BMCH2014-110851615 Avenida Martinez
BMCH2014-1108
78-495 CALLE TAMPICO D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT F[Date:
[ 1/16G/20
Application Number: 4- Dwner: ZOIJ
Property Address: 51615 A NIDA MARTINEZO'kjn (I rtdGt, INO DARLENE
APN: 07 wilt), , 51615 AVENIDA MAR INEZ CITY OF LAOUINTA
Application Description: REPLACE 3 TON PACKAGED UNIT LA QUINTA, CA 92253 1 COMMUNITY DEVELOPMENT DEPARTMENT
Property Zoning:
Application Valuation: $7,925.00
Applicant:
HARRISON ENTERPRISES INC DBA G
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
Date: 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
Contractor:
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE STE A
THOUSAND PALMS, CA 92276
(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
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:
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: Signature (Applicant or Agent):
DESCRIPTION,
FINANCIAL INFORMATION
ACCOUNT QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306 0
$1.00
$1.00
10/13/14
PAID BY
METHOD RECEIPT #
CHECK #
CLTD BY
I.E. INC.
CHECK R1991
19707
MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$36.26
$36.26
10/13/14
PAID BY
METHOD
RECEIPT #
'CHECK #
CLTD BY
I.E. INC.
CHECK
R1991
19707
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$24.17
$24.17
10/13/14
PAID BY
METHOD
RECEIPT#
CHECK#
CLTD BY
I.E. INC.
CHECK
R1991
19707
MFA
Total Paid forCHANGEOUT: $60.43 $60.43
DESCRIPTION
ACCOUNT
QTY
AMOUNT'
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
10/13/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
I.E. INC.
CHECK
R1991
19707
MFA
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS: $153.28 $153.28
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
(commencing with Section 700.0) of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: License No.: :LIC -0003606
Datl IO 13 14 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 Addre:
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: 10119114Applicant
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: Ib I Signature (Applicant or Agent): —
VOICE (760) 777-7125
78-495 CALLE TAMPICO
D
FAX
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT (760) 777-7153
BUILDING PERMIT
Date: 10/7/2014
Application Number: BMCH2O14-1108
Owner:
Property Address: 51565 AVENIDA MARTINEZ
TRAINO DARLENE
APN: 773141004
51615 AVENIDA MARTINEZ
Application Description: REPLACE 3 TON PACKAGED
UNIT
LA QUINTA, CA 92253
Property Zoning:
j o o
Application Valuation: $7,925.00
cv
a
+ s
Applicant:
Contractor:
d t — o
GENERAL AIR CONDITIONING
GENERAL AIR CONDITIONIN o
0 OUTSIDE CITY LIMITS
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
LA QUINTA, CA 92253
(760)343-7490
LIc. No.: :LIC -0003606
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
(commencing with Section 700.0) of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: License No.: :LIC -0003606
Datl IO 13 14 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 Addre:
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: 10119114Applicant
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: Ib I Signature (Applicant or Agent): —
FINANCIAL INFORMATION
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 forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY!
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $60.43 $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
lu
V
o •
yp t . •
OF
Description: REPLACE 3 TON PACKAGED UNIT
.
Type: MECHANICAL Subtype:
Status: SUBMITTED
Applied: 10/7/2014 P1U
Approved:
Parcel No: 773141004 Site Address: 51565 AVENIDA MARTINEZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 114
Lot: 4
Issued:
NO 12
Lot Sq Ft: 0 Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $7,925.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
ACCOUNT
Details: REPLACE 3 TON PACKAGE UNIT 2013 MECHANICAL CODES 2008 ENERGY CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TC
FINAL INSPECTION.
PAID
PAID DATE
.:. _.... _. .,.. ...:..r
S } hYa'.3' s a•s s r ;,ii,aG 1`F.
i
% 3 DITIONAL SITES
D
— - _
.4,Y,t.,aC.,_ ,.a:.i s' -,;.t.. :,., rt G.. s. set?% ,..+ F';.• .k }..rq ....: r. ,. •"c:ARR
CHRONOLOGY z
T.; <t. .:i$ ..y ` "v" s r ,•." , d =`" t-:. :c a. „i^v.'.'-'' r 9_ ::3. _ , . ..:✓a.x * . .n4
"`c :+ v: " .f • „a{ : il '-ys Fs ov: "g_..t ,iia .•A S ' 'i -.: r ` c .S' a2 s as. C. . q 4 . iM .'S y,-.
5CONDITIO?NS = c,r:a4.- °.• j
rs.
Printed: Tuesday, October 07, 2014 4:18:27 PM 1 of 2 O W"".
.
.z+g+cY a,#.r ? t; < • •i f s , 3-.r,4fit<" Y r + }...-
ca"
'-"
i
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBU1LDING STANDARDS ADMINISTRATION
$1.00
$0.00
BSA:
Printed: Tuesday, October 07, 2014 4:18:27 PM 1 of 2 O W"".
Permit Details
City of La Qu i nta
PERMIT NUMBER
BIVICH2O1'411108
f L i * 4
i'r '•' ' t. r ` -.
A ^t .i`
\ ".`. M+ ``
i
.1 J.1 * awJ Y•}j v4'JdT $ . HO's'. R ,. $ CY i k ty: .( . Y`
'."q`h ,., c''w. ; ... > . S i. ,.1.`
i
i6
.k
..5:.' a
t ; .
SEQID INSPECTION TYPE INSPECTOR
SCHEDULED COMPLETED
RESULT
CLLR
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
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
1 0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
v r3 t i`_r +.; ,,.✓ e r ',..., 4 i3% • is •.= A 1 1 1 ' '. . .;Y : t t „ 4-
`e
f L i * 4
i'r '•' ' t. r ` -.
A ^t .i`
\ ".`. M+ ``
i
.1 J.1 * awJ Y•}j v4'JdT $ . HO's'. R ,. $ CY i k ty: .( . Y`
'."q`h ,., c''w. ; ... > . S i. ,.1.`
i
i6
.k
..5:.' a
t ; .
SEQID INSPECTION TYPE INSPECTOR
SCHEDULED COMPLETED
RESULT
REMARKS NOTES
DATE DATE
MECHANICAL FINAL"
... .. K.. =.x ....x. r fi S
, ;. ,,.ir :; b .K;;; a.tr r y.3",.ri;; e€_ rA .:
4
xcrr .:_..-'rr4s,% S i`'
, , ... , «a`? . TSP ,
PAREN PROJECT!
z ,i ` d sy , L_ . x w,
4
..a ♦♦ .
V-52R' . i A
:.f. ,. '.;h'
Printed: Tuesday, October 07, 2014 4:18:27 PM 2 of 2 Ofl UL"/' SV".
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC)
Project Name:
DARLENE TRAINO I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 4 )
2014-10-07
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 CF11R-ALT 02 document for each dwelling unit.
01
Project Name
DARLENE TRAINO
02
Date Prepared
2014-10-07
03
Project Location
51615 AVENIDA MARTINEZ
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
DARLENE TRAINO
Dwelling Unit Conditioned
Instahinia
07
Zip Code
92253
08
Floor Area (ft2)
1229
SC System
CFA servedsy
stem a
refrigerant
Number of space conditioning
Installing
09
Climate Zone
15
10
(SC) systems in this dwelling
1
ducted
containing
system
more than 40
unit. .
entirely new
B. Space Conditioning SC S stem Information' s f k
01
02
Y:; 03;. y04
P05 °
06y ;
=07
09
10
X_Is.theSC
Instahinia
SC System
SC System
CFA servedsy
stem a
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area"
', by is 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
1229
Yes
No
Yes
No
No
No
Altered
Altered space
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: 214-A0112638A-000000000-0000 Registration Date/Time: 2014-10-07 14:41:57 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-10-07 14:41:42
Schema Version: 0.551SDD
1
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 4 )
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
Central
All new
Central
All new
This field or
This field or
System 1
packaged HP
heating
AFUE
0.78
ckaed AC
pag
cooling
SEER
13
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans f `
-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: 515'%, 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 2 300 CFM/.ton-,required when MCH 25 is required 7
Exceptions:v.
-Duct systems registered with HERS provider as previously sealed aree-exempt from MCH 20 Duct Leakage esting regwrrements
Heating only systems and Air Handler/Furnace &h igen do not rreq Air Flow MCH 23, or Refrigerant Charge ME CH 25
r verificati6n
-Existing duct systems constructed, insulated onsealed withXasbestos are exempi from MCH -.20 Duct Leakage Testing requirements
.:
': r".!F4w""i+-%,ae! ,°.', .+ax,g: F:Y""' ...er••. .'Y's: °`-:irs" :.,.t.-'ra!es+. ., ,«c •? ._ yq. _.,aa`. p { cFs.^ may; '+ t..:
E. Entirely New or Complete Replacement. Duct System, with or without Equipment Changeout (Sections 150.2(b)iDiia and 150.2(b)lE, F)
This section does not apply to this project.
Registration Number: 214-A0112638A-000000000-0000 Registration Date/Time: 20.14-10-07 14:41:57 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-10-07 14:41:42
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 of 4 )
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
_ g',i
Registration Number: 214-A0112638A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2014-10-07 14:41:57
Report Version: 2014-03-31
Schema Version: 0.551SDD
HERS Provider: CaICERTS
Report Generated: 2014-10-07 14:41:42
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 4 of 4 )
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Valdez, Dayana
Company:
Signature Date:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2014-10-07 14:41:57
Address:
CEA/ HERS Certification Identification (if applicable):
31-170 RESERVE DRIVE STE A
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
(760) 343-7488
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; responsibilrtyfor the building -design or system design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications materiaals, 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 Califo`rr'nia Code of Regulations. N , '
4. The building design features or system Co
design features identified on this Certificate of mpliance 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 application-. TP 4 ` r
Z¢.p..r d y"..-...-'. ,.fF'. .. 'a is,'' .lf:F x-,.. i , 5 ,Ti f
S. I will ensure that a registered copy of this,Certificate of Compliance shall be made,available with the bWlding permd(s) issued for:the building, and' made, available to the enforcement agency for all applicable
inspections. I understand that a registered copy. of this Certificate of Compliance isirequired to be includedwith the pr
documentation the builder ovides to the building owner at occupancy.
Responsible Designer Name: ., ss+ i `
Responsible Designer Signature:
Valdez, Dayana
Company: g ,
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2014-10-07 14:41:57
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: 214-AO11263BA-000000000-0000 Registration Date/Time: 2014-10-07 14:41:57 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-10-07 14:41:42
Schema Version: 0.551SDD
Bin #
Permit #
Project Address: S
City of La QUfnta
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
Owner's Name: ! r 1er —
Gn:a a. PZ g 1;-n.;Y,
A. P. Number:
Rec'd
Address: JT. ' 6i sM cv ,
VGY\\
Legal Description:
City, ST, Zip: L.ZI, Dv;,r'N-cLCA C( Z.ZS3
Contractor: Gt`e1at'
;'C' C,,AAkX\iYN
Telephone:
Address:3 7 eSeY`vt+
Project Description:
City, ST, Zip: i OvStiha
o. MS
U
12e 1 a ce 3 o,r, k c>; c r,.
Telephone:
Reviewed, ready for corrections
State Lie. # : 16a63) O
City Lie. #:
Truss Calcs.
Arch., Engr., Designer.
Called Contact Person
Address:
Plan Check Balance
City, ST, Zip:
Title 24 Calcs.
Telephone:
Plans picked up
Construction Type: Occupancy:
Project a circle one): New Add'n Alter Repair J type ) P Demo
State Lie. #:
....................................
Name of Contact Person: S' evev. S hr qtr e-
Sq. Ft.:
# Stories:
# Units:
Telephone #,of Contact Person:
C?S) -L4I 1- (o'4! to
Estimated Value of Project: - —t•7, q 25. 00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
tad Review, ready for corrcctionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
I-r.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'"' Review, ready for corrcctions(ssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees