BMCH2015-0098aw
78-495 CALLE TAMPICO VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Application Number: BMCH2O15-0098
Property Address: 53160 AVENIDA CARRANZA
APN: 774051008
Application Description: ARTENGA SONIA 3.5 TON HEAT PUMP
Property Zoning:
Application Valuation: $5,007.00
Applicant:
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
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: _ License No.: :LIC -0003606 /
'[pate: 3 6 r Contractor: �a
/" 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 J
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.).
(_J 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
Lender's Address:
Date: 3/25/2015
Owner:
SONIA ARTEAGA
53160 AVENIDA CARRANZA
LA QUINTA, CA 92253,
Contractor: LCOMMt
GENERALAIRCONDIm�FIAQUItJTA0 OUTSIDE CITY LIMIpMENTOEPAR�MENT
LAQUINTA, CA 9225T(D�ELO
(760)343-7490
Llc. No.::LIC-0003606
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.
S--> 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.
bate: 3 3O 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.
tate: 3 Signature (Applicant or Agent):
CERTIFICATE OF COMPLIANCE
Alterations to Space -Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
SONIA ARTEAGA I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2015-03-19
A. General Information
CHR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one CF1R-ALT-02 document for each dwelling unit.
01
Project Name
SONIA ARTEAGA
02
Date Prepared
2015-03-19
03
Project Location
53160 AVENIDA CARRANZA
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
SONIA ARTEAGA
07
Zip Code
92253
08
Dwelling Unit Conditioned
1698
..;-
Floor Area (ft2)
SC System
SC System
.CFA served
system a
refrigerant
Number of space conditioning
Installing
EO9
Climate Zone
15
10(SC)
systems in this dwelling
1
ducted
containing
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) System9nformation
Ol
02
03
z, 04,.`
.05
06
07
" 008 =` _
09
10
t
�.,. ....
_ Is the SC
'Vlnstallirij; a
..;-
SC System
SC System
.CFA served
system a
refrigerant
Installing new SC
Installing
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
1698
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib)
This section does not apply to this project.
Registrption Number: 215-A0073255A-000000000-0000
Registration Date/Time: 2015-03-19 10:09:34
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-03-19 10:08:53
Schema Version: 0.555SDD
v ( z
� m m
a ag
(D 0
v < a
O
N =
o• 0� o
0 0
rD
U, A 3
U,
O D
Ln W
o �
N
0
0
W
O
O
O
A
A
rD
0
rD
m
ro
v
(D
Q 2
N 7a
O rn
v,
0 0
W G_
F °-
N N
O
O m
� m
V,
w V) �n
rD
O
7
Q
O
rD
D
O
r-r
0
s
N
0
rD
m
X N nN N(D
2 zzxz zc
.
O fD
7 N
D
o wnm n na
mw
ao = Axv =c =0
m
O n
.< 3 .. N N .�-' O On
3
r(D
3 a
M
?= o = m 3
O
m Onw RD 3 R° ro
O
y
'C
rD in
3 3 F RD n n a
n d a T 7o n ro N O
O 3
rD
_
N =
m
w rD n
;y�• . ninn o
Sv
`< rD
< tA
+
O
O
m �•
N
n x x n NLn N p 0
ro o, m to , o
3
QQ
(=D
rt
O
ro "o > �Q I :E
n
-. - -
C o< �p N
O
O
T T 2. m
° c Q o ID ;e ^ M
c
Z
R° O
3
3= D
rp
7
oq
2 v a ro ID 3
'�
N '° ry
� N rrtD
�'
CD
W
V1
rD w •* F 0
N S ° S Oo n
rD 7
7
7 rp
OV CL
N
Obi
W ? < 0 W (D � N
.=-r OQ
�
f�D
m
rD d M O T o0 O fD j
N C mOv. CL
N
< c
s CL
N o vo an
N
m
m
N
(D
o CL
Cr rD Cl 0
rD a C p -
�+ = to
'Q rD
in
rD o
O z
M 7 3
w
v°i �. N Q M O1 F
W
N
O-
F,
Vl
X E m d
ro < ro , S. = rD
O
fD 3 rD rD N
x � _ � n
N
N
3 Q 3i N d
o f
m
s
a -
x `D 6
6 0
v n m
F,
o o
O-
n = m•
_ rp .fir
m
3 n H- a n
D ? 0° °o
°. v' Q
O
ra n= pOq'
•<
3
Q
ro D .
n M N -
d
+
2 O c
-•
O 0aq
.T.
{/f
.3. n
n
0 K - . ° O
N
_- a p
r=+
N O
F > >
rD
2 v
—
3 O
O
Q1
rD w N O�
ono
n
D vi
o �
a
U
•G Oq
a
go Mo
(DD 3
ro
=
Q
N l o vO
rD p
w' m 9 a
p
3 o D
3 o D
K C
n (D
o °
o °. f
C"
rD ao
m 3 m
o0 Q
N O v
O
rt
rD �: - CL
m
n o 4e
CD x o
�
N D
v 3
M
n
a o
m
iD -
oD
I �•
U
n 3
O' O
M. (
m
n
n w
N
N
W
9) M O
fD
O
lD
N AO
M ^
cr
- O
W
1 3
Q
n
�
S r
s
v
O
-'
CDO
FI
n
fD rD
m
v
v CL
r+
n
n
d n 3
.0+•
v
C ."O
m Z
fi =
rp•
or fl
7 O
fD 0
Q
r,
s
N
D fD
-0 K N
Z
O
O
a D
�n p_
a v
C
N
p
O
r.
rD n
+
n
z
T
n
m
O
n
O
D
Z
n
m
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: �I �
cJafz �acobOF
Jacoby, Ian
Company:
Signature Date:
Stratz Permit Service
2015-03-19 10:09:02
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,corriponents`: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 Regulations.
4. The building design features or system design features identified'on this Certificate of Compliance are consistent withAhe information providedonother applicable compliance documents, worksheets,
calculations, plans and specificatioAs submitted.to the enforcement agency for approvalwith this building permit application., $ '
S. I will ensure that a registered copy of this Certificate of Compliance shall; be made available with the building permit(s) issued for the bblding,'anclsmade'available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Valdez, Dayana
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-03-19 10:09:34
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-A0073255A-000000000-0000 Registration Date/Time: 2015-03-19 10:09:34 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015.-03-19 10:08:53
Schema Version: 0.555SDD
FINANCIAL • + •
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 - 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 for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• 00
Description: ARTENGA SONIA 3.5 TON HEAT PUMP
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 3/25/2015 PJU
Approved:
Parcel No: 774051008 Site Address: 53160 AVENIDA CARRANZA LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 220 Lot: 17
Issued:
UNIT 21
CHECK # METHOD PAID BY CLTD
BY
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $5,007.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
CONTACTS
Details: REPLACE 3.5 TON HEAT PUMP SPLIT SYTEM 13 SEER APPROVED PER AJ PER 2013 CALIFORNIAMECHANICAL CODE 2013 ENERGY]
CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
CHRONOLOGY
CONDITIONS
INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
PAID
PAID DATE RECEIPT #
CHECK # METHOD PAID BY CLTD
BY
BSAS SB1473 FEE 101-0000-20306 0 $1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP PHONE
FAX
EMAIL
APPLICANT
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253 (760)391-8958
CONTRACTOR
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253 (760)391-8958
OWNER
SONIA ARTEAGA
53160 AVENIDA
CARRANZA
LA QUINTA
CA
92253 (760)391-8958
FINANCIAL
INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
PAID
PAID DATE RECEIPT #
CHECK # METHOD PAID BY CLTD
BY
BSAS SB1473 FEE 101-0000-20306 0 $1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
Printed: Wednesday, March 25, 2015 2:41:19 PM 1 of 2
RWYSTEMS
Printed: Wednesday, March 25, 2015 2:41:19 PM 2 of 2 Corn"SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
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 for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• •0
Printed: Wednesday, March 25, 2015 2:41:19 PM 2 of 2 Corn"SYSTEMS
Bin #
I City of La Quin to .
Building 8i: Safety Division
Permit #P.O. Box 1504, 78-495 Calfe Tampico .
La Quinta, CA 92253 - (760) 777 7012.
Building Permit Application and Tracking Sheet
Project Address: -3 j b o AV aea, Cc rr0-Qn2C. Owner's Name: SO r ea
A. P. Number:
Address: 5 3 1 b 0 e4v eye t �C, lC
Legal Description:
City, ST, Zip: Lzm Qv a CA Ct2 Z53
a.
. r
G a�
-
391g5Contract
Telephone: h nc: ?
Address:---3w-7o
Project Description:
City, ST,Zip ovsa�r.0 ct�rnS CA G2Z7�,
�ec.�'�kv
Telephone: _
-343
P %
Structural Calcs.
State Lie. 4: 4Z63.10'
City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Called Contact Person
Telephone:
cP
Plan Check 132lance.
ccu
Occupancy:
cfi n Type-. P cY:
Constiu o
State Lia #•
Project �Pa circle one): New Add'n Alter Repair Demo
Name of Contact Person: G exit
Sq. Ft.:
#Stories:°
#! Units:
Telephone # of Contact Person: 45 - 2-Z4 1-0'�(o
Estimated Value of Project: st 'S 0 7'Co
APPLICANT: DO NOT WRITE BELOW THIS LINE
t/ Subniiftal
Rcq'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Cheek Deposit
Truss Cala.
Called Contact Person
Plan Check 132lance.
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, rcady for corrcctionsrissue
Electrical
Subeontaetor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.1vLI.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'`" Review, ready for corrcctionstissuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P..
Pub. Wks. Appr
Date of permit issue
School Fee
Total Permit Pees