BMCH2014-100478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning: .
Application Valuation:
BMCH2O14-1004
Twr4l&4"
COMMUNITY. DEVELOPMENT DEPARTMENT
BUILDING PERMIT
79963 N PARKWAY ESPLANADE
609630014
REPLACE 5 TON HVAC
$6,000.00
Applicant:
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE STE A
THOUSAND PALMS, CA 92276
Owner:
JASON KOSTELECKY
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/3/2014 .
92253
D°
JUL 20% Contractor:
HARRISON ENTERPRISES INC DBA G
CITY OF LAQUINTA 31-170 RESERVE DRIVE STE A
FINANCE DEPT. 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
Dato"% 1>,} 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 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.).
(__j 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:
(760)343-7488
Lic. 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.
. ?y
��.-�+!�hhave and will maintain workers' compensation insurance, as required by
Sectio 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: _ Polity Number: aear%, +\ Gam. 0717-t t 5U3
_ 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.
'3111,*
A� p icant: �+�-cJ7�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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- � ) 4 Signature (Applicant or Agent):
Permit Number: BMCH2O14-1004 Description: REPLACE 5 TON HVAC
Applied: 7/3/2014 Approved: 7/3/2014
Site Address: 79963 N PARKWAY ESPLANADE
Issued: 7/3/2014 Finaled:
lcity,.State Zip Code: LA QUINTA, CA 92253
Status: ISSUED
Applicant: HARRISON.ENTERPRISES.INC DBA G
Parent Permit:
Owner: JASON KOSTELECKY
Parent Project:
Contractor: HARRISON ENTERPRISES INC DBA G
Details:
HVAC CHANGE OUT 16SEER/78AFUE SPLIT SYSTEM [2008 ENERGY]CARBON.MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA,BUILDING CODES.
_gas ...,,. ..� _. • ... >.: ., • ,. ;.
Printed: Thursday, 03 July, 2014 1 of 1 rst:• fs
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAlterations CF -IR -ALT -HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
79963:PARKWAY ESPLANADE N La Quinta, CA 92253
City of La Quinta
Jun 30, 2014
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
® Furnace
® Indoor Coil
® AFUE 78%
® SEER 16.0
0 COP
❑ HSPFIf
❑ R 6 (CZ 10-13)
Served by system
® Setback
not already present, must be
® Condensing Unit
� EER
❑Resistance
❑ R 8 (CZ 14-15)
2172 sf
Installed )
❑ Other
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -IR -ALT -HVAC for each system.
2. Minimum Equipment Efficiencies. 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems.
HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done
and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall
be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this
form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF -6R and registered CF -4R
forms (no hand filled CF-4Rs allowed) are filled out and signed. Beginning October 1, 2010, a registered copy of the CF -IR
and CF -6R shall also be on site for final inspection.
® 1. HVAC Changeout
Required Forms:
.All HVAC Equipment
CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
replaced
CF -4R forms: MECH-21 and (for split systems) MECH-25
. Condenser Coil and /or
CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
. Indoor Coil and /or
CF -4R forms: MECH-21 and (for split systems) MECH-25
. Furnace
For Split Systems: Duct leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH
Exempted from duct leakage. testing -if,
❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or
❑ 2.. Duct systems with less tli:66:40 linear feet in unconditioned space, or
p 3; Existing duct systems am.-i"structed, insulated or sealed with asbestos
[14. The system will not be Ducted '(ie. Ductless Mini -Split System) (Also Exempt from Refrigerant Charge)
❑ 2. .New HVAC System
Requiredf:.Forms:
. Cut in or Changeout::°kith
CF 6R forms MECH-_O U'. ECH 20 HERS, aril (for split systems) MEGH �2 HERS; and
newIRr.
t.
ducting and all new ;<�
_ ..,. .
,.;,
,.
CF -4R forms MECH-20,. and (Fnrsplit systerms) MECH 22, and MECH 25
equipment).'
=.......::... ' ;.'. ......__....... '::....
For Spht Systems::.Duet teakageFr Crrpercent; RC, CGA 350 CFM/ton, FWD, TMAIi,tSTMS;.and::either f}5PP nr PSPP
.Duct. ea.ka a ce t.
For Pack ed <..._ _ .......... _.. .<....... _t-.,Y�.:,..:...
a
❑ 3. New:D`ucts with/or eJitlioui"' -
Regmred;Fo�ti`s:':.:.;:;'.;
Replacement
. Includes:.repladhg':pr installing all new
ducting:;ah.d/or autdoor condensin.g.:unit
CF -6R forms: MECH-04, MECH-20-HERS, and (for. split systems) MECH-25-HERS
and/or indoor cbil ariil/or furnacee No or some
CF -411 forms: MECH-20 and (for split systems) MECH-25
equipment changed.
For Split Systems: Duct leakage:<:6 percent; RC, CCA > 300 CFM/ton, TMAH
For Packaged Units: Duct leakage-< 6 percent
114. New Ducting over 40 feet
Required Forms:
. Includes adding or replacing more than 40
CF -6R forms: MECH-04, MECH-2I-HERS
linear feet of duct in unconditioned space.
CF -4R forms: MECH-21
For split system or packaged units: Duct leakage < 15 percent
p EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
. I certify that this Certificate of Compliance documentation is accurate and complete.
. I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design Identified on this Certificate of
Compliance.
. I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations.
. The design features Identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance
forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application.
Name: Dayana Valdez Signature: boyana Valdez
Company: HARRISON ENTERPRISES INC Date: Jun 30, 2014
Address: 31-170 RESERVE DRIVE STE A License: 686310
City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488
Reg: 214-A0048976A-000000000-0000 Registration Date/Time: 2014/06/30 11:49:14 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms July 2010
11/03/2014 00:38 4154640463 KELLY PACIFIC CONST PAGE 01/01
Kelly Pacific Construction
November 3, 2014
City of la Quinta
78495 Calle Tampico
La Quinta, CA 92253
Building Dept.
RE: Job @ 53045 Latrobe Lane
La Quinta, CA 92253 @ Tradition CC
Please be advised that we have changed our swimming pool contractor.
We will no longer be using:
Sun Air Pool Co.
License #53-397252
due to illness & abandonment of job.
The new contractor is:
Rembrandt Pool & Spas Inc.
License # 800680 C-53
77564 Country Club Drive
Suite 127
Palm Desert, CA 92211
From: Anton Marinkovich <antonC&stracts.com>
Subject- McEKVW
Date: November 3, 2014 12:03:00 PM PST
'fa. Jim Kelly gkallyftellypwfic,com>
1 Attachment, 588 KB
City of La Ouinta
7a-495 Calle Tamplco
La Quina CA. 92253
Plan Check # 13-807
Attn: Jim Johnson
Jim,
In regards to Lot 18, Tract 28887 at 53045 Latrobe Lane in the city of La Ouinta ( McElwee residence) The bulkier, Kelly Pacific, has terminated the pool
contractor on site,Sun Air, and retained Rembrandt Pools to finish the pool/spa.
Thank you,
Anton
STRACTS i NC
.4.n!: tin • �M�t. err;«
Bin #
City of La Quinta
Building &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 # �j{i%G�
Project Address: -79Rr.3 �0.rkwc� ES a
Owner's Name: Yoa', KOsA -leek
A. P. Number: (00 91 zA
O.Y WQ
Address: —7 9 r -t (o 3 k r S la d e
Legal Description:
City, ST, Zip: L c- QU;r�e, CA ck Z2-53
Contractor: erert^1 Arc Ch �' i
Telephone: ".7 (00- 344 - ga za Kill
p S
Address: 3 W7 p J �{
Project.Description:
City, ST, Zip: lh So.Y.��0.1rr,CA qzz-7b
� 10,E s-t-oY: -AIC-Co;
Telephone: --?GQ-3q3--7L/Q0(3
.
?::,•;;<::;:<;::>::.::N.;::Hf::;:;;:>::„;;}
9 O Obi L�T V -�vr t�
State Lie. # : 8(0 3 i b
City Lie. #;
Arch., Engr., Designer.
Address:
City, ST, Zip.
Telephone:
.... %':<N ”' `"''
.......................................
Construction Type: Occupancy:
State Lie. #:
. Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: �0. �hc
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: --7(60-2�4 3 — i4 8s
Estimated Value of Project: to t�Cp
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
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
Tide 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
Jrd Review, ready for eorrectionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees