BMCH2015-013078-495 CALLE TAMPICO
.LA QUINTA, CALIFORNIA
�ttN' 4 (u''Quenfw
AMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
♦_Application Number:_ BMCH201 0130 ,
Prop Address: 81249 VICTORIA LN f
APN: 764440045 '
Application Description: DAVID MURRELL-HVAC CHANGEOUT
Property Zoning:
Application*Valuation: $9,000.00
Applicant:
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253 "
111,
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/17/2015
Owner:
DAVID MURRELL
5146 POLKEY RD
DUNCAN BC CANADA V9L, W3 92253
Contractor:
GENERAL AIR CONDITIONING
'0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)343-7490
Llc. No.: :LIC -0003606-
m��`
------.------ :------------ - - - -- ��M---------- -------------------.----------
--- -----------------
LICENSED CONTRACTOR'S DECLARATION
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: _ License No.: :LIC -0003606
of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Date 4 Yl -4 - Contractor: �i �L ��
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 DECLARATION
Carrier: _ Policy Number:
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 to 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 to the provisions of the
comply with those provisions.
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3
y <Czz
of the Business and Professions Code) or that he or she is exempt therefrom and the
Date: t7 IS Applicant: L
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' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
U 1, as owner of the property, or my employees with wages as their sole
e
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 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 application is made, each person at whose
( ) I, as owner of the property, am exclusively contacting 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. B.&P.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
work for 180 days will subject permit to cancellation.
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:
k.:
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:
T
Date: l-) I>� Signature (Applicant or Agent)' _
CERTIFICATE OF COMPLIANCE
CF111-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: DAVID MURRELL Date Prepared: 2015-04-15
A. General Information
CHR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one CHR -ALT -02 document for each dwelling unit.
01
Project Name
DAVID MURRELL
02
Date Prepared
2015-04-15
03
Project Location
81249 VICTORIA LANE
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
DAVID MURRELL
07
Zip Code
92253
08
Dwelling Unit Conditioned
1550
Floor Area (ft2)
SC System
CFA served
stern a)--
r f igeant
,Installing ew SC
Number of space conditioning
In falli g
09
Climate Zone
15
10
(SC) systems in this dwelling
1
��
containing
V
system
V
more than 40
entirely new
unit.
B. Space Conditioning (SC) System Informationf, r n
01
02
.03
04kV
05g
.11 06fi
_
07
08
LL: 09
10
1
,.Is the SC
x r
Installing a
SC System
SC System
CFA served
stern a)--
r f igeant
,Installing ew SC
Instelli g
In falli g
Installing
Identification or
Location or Area
by this SC
ducted
��
containing
V
system
V
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1550
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-A0097751A-000000000-0000 4 Registration Date/Time: 2015-04-15 10:27:40 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated:. 2015-04-15 10:27:12
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01
02
03
04
0S
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
This field or
System 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
14.5
Setback
section is not
is not
components
components
applicable
applicable
Required Documentation:
CF211-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!9 10% leakage to outside, or 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 >_ 300 CFM/ton required when MCH -25 is required.
Exceptions: "
-Duct systems registered with HERS provider as previously sealed are exempt from -MCH -20 D-ucct Leakagedesting r�equirem'e' ts. ,
-.23,
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air flow MCH or Refrigerant Charge MECH 25 ,
-Existing duct systems constructed, insulated or sealed with asbestos are exemptUpm MCH=20 Duct1L4akage Testing requirements.
5.'.. 8 ate W to �. *���. R k A -S
- ,,. n((
.w,ywam�-•,terN It lit
E. Entirely New or Complete Replacement Duct System, with or withoutEquipment Changeout{Seetions 150 2(b)Diia 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-A0097751A-000000000-0000 Registration Date/Time: 2015-04-15 10:27:40 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-04-15 10:27:12
Schema Version: 0.555SDD I
CERTIFICATE OF COMPLIANCE CF1R-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: �/ Q�/
JaI7
Jacoby, Ian
- aCO tl
Company:
Signature Date:
Stratz Permit Service
2015-04-15 10:27:08
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 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 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 thebuilding design or system design identified on this Certificate of Compliance conform to the
w'.
requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
`- �4zt'+r
t 4
4. The building design features or system design features identified on°this Certificate of Compliance are consistent wrtti the information provided on other, applicalile'compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcementagency for.approvalwith this building permit application.
a k 11 it k R,1 �. f
5. I will ensure that a registered copy of this Certifica e f Compliance shall he";made,available with the buildingipermit(s);issued for(the built in g, and made available to tfie:enforcement agency for all applicable
inspections. I understand that a registered copy ofthis-Certificate of Compliance is required to be included with the documentation.the builder provides to the building owner at occupancy.
'h 4 kE ii t- Pi .{C", EC, -max. k' .'"ka ,o•" ` �iL .k
Responsible Designer Name: V
Respons b e Designer S'gnature:
Valdez, Dayana
Company :
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-04-15 10:27:40
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 noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A0097751A-000000000-0000 Registration Date/Time: 2015-04-15 10:27:40 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-04-15 10:27:12
Schema Version: 0.555SDD
FINANCIAL INFORMATION
k�Y DESCRIPTIONuy"ACCOUNT QTYF ,�AMO�UNT PADPAIDDATE',
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00.
ins PAID��'METHODF �� M
.. v 3, ... .# �$tRECEIPI #�E CHECK
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
xDESCRIPTION�
",.4 ACCOUNT
��.
;, QTY
.'S
.: AMOUNT;+
.?c,
PAID`
.'M k.
il PAID DATE':
h..
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$36.26
$0.00
tiFMETHOD ms`s"
RECEIPT #
> CHECK # F
CLTDBYy'
•fie DESCRIPTION ":' ,'"
k ' ACCOUNTPAID
PAID DATE'
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600yy
0
$24.17 -
$0.00
yy
3"5$' Mr4-r sem,;,".
PAID BY�s..
METHOD,CHECKNil
BY.`
Total Paid forCHANGEOUT: $60.43 $0.00
��tDESCRIPTION
ACCOUNT x�
yQTY
-a' "" r.z ,•„
AMOUNT
"`; ¢h .w z-
r N PAID�PAIO
k-`. ; A
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
���xPAID BY� �'
g: s "'Y 'METHOD
RECEIPT #x�
CHECK # xj`
,.
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: DAVID MURRELL -HVAC CHANGEOUT
Type: MECHANICAL
Subtype:
Status: APPROVED T
Applied: 4/17/2015 KHE
Approved: 4/17/2015 KHE
Parcel No: 764440045 Site Address: 81249 VICTORIA LN LA QUINTA,CA 92253
F
Subdivision: TR 30023-4
Block:
Lot: 131
Issued:
Lot Sq Ft: 0
Building Sq.Ft: 0
Zoning:
Finaled:
Valuation: $9,000.00
Occupancy. Type:
Construction Type:.
Expired:
No. Buildings: 0
No. Stories: 0
No: Unites: 0
Details: REPLACE 3 TON A/C, COIL & 70,000 BTU FURNACE, 2013 CODES.
ADDITIONAL SITES
CHRONOLOGY „.
.T _ NAME - .:<. 'fir AD.DRESS', ;-: ',cCITY- ' ��.,STATE .ZIP '"PHONE `�`; gFAX+ „
s NAME TYPE rt. ,x .. ...a. , ` „ �..` 3, .: n€: i:. m. �. _ .EMAIL, :
zk';:,�t=+" ....: ,.. • ;�°a,dr'�.'�a `i'..'c.'""'.r�`..a2.:...:..:`*.:.
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-APPLICANT GENERAL AIR CONDITIONING 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253
CONTRACTOR GENERAL AIR CONDITIONING 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253
OWNER DAVID MURRELL 5146 POLKEY RD DUNCAN BC W3 92253
CANADA V9L
FINANCIAL INFORMATION
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DESCRIPTION ,... AGGOU�NT .,; , ..y. QTY ; :AMOUNTS PAID,.. .PAID DATE,.. RECEIPT #, CHECK,#RAID
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BSAS SB1473 FEE 101-0000-20306. 0 $1.00 $0.00 }
.Total Paid forBUILDING STANDARDS ADMINISTRATION
BSA: $1.00 '$0.00
Printed: Friday, April 17, 2015'1:05:46 PM 1 of 2 -
'
0TWsYSTEM's
PARENT'PROJECTS
a
BOND
INFORMATION
1
TE
RECEIP
DESCRIP.TION-A-
C
QTY.
"Pu
HVAC CHANGEOUT-
101-0000-42402
0
$36.26
$0i00
PACKAGED UNIT
T-
HVAC CHANGEOUT
101-0 000 . 42600
-
0
$24.17
$0.00
ED
PACKAG UNIT PC
Total Paid forCHANGEOUT: $60.43 $0.00
PERMIT ISSUANCE
101-0000-42404 -T-07
$1.85
9
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
....... .... ........ ....... .. $0.00 .. . .. .. . .. .. .......
TOTALS:, $153.28.
PARENT'PROJECTS
a
BOND
INFORMATION
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ATTACHMENTS
L
Qin.#
D
oty Of % Quint'a
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Permit #
10�
Project Address: $12yok C-TOriC_ (��
Owner's Name: j yid M�y� �Lt
A. P. Number:
Address: q Ott GL
Legal Description:
City, ST, Zip: Lc, Q.NNcq R zzs 3
-
Contractor: `
Y�e.�ce. \ -� '0
� �T t
T to -
telephone: O B -
P Z 6 3y85
Address: -3\ )o e;SeCvs
Project Description:
City, ST, Zip: o.�.rn S FIZZ-7L
4< 4—,o\ ac.� -3 Dov. AG. s C-01 l -70 OU
Telephone: le h
o .
P 1 7 3 - 4•
LF3 Q
—
1 V � c c
v A
State Lie. # :
City Lie.
Arch., Engr_, Designer:
Address:
City., ST, Zip:
le! h
e one:
P
xx
t i
S ate Lie. #:
Co nstructi n Type: e: P
Y P Occu anc Y•
Prot a cir
'ec cle one : N w
e Add'n Alter Re ai r Demo
P
Name of Contact Person:
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project: Gj OC6 _(fo
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT 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 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2a' 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
Schodl Fees
Total Permit Fees