BMCH2015-02387.$-495 CALLE TAMPICO ].� VOICE (760) 777-7125
C` .,D. .„
` uA'QUINTA, CALIFORNIA 92253. FAX (760) 777-7011
COMMUNITY. DEVELO.PMENT'DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING -PEWIT.
c
Date:. 6/30/2015
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
BMCH2O15-0238
54.565 AVENIDA RAMIREZ
77427.5015' .
YBARRA RESIDENCE uvne runnier ni it
$14,737:00
Applicant:
HARRISON ENTERPRISES INC DBA G
31-,170 RESERVE DRIVE STE A
THOUSAND PALMS, CA 92276
Owner:
ANTONIO IBARRA
5,4565 AVENIDA RAMIREZ
LA QUINTA, CA 92253
Contractor:
HARRISON. ENTERPRISES INC DBA G
'31-170 RESERVE DRIVE STE A
THOUSAND PALMS, CA 92276
(760)343-7.488
Llc. No.: 686310
LICENSED CONTRACTOR'S. DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter :•
I,hereby affirm under.'penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect.
compensation; as provided for by Section 3700 of the Labor Code, for the performance
License Class: C20 License No.: 686310
of.,the work for which this permit is issued.
and will maintain workers' compensation insurance, as required by.
khave
Date: ' Contractor: + �—
Section 3700 of the Labor Code, forthe:performance of the work forwhich this permit
��—
is issued.. My workers' compensation insurance carrier and policy -number are:
I'
OWNER -BUILDER DECLARATION
i,_
Carrier: _:,Policy Number:
I hereby affirm under penalty of perjury that am exempt from the Contractor's'StMe
:. I.ce tifythat in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any •
shall not'em' ploy any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct,.alter, improve;, demolish, ocrepair
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its'issuance, also requires the applicant forthe permit,to'file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the'provisions of the.
comply with those provisions.
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 •
=ate. ,'� App
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for:
permit subjects the applicant to a civil penaltyof not more than five hundred dollars
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(� I, as owner of the property, or my employees with,wages;as their sole
ONE HUNDRED'THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale: '.COMPENSATION,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does'not
INTEREST, AND -ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, how&e' r .the building or;improveirientis sold:
IMPORTANT: Application is'hereby made to the Building Official fora permit subject to
within one year of completion, the owner -builder will have the burden -of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose'of sale.).
1. Each person. upon whose behalf this application is made, each person at whose
( __) 1, as owner of the property; am exclusively contracting with licensed contractors
request'and for.whose benefit -work is performed under or pursuant to any permit
to construct the project...(Sec. 7044, Business.and Professions Code: The Contractors', "
issued as•a:result of this application 'the- owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves,
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractors) licensed pursuanfto
employees for any act oromission related to the work being performed under or
the Contractors' State License Law.).following.issuance-of.this"permit.
(_) I am exempt under Sec. . B.&P.C. for this reason -
2. Any permit issued as a result of this application becomes null and void if work is
notcommenced•within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury, that there is a.constructionlending,agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
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.
: U; iSignature (Applicant or Agent):
-71
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.,ACCOUNT
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PAID�DA,TE
BSAS SB1473 FEE 10.1 0000-20306 `0 $0:00
.�.
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��METH00 x_ REGE P #. �:,HE
,.�PAID�BY'
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P
Y.
;Total Paid for BUILDING;STANDARDS ADMINISTRATIONiBSA - ` ,`:$1J.0;0 -i.',$0:00
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DESCRIPTION
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,PAID'"DATE$
CHANGEOUT SPLTSYSTEM
1014 00042402'
k
:$0.00•
F: _ di a:fii
PAID BY ^� ,e `
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PAID DATE;
.� frz"i.�xm.!
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Q:�_�r, k AMOUNT
PAIWNW
HVAC CHANGEOUT - SPLIT..SYSTEM; PC
101 0000-42600 : f
°
0 t $36 26 r'
$0.00
r ..d f c ....,.. ..
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S •d A'bE �� nS 4 .
s� PAID BYE : a <_
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�
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Total Paid forCHANGEOUT
E $108 78': $0;00
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DESCRIPTION r �
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AMOUNT
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PPAID ?
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PAID`DATE2
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PERMIT ISSUANCE`101
0000
$9+1 85
$0.00
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•_ 'Total PaidFfor�PERM,IT��ISSUANCE�# �� 85 � $OR00
t$91 . � N
Bin .#
City ,of 4 Qulnta
Bui(ding`fz Safety Division
P.O. Box• 1504,78-495 Calle Tampico
P.Quinta; CA 92253 -:(760) 777 7012
02 3 a> Building Permit. Application and "Tracking Sheet
Permit #
F, M 6A2D I �- _
ProjectAddress: 54565 Avenida Ramirez
Owner'sNwnc:' Antonio Ybarra
A. P. Number.
Address: 5.4565 Avenida
Legal Description:
Contractor: General Air Conditioning
City, ST, Zip: La Quinta, CA 92253
Telephone: 760-861-1109sn
Address: 31170 Reserve Drive
Project Deseription: Replace Mon Heat Pump & Air
City, ST, Zip: Thousand Palms, CA 92276
Handler
Telephone: 760-343-7488
o) q. y✓/.M CEJ:
State Lie. # : 686310
City Lie. tl,:
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone
State Lic #: m w:rte~
Construction Type: Occupancy::
Pro1ect type circle 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: $14,737.00.
APPLICANT:,_DO NOT; WRITE, BELOW-THIS.LINE
#
Submittal
Req'd.
Recd ..
:TRACIMG.
PERMIT FEES
Plan Sets
Plan. Check submitted
Item ;: Amount
Structural Calc.s.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calm
Plans picked up.
Constracdon
Flood plain plan
Plaits resubmitted
Mechatilcal
Grading'plan
2'a Review; ready for correctionstissue. '
Electrical
Subcontactor List
Called Contact Person
Tplumbing
Grant Deed
Plans picked up
S:M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' 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 Permit Fees
Description: YBARRA RESIDENCE HVAC CHANGE'OUT
ADDITIONAL D
Type: MECHANICAL Subtype:.
Status: APPROVED
Applied: 6/30/2015 EVA
Approved: 6/30/2015 EVA
Parcel No: 774275015 Site Address: 54565 AVENIDA RAMIREZ LA QUINTA,CA.92253
Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 307
Lot: 3
Issued:
UNIT 28
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $14,737.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: HVAC CHANGE OUT -16 SEER / .80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
NAME TYPE, ' ` F NAME
=`ADDRESSIvCITY
FINANCIAL INFORMATION
Printed: Tuesday, June 30, 2015 9:16:00 AM 1 of 2
SYS7Eti1S
ADDITIONAL D
CHRONOLOGY
CONTACTS
NAME TYPE, ' ` F NAME
=`ADDRESSIvCITY
STATE % ZIP PHONE ` FAX '' EMAIL
,_;
_::
APPLICANT
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE
THOUSAND
CA
92276
(760)861-1109
STE A
PALMS
CONTRACTOR
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE
THOUSAND
CA
92276
(760)861-1109
STE A
PALMS
OWNER
ANTONIO MARRA
54565 AVENIDA
LA QUINTA
CA
92253
(760)861-1109
RAMIRI
FINANCIAL INFORMATION
Printed: Tuesday, June 30, 2015 9:16:00 AM 1 of 2
SYS7Eti1S
Printed: Tuesday, June 3lZO1S9:16l0AM ZofZ
________ _____
BSAS SB1473 FEE
101-0060-20306
0
$'1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
HVACCHANGEOUT-
101-0000-42402
0
$72.52
$0.00
HVAC.eHANGEOUT -
101-0000-42600
01
$36.26
$0.00
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: I $10i.78 $0.00
PERMIT ISSUANCE
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: $201.63 $0.00
Printed: Tuesday, June 3lZO1S9:16l0AM ZofZ
________ _____
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 1 of 3 )
Project Name: ANTONIO YBARRA. Date Prepared: 2015-06-29
A. General Information
MR -ALT -02 is applicable to multiple space conditioning.systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one MR -ALT -02 document for each dwelling unit.
01
Project Name
ANTONIO YBARRA
02
Date Prepared
2015-06-29
03
Project Location
54565 AVENIDA RAMIREZ
04
Building Type
Single family
05
CA City
La+Quinta
06
Dwelling:Unit Name
ANTONIO YBARRA -
'CFA
Dwelling Unit Conditioned
m
Installing a
07
Zip Code
92253
081500
Floor Area (ft2)
SC System
SC Sysiem
served
"system a
.'refngeant
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
NIA�qm
B. Space Conditioning (SC) System*Ii iformation .
01
0203
04
06;
07
08
09
10
+..
X05 .
'CFA
Is the SC
m
Installing a
.. -
W
+
SC System
SC Sysiem
served
"system a
.'refngeant
installing ew5c
Installing
Installi'
Installing
Identification or
Location or Area
by this 5C
ducted
containing.
system
more than 40
entirely new
entirely new
Name
Served —
Sysieml(ft2)
system?
component?.
_ components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1500
Yes
Yes
Yes
No
No
No
Altered space
conditioning 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: 215-A0176566A-000000000-0000 Registration Date/Time: 2015-06-29 13:17:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-29 13:17:10
Schema Version: 0.5S5SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01
02'
03
04
05
06
07
08
09
10
ii
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 split
All new
Central split
All new
Tliis field or
This field or
System 1
HP
heating
AFUE
0.8
HF
cooling_ ..
SEER
16
Setback
section is not
`section is not
components
components
applicable
applicable-.
Required Documentations
CF.2R-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 testmg,.req ired:when heating or cooling components are installed in ducted systems, or when more than 40'ft of duct length.isreplaced:
Leakage rate compliance: 515%, or 510%.lea kage to outside o seafaII accessible leaks...."
CF2R-MCH-25-H.& CF.3R-MCH-25-H RefrigeranV arg ' a ificationxregui�ed.when-refrigerant containing components are installed or altemcf (applicable in CZ 2, 8-15).
CQRMR MCH -23 &`CFN-MCH-23.Air Flowf2 300 CFM/ton required when M 25iis required
Exceptions:,OR;
-Duct systems registered with HERS provider as prev o sly sealed are:exempt from°MCH Mbuct Leakege�Testing.requirements
_.
Heating -only systemsand Air Handler/furnace cha g s do:not�r q ire verification of Air F ow MCH 23 or Refrige ant Charge MECH-25..
Existing duct insulated e �a �1 �.
sealed MCH=20iDuc�ttLeakage Testing
systemsconstructed, or with-4-W"exempttiffrom requirements.
R,_„
INK
E. Entirely New or Complete Replacement Duct System,.with or AMR tL"pment Changgqut (Sections 1S0 2(b)„TDiia and 150.2(b)1E, F)
This section:does not apply to this project..
r ;
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-A0176566A-000000000-0000 Registration Date/Time: 2015-06-29 13:17:08 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance . Report Version: 2014-03-31 Report Generated: 2015-06-29 13:17:10
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems(formerly CF -1R -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: �/ �-
Jan
Jacoby; Ian
dacobJc
Company:
Signature Date:
Stratz. Permit Service
2015:r06-29 1316:55 .
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-undecpenalty of perjuryuntler the'laws of the State of California:
1.. 'The information provided orkhis Certificate"oftompliance is true and correct..
2. 1 under. Division.3.of th; and?Profdisions Codetoacceptiresponsibility for.the building design identified on this Certificate (responsible
am eligible a Business or system design of.Compliance .designer).
3. .That the energy features and performance specifications, "materials,cornponents, arid. manufactured devicesfor:the`building design or.syst6 design identified'on this Certificate of Compliance conform to the
�� ul
requirements of Title 24; Part i and Part"6,oPthe California Code of Regulations. <-
s.
4. The building design features or system design featu're�s identified on this Certifita a ofGompliance arergf6nsi:e't wrthtthe information provided on.othe licable mpliance documents, worksheets, -
subiinitted the esnforcement aY.;,g�ency for approval h this,building permit plication:
calculations, plans and specifications W
Ad t fig
5. 1 will ensure that a"registered co of this'Certificaie of Com liance shall be maderavaila6le with�the°bwlding:permit(s)iissued forsthe ld!1& and made avallablelto�gthexgnforcement agency for,all applicable.
inspections: I understand that a register11etl copy of this•C%erticate ofCo prance -ids required to bye mduded,w the docume�ntationhebuilderprovAdes tothe building owner at,occupancy.
Responsible Designer Name:
Responsible Dess g r S gnature V I,f
Hernandez, Kimberly
company:,
Date Signed:.-
HARRISON ENTERPRISES INC-dba GENERAL AIR CONDITIONING
2015-067-29 13147:08 .
Address:
License:.
31-170 RESERVE DRIVE STE•A
686310
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
(.760) 343-7488
Digitally signed by Ca10ERTS. This digital signature is provided.in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A0176566A-000000000-0000 Registration Date/Time: 2015-06-29 13:17:08 HERS Provider: CaICERTS
CA Building Energy. Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-29 13:17:10
Schema Version: 0.555SDD