BMCH2015-02164
78-495 VOICE (760) 777-7125
CALLE TAMPICO U
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT FAX
(760) 777-7153
BUILDING PERMIT
Date: 6/18/2015
Application Number: BMCH2O15-0216 Owner:
Property Address: 54540 AVENIDA VELASCO ROLAND MCCANDLISH
APN: 774284002 P 0 BOX 984
Application Description: MCCANDLISH RESIDENCE HVAC REPAID— LA QUINTA, CA 92253
Property Zoning:
App
A lication Valuation: $8,169.00 ill 11 U—� II II
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
JUN 10 2015
OF IA0U1NTA
COMMUNITY DEVELOPtdENT DEPARTPAENT
. 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
Dat �_ f irCo:
OWNER -BUILDER DECLARATI
I hereby affirm under penalty of perjury that I am exempt from the Contra 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).:
( 11, 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 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 I 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 Addre:
Contractor:
HARRISON ENTERPRISES INC DBA D•
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(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 workjorWhich 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.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CO E�GE IS UNLAWFL
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 COO
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 groperty.for inspection purposes.
�Dat�A /Signature (Apple
Bin.# City. of La Quinta
&dkft er Sarefy Div w
yf P.O. Box 1504,'78-495 CaAe Tampko
4.Qddnta, CA 92253 -f760) 777-7012
5tActU-0i Building Pem* Appiication•and Tracking Sheet
ProJectAddran: 54540 AVENIDA VELASCO OwnWsName:. ROLAND MCCANDLISH
A- P. Number
Addraas: 54540 AVENIDA VELASCO
Legal Desaiption:
city, sT, zip: LA QU I NTA, CA 92253
Contractor GENERAL A/C & HEATING
Telephone: 760-296-2077
Addresr. 31170 RESERVE DRIVE
NectDesa;ption:
City. $T. Zip: THOUSAND PALMS, CA 92276
CHANGE OUT HEAT PUMP 3 TON
Telephone: 760-343-7488
rLi,
State Lic, N: 686310. c
ArdL. EW-. Designer.
Addtc=
City. ST. zip.
Tclp>one: Construction type:. Occupancy:
Stale Lie. Project type (txrde one): New Add'a Allier Repair Dean
Name of eonact Pusoa: PATRICK Sq: Ft : a Swries awaits
Telephone i 0f Contact Person: 760-343-7488 Edd U d.yahro 0f proms 8169.00
APPLICANT: DO NOT WRITE BMOW TM UNE
N
Serbmlttal
Plan seb
Re q'd
' Rec'd
TRACKING PERMIT FEES
Pias Ckexte tabmitted Item Amomt
Switctdai Cala
Reviewed, ready for correcdona Plan Ch*=k Deposit.
Tress Cala.
C Utd Comet Puma Pian Ckeek Balance
We 24 Cald.
icked up Contraction
Flood P Pyr
esubmitted Mexkaeiieal
G -&n pyn
iew, ready for terrectioosr=eSabeoataetor
I3st
Conbrct Person Plumbing
fr!
Grant Deed
� upsiLOA
APPro
e"bmrtted Grading
IN HOUSE:-
ew; ready for tonwtionsaaft Developer Impact Fee
Planning Approval
can : Cattae t Person A.LP.P.
Pub. WkL Appr
Date of permit issue
School Fm
Total Permit Fees
FINANCIAL ,• 1,
.. .. ..
DESCRIPTION ; • e ,`. :-ACCOUNT QTY `'i AMOUNV PAID s.
x. a $,.. '.
'PAID DATE'
BSAS SB1473 FEE
'101-0000-20306 0
$1.00 $0.00
. "j
BY
:,•. ; s° ' 4, x CHECK # i ,..
,PAID
METHOD .RECEIPT# z
CLTD BY
,� °.
T
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
s DESCRIPTION ._' $ +'
r'"; ACCOUNT °_ `; +.'g
r QTY
T AMOUNT-:.,
PAID �F,
iPAID.DATE;
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42402
0
$12.09
$0.00
PAID BY I;
METHOD :. rt ,
RECEIPT #' .:�
CHECK #
t CLTD BY�`
$ _+ ,
_." r .,DESCRIPTION # ,. '
_ ACCOUNT,__QTY'
`'*xr AMOUNT
PAID
PAID DATE
•
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42600
0
$4.83
$0.00
PC
" _
z. `� METHOD a `�
w RECEIPT # F�.
�,: CHECK #,. -
CLTD BY,
�,
ti' E� •
3 3h
Total Paid forCHANGEOUT: $16.92 $0.00
DESCRIPTION`S .3�':
ACCOUNT.:'-.. ,QTY
,�-.'� 'AMOUNT .°PAID
�PAID.DATE�:
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
H
PAID BY *A
METHOD , :' ¢
; .. , . RECEIPT #
CHECK #
CLTD BY
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
• a 09 • 00
Description: MCCANDLISH RESIDENCE HVAC REPAIR
Type: MECHANICAL Subtype:
Status: APPROVED
Applied: 6/18/2015 EVA
Approved: 6/18/2015 EVA .
Parcel No: 774284002 Site Address: 54540 AVENIDA VELASCO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 303
Lot: 23
Issued:
UNIT 28
Lot Sq Ft: 0 'Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $8,169.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: CHANGE OUT HEAT PUMP ONLY / [2008 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED
PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
FINAN INFORMATION W -
Printed: Thursday, June 18, 2015 9:28:59 AM 1 of 2
SYSTEMS
DESCRIPTION
$ t ;ACCOUNT ' _ `-0".
QTY,
AMOUNT
PAID
'PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY Y
CLTD
BY:
3
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
$12.09
$0.00
REPAIR/ALTERATION
HVAC CHANGEOUT -
101-0000-42600
0
$4.83
$0.00
REPAIR/ALTERATION PC
Total Paid forCHANGEOUT: $16.92 $0.00
PERMIT ISSUANCE
7 101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:0• 00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR: SCHEDULED COMPLETED.. RESULT REMARKS '.,NOTES'.
DATE DATE
MECHANICAL FINAL" BLD
PARENT PROJECTS
STATUS REMARKS
RETURNED.' REVIEW TYPE REVIEWER SENT DATE DUE DATE DATE NOTES
Printed: Thursday, June 18, 2015 9:28:59 AM 2 of 2 C
SYSTEMS
_.. BOND
INFORMATION
y
ATTAC:Hhntiv
l
Printed: Thursday, June 18, 2015 9:28:59 AM 2 of 2 C
SYSTEMS
CERTIFICATE OF COMPLIANCE CF111-ALT-024
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: ROLAND McCANDLISH Date Prepared: 2015-06-17
A. General Information
CF111-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
ROLAND McCANDLISH
02
Date Prepared
2015-06-17
'03
Project Location
54540 AVENIDA VELASCO
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
ROLAND McCANDLISH
07
Zip Code
92253
08
Dwelling Unit Conditioned
1200
Installing a
}
Floor Area (ft2)
SC System
SC System k`..
'CFA served
;system ate;
f
Number of space conditioning
ne fit
ro
09
Climate Zone
15 '. > ',
10
(SC) systems in this dwelling
1
by this SC
ducted
containing
system
unit.
entirely new
1.,k.
B. Space Conditioning (SC) System Information 1; R
01
02
'
04J&05
06
OXN
08.09
10
X03
.kis the SC"
Installing a
.0
SC System
SC System k`..
'CFA served
;system ate;
f
a rf ige'rant %-Installing
iw..
ne fit
ro
"Cl stalliri�g
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
1200
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-A0162634A-000000000-0000
Registration Date/Time: 2015-06-17 13:27:13
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-17 13:26:51
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CKR-ALT 02-E
Alterations to Space Conditioning Systems -(formerly CF-1R7ALT 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
All new
This field or
This field or
System 1
furnace
component
section is not
section is not is
cooling
SEER
14
Setback
section is not
section is not
altered
applicable
applicable
components
applicable
applicable
Reauired Documentation:
CF2R-MCH-03-E - Space Conditioning Systems Ducts and Fans+,
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF311-MCH-20-H — Duct Leakage testing Tequired 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%, or 510% leakage to outside,"or,seal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH-25-H RefrigerantCharge Verificatioh_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/ton required when.MCH 25'is required.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are.e empt froWMCH-20 -Duct L kage/Te�sting eeq �'ulremniZ.Heating-only
systems and Air Handler/Furnace changes donotrequlre verification of Air Flow MCH=2; or RefrigerenYChaH-25.'
Existing duct systems constructed, insulated or sealed witFi a ybestos are exempt from MGH 20 Ouet LeA ge Testing requiteme n s
E. Entirely New or Complete Replacement Duct System, with"�or 4iithout d 'o.ment Changeout ('xSe tion 150 2(;b)1Diia and 0.2(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-A0162634A-000000000-0000. Registration Date/Time: 2015-06-17 13:27:13 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-17 13:26:51
Schema Version: 0.5555DD
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: �/ �
Jacoby, Ian
cyan.Cfaco6
Company:
Signature Date:
Stratz Permit Service
2015-06-17 13:26:58
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 designor system design identified on this Certificate of Compliance (responsible designer).
3.. That the energy features and performance specifications, materials; components, and manufactured devi�c�es for,the building design or system design identified on this Certificate of Compliance conform to the
requiremAnts of Title 24, Part 1 and Part 6 of the CaliforniaCode of Regulation �
4. The building design features or system design features'�iddentifiied o i.this Certiflcateiof Compliance arefconsistent with'the informatlon.provided onotherEapp.IicaH)e`compliancedocuments, worksheets;
calculations, plans and specifications submittedao the enforcementagency foray rprp ovaliwltfi this building permit application.
S. I will ensure that a registered copy of this Cerfificate of Compliance shall bg m deavailable with the b lding permits Fissued fors e,building, ands, ade available to theenforcement agency for all applicable
inspections. I understand that a registered copy of this Certi_cate of Cgmplxance js, required to ee;included�with the docum�enta�tionthebullder provides totlie building owner at occupancy.
Responsible Designer Name: W4, 1-1% 4.j
Responsible Designer SignatTire: V tA.0111� LZ�
Valdez, Dayana
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-06-17 13:27:13
Address:
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip:
Phone:
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-A0162634A-000000000-0000. Registration Date/Time: 2015-06-17 13:27:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-17 13:26:51
Schema Version: 0.555SDD