BMCH2015-046178-495 CALLE TAMPICO D ��
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
29
VOICE (760) 777-7125 .
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/17/2015
Application Number:
BMCH2O15-0461
Owner:
Property Address:
52500 DEL GATO DR
JOHN MURPHY
APN:
770290002
3993 SPRING BLV
Application Description:
MURPHY / CHANGE OUT (1) COIL
EUGENE, OR 92253
Property Zoning:
Application Valuation:
$1,758.00
D
Applicant:
DEC i 7 2015
Contractor:
IE INC
HARRISON ENTERPRISES INC DBA GENERAL AIR '
31225 LA BAYA
_
COyOF QUINTK
31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362
COMMUNITYOEVELOPMENrf
GEPAFTu!EI4T
THOUSAND PALMS, CA 92'276
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. C36 License No.: 686310
Date: Z �1 s Contractor:
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.).
(1 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:
(760)601-3500
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 cth�e 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 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..
Date: ) 17 15 Applicant: 7..�.�-��'Z__
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.
Date: i S Signature (Applicant or Agent):
FINANCIAL
DESCRIPTION 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 for BUILDING 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 v
RECEIPT #
" :' CHECK #
CLTD BY
Total Paid for CHANGEOUT: $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 for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:0• 00
Description: MURPHY / CHANGE OUT (1) COIL
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 12/17/2015 SKH
Approved:
Parcel No: 770290002 Site Address: 52500 DEL GATO DR LA QUINTA,CA 92253
Subdivision: TR 28470-2 Block: Lot: 2
Issued:
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $1,758.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - (1) 13SEER COIL. [2013 ENERGY] CARBON MONOXIDE
ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
IE INC
31225 LA BAYA
WESTLAKE
VILLAGE
CA
91362
CONTRACTOR
HARRISON ENTERPRISES INC DOA
GENERAL AIR
31170 RESERVE DRIVE
THOUSAND
PALMS
CA
92276
OWNER
JOHN MURPHY
3993 SPRING BLV
EUGENE
OR
92253
Printed: Thursday, December 17, 2015 10:58:51 AM 1 of 2
RLJL SYS7Eh1S
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAIb
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
' BY
BSAS SB1413 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
$12.09
$0.00
REPAIR/ALTERATION
HVAC CHANGEOUT -
101-0000-42600
0
$4.83
$0.00
REPAIR/ALTERATION PC
Total Paid for CHANGEOUT: $16.92 $0.00
PERMIT ISSUANCE
101-0000-42404
1 0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00 .
TOTALS:•• 0•
INSPECTIONS
PARENT PROJECTS
r
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
ATTACHMENTS
Printed: Thursday, December 17, 2015 10:58:51 AM 2 of 2 rp
srsTrnns
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
JOHN MURPHY ] Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2015-12-11
A. General Information
MR -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.
01
Project Name
JOHN MURPHY
02
Date Prepared
2015-12-11
03
Project Location
52500 DEL GATO DR
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
JOHN MURPHY
07
Zip Code
92253
08
Dwelling Unit Conditioned
6736
Floor Area (ft2)
SC System
CFA served
'� system a"
refrige nt {
Installing new SC
Number of space conditioning
i Lalling
09
Climate Zone
15
10
(SC) systems in this dwelling
1
containing '
r. system
more than 40
entirely new
unit.
B. Space Conditioning (SC) System Information
01
02
03
04&
05 I
11 0611-1�
11 07
116,9
09
10
h
t�
11s the SC—
Installing a
SC System
SC System
CFA served
'� system a"
refrige nt {
Installing new SC
Installing
i Lalling
Installing
Identification or
Location or Area
by this SC
ducted
containing '
r. system
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System1
Location 1
6736
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-A6468597A-000000000-0000
Registration Date/Time
2015-12-11 08:09:26
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-12-11 08:09:31
r,rhpma Vprcinn• f) SSSrnn
CERTIFICATE OF COMPLIANCE CFiR-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
No heating
This field or
This field or
This field or
This field or
System 1
Central gas
component
section is not
section is not
Central split
Indoor coil
SEER
13
Setback
section is not
section is not
furnace
altered
applicable
applicable
AC _
applicable
applicable
Required 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: 5 15%, ors 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 & CF311-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 Duct Leakage Testing requirements_
a t a
.__..;eME�r:3
-Heating-only systems and Air Handler/Furnace changes do not require verificati n of Air Flow MCH -23; br'Refrigerant Charge MECH-25.,
e
-Existing duct systems constructed, insulated or sealed with asbestos are exempt;from MCH' -200 Duc%Leakage Testing requirements.
�
i( !f it ii 11_ 11 Al 11 _ )1 .. tf 11 if %k,
E. Entirely New or Complete Replacement Duct System, with or without; Equipment Changeout (Sections,-150.2(b)1Diia•and 150.2(b)1E, F)
'-. it i► r ;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-A6468597A-000000000-0000
Registration Date/Time: 2015-12-11 08:09:26
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-12-11 08:09:31
Crhama Vprcinn• n SSSCnn
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: /
Salazar, Barbara
arbara a[azar
CJC
Company:
Signature Date:
i PERMIT E RATERS
2015-12-11 08:09:26
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive #213
City/State/Zip:
Phone:
West Lake Village CA 91362
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. t am eligible under Division 3 of the Businessland 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�Ri gulat on s " � � �
4. The building design features or system design features identified on this Certificate of Compliance are consistent:with the information.provided on othenapplicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building perm{t application.
t 4� i' �►�.� +., 1� yt ►a
5. I will ensure that a registered copy of this Certificate of,CCoompliance shall,be'made. available with the building permrt(s)ussued for the'buildi g, and ade availsa to'the,enforcement agency for all applicable
inspections. I understand that a registered copy of this -Certificate of Compliance is required to be,included with the,documentation the builder provides to,the building owner at occupancy.
-_
Responsible Designer Name:+. IC'l «;J
Responsible Designer Signature: V i %.� /�
m
Salazar, Barbara
arbara a Rzar
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-12-11 08:09:26
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-A6468597A-000000000-0000 Registration Date/Time: 2015-12-11 08:09:26 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-12-I1 08:09:31
Crhpma Vpminn• n S,;,;rn 1
Bin .#
QtY Of La Who
Building 8L Safety Division
P.O. Box 1504,78-495 Calle Tampico
I.a •Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 52500 Del Gato Drive
Owner's Name:. John & Christine Murphy
A. P. Number:
Address: 52500 Del Gato Drive
Legal Description:
City, ST, Zip: La Quinta, CA . 92253'
Contractor: General Air ConditioningTelephone:
760-296-1080 �3ss�.•
P r.> >r •:
Address: 31170 Reserve Drive
Project Description: Replace Ston Evaporative Coil
City, ST, Zip: Thousand Palms, CA 92276
Telephone: 760-343-7488
f C'
State Lic. # : 686310
City Lie. #•:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:„ Y `;�
State Lic. #: r
:.,..
Name of Contact Person: Steven Schnierer
Construction Type:. Occupancy:
Project type (circle one): New Add'n. Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: 818-735-7876 x 1
Estimated Value of Project: $1,758.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
'Reed
TRACKING
Plan Check submitted
PERMIT FEES
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
'Russ Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted. ,
Mechanical
Grading plan
2'd 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 ROUSE:-
'^' Review; ready for correctionsAssue
Developer Impact Fee
Planning Approval.
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Bin.#
Cray >� �LA Quo:
lnta
Building 8L Safety Division
P.O. Box 1504,78-495 Calle Tampico
1.4.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
-ftCWh6
Project Address: 52500 Del Gato Drive
Owner's Name:. John & Christine Murphy
A. P. Number:
Address: 52500 Del Gato Drive
Legal Description:
Contractor: General Air Conditioning
9
City, ST, Zip: La Quinta, CA.•92253
N N •;s
x °..;
Telephone: 760-296-1080` '� `'`
P ,>.>z
Address: 31170 Reserve Drive
Project Description: Replace 5ton Evaporative Coil
City, ST, Zip: Thousand Palms, CA 92276
P 760-343-7488'r;.:'
Telephone:
, rl
State Lic. # : 686310
City Lic.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
State Lic. #: V
Construction Type:. Occupancy:
Project type circle one New Add'n Alter Repair Demo
Name of Contact Person: Steven Schnierer
Sq. Ft.:
# Stories:
# Unitp:
Telephone # of Contact Person: 818-735-7876 x 1 Estimated Value of Project: $1,758.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Recd TRACKING PERMIT FEES
Plan Sets Pian Check submitted Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit • .
'Russ C21eS.
Called Contact Person
Pian Check Balance •
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical .
Grading plan
2'a Review, ready for correctionstissue
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