BMCH2015-025454290 Avenida Martinez
BMCH2015-0254
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
c&'!t 4 4 Qatiroi
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BMCH2O15-0254
54290 AVENIDA MARTINEZ
774254003
PATTON RESIDENCE HVAC
$11,785.00
Applicant:
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE STE A
THOUSAND PALMS, CA 92276
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 License No.: 686310
y —
Date: i 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. Q.
Lender's Name:
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/8/2015-
Application
/8/2015
Owner:
WILLIAM PATTON.
54290 AVENIDA MARTINEZ
LA QUINTA, CA 92253
Contractor:
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE STE A
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: _ Policy Number: _
_ 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: I i S 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.
c
Date: 8 Signature (Applicant or Agent): C
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT. QTY 'AMOUNT PAID; PAID DATE
BSAS SB1473 FEE 101-0000-20306 0
$1.00 $0.00
PAID BY ` METHOD RECEIPT # CHECK # CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
"ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY .
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $108.78 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY .
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Bin.#
Qty Of La Qil111ta
Building U Safety Mlsion
P.O. Box 1504,78-495 Calle Tampico
14.Qulnta, CA 92253 - (760) 777-7012
02 5 Building Permit Application and Tracking Sheet
Permit #
M (_VA 20 l'S
Project Address: 54290 Avenida Martinez
Owner's Name:. Craig Patton
A. P. Number:
Address: 54290 Avenida Martinez
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor: General Air Conditioning
Telephone: 760-902-4417
sg..'`
c
Address: 31170 Reserve Drive
Project Description:
City, ST, Zip: Thousand Palms, CA 92276
Replace 3.5ton Package Unit
Telephone: 760-343-7488
City Lie'. 9.
State Lie. # : 686310
Arch., Engi., Designer:
Address:
City, ST, Zip:
Telephone:
ti .Y
State Lie. #:
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: #Stories: #Units:
Name of Contact Person: Steven Schnierer
Telephone # of Contact Person: 8.18-735=7876 X 1
Estimated Value of Project: $11,785.00.
APPLICANT: DO NOT WRITE BELOW THIS LINE
!t
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted.Item
Amount
Structural Calls.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Pian Check Balance
Title 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
r' Review, ready for corrections/issueElectrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review; ready for eorrectionsAssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr -
Date of permit Issue
School Fees
Total Permit Fees
Description: PATTON RESIDENCE HVAC CHANGE OUT
•Type: MECHANICAL Subtype:
Status: UNDER REVIEW
Applied: 7/8/2015 EVA
Approved:
Parcel No: 774254003 Site Address: 54290 AVENIDA MARTINEZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 301
Lot: 16
Issued:
UNIT 27
NAME
ADDRESS1
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $11,785.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
31-170 RESERVE DRIVE
STE A
Details: HVAC CHANGE OUT- 14.SSEER / .80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
92276
(760)902-4417
rONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESS1
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE
STE A
THOUSAND
PALMS
CA
92276
(760)902-4417
CONTRACTOR
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE
STE A
THOUSAND
PALMS
CA
92276
(760)902-4417
OWNER
WILLIAM PATTON
54290 AVENIDA
MARTINEZ
LA QUINTA
CA
92253
(760)902-4417
Printed: Wednesday, July 08, 2015 9:29:22 AM - 1 of 2 C
SYS7Eti1S
I INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL"* BLD
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHODPAID
BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$0.00
SPLIT -SYSTEM PC
-
Total Paid forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
1 101-0000-42404
1 0
1 $91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: 5201.63 i
I INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL"* BLD
Printed: Wednesday, July 08, 2015 9:29:22 AM 2 of 2
SYSTEMS
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
CRAIG PATTON I Date Prepared:
CFiR-ALT-02-E
(Page 1 of 3 )
2015-07-03
A. General Information
MR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one MR -ALT -02 document for each dwelling unit.
01
Project Name
CRAIG PATTON
02
Date Prepared
2015-07-03
03
Project Location
54290 AVENIDA MARTINEZ
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
CRAIG PATTON
SC System
SC System
CFA served
Dwelling Unit Conditioned
a
, t
refrigerant:
07
Zip Code
92253
08
Floor Area (ft2)
1779
Location or Area
by this SC
'ducted
c ntaining 6
Number of space conditioning
more than 40
09
Climate Zone
15
10
(SC) systems in this dwelling
1
system?
component?
components?
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System Information
Ol
02
03 .
04
I U6 I
0)),.
d 08 I I
( 09
10
\Is the SC_'_
r
` InstEalling
4-4 k4 *1J.a
i a m
k s s. 014
SC System
SC System
CFA served
t
system a+r*
a
, t
refrigerant:
-+•
Installing,new S C
s
1 Install 'iotg
,
,l-*tee,ng alli
Installing
Identification or
Location or Area
by this SC
'ducted
c ntaining 6
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
1779
Yes
No
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: 215-A0182208A-000000000-0000
Registration Date/Time:
2015-07-03 12:37:00
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-03 12:36:34
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)lE 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
All new
Central
All new
This field or
This field or
System 1
packaged HP
heating
AFUE
0.8
packaged AC
cooling
SEER
14.5
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
MR -MCH -01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CFZR-MCH-20-H & CBR -MCH -20-H — Duct Leakage testing 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: 515%, or 510% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF311-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CURCBR-MCH-23 & CF3R-MCH-23 Air Flow >_ 300 CFM/ton required when MCH -25 is required.
Exceptions:e" w -x,
, I
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leaage.,<Testing #egwrements.
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -33, or Refrigerant Charge MECH 25.s
-Existing duct systems constructed, insulated or -sealed with asbestos are exemPf from MCH -20 6uct"Leakage Testing require enis. 1
€ f
E. Entirely New or Complete Replacement Duct System, withTor withoutYEquipment Changeout (Sections 15O.2(b)1Diia endi150.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC)
This section does not apply to this project.
Registration Number: 215-A0182208A-000000000-0000
Registration Date/Time
2015-07-03 12:37:00
HERS Provider: CalCERTS
CA Building,Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-03 12:36:34
Schema Version: 0.555SDD
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: n /
Jan
Jacoby, Ian
loco Jr
Company:
Signature Date:
Stratz Permit Service
2015-07-03 12:36:41
Address:
CEA/ HERS Certification Identification (if applicable):
5858 Dovetail Drive
City/State/Zip:
Phone:
Agoura Hills CA 91301
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 designor,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 Regulation E ,•--ti
4. The building design features or system design features identified on this Certificate of Compliance are consistent withlhe information provided on othegapplicabie compliance documents, worksheets,
calculations, plans and specifications submitted.to the enforcemeni agency for pa provaGwitti.this buildinpermit pplication.
t0*1-, i k 'i , ... I t I f. d t h, 1 t I ° 1, . 1't - -
S. I will ensure that a registered copy of this Certificate of,Compliance shall,be,made,available witFi tt a buIIdingipe_rmit(s),issued focttie,building, and:made available fo ttie ehforcement agency for all applicable
inspections. I understand that a registered copy of this Ce(tificate of Complianceis,requiired to be included with the docurnentation-thebuilder provides to.the building owner at occupancy.
_.
Responsible Designer Name: L N
Responsible Designer Signature: V
Shanley, Barbara
}
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-07-03 12:37:00
Address:
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
(760) 343-7488
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-AC182208A-000000000-0000 Registration Date/Time: 2015-07-03 12:37:00 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-03 12:36:34
Schema Version: 0.555SDD