BMCH2015-017000jt
78-495 CALLE TAMPiCO
ate.
LA QUINTA, CALIFORNIA 92253 COMMUNITY, DEVELOPMENT DEPARTMENT
BUILDING PERI�/IIT
Application Number: BMCH2O15-0170 'PAY 14 2015
Property Address: 78775 SANITA DR
APN: 604162018.CITY Q%i A OUiN;fA
Application Description: BERQUIST RESIDENCE /. HVAC CHANGE OOLAURIN I&ELUP tENTDEPARV
Property Zoning:
Application Valuation: $10,900.00
Applicant:
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE, DRIVE STE A
THOUSAND PALMS, CA 92276
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Qwner:
DEBBIE BERGQUIST
78775 SANITA DR
LA:QUINTA, CA 92253
Date: 5/14/2015
Contractor:
HARRISON ENTERPRISES INC DBA G;
317170 RESERVE DRIVE STE A
THOUSAND PALMS, CA 92276
(750)343-7488
Llc. No.: 686310
---------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed urider. 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
Date:S� 1i1) 15 Contrc" torr
OWNER -BUILDER DECLARATION
1 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 7600) 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 X
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.infended 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 purposeofsale.).
(� 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 Name:
Lender's
WORKER'S COMPENSATION DECLARATION
f hereby affirm under,penalty. of perjury ore 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 of orkers'.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 anyperson in;any manner so as to become subject to the.workers'
compensation laws of Calif ornia,'and agree that,.if Ishould become subject to the
workers'.compensation"provisions of Sectio6 3700 of the Labor Code, I shall forthwith
comply with those provisions:. ///�
Date: S )4 IS Applicant:
WARNING: FAILURE TO SECURE WORKERS'. COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT ANEMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS4S100,000). 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 l haveiread 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.
Date: Sly IS ' Signature.(Applicant oAgent):•
Description: BERQUIST RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 5/14/2015 MFA
Approved:
Parcel No: 604162018 Site Address: 78775 SANITA DR LA QUINTA,CA 92253
Subdivision: TR 23269 Block: Lot: 90
Issued:
Lot Sq Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $10,900.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
ADDRES51
Details: HVAC CHANGE OUT - 16.5SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES.....,
CONDITIONS
CONTACTS
-NAME TYPE
.'NAME _ -<
ADDRES51
CITY-•
"'
,.. ZIP'
PHONE
_
a<�
.'STATE
z -
APPLICANT
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE
THOUSAND
CA
92276
STE A
PALMS
CONTRACTOR
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE
THOUSAND
CA
92276
STE A
PALMS
OWNER
DEBBIE BERGQUIST
78775 SANITA DR
I LA QUINTA
CA
92253
FINANCIAL INFORMATION
Printed: Thursday, May 14, 2015 12:56:02 PM 1 of 2 _,•___. _
77- 7 . ....... `
INSPECTIONS
SEQI INSOEdION TYPE
INSPECTOR- SCHEDULED COMPLETED
S, -:�.
RESULT,'' - ' REMARK NOTES'
777.7,
MECHANICAL FINAL"
BLD
'p
D� E+
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING 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
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
. ...... . ...... ..
Printed: Thursday, May 14, 2015 12:56:02 PM 2 of 2
INSPECTIONS
SEQI INSOEdION TYPE
INSPECTOR- SCHEDULED COMPLETED
S, -:�.
RESULT,'' - ' REMARK NOTES'
-:'DATE TE,
MECHANICAL FINAL"
BLD
Printed: Thursday, May 14, 2015 12:56:02 PM 2 of 2
Bin #
Crty of La, Qu►nta
Building &- Safety Division
P.O. Box ,150:4, 78-495 CalleTampico
La Quinta; CA 92253 - (760) 777-7012.
Building Permit Applicatlon::.and Tracking Sheet
Permit #
-Project Address: g -) -75 S0.h�
Owners Name ":b6�
A. P. Number:
Address: 7 g -)-)S-
Legal Description:
City, ST, Zip:ivy CA Ck S3
Contractor: G re ��t- Co or;
Telephone.: hone: -
P ��
Address: 3 i-�O hex v U�
Project Description
Cit , ST, Zi : tom_ 7
Y P 1%oUsc�h c1 G`r(1S CIZ2710
s
3VC,, -C-t.p�l c (mob, dOC9
Telephone: -7(00-3 4.3.'7LIgS .
•V
State Lic. # : (�$ b3 i O City Lic.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
Con-
striicti n Type: e: ccu
Y P Occupancy:
P Y:
State Lic. #:
Pr J ecttY Pa cr cle one): New. Add' n Alter Repair.ait De m 0
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: L I p' cjQt7 , co
APPLICANT: DO NOT-WRITE BELOW •THIS`:LINE
#
Submittal
Req'd
Recd '
: 'TRACKING:.
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
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.Ma. '
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for corrections/issue
`Developer'Impact.Fee
Planning Approval
Called Contact Person'
Pub. Wks. Appr
Date of permit issue
School Fees .
'Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
DEBBI BERGQUIST I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
i
2015-05-12
I
I
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 i
documented, use one MR -ALT 02 document for each dwelling unit. !
01 .
Project Name
DEBBI BERGQUIST
02
Date Prepared
2015-05-12
03
Project Location
78775 SAN ITA. DRIVE
04
Building Type
Single family i
05
CA City
La Quinta
06
Dwelling Unit Name
DEBBI BERGQUIST
,
Dwelling Unit Conditioned
Installing a
07
Zip Code
92253
08
Floor Area (ft2)
1262
SC System
' xCFA served
'.
re ngera t t
Number of space conditioning
j
Eq
Climate Zone
15
10
(SC) systems in this dwelling
1
ducted
�.rii' ,Y.::i:%'S
4 -:.
S-;xi'R aYF.`x.i'. ':'tit..'... �.::. 1.11,-
more than 40
unit.
entirely new
B. Space Conditioning (SC) System Information y
01
02
.
04
4Wfllb `.
��5� 6�
07
08
09
10
. bU3
m.
,
Is the SC
Installing a
SC System
SC System
' xCFA served
system a�
re ngera t t
Installing e SC
nstalhrig
L.!gInstalling
.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.l
Location 1
1262
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
i
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
i
Registration Number: 215-A0125397A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-05-12 12:43:35 HERS Provider: CalCERTS
Report Version: 2014-03-31 Report Generated: 2015-05-12 12:43:21
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE
Alterations -to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
CF1R-ALT-02-E
I
(Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)1E 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
j R -Value
Central gas
All new
Central split
All new
This,field or
This field or
I
System 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
16.5
Setback
section is not
section is not
components
components
applicable
japplicable
Reauired Documentation:
CF2R-MCH-01-E'- Space Conditioning Systems Ducts and Fans-
-Duct insulation requirement for new plenums: R6.
MR -MCH -20-H & CF3R-MCH-20-H - Duct Leakage testing;;Qired 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%, or15 10% leakage to outside,'o »seal all accessible leaks.
CF2R-MCH-25=H & MR -MCH -25 -H Refrigerant Charge Verrfication required -when refrigerant containing components aie i6stalled or altered, (applicable in.CZ 2, 8-15).
-w .....
,yam r ..
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow ;M00 CFM/ton required when MCH 25 is required
Exceptions: a'; b a rf
-Duct systems registered with HERSprovider as previously sealed are exempt from MCH -20 Duct Leaka e�Testing requirements ,.
t tM
Heating -only systems and Air Handler/Furnace chagges do not require verification of AicFI�MCH l' or Refrigdr5nt&-ha MCH 25
s
-Existing dud systems constructed, insulated or sealed withlasbestos=are exempt rpm MCH 20,Ductt Q kage Testing requvemertts. '
a A- ,,ria:= -. �. m r .: ;. -%
Registration Number: 215-A0125397A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-05-12 12:43:35
Report Version: 2014-03-31
Schema Versiod: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2015-05-12 12:43:21
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:,
�aco�
Jacoby, Ian
can
Company:
Signature Date:
Stratz Permit Service -
2015-05-12 12:43:09
Address:
CEA/ HERS Certification Identification.(if applicable):
5858 Dovetail Drive
j
City/State/Zip:
Phone:
Agoura Hills CA 91301
818-735-7876
Responsible Person's Declaration statement=;
1 certify the following under penalty of perjury, under the°laws of the State of California:
1. The information provided on this Certificate of Comphance is true and correct.
�3A-
2. 1 am eligible under Division 3 ofthe Business and Professions Code�accepurespon'sibility for the building design or system design identified on this Certificate of Compliance (responsible designr).
materials; components, devices forthebuilding design or, system design identified on this Certificate of Compliance conform to the
3. That the energy features and performance specifications and anufactured
requirements of Title 24, Part 1 and Parv6iof.the CaliforniCode of Regulat ons.
4. The building design features or rystem design featuresidentified ons is Certificatepfomliance are constentwi h the i information provided on`otherapplicakilecompliance documents, worksheets,
calculations, plans and specifications submittedao the a forcement^agency forapproval wi h this build ng permit apication.
_'.i1 r i
5: I will ensure that a registered copy of this;Certificat�e o Compliance shal(fae?madesavail:able with the bulldirigtpermit("s)issu2d for hebuildi�ng an made avalabl�e�tofaeenforcement agency for all applicable
inspections. I understand that a registered copy of this Gertltcate,of Cop iance is,lequ�ired to bye included wtfh the�d_ocume tationb�he bullget provides loathe b,�,%iing owner at.occupancy.
Responsible Designer Name: -�
..
Responsible Designer 5'gnature: '«/��
Valdez, Dayana`
i
Company:
Date Signed: i
.HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-05712 12:43:35
Address:
License:
31-170,RESERVE DRIVE STE A
686310
City/State/Zip:
Phone: i
i
THOUSAND PALMS CA 92276
(760) 343-7488
Digitally signed by CaICERTS. 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-A0125397A-000000000-0000 Registration Date/Time: 2015-05-12 12:43:35 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-05-12 12:43:21
Schema Version: 0.555SDD