BMCH2015-017278-495 CALLE TAWPICO C� 0 U
LA QUINTA, CALIFORNIA 92253 'COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O15-0172
Property Address: 79787 N PARKWAY ESPLANADE
APN: 609610034
Application Description: GRANGER RESIDENCE / HVAC CHANGE
Property Zoning:
Application Valuation: $16,737.00
Applicant:
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE STE A
THOUSAND PALMS, CA 92276
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
bate: -S11411J� Contractor: _<;1117—
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.).
(_) 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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
9wner:
VIARK GRANGER
19787 N PARKWAY ESPLANADE
A QUINTA, CA 52253
Contractor:
Date: 5/14/2015
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE STE A
THOUSAND PALMS, CA 92276
(760)343-7488
Llc. No.: 686310
WORKER'S COMPENSPIT10N DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificade 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 perfcrmance 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: A 141 U5_ Applicant:. �z
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIM NAL 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 be Building Official for a permit subject to
the conditions and restrictions set forth on tF is application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is perforned 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 tothe 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 cf 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 :tate 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:, S 114 1 11— Signature (Applicant or Agent): �LP�
FINANCIAL INFORMATION
ACCOUNT" `'
DESCRIPTION r
BSAS'SB1473 FEE 101-0000-20306
'0.
AMOUNT PAIDDATEa
. �.M"y>Y.i�rkd�A ^y;gr4 .'1:Y�,ijc,.`J4',
PAID BY METHODx
y` ,.. ` x' :".`R`
RECEIPT#r CHECK #� CLTD BY
EI
Y i
�
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
FINANCIAL INFORMATION
ACCOUNT" `'
DESCRIPTION r
BSAS'SB1473 FEE 101-0000-20306
'0.
$1.00 $0.00
. �.M"y>Y.i�rkd�A ^y;gr4 .'1:Y�,ijc,.`J4',
PAID BY METHODx
y` ,.. ` x' :".`R`
RECEIPT#r CHECK #� CLTD BY
EI
Y i
.. , .
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION w:t
ACCOUNTS
QTY
AMOUNT>
PAID;.
'
„
xPAIDDATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
. x",: '�;. .`• 4 ,.il�,' b n xkyu�°ks
�
va kp�,�?'sk :: F'a .;
METHOD
's.CY
$.
RECEI.P2T#.
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.�'PAID{BY €f<
CHECK # s
CLTD
Vy 'ft
DESCRIPTION M
z ` ' ACCOUNT
TY`,
ti AMOUNT,#
a
PAIDe DATE.;
,.
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID Bl(�_
as ', =METHOD
RECEIPT #
CHECK #
CLTD BY
`..
"4 { ;
£ ..A ,;
:.
Total Paid forCHANGEOUT: $108.78 $0.00 ti
'�� `' �� DESCRIPTION #
; ACCOUNT:.NA11AOUNT
y PAID'
PAID DATE;
5....,,`s
s
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
f. ,PAID BY
<
;RECEIPT #
K
m.
£ „ y �s
3METHOD
,CHECK # -
, -LTD�BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: $201.63 $0.00
V
1
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1
'
Description: GRANGER RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 5/14/2015 MFA
Parcel No: 609610034 Site Address: 79787 N PARKWAY ESPLANADELA QUINTA,CA 92253 Approved:
Subdivision: TR 29323-2 Block: Lot: 57 Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $16,737.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT -18 SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(5) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. -
CONDITIONS
FINANCIAL INFORMATION
Printed: Thursday, May 14, 2015 1:09:12 PM 1 of 2 _
DESCRIPTION
ACCOUNT
'QTY
AMOUNT.
DATE DATE
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
'PAID
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
.Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
HVACCHANGEOUT-
101-0000-42402
0
$72.52
$0.00
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 forPERMIT ISSUANCE: $91.85 $0.00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
RESULT REMARKS NOTES,
DATE DATE
MECHANICAL FINAL" BLD
Printed: Thursday, May 14,ZDl51:09:lZPW1 . 2ofZ
Bin #
City 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 Sleet
Permit #
Project Address % 9 7$1 �Grk w �S arc
Owner's Name: MO-A--
O-A --A.
A. P. Number:
Address: '7 q7 g �ta 1Qh�de N
Legal Description:
City, ST, Zip: Lr, C-A- CZZ S3
Contractor:
° • e
G exp r Cor.
A �
Telephone: - —IO - 3 q 2
�
>€<'`:
.............................................
Address: 311 10 �Ser`v� �r
Project Description:
City, ST, Zip: �oVSGhp �0.`rng CA gZ2—?lo
Icce yior AIC',cc
q0 OCX>.
Telephone: c 0- 3 4 3-7 Y 8
^C v
State Lic. # : (og b 31 U
City Lic. #I-
;Arch.,
Arch.,Engr., Designer:
Address:
City., ST, Zip:
h
Telephone:
one:
�'
Con it
s uction T anc
Type: Occ �P Y:
a
St to Lic. #
Project (circle one):. New Add' n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:#Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project. OO
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'.d
TRACKING
?ERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
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
2vd 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:-
'"' 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:-Tees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
. i
i
Project Name: MARK GRANGER Date Prepared: 2015-05-12
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 CFlR-ALT 02 document for each dwelling unit.
01
Project Name
MARK GRANGER
02
Date Prepared
2015-05-12
03
Project Location
79787 NORTH PARKWAY ESPLANADE
04
Building Type
Single family
05,
CA City
La Quinta
06
Dwelling Unit Name
MARK GRANGER
Dwelling Unit Conditioned
Installing a
07
Zip Code
92253
08
Floor Area (ft2)
1755
SC System
ClA served
system a ��
r�efrigerannt
Number of space conditioning
ristall�ng
09
Climate Zone
15
30
(SC) systems in this dwelling
1
ducted
containing
system
more than 40
unit.
1
B. Space Conditioning (SC) System Information i
I
Ol
02
03:
04
O5
06
07
08
09
10
Is the SC"
Installing a
i
SC System
SC System
ClA served
system a ��
r�efrigerannt
4Installing�new;S%
ristall�ng
1n�stallmgw
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
AltereId space
System 1
Location 1
1755
Yes
Yes
Yes
No
No
No
conditioning system
I
C. E.xtensinn of Existing Di,irt ,System, Greater Than 40 Feet (Section 150,2(b)1DiiW
This section does not apply to this project.
G
Registration Number: 215-A0125766A-000000000-0000 Registration Date/Time: 2015-05-12 15:39:01 HERS Provider: CaICERTS
3
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-05-12 15:35:01
Schema Version: O.SSSSDD
j
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 )
I
D. Altered Space Conditioning System (Sections 150.2(b)lE and F)
This section does not apply to this project.
i
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
l
Centragas
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
18
Setback
section is not
section is not
components
components
applicable
;applicable
Reauired 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. I
-Leakage rate compliance: 5 15%, ors 10% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & MR -MCH -25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
i
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow >_ 300 CFM/ton required when MCH -25 is required.
I
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt fro, : N1CH-20 Duct LeakagAlsting requirements. ,
';'.-
;
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH23� r Refrige a VCha ge ►VPECH-2 k
Inr-,
Existing duct systems constructed, insulated or sealed with asbe to re exemptfrom MC,FDucLekage Testing g requi ement,
,'sVIA.
E. Entirely New or Complete Replacement Duct System, with or vq thout Equ pment C ang Qut'( tions 150.2(b)�Dna and' 150.2(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)
i
This section does not apply to this project.. j
Registration Number: 215-A0125766A-000000000-0000 Registration Date/Time: 2015-05-12 15:39:01
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31
Schema Version: 0.555SDD
I
I
r
HERS Provider: CalCERTS
.I
Report Generated: 2015-05-12 15:35:01
CERTIFICATE OF COMPLIANCE
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: �/ CuJacoby,
Ian
cyan �acoG
Company:
Signature Date:
,
Stratz Permit Service
2015-05-12 15:35:41
Address:
CEA/ HERS Certification Identification (if applicable):
5858 Dovetail Drive
I
City/State/Zip:
Phone:
Agoura Hills CA 91301
818-735-7876
Responsible Person's Declaration statement:4
I certify the following under penalty of perjuryunder 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 ofthe Business and Professions Code to,accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer).
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 Parc6 of the California Code of Regulations.,.. >jf ;i
�applicatilempliance
4. The building design features or system design features identified on this Certificate bf Comgliance are consisten-l'.nwi.the inform atigntprovided onthe documents, worksheets,
a € goA..
-thee
calculations, plans and specifications sutimrtted to forcement agency for,approvahwith this building per application.
'� sa x 4. Tz c t ax
6
S. 1 will ensure that a registered copy of this;Certificate o�fuCo pliance sha l besmade available with„the buildingpermit(s),issued for the building, and,made available to ttie enforcement agency for all
i
occupancy.
applicable
inspections. I understand that a registered copy of this•Cert ficate of Compl ance is;requvired to be„included w itch theidocumeenta�tion the builder pkv des toatae building owner at
Responsible Designer Name:
Responsible Desig r Signature:•rn�
Valdez, Dayana
aOOyy �/
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-05-12 15:39:01
Address:
License:
)
31-170 RESERVE DRIVE STE A
686310
I
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
(760) 343-7488
I
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-A0125766A-000000000-0000 Registration Date/Time: 2015-05-12 15:39:01 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-0542 15:35:01
Schema Version: 0.SS5SDD