BMCH2015-0251X78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
r
Application Number:
BMCH2O15-0251
Property Address:
56348 PEBBLE BEACH
APN:
775131095
Application Description:
PGA / THOMAS / (1) 14SE
Property Zoning:
Application Valuation:
$11,391.00
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
T -da / D VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/8/2015
Owner:
TODD THOMAS
56348 PEBBLE BEACH
R/8AFUE,-pA KAGEWSTEn LA QUINTA, CA 92253
�N�P Nl Contractor:
OF�p p11 D�QpRS4h HARRISON ENTERPRISES INC DBA G
C\SV �E`ppMEt�
31-170 RESERVE DRIVE STE A
THOUSAND PALMS, CA 92276
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 License No.: 686310
gs N
Date:
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 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 Na
Lender's Address:
(760)343-7488
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
oft 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: -�7 8 IS 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: 4� Signature (Applicant or Agent)�
FINANCIAL INFORMATION
DESCRIPTION' l' ACCOUNT' ;''QTY AMOUNT PAID " PAID DATE
BSAS SB1473 FEE 101-0000-20306
0
$1.00 $0.00
PAID BY METHOD
#' RECEIPT # CHECK # " .,CLT D BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION ;_." '"
-ACCOUNT.-
QTY„
aAMOUNT,.•
_ PAID "
PAID DATE,
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$36.26
$0.00
PAID BY
=METHOD . _
,RECEIPT #,, ";; _
CHECK#
CLTD BY
"DESCRIPTION << '` ' . "
y ACCOUNT„QTY
". ". AMOUNT; `' '
PAID ; `
PAID DATE
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$24.17:
$0.00
P.AID'BY L
METHOD'
;RECEIPT#
"';';CHECK#
CLTDBY'
Total Paid forCHANGEOUT: $60.43 $0.00
DESCRIPTION"'
ACCOUNT
QTY.
AMOUNT _ , .
r` J
PAID _
PAID.DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID. BY
METHOD .
RECEIPT #
CHECK #
C'LTD BY
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: PGA / THOMAS / (1) 14SEER/8AFUE PACAKAGE SYSTEM
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 7/8/2015 SKH
Approved:
Parcel No: 775131095 Site Address: 56348 PEBBLE BEACH LA QUINTA,CA 92253
Subdivision: TR 20717-ZB CM 060/60-69 CM 060/51- Block: Lot: 2
Issued:
59
Lot Sq Ft: 0 Building Scl Ft: 0' Zoning:
Finaled:
Valuation: $11,391.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT- 14SEER/8AFUE PACKAGE SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
CONTACTS
YNAMETYPE s
�__ NAME-" ;.
' ADDRE551=
CITY
STATE
'� ZIP;
PHONE
FAX }`:
z . EMAIL • ,
APPLICANT
IE INC.
32115 LA BAYA
WESTLAKE
VILLAGE
CA
91362
(604)908-0460
CONTRACTOR
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE
STE A
THOUSAND
PALMS
CA
92276
(604)908-0460
OWNER
TODD THOMAS
56348 PEBBLE BEACH
I LA QUINTA
CA
92253
1 (604)908-0460
Printed: Wednesday, July 08, 2015 9:02:28 AM 1 of 2 C"
SYSTEMS
C OF'rt�'��
:.DESCRIPTION t ,CL
-—ACCOUNT"',
QTY
AMOUNT
'PAID ' ..
PAID DATE
RECEIPT#
CHECK # '
METHOD
%; PAID BY : ` '
,
,
BLD
BY
BSAS SB1473 FEE
101-0000-20306
OT
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA: '
HVAC CHANGEOUT -
101-0000-42402
0
$36.26
$0.00
PACKAGED UNIT
HVAC CHANGEOUT -
101-0000-42600
0
$24.17
$0.00
PACKAGED UNIT PC
Total Paid forCHANGEOUT: $60.43 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Printed: Wednesday, July 08, 2015 9:02:28 AM 2 of 2 07
SYSTEMS
INSPECTIONS
�_
SEQID INSPECTION TYPE '
INSPECTOR ': = SCHEDULED' COMPLETED
RESULT '
- REMARKS : t NOTES' y
,
DATE DATE
,
MECHANICAL FINAL"
BLD
Printed: Wednesday, July 08, 2015 9:02:28 AM 2 of 2 07
SYSTEMS
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name: TODD THOMAS I Date Prepared: 2015-07-03
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 CF111-ALT-02 document for each dwelling unit.
01
Project Name
TODD THOMAS
02
Date Prepared
2015-07-03
03
Project Location
56348 PEBBLE BEACH
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
TODD THOMAS
07
Zip Code
92253
08
Dwelling Unit Conditioned
2062
Floor Area (ft2)
SCS stem
Y
CFA served
SY stem a -
tefn Brant 4
ig
g '
Installin <new�S.0
Number of space conditioning
'Insstalh
i g
09
Climate Zone
15
10
(SC) systems in this dwelling
1
containing
system
more than 4
entirely new
unit.
B. Space Conditioning (SC) System Information �cI-F_ ...__ fR
O1
02
03
04�-
05
06
07
08
09
10
Is the SC"
Installing a
SCS stem
Y
SCS stem
Y
CFA served
SY stem a -
tefn Brant 4
ig
g '
Installin <new�S.0
Installi�n
g
'Insstalh
i g
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 4
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
2062
Yes
No
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration -N umber: 215-A0182264A-000000000-0000
Registration Date/Time: 2015-07-03 13:22:28
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-03 13:22:34
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 156.2(b)lE 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
All new
Central
All new
This field or
This field or
System 1
packaged HP
heating
AFUE
0.8
packaged AC
cooling
SEER
14
Setback
section is not
section is not
components
components
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 & CF311-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 510% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF311-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 LeakageJesting requirements.
-Heating-only systems and Air Handler/Furnace changes do not require verificaion of Air Flow MCH 423, r Refngernt'wCha; ge MECH 25..
Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH 20 Duc}pt1eakage Testing requirements.
n -n
E. Entirely New or Complete Replacement Duct System, with"or with out�Equipment Changequf(Sections 150.2(4) Dna 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)lC)
This section does not apply to this project.
Registration Number: 215-A0182264A-000000000-0000 Registration Date/Time: 2015-07-03 13:22:28 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance. Report Version: 2014-03-31 Report Generated: 2015-07-03 "13:22:34
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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: �!
Jacoby, Ian
cyan �aco Jr
Company:
Signature Date:
Stratz Permit Service
2015-07-03 13:22:12
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 the building design or system design identified on this Certificate of Compliance conform to the
=-
requirements of Title 24, Part1 and Part 6 of the California Code ofegulation �" r 1:;Ii�:4 L
t
t.w+the information provided on otheuapplicable-compliance documents, worksheets,
4. The building design features or system design features identified on this Certificate of Compliance are consistenith
t
calculations, plans and specifications submitted to the enforcement agency for`approval.withtMs building permit application I'm
� � .
4t. S. � �.,
�t �t.ri t .t€ ' t
S. I will ensure that a registered copy of this Certificate of,Compliance shall be,made:av_aila6I withmthe buildingpe�mit(s),issued for.the building and;made available_9j,ie enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compl onceL_requ red to be_included with the Qdocumentaation-the builder provides to -the building owner at occupancy:
Responsible Designer Name:
Responsible Designer Signature: V IL-/�Ai
Shanley, Barbara
Company:
Date Signed:
HARRISON ENTERPRISES. INC dba GENERAL AIR CONDITIONING
2015-07-03 13:22:28
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 implie's Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A0182264A-000000000-0000 Registration Date/Time: 2015-07-03 13:22:28 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31. Report Generated: 2015-07-03 1322:34
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name:
TODD THOMAS I Date Prepared:
2015-07-03
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 CRR -ALT -02 document for each dwelling unit:
01
Project Name
TODD THOMAS
02
Date Prepared
2015-07-03
03
Project Location
56348 PEBBLE BEACH
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
TODD THOMAS
Dwelling Unit Conditioned
FIs the SC""""
07
Zip Code
92253
08
Floor Area (ft2)
2062
SC System
SC System
CFA served
system 4�,
Number of space conditioning
nstallingnewSCstalling
09
Climate Zone
15
30
(SC) systems in this dwelling
1
by this SC
ducted
containing
system
unit.
entirely a
B. Space Conditioning (SC) System Information-
nformation k� (16 :
01
01
02
03
04 �
` 05 �
-061
qy
07-
8
09
10
�
i �
FIs the SC""""
` Installing a
SC System
SC System
CFA served
system 4�,
refrigerant t
nstallingnewSCstalling
ilnstalling=
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely a
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
2062
Yes
No
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 215-A0182264A-000000000-0000
Registration Date/Time: 2015-07-03 13:22:28
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-03 13:22:34
Schema Version: 0.555SDD
Bin.#
City of La Quina
Buitdtng 8r Safety Division
P.O. Box 1504,78-495 Calle Tampico
[a.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 56348 Pebble Beach
Owner's Name:. Todd Thomas
A. P. Number:
Address: 56348 Pebble Beach
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor: General Air Conditioning
RIM
Telephone: 604-908-0460
Address: 31170 Reserve Drive
Project Description:
City, ST, Zip: Thousand Palms, CA 92276
Replace 2.5ton Package Unit.
Telephone: 760-343-7488
State Lie. # : 686310
City Lie'. #:
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lic. 4: ;
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: 8.18-735=7876 X 1 Estimated Value of Project: $11,391.00•
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mecharilcal
Grading plan
2" Review, ready for correcfionsrssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.0 -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