BMCH2015-020878-495 CALLE TAMPICO C 0 D Qulftz VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253. FAX (760)777-701_
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/18/2015
Application Number:
BMCH2O15-0208
Owner:
Property Address:,
45115•SUMMERBROOKCT
THOMAS CHAFFEE
APN:
604413008
45115.SUMMERBROOKCOURT .
Application Description:
CHAFFEE RESIDENCE HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$18,200.00
Applicant:
Contractor:
IE INC.
HARRISON ENTERPRISES INC DBA D
32115 LA BAYA
31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362
THOUSAND PALMS, CA 92276
(760)343-5562
Llc. No.: 968141
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that l 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
Date: Contractor:
OWNER -BUILDER DECLARA I hl
I hereby affirm under penalty of perjury that I am exempt from the ContractoL 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.).
(_) 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 Address:
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 rovided for by Section 3700 of the Labor Code, for the performance
of the work 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 permi-
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: Applicant:
WARNING: FAILURE TO SECUREWORKERS' COM PENSATI OVERAGE IS U WFUL.
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL S AND CIVIL FIN URTO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE CO T 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 aboue-
mentioned property for inspection purposes.
Date: J/Signature (Applicant or n
Bin. #
,
City. of, La Quiffnta
e� ar Safety DMsion
v . P.O. &W 1504, *78-49S Calle Timpko
4.Qdnta, CA 92233 - x(760) 777-7012
Building Permit Applicadon and Trac idng Sheet
Pic #,
n
lila►
ProjectAddteas:45115 SUMMERBROOK COURT
.Owna'sName:. THOMAS CHAFFEE
A. P. Number.
Addmrss: 45115 SUMMERBROOK COURT
Lagar Option:
city, sr, zip: LA QU I NTA, CA 92253
Coaaaaoc GENERAL A/C & HEATING
'fdephoae: 760-404-7876
Addr=: 31170 RESERVE DRIVE
PtnjeaDes«iption:
City. $-L Zip: THOUSAND PALMS, CA 92276
CHANGE OUT 5 TON A/C.& FURNACE 90,000 BTU
Telephone: 760-343-7488
Stat Lia #: 686310. City Lia 6;
&'(1) DUCT RUN
Amfi, EW.,
Addn=
City. ST. Zip:
Telee:
State Lir. 6:
Construction Type:. Oc«,paacy:
Project lype (*de, ort): New AWn Alter Repair Dean
S4 Ft.: 6 stories 6 unit
F,stymatd•Vatiu of Project 18200.00 .
Name of Concoct Person PATRICK
_
Telephone 6 of Coma Person: 760-343-7488
APPUCANT: DO NOT WRITE SHOW THIS LINE
r submittal Reysd Reed . TRACZ31G PSl ?Hr FBES-
Piaa sets
Pian Check submitted Lata Amount
Scructaru Cud
Rcvkw4 ready for eorreeHoao plan Check Deposit.
Trow Cater.
Carted Coaster Penna Pian Me& Salaace.
Title 24 Qki.
Pians picked up Construction
Flood plala plan
Plant resubmitted Mechaiiul
Gradiag plao
r! Review, ready for eortredonsrum Electrical
Sabeoatuoor IArt
Called Coubd Person Plumbiag
Gnat Deed
Plans picked up s,M,i,
H.O.A. Approval
Paas resubmitted Gradlag
IN HOUSE:-
'^ Revlew. ready for eorrecticnt/iaae Developer Impact Fee
Panning Appr'ov'al
can Contact Person
Pub. Win. Appr
Date of permit istae
School Fees
Total Permit Fees
. • l •
i l INF
DESCRI?TION ,$, rr 4>r=ACCOUNT QTY AMOUNTc PAI D4« +PAID.DATEy
_- i of ;$'
BSAS SB1473 FEE 101-0000-20306 0
$1.00 $0.00
=METHOD x t; :RECEIPT # ` CHECK # i w CLTD BY
g
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
' DESCRIPTIONti z
tY s'E� `y4 ACCOUNT'
%QTYti
AINIOUNT,;
�s4«=r PAID> `,
PAID'DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID`BY*3
ai METHOD« 6`�
RECEIPT#n
r°
CLTD BYE -
w a
XCHECK#�
;DESCRIPTIONS'" e`
+ ACCOUNT-
QTYg'`
AMOUNT '
PAIDA*}PAID
DATE
a`'
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
1
-`' "�Tz PAID BY
x �f
', RECEIPT#� `� a
CHECK #
CLTD BY
.'yMETHOD'"
Total Paid forCHANGEOUT: $108.78 $0.00
t ACGOUNT�
kQTY'AMOUNT§
&y PAID" `L
PAID DATE
v• ,?DESCRIPTION��`
PERMIT ISSUANCE
101-0000-42404.
0
$91.85
$0.00
t' «`gj PAID.BY f x �y
METHOD ',«��"
'°RECEIPT #
t
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:• ••
1
Description: CHAFFEE RESIDENCE HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 6/18/2015 MFA
Approved:
Parcel No: 604413008 Site Address: 45115 SUMMERBROOK CT. LA QUINTA,CA 92253
Subdivision: TR 23995-5 Block: Lot: 17
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $18,200:00. Occupancy Type: Construction Type:.
Expired:
No. Buildings:.O No. Stories: 0 No. Unites: 0
APPLICANT, IE INC.
Details: HVAC CHANGE OUT - 16 SEER/ SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES. '
t6WITIONS
CONTACTS
NAME TYPE•; _. NAME ="
ADDRESSI
"CITY"' STATE" ZIP^�
PHONE: fFAX -f
EMAIL
APPLICANT, IE INC.
32115 LA BAYA
WESTLAKE CA 91362
(760)404-7876
VILLAGE
CONTRACTOR HARRISON ENTERPRISES INC DBA D
31170 RESERVE DRIVE
THOUSAND CA 92276
(760)404-7876
PALMS
OWNER THOMAS CHAFFEE
45115 SUMMERBROOK
LA QUINTA CA 92253
(760)404-7876
,.
COURT
PARENT PROJECTS
EM
REVIEW TYPE REVIEWER, SENT DATE RETURNED `STATUS_ ' REMARKS:
UE DATE ' r NOTES
:• • INFORMATION
Printed! I nursddy, lune 18, LU15 8!U9!35 AM 2 of 2
SYST[MS
'AMOUNT "'.
'PAID�DATEf
'METHOD.„
�'PAIDBY; �
CLTD.
,rr+�DESCRIPTION
g' ;ACCOUNT,
a .g
QTY
=t7
PAID
4n g
-,RECEIPT#!
FN
aCHECK_#
erre y. r
..ey '•.'KZ'. x .... ,.1 i . ,.,.
-, .. 4 '. v. , . r:'.. l`
: ;r:. ,.
ry
' "'+. K
<<.:. :..�
- W
•^' tt'.
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
Total Paid for PERMIT ISSUANCE: $91.85. $0.00
• 00
PARENT PROJECTS
EM
REVIEW TYPE REVIEWER, SENT DATE RETURNED `STATUS_ ' REMARKS:
UE DATE ' r NOTES
:• • INFORMATION
Printed! I nursddy, lune 18, LU15 8!U9!35 AM 2 of 2
SYST[MS
CERTIFICATE OF COMPLIANCE MR -ALT -02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name: THOMAS CHAFFEE Date Prepared: 2015-06-12
A. General Information
CUR -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
THOMAS CHAFFEE
02
Date Prepared
2015-06-12
03
Project Location
45115 SUMMERBROOK COURT
04
Building Type '
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
THOMAS CHAFFEE
07
Zip Code'
92253
08
Dwelling Unit Conditioned
1764
,
Floor Area (ft2)
SC System
SC System
CFA served
w:
ate°.
refrigera tInstalling�ne
Number of space conditioning
g
stall�i�ig
09
Climate Zone
15 ''
10
(SC) systems in this dwelling
1
ducted
containing
system
more than 40
unit.
entirely new
bktr a
B. Space Conditioning (SC) System lnformation=:"'t�
_..
Ol
02
0405
06
07:,
08
09
10 '
X03
�i
i
Is the 5C
*
Installing a
,
SC System
SC System
CFA served
It J
systema
ate°.
refrigera tInstalling�ne
. SC
g
stall�i�ig
ns alhng,
nstalling
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
1764
Yes
Yes
Yes
No
No
No
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 A0158333A-000000000 0000 Registration Date/Time: 2015-06-12 17:16:26 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03 31 Report Generated: 2015-06-12 17:16:14
Schema Version: 0.55.5SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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
All new
All new
This field or
This field or
System 1
Central gas
heating
AFUE
0.8
Central. split
cooling
SEER
16
Setback
section is not
section is not
furnace
components
AC
components
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 & 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: s 15%, ors 10% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant: Charge i enfication.required:when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2300 CFM/ton required when MCH=25:15 required.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are'exempt frofh'MCH-20 D ct Leakagee Testing rMegquirements.: I
Heating -only systems and Air Handler/Furnace changes do -not requi a verifica lon of Air Fi5ww NICH 23" or Refrigera t'G a ge•MECH 25
nr.,,
MCIJ�20 Dust Leakage Testing requirements. ements.
Existing duct systems constructed, insulated or sealed wrthasbestos;are exemp0rom
'$?lw & X 5. .. •4W u. D 4 N i:.i .. ..
._ . _. � �n .. ..svx r _ ., v Baa.._ ..a.t w�•.'.&r3 e3N '� iirviG'.
w�i�
�f �` :�
E. Entirely New or Complete Replacement Duct System, wih 4r vgithoi°f Equipmenthangeout:(tiontis 150 2(b),1Dii@and. 2 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)1C)
This section does not apply to this project.
Registration Number: 215-A0158333A-000000000-0000 Registration Date/Time: 2015-06-12 17:16:26 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03=31 Report Generated: 2015-06-12 17:16:14
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:
Jan �
Jacoby, Ian
dacobJr
Company:
Signature Date:
Stratz Permit Service
2015-06-12 17:16:04
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 statementk
I certify the following under penalty of perjury, under the'laws of the State of California:
1. The information provided on this Certifcate'df Compliance.is true and correct.
n>< ,,o...,,�.,,..::........
2. 1 am eligible under Division 3 of the Business`and Professions Code to accgpt:responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer).
ud devices for the building design or design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part6,of the California Code of R g la ons
3. That the energy features and performance specifications, materials; components, and anuftce!m
4. The building design features or system design features identified or his Certificate t of omp�iionsistenf=wifhthe informatlon,provided on otherre pplicable pliance documents, worksheets,
calculations, plans and specifications submittf4to the enforcement agency for.r.a prova11 w)thhtthis buil ng perm�`i't�a�pppllication
:At -agency for all applicable
for�the
S. I will ensure that a registered copy of this,Certificate o Compliance shall beGmade available with:ttie bwldllig•:Permrt(s)bissued buddg, and made avallable,toahe enforcement
es te building owner at occupancy.
inspections. I understand that a registered copy of this,Cecate of Complanceis required to�ee�mduded,ith theadocume�nta�tionthebuilder p,,rgvadoth
-
Responsible Designer Name: F-41 1_1
Responsible De gner Signature: '
Valdez, Dayana
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-06-12 17:16:26
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-A0158333A-000000000-0000. Registration Date/Time: 20.15-06-12 17:16:26 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version:. 2014-03-31 Report Generated: 2015-06-12 17:16:14
Schema Version: 0.555SDD