BMCH2014-1161ro
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O14-1161
Property Address: 57901 INTERLACHEN-
APN; 762230012
Application Description: REPLACE (1) 4TON COIL
Property Zoning:
Application Valuation: $3,500.00
Applicant:
HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE STE A
THOUSAND PALMS, CA 92276
/ c -
D VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/5/2015
Owner: 1111=3
LOUIS & KAREN YANNEY
57901INTERLACHEN
LA QUINTA, CA 92253 Z'
Y
ii:5.i w
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
[�
V Date: 5 ! Contractor: <�;t� tt► T x-- `
.�.I
Contractor: � �
HARRISON ENTERPRISES INC DBA G� t t+
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:
OWNER -BUILDER DECLARATION
Carrier:- Policy Number: _
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisions.
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
R
Date: Applicant.9
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
I ) I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(1 I, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
( I I am exempt under Sec. . B.&P.C. for this reason
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.
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:
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
bovementioned property for inspection purposes.
Datel- i Jr Signature (Applicant or Agent): 691A Z
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
LOUIS & KAREN YANNEY I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2015-01-02
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 CFiR-ALT 02 document for each dwelling unit.
01
Project Name
LOUIS & KAREN YANNEY
02
Date Prepared
2015-01-02
03
Project Location
57901 INTERLACHEN
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
LOUIS & KAREN YANNEY
07
Zip Code
92253
O8
Dwelling Unit Conditioned
2379
Installing new SC
Installing
Installing
Installing
Floor Area (ft2)
Identification or
Location or Area
by this SC
ducted
containing
Number of space conditioning
more than 40
09
Climate Zone
15
10
(SC) systems in this dwelling
1
system?
component?
components?
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System Information
�� ��CsF.,i,
rx }' '-ice( ! q Ys
i•.-' -ya�� "� "
01
02 k
03, ,+r
t r 04 .
05,
fr U6: f
- -07 ..
y "' �09
10`
Is'the SC:.
Iristalling a
r
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
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
System 1
Location 1
2379
No
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet,(Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 215-A0000524A-000000000-0000
Registration Date/Time: 2015-01-02 19:24:00
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-01-02 19:24:02
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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
No heating
This field or
This field or
This field or
This field or
System 1
Boiler
component
section is not
section is not
No cooling
Fancoil AHU
SEER
13
Setback
section is not
section is not
altered
applicable
applicable
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: 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 >_ 300 CFM/ton required when MCH -25 is.required -w `r 1I 1° 7r, t /
Exceptions: �. .. / �`
l
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct leakage Testing quirement's
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH or Refrigerant Charge MECH 25. x
-Existing duct systems constructed, insulated or sealed with -asbestos are exempt from MCH, -,-2 0 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)1C)
This section does not apply to this project.
Registration Number: 215-A0000524A-000000000-0000
Registration Date/Time
2015-01-02 19:24:00
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-01-02 19:24:02
Schema Version: 0.551SDD
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: �/
Jacoby, Ian
clan C'�IzcobY
Company:
Signature Date:
Stratz Permit Service
2015-01-02 19:23:17
Address:
CEA/ HERS Certification Identification (if applicable):
5858 Dovetail Drive
City/State/Zip:
Phone:
Agoura Hills CA 91301
818-735-7876
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.thI e 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 of Re ulatlons.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications -submitted to the enforcement agency for approval with this building permit application.
5. I will ensure that. a registered copy of this Certificate"of,Compliahce shall be made available with the building permits) issued for.the building and -made available to the enforcement agency for all applicable
inspections. I understand that a registeied copy of this Certificate c f Compliance 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
2015-01-02 19:24:00
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 no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A0000524A-000000000-0000 Registration Date/Time: 2015-01-02 19:24:00 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-01-02 19:24:02
Schema Version: 0.551SDD
FINANCIAL INFORMATION
DESCRIPTION'
ACCOUNT
QTY AMOUNT
PAID
PAID DATE
BSAS SB1473 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 - REPAIR/ALTERATION
101-0000-42402
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION'
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - REPAIR/ALTERATION
PC
101-0000-42600
0
$4.83
.$0.00
PAID BY
METHOD.
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $16.92 $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:0• ••
Description: REPLACE (1) 4TON COIL
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 1/5/2015 SKH
Approved:
Parcel No: 762230012 Site Address: 57901 INTERLACHEN LA QUINTA,CA 92253
Subdivision: 28150 Block: Lot: 12
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $3,500.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 ' No. Stories: 0 No. Unites: 0
ZIP
Details: HVAC CHANGE OUT - (1) 4 TON COIL [2013 ENERGY] CARBON MONOXIDE ALARM(S)
TO BE INSTALLED PRIOR TO FINAL INSPECTION.2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONTACTS
NAME TYPE NAME
ADDRESSI
CITY STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT. HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE
STE A
THOUSAND CA
PALMS
92276
(760)567-2579
CONTRACTOR HARRISON ENTERPRISES INC DBA G
31-170 RESERVE DRIVE
STE A
THOUSAND CA
I PALMS
92276
(760)567-2579
OWNER LOUIS & KAREN YANNEY
57901 INTERLACHEN
I LA QUINTA I CA
1 92253
1 (760)567-2579
Printed: Monday, January 05, 2015 3:12:56 PM 1 of 2
srsTEMs
������ ,
Permit. Details PERMIT NUMBE
4 City of La Ctuinta BMCH2O1�4�
Bin #City
of La Q uin to .
-Building 81: 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: S'� cj 1 I a
Owner's Name: L ou i 5 L k a r ern a e
A. P. Number:
Address: S-7 9 p i
Legal Description:
City, ST, Zip: CA Q2-2.53
Contractor: - -
erg �
-
Telephone: %
P
Address: 311-��
Project.Description:
City, ST, Zip:.hOvSw�.e� CI CA�i22
Telephone: _7(-7;M3-�i gcrC;t.....:<,•:;.;:;,::•„:;<;
State Lic. # City Lic. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:::::
;.:: ::<•>.:<::
...........................:...........................
Construction Type: Occupancy:
State Lic. •
Pro ject : New Add'n Alter . Repair Demo
J �'Pa (circle one) P
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: 3, goo- C)co
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.
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 Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'`" Review, ready for eorrectionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees