BMCH2015-011978-495 CALLE TAMPICO'
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O15-0119
COMMUNITY DEVELOPMENT DEPARTMENT (/ 4 p INSPECTI
BUILDING PERMIT 9 �6
Property Address: 51412 CALLE ILOILO '
APN: 770165004
Application Description: LOPEZ / REPLACE (1) 16SEER/78AFUE AIR HANDLER AND HEAT PUMP
Property Zoning:
Application Valuation: $12,222.00
Applicant:
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE STE A
THOUSAND PALMS, CA 92276
�p C11y
MMUN11yp�F �o?AOUINt�
Owner:
VINCENT LOPEZ
, 92253
Contractor:
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE STE A
THOUSAND PALMS, CA 92276
(760)343-7488
LIc. No.: 686310
777-7125
777-7011
777-7153
4/9/2015
t
----------------------------------------------------------------- --------- -- ----------- -- - - - -
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
t
Da" 25 Contractor
" Cf
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
Contractof'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. 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 Nam
Lender's Add
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.
y I q I 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
IM PORTANT: 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.
l
Date: i a I Signature (Applicant dr Agent):
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name:
VINCENT LOPEZ I Date Prepared:
2015-04-08
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 CHR -ALT 02 document for each dwelling unit.
01
Project Name
VINCENT LOPEZ
02
Date Prepared
2015-04-08
03
Project Location
51412 CALLE ILOILO
04
Building Type
Single family .
05
CA City
La Quinta
06
Dwelling Unit Name
VINCENT LOPEZ
07
Zip Code
92253
08
Dwelling Unit Conditioned
1329
�Instaling
Lalli gInstalling
Floor Area (ft2)
Location or Area
by this SC
ducted
containing
system
Number of space conditioning
entirely new
09
Climate Zone
15
10
(SC) systems in this dwelling
1
component?
components?
feet of ducts?
duct system?
unit.
Alteration Type
B. Space Conditioning (SC) System Information
of � f � n
i11
01
02
03
€�
04111.
Z=-
b5 t
f-061 t
g
l 07i
08 11
09
10
\
-3 11s the St—
• 'Installing a'
SC System
SC System
CFA served.
system a+
r f ige�r ntInstalling
ew SC
�Instaling
Lalli gInstalling
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
1329
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-A0092003A-000000000-0000
Registration Date/Time: 2015-04-08 16:09:27
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-04-08 16:09:18
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFlR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -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
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 split
All new
Central split
All new
This field or
This field or
System 1
HP
heating
AFUE
0.78
HP
cooling
SEER
16
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF211-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 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 <_ 10% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF3R-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 >_ 300 CFM/ton required when MCH -25 is required.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH°23, or Refrigerant Charge MECHH-2
-Existing duct systems constructed, insulated or sealed with asbest557
4 x .-20 . . Y s . .._- .—. nks.
os are exempt from MCH -20 Duct Leakage Testing req uire`ments.
-
E. Entirely New•or Complete Replacement Duct System, with or without?Equipment Changeout{Sections 150.2(b)1DiiaandT150.2(b)lE, 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.
0
Registration Number: 215-A0092003A-000000000-0000 Registration Date/Time:' 2015-04-08 16:09:27 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-04-08 16:09:18
_ Schema Version: 0.555SDD
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: � //ia&,e
Valdez, Dayana
��// iZ
Company:
Signature Date:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-04-08 16:09:27
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 ofr egulation 1 f l a3 1 I� �� .--.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided onj other,applicable-compliance documents, worksheets,
� _.,. - ' � t i f
calculations, plans and specifications submitted to the enforcement agency for approvaltwith�this building permit application.
• s a. I k 1I.' i er . M l .4
S. I will ensure that a registered copy of this Certificate of,Compliance shall be made,available with the bwlding: permrt(s):issued forahe building, and made available oche enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is -required to be_ included with the documenta_tionthe,b6i'Ider pLovides to the building owner at occupancy.
w
Responsible Designer Name: ~, fL t
Responsible Designer Signature:
Valdez, Dayana
Company :
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-04-08 16:09:27
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 noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A0092003A-000000000-0000
Registration Date/Time:
2015-04-08 16:09:27
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-04-08 16:09:18
Schema Version: 0.555SDD
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT. PAID
PAID DATE
BSAS 561473 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 - OTHER EQUIPMENT
101-0000-42402
0
$72.52
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - OTHER EQUIPMENT PC
101-0000-42600
0
$72:52
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $145.04 $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 forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: LOPEZ / REPLACE (1) 16SEER/78AFUE AIR HANDLER AND HEAT PUMP
CONDITIONS
Type: MECHANICAL
Subtype: Status: UNDER REVIEW
Applied: 4/9/2015 SKH
Approved:
Parcel No: 770165004 Site Address: 51412 CALLE ILOILO LA QUINTACA 92253
Subdivision: DESERT CLUB TR
UNIT 2 Block: 3 Lot: 21
Issued:
Lot Scl Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $12,222.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
92276
Details:
CONTRACTOR
t
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME ADDRESSI CITY
STATE
ZIP PHONE
FAX
EMAIL
APPLICANT
HARRISON ENTERPRISES INC DBA G 31-170 RESERVE DRIVE THOUSAND
STE A PALMS
CA
92276
CONTRACTOR
HARRISON ENTERPRISES INC DBA G 31-170 RESERVE DRIVE THOUSAND
STE A PALMS
CA
92276
OWNER
VINCENT LOPEZ
922S3
Printed: Thursday, April 09, 2015 2:02:50 PM 1 of 2
SYSTEMS
µDESCRIPTION
_
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
_
—[G—LTE
ACCOUNT
QTY
AMOUNT
PAID
PAIDDATE
RECEIPT #
CHECK #
METHOD
PAID BY
'BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
HVACCHANGEOUT-
101-0000-42402
0
$72.52
$0.00
OTHER EQUIPMENT
HVAC CHANGEOUT -
101-0000-42600
0
$72.52
$0.00
OTHER EQUIPMENT PC
Total Paid forCHANGEOUT: $145.04 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:•0
INSPECTI
NS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL" BLD
"REVIEWPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
ATTACHMENTS
Printed: Thursday, April 09, 2015 2:02:50 PM 2 of 2
SYSTEMS
Bin # Qty of La Quinto.
Building &r Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico .
Ol l9. La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: S1l Z CG�� Owner's Name: 'V, VNCC r,.k Lc�GZ
A. P. Number:
Address: Sit+ j-Z C�11 (ni 1 b
Legal Description:
City, ST, Zip: L� ��h�� CA, x.z2S3
Contractor: eher .� A� C
telephone:h nc:
Address: 3W)0 �tSe v`��
Project Description:
City, ST, Zip:' i s 71 CA q Z-L-7b
1Ze �
Telephone:-7 03 _
`......::s: ;« ;::>s:;•:> c >,s><s<; <::z;::::«;
err
State Lie. #: (-%(o-3 I b
City Lie. 41.-
:Arch.,
Arch.,Engr., Designer:
Address:
City., ST, Zip:
Telephone:
cP
'=%'
..............
Occupancy:
Construction Type: cY:
State Lie. #:
Project type (circle one): New Add'n n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
it Stories:
#! Units:
Telephone#of ContactPcrson:
Estimated Value of Project: dZl2ZZ..C�'�
/J Submittal Req'd
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd TRACKING PERMIT FEES
Plan Sets
PIan Check submitted
Item
Amount
Structural Cates.
Revic`ved, ready for corrections
Plan Chcck Deposit
Truss Calcs.
Called Contact Person
Plan Cheek Balance.
T7itle.24 Calcs.
Plans pickcd up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subeontaetor List
Called ConlactPcrson
Plumbing
Grant Decd
Plans pickcd up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
INIIOUSE:-
3" Review, ready for correctionstissuc
Developer Impact Fee
Planning Approval
Called Contact.Person
A.I.P.P.
Pub. Wks. Appr
Date' of permit issue
School Fccs
Total Permit Fees