BMCH2015-023978-495 CALLE TAMPICO
'tA�QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
BMCH2O15-0239
52146 ROSEWOOD LN
777450036
PRADHAN RESIDENCE HVAC
c&a%°%'�u'�uG�fw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
$3,765.00
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. 30 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. 7.044, 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 ) 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
VOICE (760) 777-7125
"FAX (760) 777=7011
INSPECTIONS (760) 777-7153
Date: 6/30/2015,
Owner:
PRAKASH PRADHAN
52146 ROSEWOOD LANE
LA QUINTA, CA 92253
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 1 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 tine 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: L 30 is Applicant: �'A V7— �
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 ACKNOVIILEDGEMENT
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 appliotion 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 owney and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the p=ity 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 i .suance of such permit, or cessation of
work.for 180 days will subject permit to cancel tion.
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 ordirances and state laws relating to building
construction, and hereby authorize representa'ives of this city to enter upon the above-
mentioned property for inspection purposes.
Date:b6 Signature (Applicant x Agent): _5 2
FINANCIAL INFORMATION
"�K r•M S'DESCRIPTION. s r,r is "ACCOUNT` 'QTY ``
'AMOUNT s':. PAID r PAID DATE
BSAS SB1473 FEE
101-0000-20306 0
$1.00 $0.00
PAID BY , 3,� `# q ,�
Y METHOD ,s, a. -RECEIPT # � t` CHECK # ` '� CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
f DESCRIPTIONS
, ACCOUNT_, a
,QTY:
AMOUNTrb`Y
r FAIO
PAID DATE;
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0 •
$72.52
$0.00
BY
_.._- c `mss tai ,°
r 'w METHOD sr _ * `
r b, _
;i} e# °'
R ECEIPT # *„
a`
_ CHECK # °
x °CLTD BY E'
s'DESCRIPTIONF F
is�a y'rACCOUNTsx '`
tiQTY
AMOUNTx a
„ x PAID"
�PAID:DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
METHOD
RECEIPT
CHECK
LTD $Y�{
Total Paid forCHANGEOUV $108.78 $0.00
'To,b ,�'DESCRIPTION'� _ ..W
if: �m�'�
ACCOUNT
rQTY
�' j t AMOUNT;
aY` PAID �w
PAID: DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
r '. z'•`�'PAIDBY>�
METHODer+RECEIPT
#r
6 CHECK #,
t CLTD BY `
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:0-
y
i
-
Bin #
City.. of LQ Quinta
Building 8l Safety Division
P.O. Box 1504,"78-495 Calle Tampico
[a.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
5MGu ZOOS t239
Project Address: 52146 Rosewood Lane
Owner's Name:. Ash Pradhan
A. P. Number.
Adder: 52146 Rosewood Lane
Legal Description:
Contractor. General AirConditionin9
City, ST, Zip: La Quint.a; CA 92253
Telephone: sT� s
Address: 31170 Reserve Drive
Project Description: Replace 4ton EvEporative Coil
City, ST, Zip: Thousand Palms, CA 92276
Telephone: 760-343-7488
X
P4
State Lic. # : 686310
City Lie. 9.
Arch., Engr., Designer
Address:
City, ST, Zip:
Telephone;
P
=,�.
, .�
� ; r: "
Construction Type:. acct:pancy:
State Lic. #:
Project type (eirele one): New Add'n Alter Repair . Demo
Sq. Ft.: #Stories: #Units:
Name of Contact Person: Steven Schnierer
Telephone # of Contact Person: 8.18-735-'7876 x 1
Estimated Value of Project: $3,765.00 .
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRAC1MG
PERMIT FEES
Plan Sets
Pian Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Chcck.Mposit. .
Truss Cales•
Called Contact Person
Plan Check Sniance
Title 24 Calci.
Plans picked up
Construction "
Flood plain plan
Plans resubmitted _ .
Meehatiical
Grading plan
t
2"a Review, ready for corr"tionshme
Electrical
Subcoutactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H°O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3d Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permi- Fees
a
C4'�fppry��9
Description: PRADHAN RESIDENCE HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 6/30/2015 EVA .
Approved:
Parcel No: 777450036 Site Address: 52146 ROSEWOOD LN LA QUINTA,CA 92253
Subdivision: TR 32070 Block: Lot: 36
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $3,765.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 13 SEER/ SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
...,
ADDITIONAL.. SITES
��
-FINANCIAL,
FIN..INFORMATION
...
Printed: Tuesday, June 30, 2015 9:48:31 AM 1 of 2
sysrrnns
PARENT PROJECTS
. .. . ... .. ...
ATTACHMENTS
Printed: Tuesday, June ]C\2O159:48:3lAN1 2nfZ '
RE,
PAID BY
F.
BSAS SB14-73 FEE
101-000040306
0
$1.00
$0.00
Total Pai d for B UILDI NG STANDARDS ADMINISTRATION $1.00 $0.00
.
HVACCHANGEOUT-
101-0000-42402
0
$72.52
$0.00
101-0000-42600
0
$36.26
$0.00
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
10 . 1-0000-4240T771
0
1 $§1.95
1 $0.00
Total Paid forPERMIT ISSUANCE: $91.8S $0.00
PARENT PROJECTS
. .. . ... .. ...
ATTACHMENTS
Printed: Tuesday, June ]C\2O159:48:3lAN1 2nfZ '
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 1 of 3 )
Project Name: ASH PRADHAN Date.Prepared: 2015-06-29
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 CFiR-ALT-02 document for each dwelling unit.
O3
Project Name
ASH PRADHAN
02
Date Prepared
2015-06-29
03
Project Location
52146 ROSEWOOD LANE
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
ASH PRADHAN
07
Zip Code
92253
08
Dwelling Unit Conditioned
1708
Floor Area (ft2)
SC System
CFA served
system a
refrigerant a
Installing-new;SC
Number of space. conditioning
'Installmgr
09
Climate Zone
15
10
(SC) systems in this dwelling
1
co taining
system
more than 40
entirely new
unit.
B. Space Conditioning (SC) System'InformationF�
O n{
Ol
02
03
77
04�
056
07
09
10
�. :.►.
f'€`
G
l8 i
' -
• �'�
FIs the SCam,.3.
F R :sta'..i
Instlling a
SC System
SC System
CFA served
system a
refrigerant a
Installing-new;SC
�In'stalling
'Installmgr
Installing
Identification or
Location or Area
by this SC
'ducted
co taining
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
1708
Yes
Yes
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 Number: 215-A0176709A-000000000-0000
Registration Date/Time:
P*Td.11QD50*%C%tQK*=
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-29 14:12:59
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CUR -ALT -024
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
0S
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 gas
No heating
This field or
This field or
Central split
This field or
This field or
System 1
furnace
component
section is not
section is not
AC
Indoor coil
SEER
13
Setback
section is not
section is not
altered
applicable
applicable
applicable
applicable
Required Documentation: ¢
CF2R-MCH-01-E - Space.Conditioning Systems Ducts and Fans'-
ans'-Duct
-Ductinsulation 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: 5 15%, or 510% leakage to outside, or seal all accessible leaks.
CF213-MCH-25-11 & MR -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 2 300 CFM/ton required when MCH -25 is required.
Exceotions:
-Duct systems registered with HERS provider as previously sealed are exempt from MM" CH -20 Duct Le�akager en g requirements.
-Heating-only systems and Air Handler/Furnace changes do.not require venficatlon of Air Flow MCH ,23; or Refrigerant'Charge.MECH-2A35.
Existing duct systems constructed, insulated or sealed with asbestos are exempCfrom MCH=20 DuctaLeakage Testing regwyeme`nts.
01M X17A
E. Entirely New or Complete Replacement Duct System, with _br withouttEqupment Changeout (Seetions 150.2(b)1Dn'_:ancl150.2(b)1E, 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-A0176709A-000000000-0000 Registration Date/Time: 2015-06-29 14:13:29 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version:'2014-03-31 Report Generated: 2015-06-29 14:12:59
Schema Version: 0.555SDD
S
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: �1
Jan
Jacoby, Ian
loco Jc
Company:
Signature Date:
Strati Permit'Service
2015-06-29 14:12:40
Address:
CEA/ HERS Certification Identification (if applicable):
5858 Dovetail Drive-
City/State/Zip:
Phone:
Agoura Hills CA 91301818-735-7876
f:
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 Certificatebf Complianceis 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, Part 1 and Part 6 of the California Code of R egulaUone
4. The building design features or system design features identified on;#his Certificate of Comrlrnceare,consistent with4he information,provided on ottier applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement: agency for approval w ththis building perm applliicatio h.
� S
akW. -t * � � 3 lr 1 .
5. I will ensure that a registered copy of this Certificate of,,Compliance shall be„made:av_ailable with the buddmgpermit(s},issued forithe"building, and_made available to-theenforcement agency for all applicable
inspections. I understand that a registered copy of this CertitAicate of Compl ance.X-requiired to be.included the�documenta�tion�the�builder provides tothe building owner at occupancy.
�w,ith
Responsible Designer Name: 17
Responsible Designer Signature:' 44-
��
Shanley, Barbara
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-06-29 14:13:29
Address:
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
(7fin) 34.3-7488
Digitally signed by Ca10ERTS. 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-A0176709A-000000000-0000 Registration Date/Time: 2015-06-29 14:13:29 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-29 14:12:59'
Schema Version: 0.555SDD