BMCH2019-0340} '1� VOICE (760) 777-7125
78-495 CALLE TAMPICO D
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/21/2019
Permit Type/Subtype: MECHANICAL/ Owner:
Application Number: BMCH2O19-0340 SUZANNE ALBERT
Property Address: 47510 VIA FLORENCE 47510 VIA FLORENCE
APN: 643110038 LA QUINTA, CA 92253
Application Description: ALBERT / HVAC CHANGE OUT - 18SEER/80AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation: $17,911.00
Applicant: /,�—',\ Contractor:
D
AMBER GERRICK - IE INC 'C'� HARRISON ENTERPRISES INC DBA GENERAL AIR
31225 LA BAYA 31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362 AUG 21 2019 DD THOUSAND PALMS, CA 92276
CITY OF LA QUINTA (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 Professic. s Code, and
my License is in full force and effect.
License Cl a License No.:
Date: EA q Contractor:
OWNER-BUILOE 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.).
(_) 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
Da
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 Address:
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 ar or which this permit is issued,
ave and will maintain workers' compensation insurance, as required by
5ecli 0 aF the Labor Code, for the perfarmance of the work for which this permit is
issue . M workers' compensation insurance carrier and polity number are:
Carrier: CYPRESS 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 tha if I should become subject to the
workers' compensation provisions of Section 0 of the Labor Jall forthwith
co ply with ;qo1sions.i
{�
Date: C Applicant: ' +
WARNING: FAILURE TO SECURE WORKS 5' 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 b ilding
constructs , and hereby authorize representatives oAthisy to enter upon t above -
mention proper y foor inspection purposes.
Date: � 1 Signature (Applicant or Age
bate: ^8/21/2019
Application Number:
BMCH2019-0340
Property Address:
47510 VIA FLORENCE
APN:
643110038
Application Description:
ALBERT / HVAC CHANGE OUT - 18SEER/80AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$17,911.00
Applicant:
AMBER GERRICK - IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Owner:
SUZANNE ALBERT
47510 VIA FLORENCE
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 HVAC CHANGE OUT - 18 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
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$40.02
DESCRIPTION
ACCOUNT
CITY
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
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
- GF.M xfrl- DCSEW1, -
PERMIT #
PLAN LOCATION:
Project Address: 47510 VIA FLORENCE
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
Applicant Name: AMBER GERRICK
Address: 31225 LA BAYA DR #213
City, ST, Zip: WESTLAKE VILLAGE CA 91362
Telephone: 818-735-7876
Email:
Valuation of Project f
Contractor Name: GENERAL AIR
New SFD Construction:
Address: 31170 RESERVE DR
Conditioned Space SF
City, St, Zip THOUSAND PALMS 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: SUZANNE ALBERT
New Commercial / Tenant Improvements:
Address: 47510 VIA FLORNCE
Total Building SF
City, ST, Zip LA QUINTA CA 92253
Construction Type: Occupancy:
Telephone: 760-777-7844
Email:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Plan Sets
Req'd
Req'd
+
1
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
DOCU-Cign Envelope ID: BF3664A7--1 E27-4076-AEEFZ3AC6OC31CDE
- . • GENERAL
Date 9/15/2019
City of La Qum
DoPs>tnent Of Building and Safety
78495 C.Wk Tampico
La Quintla, CA 922 53
Re: Gmumul Air Condttioninl. and Plu4b*j
Dear Permits p#Bce:
l hereby authorise i ,r GODARW Alr
and obtaitr a NVAC mech�dgt p i and/or p� to
lile Cor
p�mtY mated at
Pit for my
Name of Property Off; gkyt
Piropany Amer Stmo.. s., RXk.t
8/15/2019
lm�e:
B*MtRl Atr CnrdftkRft and Ppaw
31I70 I)*-*,� POIrm Ca �
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)
Project Name:
SUZANNE ALBERT I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3)
2019-08-19
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
CF113-ALT-02 document for each dwelling unit.
01
Project Name
SUZANNE ALBERT
02
Date Prepared
2019-08-19
03
Project Location
47510 VIA FLORENCE
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
SUZANNE ALBERT
07
Zip Code
92253
08
Dwelling Unit Conditioned
3200
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
3200
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 419-A020089796A-000-000-0000000-0000
Registration Date/Time: 2019-08-19 15:23:19
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-08-19 15:23:19
Schema Version: rev 20180426
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)
O1
02
03
04
05
06
07
08
I 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 gas
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
18
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 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).
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)1C)
This section does not apply to this project.
Registration Number: 419-A020089796A-000-000-0000000-0000
Registration Date/Time: 2019-08-19 15:23:19
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-08-19 15:23:19
Schema Version: rev 20180426
CERTIFICATE OF COMPLIANCE CFIR-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:
Jo Anne Orona
a -A n*iei OV.anal
Company:
Signature Date:
I Permit E Raters
2019-08-19
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.
S. I 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
at` 6ckl of
Company:
Date Signed:
General Air Conditioning
2019-08-19
Address:
License:
31170 Reserve Drive
686310
City/State/Zip:
Phone:
Thousand Palms CA 92276
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-A020089796A-000-000-0000000-0000 Registration Date/Time: 2019-08-19 15:23:19 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-08-19 15:23:19
Schema Version: rev 20180426