BMCH2017-047178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
MECHANICAL/
BMCH2O17-0471
79603 POMO
4
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
776180022
BRONSON / EVAP COIL CHANGEOUT 14 SEER SPLIT SYSTEM
$950.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
CITY OF LA QUINTA
DESIGN AND 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 �Licens�e No.: 6,8663-100
bate: II -7 I� Contra ."09� _!15_6�
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 L
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: l
( ) 1, 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 Addre!
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/7/2017
Owner:
RICHARD BRONSON
79603 POMO
LA QUINTA, CA 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE -
THOUSAND PALMS, CA 92276
(760)343-748&
Llc. No.: 68630
WORKER'S COMPEN!-ATION 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 300 of the Labor Code, for the performance
TW
ft work for which this permit is issued.
1 have and will maintain workers' =ompensation 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 d 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; hat, if I should become subject to the
workers' compensation provisions of Sectior. 3700 of the Labor Code, I shall forthwith
comply with those provisions.
`rlM
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,)00). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKMOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on tiis 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 is!uance of such permit, or cessation of work
for 180 days will subject permit to cancellation.
1 certify that I have read this application and State that the above information is correct.
I agreeto comply with all city and county orcinances and state laws relating to building
construction, and hereby authorize represematives of this city to enter upon the above-
mentioned property for inspection purposes
� r
Dates.11 l% )1—) SipnaturarAnnliran:_nr_GaantPrl_.`��
r
Date: 11/7/2017
Application Number: BMCH2O17-0471.
Owner:
Property Address: 79603 POMO
RICHARD BRONSON
APN: 776180022
79603 POMO
Application Description: BRONSON / EVAP COIL CHANGEOUT 14 SEER SPLIT SYSTEM
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $950.00
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
•
s
------------------------------------------------------------------------------------------
Llc. No.: 686310
Detail: EVAP COIL CHANGE OUT - 14SEER SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
DESCRIPTION ACCOUNTQTY AMOUNT
i
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
$5.20
DESCRIPTION
PERMIT ISSUANCE
DESCRIPTION
RECORDS MANAGEMENT FEE
Total Paid for CHANGEOUT: $18.20
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
101-0000-42404
0
$98.83
Total Paid for PERMIT ISSUANCE: $98.83 .
ACCOUNT
QTY
AMOUNT
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 ;#
City 0Quthta
Building 8t Safety M&on
P.O. Box 1504, 78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
O l ? Building Permit Application and Tracking Sheet
Perinit #
ProjectAddress: 79603 PomoOwnes'sName:.
CJ Bronson '
A. P. Number.
Address: 79603 Pomo
Legal Description:
Contractor. General Air Conditioning
City, ST, Zip: La Quinta, CA 92253
NEW—
Telephone: 760-771-9612
Address: 31170 Reserve Drive
Project Description: Replace 5 ton evaporative coil
City, ST, ,Trp: Thousand Palms, CA 92276
Telephone: 760-343-7488
q^`1�v'y r � .
.:a �`'' '
City Lic. #:
'State Lic. #: 686310
Arch., Eng., Designer
Address:
City, ST, Zap:
Telephone: w Y" '`�
State Lic. #: .Awl y. ,
Name of Contact Person: Steven Schnierer
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: #Units:
Telephone # of Contact Person: 818-735-7576 Estimated Value of Project: $950.00
APPLICANT: DO NOT WRITE BELOW THIS LIME
#
Submittal
Req'd
Reed
TRACMG
PERMIT FEES
Plan Sete
Pian Check submitted.Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Lalance
Tide 24 Caics.
Pians picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
7" Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review; ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
AJ X.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT 02=E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3)
Project Name: CJ BRONSON Date Prepared: 2017-11-06
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
CJ BRONSON
02
Date Prepared
2017-11-06
.. 03
Project Location
79603 POMO
04
Building Type
Single family
05
CA City
La Quinta r"
06
Dwelling Unit Name
HOUSE
07
Zi Code
Zip
.
92253
system a
Dwelling Unit Conditioned
3970
Installing
Installing
Installing
Floor Area (ftZ)
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name ..
Served
Number of Space
system?
09
Climate Zone
15
10'
Conditioning (SC) Systems iri
1
SYSTEM 1
WHOLE HOUSE
3970
'
this Dwelling Unit:
Yes
B. Space Conditioning (SC) System Information
:J
01
02
03
04 '=
OS
06
07
08
09.
.10
Is the SC
ry
Installing a,
EAU I ati�rt�t
SC System
SC System
CFA served
system a
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 (ftZ)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
SYSTEM 1
WHOLE HOUSE
3970
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
•C. Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.2(b)1Dii1b)
This section does not apply to this project.
Registration Number: 417-A020126652A-000-000-0000000-0000 Registration Date/time: 2011-11-06 12:11:33 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-11-06 12:11:35
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -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
b.
bystem
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
No heating
This field or
This field or
Central split
This field or
This field or
SYSTEM 1
furnace
component
section. is not
section is not
AC
Fancoil AHU
SEER
14
Setback
section is not
section is not
altered
applicable
applicable
applicable
applicable
Reouired' Documentation:
CF2R-MCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6#Cklifiito;1�2s-�d13)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. 'v
�,�ii�s
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: '
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.
Y p pSystem,tr —' ii . t _ 4 q l + 'hag ( () ( )
E. Entirely New or Complete Replacement Duct with or without E tai ment Chan eout Sections 150.2 b 1Diia and 150.2 b 1E, F)
This
Ire
s section�d does not applyvya*� to tkis--prdject.
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-A020126652A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-11-06 12:11:33 HERS Provider: CHEERS
Report Version: 2016.1.006 Report Generated: 2017-11-06 12:11:35
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC) (Page 3 of 3�
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. 5
Documentation Author Name:
Documentation Author.Signature:
Stephanie Shryock
Strphante Shryock.
Company:
Signature Date:
I Permit E Raters
2017-11-06
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive
City/State/Zip:
Village CA 91362 �r'''�
Phone:
735-7876
Westlake
{818
Responsible Person's Declaration statement'
.� .
I certify the following under penalty of perjury, under the laws of the State of California:
1. The informationrovided on this Certificate of Compliance is true and correct. i
P P
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 manufactGred 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 forappr6al;with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made �avaIla ble with the bwldirig 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 Ct plian a is requi eed tto be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: I
U ` ed t"�do,
Responsible.Designer •Signature:
Stej' Sl'rybck' (authorr�ed')
Patrick Somers .mate
Company:
Date Signed:
General Air Conditioning
2017-11-06
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 in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 417-A020126652A-000-000-0000000-0000 Registration Date/Time: 2017-11-06 12:11:33
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-11-06 12:11:35