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BMCH2014-108778-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O14-1087. Property Address: 151565 AVENIDA VALLEJO APN: 773131015 Application Description: HVAC CHANGEOUT Property Zoning: '—Application Valuation:. $8,642.00 r Applicant: GENERAL AIR CONDITIONING 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 A SEP 23 2014 CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT 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: License No.: :LIC -0003606 Date: G 23 1�1 Contractor: SZCQ_m �— 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, 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.). ( 11, as owner of the property, am exclusively contracting with licensed contracto rs. 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 witha 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 Lender's Add Owner: LARRY HIGGINS P0BOX 261 BANNING, CA 92253 VOICE (760)777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: i GENERAL AIR CONDITIONING 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 (760)343-7490 LIC. No.: :LIC -0003606 -1 Date: 9/23/2014 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. LSS 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: 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 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: C'1 2:1 14 Signature (Applicant or Agent): ?fc� FINANCIAL INFORMATION 6 1: 'DESCRIPTIONS a `*' ' ,X ACCOUNT ,. PAID DATE' * ' $ AMOUNT PAID't, „QTY "'.;, �.. 3' y2 °f"a.,. .0 :#. - .-SYI. .x' .: 4. '"•- r. m Fp BSAS SB1473 FEE 101-0000=20306 0 $1.00 $0.00 qq Pt-' 2E'� ! d o ' s yY •:k 4iY.'r\ S'-C.':yd"Ye ,�� ,k f `s ;:RECEIPT # CHECK # €* CLTD BY ;zPAID'Bl( • z ..:;METHOD�n � 7,74,: .4�-: ,,...t Total Paid for BUILDING STANDARDS ADMINISTRATION BSA -$1.00 $0.00 �3 y;r�i. .:3?•' 4': .. .,'?-. rke,a DESCRIPTIONgACCOUNT +: t._, •uuiy.#: -:a ^S6 -�#i .r.-. z QTY .fig: �f 14MOUNT�g q`i,.ta 8 'G.$.+&3 .�.s -ui•: R` zP�11D� ;Y:;?6i� '� wb::��'i e>'.. PAID DATE- rX' r° 4 HVAC CHANGEOUT - SPLIT -SYSTEM . 101-0000-42402 0 $72.52 $0.00 `PD Bl(4.! AI V z;> y..:. METHOD ��aa ". RECEIPT #� ° ..: CLTD BY *,•.. <�..,::` a w...aA: ,-.. :. rx i 4 z ` �; DESCRIPTIONzz « '' A000UNT QTY a ` ` AMOUNT ' S 'PAID ' PAIDMATE .z�., ,'1, _r_.x v � • � ..•� e ,: HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $36.26 $0.00 ;BY,'5' BYf METHOD : cru YS' RECEIPT #4:? a'�. kms` }4t. ...:Vx i CHECK#. .i+•' ':. ..a{fi; ,PAID �� CLTDBY Total Paid forCHANGEOUT: $108:78 $0.00 ;4+* xt. z DESCRIPTION ` ''ACCOUNT s g� s AMOUNT ':'i g 'nom ' PAID a ` PAID DATE:' 4 sc gTYa : b . PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 n PAID`BY` METHOD �3�.::: # �CHECK # CLTD BY;f &%.,..� -vkF , ..:.'RECEIPT r 2°' Total Paid for PERMIT ISSUANCE: .$91.85 • $0.00 60 Bit, # Qty of La Qulnta "Building & Safety Division (�P.O. Box 1504, 78-495 Calle Tampico. La Quinta, CA 92253 - (760) 777-7012 Building Permit Applicdtion and Tracking Sheet Permit # ( y� Project Address: G` o—bs Owner's Name: ss Lcrr1'yq,4,s A. P. Number: Address: 1 S !os A j ey%�Q . V m-1 k e j o Legal Description: City, ST, Zip: Lm &ui h o,CA RZ ZS'3. Contractor: ��C.t�.1 Telephone: q0q-Z2_2--34eF09 �.':•::�•*::>::>«:.:;>>-:N«:::: Address:3100 t�Se Project.Description: City, ST, Zip: i ve' Gi�nd GA 3 -,SA - ti A Coll,' Telephone. -7160- $,moi 3- -7*2a a(� Opp �'C l i '�u er Amt.* State Lic. # :. G(0 3"10 City Lie. #.-.. Arch., Engr, Designer: Address: Cth', ST, Zip. Telephone: <z:Construction .::. Type: Occu an Y: ProJect hPa circle one): New Add'n Alter Repair Demo. State Lic Name of Contact Person:e� -P Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: QS 1- 2-4) - 4R--& Estimated Value of Project: t (gd 2. ©tom APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACMG PERMIT FEES. Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Chcck Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" 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 IN HOUSE:- 3" Review, ready for correctionsrtssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Iw Description: HVAC CHANGEOUT Type: MECHANICAL Subtype: Status: SUBMITTED Applied: 9/23/2014 MFA Approved: Parcel No: 773131015 Site Address: 51565 AVENIDA VALLEJO LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 54 Lot: 3 - Issued: UNIT 5.. ' Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $8,642.00 Occupancy Type: Construction Type: Expired:, No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT -13.5 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. .: , a...L d G!. ":' 44tH"t"Nf�'A'!1 f ','•,�': ', `. . !.a A',...d �.!" .... N ,�- ...� ..... ,,. . A ..A ,. n. . ! ..�..... ..................«.. ... 'ADDITIONAL SITES ...... er.r d.hn...h:.'.M M1. �� • 1'.!.:A ....M1 l�1 M1: A.5t!'f1M1.VN 111.:'... V �" A��'.. i, . CHRONOLiPNY u. r�_ �4 ,rlA"yr r' ! ..It''AV' ! `''':C `' 4''+'1 �I t�::.Ji. .' � k a' S d„!�!!11 tt b�:i4, "'.Y! .. Printed: Tuesday, September 23, 2014 11:59:59 AM 1 of 2 "I . . . . . . .... .... . . . . . . . . . .. . I?ARFNT,,..PROlFrTs,,,, LbLKIPzl I �P ID DATE RE :CHECK h HVACCHANGEOUT- 101-000042402 0 $72.52 $0.00 SPLIT -SYSTEM - HVACCHANGEOUT- 101-0000-42600 0 $36.26 $0.00 •SPLIT -SYSTEM PC - - Total Paid f6rCHANGEOUT: $108.78 .$0.00 PERMIT ISSUANCE 101--0000-.4240-4 0 -7-F,$91.85-' $0.06 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS; . .... ... .. . . . . . . .... .... . . . . . . . . . .. . I?ARFNT,,..PROlFrTs,,,, a CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 4 ) Project Name: _ LARRY HIGGINS Date Prepared: 2014-09-18 A. General Information CF1R-ALT 02 is applicable to multiple space`conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one MR -ALT 02 document for each dwelling unit. 01 Project Name LARRY HIGGINS 02 Date Prepared 2014-09-18 03 Project Location 51565 AVENIDA VALLEJO 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name LARRY HIGGINS - 07 Zip Code 4 92253 08 Dwelling Unit Conditioned " 1446 • Floor Area (ft2) SC System SC System- CFA served system a refrigerant Number of space conditioning Installing 09 Climate Zone 15 ._; 10 (SC) systems in this dwelling 1 ddcted containing ,., more than 40 unit. entirely new g B. Space Conditioning (SC) System$ Information * qg Ol 02 Aa 03f ' a 04 05 'f 06, c """ ° ' 07 ° 08 - 09 '10 Installing SC System SC System- CFA served system a refrigerant Installing new SC Installing Installing Installing Identification or Location or Area; xb t iis�SC' ddcted 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, - 1446 -- .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: 214-A0097329A-000000000-0000 Registration Date/Time: 2014-09-18 20:58:30 CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Schema Version: 0.551SDD HERS Provider: CaICERTS Report Generated:'2014-09-18 20:59:01 r- - CERTIFICATE OF COMPLIANCE CF111-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 4 ) 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 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 Co Type • Value System Typ Type -Value -Type Duct Length R -Value Central gas All new All new Central split This field or This field or System 1 • furnace heating AFUE 0.78 cooling AC• SEER 13.5 Setback section is not section is not componen _ components applicable applicable Required Documentation: _ ' CF2R-MCH-01-'E -Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. *3` 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. v -Leakage rate compliance: 5 15%, or 5 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 >_i.300 UM/ton-required when MCH -25 iwgquired Exceotions:' k" r pd> , . r - -Duct systems registered with HERS provider as previously sealed are -exempt from:MCH-20 Duct Leakage Testing requrzements -Heating-only systems and Air Handler/Furnace changes do not require verihcat%mof Air Flow MCH'23; or Refrigerant Charge MECH'-25 -Existing duct systems constructed, insulated or(sealed with,asbestos are :exempt from MCH -20 Duct Leakage Testing regwrements ?.:: b F FII af:i .k,z n,iw% �,sr -•." .f . , Registration Number: 214-A0097329A-000000000-0000 Registration Date/Time: 2014-09-18 20:58:30 _ - HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-18 20:59:01 Schema Version: 0.551SDD - w CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 4 ) -7 , r .' - mow-, .. ... � S - .. -. ... - ,. _ .. - - ... - 1. _ • ... - _ - ... -- . - ... .- � __ .. ,� «. -« - - .. _ J .-. _ _ _ •.c - - - _ '- pit .,, _ _ _ � .. � -- -- - __ ..--• - - � - - - - - - � - r- - - � ' - _ Registration Number: 214-A0097329A-000000000-0000 Registration Date/Time: 2014-09-18 20:58:30 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-18 20:59:01 Schema Version: 0.551SDD 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 2014-09-18 20:58:30 Address: CEA/ HERS Certification Identification (if applicable): 31-170 RESERVE DRIVE STE A City/State/Zip: Phone: THOUSAND PALMS CA 92276 4 (760) 343-7488 Responsible Person's Declaration statement":. ` certify the following under penalty of perjury,•under the laws of the State 6i California: 1. The information provided on this Certificate of Compliance is true and correct. 2. I am eligible under Division 3 of the Business,and.Professions Co o ac pmt responsib li fors t e buildmvv :V gn or ,,system,design identified on this Certificate of Compliance (responsible designer). 3. That the features manufactured devices:for the:building design or design identified Certificate energy and performance specifications, materials components>and system on this of Compliance conform to the . z �....� requirements of Title 24, Part 1 and Part E:of the Calrforma Code of Regulations. �g ; 4. The building design features or system design features identified 66 this Certificate of Compliance are consistent withktlie mformation"provided on other applicable compliance documents, worksheets, fry' �, �"ri"- 1a: �'Ck"L%�E£c'„ ,yw{. calculations, plans and specifications submitted,to the enforcement agency for approval with this building perrnrt appllcation' 5. 1 will ensure that a registered copy of this Certificate of(Compliance,shall beFinade available-xwith the,building permits) Issued foc the build g and 6, available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate 6KCompliance is'required to`be included.with the`documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Valdez, Dayana Company : `` Date Signed: HARRISON ENTERPRISES INC dba.GENERAL AIR CONDITIONING 2014-09-18 20:58:30__. Address: License: 31-170 RESERVE DRIVE STE A 686310 City/State/Zip: F 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 s information. Registration Number: 214-A0097329A-000000000-0000 w Registration Date/Time: 2014-09-18 20:58:30 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-18 20:59:01 Schema Version: 0.551SDD '