BMCH2019-010278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
T4ht 4 44., Qa4a
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
MECHANICAL/
BMCH2O19-0102
53180 VIA VICENZE
777180002
JACKMAN / HVAC CHANGE OUT - 14SEER/80AFUE SPLIT SYSTEM
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
53180 VIA VICENZE PARTNERS
13 BUELL MANSION PKWY
ENGLEWOOD, CO 92253
Date: 5/21/2019
$4,596.00 DZf Contractor:
h1,Y 2 ; �099 HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
CITY CF LPjCtflPiiA THOUSAND PALMS, CA 92276
DESIGN & DEVELOPMENT DEPARTMENT (760)343-7488
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 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: 7-4 (4:1 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, 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
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: gPRESS INSURANCE COMPANY Policy Number: HAWC012965
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: -5 ZI 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: -L7I 197 Signature (Applicant or Agent): y
Date: 5/21/2019
Application Number:
BMCH2019-0102
Property Address:
53180 VIA VICENZE
APN:
777180002
Application Description:
JACKMAN / HVAC CHANGE OUT - 14SEER/80AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$4,596.00
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
Owner:
53180 VIA VICENZE PARTNERS
13 BUELL MANSION PKWY
ENGLEWOOD, CO 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-7488
Llc. No.: 686310
Detail: 2 TON AIR HANDLER 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 CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
AIR HANDLER
101-0000-42402
0
$40.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
AIR HANDLER PC
101-0000-42600
0
$13.34
Total Paid for MECHANICAL: $53.36
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.40
Total Paid for PERMIT ISSUANCE: $101.40
DESCRIPTION ACCOUNT
CITY
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
Project Address:,53I2p
APN #:
Applicant Name: w� ; %VN�"Ca
Address: 3k2?- 3=�i��c.
City, ST, Zip: �c4�{� t�1� c, CA �i131�
Telephone:
Email:
Architect/Engineer Name:
Address:
City, St, Zip
Telephone:
Email:
State Lic;
City Bus Lic:
Property Owner's Name: 53iSc> Vc x V-tc:ev�xc-
Address: �3LRC �� �icenze
City, ST, Zip
Telephone: '-)zc>-, (�,i5--7 i o0
Email:
IT #
Project Description:
Valuation of Project $ Q� `J,-:� `16-cx-
Construction
Grading:
Bedrooms: I Stories:
Occupancy:
# Units:
New Commercial / Tenant Improvements:
Total Building SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
# � Submittal I Required Received
Plan Secs
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
CHR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)
(Page 1 of 3)
Project Name: 53180 VIA VICENZE PARTNERS Date Prepared:
2019-04-02
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 53180 VIA VICENZE PARTNERS
02 Date Prepared 2019-05-22
03 Project Location 53180 VIA VICENZE PARTNERS
04 Building Type Single family
05 CA City La Quinta
06 Dwelling Unit Name JIM JACKMAN
07 Zip Code 92253
Dwelling Unit Conditioned
OS 5059
Floor Area (ft2)
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
System 1 Location 1 5059 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)
Registration Number: 419-A020051647A-000-000-0000000-0000
This section does not apply to this project.
Registration Date/Time: 2019-05-22 12:25:13
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-05-22 12:25:13
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE
CF111-ALT-024
Alterations to Space Conditioning Systems (formerly CF-1R-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 split Central split No Cooling This field or This field or
System 1 Fancoil AHU HSPF 0.8
This field or This field or
HP HP Component section is not section is not
Setback section is not section is not
Altered applicable applicable
applicable applicable
Required Documentation:
MR-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 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).
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 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)1C)
Registration Number: 419-A020051647A-000-000-0000000-0000
This section does not apply to this project.
Registration Date/Time: 2019-05-22 12:25:13
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-05-22 12:25:13
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:
Patty Hernandez
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:
Patty }(erns vide,
Signature Date:
2019-05-22
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(sy 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 occuoancv.
Responsible Designer Name:
Patrick Somers
Company:
General Air Conditioning
Address:
31170 Reserve Drive
City/State/Zip:
Thousand Palms CA 92276
Responsible Designer Signature:
P atrLcksome,-a,
Date Signed:
2019-05-22
License:
Phone:
760-343-7488
Digitally signed by CHEERSTM 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-A020051647A-000-000-0000000-0000 Registration Date/Time: 2019-05-22 12:25:13
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001
Schema Version: rev 20180426
HERS Provider: CHEERS
Report Generated: 2019-05-22 12:25:13