BMCH2016-007479
78-495 O�i CALLE TAMPICO D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT FAX
(760) 777-7153
NG�T--
Date: .3/30/2016
Application Number: BMCH2O16-0074 Owner:
Property Address: 79265 TORONJA fM-EN1TR-'T!
JOHN WESTCOTT
APN: 776260031 n"79265 TORONJA
Application Description: JOHON WESTCOTT / HVAC REPLLA QUINTA, CA 92253
Property Zoning:
Application Valuation: $2,524.00 CiV OF LAQUApplicant: gU�31T10EVELOPM�NT QEPART�M=
Contractor:
IE INC HARRISON ENTERPRISES INC DBA GENERAL AIR
31225 LA BAYA 31170 RESERVE DRIVE
WESTLAKE VILLAGE, CA 91362 THOUSAND PALMS, CA 92276
(760)343-7488
Llc. No.: 68631`0 �-
I.
------------------------------------------------------------------ --- ---=-------------- - - - - - -
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: 3 3p Itc 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 ) I, as owner of the property, or my employees with wages as their sole
compensation, win 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 bbild 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 Add
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: 3 3D (� 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.
Date: 3PON11 Signature (Applicant or Agent):
FINANCIAL •R •
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 - OTHER EQUIPMENT
101-0000-42402
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - OTHER EQUIPMENT PC
101-0000-42600
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for CHANGEOUT: $72.52 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
EVAPORATIVE COOLER
101-0000-42402
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
EVAPORATIVE COOLER PC
101-0000-42600
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK#
CLTD BY
Total Paid for MECHANICAL: $24.18 $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:00
Description: JOHON WESTCOTT / HVAC REPLACMENT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 3/30/2016 RSE
Approved: 3/30/2016 RSE
Parcel No: 776260031 Site Address: 79265 TORONJA LA QUINTA,CA 92253
Subdivision: TR 28797 Block: Lot: 31
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $2,524.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details:. HVAC CHANGE OUT-16.5SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
coNDMONS
CONTACTS
NAME TYPE,
NAME
ADDRESS1-
CITY STATE
ZIP
PHONE>'
FAX EMAIL
APPLICANT
IE INC
31225 LA BAYA
WESTLAKE CA
VILLAGE
91362
CONTRACTOR
HARRISON ENTERPRISES INC DBA
GENERAL AIR
31170 RESERVE DRIVE
THOUSAND CA
PALMS
92276
FRANCISCO@CALLTHE
GENERAL.COM
OWNER
JOHN WESTCOTT
79265 TORONJA
LA QUINTA CA
92253
Printed: Wednesday, March 30, 2016 11:30:33 AM 1 of 2 C
SYSTEMS
INSPECTIONS
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Wednesday, March 30, 201611:30:33 AM 2 of 2
SYSTfiNS
CIL
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BS AS S81473 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
$36.26
$0.00
OTHER EQUIPMENT
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$0.00
OTHER EQUIPMENT PC
Total Paid for CHANGEOUT:' $72.52 $0.00
EVAPORATIVE COOLER
101-0000-42402
0
$12.09
$0.00
EVAPORATIVE COOLER
101-0000-42600
0
$12.09
$0.00
PC
Total Paid for MECHANICAL: $24.18 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
INSPECTIONS
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Wednesday, March 30, 201611:30:33 AM 2 of 2
SYSTfiNS
#
city.,Of Quiilta
Building 8T Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
►.�-Building-P. ennit Apptication'and Tracking Sheet
Periii1t #
gi11� 2�i (7.
Project Address: 79265 Toronja
Owner'sName:.John Westcott
A. P. Number.
Address: 79265 Toronja.
Legal Description:
City, ST, Zip: La Quinta, CA :92253
Contractor. General Air ConditioningTelephone;
.E�:�at;�;
760-771-5767 ""' sXm:. w
ep MINE -
Address:
Address: 31170 Reserve Drive
Project Description: Replace 5 ton Evaporative Coil
City, ST, Zip: Thousand Palms, CA 92276.
Telephone: 760-343-7488
State Lic. # : 686310
L5t}r Lie. 9-.-
;Archy
Arch,Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lie. #: " , , %
Name of Contact Person: Steven Schnierer
Constructiona occupancy:
Trn ' P cy:
Project type (circle one): New. Add'n Alter Repair Demo .
Sq. Ft.: # Stories:
# Units:
Telephone # of Contact Person: 818-73577876
Estimated Value of project: $2,524.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
M
Submittal
Req'd
Recd
TRACKING
PERMIT FEES'
Plan Sets
Plan Check submitted
Item Amount
Structaral Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss C21cs.
Called Contact Person
Pian Check Balance.
Title 24 Calcs.
Pians picked up
Construction
Flood plain plan
Plans resubmitted'.
Mechanical
Gi-ading plan
2'! Review, ready for correetionsrrssue
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 correctionsrissue
Developer Impact Fee
Planning Approval.
Called Contact Person
AJ-P.P.
Pub. Wks. Appr
Date of permit issue
Sehodl Fees '
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
JOHN WESTCOTT I Date Prepared:
CF1R-ALT 02'-E
(Page 1 of 3 )
2016-03-29
A. General Information
CF1R-ALT02 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 WESTCOTT
02
Date Prepared
2016-03-29
03
Project Location
79265 TORONJA
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name.
JOHN WESTCOTT
07
Zip Code
92253
08
Dwelling Unit Conditioned
2833
Floor Area (ft2)
SC System
SC System
CFA servedsystema
refrigerant 4
Number of space conditioning
09
Climate Zone
15
30
(SC) systems in this dwelling
1
ducted
containing
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) System Information. _ _ ....
01
02
03
04y��.11
U6
07'
08
09
10
Is the St—
1
Installing a
SC System
SC System
CFA servedsystema
refrigerant 4
InstallinFnew;SCInstalling
Installing=
Installing
Identification or,
Location or Area
by this SC
ducted
containing
system
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
2833
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: 216-A0118281A-000000000-0000
Registration Date/Time: 2016-03-29 20:43:49
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-29 20:43:40
Schema Version: 0.555SDD
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
Efficlency
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
No heating
This field or
This field or
Central split
Less than or
System 1
furnace
component
section is not
section is not
AC
Fancoil AHU
SEER
14
Setback
equal to 40
R-8
altered
applicable
applicable
feet
Reauired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF3R-MCH720-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: 515%, or 510% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & MR-1VICH-25-11 Refrigerant Charge Verification required when refrigerant containing components are Installed or altered (applicable in CZ 2, 8-15).
CF2116311-MCH-23 & CF3R-MCH-23 Air Flow 2:300 CFM/ton required when MCH -25 is required.
Exceptions:
-Duct systems registered with HERS provider is previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.,,,
r e r.
"of
-Heating-only systems and Air Handler/Furnace changes do not require verificationAir Flow MCH -23; orReirlgeraht'Char�ge WI,ECN325.
-Existing duct systems constructed, insulated or sealed with asbestos are exemptifrom MCH -20 butt Leakage Testing requlremen�ts.
E. Entirely New or Complete Replacement Duct -System, with or without Equipment Changeout (Sections 150.2(b)1Diia,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: 216-A0118281A-000000000-0000 Registration Date/Time: 2016-03-29 20:43:49 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-29 20:43:40
Schema Version: 0.555SDD
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:
Jacoby, Ian
Documentation Author Signature: �/
cyan dacoiy
Company:
Signature Date:
i PERMIT E RATERS
2016-03-29 20:43:49
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. 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, mate ria ls,'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 R g lations. 1`� ^"l " ^"
4. The building design features or system design features identified on.this Certificate�bf Compliance are consistent with the information -provided on other:applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit a `lication.
5. 1 will ensure that a registered copy of this Certificatef,Compliance shall be`inatde available With the b�uhdin emit sj;issued fov'the'b Idin , an mad �availa be • q
g p g to the hforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliances{!equired to be- cluded with the_documentation.theybuilder prow des to the building owner at occupancy.
Responsible Designer Name: 16 # ..
Responslble Designer Signature: V 111�/a i - Ali.
Jacoby, Ian
cyan �acobJc
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-03-29 20:43:49
Address:
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-343-7488
Digitally signed by Ca10ERTS. 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: 216-A0118281A-000000000-0000 Registration Date/Time: 2016-03-29 20:43:49 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-29 20:43:40
Schema Version: 0.555SDD