BMCH2015-019778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
�r�d lwQw�rw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O15-0197
Property Address: 79265 TORONJA .
APN: 776260031"
Application Description: WESTCOTT/ REPLACE (1)
COIL 13SEER
Property Zoning:
Application Valuation: $1,019.00
D °L
Applicant:
HARRISON ENTERPRISES INC DBA G .
'
JUN O
2015
31-170 RESERVE DRIVE STE A
THOUSAND PALMS, CA 92276
COl OFLAQUINTA
COMMUNITY DEVELOPMENT
DEPAI
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.: 686310�'� —
Date Contractor:
OWNER -BUILDER DECLARATION 1
I 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, prionto 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).:
(_) 1, 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.).
(_) 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/10/2015
Owner: .
JOHN WESTCOTT
79265 TORONJA
LA QUINTA, CA 92253
Contractor: .
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE STE A
THOUSAND PALMS, CA 92276
(760)343-7488
Llc. No.: 686310
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 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 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.
Date: (. lb u5- 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 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.
Date: L O 1 S Signature (Applicant or Agent):`
r j �
FINANCIAL INFORMATION
'. * QESCRIPTION v'rtACCOUNT ' QTY d `t.a "AMOUNT zPAID PAID DATE
Im. .
BSAS SB1473 FEE 101-0000-20306 0
$1.00 $0.00.
{r�P�AIDBY RECEIPT #W CHECK:# CLTG BYE;
;"a{€ r. r
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $100 $0.00 .
1% 4,4 ESCRIPTION � �•
'' � A000UNT
QTY
AMOUNT' �y '
�'1 PAID= '
MAID DATE
g
',
HVAC CHANGEOUT - REPAIR/ALTERATION
_. 101-0000-42402
0'
$12.09
$0.00 '
PAID BY�s pb
$ Y METHODS
RECEIPT # 7
CHECK #
.
.,.
xCLTDBY
DESCRIPTION 1.
ACCOUNT'
CfTY
AM6UNTt ?
PAID
PAID DATE-
� � ,
sM
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42600
0
$4.83
$0.00
PC ,
�€
fi '' "`' PAID BY
: «RECEIPT
#�
CHECK #
CLTD BYE_
.,;,
Y'METHOD
;
Total Paid forCHANGEOUT: $16.92 • - $0.00
"�N
"`ACCOUNT �Y<
QTY
AMOl1NT�
DATE;
ss' tDESCRIPTION;
i
tE
�EsPAIDsPAID
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00.
PAIDYBY t�
ipp' METHOD``
x RECEIPT>#�
�?P'CHECIC'#,:�CLTD
BYE`
,...':... ,.''S... :.. f ... ..:.:. . _..:..' to .QW ifl:..�
g''f
..m•!,;zfyts-? iJ L. .. .:A
rYs,. ... »t. +n... ':`S
G.. §'4_Zl 41
,Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:0• • ••
0
Description: WESTCOTT / REPLACE (1) COIL 13SEER
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 6/10/2015 SKH
Approved:
Parcel No: 7i6260031' Site Address:.79265 TORONIA LA QUINTA,CA 92253
Subdivision: TR 28797 Block: Lot: 31
Issued:
Lot Scl Ft: 0 Building Scl Ft: 0 . Zoning:
Finaled:
Valuation- $1,019.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT -,(1) COIL 13SEER [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES. -
FINANCIAL S
Printed: Wednesday, June 10; 2015 11:19:29 ANI 1 of 2 v SYSTEMS
A �,.. "!T .. . y V. I';V f.. '.' ::Y. 1V1'. .. • ..Y1'.
1AW4 V if f{'S ;A; .. - . -,11V V'V
DDITIONAL�SIIEb V1 A:4N{V' ' 944 f1Af114N11iiv1V 5�,14�,, ; 4N .l.i� ,
CHRONOLOGY . V .... '1.!
FINANCIAL S
Printed: Wednesday, June 10; 2015 11:19:29 ANI 1 of 2 v SYSTEMS
�
777
BSAS SB1473 FEE.
101-6000-20306
.0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
HVACCHANGEOUT-
101-0000-42402
0
$12.09
$0.00
REPAIR/ALTERATION
HVACCHANGEOUT-
101-0000-42600
0
$4.83
$0.00
REPAIR/ALTERATION PC
Total'Paid forCHANGEOUT: .$16.92 $0.00.
PERMIT ISSUANCE
101-0000-42404
0
$§1.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
..
'
'
. .
- - -
.
. .
BOND INFORMATION
'
Printed: Wednesday, June u0ZOz5zz:19:29AM 2of2 � ' - �
cl="w.~.~~
.
.
.
r
Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheen
Permit #
Project Address: `% q 2(o S : Orph
Owner's Name:'
A. P. Number:
Address: -7 q
Legal Description:
City, ST, Zip: La QU,1"kA GA gZZS'3
Contractor:
rat ic•C �k-
Telephone: -2(10--7-71-
P57(01
Address: 31 10 esecve
Project Descr iption: .
City, ST, Zip: lin SAvnA I CA g? --Zn
e Ctee- cii
Telephone: e
P X60-3�3
State Lic. # : (�, a(, 31 O
City Lic. #:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
Construction Type: Occupancy:
a
St to Lic. #:
Proje type.(circle�circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
#_ Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project: 1, 01 Cl 1-00
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 pp
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for corrections/issue
I
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
u
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name: JOHN WESTCOTT Date Prepared: 2015-06-01
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 CF11R-ALT 02 document for each dwelling unit.'
01
Project Name
JOHN WESTCOTT
02
Date Prepared
2015-06-01
03
Project Location
79265 TORONJA
04
Building Type
Single family
05,
CA City
La Quinta
06
Dwelling Unit Name
JOHN WESTCOTT
07
Zip Code
92253
OS
Dwelling Unit Conditioned
2833
Floor Area (ft2)
SC System
SC System
s
CFA served
system a g"~nTM4,
refrigerant
Number of space conditioning
Installing
09.
Climate Zone
15
10
(SC) systems in this dwelling
1
ducted
containing x
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) System lnformation� -
OT
02
t 03
04�
05
06
07
08
09
10
r
a
Is the SC
�
Installing a
SC System
SC System
s
CFA served
system a g"~nTM4,
refrigerant
Installing new«SC
Installing
nstallmg
Installing .
Identification or
Location or Area
by this SC
ducted
containing x
system
more than 40
ent ely a
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location.l
2833
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-A0144398A-000000000-0000 Registration Date/Time: 2015-06-01 13:21:23 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-01 13:20:45
Schema Version: 0:555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -SR -ALT -HVAC) (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
R -Value
Central -gas
No heating
This field or
This field or
Central split '
This field or
This field or
System 1
furnace
component
section is not
section is not
AC
Indoor coil
SEER
13
Setback
section is not
section is not
altered
applicable
applicable
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 & MR -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 510% leakage to outside,zor.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).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow_300 CFM/ton required when MCH-2S;is required
Exceptions:
Duct systems registered with HERS provider as previously sealed:are exempt from 20 Duct Leakage Testing
,requirements
yr. � a
-Heating-only systems and Air Handler/Furnace changes do not`require verification of Air F16WWCHf,23or Refrigerant ChargeWCH-25
r°'°?�'� � n.r'
Existing duct systems constructed, insulated or sealed with asbestos;are exempt from MCH -20 Duct Leakage Testing requirement`s.
';i
vvs ,k -- .s+:., to
E. Entirely New or Complete Replacement Duct System, with or
With Equipment Changeout (Seetlons 150.2(b_).,TDiia"and_r0.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply -to this. project.
Registration Number: 215-A0144398A-000000000-0000 Registration Date/Time: 2015-06-01 13:21:23 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards --2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-01 13:20:45
Schema Version: 0.5S5SDD
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: �/ �'
Jacoby, Ian
clan dacobJr. J
Company:
Signature Date:
Stratz Permit Service
2015=06-01 13:20:48
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 statementt
I certify the following under penalty of perjury, under.the'laws i f the State of California:
i m`
1. The information provided on this CertificateToCompliance,is true and correct.
2. 1 am eligible under Division 3 of theand Professions Code to.,accept.resp'onsibility for the building design or system design identified on this Certificate of Compliance (responsible designer).
1.'Business
ar I-
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 o the Califorh' 6 Code of Reg rat ons. gg
, 3Z s, Y p'..0m
4. The building design features or system design features identified ori this Certific e`of Compliance are consistent with=the mformation.provided on otherapplicatile compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency foeapproval "with this building permit application.
5. I will ensure that a registered copy o }this;Certifica o m�pliance s'h IIGbe m deavailable witt%the building permit( );issued forAhe+build ng, and.Rmade available (bribe enforcement. agency for all applicable
inspections. I understand that a registered copy of.this Eertiflcate of Compliance is.requir. d to be included with the documeniatio.n.the bu der 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 _
2015-06-01 13:21:23
Address:
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip:
Phone: '
THOUSAND PALMS CA 92276
(760)'343-1488
• 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-A0144398A-000000000-0000 Registration Date/Time: 2015-06-01 13:21:23 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-01 13:20:45
Schema Version: 0.555SDD