BMCH2015-006278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
`aw% N
f COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O15-0062 6
Property Address:
78671 TALKING ROCK TURN
APN:
770300027
Application Description:
TRADITIONS JAFFE /REPLACE AC/COIL/FURNACE
Property Zoning:
Application Valuation:
$11,598.00
Applicant:
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
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: License No.: :LIC -0003606
*Date: 3 S )s Contractor:
OWNER -BUILDER DECLARATION
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, 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).:
(_) 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 no
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 am exempt under Sec. B.&P.C. for this reason
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
JAFFE RICHARD
78671 TALKING ROCK TURN
LA QUINTA, CA 92253
Contractor:
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253'
(760)343-7490
Llc. No.: :LIC -0003606
Date: ,3/5/2015
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: 315 f 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,
t INTEREST, AND ATTORNEY'S FEES.
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: 0
Lender's Address:
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.
1
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: 3 5 �� Signature (Applicant or Agent): �t•L. C��—o--
1
CERTIFICATE OF COMPLIANCE - MR-ALT-02-E.
Alterationsto Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
�.
Project Name: RICHARD JAFFE Date Prepared: 2015-03-03
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
documented, use one MR -ALT -02. document for each dwelling unit.
01
Project Name
RICHARD JAFFE
02
Date Prepared
2015-03-03
03 .
Project Location
78671 TALKING ROCK TURN
04
Building Type
Single family-.
05 -
CA City
La Quinta
06
Dwelling Unit Name
RICHARD JAFFE
07
Zip Code
92253
08
Dwelling Unit Conditioned
6123
Floor Area (ft2)
SC System'
SC System
CFA served
systema
`refrigerant
Number of space conditioning
Installing
09
Climate Zone
15 -
10
(SC) -systems in this dwelling
1
•
containing
system
more than 40
unit.
'entirely new
B. Space Conditioning (SC) Systern4 nformation r-
Ol
02
a'? 03;04
05:x?`
�• 07�
'�:08'
09
10
X
.. x`06 z� 3
.Is
SC System'
SC System
CFA served
systema
`refrigerant
Installing new SC
Installing
Installing
Installing ;
Identification or
Location or Area ::'LiythisSC
ducted
containing
system
more than 40
entirely new
'entirely new
Name
Served
System (ft2)
system0
component?
components?
feet of ducts?
duct system?
SC system.
Alteration Type
System 1
Location 1
6123
Yes
Yes
Yes
No
No
J40
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-A0059336A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-03-03 17:03:15
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CaICERTS.
Report Generated: 2015-03-03 17:03:22
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 gas
All new
_
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE -
0.8
AC
cooling
SEER
16
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation: e -
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 he, or�cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: <_ 15%, or 510% 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).
CF2RCF3R-MCH-23 & MR -MCH -23 Air Flow >_ 300 CFM/ton,,required when MCH 25�is required
Exceptions: ,iv�r
-Duct systems registered with HERS provider as previously sealed are exempt from MCH 20 Duct LeakagetTesting requirementsr
ti'X ._ lJ� �t Y Y:Y
-Heating-only systems and Air Handler/Furnace chahges do not regwre verification of Air Flow MCH 23 or Refrigerant Charge MECH' 25 i
- 3 .. �(+ ,,4.... .,j. .:
-Existing duct systems constructed, insulated or sealed with -asbestos are exemp om MC 20 Duct Leakage Testing requirements.
^ Registration Number: 215-A0059336A-000000000-0000 Registration Date/Time: 2015-03-03 17:03:15 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-03-03 17:03:22
Schema Version: 0.555SDD
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:
Valdez, Dayana
Company:
Signature Date: , t
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-03-03 17:03:15
Address: -
CEA/.HERS Certification Identification (if applicable): _
31-170 RESERVE DRIVE STE A
City/State/Zip:
Phone: "
THOUSAND PALMS CA 92276 - ,
(760) 343-7488
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 design or,system,design identified on this Certificate of Compliance (responsible designer). . .
a�€9•- wv, ..y,. A" �.-�!- `'ac
.t,'s
3. That the energy features and performance specifications, materials components and manufactured dewces for,the building design or system design identified on this Certificate of Compliance conform to the
.w. ,, ,..
requirements of Title 24, Part 1 and Part 6 of the California Code of iegflations.
e
4.` The building design features or system design feature's "identified n this: Certificate of Compl ante are consistent with the iriformat on provided on other applicable compliance documents, worksheets,
gg
_ calculations, plans and specifications submitted to the -enforcemnt agency for approval with this building permit application.T.
e.y
5. I will ensure that a registered copy of thisCerUficate of Compliance stiall be..made available with the building pe�mrt(s) issued fo the buildmg,.and mad ailable to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate ofCom p5hanceis required to be included with the documentation'the builder provides to the building owner at occupancy.
Responsible Designer Name: iia',
Responsible Designer Signature: .
Valdez, Dayana.
Company :
Date Signed: ,
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-03-03 17:03:15 -
Address: -
License:
31-170 RESERVE DRIVE ST A-
686310
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
(760)'343-7488
Y
oe
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-A00593.36A-000000000-0000 Registration Date/Time: 2015.03-03 17:03:15 HERS_Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2.014-03-31 Report Generated: 2015-03-03 17:03:22
Schema Version: 0.555SDD -
FIN NCIAL INFORMATION
'DESCRIPTIONSrACCO.UNT" AM,OUNTs; 'PAID• 'PAID DATE
i
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
PAIDBY Y r Y r � � W THOD1 -RECEIP.T # '
e �� a '` CHECK# °CLTD BY'
f .; .;v�,, i _;
4
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
,.DESCRIPTION
M ACCOUNT � f k
QTY
AMOUNT
' , PAID ��
'PAID DATE;
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
. PAID BY ` "_..
METHOD rY
REC - ,
EIPT.#
. ,';" CH K #'
EC
CLTD BY'.
— r
-
.3
- F
.
trr
DESCRIPTION '�w
- ";
` "r -ACCOUNT
QTY
.r AMOUNT
PAID
'PAID DATE
_ eZl -I,
s
_ _
x T
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00 .
"W+tPAID'BY5 r " sr `
x -METHOD z i
i.. IRECEIP,T#
:CHECK"# ui
CLT D BY
•=
a
'
Total Paid forCHANGEOUT: . $108.78 $0.00
H b+ DESCRIPTION ;` <•
t =:ACCOUNT `4
`QTY
AINIOUNTY.'�
' `•;,� PAID:;. ''
PAID DATE;
,
_,"*
PERMIT, ISSUANCE
101-0000-42404
0
$91.85
$0.00
L r = ;PAID BY'''E' ;_ '
s METHOD '
!'' RECEIPT•# ,
° `' CHECK #
CLTD BY
t
_r� _
.c
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:i ••
1
e
-
- F
.
t
Description: TRADITIONS JAFFE /REPLACE AC/COIL/FURNACE
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 3/5/2015 PJU
Approved:
Parcel No: 770300027 Site Address: 78671 TALKING ROCK TURN LA QUINTA,CA 92253
Subdivision: TR 28470-2 Block: Lot: 44
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $11,598.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0. No. Unites: 0
Details: REPLACE SPLIT SYSTEM 3 TON A/C COIL/ 80,000 BTU FURNACE PER 2013 MECHANICAL CODES 2013 ENERGY] CARBON MONOXIDE
ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
� �, � :, •, _ •� z •. - . _... -. :.i -, _. r." , .CLTD
DESCRIPTION ACCOUNT ,t QTY, 'AMOUNT PAID ` PAID DATE RECEIPT# CHECK # METHOD PAID BY +� - BY�F
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid forBU1LDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
Printed: Thursday, March 05, 2015 1:26:05 PM 1 of 2 CRsrsrEMS
IPARENT PROJECTS I
AMOUNT,'
RECEIPT #,,
'CHEC6
-METHOD
PAIP 13Y. �t
ACCOUNT'--
QTY
-'PAID*,.,.`,
-PAIDDATE
DATE
HVACCHANGEOUT-
101-0000-42402
0
$72.52
$0.00
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$0.00
SPLIT -SYSTEM PC
I
Total Paid forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
-$91.8S
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: $201.63 $0.00
IPARENT PROJECTS I
n
Printed: Thursday, March 05,2O151:Z6:05nm ZofZ
' CRWYSTEMS
—
REVIEWS
DATE
n
Printed: Thursday, March 05,2O151:Z6:05nm ZofZ
' CRWYSTEMS
—
Bin #
. Cray of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico.
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 7${p-7 j _jc,\k�YN �oc �vc>n
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip: Lc.,CA q 22S3
Contractor: lGexNtr'c_I Air.
Telephone:
Address: 31110
Project Description:
City, ST, Zip:11r ovsV_'a PCOLA SCA QZ2-7(o
I -_ lc.cL ovN . A C co;
Telephone:
State Lic. # :
City Lie. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephoner
State Lie. #•
•.<s<>s>4':.::{ >>?><.?: z::>:
~: ;
Construction Type: Occupancy:
Project -type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone #,of Contact Person:
Estimated Value of Project:
APPLICANT:. DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
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 Decd
Plans picked up
S.M.I.'
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'"1 Review, ready for corrcctionsrissue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
Sc11061 Fees
Total Permit Fees