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BMCH2015-016878-495 CALLE TAMPICO 4 Td4t 4 4 QuiRro LA QUINTA, CALIFORNIA 92253'. COMMUNITY DEVELOPMENT DEPARTMENT'—'— BUILDING PER��MLT_� I P-1, . L AY 14 j�� Application Number: BMCH2O15 0168 2b�'niner � 4 Property Address: 78792 VIA CARMEL gy`��: ;��ROBERT K( APN: 6464300130('"•�."1!NrN�� Application Description: KOHLER RESIDENDCE / HVAC CHANGE OUT '92253-' Property Zoning: Application Valuation: $42,086.00 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 Date:.,S 14 lS Contractor: � LSA 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.). (1 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 Ad VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/14/2015 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. 11�b 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: _S I lil I IS Applicant: SQL 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: s I IS_ Signature (Applicant or Agent): _C^^�_ DESCRIPTIONS FINANCIAL INFORMATION .. ACCOUNT - �; QTY AMOUNT. PAID DATE= - BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 PAID BY i METHOD RECEIPT # ; CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00 DESCRIPTION v ;ACCOUNT QTY AMOUNT;. °•PAID PAID DATE. HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $217.56 $0.00 PAID BY METHOD b RECEIPT # . CHECK # .` A CLTD:BY . DESCRIPTION fi, ACCOUNT ,,.. QTY AMOUNT. - ?'PAID ?"PAID - . PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $108.78 $0.00 -PAID BY p; p ~"" METHOD` RECEIPT,# CHECK # " CLTD BY Total Paid forCHANGEOUT: $326.34 $0.00 �. DESCRIPTIONkL' - ;� 'ACCOUNT QTY.` AMOUNT ,� PAID n PAID DATE. PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD: v RECEIPT # "CHECK #."_ CLTD BY " Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:00 Description: KOHLER RESIDENDCE / HVAC CHANGE OUT ` Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 5/14/2015 MFA Approved: Parcel No: 646430013 Site Address: 78792 VIA CARMEL LA QUINTA,CA 92253 Subdivision: TR 28343 'Block: Lot: 57 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $42,086.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 AODRESSI Details: 3 UNITS HVAC CHANGE OUT -18 SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. Printed: Thursday, May 14, 2015 12:48:11 PM 1 of 2 __ PHONE— , FAX, : � ' � EMAIL NAME TYPE. `_ NAME' , `. AODRESSI CONTACTS -CITY ESTATE .ZIP APPLICANT HARRISON ENTERPRISES INC DBA G 31-170 RESERVE DRIVE STE A THOUSAND PALMS CA 92276 ` CONTRACTOR HARRISON ENTERPRISES INC DBA G. 31-170 RESERVE DRIVE STE A THOUSAND PALMS CA 92276 OWNER ROBERT KOHLER 92253 Printed: Thursday, May 14, 2015 12:48:11 PM 1 of 2 __ Printed: Thursday, May 14, 2015 12:48:11 PM 2 of 2 �� SEQID _ INSPECTION TYPE . z INSPECTOR :SCHEDULED' COMPLETED a x 'DATE ';DATE -..: MECHANICAL FINAL" BLD ' '< ' CLTD DESCRIPTION , ACCOUNT t QTY AMOUNT PAID',` <. PAID DATE" RECEIPT # CHECK# METHOD PA1'6SY T BY ; _ hS .. BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $2.00 $0.00 BSA: HVAC CHANGEOUT - 101-0000-42402 0 $217.56 $0.00 SPLIT -SYSTEM HVAC CHANGEOUT - 101-0000-42600 0 $108.78 $0.00 SPLIT -SYSTEM PC Total Paid forCHANGEOUT: $326.34 $0.00 PERMIT ISSUANCE 101-0000-42404 F 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:0i Printed: Thursday, May 14, 2015 12:48:11 PM 2 of 2 �� SEQID _ INSPECTION TYPE . z INSPECTOR :SCHEDULED' COMPLETED a x 'DATE ';DATE RESULT' REMARKS NOTES MECHANICAL FINAL" BLD Printed: Thursday, May 14, 2015 12:48:11 PM 2 of 2 �� Bin # 0t y of La Q uin.ta Building 8T SafetyDivision P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012. ' Building Permit Application.and Tracking Sheet Permit # Project Address: O, �(MG� Owner's Name:o%er� Ko��GY A. P. Number: Address: Co ry e Legal Description: City, ST, Zip: L -r, (!S� Vj-,\A CA 922S_25 Contractor: ��++ l� erg, ��.r � �i-io \ -'7i Telephone. 60 I - `::`;s<•`:€ >€s#`;< Address: 3\ -fid ��Serv� r Project Description: City, ST, Zip: IV_,005 cQ CA 01 ZZ— 6 70e \9RcC. Ll 6h G.m le VAL S }ern Tel • O- -i .P hone (d 3 4 'f S 8 3 Z •o �� A S s i State Lic. # : (0$(o31D City Lie. Arch., Engr., Designer: Address:. City., ST, Zip: Telephone: <' Xii Construction s uction T y Pe: Occupancy: aLic. State L c #. Project type (cir cle one w e : N Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 442, p,2.10 , CCO APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING 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 Cates. Plans picked up Construction Flood plain pian 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 corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date o-fpermit issue School Fees . Total Permit Fees CERTIFICATE!OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) Project Name: ROBERT KOHLER I Date Prepared: CF111-ALT-02-E (Page 1 of 3 ). 2015-05-12 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 CF111-ALT-02 document for each dwelling unit. O3 Project Name ROBERT KOHLER 02 Date Prepared 2015-05-12 03 Project Location 78792 VIA CARMEL 04 Building Type Single family O5 CA City,. La Quinta 06 Dwelling Unit Name ROBERT KOHLER 07 Zip Code 92253 08 Dwelling Unit Conditioned 2700 ! Installing 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 3 component? I feet of.ducts? duct system? unit. Alteration Type B. Space Conditioning (SC) System: informationOR A 01 02 03`. AN, 04:. X05 e� 06a. 07 � 0 09 10 is the SG a wa Installing a 44 � SC System SC System CFA served , INystem a refngeantIlnstalling�new 5Cnstaling Il�ns�tallig Installing 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 I System 1 Location 1 900 Yes Yes Yes No No No Altered space conditioning system System 2 Location 2 900 Yes Yes Yes No No No Altered space conditioning system � System 3 I Location 3 900 Yes Yes Yes No No No Altered space conditioning system I C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib) This section does not apply to this project. i Registration Number: 215-A0125798A-000000000-0000 CA Building Energy Efficiency Standards -.2013 Residential Compliance Registration Date/Time: 2015-05-12 16:00:44 Report Version: 2014-03-31 Schema Version: 0.555SDD HERS Provider: CalCERTS Report Generated: 2015-05-12 15:58:33 CERTIFICATE 1OF 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)1E and F) 01 02 03 04 OS 06 07 08 09 10 11 12 j 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 gas All new Central split All new This field or This field or System 1 furnace heating AFUE 0.8 AC cooling SEER 18 Setback section is not section is not components components applicable applicable Central gas All new Central split All new This field or This field or System 2 furnace heating AFUE 0.8 AC cooling SEER 18 Setback. section is not section is not components components applicable applicable Central split All new Central split All new This field or This field or System 3 HP heating; AFUE .:. 0.8 HP cooling SEER 13 Setback section is not section is not i components components applicable applicable Required Documentation: CF211-MCH-01-E i Space Conditioning Systems Ducts�and Fans Duct insulation requirement for new plenums R6 . R�teSen CF2R-MCH-20-H & CF3R-MCH-20 H —Duct Leakage testing req reden heating orcooling-coAmponents are install dn.dptem, or than 40 ft of duct length.is replaced. or Leakage rate compliance: 5 15Y, or 5 10% leakage to outside, seal all accessible leaks. . a x �+ ' r* � M ar CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigeran�t,containing components are installed or altered (applicablelin CZZ 2, 8-15)T 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 MECH-25. -Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F) . This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)iC) Registration Number: 215-A0125798A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance This section does not apply to this project. Registration Date/Time: 2015-05-12 16:00:44 Report Version: 2014-03-31 Schema Version: 0.555SDD HERS Provider: CaICERTS Report Generated: 2015-05-12 15:58:33 I CERTIFICATEIOF 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: � Jan�acobJr Jacoby, Ian i Company: I Signature Date: Stratz Permit Service 2015-05-12 15:58:29 Address: CEA/ HERS Certification Identification (if applicable): 5858 Dovetail; Drive' City/State/Zip: i Phone: Agoura Hills CA 91301 818-735-7876 ResponsibleiPerson'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 f 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 manufavc�tured 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 egulations �* " ��14 4. The building design features or system design features identified onhis Certificate of Compliance are consistent wit%hsthe information;provided on other applicabie'compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for'approval with this building permit application. 5. 1 willensurethat a registered copy of this Certificate of Compliance shall be;made available with the buildingip.ermit(t):issued forCthe building, and:made available to the enforcement agency for all applicable inspections. I understand that a registered copy of thisCertlficate of Compliance is:required to by included with the documentation the builder provides tothebuilding owner at occupancy. Responsible Designer Name: _ Responsible Designer Signature: V I9ni Valdez, Dayana Company: Date Signed: HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING 2015-05-12 16:00:44 Address: License: 31-170 RESERVE DRIVE STE A 686310 City/State/Zip: j Phone: THOUSAND PALMS CA 92276 (760) 343-7488 1 I i 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-A0125798A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2015-05-12 16:00:44 Report Version: 2014-03-31 Schema Version: 0.555SDD HERS Provider: CaICERTS Report Generated: 2015-05-12 15:58:33