BMCH2015-015178-495 CALLE TAMPICO
„'.,Y of ^V. QuiNrcu
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOP
BUILDING
Application Number: BMCH2O15-0151
Property Address: 44680 FRONTERRA DR
APN: 604265001
Application Description: JORDAN./ REPLACE (1) 16SEER/8AFUE SPLIT SYSTEMS
Property Zoning:
Application Valuation: $11,234.00
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 ,
i
Date: 4 30 lS Contractor: S�
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 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:
MENT DEPARTMENT
PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/30/2015
Owner:
MONTE JORDAN
44680 FRONTERRA DR
LA QUINTA, CA 92253Contractor:HARRISON
F�D%Ate,-Gr*-
ENTERPRISES INC31-170
RESERVE DRIVE STE �
AW
THOUSAND PALMS, CA 9227,,6;
(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:_ 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: ,4 is 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.
l�
Date: `'` � I . Signature (Applicant or Agent)
PAID DATE
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY
AMOUNT PAID
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 - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26.
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $108.78 $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 for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:i • 00
r'�` fi Permit Details PERMIT NUMBER
City of La Quinta BMCH2O15-0151
Description: JORDAN / REPLACE (1) 16SEER/8AFUE SPLIT SYSTEMS
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 4/30/2015 SKH
Approved:
Parcel No: 604265001 Site Address: 44680 FRONTERRA DR LA QUINTA,CA 92253
Subdivision: TR 23913 Block: Lot: 108
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $11,234.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
.�ae,•xri y�y,: `71`.
.S'.` y' '"Z.•a
,:? k
Details: HVAC CHANGE OUT-16SEER/8AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
P
,rocl ss Summar
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HARRISON ENTERPRISES INC DBA G
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NFORMATION
Printed: Thursday, April 30, 2015 2:11:17 PM 1 of 2 OL.1 1J LJ SYSTEMS
W Permit Details PERMIT NUMBER
��r BMCH2O15-0151 `"
��� City of La Quinta
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
-
CHECK #
METHOD
_'j'
PAID BY
CLTD
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
$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
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
Printed: Thursday, April 30, 2015 2:11:17 PM 2 of 2
VLJ L1 LJ IJ SYSTEMS
Bin #
City of La Quinta
Building sr 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: y 4 (off 0
Owner's Name: Y\YNCCAa.r\
A. P. Number:
Address: Lj L4(o%(3
Legal Description:
City, ST, Zip: L� v CA �=12ZS 3
t
Contrac o . r• e_ra,
Telephone: _ (
#` ?<>
Address: 31110 ';)-eServe
Project Description:
City, ST, Zip:
-0e NGCe- 5• -o. - r A G Coi 1 90 000 aTV
ne•
Telephone:h0 �6 o- 3y3 4 $
VYY,\0.G
State Lie. # 4 10
City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
ne:
Telephone: 0
nstruction TY P e: Occupancy:.
State ie. #:
Project hPa circle one): New Add'nAlter Re-pairair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: UO
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
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 Cales.
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:-
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
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 ) I
Project Name:
ANN JORDAN I Date Prepared:
2015-04-28
A. General Information
C11`111 -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
ANN JORDAN
02
Date Prepared
2015-04-28
03
Project Location
44680 FRONTERRA DRIVE
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
ANN JORDAN
07
Zip Code '
92253
08
Dwelling Unit Conditioned
2230
feet of ducts?
duct system?
SC system?
Alteration Type
Floor Area (ft2)
Location 1
2230
Yes
Yes
Yes
Number of space conditioning
No
09
Climate Zone
15
30
(SC) systems in this dwelling
1
unit.
B. Space Conditioning (SC) System Information
01
02
03
04kl(
rx".05 kk,
t6 .f
07
08
09
10
SC System
Identification or
SC System
Location or Area
N
CFA served
by this SC
- Is the SC—
system 4
ducted
Installing a
r frigep t t
containing
*Installing ew SC
system
installlih"1V g
more than 40
;In aIIi g
entirely new
installing
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
2230
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: 21S-AO110874A-000000000-0000
Registration Date/Time
2015-04-28 09:01:55
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-04-28 09:00:11
Schema Version: 0.SS5SDD
CERTIFICATE OF COMPLIANCE CF111-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -SR -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
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
Rea ired 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%, or 510% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF311-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF311-MCH-23 Air Flow >_ 300 CFM/ton required when MCH -25 is required.
Exceptions: _00=* P,
-MCH
-Duct systems registered with HERS provider as previously sealed are exempt from -20 Duct LeakageTesting requirements.
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air FIowMCHT23 or Refrigerant CJia�ge M,ECH-2
-Existing duct systems constructed, insulated or sealed with asbestos are exemptfrom MGH120 Duct1eakage Testing requiremen ss. lit
E. Entirely New or Complete Replacement Duct y tem, with or without Equ pment C an eo.ut� 5 ti ns 150.2 b u and150.2 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-A0110874A-000000000-0000 Registration Date/Time: 2015-04-28 09:01:55-
CA
9:01:55CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2015-04-28 09:00:11
CERTIFICATE OF COMPLIANCE CF111-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 dacoC
Jacoby, Ian .
Company:
Signature Date:
Stratz Permit Service
2015-04-28 09:00:07
Address:
CEA/ HERS Certification Identification (if applicable):
5858 Dovetail Drive
City/State/Zip:
Phone:
Agoura Hills CA 91301
818-735-7816
Responsible Person's Declaration statement .
1 certify the following under penalty of per)ury, 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).
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 Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on#this Certifc of Coo`m:plia a te""Al" he iNormAi6i6nprovided or thec paplicatile`compliance documents, worksheets,
x - ^4 .. 0 �
calculations, plans and specifications submitted to the enforcement agency focapproval;with this building permit application.
�«,
a::t . z x
5. I will ensure that a registered copy of this Certificate pfyCompliance shall be made available wrtH the bdlldingipermit("s,)xissued for;fhe building, and. made available t' he;ghforcement agency for all applicable
.inspections. I understand that a registered copy of thit- ttficate of Compliance is.required to be:included with the .documentation.the builder provides to the building owner at occupancy.
be.included
"'k .,.ta 4 :iy 'd `m '�tlk• `m W'Idi
Responsible Designer Name: �` f A
iw+r ign `% fE 4''4
Responsible Designer Signature: T
Valdez, Dayana
�R�6L1LtiY�
Company":
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-04-28 09:01:55
Address:
License:
31 170 RESERVE DRIVE STE A
1686310
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-A0110874A-000000000-0000 Registration Date/Time: 2015-04-28 09:01:55 HERS Provider: CaICERTS .
CA. Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-04-28 09:00:11
Schema Version: 0.555SDD