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BMCH2015-024678-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T,iht 4 lwQu&ro COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 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.: 985406 ,. Date: -Z L//J 2 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 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 forsale. 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.dia 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: VOICE (760) 777-7125 FAX (760)777-7011 INSPECTIONS'(760) 777-7153 Date: 7/2/2015 Owner: HOUSING AUTHORTY OF CITY OF P 0 BOX 1504 LA QUINTA, CA 92253 Contractor: GREENUP AIR CONDITIONING AND H P 0 BOX 7431 LA QUINTA, CA 92248 (760)771-2920 Llc. No.: 985406 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of Uie 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. Date: / Z Applicant: WARNING: FAILURE TO SECURE WORKERS' COM?ENSA OVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA_ 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 applica-rion 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 thework 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 Vthin 180 days from date of issuance of such permit, or cessation of work for 180 days vM 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 ordina.ues and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above- mentioned bove- mention dproperttyjfor inspection purposes. Date: / Signature (Applicant or Agent): Xpplication Number: BMCH2O15-0246 Property Address: 53880 AVENIDA NAVARRO APN: 774175007 Application Description: CITY OF LAQUINTA Property Zoning: Application Valuation: $5,885.00 Applicant: GREENUP AIR CONDITIONING AND H P 0 BOX 7431 LA QUINTA, CA 92248 T,iht 4 lwQu&ro COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 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.: 985406 ,. Date: -Z L//J 2 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 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 forsale. 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.dia 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: VOICE (760) 777-7125 FAX (760)777-7011 INSPECTIONS'(760) 777-7153 Date: 7/2/2015 Owner: HOUSING AUTHORTY OF CITY OF P 0 BOX 1504 LA QUINTA, CA 92253 Contractor: GREENUP AIR CONDITIONING AND H P 0 BOX 7431 LA QUINTA, CA 92248 (760)771-2920 Llc. No.: 985406 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of Uie 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. Date: / Z Applicant: WARNING: FAILURE TO SECURE WORKERS' COM?ENSA OVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA_ 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 applica-rion 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 thework 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 Vthin 180 days from date of issuance of such permit, or cessation of work for 180 days vM 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 ordina.ues and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above- mentioned bove- mention dproperttyjfor inspection purposes. Date: / Signature (Applicant or Agent): FINANCIAL INFORMATION :DESCRIPTION ' Y" p ' L sQTY " ",s`AMOUNT=4 z PAID z `'' PAID DATE ,ACCOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY 3 METHOD t ;RECEIPT # �Ai h' CHECK # ` ;CLTD BY" Total'Paid for BUILDING STANDARDS 'ADMINISTRATION BSA '$1.00 $0.00 -DESCRIPTION ��= ��� �`� � Y�� s x�ACCOUNT �' � 9ygT. AMOUNT' PAID � � *� +PAID„DATE. 4 '-3yb Fes. <i -hX` � ori, ek 3l {,j HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $72.52 $0.00 $�i PAID BY'r F� ”, METHODS y ::RECEIPT #� CHECKS CLTD BY . g� DESCRIPTION, A000UNT QTY §' AMOUNT k PAID � rt `PAID DATE a. HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0. $36.26 $0.00 " � - PAID>BY ,E METHOD t #a f f g 5CHECK # CLTD BY ' . a K x:YRECEIPT Total Paid forCHANGEOUT: $108.78 $0.00 ,;DESCRIPTION': *_,n' s"qTY AMOUNTs,s PAID PAID;DATE. xf ; 4�ACCOUNT t:` PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD " �� RECEIPT#k. z CHECK# CLTO BY j. P f ; Total Paid forPERMIT ISSUANCE: $91.85 $0.00 TOTALS:• 00 Bin # City of La Qulnta Building 8'r Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # bMC 0 201 Project Address: �3�0� �( Q UvQV�i�� Owner's Name: C� Lc'--Q'k� (* Q A. P. Number: Address: 53g$ O V Qn0 a- 1 VQVck-v-,r(---) Legal Description: City, ST, Zip: L-wQ Lk -"t n+ck- a 3 l, Contractor:GQ en Lkp p IC -A N e -0J, Telephone: -7W-7 _ <. Address: R0 , Go>c— -14 -3 t Project Description: 1 lie f.' C ^ Q f City, ST, Zip: l_1.J� Q�nf0.- - I ?Dq Telephone: _ / State Lie. # : City Lie. #;.0 Arch., Engr., Designer: Address: City, ST, Zip: Telephone: ep :;:::;::::::>:->; :<<?z:3s•>.::>:=>>:<z: 't?i•:v: is ..:... t -• ::z. Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n 'Alter Repair Demo Name of Contact Person: kJr� 1(ee n S Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rcq'd Recd TRACKING PERMIT FEES Plan Sets Plaa Check submitted Item Amount Structural Cala. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance. Title 24 Cala. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan god Review, ready for correctionsrssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading M HOUSE:- '"' Review, ready for correctionstiissuc Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fee Description: CITY OF LAQUINTA Type: MECHANICAL Subtype: Status: APPROVED Applied: 7/2/2015 EVA Approved: 7/2/2015 EVA Parcel No: 774175007 Site Address: 53880 AVENIDA NAVARROLA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 251 Lot: 16 Issued: UNIT 23 Lot Sq Ft: 0 Building Sq Ft: 0. Zoning: Finaled: Valuation: $5,885.00 Occupancy Type: Construction Type: Expired: - No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT. -14 SEER /SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. CONDITIONS Printed:. Thursday, July 02, 2015 10:26:45 AM 1 of 2 CRWIMEMS N w 777777 DESCRIPTION,. J BY MECHANICAL FINAL" BLD HVACCHANGEOUT- 101-0000-42402 0 $72.52 $0.00 SPLIT-SYSTEM HVACCHANGEOUT- 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 Tota.1 Paid for PERMIT ISSUANCE: $91.85 $0.00 N w PARENT PROJECTS ` . ' ` Phnted:.Thuraday July 02, '1S1O:Z6�SAw1 2nf2 ' ____-_-- ---- MECHANICAL FINAL" BLD PARENT PROJECTS ` . ' ` Phnted:.Thuraday July 02, '1S1O:Z6�SAw1 2nf2 ' ____-_-- ---- CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 ) Project Name: City of La Quinta Date Prepared: 201S-07-01 A. General Information CFIA-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be - documented, use one CHR -ALT -02 document for each dwelling unit. 01 Project Name ' City of La Quinta 02 Date Prepared 2015-07-01 03 Project Location S3880 Avenida Navarro 04 Building Type Single family OS CA City La Quinta 06 Dwelling Unit Name City of La Quirita 07 Zip Code 92253 08 Dwelling Unit Conditioned 1434 new SC Installing i Installing )astaIling Floor Area. (ft2) Identification or Location or Area by this SC .ducted containing Number of space conditioning more than 40 09 Climate Zane 15 10 (SC) systems in this dwelling 1 system? component? components? feet of ducts? unit. SC: system? B. Space Conditioning (SC) System Information 19taxa -eu 01 02 03 04 '�O!� Z-166 ` ° 67' 1p 68 ' 09 10 els the SC Installing a SC System SC System CFA served system a`- Mee antInstalling new SC Installing i Installing )astaIling Identification or Location or Area by this SC .ducted containing system more than 40 entirely new encirely new Name Served System (ft2) system? component? components? feet of ducts? duct system? SC: system? Alteration Type only system complete home 1434 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section1SO.2(b)1Diib) This section does not apply to this project. Registration Number: 21S-AO180037A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance I Registration Date/Time: 2015-07-01 16:14:59 Report Version: 2014-03-31 Schema Version: O.SSSSDD HERS Provider: CaICERTS Rep.rt Generated: 2015-07.01 16:15:14 CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -SR -ALT -HVAC) (Page 2 of 3 ) D. Altered Space Conditioning System (Sections 150.2(b)SE and F) 01 02 03 04 OS 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 All new This field or This field or Central split Central split only system Fancoil AHU HSPF 8.2 cooling SEER 14 Setba.k section is not section is not HP HP components applicable applicable Required Documentation: , CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. CF2R-MCH-20-H & MR -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 s replaced. -Leakage fate compliance: <_ 15%, or 5 10-A leakage to outside, or seal all accessible leaks. CF2R-MCH-25-H & CF311-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in C2 2, 8-15). CF2RCF3R-MCH-23 & CF3R.MCH-23 Air Flow 2 300 CFM/ton required when MCH -25 is required. Exceptions: :LX H- ti ,Tesstin •equine -Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct leakage Test ng r,`e�qu rements. fi ..@t°f' -Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH,23 or Refrigerant Charge,MECH 2i. 1 duct insulated DucCLeakage Testing -9.41 Existing systems constructed, or sealed with asbestos`afe exempt,from MCH 20 regmrements. z ?;� a. E. Entirely New or Complete Replacement Duct System, with or withouY_Equipment Changeout"(Sections 150 2(b)lDiia andtl58.2(b)lE, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 1S0.2(b)1C) . This section does not apply to this project. Registration Number: 215-A0180037A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2015-07-01 16:14:59 HERS Provider: CaICERTS Report Version: 2014-03-31 Report Generated: 2015-07-01 16:15:14 Schema Version: 0.555SDD -ERTIFICATE OF COMPLIANCE CF1R-ALT-02-E %Iterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 3 ) Documentation Author's Declaration Statement 1. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: OrianoCreeny Greenup, Brian Company: Signature Date: GREENUP AIR CONDITIONING AND HEATING 2015-07-01 16:14:59 Address: CEA/ HERS Certification Identification (if applicable): P O BOX 7431 City/State/Zip: • Phone: LA QUINTA CA 92248 (760)625-6537 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the Slate 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 Ccnpliance (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 land Part 6 of the California Code of Regulatio s AYp•,. ,/'+�'y`� � �`� t.. 4. The building design features or system design features entified ork this Certifier hof Compliance arercon;ekt with the m��formation.p°rov-ided onother-apphcable' minpliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval;w ih this building permit application. ip i 7. t S. I will ensure that a registered copy of this Certificate of Compliance shalbbe ade vailable wlth',the building poe mit(sLissued fo the build rig, a d.made avadable;toeehe enforcement agency for all applicable inspections. I understand that a registered copy of th sCertrficate of Compliancesis,required to be, included with the�documenta[ on the builder provides to the bu ildfng owner at occupancy. ' Responsible Designer Name: 3 t ii,.-. a '" -•� Responsible Designer Signasu a + Greenup, Brian �recna�� Company: Company: Date Signed: GREENUP AIR CONDITIONING AND HEATING 2015-07-01 16:14:59 Address: License: P O BOX 7431 985406 City/State/Zip:- Phone: LA QUINTA CA 92248 (760) 625-6537 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 o f the information. Registration Number: 215-A0180037A-000000000-0000 Registration Date/Time: 2015-07-01 16:14:59 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-01 16:15:14 Schema Version: 0.555SDD