BMCH2019-006878-495 CALLE TAMPICO
T4ht 4 4,u Qulam
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
MECHANICAL/
Application Number:
BMCH2O19-0068
Property Address:
61265 FIRE BARREL DR
APN:
764520052
Application Description:
IKEMOTO / HVAC CHANGEOUT 20SEER/80AFUE MINI SPLIT
Property Zoning:
Application Valuation:
$6,791.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
DON & COLLEEN IKEMOTO
61265 FIRE BARREL DRIVE
LA QUINTA, CA 92253
Date: 3/4/2019
Applicant: � � D Contractor:
IE INCD HARRISON ENTERPRISES INC DBA GENERAL AIR
31225 LA BAYA 31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362 MAR 0 4 2019 THOUSAND PALMS, CA 92276
CITY OF LAQUINTA (760)343-7488
DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 686310
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 Cfass: C20 C16 License No.: 686310
Date: Contractor:
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, after, 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 provlsIon s 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 d]d 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 Namm
Lender's Address:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 twork for which this permit is Issued.
-�� 1 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 polity number are:
Carrier: INSURANCE COMPANY OF THE WEST Policy Number: WSD5043889
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.
s
Date:3 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 of pursuant to any permit
issued as a result of this application, the owner, and the applicant, each agrees ta, and
shall de Fend, 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
foil owl ng 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 gft '_ Signature (Applicant or Agent):�+�� ---
Dater 3/4/2019
Application Number:
BMCH2O19-0068
Property Address:
61265 FIRE BARREL DR
APN:
764520052
Application Description:
IKEMOTO / HVAC CHANGEOUT 20SEER/80AFUE MINI SPLIT
Property Zoning:
Application Valuation:
$6,791.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Owner:
DON & COLLEEN IKEMOTO
61265 FIRE BARREL DRIVE
LA QUINTA, CA 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-7488
LIc. No.: 686310
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -� - - - - - -'. ! - - -- - - I - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Detail: HVAC CHANGE OUT - 20SEER/80AFUE MINI SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
DESCRIPTION
ACCOUNT CITY
AMOUNT
BSAS SB1473 FEE
101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402 0
$40.02
DESCRIPTION
ACCOUNT QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600 0
$80.05
Total Paid for CHANGEOUT:
$120.07
DESCRIPTION
ACCOUNT CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404 0
$101.40
Total Paid for PERMIT ISSUANCE:
$101.40
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
— ct:M tr,�nesekr —
PERMIT # P,
PLAN LOCATION:
Project Address: 61265 Fire Barrel Drive
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
]Replace 2 ton ductless mini split system in side yard.
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 $ 6,791.00
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: Colleen Ikemoto
New Commercial / Tenant Improvements:
Address: 61265 Fire Barrel Drive
Total Building SF
City, ST, Zip La Quinta, CA 92253
Construction Type: Occupancy:
Telephone: 310-251-8465
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
Ree'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
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:
Colleen Ikemoto I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3)
2019-03-01
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
Colleen Ikemoto
02
Date Prepared
2019-03-01
03
Project Location
61265 Fire Barrel Drive
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Colleen Ikemoto
07
Zip Code
92253
08
Dwelling Unit Conditioned
1965
Floor Area (ftZ)
Number of Space
09
Climate Zone
15
10
Conditioning (SC) Systems in
1
this Dwelling Unit:
B. Space Conditioning (SC) System Information
01
02
03
04
05
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?
feet of ducts?
duct system?
SC system?
Alteration Type
Entirely new or
System 1
Location 1
1965
No
No
Yes
No
No
Yes
complete
replacement 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: 419-A020019574A-000-000-0000000-0000 Registration Date/Time: 2019-03-01 07:55:27 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-03-01 07:55:28
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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)
This section does not apply to this project.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
01
02
03
04
05
06
07
08
09
10
11
Heating
Cooling
System
Heating
Minimum
Cooling
Minimum
Required
Identification or
Heating System
Altered Heating
Efficiency
Efficiency
Cooling
Altered Cooling
Efficiency
Efficiency
Thermostat
New Duct
Name
Type
Component
Type
Value
System Type
Component
Type
Value
Type
R-Value
Ductless
Annual Fuel
Ductless
This field
System 1
Multi -Split Heat
All new heating
Utilization
0.8
Multi -Split
All new cooling
SEER
20
SetbackTher
or section
Pump
components
Efficiency
Heat Pump
components
mostat
is not
(AFUE )
applicable
Required 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 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H Duct Leakage Test required
- Leakage rate compliance: <= 5%.
CF2R and CF3R-MCH-22 Fan Efficacy
CF211 and CF3R-MCH-23 Airflow Rate Verification
Compliance: Fan Efficacy <= 0.58 W per cfm and System Airflow >= 350 cfm per ton.
Alternative Compliance: CF211 and CF3R-MCH-28 Return Duct Design verification is an alternative to MCH-22 and MCH-23 verification.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
Exceptions:
Heating -only systems are exempt from the 0.58 W per cfm and 350 cfm per ton requirements.
Note: An "entirely new or replacement duct system" means at least 75% of the duct system is new duct material, and up to 25% may consist of reused parts from the dwelling
unit's existing duct system (e.g., registers,
grilles, boots, air handler, coil, plenums, duct material) ifthe reused parts are accessible and can be sealed to prevent leakage
Registration Number: 419-A020019574A-000-000-0000000-0000 Registration Date/Time: 2019-03-01 07:55:27 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-03-01 07:55:28
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CERTIFICATE OF COMPLIANCE CF1R-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:
Drew Queen
Drew Queen.
Company:
Signature Date:
I Permit E Raters
2019-03-01
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
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 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 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:
Responsible Designer Signature:
Patrick Somers
Pa&r ck.somevk
Company:
Date Signed:
General Air Conditioning
2019-03-01
Address:
License:
31170 Reserve Drive
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: 419-A020019574A-000-000-0000000-0000
Registration Date/Time: 2019-03-01 07:55:27
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-03-01 07:55:28
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