BMCH2015-00731 `
raw
78-495 tALLE TAMPICG" `
LA QUINTA, CALIFORNG, -,<<53 COMMUNITY DEVELOPMENT DEPARTMENT
BUI
Application Number: BMCH2O15-0073
Property • Address: 53677 VIA BELLAGIO MAR 17 2015
APN: 777170009
Application Description: MAVREDAKIS RESIDENCE HVAC CHANGE OUI CnYOFLAOUINTA
Property Zoning: COMMUNITYDEVELOPMENT DEP
Application Valuation: $10,596.00
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 1 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
D J --*>I
I—) I Ig COf1to-j3ctor:
RRR/
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. 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 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: 3/17/2015
HN MAVREDAKIS
CREST ROAD E
ILLING HILLS, 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 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
c ply with those provisions.
Date: 3 1—)l Applie nt:
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.
c _ �
Date: 17 tJ Signature (Applicant orAdelnt):
CERTIFICATE OF COMPLIANCE CFIR=ALT-02-E-
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: JOHN MAVREDAKIS Date Prepared: 2015-03-16
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 CFIR-ALT-02 document for each dwelling unit.
01
Project Name _ _
JOHN MAVREDAKIS -
02
Date Prepared
2015-03-16 ° - -
03
Project Location
53677 VIA BELLAGIO
04
Building Type
Single family
05
CA City
La Quinta
" 06
Dwelling Unit Name
JOHN MAVREDAKIS
07
Zip Code
92253
08'
Dwelling Unit Conditioned
4235 ` -
-
''°
Floor Area (ft2)
SC System
SC System
CFA's_erved
`
refrigerant
Number of space conditioning
Installing
09
Climate Zone
15 -
10
(SC) systems in this dwelling
1
dticted! .
- containing
-
more than 40
unit.
entirely new
B. Space Conditioning (SC) System'Information f
01
02
031
04 F.;
OS '
f ;'j 06 _
= 07
'"a�''08
09
10
_
=
is the SC, _
Installing a
''°
SC System
SC System
CFA's_erved
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area
"�"by this'SC
dticted! .
- 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
4235
Yes
Yes•
Yes
No
No �'
No
Altered space
conditioning system
Registration Number: 215-AO07047OA-000000000-0000 Registration Date/Time: 2015-03-16 18:00:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-03-16 17:59:49
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-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)lE and F)
01
02
03
04
05
06
07
08
09
10 -
11.
12
Heating
Cooling
41
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
All new
This field or
This field or
System 1
furnace
component
section is not
section is not
� AC
'cooling
SEER
16
Setback
section is not
section is not
altered
applicable
applicable
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 & 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: <_ 15%, or 5 10% leakage to outside, or seal all accessible leaks. - 1,
CF2R-MCH-25-H & CF313-MCH-25-11 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: f' * .. P77771`77
-Duct systems registered with HERS provider as prevwusly sealed are exempt from MCH -20 Duct LeakagelTestmg regwrements
-Heating-only systems and Air Handler/Furnace changes do not req ire venficatlon of Air Flow MCH -23; or Refrigerant Charge MECH-25 ,
,
-Existing duct systems constructed, insulated or sealed with -asbestos are exempt from MC, -20 Duct Leakage Testing'equirements., �)1
"°4 '*try; 3t��:� s.a."r, :.,ap-.'w�Y"�-:k y��...n,','n^' ..9 ,.•x s'r ac...� j+��' •^^q,��a'�:'-.�+�F: i;:... -•�iy.
E. Entirely New or Complete Replacement Duct System; with or without Equipment Changeout (Sections 150.2(b)Wiia and 150.2(b)1E, F)
This section does not apply to this project.
Registration Number: 215-AO07047OA-000000000-0000 Registration Date/Time: 2015-03-16 18:00:12 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-03-16 17:59:49
Schema Version: 0.555SDD '
IAlterations 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:y
Valdez, Dayana
Company: t
Signature Date: _
HARRISON ENTERPRISES INC'dba GENERAL AIR CONDITIONING
2015-03-16 18:00:12.
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,Par 6 of the California Code of Regulations. j j j l -; u• -
4. The building design features or system design features identified on this Certificate of Compliance are consistent withJhe information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted.to the enforcement agency for approval with this building permit application
S. I will ensure that a registered copy of this Certificate of Compliance. shall be made available.with the building permlt(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 builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature: � "o,
Valdez, Dayana
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-03-16 18:00:12
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-A0070470A-000000000-0000 Registration Date/Time: 2015-03-16 18:00:12 , HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-03-16 17:59:49
' Schema Version: 0.555SDD . '
DESCRIPTION'
� � ; �..
FINANCIAL INFORMATION ••
"`
�' .• ACCOUNT ��' QTY;
`- i4MOUNT, �
� `PAID �'
' d ,PAID DATE
BSAS SB1473 FEE
101-0000-20306 0
$1.00
$0.00
RECEIPT#k&. e'
CHECK# i dTD BYE:
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
' ':'DESCRIPTION `i r � , '-'
' • ,,,ACCOUNT,,.:,,, {
QTY'
AMOUNT
-W PAID
PAID DATE
CONDENSER/COMPRESSOR
101-0000-42402
0
$36.26
$0.00
a �PAID.BY -", i;
s METHOD ; ,
RECEIPT # C` «,
;& CHECK K #
CLTD BY;
f
DESCRIPTION:" r
ACCOUNT ,-.
`QTY;
� AMOUNT ,
,,, PAID "+
;PAID DATE
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$24.17
$0.00
sx PAID BYw ` G:
METHOD :`j. '
`P .'RECEIPT# ,
CHECKt#
CLTD BY"~
k
Total Paid forMECHANICAL: $60.43 $0.00
b DESCRIPTION i ` ^f
V .,ACCOUNT
=QTY
a� AMOUNT:`
PAID `
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
E PAID BY
N 'METHOD,
RECEIPT#
C•, f,CHECK # s'
`CLTDBY
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: MAVREDAKIS RESIDENCE HVAC CHANGE OUT
Type: MECHANICAL Subtype:
Status: APPROVED
Applied: 3/17/2015 MFA
Approved: 3/17/2015 MFA
Parcel No: 777170009 Site Address: 53677 VIA BELLAGIO LA QUINTA,CA 92253
Subdivision: TR 29894-2 l Block:
Lot: 321
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $10,596.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: HVAC CHANGE OUT - REPLACE 3 TON CONDENSER [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
CONDITIONS
FINANCIAL INFORMATION
Printed: Tuesday, March 17, 2015 3:00:02 PM 1 of 2
SYSTEMS
DESCRIPTION
ACCOUNT
T-------
QTY
AMOUNT
PAID
PAID DATE
'RECEIPT #
�
CHECK #'
-tip
PAID BY,
CLTD:
,.METHOD
BY.,
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
CONDENSER/COMPRES
/
101-0000-42402
0
$36.26
$0.00
SOR
CONDENSER/COMPRES
SOR PC
101-0000-42600
0
$24.17
$0.00'
Total Paid for MECHANICAL: $60.43 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
•
EQID INSPECTION TYPE INSPECTOR SCHEDULED I COMPLETED RESULT REMARKS NOTES
DATE DATE ,
MECHANICAL FINAL" BLD
. PARENT PROJECTS
REVIEWS
RETURNED 'STATUS REMARKS
REVIEW TYPE REVIEWER SENT DATE DUE DATE DATE NOTES
Printed. Tuesday, March 17, 2015 3:00:02 PM
nnNn INFnRMATInN
A.TTaCFIMENT
2of2
Iain #' .�.
City of La Quinta.
Building &Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet ;
Permit #
Project Address: 3 v; ��l G o
Owner's Name: V O� C_� 'xsl ie . Me.v fdde
A. P. Number:
Address: 5 -�,f -7-7 V C
Legal Description:
City, ST, Zip: L. c�, Qv i vAa CA Q2Z53
Contractor:. Ge \exoj A;,
Telephone: 3l0- 5144-x4405
Address: • 31k -7C) �eSZCvt oc-
Project Description:
City, ST, Zip: I V\Ov5c.-hcj PCt Arlrls C C'9ZZ-7(o
3N Cc,,aevi
Te1hoc. n • U-
i(e
o P 3 37 8 8
� y
State Lic. # :
City Lie. #..
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
n n Type: Occupancy:
Co structioY P
State Lic. #:
Add'n Alter Repair Demo ect tyPa circle one)
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone #,of Contact Person:
Estimated Value of Project: 1 O , S Cl (o . CXJ
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'd
Rcc'd
TRACMG
PERMIT FEES,
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check 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 Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''" Review, ready for eorrectionsCssue
Developer Impact Fee
Planning Approval
Called Contact.Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Pecs