BMCH2015-00351
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4 44"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O15-0035 ..
Property Address:
79800 PECAN VALLEY
APN:
762023018
Application Description:
.GENERAL AIR GOND/SAVAGE/HVAC CHANGEOUT PACKAGE
Property Zoning:
C
B . G
Application Valuation:
$8,396.00
Applicant:
IE INC.
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licens466der6rovisions 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'
Daf t� 4 S S Contra` ctor�� — �--
V �•
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exemptfrom 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, orrepair
any structure, prior to its issuance, also requires the applicant for the permit,to file 6%
signed statement that he or she is licensed pursuant td:the provisions:of the
Contractor's State License Law (Chapter 9 (commencing with Section�7060) 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,ari applicant for a
permit subjects the applicant io,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,Professioris: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 contracto_r(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 Name:
Lender's Add
VOICE (760) 777-7125
FAX (760)777-7011
INSPECTIONS (760) 777-7153
Owner:
PAUL AND LAURIE SAVAGE
79815TECAN VALLEY
LA QUINTA; CA 92253
Contractor:
HARRIS1.ON ENTERPRISES I
31-170 RESERVE DRIVE S1
THOUSAND PALMS, CA 9:
(760)343-7488
Llc. No.: 686310
Date: 2/5/2015
0
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2
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:
C+;; p
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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; asprovided for Section 3700 of the Labor Code, for the performance
of th ork'for which this permitis 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 thatin 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 provision's.
Date L5 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 restrictionsset forth oh this application.
1. Eachperson 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
issueia; s a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmlesf the City of La Quinta, its officers, agents, and
employees forany act or omission related io 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 wi6'in.380 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.
1 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.
Signature (Applicant or Agent
Bin/
Cray of Ia - Q girt to .
building 8i Sa(ety Division
Box 1504; 78-05 Calle Tampico
La Quinta,.CA:,92253 - (760),777-70.12.
Buiiding.Perm t Application an&Trackink Sheet
Permit #P.O.
Project Address: C(:. Ve".
Owner's Name: .L Gv r� 2 tiG
A. P. Number:
Address: 981S 1/ra 1 t
Legal Description:
City, ST, Zip: L i ' CA Ct Z2s 3
t
Contractor:
Ge-Y1era�
'� _ `1
Tcic tionc: loC`��771' 053.
P.
Address: 311-7o GS.eK,iL
Project.Desckiption:
City, ST, Zip:. OvSc� �S�mS' 9 2z ..'.
Ze 1ae�' .14 Vo 1��ck a e U,��
Tele hone:
P-7cop-3 3-74 8�
'.
St.atcLic. # : $ 31O
':CityLic..#.:.
Arch., Engr., Designer: ~
Address:
City., ST, Zip:
"
TeIcP hone•
>;
Co risruction Type: O ecu an cY:
State Lic. #:
d n Alter. Re air
Ad e
w Dm
•`:Pro•ect c cirele.one : N p
J tYP � )
Name of Contact Person:
: Sq: Ft::
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: g' .,.3 9(� . 00
APPLICANT: DO NOT WRITE BELOW: THIS LINE`` k
#
Submittal
Req'd
Redd
TRACICI1�'G
PERMIT FEES
Plan Sets
Plan Check'submittcd
Item
Amount .
Structural Calcs.
Revicwtd, rcady,for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person.
Plan Check Balance.
Title 24 Cales.
Plans picked up
'Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading planRcvicw;
ready for corrcclions/issue
Electrical
Subconiac(or List
Csllcd ContactPcrson
Plumbing,
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'r° Rcyinv, ready for corrcclionsrissuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
..Date of pernilt issue
School Fccs
Total Permit Fccs
i
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DESCRIPTION r :: %. j `. s� TY �rtATIVIOU,NTr: + =PAID' P.AIDUATE?
3 � TO �x;n
,'«'
a;c t '• .1 AIRRI
BSAS S61473 FEE` 101 0000=20306
t..
0 , $1 00. $0.00
• w�£r '°Jk9i S3tw"iist TNnr; '?' amp. -: .,..,y �i r.:, ;iy � ?.•...�a%`•a 'i. 3; &^ '.� ;. 5
iii PAID,iBN r trMETHOD�RECEIPxT#_...CHECK#
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;§,E
LTDIBY
k, ,x nru a�i
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a.��,{„�.-.s 2
Total Paid forBUILDING STANDARDS.ADMINISTRATION BSA $1 00 $0.00
i.`�G, .� �•ti ':.S�A�`��c {til raCi„skf'rL a#q <x� r:f{�gig �
` DESCRIPT;ION,� ,'a
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°'y'� ACCOUNT�x��
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PAID+'C1i4TEt
c?' 4sr�• `�_ iii,"r§.Th:;==ti..$.7.`,i'i+Tr .7�! " i4 ni�,J� ` i. .�% .`.'!
b, u��i" ' ti}17.:.4f'!ii�5+c�i }2FiT; •f F.
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. 'i 370-:arrF'«�w'..it,.+.�r
HVAC CHANGEOUT•-:PACKAGED UNIT
,:.,.
101 0000-42402 ^
w
0
$36 26
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sAMOUNTI+'�
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; `.PAID
_....ri.Y'_'' �.Y?^.
PAID;DATE
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W:.f.AU.a
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HVAC CHANGEOUTr PACKAG E U UNIT. PC:,'*
101-000&-426
0
$24.V,
$0.00
. ,� '''i,, .•rrYdrsY,t«
�ua'�PAIDBX
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-`�-.Yfrrt:'r.;4.AWk:+:.T?a
TotahPaid for.CHANGEOUT '$010.43 $0.00'
. ,•. ..
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0. ".
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$91 85
$00.0`
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t�.'.e3'
- Total Paidfor PERMIT ISSUANCE $91 85
.:.:c. s. - c. tw :.:: • •,!.p: . ,s{ '.: .- '�fi 9 Yia,4 ., ..i,.t....k�.,=
Description: GENERAL AIR COND/SAVAGE/HVAC CHANGEOUT PACKAGE
Type: MECHANICAL Subtype: IStatus: UNDER REVIEW
Applied: 2/5/2015 SKH
Approved:
Parcel No: 762023018 Site Address: 79800 PECAN VALLEY LA QUINTA,CA 92253
Subdivision: TR 24801 Block: Lot: 5
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $8,396.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories -'O No. Unites: 0
Details: HVAC CHANGE OUT-13SEER/.8AFUE PACKAGE SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
CHRONOLOGY
FINANCIAL INFORMATION
Printed: Thursday, February 05, 2015 2:40:23 PM 1 of 2 C
SYSTEMS
MECHANICAL FINAL"
Printed: Thursday, February 05,ZOlS2:40:Z3PK4 2ofZ
7 77
j7 7,77
7 77
'ECK
U, .DES CRIPTIOW
PAID
,
BSAS SB1473 FEE
101-0000-20306
0-
$1.00
$1.00
2/S/15
R36"00
21482
CHECK
IE INC.
SKH
Total Paid for BUILDING STANDARDS ADMINISTRATION
HVACCHANGEOUT-
101-0000-42402
0
$36.26
$36.26
2/5/15
R3600
21482
CHECK
IE INC.
SKH
PACKAGED UNIT
HVACCHANGEOUT-
101-0000-42600
0
$24.17
$24.17
2/5/15
R3600
21482
CHECK
IE INC.
SKH
PACKAGED UNIT PC
- Total Paid forCHANGEOUT: $60.43 $60.43
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
2/5/15
R3600
21482
CHECK
IE INC.
SKH
Total Paid for PERMIT ISSUANCE: $91.85 $91.85.
TOTALS: $153.28 $153.28
MECHANICAL FINAL"
Printed: Thursday, February 05,ZOlS2:40:Z3PK4 2ofZ
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: LAURIE SAVAGE Date Prepared: 2015-01-29
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
LAURIE SAVAGE
02
Date Prepared
2015-01-29
03
Project Location
79815 PECAN VALLEY
04
Building Type
Single family
05
CA City'
La Quinta
'06
!Dwelling Unit, Name
LAURIE SAVAGE
07
Zip Code
92253
08
Dwelling Unit Conditioned
3148
-r
Floor Area
n
SC System
CFA served
system a-
refrigerant
Num6er, of space conditioning
Installing
09,,
Climate Zone
15 :.
10
(SC) systems in this dwelling•
1
ducted
containing
t:
more than 40
unit.
entirely new
B. Space Conditioning (SC) System Informatio M? r,
on' r
02'
03_}
04
5
06H
07;
08 i.
09
10
p0�
..
�• 1
`seC2yybY'+
"s,the SC.rg
Installin a
-r
SC System
SC System
CFA served
system a-
refrigerant
Installing new SC `'
Installing
Installing
Installing
Identification or
Location or Area:.;.."6.yth
s 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 1Location
1
3148 .;
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-A0030628A-000000000-0000 Registration Date/Time: 2015-01-29 15:43:04 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-01-29 15:40:32
Schema Version: 0.551SDD
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)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
13
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - 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: 5 15%, or 5 10% leakage to outside, or seal all accessible leaks. .
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CR11CF3R-1VICH-23 & CF3R-MCH-23 Air Flow > 300 CFM/ton required when MCH 25 is required
Exceptions:ta �� " 4
°
-Duct systems registered with HERS provider as previously sealed are exempt from N1CH-20 Duct leakage Testingirequirerr
systems
-Heating-only and Air Handler/Furnace changes do not require venficationtof Air flow MCH-,23,,.,,,?r Refri erantaChar a MECH-25
exe `.c :.a_ g
Existing duct systems constructed, insulated or s�eal�ed with asbestos are exempt�from MCH o Duct Leakage Testing regwrements
j '
<<r�x. ,ra taa».:-.,-..r
t
�.
E. Entirely New or Complete Replacem=rent Duct System with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)lE, F)
:. This section does not apply to this project.
L
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-A0030628A-000000000-0000 Registration Date/Time: 2015-01-29 15:43:04 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-01-29 15:40:32
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE
CF111-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:
dacoG�
Jacoby, Ian
clan .
Company:
Signature Date:
Stratz Permit Service
2015-01-29 15:40:44
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, state ment
I certify the following under penalty of perjury, under the laws of the State c fkalifornia:
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 peclflcations, vents, devite5�for
performance materials comp and mariufacturred the building design or system;design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part!6of the "California Code of R g IaUons. ' {`
4. The building design features or system�de ign features Ideantlff__e__d,(.on t�hls Certificate of Compliance are$$conslste f with th_elnformation prodlded on other applicable compliance documents, worksheets,
�..t.� .1
�..fr i. iYlrc�D .. .' ,Sl' Ybl
calculations, plans and specifications submitted to+the enforcemenvagency for approvdKwith this buildingtperinrt ap 'iizki n 1: 0y�"
fid} - ' ' ..0V °�'x ' : &A. -R0 ...r ' ` �.. �`4 'Gly hE - . :_,
5. I will ensure that a registered copy of thlsCCertrficate,ofgCompliance shallbemade avaiable withtthe for the buildgandi"made3available
bulldingapermlt(s)•issued to the enforcement agency for all applicable
inspections. I understand that a registeredecopy of this Certificate fComphance l5°r'equired to be'ineluded withihe docum"entation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:��
Valdez, Dayana
Company.:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING-
2015-01=29 15:43:04
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.
s�
Registration Number: 215-A0030628A-000000000-0000 Registration Date/Time: 2015-01-29 15:43:04 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-01-29 15:40:32
Schema Version: 0.551SDD