BMCH2015-019678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T-d4t 4 4v Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O15-0196
Property Address:
79625 STAR FLOWER TR
APN:
604253001
Application Description:
HAWLEY / (1) 3TON 14SEER/8AFUE S
Property Zoning:
Application Valuation:
$19,387.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am 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: 00 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 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.).
(J 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:
CORA HAWLEY
79625 STARFLOWER TR
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:_ .PolicyNumber:_
_ 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.
r � �
Date: fol Io[iuS 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: i l Signature (Applicant or Agent):
FINANCIAL INFORMATION
DESCRIPTION uG = ,kAMOUNT,AID
kPAID DATE-
BSAS SB1473 FEE 101-0000-20306 0'
$1.00 $0.00
' •.`�'METHECEIPT#, 'PAID BY .. N �
CLTD BY. ,
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION . `, est
yG'' ° ;e.A000UNT4 A •'
,CITY A
'AMOUNT `
( �PAID
,PAID DATE:
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAIDBY� 1.
METHOD
RET# �'
CHECK# '
` CLTDBY„
t DESCRIPTIONS ;
...
i ..:` ACCOUNT
<.
QTY
�rAMOUNT
M
' w PAID 4 c
F�
IPAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
:PAID BY A �`
^ METHOD ”
';ice c 'RECEIPT: #a +•''
CHECK #
CCTD BY.
Total Paid forCHANGEOUT: $108.78 $0.00
DESCRIPTION `" A
ACCOUNT '' �"
``QTY.
AMOUNT; rt
_.
re `
PAID »tr,
BRAID DATE:
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
� PAID BY :- °
n M
METHOD
�. s
: s ^RECEIP.T'# ,;
r CHECK V
CLTD BY.
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: HAWLEY / (1) 3TON 14SEER/8AFUE SPLIT SYSTEM
Type: MECHANICAL Subtype: Status:.UNDER REVIEW
Applied: 6/10/2015 SKH
Approved:
Parcel No: 604253001 Site Address: 79625 STAR FLOWER TR LA QUINTA,CA 92253
Subdivision: TR 24208 Block: Lot: 63
Issued:
Lot Sq Ft: 0• Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $19,387.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
INFORMATION
Details: HVAC CHANGE OUT - 14SEER/8AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
,.CONDITIONS
Printed: Wednesday, June -10, 2015 11:00:06 AM '1 of 2
SYSTEMS
NAME TYPE
NAME.. `. a ADDRESSI
CITY ' STATE' ; : .>ZIP PHONE' #
' • FAX - EMAIL a
_.
.
INFORMATION
APPLICANT
IE INC
31225 LA BAYA
WESTLAKE CA 91362
VILLAGE
CONTRACTOR
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE
THOUSAND CA 92276
STE A
PALMS
OWNER
CORA HAWLEY
79625 STARFLOWER TR
LA QUINTA CA 92253
Printed: Wednesday, June -10, 2015 11:00:06 AM '1 of 2
SYSTEMS
TINANCIAL
INFORMATION
Printed: Wednesday, June -10, 2015 11:00:06 AM '1 of 2
SYSTEMS
4
. .-I
0
DESCRIPTION
'OUNT1
'ACC
A,�PAID
PAID DATE'
.......... AM..
-dCHECK#!�
METHOD"'
CLTD
.,,,.�':AMOUNT�
4�
tRECEIPT,#,,
tyPAID BY
'BY
BSAS SB1473 FEE
101-0000-20306
0
$1.60
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
HVAC CHANGEOUT-
101-0000-42402
0
$72.521
$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 $0.00
.... ..... . ....... . ..
TOTAL$: S�01.63. $0.00.......,
, . %NOTES
SEQID �Tyn._, .1N.SPE&OV,- ',j*,SCHEDULib-]!COMPLETE'RESULT;REMARKS
_.
PAYE
'MATE...
MECHANICAL FINAL" BLD
Printed: Wednesday, June 10, 2015 11:00:06 AM 2 of 2 CNw-lYSTEM'S
Bin #
City of La Q uinta
Building 8t 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 a (p ZS' �Q C
Owner's Name: COCCL P oLul e
A. P. Number:
Address: -7 9 6 ZS
Legal Description:
City, ST, Zip: irG CA Cj2ZS-•3
Contractor: /+ ¢ -
V `nc�f C., � � -
C
7
telephone: �O' (o - q')�4
P 3 b
Address: 31170 �CSe`cvC
Project Description:
City, ST, Zip: .?oA nls CA C't 22-7�
-))—\ ac c- .3t'ov, AIC- Coll, X*- Bru .
Telephone: '7(0 O - ?FF 8 g
3 4
.
Q 1 S
State Lie. # : 4,$63(0
City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
h
Telephone:
one:
Construction Type: Occupancy:
P
Lie. #:
Project tYPa (circle one):: New Add' n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project: t-19 32%. CX�l
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
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.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
"d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
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:
CORA HAWLEY I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2015-05-27
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one CF1R-ALT 02 document for each dwelling unit.
01
Project Name
CORA HAWLEY
02
Date Prepared
2015-05-27
03
Project Location
79625 STARFLOWER TRAIL
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
CORA HAWLEY
3. hea..s''
L.F 3.� t�,�
a•..,...5
Dwelling Unit Conditioned
SC System
07
Zip Code
92253
08
Floor Area (ft2)
1490
Installing
Identification or
Location or Area
Number of space conditioning
ducted
09
Climate Zone
15
30
(SC) systems in this dwelling
1
Name
Served
System (112)
system?
unit.
components?
B. Space Conditioning (SC) Systeminformation�
n
01
02
03
A 04�
5;5 U5' �.
061 �
07
pp
f)8 4
09
10
4
FIs the SC
-s—t45 llHA t g a'+.
4lnfsta
.,....� i.. 4..d �k` ''4sF
3. hea..s''
L.F 3.� t�,�
a•..,...5
SC System
SC System
CFA served
system a
refrige nt
Installing new SC
Installing
Installi
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (112)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1490
Yes
Yes
Yes
Yes
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 215-A0140901A-000000000-0000
Registration Date/Time: 2015-05-27 18:22:01
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-05-27 18:21:37
Schema Version: 0.555SDD
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)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
System 1
Central gas
All new
heating
AFUE
0.8
Central split
All new
cooling
SEER
14
Setback
Greater than
R-8
furnace
AC
40 feet
components
components
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).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow >_ 300 CFM/ton required when MCH -25 is required.
Exceotions:
Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage�Testing fequirem, ts.
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Fliiw3MCH "23, or RefrigeranYCharge MECH-25.;
i r( .w•- i f f ' '-is.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct4Leakage Testing requirements.
N %a 1
E. Entirely New or Complete Replacement Duct System, with or withoutEquip_,ment Changeout (Sections` 15U.2(b)1Dn and150.2(b)lE, 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-AO140901A-000000000-0000
Registration Date/Time:
2015-05-27 18:22:01
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015 -OS -27 18:21:37
Schema Version: 0.555SDD
` CERTIFICATE OF COMPLIANCE f ' . x 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
cyan dacobJr
Company: ,
Signature Date:
t
Strati Permit Service - ,.
2015-05-27 18:21:33 -
Address: - -
CEA/ HERS Certification Identification (if applicable):
5858 Dovetail Drive
-
City/State/Zip:
Phone:
Agoura Hills CA 91301 Y
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 Certificateiof Compliance is true and correct.
2. lam 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).
ance specifications, materials,'c ponents, and manufactured devices
3. That the energy features and performfor the buildingdesignor system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part land Part 6 of the California Code of�Regulations - F -
4. The building design features or system design features identified on this Certificate of Compliance are consistent withvthe information provided on other applicable -compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this tiuildmg permit application.
-5. 1 will ensure that a registered copy of this Certificate, ofeCompliance shall�be:made;ayailable with the building= pgrmit(s)Jssued forfthe building, an44 d made available to the,enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance to be -included thdgcumentationathe builder provides to,the building owner at occupancy.
-is -required 4w•ith
Responiible Designer Name: C » I
Responsible Designer Signature: -
Valdez, Dayana
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING :: -,
2015-05-27 18:22:01
Address: Y ` _ «_
License: -
31 -170 RESERVE DRIVE STE A -
686310 _
ity/State/Zip: -
ne:
F(7610)
[THOUSANDPALMS CA 92276
343-7488 r
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-A0140901A-000000000-0000 - Registration Date/Time: 2015-05-27 18:22:01 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-05-27 18:21:37
- Schema Version: 0.555SDD �,