The URL can be used to link to this page

BMCH2016-0125Applicant: AHOY AIR-CONDITIONING, HEATING & PLUMBIN 43795 TELLURIDE STREET INDIO, CA 92201 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.: 986711 Date: DIz�P / 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.). (� 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 Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/26/2016 LE PARTNERSHIP 'E STE 800 CA 0 Contractor: AHOY AIR-CONDITIONING, HEATING & PLUMBIN 43795 TELLURIDE STREET INDIO, CA 92201 (760)799-1990 Llc. No.: 986711 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 0SXigo for which this permit is issued. ave 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 wit�th se provisions. Date: Zl G _App�iicant_-"�_.Oez,� 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: Z ` �O Signature (Applicant or Agent) 4 aw 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT' � U BUILDING PIR I. Number: • APR 2 6'4j e 4jk kr: BMCH2O16-0125 r. Property Address: 78355 SCARLET CT 1-77-, PAh—W APN: 604025040 OFtq nl rQIrflJNffi 6VELOPMFM2uan+ Application Description: HVAC CHANGER OUT/ JAHE HARLE , SA0' Property Zoning: Application Valuation: $5,900.00 Applicant: AHOY AIR-CONDITIONING, HEATING & PLUMBIN 43795 TELLURIDE STREET INDIO, CA 92201 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.: 986711 Date: DIz�P / 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.). (� 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 Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/26/2016 LE PARTNERSHIP 'E STE 800 CA 0 Contractor: AHOY AIR-CONDITIONING, HEATING & PLUMBIN 43795 TELLURIDE STREET INDIO, CA 92201 (760)799-1990 Llc. No.: 986711 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 0SXigo for which this permit is issued. ave 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 wit�th se provisions. Date: Zl G _App�iicant_-"�_.Oez,� 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: Z ` �O Signature (Applicant or Agent) FINANCIAL DESCRIPTION,:< „ `.; . , ACCOUNT`<F •QT1( AMOUNT.:. ; } Q.;'.:> D �• ,.r. PAID 1 D' DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 4/26/16 PAID'BY , r; METHOD RECEIPT # CHECK # C'LTD BY.., AHOY AIR-CONDITIONING, HEATING CHECK MR291 1122 RSE Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 DESCRIPTION ; ACCOUNT QTYAIVIOUNT; F PAID § FPAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $72.52 $72.52 4/26/16 PAID BY a METHOD w ; RECEIPT # CHECK # CLTD BY AHOY AIR-CONDITIONING, HEATING CHECK MR291 1122 RSE DESCRIPTION,.' ACCOUNT °; :� QTY AMOUNT ` PAID= : 'PAID -DATE _ HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $36.26 $36.26 4/26/16 t' PAID BY. w > , , - ,� • METHOD = ` . ,�n �? ;RECEIPT # a ,. � = z CHECK # �. � CLT :BY { AHOY AIR-CONDITIONING, HEATING. CHECK MR291 1122 RSE . Total Paid for CHANGEOUT: $108.78 $108.78 .. DESCRIPTION„' �� "r'ACCOUNT `;t ,QTY �, AMOUNTS >,PAID #, PA10:DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 4/26/16 - .PAID BY, .: �kti. METHOD 'RECEIPT # °' CHECK # 'CCTD BY . AHOY AIR-CONDITIONING, HEATING CHECK MR291 1122 RSE Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: n r l t Description: HVAC CHANGER OUT / )AHE HARLE Type: MECHANICAL Subtype: Status: APPROVED Applied: 4/26/2016 RSE Approved: 4/26/2016 RSE Parcel No: 604025040 Site Address: 78355 SCARLET CT LA QUINTA,CA 92253 Subdivision: TR 18915 Block: Lot: 13 Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $5,900.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 �Y Details: HVAC CHANGE OUT - 16.SSEER/80AFUE SPLIT SYSTEM [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES ADDITIONAL SITES CIIRONOLOGY " Printed: Tuesday, April 26, 2016 11:27:04 AM FINANCIAL INFORMATION 1oft CONTACTS :.... _ .tae. a+. .:.2-- �-. :;�; . NAM [ TYPE!,+� - ^V, .� "�"' "` !f; ... �: � :. ... �: y��- ",. : �' :`k;aviw,yc r y,as'.' ht`AIVi't' ,4 nfaf,h,. �:ii:: ..._ ..�'�: , !,• '14.411 ,4Wf�L' i�l'iik'MfYA'.5V5yF:.: i:4NV'M{5V1�5AAn�+ud .fky �� "ADDRES$i� : • z ` t �.. CITY :,. ^ 1,�xy ....._ ` STATE. :'. ZIP $ PHONE < s �Y _ _ F - � AIL �� .:.. . •� .,�. �.� . ,:- � .. • .,�� s t.~�...�- �., ,_ � �� d n �_� � �!�,,, s � �.,:�- o-` :�� ^� APPLICANT; AHOY AIR-CONDITIONING, HEATING 43795 TELLURIDE INDIO CA* 92201 & PLUMBIN STREET CONTRACTOR AHOY AIR-CONDITIONING, HEATING 43795 TELLURIDE INDIO CA 92201 & PLUMBIN STREET OWNER PALM ROYALE PARTNERSHIP 2 N LAKE AVE STE 800 PASADENA CA 0 Printed: Tuesday, April 26, 2016 11:27:04 AM FINANCIAL INFORMATION 1oft Ax DESCRIPTION ;ACCOUNT CITY AMOUNT • *PAID PAID DATE RECEIPTi CHECK# METHOD PAID BY CBYD a a AHOY AIR- BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 4/26/16 MR291 1122 CHECK CONDITIONING, RSE HEATING Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: AHOY AIR - HVAC CHANGEOUT - 101-0000-42402 0 $72.52 $72.52 4/26/16 MR291 1122 CHECK CONDITIONING, RSE SPLIT -SYSTEM HEATING AHOY AIR - HVAC CHANGEOU- 101-0000-42600. 0 $36.26 $36.26 4/26/16 MR291 1122 CHECK CONDITIONING, RSE SPLIT -SYSTEM PCC • HEATING Total Paid for CHANGEOUT: $108.78 $108.78 AHOY AIR - PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 4/26/16 MR291 1122 CHECK CONDITIONING, RSE HEATING Total Paid for PERMIT ISSUANCE: $91.85. $91.85 TOTALS:i . •..... INSPECTIONS •.. ,ii •i •ii i... i• r... . i. •i - i�.••. ,....ilii',... ..... r ••. •.,.i. -. --. .. i.r•�.-�. �� r' - •. iii u....•. .,....� .... �,. i.ii... i..iiia . ,�. i. . • . •. PARENT PROJECTS BOND INFORMATION 8 Printed: Tuesday, April 26, 2016 11:27:04 AM 2 of 2 SYS7EAAS r Bin # ' City of La Quin to . Building 8r: Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 qJC Building Permit Application. and Tracking Sheet Permit # gHd+ 2p LEI Project Address: 7SC c v l �4 Owner's Name: J -(Z k A. P. Number: Address: Legal Description: City, ST, Zip: La Qv,N Contractor:0 h Telephone: hone: ...............................:...:..:..:::: Address: 1i q.q& rk ( ( Project Description: City, ST, Zip: 'Elodc r .?ZD Telephone: '76o 8 s State Lic. # : 05 6 '711 City Lic. #: t.. Arch., Engr., Designer: Address: City., ST, Zip: r Telephone: e. rz n Co tru t s c Ion Type: Occu Pane Y: P State Lic. # oJ ect hPa (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: CoQ APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Ree'd TRACKING PERMIT FEES Plan SetsPlan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for-corrections/issue Electrical Subcontactor List Called Contact Person Plumbing GrantDecd- 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 i ATE OF CALIFORNIA 2008 RESIDENTIAL HVAC ALTERATIONS: CLIMATE ZONES 10 TO 15 CEG CF -IR -ALT -HVAC Revised 07/10 CALIFORNIA ENERGY COMMISSION —" Sim lifted Prescriptive Certificate of Com fiance: 2008 ResidentialllVACAlterations CF -IR -ALT -HVAC Climate Zones 10 to 15 Site Address: Cmt.-4 14 Enforcement Agency: Date. Permit #: 71 35-5 eat- 4 Conditioned Floor E ui ment Type' List Minimum EfficienCY2Duct insulation requirement Area Thermostat ❑ Packaged Unit )XFurnace ❑ AFUE ❑ COP Over 40 ft of ducts added or ❑Setback XIndoor Coil OSEER 14 ❑ HSPF replaced in unconditioned space Served by system (If not already Unit ❑EER —PrCondensing ❑Resistance ❑ R 6 (CZ 10-13) sf present, must be ❑ Other ❑ R 8 (CZ 14-15) installed) 1. Equipment Type. Choose the equipment being installed; if more than one system, use another CF -IR -ALT -HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFfor typical residential systems. HERS VERIFICATION SUMMARY Listed below are four HVAC alteration Options. The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fact the work completed by the installer: The inspector also verifies that each appropriate CF -6R and registered CF -4R forms (no hand filled CF-4Rs allowed) are filled out and signed. Beginning October 1, 2010, a registered copy of the CF -1R and CF -6R shall also be on site for final inspection. 1. HVAC Changeout Required Forms: • All HVAC Equipment replaced CF-611forms: MECH-04, MECH-2I-HERS and (for split systems) MECH- 25 -HERS CF -4R forms: MECH-21 and fors lits stems MECH-25 • Condenser Coil and/or CF -6R forms: MECH-2I-HERS and (for split systems) MECH-25-HERS • Indoor Coil and/or CF -4R forms: MECH-21 and (for split systems) MECH-25 • Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA > 300 CFM/ton(Minirum Air Flow Requirement),.TMAH For Packaged Units: Duct leakage < 15 percent Exempted from duct leakage testing if - f❑ 01. Duct system was documented to have been previously sealed and confirmed through HERS verification, or ❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or ❑ 3. Existing ducts stems are constructed insulated or sealed with asbestos ❑ 2. New HVAC System Required Forms: • Cut in or Changeout with new CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS ducts: (all new ducting and all CF -4R forms: MECH-20, and (for split systems)MECH-22, and MECH-25 new equipment) For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP. For Packaged Units: Duct leakage < 6 percent ❑ 3. New Ducts with Replacement Required Forms: • Includes replacing or installing all new ducting CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS and/or outdoor condensing unit and/or indoor CF -4R forms: MECH-20 and (for split systems) MECH-25 coil and/or furnace. Not all equipment changed. For Split Systems: Duct leakage < 6 percent, RC, CCA > 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent ❑ 4. New Ducting over 40 feet Required Forms: • Includes adding or replacing more than 40 linear feet of duct in unconditioned space. - ace.'For CF -6R forms: MECH-04, MECH-2I-HERS CF -4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation is accurate and complete. • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worksheets, calculations, pfans andspecifications submitted to the enforcement agency for approval with the pernijliqopn. Name: zo6ek� Signature: Company: RT{ CC! 0► l 'F ` Coo l r eGL T r' Date: Address: 4 � 7ctS Tr ffor e License: 2008 Residential Compliance Forms _ July 2010