BMCH2017-0405..
78 495 CALLE TAMPICO 4
IA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O17-0405
Property Address: 79429 PASEO DEL REY
APN: 604440004
Application Description:. SIRVIO / CHANGE OUT (1)16SEER/80AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation: $11,175.00
Applicant: a
IE INC FPFS
31225 LA BAYA WESTLAKE VILLAGE, CA 91362 2017
CITYOFLAQUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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
DateA111 I Contractor':.CA
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. BAP.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: 9/13/2017
Owner:
PATTI SIRVIO
49429 PASEO DEL REY
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 COMPENSAIION DECLARATION
I hereby affirm under penalty of perjury one & 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 Jhg, 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 ;he 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: 13 -11 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 FOF IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to th � 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 performa-d 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,icsuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and strte that the above information is correct.
I agree to comply with all city and county ordir-ances and state laws relating to building
construction, and hereby authorize representaives of this city to enter upon.the
above-mentioned property for inspection purposes.
Date: `� l3 1-1 Signature (Applicant or Agent).
Application Number: BMCH2O17-0405
Property Address: 79429 PASEO DEL REY
APN: 604440004
Application Description: SIRVIO / CHANGE OUT (1)16SEER/80AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation: $11,175.00
Owner:
PATTISIRVIO
49429 PASEO DEL REY
LA QUINTA, CA 92253
Date: 9/13/2017
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: HVAC CHANGE OUT -16SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR T0) FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
_ .. ..... DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 1 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT '
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for CHANGEOUT: $114.00
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
WTALS: $216.27
9
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC)
Project Name:
PATTI SIRVIO ( Date Prepared:
CF1R-ALT 02-E j
(Page.1 of 3)- 1
2017-09-12
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''
CF111-ALT-02 document for each dwelling unit.
01.
Project Name
PATTI SIRVIO
02
Date Prepared
2017-09-12
03
Project Location
79429 PASEO DEL REY
04
Building Type
Single family
05
CA City
La Quinta
_ 0,6
Dwelling Unit Name
HOME
SC System
SC System
systema
refrigerant
Installing new SC
Installing
Installing
Installing
Dwelling Unit Conditioned
Location or Area
07
Zip Code
92253 i
a
`08 (
i
2
Floor Area (ft )
669
entirely new
lty ,
r
Number of Space
system?
09
Climate Zone
15
10'
Conditioning (SC) Systems in
1
SYSTEM 1
WHOLE HOME
669
Yes
this Dwelling Unit:
Yes
WM.r
B. Space Conditioning (SC) System Information } '. F'
_ it T= f N i / ;
01
02
03
04
U A 05 6� j
� 06''& t9
07
08
09
10
CFA served
Is the SC
tT
Installing a.
O x�t++ea �??N
�k 14' tat: ° )
SC System
SC System
systema
refrigerant
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 ,(ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
SYSTEM 1
WHOLE HOME
669
Yes
Yes
Yes
No
No
No
Altered space
•
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 417-A020115614A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-09-12 1009:19
Report Version: 2016.1.006
HERS Provider: CHEERS
Report Generated: 2017-09-12 10:09:21
CERTIFICATE OF COMPLIANCE CF111-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
it
12
Heating
Cooling
System
Heating
Altered
Heating
Minimum.
Altered
Cooling
Minimum
Required
New or
Identification
System
Heating
Efficiency
Etticiency
fooling
fooling
Eftic(endy
Utivency
I hermostat
Replaced
NAW UUCC
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R -Value
Central gas
All new
Central split
All 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
Required Documentation:
J� j
CF2R-MCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6,(CZ 1:10,-12 "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. 1 '"f t ' � • v�i
��
CF2R and CF311-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF311-MCH-23 Airflow Rate >= 300 CFM per ton required when MCH -25 is required. o Exceptions:
Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage- Testing requirements.
Duct
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.
E. Entire) New or Complete Replacement Duct S stem with orlwithout"E" ui I ent Chen le ut Sections 150.2 b 1Diia and 150.2 b 1E F)
Y p p Y 4 p g ( () O
This section d es' o app+ly to th s p oject.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
f ' This section does not apply to this project.
YEA
Registration Number: 417-A020115614A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-09-12 10:09:19
Report Version: 2016.1.006
HERS Provider: CHEERS
Report Generated: 2017-09-12 10:09:21
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. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:.
Documentation Author Signature:
btophanio Shryotas
StephurueiShrvncJv
Company:
Signature Date:
I Permit E Raters
2017-09-12
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive
City/State/Zip: I o,� I
Phone:
Westlake Village CA 91362
818y735-7876
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
?I.
11 The information provided on this Certificate of Compliance is true and correct. f
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.
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-approvabwith this building permit application.
1, e j € .t rFi_ of �v re -'
5. 1 will ensure that a registered copy of this Certificate of Compliance shallbemade available -with the building:permit(s)•imed for the building, and made available to the enforcement agency for all applicable
f Cdocumentation the builder provides to the building owner at occupancy.
inspections. I understand that a registered copy of this Certificate oompliance is required to be included with -the
Responsible Designer Name:
Responsible�De signe=r Signature:
Patrick Somers`Stihr�avue�shryock.(aux3�oivaed.)
Company:
Date Signed:
General Air Conditioning
2017-09-12
Address:
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 to no way implies Registration Provider responsibility for the accuracy of the information,
Registration Number: 417-A020115614A-000-000-0000000-0000
Registration Date/Time: 2017-09-12 10:09:19
HERS Provider: CHEERS
- CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-09-12 10:09:21
Bin.# _ z
City, 'f La Qulnta
Building & Safety Division
P.O. Box 1504, 78-495 Calle-Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking -Sheet
Permit #
Project Address: 79429 Paseo Del Rey
Owner'sName:. Patti Sirvio
A P. Number.
Address: 79429 Paseo Del Re
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor. General Air Conditioning
Telephone: 310-779-69033is
KIM—
Address: 31170 Reserve Drive
Project Description: Replace'2 ton A --, coil,-& 80,000 BTU
City, ST, Zip: Thousand Palms, CA 92276
furnace
Telephone:
. 760-343-7488
�.
<' �...:
"'''
City Lie. 9:
State Lic. # : 686310
Arch., Engr., Designer
Address:
City, ST, Zip:
Telephone:"V
Y' : `�
�.:- .•�:
,„;w ray ,r
Construction Type:. Occupancy:
State Lic. #:�
Project type (circle one): New Add'n Alter . Repair Demo
Sq. FL:#Stories: # Units:
Name of Contact Person: Steven Schnierer
.Telephone # of Contact Person: 818-735-7876
Estimated Value of Project: $12,536JD0 .
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIMG
PERMIT FEES
Plan Sets
Plan Check submitted
item Amount
Structural Calks.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Pians picked up
Construct-on,'-
onstract,on'-Flood
Floodplain plan
Plans resubmitted..
Mechaaicil
Grading plan
2`a Review, ready for corrections%slue
Electrical
Subcontactor List
Called Contact Person
Plumbing;
Grant Deed
Plans picked up
SALL
MOA. Approval
Plans resubmitted
Grading
IN HOUSE.-
3" Review; ready for correctionsfissac
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Peamit Fees