BMCH2015-004378-495 ALETAMPICO
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O15-0043
Property Address: 44150 CAMINO LA CRESTA
APN: 604180025
Application Description: TAYLOR RESIDENCE - REPLACE
Property Zoning:
Application Valuation: $8,400.00
Applicant:
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE STE A
THOUSAND PALMS, CA 92276
5 8 2015
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTKIENT
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 License No.: 686310
fle: 2— 12 1 IConctor: -5 -ZZ.
w'
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.).
(1 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 Na
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/18/2015
Owner:
JOHN TAYLOR
44150 CAMINO LA CRESTA
LA QUINTA, CA 92253
Contractor:
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE STE A
THOUSAND PALMS, CA 92276
(76.0)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.
1$ i :5 APFlicaWnt'. 5-- -
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
Da'ttt, $ IS Signature (Applican or Agent):,�..wTL L
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
JOHN TAYLOR I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2015-02-10
A. General Information
CHR -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
JOHN TAYLOR
02
Date Prepared
2015-02-10
03
Project Location
44150 CAMINO LA CRESTA
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
JOHN TAYLOR
07
Zip Code
92253
08
Dwelling Unit Conditioned
2550
Floor Area (ft2)
SC System
SC System
CFA served
system a
refrigerant
Number of space conditioning
Installing
09
Climate Zone
15
10
(SC) systems in this dwelling
1
ducted
containing
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) System`Information., �. %i
f
01
02 '�
03 �
04 �
System 1
106
07',
+ 08
09
10
t
X05
�'
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
2550
Yes
No
No
Yes
No
No
Extension of existing
duct system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
01
02
System Identification or
Name:
New Duct R -Value:
System 1
R-8
Required Documentation:
.Registration Number: 215-A0040523A-000000000-0000
Registration Date/Time:
2015-02-10 10:57:50
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-02-10 10:57:24
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE CF111-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 )
CUR -MCH -01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R & CF3R-MCH-20-H — Duct Leakage Verification
- Leakage rate compliance: <_ 15%, or s 10% leakage to outside, or seal all accessible leaks
Exceptions:
Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 duct leakage testing requirements
D. Altered Space Conditioning System (Sections 150.2(b)lE 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)
This section does -not apply to this project.
Registration Number: 215-A0040523A-000000000-0000 - Registration Date/Time: 2015-02-10 10:57:50 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-02-10 10:57:24
Schema Version: 0.551SDD
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: /'
Jan
Jacoby, Ian
�acoc
Company:
Signature Date:
Stratz Permit Service
2015-02-10 10:57:20
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).
1,
,
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 onthis 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 b' ilding,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: �
Valdez, Dayana
eft ,
Company :
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-02-10 10:57:50
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-A0040523A-000000000-0000
Registration Date/Time: 2015-02-10 10:57:50
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-02-10 10:57:24
Schema Version: 0.551SDD
FINANCIAL .• 1•
DESCRIPTION . ACCOUNTQTY
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 - OTHER EQUIPMENT
101-0000-42402
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
_ CHECK #
CLTD BY
DESCRIPTION
ACCOUNT,
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - OTHER EQUIPMENT PC
101-0000-42600•
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $72.52 $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 forPERMIT ISSUANCE: $91.85 $0.00 '
TOTALS:00
Description: TAYLOR RESIDENCE - REPLACE DUCT RUNS
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 2/18/2015 MFA
Approved: 2/18/2015 MFA
Parcel No: 604180025 Site Address: 44150 CAMINO LA CRESTA LA QUINTA,CA 92253
Subdivision: TR 24517 Block: Lot: 10
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $8,400.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NAME TYPE
Details: REPLACE 19 DUCT RUNS [2008 ENERGY] CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013
CALIFORNIA BUILDING CODES.
Applied to Approved
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE
THOUSAND
CA
92276
(760)221-1083
STE A
PALMS
CONTRACTOR
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE
THOUSAND
CA
92276
(760)221-1083
STE A
PALMS
OWNER
JOHN TAYLOR
44150 CAMINO LA
LA QUINTA
CA
1 92253
(760)221-1083
CRESTA
FINANCIAL INFORMATION
Printed: Wednesday, February 18, 2015 12:36:06 PM 1 of 2 rp
SYSTEti1S
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS' NOTES
-
- - - - --
- -- - ---I
--- -- - -
-- - ---
- ---I—
- --
CLTD
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
I
PAID
I- PAID DATE
RECEIPT#
I---
CHECK #
I----
METHOD
PAID BY
BY
BSAS S1314.73 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
HVACCHANGEOUT-
101-0000-42402
0
$36.26
$0.00
OTHER EQUIPMENT
HVAC CHANGEOUT-
101-0000-42600
0
$36.26
$0.00
OTHER EQUIPMENT PC
Total Paid forCHANGEOUT: $72.52 $0.00
PERMIT ISSUANCE �F�
101-0000-41404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: $165.37 $0.00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS' NOTES
MECHANICAL FINAL"
Printed: Wednesday, February 18, 2015 12:36:06 PM 2 of 2
Bin # City of La Quin to .
Building &r Safety Division
Permit # / P.O. Box 1504, 78-495 Calle Tampico .
I La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: yy SQ C o.vv� -, n0 L,- Cr e sA ck. Owner's Name:
A. P. Number:
Address: qLJ 15(:7 Co.r•�+r�p 1-q l�f'CSRt^.
Legal Description:
City, ST, Zip: ,L.F G UQ \%A 0, CA I:'iZ2-5 3
r. G�rcrc. - ,cr
\ d
(�
Address: 31\-7C) �eSL��
Project Description:
City, ST, Zip:' I V\O\j CC V\,J
1�6L\Y" CA Z!(o
�ac6 9 bvc,• ur,g
Telephone:
><<
,.::,,:.:::>::::::::.
� •
State Lic. #
City Lie. #:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:Construction
;:•:;:s.•:>;:;.>::;:..:.::.:.:.:::::.>:.;<::<.>•:
{..
Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
#Units:
Telephone #,of Contact Person:
Estimated Value of Project: 3 [ Oc) -GCS
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance •
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan:
Plans resubmitted
Mechanical
Grading plan
.2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'`" Reyiew, ready for corrcctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees