BMCH2018-041378-495 CALLE TAMPICO +v4P Q"
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: MECHANICAL/
Application Number: BMCH2O18-0413
Property Address: 60959 FIRE BARREL DR
APN: 764520026
Application Description: LARSON / HEAT PUMP CHANGE OUT 14 SEER
Property Zoning:
Application Valuation: $8,000.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
ACT .0 2018
CITYOFLAQUINTA
COMMUNfiYDEVELOpMEWDEPARTME1Vr
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.:
Date: 0 Z- R EontraCto' t , —
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
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/2/2018
Owner:
JAY LARSON
60959 FIRE BARREL DR
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
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'
:ompensation, as provided for by Section 3700 of the Labor Code, for the performance
3f the work forwhich this permit is issued.
� I have and will maintain workers' compensation insurance, as required by
iection 3700 of the Labor Code, for the performance of the work for which this permit is
ssued. My workers' compensation insurance carrier and policy number are:
-arrier.INSURANCE COMPANYOFTHE WEST Policy Number: WSUS03165802
I certify that in the performance of the work for which this permit is issued, I
;hall not employ any person in any manner so as to become subject to the workers'
:ompensation 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
:omply with those provisions.
)ate: 1� `- I Applicant: `-�—
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
%ND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
)NE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
-OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
NTEREST, AND ATTORNEYS FEES.
APPLICANT ACKNOWLEDGEMENT
MPORTANT: Application is hereby made to the Building Official for a permit subject to
he conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
equest and for whose benefit work is performed under or pursuant to any permit issued
is a result of this application , the owner, and the applicant, each agrees to, and shall
iefend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
!mployees for any act or omission related to the work being performed under or
ollowing issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not
ommenced within 180 days from date of issuance of such permit, or cessation of work
or 180 days will subject permit to cancellation.
certify that I have read this application and state that the above information is correct.
agree to comply with all city and county ordinances and state laws relating to building
onstruction, and hereby authorize representatives of this city to enter upon the above-
nentioned property for inspection purposes.
)ate: it7 Signature (Applicant or Agent):
Date: 1042/2018
Application Number:
BMCH2018-0413
Property Address:
60959 FIRE BARREL DR
APN:
764520026
Application Description:
LARSON / HEAT PUMP CHANGE OUT 14 SEER
Property Zoning:
Application Valuation:
$8,000.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Owner:
JAY LARSON
60959 FIRE BARREL DR
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: HEAT PUMP CHANGE OUT ONLY - 14SEER SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
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 - OTHER EQUIPMENT
101-0000-42402 0
$39.01
DESCRIPTION
ACCOUNT QTY
AMOUNT
HVAC CHANGEOUT- OTHER EQUIPMENT PC
101-0000-42600 0
$39.01
Total Paid for CHANGEOUT:
$78.02
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
Gig
ta
—GEM nJ&,DESU r—
PERMIT # \M L(4 -A,,o L8 -0
PLAN LOCATION:
Project Address: 60959 Fire Barrel Drive
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Replace 2 heat purnp
Applicant Name: Steven Schnierer
Address: 31225 La Baya Drive Suite 213
City, ST, Zip: Westlake Village, CA 91362
Telephone: 818-735-7876
Email: swschnierer@roadrunner.com
Valuation of Project S 8,000.00
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:
T# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: Camille Larson
New Commercial / Tenant Improvements:
Address: 60959 Fire Barrel Drive
Total Building SF
City, ST, Zip La Quinta, CA 92253
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Plan Sets
Req'd
Rec'd
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading -Plan (P-M10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)
Project Name:
CF1R-ALT-02-E
(Page 1 of 3)
CAMILLE LARSON I Date Prepared: 2018-09-27
A. General Information
CFIR-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 CAMILLE LARSON 02 Date Prepared 2018-09-27
03 Project Location 60959 FIRE BARREL DR 04 Building Type Single family
05 CA City La Quinta 06 Dwelling Unit Name CAMILLE LARSON
07 Zip Code 92253 08 Dwelling Unit Conditioned
Floor Area (ft2) 2460
Number of Space
09 Climate Zone 15 10 Conditioning (SC) Systems in 1
this Dwelling Unit:
B. Space Conditioning (SC) System Information
01 1 02 1 03
SC System
SC System
CIA served
Identification or
Location or Area
by this SC
Name
Served
System (ft)
System 1
Location 1
2460
04T
05
06
Is the SCstalling
a
system afrigerant
Installing new SC
ductedntaining
system
system?
component?
components?
Yes
Yes
Yes
07 1 08 09
Installing
Installing
Installing
more than 40
entirely new
entirely new
feet of ducts?
duct system?
SC system?
No
No
No
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
10
Alteration Type
Altered space
conditioning system
Registration Number: 418-A020075751A-000-000-0000000-0000 Registration Date/Time: 2018-09-27 16:27:51
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001
Report Generated: 2018-09-27 16:27:51
Schema Version: rev 20180426
CF111-ALT-02-E
CERTIFICATE OF COMPLIANCE
(Page 2 of 3)
Alterations to Space Conditioning Systems (formerly CF-iR-ALT-HVAC)
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01 02 03 04 05 06 07 08 09 10
11 12
Cooling
Heating
System Heating Altered Heating Minimum Altered Cooling Minimum Required
Cooling Efficiency Efficiency Thermostat
New or
Replaced New Duct
Identification System Heating Efficiency Efficiency Cooling
Value System Type Components Type Value Type
Duct Length R-Value
or Name Type Components Type
This field or This field or
All new
This field or No Heating This field or This field or Central split
cooling SEER 14 Setback
section is not section is not
System 1 section is not Component section is not section is not HP components
applicable applicable
applicable Altered applicable applicable P
Required Documentation:
C F 2 R- MCH -01 -E - space Conditioning Systems 14 16)
- Duct insulation requirement for the new portions of supply -air and return -air darts or plenums: (CZ 1-10, 12 and and R8 ( 11,36doirethan 40 ft of duct length is replaced
ducted or when mor
installed in systems,
CF7R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling Components are in
-Leakage rate compliance: e= 15 percent or a= 10 percent leakage to outside, or seal all accessible leaks.
required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15),
CUR and CF3R-MCH-25-H Refrigerant Charge verification
Rate r- 300.CFM per ton required when MCH-25 is required.
CF2R and MR-MCH-23 Airflow
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.
Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F)
E. Entirely New or Complete Replacement
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-A020075751A-000-000-0000000-0000
This section does not apply to this project.
Registration Date/Time: 2018-09-27 16:27:51
HERS Provider: CHEERS
Report Version: 2018.0.001 Report Generated: 2018-09-27 16:27:51
CA Building Energy Efficiency Standards - 2016 Residential Compliance Re P
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT HVAC)
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Drew Queen
Company:
I Permit E Raters
Address:
31225 La Baya Drive
City/State/Zip:
Westlake Village CA 91362
Responsible Person's Declaration statement
Documentation Author Signature:
Drew Queem
Signature Date:
2018-09-27
CEA/ HERS Certification Identification (if applicable):
Phone:
818-735-7876
CF1R-ALT 02-E
(Page 3 of 3)
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.
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 featuresidentified 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.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) 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 Compliance is required to be Included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Patrick Somers
Company:
General Air Conditioning
Address:
31170 Reserve Drive
City/State/Zip:
Thousand Palms CA 92276
Responsible Designer Signature:
PCL&�Ckso,nerk
Date Signed:
2018-09-27
License:
Phone:
760-343-7488
Digitally signed by CHEERST". This digital signature is provided in order to secure the content of this registered
document, and in no tvay implies Registration Provider responsibility fbr the accuracy of the information.
Registration Number: 418-A020075751A-000-000-0000000-0000 Registration Date/Time: 2018-09-27 16:27:51
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001
Schema Version: rev 20180426
HERS Provider: CHEERS
Report Generated: 2018-09-27 16:27:51