BMCH2015-0029e
78-495 CA E TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O15-0029
Property Address: 81830 COUPLES Cr CT
APN: 764060049
c&-tf 4 VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY'DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/29/2015
Owner:
Application Description: MAPLE. LEAF PLUMGING/HARVIE/REPLACE (4)TON.CONDENSOR & COIL
Property Zoning:
Application Valuation: $6,750.00
Applicant:
MAPLE LEAF PLUMBING HEATING AN
P 0 BOX 3653
PALM DESERT, CA 92261
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: C36 CC20 Ucense.No.:'48139
Date; r ^ �+� , Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from:the Contractor's State
License Law for the foliowingdreason (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:permlt 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 Section7031.5by 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.).
(J 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.).
(___) Lam 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 whichthis permitis issued r(Sec. 3097, CIv..C,).
Lender's Name:
Lender's. Address:
JAMES HARVIE
51830 COUPLES'COURT
LA QUINTA, CA 92253
Z
(760)346-6758 C Q
Llc. No.: 481393 ,
WORKER'S COMPENSATION'DECLARATION
I herebyaffirm under penalty of perjury one of the following declarations:
1 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 ie * for which this permit is issued,
W�. 1 haveand will maintain workers' compensation Insurance, as required by
Section 3700 of the LaborCode, for the performance of the work for which this permit
isissued. 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 mannerso 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 La rCode, l shall forthwith
comply with those provisions. t'--)
^) n j') n
Date: —Z9 ( , Applicant:
WA.RNING:.FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
ANDSHALL SUBJECT AN EMPLOYER TO CRIMINALPENALTIES'AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION'TO THE COST OF
COMPENSATION, DAMAGES:AS'PROV.IDED 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 Permitsubjectto
the conditions and restrictions set forth on thisapplication.
1. 'Each person upon whose behalf this application is made, each person at whose
request and for whose benefitwork 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 Ouinta, its officers; agents, and
employeesfor any'actor 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
for 180 days will subject permit to cancellation.
i certify that.1 have read this application.and statethat the above Informationds correct.
I agree to complywith',all city and county ordinancesand state laws relating to building
construction, and hereby authorize representatives of this o nter o the.above-
mentioned property for
riinspection,purposes.
Dater —7-1
-1)
Signature(Applicant or Agent):
LimContractor:
HLJG
im
MAPLE'LEAF PLUMBING
•AWJ
P 0 BOX 3653 FT
ac
PALM DESERT, CA 92261
64111
Z
(760)346-6758 C Q
Llc. No.: 481393 ,
WORKER'S COMPENSATION'DECLARATION
I herebyaffirm under penalty of perjury one of the following declarations:
1 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 ie * for which this permit is issued,
W�. 1 haveand will maintain workers' compensation Insurance, as required by
Section 3700 of the LaborCode, for the performance of the work for which this permit
isissued. 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 mannerso 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 La rCode, l shall forthwith
comply with those provisions. t'--)
^) n j') n
Date: —Z9 ( , Applicant:
WA.RNING:.FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
ANDSHALL SUBJECT AN EMPLOYER TO CRIMINALPENALTIES'AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION'TO THE COST OF
COMPENSATION, DAMAGES:AS'PROV.IDED 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 Permitsubjectto
the conditions and restrictions set forth on thisapplication.
1. 'Each person upon whose behalf this application is made, each person at whose
request and for whose benefitwork 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 Ouinta, its officers; agents, and
employeesfor any'actor 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
for 180 days will subject permit to cancellation.
i certify that.1 have read this application.and statethat the above Informationds correct.
I agree to complywith',all city and county ordinancesand state laws relating to building
construction, and hereby authorize representatives of this o nter o the.above-
mentioned property for
riinspection,purposes.
Dater —7-1
-1)
Signature(Applicant or Agent):
FINANCIAL •• •
,pESCRIPT
'' ':a-:- - i.
BSAS SB1473 FEE 101-0000-20306
0
$1.00
$0.00
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Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
W � pSCRPTION _
I �1CC UIT �`®
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HVAC CHANGEOUT - CONDENSER ONLY
101-0000-42402
0
$36.26
$0:00
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HVAC CHANGEOUT - CONDENSER ONLY PC
101-0000-42600
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$24.17
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PAID BY
va ?t METHOD
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Al DESCRIPTION _ ,4�
' L ' ACCOUNT
QTY
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HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42402
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$12.09-
$0.00
a
METHOD
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L
�. gESCRIPTION
` co �-
YQTY;AMVN7
- �p:sp
HVAC CHANGEOUT - REPAIR/ALTERATION
PC
101-0000-42600
0
$4.83
$0.00
Q,tPAib BY ,e
«.:!
�Rv
�r [TD Bl
Total Paid forCHANGEOUT: $77.35 $0.00
�DESCRIPLOI ��
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PERMIT ISSUANCE
101-0000-42404
0
$91.85 $0.00
'� 1111 O
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Total, Paid for PERMIT ISSUANCE: $91.85
TOi �•
Description: MAPLE LEAF PLUMGING/HARVIE/REPLACE (4)TON CONDENSOR & COIL
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 1/29/2615 SKH
Approved:
Parcel No: 764060049 Site Address: 81830 COUPLES CT CT LA QUINTA CA 92253
Subdivision: TR 29316 Block:- Lot: 14
Issued:
Lot Sq Ft:0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $6,750.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT-14SEER CONDENSOR/COIL SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED
PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA. BUILDING CODES.
Printed* Thursday, January 29,2015 2:57:28 PM 1 of 2
SYSTEMS
PARENTPROJECTS.
Printed: Thursday, January 25, 20152.:57-28 PM 2 of 2.
Cr1?W1YS7Em5
CH
��DESCRIPTION
ACCOUNT
T'
P)
E�
'F
47
HVACCHANGEOUT-
101-0000-42402
0.
$36.26
$0.00
CONDENSER ONLY
HVAC CHANGEOUT-
101-0000-42600
0
$14.17
$0.00
CONDENSEWONLY PC
HVAC CHANGEOUT -
101-0000-42402
0
$12.69
$0.00
REPAIR/ALTERATION
HVACCHANGEOUT-
101-0000-42600
0
$4.91
$0.00
REPAIR/ALTERATION PCI
J
Total Paid forCHANGEOUT: $77.35 $0.00
PERMIT ISSUANCE
101-0000-42404
0.
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: 0.60
..$170.20
PARENTPROJECTS.
Printed: Thursday, January 25, 20152.:57-28 PM 2 of 2.
Cr1?W1YS7Em5
i31A #
Permit #
,_
G2o� -C62-9Building
Project Address:' ... O
i
Crty of La Quinta .
Building &,-Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
1a, Quint&, CA 922.53 - (760) 777-70,1.2
Permit Application and Tracking Sheet
C /R,3 Owner's Name: -Z. o.6i A c-, r V ('-
A. P. Number.
Address:
I,egal Description:
City, ST, Zip: L 0 QL►u�
Contractor:Telephone:
Address:' Pv �s3
ProjeetDescription:
City, ST, Zip: .
CX ?2L-( P6
%Z/&) gi- '
Tele hon .
P '6%3 -9
-
State Lic.VS./ 323
City Lia
Arch., Engr., Designer:
Address:
City,, ST, Zip:
Telephone:
State Lia
Construction Type. #Y. C Occupancy,:
Project We:(circle..one): New Add'.n Alter, Repair Demo
Name of ContactPerson:
Sq. A:
# Stories:
it Units:
Telephone *,of Contact Person:
Estimated Value of Project: fow'
APPLICANT: DO NOT WRITE BELOW THIS LINE
It
Submittal
Rcq'd
Rcc'd
TRACIONG
PERMITTEES
Plan Sets
PIan Check submitted
Item.
Amount
Structural Cala.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans:resubmitted
Mechanical
Grading plan
2*!Revicrv, ready for correctionsrssue
Electrical
Subcontactor List
Called ContactPenon
Plumbing
Grant Deed
Plans:picked up
S.M.I.
H -OA. Approval
Plans resubmitted
Grading
IN HOUSE:-
''°Review, ready for eorrectionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
AJXP .
Pub. Wks: Appr
Date of permit issue
i
Scbooi'Fecs
Total Permit ices
CERTIFICATE OF COMPLIANCE
Alterations to Space. Conditioning Systems (formerly CF -IR -ALT HVAC)
Project Name:
PAT HARVIE I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3 )
2015-01-29
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 CFiR-ALT 02 document for each dwelling unit.
01
Project Name
PAT HARVIE
02
Date Prepared
2015-01-29
03
Project Location
81-830 Couples Court
04
Building. Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
PAT HARVIE
07
Zip Code
92253
Dwelling Unit Conditioned
1600
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
01
02
03�
04;X05
06 J
09
10
i
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
kitchen
1600
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 215-A0030424A-000000000-0000
Registration Date/Time: 2015-01-2913:17:10
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-01-29. 13:11:49
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 )
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
No heating
This field or
This field or
Central split
Outdoor
Less than or
System 1
furnace
component
section is not
section is not
AC
condensing
SEER
14
Setback
equal to 40
R-8
altered
applicable
applicable
unit
feet
Reauired Documentation:
CF211-MCH-014 - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF3R-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%, or5.10% leakage to outside, or seal all accessible leaks.
CF211-14CH-25-11 & CF3R7MCH-2s-H Refrigerant Charge Verification required when refrigerant.containing components are installed or altered (applicable in CZ 2, 8-15)..
CF2RCF3R=MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/tbn-required when MCH -25 isrequired: i
l 71
p�.
Exceptions: �/
HERS t from MCH Duct Leakage.Testing requirements.
-Duct systems registered with provider as previously sealed r exem -20 (/
0
-Heating-only systems and Air Handler/Furnace{changes do not!,yequire verification of Air Flow MCH -23, or Refrigerant Charge MECH45.
-Existing duct systems constructed, insulated or1sealed with a est are exempt from MCH720 Quct Leakage Testing tequirements.
"
,s
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)IE, F)
This section does not apply to this project..
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC)
Thissection does not apply to this project.
Registration Number: 2157A0030424A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance.
Registration Date/Time:
Report Version: 2014-03-31
Schema Version: 0.551SDD
2015-01-2913:17:10
HERS Provider: CaICERTS
Report Generated: 2015-01-29 13:11:49
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:
��Brtq'i
Grosjean, Robert
Company:.
Signature Date:
MAPLE LEAF.PLUMBING HEATING AND AIR CONDITIONING INC
2015-01-29 13:17:10
Address:
CEA/ HERS Certification Identification (if applicable):
P 0 BOX 3653
City/State/Zip:
Phone:
PALM DESERT CA 92261
(760) 346-6758
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. I am eligible under Division 3 of the Business and,Plofessions Code to accept responsibility for_the buildingdesign p_r__system.designerrtified on this Certificate of Compliance (responsible designer).
3. That the energy features and performancespecifications, materss; components, and manufactured devices fns 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 Califor la Code of Regulations. / !
4. The building design features or sys m design featu IdQntlfidd on -this Certificate of Compliance aje,consistent with1the information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted crthe enforcement agency for approval, with this bullding.permit_application.
S. I"will ensure that a registered copy of,this.Cert ficate of'Compliance shall be made available with'the building permit(#Issued for the"build'ing and madefaveilable 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:
Grosjean, Robert
Company:
Date Signed:
MAPLE. LEAF PLUMBING HEATING AND AIR CONDITIONING INC
2015-01-29 13:17:10
Address:
License:
P O BOX 3653
481393
City/State/Zip:
Phone:
PALM DESERT CA 92261
(760) 346-6758
Digitally signed by calcERTS. 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-A0030424A-000000000-0000 Registration Date/Time: 2015-01-29 13:17:10 HERS Provider: CaiCERTS
r
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 20.1"3-31 Report Generated: 2015-01-29 13:11:49
Schema Version: 0.551SDD
6/3/15
MAPLE LEAF PLUMBING
HEATING & AIR CONDITIONING, INC.
Attn: Burt Hanada
Building Official
City of La Quinta
RE: Permit # BMCH 2015-0029
CALIF. LIC. #481393
We have a open permit for a HVAC final at 81-830 Couples Court, The homeowner won't be back
before November 2015. 1 would like to get a extension on this permit.
Thanks
Rgjmq. Gros'ean
General Manager
CORPORATE OFFICE:
74-152 HIGHWAY 111 (760) 346-6758
P.O. BOX 3653 (800) 575-8623 • (800) 5 -PLUMBER
PARTS STORE:
74-160 HIGHWAY 111
PALM DESERT. CA 92260