BMCH2015-007878-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BMCH2O15-0078
48553 VIA ENCANTO
646091004
MCKNIGHT RESIDENCE/HVAC CHANGE OUT
$10,734.00
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
MAR 17 2015
VOICE (760) 777-7125
FAX (760) 777-7011
.INSPECTIONS (760) 777-7153
Date: 3/17/2015
IED MCKNIGHT
i ANTLER PL r
DGWAY, CO 9225:•
CITY OF LA QUINTA I ;
COMMUNITY DEVELOPMENT,DEPARTMENT
Contractor:
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DR VE STE A
THOUSAND PALMS, CA 92276
(760)343-7488
Llc. No.: 686310
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I I hereby affirm under penalty of perjury one of the following declarations
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
I have and.will maintain a certificate oa consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3700 ci the Labor Code, for the performance
License Class: C20 License No.: 686310
of the work for which this permit is issued.
® c
I have and will maintain workers' compensation insurance, as required by
Date? 3 (-i 1S Contrror: Js �+�!:;:-Z-
Section 3700 of the Labor Code, for the performwce of the work for which this permit
is issued. My workers' compensation insurance carrier -and policy number are:
OWNER -BUILDER DECLARATION
Carrier:_ Polity Number:
I hereby affirm under penalty of perjurythat I am exempt from the Contractor's State
I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that; f I should become subjectto the '
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 37CO of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisions.
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
,�
Dat r? 15 Ap flie'ant: Sui.�L
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora
W
permit subjects the applicant to a civil penalty of not more than five hundred dollars
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(� 1, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR ILI SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application. .
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this applica_ion is made, each person at whose
(� 1, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and
State license Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to -
employees for any act or omission related to thework being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(� I am exempt under Sec. B.&P.C. for this reason
2. Any permit issued as a result of this application becomes null and void if work is
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: '
l
s
not commenced within 180 days from date of isauance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and stat= that the above information is correct.
Lagree to comply with all city and county ordinmces 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:(
nature Si (Applicant oAgent): S�+r�
: l— o
g
I
1
INFORMATIONFINANCIAL
F
I
1
INFORMATIONFINANCIAL
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BSAS SB1473 FEE 101-0000-20306 0 $1.00
$0.00
i RECEIPT #
d `CHECK #', CLTD BY
u$, r aMETHOD ,; e ; � , �, -; �
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
xr r.yDESCRIPTION�PACCO,UNT�QTY�AMOUNT�t
PAID DATE
,rPAIDx
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
r+s l PAID BY
"SYri�`'i "E J" ""' T : �: tiSS•�,.
METHODn,
Z \ Yvt'CTa X f . 3
-RECEIPT #�
'�9...' p ;i
$d CHEGIC #_
•-:
x° CLTD BY
P y '_� K ,x
r x
i
xDESCRIPTION�eYA
COUNST_
QTY
AMOUNT
�PAIDPAIDriDATE,
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
r� ^' r3
RECEIPT #�Tk
k CHECK # X33
CLTD BY'
. W 4 . ;.
METHODry
Total Paid forCHANGEOUT: $108.78 $0.00
DESCRIP,.TIONx '
aACCOUWx a `W }�3
tkQTY
AMOUNT '
x x
izPAID6DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BYE
METHOD
:RECEIPT #
EC
CHK #
CLT.D BY?
r
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS: -01.63 $0.00
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Description: MCKNIGHT RESIDENCE/HVAC CHANGE OUT
Type: MECHANICAL Subtype:. Status: UNDER REVIEW Applied: 3/17/2015 MFA
Parcel No: 646091004 Site Address: 48553 VIA ENCANTO LA QUINTA,CA 92253 Approved: -
Subdivision: TR 20052-5 Block: Lot: 4 Issued:
Lot Sq Ft: 0 Building Sq Ft`. 0 Zoning: Finaled:
Valuation: $10;734.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT -15 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
1..
ADDITIONAL SITES.,,,;. -
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Printed: Tuesday, March 17, 2015 3:52:53 PM • 1 of 2 SYSTEMS S
CONDITIONS
CONTACTS
ADDRE5S1
PH ONE;
MAIL
.
APPLICANT.- IE INC.
32115 LA BAYA
WESTLAKE CA ,
91362
VILLAGE
CONTRACTOR HARRISON ENTERPRISES INC DBA_ G
31-170 RESERVE DRIVE
THOUSAND CA
92276 '
STE A
PALMS
RIDGWAY CO
OWNER FRED MCKNIGHT
25 ANTLER PL
92253
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Printed: Tuesday, March 17, 2015 3:52:53 PM • 1 of 2 SYSTEMS S
DESCRIPTI' ON
•22.
it�AMO X
PAI
TE�
IV #
HECK
':A.
IF
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
.
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$0.00
SPLIT-SYSTEM
HVACCHANGEOUT-
101-0000-42600
0
$36.26
$0.00
SPLIT-SYSTEM PC
Total Paid forCHANGEOUT: $108.78. $0.00
PERMIT ISSUANCE
101-0000-42404
0j
$91.85
1 0.00
1
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: $201.63 $0.00
Bin # City Of .La Quints
Building sr SafetyDivision "
Permit # P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: f..f gSS_3 -VI-11a Owner's Name:
A. P. Number:
Address: C� g 5-53 V; �i a C r. ec-v.A a
Legal Description:
City, ST, Zip: La w �,V A 0 CA 2Z5 3
Contractor:Ge,r,e_rr.N A-
r Co,r.d;�i on;
Telephone: ne: ��o- s� 3 gs
?>`>'?'<>#>'•::
Address: 31X --1c) eServe c
Project Description:
City, ST, Zip: ko\.) nC� �Q\rn$ CA gZZi(�,
t1
G� .� CO; 1 L `
Telephone:2o0— 343—_I
M.
<•::::.; ....::..:.::..:.:..;.:...::::...
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Statc Lic. # : (o$ Ip31
City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
Construction Type: Occupancy:
. Project type (circle one): 'New Add'r! Alter Repair Demo
State Lic: #:
::..<:'.:%ice �:�:i:!.y>%:}�n�i:i �`Y}i::!:v �ii:v:?:O
;;;;,;;;;;;;;;::::;;;:;;:yr;.;;
....................
Name of Contact Person:
'Sq. Ft.:
# Stories:
# Units:
Telephone #,of Contact Person:_Estimated
Value of Projct: f Q �% -34. C
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Cliccla Deposit
Truss Calcs.
Called Contact Person
Plan Checl• Balance.
Title 24 Calcs.
Plans picked up.
Constructi-en .
Flood plain plan
flans resubmitted
Mechanics
Grading plan
21a Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A.—Approval
Plans resubmitted
Grading
IN If OUSE:-
''d Review, ready for eorrcctions/issue
I)cYcloperImpact Fee
Planning Approval
Called Contact.Person
A.LP.P..
Pub. Wks. Appr-
Date of permit issue
Scho61 Fees
Total Peraiit Fces
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
,Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
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Project Name: „' JACKI MCKNIGHT Date Prepared: 2015-03-16
e
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 MR -ALT -02 document for each dwelling unit.
02
01
Project Name
JACKI MCKNIGHT _
02
Date Prepared
2015-03 16
03
Project Location
48553,VIA ENCANTO
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
JACKI MCKNIGHT
07
"
Zip Code
92253'
08
Dwelling Unit Conditioned
1852 a
'` V"
,
Floor Area (62)
SC System
CFA served
system a
refrigerant
Installing new SC
Number of space conditioning
Installing
09
Climate Zone -
15" -
10
(SC) systems in this dwelling
I --
-unit.
containing
system
more than 40
entirely new
unit. _
B. Space Conditioning (SC) System°Information s" $" - t
��
01
02
03 '
I 04 .
05" "
q U6� `
... 07t*
t 08
tea.
' • 09
10
r
.d , ffi 4, -
a .fit...
Yt'<
Is the SC ''
Install%irig,a
�". �`
'` V"
,
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
Installing
`
Identification or
Location or Area
ty th s"SC
ducted
containing
system
more than 40
entirely new
entirely,new
t Name
Served
System (ft2)-
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1852
'Yes
Yes
Yes -
:No
N0
No
Altered space s
,
conditioning system
y (' 3
Registration Number 215-AO06965OA-000000000-0000 Registration Date/Time '2015-03-16 10:09.10 ,. - HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance _ .. _ Report Version: 2014-03-31 r. Report Generated: 2015-03-16 10:08:39
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CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Paget of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)lE and F) 7.,
-
,
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Registration Number: 215-AO06965OA-000000000 0000
Cooling
Registration Date/Time: -2015-03-16 10:09:1b
HERS Provider: CalCERTS
y
• System
Heating
Altered
Heating
-Minimum ,r
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Altered
Cooling
Minimum.
Required
New or
Identification
System ,
Heating -
Efficiency
Efficiency
CoolingCooling
Efficiency
Efficiency'
Thermostat
Replaced
New Duct
or Name
Type .
Components
t 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'
15
Setback
section is not
section is nrot
furnace
components
AC
components
applicable
applicable -
Required Documentation:
CF2R-MCH-01-E: Space Conditioning Systems Ducts and Fans ! '
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Duct in 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.
MR -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).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow > 300�C`FM/ton required when'jMCH-25 is required
Exceptions: ,
-Duct systems registered with HERS provider as previously sealed are ekempt fromYvlCH-20 Duct Leakage Testing requirements.
-Heating-only systems and Air Handler/Furnace,changes do not require verification of Air Flow MCH' -23 'or Refrig"erant Charge MECH 25.
i de a •w, ar {S
Existing duct systems constructed, insulated or sealed with- asbestos are exempt from MCH -20 Duct leakage Testing requirementsw"'"= ` •
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Registration Number: 215-AO06965OA-000000000 0000
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Registration Date/Time: -2015-03-16 10:09:1b
HERS Provider: CalCERTS
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CA Building Energy Efficiency Standards - 2013 Residential Compliance
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Report Version: 2014-03-31
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CERTIFICATE OF. COMPLIANCE' ' t r = _ }
f Y.. •� f � _ _ - � . CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) . ' ' T - • �• , ' (Page 3 of 3 )
?Documentation Author's Declaration Statement • 'F ..3
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1 I certify that this Certificate of Compliance documentation'is accurate and complete. j `> `
Documentation Author Name:
Documentation Author Signature:/'
Jacoby, Ian _
4. 'Jan dacoC
Company: ,
Signature Date: T '
Stratz Permit Service f
2015-03-16 10:08:44�-
Address:t° ••
CEA/ HERS Certification Identification (if applicable):
5858 Dovetail Drive
4
City/State/Zip: , - ti `
Phone:
Agoura Hills CA 91301
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 Certificate of Compliance is true and correct. '
2. 1 am eligible under Division 3 of the Business,and,Rrofessions 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 dw
eces 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. •`
t d rY : d tr i'r
4. The building design features or system design features identif ed on this Certificate of Compliance a e consistent wrth`the information provided'on other applicable compliance documents, worksheets,
-. calculations, plans and specifications submitted.tolne enforcement agency for approval with this building permit application
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S. ' I will ensure that a registered copy of thisCertifieate of,Complian Shall, alY be made available with the building permits) issued for,the building and'made available to the enforcement agency for all applicable
-
inspections. I understand that a registered copy of this Certificate ofCompliance is required'to be included with the'documentation the`buiI' er provides to the building owner at occupancy. ,
Responsible Designer Name: ww`6, j ...
Responsible Designer Signature:
Valdez, Dayana ' t
����
Company:-, i.'o' .,. _.._ 3� ,. r ,: •v'
Date Signed:,,_ s
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015=03-16 10:09.10 '. • 'a y ' 'r ` �' ' ' ' }
1
Address:
License: -
31-170 RESERVE DRIVE STE A
686310 r - '• `
City/State/Zip:
Phone:- #
.
THOUSAND•PALMS CA 92276 t -
(760) 343-7488
x^- it•~ r� T�ctitAf KY �, �.,a, j ( , - - - •� r }• ,
+• r~ a L Digitally signed by Ca10ERTS. This digital signature is provided in'order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
19
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1 - Registration Number: 215-A0069650A-000000000-0000 I J 7 Registration Date/Time: r c2015-03-1610:09:10 r t 4' HERS Provider: CaICERTS '
CA Building Energy Efficiency Standards - 2013 Residential Compliance G Report Version: 2014-03-31 Report Generated: 2015.03-16 10:08":39'
f Schema Version: 0.555SDD '
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