BMCH2018-006578-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
`�r�Flw4u^fw
DESIGN & DEVELOPMENT DEPARTMENT
Permit Type/Subtype:
MECHANICAL/
Application Number:
BMCH2O18-0065
Property Address:
54438 SOUTHERN HILLS
APN:
775110037
Application Description:
O'REAR RESIDENCE / HVAC
Property Zoning:
Application Valuation:
$9,963.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362 '
BUILDING PERMIT
D
MAR. 15 2018
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Der:
R RT & CATHE RINE O'REAR
9 , 0 N E 26TH ST
E HILL, WA 98004
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 License No.: 686310
���• '�.
ate: 3 �tractor�Y
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 whodoes 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:
Date: 3/15/2018
Contractor:
HARRISON ENTEFPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-7488
Llc. No.: 686310
WORKER'S COMPENSAILION 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: 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 the Labor Code, I shall forthwith
comply with those provisions.
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 ($100,0®). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, ANDI4TTORNEY'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 thi: 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 tke 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 ssuance of such permit, or cessation of
work for.180 days will subject permit to cancellation.
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agencyfor I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representacives of this city to enter upon the
above-mentioned property for inspection purpses.
Lender's Name: •3
D 45 ,21 Sig (ApplicantorAgent)E:;�_ e
Lender's Address:
Date: 3/15/2018
Application Number: BMCH2018-0065
Owner:
Property Address: 54438 SOUTHERN HILLS
ROBERT & CATHERINE O'REAR
APN: 775110037
9001 NE 26TH ST
Application Description: O'REAR RESIDENCE / HVAC
CLYDE HILL, WA 98004
Property Zoning:
Application Valuation: $9,963.00
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: CONDENSER CHANGE OUT - 14 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER
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 - CONDENSER ONLY
101-0000-42402
0
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - CONDENSER ONLY PC
101-0000-42600
0
$26.01
Total Paid for CHANGEOUT: $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
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:,
ROBERT/CATHERINE O'REAR I Date Prepared:
CF1R-ALT-027E
(Page 1 of 3)
2018-03-14
A. General Information
CF111-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
ROBERT/CATHERINE O'REAR
02
Date Prepared
2018-03-14
03
Project Location
54438 SOUTHERN HILL
04
Building Type
Single family
05
CA City
La Quinta
-06
Dwelling Unit Name
HOUSE
07
Zip Code
92253 _
system a
Dwelling Unit Conditioned
Installing new SC
Installing
Installing
Installing
-'08
Floor Area (ft)3372
Location or Area
by this SC
ducted
containing
system
Number of Space
entirely new
09
Climate Zone
•15
10
Conditioning (SC) Systems in
1
component?
components?
I feet of ducts?
duct system?
this Dwelling Unit:
Alteration Type
B. Space Conditioning (SC) System Information '
7 0 M �`
01
02
03
04 ``= `
OS
06
07
08
09
10
Is the SC
Installing a
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 (ft)
system?
component?
components?
I feet of ducts?
duct system?
SC system?
Alteration Type
SYSTEM 1
WHOLE HOUSE
3372
Yes
Yes
No
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: 418-A020015627A-000-000-0000000-0000 Registration Date/Time: 2018-03-14 13:44:26 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-03-14 13:44:27
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)1E 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
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
No heating
This field or
This field or
All new
This field or
This field or
SYSTEM 1
Central gas
furnace
component
section is not
section is not
Central split AC
cooling
SEER
14
Setback
section is not
section is not
altered
applicable
applicable
components
applicable
applicable
Required Documentation: . -t
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 andj13) 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. i ^s
,
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing compon_ents: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 Leakag 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.
'. �'Lil IC_ f I W -)l ti
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)iDiia and 150.2(b)lE, F)
lf
This section 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: 418-A020015627A=000-000-0000000-0000 Registration Date/Time: 2018-03-14 13:44:26 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2018-03-14 13:44:27
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF-lR-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:
Shay Johnson
Shayjoiw60-n
Company:
Signature Date:
I Permit E Raters
2018-03-14
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive
City/State/Zip:;
Phone:
Westlake Village CA 91362 ,
818 735-7876
Responsible Person's Declaration statement �,m J
e
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 is true and correct. -..• =T
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibiliiy 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-approvahwith this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall with the building-permit(s)-sued for the building, and made available to the enforcement agency for all applicable
�be:made�available
inspections. I understand that a registered copy of this Certificate of Compliance is require -d --to be included with the diicumentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Patrick Somers
PatrtcJ So"wxk
Company:
Date Signed:
General Air Conditioning
2018-03-14
Address:
License:
31170, Reserve Drive
686310
City/State/Zip:
Phone:
I h6usand 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: 418-A020015627A-000-000-0000000-0000 Registration Date/Time: 2018-03-14 13:44:26 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016. i.006 Report Generated: 2018-03-14 13:44:27
Schema Version: rev 10/16
_.._ .CxNi f,r
PERMIT #
PLAN LOCATION:
Project Address' 54438 Souhtern Hill
Project Description: Pool, Remodel, ddd't, Elect, Plumb, Mech
APN #:
Replace 4 ton condenser
Patio/Porch SF
Email:
Applicant Name: Steven Schnierer
State Lic: 686310 City Bus Lic:
Address: 31225 La Baya Drive Suite 213
State Lic: City Bus Lic:
City, ST, Zip: Westlake Village, CA 91362
Telephone: 818-735-7876
Email:
swschnierer@roadrunner.com
Valuation of Project $ 9,963.00
Contractor Name: General Air Conditioning
New SFD Construction:
Address: 31170 Reserve Drive
Conditioned Space SF
City, St, Zip Thousand Palms, CA 92276
Garage SF
Telephone: 760-343-7488
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: 686310 City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
-
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: Robert & Catherine O'Rear
New Commercial /Tenant Improvements:
Address: 9001 NE 26th Street
Total Building SF
City, ST, Zip Clyde Hill, WA 98004
Construction Type: Occupancy:
Telephone: 425-753-1429
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000