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BMCH2015-012052445 Avenida Martinez BMCH2015-0120 78-495 CALLE TAMPICO 4 LA QUINTA, CALIFORNIA 92253 JCOMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: BMCH2O15-0120 Owner: 52445 AVENIDA MARTINEZ JOSE MIRAND/ 773271023 MIRANDA / REPLACE (1) 19SEER/8AFUE SPLIT SYSTEM 92253 $19,837.00 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: y 1 C1 I L5 Contractor: .w. n S;..-- 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: -41 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (7601777-7153 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. V_ 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:- Polity 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: 41 r1 IJ Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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). CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) Project Name: JOSE MIRANDA I Date Prepared: CF 1 R -ALT -02-E (Page 1 of 3) - 2015-04-06 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. O1 Project Name JOSE MIRANDA 02 Date Prepared 2015-04-06 03 Project Location 52445 AVENIDA MARTINEZ 04 Building Type Single family O5 CA City La Quinta 06 Dwelling Unit Name JOSE MIRANDA 07 Zip Code 92253 08 Dwelling Unit Conditioned 1554 Floor Area (ft2) SC System SC System CFA served 'system a r frigerant t Number of space conditioning Installing 09 Climate Zone 15 10 (SC) systems in this dwelling 1 ducted c ntaining system x more than 4 unit. new B. Space Conditioning (SC) System Information rW r--~ ff ; +F '0 7 01 02 03 04s 05 - F^ 06} y. 08 09 10 . t . F ''• ' Is the SC Installing at SC System SC System CFA served 'system a r frigerant t Ingnstallia SC Installing Installing Installing ntirely Identification or Location or Area by this SC ducted c ntaining system x more than 4 entirely e new Name . Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Location 1 1554 Yes Yes Yes Yes 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 Number: 215-A0089286A-000000000-0000 Registration Date/Time: 2015-04-b6 15:30:17 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-04-06 15:29:30 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 ) D. Altered Space Conditioning System (Sections 150.2(b)lE and F) 01 02 03 04 05 06 07 08 09 10 it 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 gas All new Central split All new Greater than System 1 furnace heating AFUE 0.8 AC cooling SEER 19 Setback 40 feet R 8 components components 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: <_ 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 & CF3R-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:Testin`g requirements -Heating-only systems and Air Handler/Furnace changes do not requite verificakion of Air Flow MCH s23; or Refrigerant Change MECH-25. -Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCHTo DucYleakage Testing requirements. E. Entirely New or Complete Replacement Duct System, with or v hout Egyi ment h nge ut (5 tions150.2(b),1Diia;and150.2(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: 215-A0089286A-000000000-0000 Registration Date/Time: 2015-04-06 15:30:17 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-04-06 15:29:30 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: Documentation Author Signature: r Jacoby, Ian Jail JacobJt, Company: Signature Date: Stratz Permit Service 2015-04-06 15:29:21 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 y. . re uirements of Title 24, Part 1 and Part 6 of the California Code of Re latlon "" s^ , 7` € q g F 4. The building design features or system design features identified on this Certificate of Compliance are;consistent with the information.provided on other•applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency forapp val with this building permit application. Y d. *.. r .ate . t a a t . d 4' l. 3 3 r ,.. ,,. 5. I will ensure that a registered copy of this Certificate of Compliance shall be,made;a ailable with_the buildings peimitW..issued for the -building, and made availab e.to the.enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of ComplMance.is.req fired to be induded with the_documentation the biillder pfov_des to the building owner at occupancy. a _ w Responsible Designer Name: ' Gs M 1 .d Responsible Designer Signature: 'V I A-O L-w Valdez, Dayana ady i/ Company: Date Signed: HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING 2015-04-06 15:30:17 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: 215-A0089286A-000000000-0000 Registration Date/Time: 2015-04-06 15:30:17 HERS Provider: CaICERTS CA Building Energy Efficiency Standards- 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-04-06 15:29:30 Schema Version: 0.555SDD FINANCIAL •1• 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 - SPLIT -SYSTEM 101-0000-42402 0 $72.52 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $36.26 $0.00 PAID BY METHOD RECEIPT# CHECK# CLTD BY Total Paid forCHANGEOUT: $108.78 $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 forPERMIT ISSUANCE: $91.85 $0.00 TOTALS:00 Description: MIRANDA / REPLACE (1) 19SEER/8AFUE SPLIT SYSTEM Type: MECHANICAL Subtype: Status: UNDER REVIEW Parcel No: 773271023 Site Address: 52445 AVENIDA MARTINEZ LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA UNIT 11 Lot Sq Ft:.O Building Sq Ft: 0 Block: 99 Lot: 10 Zoning: Applied: 4/9/2015 SKH Approved: Issued: Finaled: Valuation: $19,837.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT-19SEER/8AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. CHRONOLOGY CONDITIONS CONTACTS NAME TYPE' NAME ADDRES51 CITY STATE ZIP PHONE FAX EMAIL APPLICANT HARRISON ENTERPRISES INC DBA G 31-170 RESERVE DRIVE STE A THOUSAND PALMS CA 92276 CONTRACTOR HARRISON ENTERPRISES INC DBA G 31-170 RESERVE DRIVE STE A THOUSAND PALMS CA .92276 OWNER JOSE MIRANDA 92253 FINANCIAL INFORMATION Printed: Thursday, April 09, 2015 2:12:39 PM 1 of 2 R SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES MECHANICAL FINAL" BLD 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 forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: HVAC CHANGEOUT - 101-0000-42402 0 $72.52 $0.00 SPLIT -SYSTEM HVAC CHANGEOUT - 101-0000-42600 0 $36.26 $0.00 SPLIT -SYSTEM PC Total Paid forCHANGEOUT: $108.78 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid forPERMIT ISSUANCE: $91.85 $0.00 TOTALS:0i INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES MECHANICAL FINAL" BLD BOND INFORMATION Printed: Thursday, April 09, 2015 2:12:39 PM 2 of 2 CR?W.IYSTEA4S Bin #City of La Q urn to : Building 8£ Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 NX' 051 040 Building Permit Application and Tracking Sheet Project Address:.5Z144S Owner's Name: A. P. Number: Address: 52-1-4146 AYev\i4 c. M cxr-Vi ez. Legal Description: City, ST, Zip: I o. ui GA ci-z-z 5 3 Contractor: Co ct o. en r Telephone: nc• b V . i U"Z ej (X, Address: 3 fr -- e Project Description: City, ST, Zip: tie CA C12293 1 e a 3kg,,r% A ; -70 txx U Telephone: 7(00 - -70Z- 8 Q10 .... r r c c y ('L 1 -} urS • State Lic. # : (ogb31 City Lie. 41: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: 1 eP Construction O ecu an cY: Type: P YP State L c •e a (circle one): New Add'n Alton R air Demo ProtYPf ct 1 ) eP Name of Contact Person: Sq. Ft.: #Stories: #Units Telephone # of Contact Person: Estimated Value of Project: j q $ 37, GCb APPLICANT: DO NOT WRITE BELOW THIS LINE #/ Submittal Req'd Recd TRACKING PERMIT TEES Plan Sets PIan Check submitted Item Amount Structural Cala. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Cheek Balance • Ti tic 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan --------------------- tad Review, ready for corrections/issue Electrical Subeontactor List Called ContaCtPerson Plumbing Grant Dced Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN IiOUSE.- 'rd Revinv, ready for corrections(ssuc Developer Impact Fee Planning Approval Called Contact.Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fccs Total rcrmit Fccs