BMCH2018-0008- � Y
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:_
Application Number:
MECHANICAL/
BMCH2O18-0008
nA
D
Property Address:
56765 MERION
APN:
762023029p
v 2018
Application Description:
KAPLAN RESIDENCE /
FURNACE C A� E OUT
Property Zoning:-•-•-----.
Application
OFLA (�A
EVELO
Valuation:
$9,918.00
COMMUNITY
E
ELOPMEMDEPAR7MENT
Applicant:
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 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C210, C36 License No.: 686310
1� �C actor:
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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/16/2018
Owner:
PHILIP KAPLAN
56765 MERION
LA QUINTA, CA 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-7488
Llc. No.: 686310
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.
_ 1 -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: WSD503165802
_ 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 Labor Code, I shall forthwith
comply with those provisions.
v.a��
0 to eA (Xl ! �Ap'plicant:
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 en r upon the
above-mentioned
property for inspection purposes.
aD te` { (t� Si at re Applicant or Agent):
Date: 1/16/2018
Application Number: BMCH2018=0008
Owner: -
Property Address: 56765 MERION
PHILIP KAPLAN
APN: 762023029
56765 MERION
Application Description: KAPLAN RESIDENCE / FURNACE CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $9,918.00
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: FURNACE AND (17) DUCTS CHANGE OUT - 70 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) 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 ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42402
0
$13.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - REPAIR/ALTERATION PC
101-0000-42600
0
$S.20
Total Paid for CHANGEOUT: $18.20
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FURNACE
101-0000-42402
0
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FURNACE PC
101-0000-42600
0
$26.01
Total Paid for MECHANICAL: $65.02
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
I
v
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEC-CFIR-ALT-04-E (Revised 01/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF111-ALT-04-E
Alterations - HVAC CZ 2, and 8-15 (Page 1 of 1)
or assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300
Site Address: J Me "ir 0
Enforcement Agency:
Datel rep ed:
Permit#:
Equipment Type
Equipment Efficiency
New Ducting or Lineset:
Required R -value
Condi Toned
Floor Area (ft)
Ther ostat
❑ Packaged
System
❑ Evaporator CoilAFUE
❑ Condensing Unit
COP
❑ 6 (CZ 1-10, 12&13) Ducts
�
Served b system
Setback
1 ( )
R-8 CZ 11 14-16 Ducts
Z� 2
ft
(If not already
y
MM plit System
CI Compressor
SEER
HSPF
112 R-2.8 Lineset°
present, must
ini Split
❑ Lineset
be installed)
❑ Furnace
❑ TXV
EER
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
form is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site.
Pq 1. HVAC Changeout/Repair
Required Compliance Documents to be left on site for Final:
All Equipment,
CFIR-ALT-02-E
Condenser Unit, Evaporator Coil,
CF2R-MCH-01-E, MCH -20-11, MCH -(23 or 24)'-H, MCH -25-H'
Compressor, TXV, Lineset,
CF3R-MCH-20-H, MCH -(23 or 24)-H', MCH -25-11'
Air Handler/Furnace' (Can include new ducting)
Installer Requirement: Duct leakage (s.15%, or 510% to outside, or seal all accessible leaks), Air. Flow 2 300 CFM/ton, Refrigerant Charge.
Exempted from duct leakage testing if:
❑ 1. Duct system registered with HERS provider as previously sealed, or El 2. There is less than 40 linear feet of duct in unconditioned space, or
❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building
❑ 2. New HVAC System
Required Compliance Documents to be left on for Final:
All new equipment and All New Ducts'
CF111-ALT-02-E
including Mini Split
CF2R-MCH-01-E, MCH -20-H, MCH -22-H, MCH -(23 or 24)-H', MCH -25-H'
CF3R-MCH-20-H, MCH -22-H, MCH -(23 or 24)-H', MCH -25-H'
Mini Splits require CFIR-ALT-02-E, CF211-MCH-01-E, and (CF2R-CF3R) MCH -25-H
Installer Requirement: Duct leakage:S 5%, Fan Efficacy (0.58W/CFM), Air Flow 2 350 CFM/ton (or alternative), Refrigerant Charge
❑ 3. All New Ducts with Replacement Re uired Compliance Documents to be left on site for Final:
All New Ducts' and one or more of the following CFIR-ALT-02-E
replaced: Condenser Unit, Evaporator Coil, CF2R-MCH-01-E, MCH -20-H, MCH -(23 or 24)-H, MCH -25-H
Compressor, TXV, Lineset, Furnace' CF3R-MCH-20-H, MCH -(23 or 24)-H, MCH -25-H
Installer Requirement: Duct leakage < 5%, Air Flow 2 350 CFM/ton (or alternative), Refrigerant Charge
Exempted from duct leakage testing if: ❑ 1. Existing duct systems are constructed, insulated or sealed with asbestos
❑ 4. New Ducting over 40 feet Required Compliance Documents to be left on site for Final:
New ducting but less than All New Ducts' CFIR-ALT-02-E, CF2R-MCH-20-H, CF3R-MCH-20-H
Installer Required to: Duct leakage (5 lWor, 510% to outside or; or seal all accessible leaks) -
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
'All new ducting requires R-8 insulation when more than 40 ft installed in CZs 11 & 14-16 and R-6 in CZs 1-10, 12 &13, and R-6 insulation when less
than 40 ft installed. This includes in walls, between floors etc.
' Heating only systems and Air. Handler/Furnace changes do not require Air Flow MCH -(23 or 24), or Refrigerant Charge verification MCH -25
' All New Ducts is when at least 75%of the duct system is new duct material, and up to 25%may consist of reused parts from the dwelling unit's
existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material)
° R-2.8 (1" thick insulation) for linesets 1" and less.
Contractor (Documentation Author's /Responsible Designer'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 I.s true and correct.
2. 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the information on this document.
3. 'That the energy features and performance specifications for the design identified on this Certificate of Compliance conform.to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR).
4. 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 CCR.
S. 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.
Responsible,Designer Name
.r\a o-�
Responsible Designer signature;
Date Signed:
l lQ
License:
Company Teiir\eJ a ( A C
Address;
311 o . �Q�� v e Dq ,
C' y/State/Zip:
140 kA & vis qz
Phone:
Too - 3'i 3
or assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300
N"
City. of La Qonuints :
Coaswaedon
at�eW
Phos raabmitoed
P.O. Box ISO4,'78-49S Calle Tampico
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La Qhlb"CA 92253 • (760) 777-7012
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Building Permit •Applicadon and Tracidng Sheet
%vjeatAddtw. 56765 MERION
Owme.N... PHILIP KAPLAN
A. P. Number.
Addr=. .
Legal Dc=iVd=
city, ST, zip: LA QUI NTA, CA
COMMr. GENERAL A/C & HEATING fel 760-771-0426
Address: 31170 RESERVE DRIVE
Ptvjoancsw;ption; CHANGE OUT FURNACE 70,000 BTU
City; Sl, Zip:.THOUSAND PALMS, CA 92276 & (17) DUCTS
Tdeph= 760-343-7488
Pab. Wb. Appy
School Pea
Sate [.le. # : 686310. Lia hk
Atd<, Bt V, Dealpar
Address:
Tdep W=
Censhuction Two. .
Susie Lia. /:
ptojaat type (made one): New Add'n . AD- Repair Demo
Name of Contact Person: PATRICK_
Sq. Ft.: 14 Stories p Ututs
-
T f of Cannel Pawn: 7.60-343-7488' Esttma0od Value of Ptojeat:
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