BMCH2019-005478-495 CALLE TAMPICO T4ht U 4
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: MECHANICAL/
Application Number:
BMCH2O19-0054
Property Address:
51473 ELDORADO DR
APN:
777350015
Application Description.
MEHULA / HVAC CHANGE OUT - 20SEER/80AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$36,460.00
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 70001 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: 1 Conuact�:r. "wc-'
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 Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
.4- /2019
Owner:
MEHULA FAMILY TRQ5 CJ ATRIA ME LA
51473 EL DORADO D4I Cx]
LA QUINTA, CA 92250W.
= I-•�
JC:l, i1D
Contractor: f
HARRISON ENTERPRISES INC ❑ ENE 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.
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: W5.05043889
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:j! ,j 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: �� Signature (Applicant or Agent):��`�-� -���
Date: 2/12/2019
Application Number:
BMCH2019-0054
Property Address:
51473 ELDORADO DR
APN:
777350015
Application Description
MEHULA / HVAC CHANGE OUT - 20SEER/80AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$36,460.00
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
Owner:
MEHULA FAMILY TRUST - PATRICIA MEHULA
51473 ELDORADO DRIVE
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: 4-TON, AND 3-TON HVAC CHANGE OUT - 20SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. PER 2016 CALIFORNIA BUILDING CODES.
DESCRIPTION
ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$80.04
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$160.10
Total Paid for CHANGEOUT: $240.14
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
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
ta �gAev
- GEM q'ib, DFSERT -
PERMIT # �7 I" 1(� L4 2C) t ®�
PLAN LOCATION:
Project Address: 51473 El Dorado Drive
APN #:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
Replace 4 ton / 90,000 BTU & 3 ton / 70,000 BTU complete HVAC systems
Applicant Name: Steven Schnierer
Address: 31225 La Baya Drive Suite 213
City ST Zip: Westlake Village, CA 91362
Telephone: 818-735-7876
Email: swschn ierer@road runner com
Valuation of Project $ 36,460.00
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: Patricia Mehula
New Commercial / Tenant Improvements:
Address: 51473 El Dorado Drive
Total Building SF
City, ST, Zip La Quinta, CA 92253
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
Rec'd
Plan Sets
Structural Cates
Truss Cates
Title 24 Cates
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
CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)
(Page 1 of 3)
Project Name:
Patricia Mehula Date Prepared: 2019-02-07
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
CHR-ALT-02 document for each dwelling unit.
01 Project Name Patricia Mehula
02
Date Prepared 2019-02-07
03 Project Location 51473 El Dorado Drive
04
Building Type Single family
05 CA City La Quinta
06
Dwelling Unit Name Patricia Mehula
07 Zip Code 92253
08
Dwelling Unit Conditioned
4448
Floor Area (ft2)
Number of Space
09 Climate Zone 15
10
Conditioning (SC) Systems in 2
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 (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
2224
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Location 2
2224
Yes
Yes
Yes
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: 419-A020012357A-000-000-0000000-0000 Registration Date/Time: 2019-02-07 13:47:25 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-02-07 13:47:25
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CERTIFICATE OF COMPLIANCE
CFIR-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 11 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
Central as All new All new
System 1 g heatingAFUE 0 g Central split
cooling SEER 20
This field or This field or
furnace AC
components
Setback section is not section is not
components
applicable applicable
Central as All new All new
System 2 g heatingAFUE 0 g Central split
furnace AC cooling SEER 20
This field or This field or
Setback section is not section is not
components components
applicable 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 CBR-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 percent or <= 10 percent leakage to outside, or seal all accessible leaks.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF211 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.
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)iC)
Registration Number: 419-A020012357A-000-000-0000000-0000
This section does not apply to this project -
Registration Date/Time: 2019-02-07 13:47:25
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-02-07 13:47:25
Crhpma Vprcinn: rpv 9n1Rn47Fi
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:
Cassidy Snow
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:
Caatiay Snow
Signature Date:
2019-02-07
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 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:
Patrick Somers
Company:
General Air Conditioning
Address:
31170 Reserve Drive
City/State/Zip:
Thousand Palms CA 92276
Responsible Designer Signature:
Pa&Lck,Somer-y
Date Signed:
2019-02-07
License:
Phone:
760-343-7488
Digitally signed by CHEERST`". This digital signature is prodded 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-A020012357A-000-000-0000000-0000 Registration Date/Time: 2019-02-07 13:47:25
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001
SrhPma Varcinn: rav 7n1Rn47r,
HERS Provider: CHEERS
Report Generated: 2019-02-07 13:47:25