmg new SSC
Installing
Installing
Installing
Area (ft)
_
Location or Area
by this SC
.
containing
;Floor
more than 40
entirely new
entirely new
�F zn ,Y
kk
Number of Space
System (ft2)
09
Climate Zone
15
10-
Conditioning (SC) Systems in
1 -
Alteration Type
SYSTEM 1
WHOLE HOME.
1284
this Dwelling Unit:
Yes
Yes
Yes
No
No
Altered space
B. Space Conditioning (SC) System Information
I
)I --q
01
02
03
04
05
06A
07
08
09
10-
0-Is
CFA served
Isthe SC
IT1
Installing a
�r a tV
`� .b Into 4
SC System
SC System
systema
refngerant
linstallmg new SSC
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.
1284
Yes
Yes
Yes
Yes
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-A020101012A-000-000-0000000-0000 ✓
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-07-03 08:42:55 HERS Provider: CHEERS
Report Version: 2016.1.005 Report Generated: 2017-07-03 08:42:56
CERTIFICATE OF COMPLIANCE CFiR-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
All new
Greater than
SYSTEM 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
21
Setback
40 feet
R-8
components
components
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems may`
r
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums:;.R6 (CZ 1 10, 12 aril 13) and R8 (CZ 11 and 14-16)
CF211 and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components ar, 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.
CF211 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. I
Exceptions: rv�
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:
Ar ' I P. -J] W7 i Ili; i i €may i WIJ
E. Entirely New or Complete Replacement Duct System, with or without`Equipment Changeout•(Sections 150.2(b)lDiia and 150.2(b)1E, F)
t hssctooioflythpoTeir desapoto isrect.
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-A020101012A-000-000-0000000-0000
Registration Date/Time: 2017-07-03 08:42:55
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005. Report Generated: 2017-07-03 08:42:56
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
Steph"a.ShryocJ,
Company:
Signature Date:
General Air Conditioning
2017-07-03
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 certify the following under penalty of perjury, under the laws of the State of California: '
� f
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).
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. u'
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 agencyFfor-approvakwith this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall�bemade available with the-bwldi4permit(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 Complitance is°required to be included' with the documentation the builder provides to the building owner at occupancy. '
Responsible Designer Name:
Vnnlatdi
Responsible Designer Signature:
'Sf ha�uepSj�(aut3w► ed.)
Patrick Somers
Company:
Date Signed:
General Air Conditioning
2017-07-03
Address:
License:
31170 Reserve Drive
686310
City/State/Zip:
Phone:
Thousand Palms CA 92276
760-343-7488
Digitally signed by CHEERST". 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-A020101012A-000-000-0000000-0000
Registration Date/Time: 2017-07-03 08:42:55
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-07-03 08:42:56