The URL can be used to link to this page

BMCH2014-10231 . v ' 4- 78-495 CALLE TAMPICO D' LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O14-1023 Property Address: 54585 AVENIDA JUAREZ APN: 774262016 Application Description: MECHANICAL - REPLACE 8 DUCT RUNS Property Zoning: Application Valuation: $3,480.00 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 ��7 c Contractor. �� o c� 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).: (1 1, 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 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/18/2014 Owner: TAMARA MELCHOR 54-585 AVENIDA JUAREZ LA QUINTA, 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 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. Dater 7,) $I 14 Applicant 's- s L v 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. ) j Signature (Applicant or Agent):` gent):�- DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 7/18/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY HARRISON ENTERPRISES INC DBA G CHECK R423 18204 SKH Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - OTHER EQUIPMENT 101-0000-42402 0 1 $35.75 $35.75 7/18/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY HARRISON ENTERPRISES INC DBA G CHECK R423 18204 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - OTHER EQUIPMENT PC 101-0000-42600 0 $35.75 $35.75 7/18/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY HARRISON ENTERPRISES INC DBA G CHECK R423 18204 SKH Total Paid forCHANGEOUT: $71.50 $71.50 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $90.57 $90.57 7/18/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY HARRISON ENTERPRISES INC DBA G CHECK R423 18204 SKH Total Paid for PERMIT ISSUANCE: $90.57 $90.57 TOTALS: CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 4 ) Project Name: TAMARA MELCHOR Date Prepared: 2014-07-17 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: TAMARA MELCHOR 02 Date Prepared: 2014-07-17 03 Project Location: 54585 AVENIDA 1UAREZ 04 Building Type: Single family 05 CA City: La Quinta 06 Dwelling Unit Name: TAMARA MELCHOR 07 Zip Code: 92253 08 Dwelling Unit Conditioned 1282 components? y° duct system Floor Area (ft2): Number of space conditioning 09 Climate Zone: 15 10 (SC) systems being altered in 1 condensing unit, Installing this dwelling unit.: system's B. Space Conditioning (SC) System, Information 01 02 t 03 : ! 04t OS ' 06 • ajjj 07` ;08 ~~, 09 10 Installing new 't :' . Is'the'entire components? y° duct system (packaged unit, or accessible Are all of the condensing unit, Installing for sealing, system's Is the altered Altering or or more than 40 and is more components or installed installing a cooling/heating linear feet of than 75% of and ducts new SC System SC System CFA served system a refrigerant coil, or new or the duct or replaced? Identification or Location or Area by this SC ducted containing air -handling unit, replacement system new (entirely new Name Served System (ft2) system? component. etc) ducts? or replaced? system) Alteration Type SYSTEM 1 ENTIRE HOUSE 1282 Yes No No Yes No No Extension of ex existing duct system C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib) 01 02 Registration Number: 214-A0058113A-000000000-0000 Registration Date/Time: 2014-07-17 19:06:19 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-07-17 19:05:34 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 4 ) C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib) System Identification or New Duct R -Value: Name: SYSTEM 1 R-8 Required Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. CF2R & MR -MCH -20-14 — Duct Leakage Verification - Leakage rate compliance: <_ 15%, or:5 10% leakage to outside, or seal all accessible leaks Exceotions: Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 duct leakage testing requirements D. Altered Space Conditioning System (Sections 150.2(b)lE and F) This section does not apply to this project. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)1E, F) I r ,11 This section does'not`apply to this project. r I Registration Number: 214-A0058113A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2014-07-17 19:06:19 Report Version: 2014-03-31 HERS Provider: CaICERTS Report Generated: 2014-07-17 19:05:34 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -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. : Registration Number: 214-A0058113A-000000000-0000 Registration Date/Time: 2014-07-17 19:06:19 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-07-17 19:05:34 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 2014-07-17 19:06:19 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-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 Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the informat on provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to tKe enforcement agency for approval with this building permit a lication. -with 5. 1 will ensure that a registered copy of this Certjficate of Compliance shall be made available the building permit(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 is required to be included with the documentation the bu' ilder provides to the building owner at occupancy. Responsible Designer Name: Valdez, Dayana Responsible Designer Signature: Company : Date Signed: HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING 2014-07-17 19:06:19 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 no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 214-A0058113A-000000000-0000 Registration Date/Time: 2014-07-17 19:06:19 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-07-17 19:05:34 Bin # City of La Quinta • �O Building &r Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet ProjectAddress: SySuS AYe-YNidaauo.rez Owner's Name: la.vr,at^c A. P. Number. Address: Sys 8S iQve,r�;�c, Tuarez Legal Description: City, ST, Zip: CA Ct 2.ZS3 Contractor: (jet er�� /q� � ' Telephone: ;;�F:• Address: 3t1 --7C) e 5 erv� Project Description: City, ST, Zip:- ?c�,l CA °l Zz�(o �ap1 acn S �� ' i�•�v.5 Telephone: -760- 43 - 7 $S 3 4 Statc Lic. # : (oN631 O City Lic. #; - Arch., Engr., Designer: Address: - City, ST, Zip: Telephone: .......................................... an nstructionTYPe: Occupancy: cY:Co State Lic. #: `Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 3, y 80 . O() # Submittal Req'd APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRACIQINIG PERMIT FEES Plan Sets PIan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Clieck Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"' Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Dccd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees