BMCH2015-0211Applicant: CITYOFLAOUINTA ontractor:
IE INC. COMMUNITY DEVELOPMENT OEPAR RENT ARRISON ENTERPRISES INC DBA D
32115 LA BAYA 31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362 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.: 968141
Date: 6.^.Contractor:
OWNER -BUILDER DECLARATIO
I hereby affirm under penalty of perjury that I am exempt from the Contract is 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
ale.).(1 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
Date:
Owner:
I
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
(760)343-5562
Llc. No.: 968141
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 wor for which this permit is issued.
71 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. — „
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIOWCOVERAGE ISfUNLAWFUL,
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. �. - 11—N
VOICE (760) 777-7125
78-495 CALLE TAMPICO
D
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/18/2015
Application Number:
BMCH2O15-0211
Owner:
Property Address:
78715 CABRILLO WAY
STEVE HUNTER
APN:
646420007.n�I
L�' U IJ
IJ
�i715 CABRILLO WAY
Application Description:
HUNTER RESIDENCE HVAC
CHANGE OUT LJ
QUINTA, CA 92253
Property Zoning:
Application Valuation:
$32,574.00
JUN 18 2015
Applicant: CITYOFLAOUINTA ontractor:
IE INC. COMMUNITY DEVELOPMENT OEPAR RENT ARRISON ENTERPRISES INC DBA D
32115 LA BAYA 31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362 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.: 968141
Date: 6.^.Contractor:
OWNER -BUILDER DECLARATIO
I hereby affirm under penalty of perjury that I am exempt from the Contract is 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
ale.).(1 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
Date:
Owner:
I
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
(760)343-5562
Llc. No.: 968141
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 wor for which this permit is issued.
71 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. — „
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIOWCOVERAGE ISfUNLAWFUL,
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. �. - 11—N
'
City of La Quinta
&Mhg at Safew MWwl
P.O. Box 1504,-78-49S Calle Tampko
La.Quhua, CA 92253 - (760) 777-7012
Building Permit Appitcadon and Traddng Sheet
Pan* r
PrnkaAddtess: 78715 CABRILLO WAY
0wner'sNwnw. STEVE HUNTER.
A. P. Number.
Adds: 78715 CABRILLO WAY
Leal Descripriar:
city, Sr, zip: LA QUI NTA, CA 92253
Contractor. GENERAL A/C & HEATING
Tdeptwrx
Address: 31170 RESERVE DRIVE
PmjeaDescription:
City. $T.Zip: THOUSAND PALMS, CA 92276 {
CHANGE OUT_..(2)`A/C 4-& 2 TON
Tone 760-343-7488
Stan Lia # : 686310. City Lic. N:
&-(2) FURNACES 90,000 & 40,000 BTU.
Arch, &W,
Addre=
C*. ST. Zip:
Tdepi m:
Stab: Lic. B:
Construction Type:. Ooaupaney:
Project type (code ow): New Add'n Alter Repair Deas
Sq. Ft: a stories I —U:;
F.st6natod•ValueofProj=t 32574.00 .
Name of Conad Person: PATRICK
_
TdepboaefGfContactPerson: 7.60-343-7488
APPLICANT: DO NOT WRITE BELOW THIS UNE
N submittal Req'd Recd TRACKING PzRMIT FBES
P(an sets Plan Checks aabmitted Item Amoat
Shvdani Calci.
Revkw4 ready for corms ioss Plan Chock Deposit.
Trim Cda.
Called Contact Penna Plan Check Balance
Tille 14 Caler.
Plans picked up Corgoraetloa
Flood pla„r plan
Plass resubmitted MecaUkal
Grading plan
2'` Review, ready for eorrectionsfimue Electrical
Ssbeost*mr Ust
Caped Contact Person Plumbing
Grant Deed
Plana picked up SALL
H.O.A. Approval
Plans resabmitled Cxm tag
IN Hots&-
'^ Review; rdy for aneeBocujUm Developer Impact Fee
Planning APpmval
Can Contact Person
Pub. Wkg. Appr
Date of permit issue
school Fen
Total Permit Fees
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$2.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSAc $2.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$145.04
$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
$72.52
$0.00
PAID BY
METHOD
RECEIPT # ;
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $217.56 $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: HUNTER RESIDENCE HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 6/18/2015 EVA
Approved: 6/18/2015 EVA
Parcel No: 646420007 Site Address: 78715 CABRILLO WAY LA QUINTA,CA 92253
Subdivision: TR 28343 Block: Lot: 31
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $32,574.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT -18 SEER (2) SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
Printed: Thursday, June 18, 2015 8:46:27 AM 1 of 2 SAAF
CPU"
SYSTEMS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE FAX EMAIL
APPLICANT
IE INC.
32115 LA BAYA
WESTLAKE
CA
91362
(714)448-2212
VILLAGE
CONTRACTOR
HARRISON ENTERPRISES INC DBA D
31170 RESERVE DRIVE
THOUSAND
CA
92276
(714)448-2212
PALMS
OWNER
STEVE HUNTER
78715 CABRILLO WAY
LA QUINTA
CA
92253
(714)448-2212
FINANCIAL INFORMATION
Printed: Thursday, June 18, 2015 8:46:27 AM 1 of 2 SAAF
CPU"
SYSTEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CL D.
•
-
BY
BSAS SB1473 FEE
101-0000-20306
0
$2.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $2,00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$145.04
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$72.52
$0.00
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $217.56 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:$0.00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL*" BLD
PARENT PROJECTS
BOND INFORMATION
Printed: Thursday, June 18, 2015 8:46:27 AM 2 of 2. 0?
SYSTEMS
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC)
CF1R-ALT-02-E
(Page 1 of 3 )
Project Name: STEVE HUNTER I Date Prepared: 2015-06-17 1
A. General Information
CFiR-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
STEVE HUNTER
02
Date Prepared
2015-06-17
03
Project Location
78715 CABRILLO WAY
04
Building Type
Single family
05
CA City
La Quinta
06.
Dwelling Unit Name
STEVE HUNTER
07
Zip Code
92253
08
Dwelling Unit Conditioned
2600
Installing new SC
.t`I�nstallirig
Ins ailing
Installing
Floor Area (ft2)
Identification or.
location or Area
by this SC
ducted
��. .ter
containing
Number of space conditioning
more than 40
09
Climate Zone
15
10
(SC) systems in this dwelling
2
system?
component?
components?
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System Information
01
02
03' Aff�
Ik 04.05
�06
07 . .
0}8
09
10
Is the S,'.�.A�p
C
% In'�(
s" Iling a
SC System
SC System
CFA served
system a
re rf ige''ant 3
�w
Installing new SC
.t`I�nstallirig
Ins ailing
Installing
Identification or.
location or Area
by this SC
ducted
��. .ter
containing
n�
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
1300
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Location 2
1300
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 215-A0162703A-000000000-0000
Registration Date/Time:
2015-06-17 13:53:41
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-17 13:53:27
Schema Version: 0.5S5SDD
CERTIFICATE OF COMPLIANCE CF111-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 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
Central gas
All new
Central split
All new
This field or
This field or
System 2
furnace
heating
AFUE
0.8
AC
cooling
SEER
18
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CUR -MCH -01-E - Space Conditioning Systems Ducts and Fans `
-Duct insulation requirement for new plenums: R6.
CUR -MCH -20-1-1 & CF3R-MCH-20-H — Dud Leakage testing required when heating or cooling components are.i,nstalled;ln ducted systems,,,or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: 515%, or 5 10% leakage to outside, or seal all acces ibrleaks. ,.
U211 -MCH -25-H & CF3R-MCH-25-H Refrigerant Charge Verificationtrequired when refrigerant ontaining components -are installed or a tered (applicable
in CZ=,2 8'1S).
CH -25 is re uit
CF2RCF3R-MCH-23 & CF311-MCH-23 Air Flow z 300 CFM ton required when Mred
q
Exceptions: /tD
-Dud systems registered with HERS provider as previously sealed'afe exempt from MCH -20 Dud Leakage Testing requirements.
Heating -only systems and Air Handler/Furnace changes do not requre.�erificationFof==Air FIow.MCW 23', or Refrigerant Charge MECH-2
_.
o -20 q ,
-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)lC)
This section does not apply to this project.
Registration Number: 215-A0162703A-000000000-0000
Registration Date/Time
2015-06-17 13:53:41
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-17 13:53:27
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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
dacobJr
Company:
Signature Date:
Stratz Permit Service
2015-06-17 13:53:22
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 Profe" sions 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 Californla Code of Regulations.
the
4. The building design features or system design features identified orthis Certificof G�omliance are consiste: t with information:;provided on otherrapplicaHlpmpliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement.tagency forPapp gval with this budding permit`application.
d for
this s allrbe wlth forthe`building,
S. I will ensure that a registered copy of Certific0tof CO_mpliance made,"dVailble the bUildliig•.pmit(s);issutl an made avaablerto thetnforcement agency all applicable
inspections. I understand that a registered copy oft his�Cert ficate of Complliance,�s:required to be included with the,, doocumentaation�tthe..b�der provides to -the buftiing owner at occupancy.
Responsible Designer Name:
Responsible De finer S gnature: '��
Valdez, Dayana
dd
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-06-17 13:53:41
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-A0162703A-000000000-0000 Registration Date/Time: 2015-06-17 13:53:41 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-17 13:53:27
Schema Version: 0.555SDD