BMCH2015-021778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O15-0217
T,,u4t 4
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Property Address:
78024 CALLE NORTE
APN:
770012017
Application Description:
ROSS RESIDENCE HVAC REPAIR
Property Zoning:
Application Valuation:
$1,019.00
Applicant:
IE INC.
32115 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: License No.: 968141
Date: J�..rContracto .
OWNER- BUILDER DECLA N
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 riot 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.).
( ) 1, 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 Addre:
VOICE (760) 77777125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/18/2015
Owner:
MARCIA ROSS
Contractor:
HARRISON ENTERPRISES INC DBA D
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-5562
Llc No.: 968141
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 f ich 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 polity 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. A
WARNING: FAILURE TO SECURE WORKERS' COM PENSATAA COVERAGE IS UVLAWFUL,
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 subjec 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•
Z4-
oned ropert for inspection purposes.
Z Sig ature (A Ii
� I
1
of. La Quanta
Bt&tg f Saf* DMUm
P.O. Box 1504,78-495 Case Tampko
02 l 7.V Qdnta, CA 92253 - (760) 777-7012
Building Pem11t Applicadoa"and Traddng Sheet
Perrnrc y
(-44 2-015
Ptoject.Addtess:78024 CALLE NORTE
owneesName:. MAC IA ROSS
A• P. Number.
Addeess: 78024 CALLE NORTE
Legal Dc=iptio,:
city, Sr, Zip: LA QU I NTA, CA 92253
Contractor GENERAL A/C &HEATING
Td,�
Address: 31170 RESERVE DRIVE
ProjectDesaiption:
City. nZip: THOUSAND PALMS, CA 92276
CHANGE OUT EVAPORATIVE COIL 4 TON ONLY
Tetephoac: 760-343-7488
State Lia # : 686310. City Lie, ik
Arch, Bagr., Designer:
Address
My. ST.
Telephone:
State Lic. 9:
Construction Type:.P�ey:
Project type (wde one): New AcWn Alter Repair Dem
Name of Contaq Person: PATRICK
Sq. FL: a Stories: Unit
F,stYmetod.vatue of Pmjed 1019.00
Tdephone d of Contact Person: 7601-343.-7488'
APPLICANT: DO NOT WRITE BELOW TIBS LINE
N
Submittal
Req'd
Beed
TUCKING PERMIT FEES
Plaa Sets
Pian Cfedt sabmltted item Amoaat
Strad" Cates.
Bevlewed. ready for corraHoan Plan Cheese Deposit.
,ftwss Cala.
Called Contact Person Plan Ckeek Balance.
Twe U Cd&
Visas picked up Construction "
Flood plals plan
Plans resubmitted Meek"Ical
Grading plan
r! Review, ready for eorreetionsfasue Electrical
Sabtostaefir List
Called Contact Person Plumbing
Grant Deed
Plans pieked up S My
H.O.A. Approval
Plans resubmitted Grading
IN ROUSE:-
'^ Bedew. may for eormtim., I/I sae Devdoper Impact Fee
Planning Approval
Called, Contact Person A".P.
Pub. Win.4pr
Date of permit issue
sdool Fees
ri
Total Permit Fees
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT .
QTY AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0 $1.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42402
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY,
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE'
HVAC CHANGEOUT - REPAIR/ALTERATION
PC
101-0000-42600
0
$4.83
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $16.92 $0.00
DESCRIPTION .
ACCOUNT.
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD"
RECEIPT #
CHECK #
CLTD BY
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
Description: ROSS RESIDENCE HVAC REPAIR
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 6/18/2015 EVA
Approved: 6/18/2015 EVA
Parcel No: 770012017 Site Address: 78024 CALLE NORTE LA QUINTA,CA 92253
Subdivision: TR 20218 CM 052/109 Block: Lot: 1
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $1,019.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
IE INC.
Details: CHANGE OUT EVAPORATIVE COIL [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
Printed: Thursday, June 18, 2015 10:07:57 AM 1 of 2
sysrrMS
CONDITIONS
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY
STATE
ZIP
PHONE
FAX EMAIL
APPLICANT
IE INC.
32115 LA BAYA
WESTLAKE
VILLAGE
CA
91362
(818)971-7300
CONTRACTOR
HARRISON ENTERPRISES INC DBA D
31170 RESERVE DRIVE
THOUSAND
PALMS
CA
92276
(818)971-7300
OWNER
MARCIA ROSS
21700 OXNARD ST STE
2030 .
WOODLAND
HILLS
CA
91367
(818)971-7300
Printed: Thursday, June 18, 2015 10:07:57 AM 1 of 2
sysrrMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL"* BLD
CLTD,
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
.
.
BY
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
$12.09
$0.00
REPAIR/ALTERATION
HVAC GHANGEOUT -
101-0000-42600
0
$4.83
$0.00
REPAIR/ALTERATION PC
Total Paid forCHANGEOUT: $16.92 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:0• 00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL"* BLD
REVIEW TYPE REVIEWER SENT DATE DUE DATE DATE RETURNED STATUS REMARKS NOTES
ATTACHMENTS
Printed: Thursday, June 18, 2015 10:07:57 AM 2 of 2
SYSTEMS
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC)
Project Name:
MARCIA ROSS I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2015-06-17
A. General -Information
CF111-ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one CF111-ALT 02 document for each dwelling unit.
01
Project Name
MARCIA ROSS
02
Date Prepared
2015-06-17
03
Project Location
78024 CALLE NORTE
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
MARCIA ROSS
07
Zip Code
92253 c
08
Dwelling Unit Conditioned
1814
Floor Area (ft2)
SC System
SC System f,
CFA served
s.:
refrigerant
Number of space conditioning
;stalling
09
Climate Zone
15s *'
10
(SC) systems in this dwelling
1
ducted
containing system
more than 40
unit.
entirely new
B. Space Conditioning (SC) System Informations-.
01
02
'_
04_05
06
07 .
08
09
10
P"-'; 1,03
t
VW
s the SC"
all�:
a ,roIi
ing a
SC System
SC System f,
CFA served
ystem a)-�
refrigerant
-Installing newxSC
;stalling
�ns*taIIing
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 duds?
duct system?
SC system?
Alteration Type
System 1
Location 1
1814
Yes
Yes
Yes
No
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-A0162974A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time:
Report Version: 2014-03-31
Schema Version: 0.555SDD
2015-06-17 15:29:46
HERS Provider: CaICERTS
Report Generated: 2015-06-17 15:28:24
CERTIFICATE OF'COMPLIANCE CF111-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)1E and F)
.01
02
03
04
05
06
07
08
09-
10
11
12
Heating
Cooling
r
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
14
Setback
section is not
section is not
altered
applicable
applicable
applicable
applicable ,
Reouired Documentation: 11
bk
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans,
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF311-MCH-20-H — Dud 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: 515%, or S 10% leakage to outside,'o`r 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 a 300 CFM/ton required when MCW25 is required..-
Exceotions: r r j�
-Duct systems registered with HERS provider as previously sealed are exempt fro 'MC -20 Duct Lcakag esting req em nts.
-Heating-only systems and Air Handler/Furnace changes do..not require verification of Air FYI MC 2 or Refrig&`aant'CJia' a MECH-25,,
,
-Existing duct systems constructed, insulated or sealed with as�besto5re exempY_from MGH 20 Ouct Lea Testirig requiemenis
E. Entirely New or Complete Replacement Duct System, with or without-lEquipment'h�angeout(tions 150.2(b)1Dna 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)
This section does not apply to this project.
Registration Number: 215-A0162974A-000000000-0000 Registration Date/rime: 2015-06-17 15:29:46 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-17 15:28:24
Schema Version: 0.5S5SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF-1R=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: ��11
Jacoby, Ian
cyan �acot
Company:
Signature Date:
Stratz Permit Service G
2015-06-17 15:28:19
Address:
CEA/ HERS Certification Identification (if applicable):
5858 Dovetail Drive
City/State/Zip:
Phone:
Agoura Hills CA 91301 pY
818-735-7876
Responsible Person's Declaration statement`
I certify the following under penalty of perjury, under the laws df the State of California:
1. The information provided on this Certificateof Compliance is true and correct.
3 Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer).
2. 1 am eligible under Division of the Business and Professions
3. That the energy features and performance specifications,. mate rials coompoonnents, 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 Part6 of the California Code of Reguiations.
4. The building design features or system design features identified on this Certiflc' ate f Compliance are consiste with+the informat on.provided on otherapplicalifec"oFnpliance documents, worksheets,
calculations, plans and specifications submitted to the a orcemenragency for, pp oval -with this buiIc ng per;tta`rpplicatio
`x
,
5. 1 will ensure that a registered copy of this Certificate of>Ctl pliance Mi( be"made;