BMCH2018-037778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: MECHANICAL/
Application Number: BMCH2O18-0377
Property Address: 48190 PASO TIE MPO LN LN
APN: 646360021
Application Description: IRVINE RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation: $9,746.00
Applicant:
IE INC
31225 LA BAYA S E P 12 2018
WESTLAKE VILLAGE, CA 91362 0
CITY OF L.A QUINTA
DESIGN AND 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
Date: 112 Q Contractor: 57�
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 (Chapter9 (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 of 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 Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/6/2018
Owner:
MICHAEL IRVINE
4819Q PASO TIEMPO LANE
LA QUINTA, CA 92253
Contractor:
HARRISON ENTERPRISES INC DBAGENERAL 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.
57S I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of ther work for which this permit
is issued. My workers' compensation insurance carrierand policy number are:
Carrier: LN&RANCE COMPANY OF THE WE 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.
Date: q IZ 1$ 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
construction, and hereby authorize representatives of this city to enter upon the
above -mentioned property for inspection purposes. �--
Date: 9 ( Z Ig Signature (Applicant or Agent
Application Number: BMCH2O18-0377
Property Address: 48190 PASO TIEMPO LN LN
APN: 646360021
Application Description: IRVINE RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation: $9,746.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Date: 9/6/2018
Owner:
MICHAEL IRVINE
48190 PASO TIEMPO LANE
LA QUINTA, CA 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-7488
Llc. No.: 686310
Detail: HVAC CHANGE OUT -14 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016
CALIFORNIA BUILDING CODES.
ACCOUNT QTY
AMOUNT
DESCRIPTION
0
$1.00
101-0000-20306
BSAS SB1473 FEE
STANDARDS ADMINISTRATION BSA:
$1.00
Total Paid for
BUILDING
ACCOUNT QTY
AMOUNT
DESCRIPTION
0
$39.01AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
ACCOUNT QTY
DESCRIPTION
0
$78.02
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
Total Paid for CHANGEOUT:
$117.03
ACCOUNT QTY
AMOUNT
DESCRIPTION
0
$98.83
PERMIT ISSUANCE
101-0000-42404
Total Paid for PERMIT ISSUANCE:
$98.83
ACCOUNT QTY
AMOUNT
DESCRIPTION
0
$10.00
RECORDS MANAGEMENT FEE
101-0000-42416
Total Paid for RECORDS MANAGEMENT FEE:
$10.00
ACCOUNT QTY
AMOUNT
DESCRIPTION
0
$5.00
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00
CFIR-ALT 02-E
CERTIFICATE OF COMPLIANCE
(Page 1 of 3)
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)
�M�IKE�Dated: 2018-09-06
Project Name:
A. General Information
ntained within a single dwelling unit. When multiple dwelling units must be documented, use one
CFiR-ALT-02 is applicable to multiple space conditioning systems co
CF111-ALT-02 document for each dwelling unit.
02 Date Prepared
2018-09-06
Ol Project Name MIKE IRVINE
48190 PASO TIEMPO LANE
04 Building Type
Single family
03 Project Location
06 Dwelling Unit Name
MIKE IRVINE
05 CA City La Quinta
Dwelling Unit Conditioned
400
07 Zip Code 92253
08
Floor Area (ftZ)
Number of Space
10 Conditioning (SC) Systems in
1
09 Climate Zone 15
this Dwelling Unit:
B. Space Conditioning (SC) System Information
10
02 03
04
05
06 07
08
09
O1
CFA served
Is the SC
system a
y
Installing a
refrigerant
Installing new SC Installing
Installing
Installing
new
SC System SC System
Identification or Location or Area by this SC
ducted
containing
system more than 40
Y
feet of ducts?
entire ly new
duct system?
entirely
SC system?
Alteration Type
Name Served System (ftZ)
system?
component?
components?
Altered space
SYSTEM 1 WHOLE HOUSE 400
Yes
Yes
Yes No
No
No
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 15O.2(b)1Diib)
This section does not apply to this project.
Registration Date/Time: 2018-09-06 07:43:39
HERS Provider: CHEERS
Registration Number: 418-A020068424A-000-000-0000000-0000
Report Version: 2016.1.006 Report Generated: 2018-09-06 07:43:39
CA Building Energy Efficiency Standards 2016 Residential Compliance Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT HVAC)
CF1R-ALT-02-E
(Page 2 of 3)
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
O1 02 03 04 05 06 07 08 09
Heating Cooling
System Heating Altered Heating Minimum
10 11 12
Identification System Heating Efficiency EfficiencyAltered Cooling Minimum
Cooling Cooling
Required New or
Efficiency Efficiency
or Name Type Components Type Value System Type Components Type
Thermostat Replaced New Duct
Value
Central split All new
Type Duct Length R-Value
heating Central split All new
SYSTEM 1 ng AFUE 80
HP cooling SEER
This
This field or This field or
components HP 14
components
section is not section is not
Required Documentation,
applicable applicable
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
-Leakage rate compliance: <= 15% or <= 10% leakage to outside, or seal all accessible leaks.
replaced
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
Exceptions: is required.
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.
E. Entirely New or Complete Replacement Duct System, with or without Equipment
Changeout (Sections 150.2(b)1Diia
and 150.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
Registration Number: 418-A020068424A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
This section does not apply to this project.
Registration Date/Time: 2018-09-06 07:43:39
Report Version: 2016.1.006
Schema Version: rev 1O/16
HERS Provider: CHEERS
Report Generated: 2018-09-06 07:43:39
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT HVAC)
Documentation Author's Declaration Statement
1. l certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Signature:
Documentation Author Name: Jo-An*ie/0r0ncw
Jo Anne Orona
Signature Date:
Company: 2018-09-06
1 Permit E Raters
CEA/HERS Certification Identification (if applicable):
Address:
31225 La Baya Drive
City/State/Zip:
Westlake Village CA 91362
Phone:
818-735-7876
CF111-ALT-02-E
(Page 3 of 3)
Responsible Person's Declaration statement
under the laws of the State of California:
I certify the following under penalty of perjury,
1. The information provided on this Certificate of Compliance Is true and correct.
nce (responsible
2. 1 am eligible under Division 3 of the Business andProfessions
Code
torn accept
responsibility
and manufactured ildindeviges fog the building desn or system ign or system deshgnCdentified on thite of s Certificatelaof Compliance conform to the
3. That the energy features and performance specifications,
requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. with the
4. The building design features or system design atures identified on this the enforcement agency forcate oval with this building liance recosisten applicationormation provided on other applicable compliance documents, worksheets,
de
calculations, plans and specifications submitted for the
nd ma
5. 1 will ensure that a registered copy of this Certificate of Cortifclate of Colmpliance is requ bed le to be included with he dsocumentation the ilbuilderp ovides to the building owner a occupancy.e to the enforcement y for all applicab e
` inspections. I understand that a registered copy of this Ce Res onsible Designer Signature:
Responsible Designer Name:
Patrick Somers
Company :
General Air Conditioning
Address:
31170 Reserve Drive
City/State/Zip:
Thousand Palms CA 92276
p
i azr%ck.So perk
Date Signed:
2018-09-06
License:
Phone:
760-343-7488
document, gand by oNwayST m. Thes is 4o
gst arital a Provider responsibility for the arcuracY of the nformationnature is provided in order to secure the content of this 9istered
Registration Date/Time: 2018-09-06 07:43:39
Registration Number: 418-A020068424A-000-000-0000000-0000
Report Version: 2016.1.006
CA Building Energy Efficiency Standards 2016 Residential Compliance Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2018-09-06 07:43:39
CCU(2a ## `'
PERMIT # 2p 11 O 37)
PLAN LOCATION:
Project Address: 48190 Paso Tiempo Lane
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Replace 2 ton heat pump
1-
Applicant Name: Steven Schnierer
Address: 31225 La Ba a Drive Suite 213
City, ST, Zip: Westlake Village, CA 91362
Telephone: 818-735-78 76
Email: swschnierer@roadrunner.com
Valuation of Project $ 9,746.00
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 Lie: 686310 City Bus Lie:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lie: City Bus Lie:
Property Owner's Name: Mike Irvine
New Commercial / Tenant Improvements:
Address: 48190 Paso Tiempo Lane
Total Building SF
City, ST, Zip La Quinta, CA 92253
Construction Type: Occupancy:
Telephone: 858-342-28 72
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000