BMCH2015-021278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/18/2015
Application Number:
BMCH2O15-0212
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
Owner:
Property Address:
48200 VIA SOLANA
License Class: C20 License No.: 968141 4
HOWARD THOMPSON.
APN:
646380055
48200 VIA SOLANA
Application Description:
THOMPSONM RESIDENCE HVAC CHANGE Q T /p� n
LA QUINTA, CA 92253
Property Zoning:
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
Application Valuation:
$13,987.00
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to4he 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
comply with those provisions.
Dates` e o Applicant> ace__
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
EJU N 1J U N 13 2015
permit subjects the applicant to a civil penalty of not more than five hundred dollars
Applicant:
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
Contractor:
IE INC.
compensation,, will do the work, and the structure is not intended or offered for sale.
CITY OF. LL' ..)UMiA
OEPARI^'E\T
HARRISON ENTERPRISES INC DBA D
32115 LA BAYA
apply to an owner of property who builds or improves thereon, and who does the work
COMMUNITYDEVELOPkiENi
31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362
are not intended or offered for sale. If, however, the building or improvement is.sold
THOUSAND PALMS, CA 92276
within one ear of com letion the owner -b ilder w'll h 11,b d f th t
th ' d' d ' f h h" I'
(760)343-5562
Llc. No.: 968141
LICENSED CONTRACTOR'S DECLARATION I WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
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 of consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3700,of the Labor Code, for the performance
License Class: C20 License No.: 968141 4
of the work for ich this permit is issued.
Contractor.
-tVave 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:
OWNER -BUILDER DECLARATI
Carrier: Policy Number: _ 1-
I hereby affirm under penalty of perjury that 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, if I,should become subject to the
any structure, prior Lo its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to4he 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
comply with those provisions.
Dates` e o Applicant> ace__
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
WARNING: FAILURE TO SECURE WORKERS' COM PENSATIOI OVERAGE IS UN WFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(� I, 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 IN 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 ear of com letion the owner -b ilder w'll h 11,b d f th t
th ' d' d ' f h h" I'
y p u i ave a ur en o proving a e con rtions an res trrctrons set ort on t is app cat on.
he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose
(� I, 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 the work being performed under or
the Contractors' State License Law.). following issuance of this permit.
(� I am exempt.under Sec.. BAP.C. for this reason 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
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:
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 ropert for inspection purposes.
Da—�__��Signature (Applicant -or Age
,.# City of La Quishia
maw er Safety t►iv[ M
Pt�Rnrc # P.O. Box 1504,76-495 Case Tampko
4.Qdnt4 CA 92253 - (760j 777-7012
c9 2oi 021 ' — Building Permit Applicadon and Traddng Sheet
Projea.Add: 48200 VIA SOLANA 0wuWsNwne:. HOWARD THOMPSON
=.
A. P. Number.
Addr=: 48200 VIA SOLANA
Legs ��+:
Coaaaacwr. GENERAL A/C & HEATING
city, sr, zip: LA QU I NTA, CA 92253
Tdephorx 760-564-1000
Address: 31170 RESERVE DRIVE
PmjectDesc;ption:
City, ST. Zip: THOUSAND PALMS, CA 92276
Telephone: 760-343-7488
CHANGE OUT A/C 3 TON.& FURNACE 90,00JBTU
Stare Lic. N: 686310. City Lia C.
Arch., EW..
Addresx
city. ST. zip:
Telephone:
Stat Lia. p:
Con*udion Type: Occupancy:
Project type (oirde one): New Add'n Aber Repair Dena
Sq. FL: a stones -#U-;; .
Edmntod.yatueofp joct 13987.00 .
Name of Coact Person: PATRICK
TekPhoneiofComa Petson:760-343-7488
APPLICANT: DO NOT WRITE BELOW TM UNE
N
SobmtttN
Beq'd
'Reed
TRACKING PERMIT FEW
Plan Seb
Plan Ci<edt sondmd Item Amount
stract" Cales.
Revkw4 ready for eorrewom Pian cbc& Deposit.
hsss Cala.
Called Contact Pawn Plan Ckeek Balance,
'Me 24 Calci.
Pians picked rap Cosatrnetlon
Flood pWv plan
Ptaa "submitted Meebaiical
Gcadiag Pura
T! Review, ready for correetionew" Meetrleal
Sabeostactor List
Called Contac! Person Plambbg
Grant Decd
Plass picked up s.bi l
ILO-4- A Approval
Phos resaLan►itted Grading
IN HOUSE:-
''' Review; ready for carmctionvUsoe Developer Impact Fee
Planning App+ovl
Can Costaet Person A".P.
Pub. Who. Appr
Date of permit assert
Schodl Fees
=1 Permit Fees
FINANCIAL ,• 1
ACCOUNT
DESCRIPTION '' i , 3 �k °£F � � qTY " " AMOUNT ' $°s ,` PAID $ : � PAID DATE'
01
BSAS SB1473 FEE
101-0000-20306 0
$1.00 $0.00
. yyG i V. -47- 7 :.Z
4 g ,� ,N; PAID�BY�3g
p ri { � .. .i
;�t METHOD i r RECEIPT #_ t' CHECK #4 CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
x` Y R
4 =DESCRIPTION �` �*_�
v -E w, -�� . a -s-
F; ,r to s
s +'ACCOUNT ;' >
S>+.<n. -Y .^Z t d'
«QTY
AMOUNT`
x
PAID t i
finPAID DATEry
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
BY?'s�3METHOD
�. .RECEIPT #� " g
CHECK #Y<
CLTD BY•'`
45'ACCOUNT`A.
QTY
> AMOUNT��P1.AID
w x
=PAID'DATE`.
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-000042600
0
$36.26
$0.00
x
METHOD e ,#",
,
¢'
_ c RECEIRT #
"';CHECK :#
CLTD BY,
Total Paid for.CHANGEOUT: $108.78 $0.00
DESCRIPTION'::.., s f '
', �f ACCOUNT �,,ol ,
4 QTY
`x AMOUNT
*PAID ,r
01,
PAID:+DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
BY
B METHOD r
"RECEIPT #t
. X36
< s CHECK #
L"
CLTD BYE.
Total Paid for PERMIT ISSUANCE: $91.85 $0.00'
TOTALS:••
t
Description: THOMPSONM RESIDENCE HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 6/18/2015 EVA
Approved: 6/18/2015 EVA
Parcel No: 646380055 Site Address: 48200 VIA SOLANA LA QUINTA,CA 92253
Subdivision: TR 27840 Block: Lot: 86
Issued:
LotScl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $13,987.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT =19 SEER SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CONDITIONS
FINANCIAL INFORMATION
CONTACTS
TYPE NAME.., s= ADDRESSI_
-_ _. _- _ 2CI,TYSTATE
'APPLICANT
IE INC.
32115 LA BAYA
WESTLAKE
CA
91362- (760)564-1000
VILLAGE
CONTRACTOR
HARRISON ENTERPRISES INC DBA D
31370 RESERVE DRIVE
THOUSAND
CA
92276 (760)564-1000
1
PALMS
OWNER
HOWARD.THOMPSON
48200 VIA SOLANA
LA QUINTA
CA
92253 ' (760)564-1000
FINANCIAL INFORMATION
........... . ..... .
. ... ...... . ........... . . . . ......
BOND
INFORMATION
ATTACHMENTS
LTD
DESCRIPTION
ACCOUNTQTY1.7,
�1i."Yda.AMOUNT
T D' "19"
PAID DATE�
'!RECEIPT:Wk�
C",ECK:##
METHOD"
-PAID BY�'.
m
By
BSAS S91473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid . forBUILDING STANDARDS ADMINISTRATION $1.00 $0.06
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
TOTALS; $101.63 $O.00
........... . ..... .
. ... ...... . ........... . . . . ......
BOND
INFORMATION
ATTACHMENTS
Printed: Thursday, June 18, 2015 8:56:34 AM 2 of 2
cWWSYSTEMS
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 1 of 3 )
Project Name: HOWARD THOMPSON Date Prepared: 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 CFiR-ALT 02 document for each dwelling unit.
01
Project Name
HOWARD THOMPSON
02
Date Prepared
2015-06-17
03
Project Location
48200 VIA SOLANA
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
HOWARD THOMPSON
07
Zip Code
92253 r_
08
Dwelling Unit Conditioned
1024
new SC.
Installnig
-
Installing
Floor Area (ft2)
Identification or
Location or Area
'by this SC
ducted
containing a
Number of space conditioning
more than 40
09
Climate Zone
15
10
(SC) systems in this dwelling
1
-
component?
components?
feet of ducts?
unit. -
SC system?
B. Space Conditioning (SC) System Information
Ir
.11
Ol
0203
ff
04,
05
06.
07
08
09
10
I
Is the SC
..14
Installing a
_
Ift,:. r
'
SC System
SC System
CFA served
systema ,
refrigerant.Installm`g
new SC.
Installnig
Installing
Installing
Identification or
Location or Area
'by this SC
ducted
containing a
system
more than 40
en lyen w
entirely new
..Name
Served
System.(ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
.1024
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-AO16259BA-000000000-0000 Registration Date/Time: 2015-06-1713:21:32
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014.03-31
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2015-06-17 13:05:27
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)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
Central gas
All new
Central split
All new
This field or
This field or.
System 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
19
Setback
section is not
section is not
components
components
applicable
applicable
Required -Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fan i
-Duct insulation requirement for new plenums: 116. J
ti
MR -MCH -20-11& MR -MCH -20-H — Duct Leakage testingrequired 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 510% leakage to outside or,seal all accessible leaks.
MR -MCH -25-1-1& CF3R-MCH-25-H, Refrigea nit -Charge Verificatlon;required4hen, refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF211MR-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required when MCW25 is required
Exceptions:
OWN
Duct systems registered with HERS provider as sealed are a emfro MC 20 Duct Ljkage'�t g requirementsrim
previously pt ,
Heating -only systems and Air Handler/Furnace changes do not require verifica�lon of Air FC112or Refrigent CJ�a a ME H 25.
A +r,«m' � .
nr
Existing duct systems constructed, insulated or sealed with asbestos are exemp om M6,14101",U411 ge Testing requiremen£s.
E. Entirely New or Complete Replacement Duct System, withor iitholt�Egiuipment Gang, out (Sections 150 2(b),1Dia a.nd.0:2(b)lE; F)
This section does not apply to this project.
F. Entirely New or Complete -Replacement Space Conditioning System (Section 150.2(b)iC)
This section does not apply to this project.
Registration Number: 215-A0162598A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-06-17 13:21:32
Report Version: 2014703-31
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2015-06-17 13:05:27
CERTIFICATE OF COMPLIANCE '
. CFiR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC) (Page 3 of 3 )
i
Digitally signed by CaICERTS. 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.
Registration Number: 215-A0162598A-000000000-0000 Registration Date/Time: 2015-06-17 13:21:32 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report'Generated: 201.5-06-17 13:05:27 '
Schema Version: 0.555SDD
Documentation Author's Declaration Statement
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature: �
Jacoby, Ian
c9an.�acobJr '
Company:
Signature Date:
Stratz Permit Service
2015-06-17 13:05:36
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 statements
I'certify the following under penalty of perjury, under the1'N of the State of California:
f
1. The information provided on this Certifica4te0i Compliance, is true and correct.
�.. N}C".Yi{ii#dw
2. 1 am eligible under Division 3'of the Business'and Professions Code taccept;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 anufactud 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 Califorri wCode"of Re ula ions.
4. The buildin desi n features or stem design features dentified orhs Certificate of Comli a�nce are consistent with the m ormetlon rovided onthe� a IicaKleco'm liance documents, worksheets,
g g y- :, t it. p. #� P app.. P
calculations, plans and specifications submitted to the enforcement�agency fo approval with this building application:
permit
N K� F'
5. I will ensure that a registered copy of t� of Compliance sil`aIl the bu1ldfmg•:permit(S)eissued foruthe ld
ertificate be madeyavailable with g, and�made availab a tblthe nforcement agency for all applicable
Cert�(ficate
inspections. I understand that a registered copy of this of Compliance is required to be�included with thyto atioRlhe builder proy�des loathe building owner at occupancy.
Responsible
Responsible Designer Name:
Respon5 b DesignerSignature:' 1—
ad"
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-06-17 13:21:32
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 no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A0162598A-000000000-0000 Registration Date/Time: 2015-06-17 13:21:32 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report'Generated: 201.5-06-17 13:05:27 '
Schema Version: 0.555SDD