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BMCH2014-1033a 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDINdPERMIT A VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: ROBERT NIERMAN 47650 VIA MONTIGO LA QUINTA, CA 92253 . _ Date: 7/25/2014 Applicant:. Contractor: Application Number: BMCH2O14-1033 Property Address: 47650 VIA MONTIGO APN: 643120060 Application Description: REPLACE 4 TON COIL Property Zoning: (760)343-7488 Application Valuation: $2,837.00 COMMUNITY DEVELOPMENT DEPARTMENT BUILDINdPERMIT A VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: ROBERT NIERMAN 47650 VIA MONTIGO LA QUINTA, CA 92253 . _ Date: 7/25/2014 Applicant:. Contractor: HARRISON ENTERPRISES INC DBA G HARRISON ENTERPRISES INC DBA G 31470 RESERVE DRIVE STE A 31-170 RESERVE DRIVE STE A THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276 , (760)343-7488 1 Llc. No.: 686310 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, _ I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance License Class: C20 License No.: 686310 I of the work for which this permit is issued. 7 ����— S!!:.— I have and will maintain workers' compensation insurance, as required by ate: Contractor:! i 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 •• –)W" of the Business and Professions Code) or that he or she is exempt therefrom and the ate: pplicant: _ basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fo 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, 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 (_) 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 am exempt under Sec. . BAP.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: I certify that I have read this application and state that the above information is correct. CONSTRUCTION LENDING AGENCY I agree to comply with all city and county ordinances and state laws relating to building . ' I hereby affirm under penalty of perjury that there is a construction lending agency for construction, and hereby authorize representatives of this -city to enter upon the above - the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). mentioned property for inspection purposes. 1 Lender's Name: ate: 7L-5114 Sig ure(Applicant orAgent):�Aw.rL Lender's Address: Page 1 of 1 �View� Repo"rt:r Permit Details PERMIT NUMBER' City of La Quinta BMCH2O14-1033 cFk.OF. Description: REPLACE 4 TON COIL CONTACTS - NAME Type: MECHANICAL Subtype: Status: APPROVED Applied: 7/25/2014 KHE Approved: Parcel No: 643120060 Site Address: 47650 VIA MONTIGO LA Ql1INTA,CA 92253 Subdivision: TR 26152 - Block: Lot: 248 - Issued: Lot S9 Ft: 0 Building Sci Ft:0 Zoning: Finaled: Valuation: $2,837.00 Occupancy Type: Construction Type: Expired: No. Buildings:0 No. Stories:0 No. Unites:0 Details: REPLACE 4 TON COIL ONLY " ADDITIONAL SITES CHRONOLOGY r CONDITIONS CONTACTS NAMETYPE NAME ADDRESSI CITY .STATE ZIP PHONE FAX - EMAIL APPLICANT HARRISON ENTERPRISES INC DBA G 31-170 RESERVE DRIVE THOUSAND. CA 92276 STEA PALMS CONTRACTOR HARRISON ENTERPRISES INC DBA G 31-170 RESERVE DRIVE THOUSAND CA 92276 ' STE A PALMS OWNER ROBERT NIERMAN 476SOVIAMONTIGO LAQUINTA •. CA 92253 FINANCIAL INFORMATION CLTD 'DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIFIT O CHECK# METHOD PAID BY BY • HARRISON BSASS81473 FEE 101-0000-20306 0 $1.00 $1.00 7/25/14 RS24 18619 CHECK ENTERPRISES INC DBA JJO G O Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: HARRISON HVACCHANGEOUT- 101-0000-02402 0 $11.92 $11.92 7/25/14 8524 18619 CHECK ENTERPRISES INC DBA JJO COIL ONLY G HARRISON HVACCHANGEOUT- 101-0000-02600, 0 $4.77. $4.77 7/25/14. R524 18619 CHECK ENTERPRISES INC DBA JJO COIL ONLY PC G M Total Paid for CHANGEOUT: $16.69 $16.69 HARRISON PERMIT ISSUANCE 101-0000-42404 0 .$90.57 $90.57 7/25/14 R524 18619 1 CHECK JENTERPRiSESINCDBA J10 ElG Total Paid for PERMIT ISSUANCE: $90.57 $90.57 ' TOTALS: $108.26 $108.26 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED DATE COMPLETED RESULT DATE REMARKS NOTES ROUGH MECH MECHANICAL FINAL** Printed: Friday, July 25, 2014 2:40:00 PM 1 of 2 CR . , ., r http://Iaquinta.crw.com/trakit9/DocumentViewer.aspx?&report=/Documents/PERMITS/Pe... 7/25/2014 FINANCIAL INFORMATION {y+ =rr r` x"ai F AC OUNTr lPAIDD'AT"E t�-,DESCRIPTION _ ,.�s % , �'M`l_! TSL BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 7/25/14 ,4. PAID;BY.. METHODRECEIP}T CLTD BY. } It HARRISON ENTERPRISES INC DBA G CHECK R524 18619 DO Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 `A*DESCRIP7ION; -fir ik AC�COl9NT fi�.f` u NTf + k D 'r5 4. PAI DDATE ter. s.. s . Lt • z>R .: , . =a ..d,QN �t A �i. Pr HVAC CHANGEOUT - COIL ONLY 101-0000-42402 0. $11.92 $11.92 7/25/14 •Ttq' k 4 { �'V 1 {�; MR-; n�'n.Ja P`3 AZ �MET,HOD... sy!�-n tiro$�i' Y f ' 'Y :. #�x��CLTDBY� CHECK HARRISON ENTERPRISES INC DBA G CHECK R524 18619 JJO DESCRIPTION x'prA C�CO.UNTQTAMOUNT,,^'" PAIUµ IPAID�D`ATE: t, HVAC CHANGEOUT - COIL ONLY PC 101-0000-42600 0 $4.77 $4.77 7/25/14 " PAID BYE 01' � CLTD,B.Y ys' i HARRISON ENTERPRISES INC DBA G CHECK R524 18619 JJO Total Paid forCHANGEOUT: $16.69 $16.69 L�t'rJDESCRIFTION _ ACCOLINT`� f "" �` AMOUNT *x r, PAID r PAIDDATEF, F Lip PERMIT ISSUANCE 101-0000-42404 0 $90.57 $90.57 7/25/14 PAID BY N 'tom : ' * z" METHOD ' RECEIPT;# CHECK'#" ""4 ` -jZ CLTD"BY aal. t. i�_ a #• i s +' a i , f HARRISON ENTERPRISES INC DBA G CHECK R524 18619 JJO Total Paid forPERMIT ISSUANCE: $90.57 $90.57 TOTALS:•: •: .26 1 Din # City of La Quinta -Building 8L Safety Division P.O. Box 1504, 78 495 Calle Tampico . La Quinta,CA 92253 - (760) 777-7012. Building Pe'rmit.Applidtion and Tracking Sheet Permit # Project Address: 9 7b5b _ V i G M o,,J j O Owner's Name: A. P. Number: Address: y _7(oS Vig, f0ot,�L-qo Legal. Description: City, ST, Zip: cA e( ZZ 53 Contractor: Genexc-t kc Co Telephone: ;:.<;> :::: ;;:.;•:.;;:.:;;;• _;.,;::.;.. •... %�0-- Sb4- 1b05 s:::;::�<•;?ws;3:?:«�;:'; Address: 3117p �eSeC vL �� Project Description: City, ST, Zip: (%oUsa 70A\rns CA GZZ-7(o �c.c� i4 +o Cc>i 0YXI Telephone: State Lic. # :. (o8(o3(C) City Lie. C Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. # '` ' �' "'<' ` ` ~" -~ `'`~ `~ Construction Type: Occupancy: . Project type circle one): New Add'n Alter Repair' Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: Z g 3 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES. Plan Sets PIan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance Title 24 Cala. 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:- `d Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 4 j Project Name: ROBERT NIERMAN Date Prepared:' 2014-07-24 A. General Information CHR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be. documented, use one CHR-ALT.02 document for each dwelling unit.: 01 Project Name: ROBERT NIERMAN • " 02 Date Prepared:. 2014-07-24 r, 03' Project Location: 47650 VIA MONTIGO 04, Building Type: .-. Single family +' 05 CA City: La Quinta ' 06 Dwelling Unit Name:' ' - ROBERT NIERMAN • , ; , " 07: Zip Code 92253 ,,y �• 08 Dwelling Unit Conditioned , 2628 '_ }F. a ., FloorArea(ft2): ., • r�.f. duct system S a Number of space conditioning -w y 09 Climate Zone: 15 i ° '• 10 (SC) systems being altered in 1 r ' . ' r this dwelling unit.: ': '• _. 'l+, _ ¢♦ — __, sal r. � �., B. Space Conditioning (SC) Systemm tlnforation •. , Ol 02- -• i 03 / .` . ' 04� �, 05 p7z : 08 - 09 10 In§talling neva Is`the eriti're components? duct system S a -w y (packaged unit, or __. accessible ":Are all of the r ' . ' r ': '• condensing unit,' ;'Installing for sealing, system's ' ` Is the altered Altering or, or more than 40 and is more components' orinstalled. installing a cooling/heating linear feet of than 75% of and ducts new c' ` SC System SC'System CFA served ; ,system a - refrigerant, coil, or new or the duct . or replaced? Identification or' ` Location or Area by this SC 'ducted . , containing air -handling unit, system new (entirely new _ Name - Served System (ft2) system? component? etc), treplacement ducts? or replaced? system) Alteration Type SYSTEM 1 ENTIRE HOUSE_ 2628 Yes Yes No No No No Altered space - conditioning system Registration Number: 214-A0062115A-000000000-0000 Registration Date/Time: 2014-07-24 17:53:46 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-07-24 17:54:17 a a Y j DtAk s • ♦4 as 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 - 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 _ =a This field or. This field or SYSTEM 1' �; furnace component - 'section is not section is not Fancoil AHU' SEER r 13,• Setback, section is not, . section is not • • ,. .'s ' J altered applicable applicable "- ' , ` , * applicable applicable Required Documentation: CF2R-MCH-01-E -Space Conditioning Systems Ducts_ and.Fans -Duct insulation requirement fornew plenums: R6. ' + r. , `_ `• µ• r, : T - _r + S CQR-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 -all -Leakage rate compliance: <_ 15%, or <_ 10% leakage to outside, or -seal accessible leaks. { 4 4• `.* _ CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant contain ing components are installed or altered (applicableinCZ 2, 8-15). .4 -SCF ? CF2RCF3R-MCH-23 & 3R -MCH -23 Air Flow > 300 CFM/ton•required when MCH -25 is required `" ••S Exceptions: . ;.!' r .777) Duct systems registered with HERS provider as previously sealed aae.exempt from.MCH-20 Duct Leakag Testing.requirements: s= -Heating-only systems and Air Handler/Furnace,.changes do not require'venfication of Air. Flow MCH -23 or Refrigerant.Cliarge MECH-25 t • ry -Existing duct systems constructed, insulated or sealed with,asbesto's are exempt from MCHH-20 Duct Leakage Testing requirements. J� ~ # r t,. " t • , rY Registration Number: 214-A0062115A-000000000-0000' + Registration Date/Time:, 2014-07-24 17:53:46 HERS Provider: CaICERTS „ r CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-07-24 17:54:17 " ' CERTIFICATE OF COMPLIANCE ` CF111-ALT-02-E ` Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) - (Page 3 of 4 ) aa. 1 t a • �. ". , . i _1 �-,-- t, } . "c ♦.jti r' . -.. f' •. •- N ' ».S far . 161 ` � _ 1 t.. }a F, •� S -` i .,.yam - � ,�~ 1'X • r. •e r:• � . V r � h - , - r - rY � M - r w,• }+. 'R .. ai• � T•c* '!`� jy���•�- _ '�- . ,'4• .. r � ; ,. 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Registration Number: 214-A0062115A-000000000-0000 k+ Registration Date/Time:` 2014-07-24 17:53:46 HERS Provider: CaICERTS`' CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 - Report Generated: 2014-07-24 17:54:17 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) ' (Page 4 of 4) AIK Documentation Author's Declaration Statement t - = Documentation Author Name: 7, Valdez, Dayana s; `. `A CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) ' (Page 4 of 4) AIK Documentation Author's Declaration Statement t - 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. r Documentation Author Name: 7, Valdez, Dayana s; `. Documentation Author Signature: �� n/'� - � Company:Signature Date: HARRISON ENTERPRISES INC dba'GENERAL AIR CONDITIONING' 2014-07-24 17:53:46 r .- Address:' �,_ , .. , • EA/HERS Certification Identification (if applicable) ;, 31-170 RESERVE DRIVE STE A City/State/Zip" , q. • Pone_ T. r THOUSAND PALMS CA 92276' (760) 343-7488 Responsible Person's Declaration statement �,"• - ; . certify the following under penalty of perjury, under the laws of the St5te of 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 Code toaccept-responsibility. for the building -design o r, sstem desi n identified on this Certificate of Compliance res onsible desi nes -- P ( P g4 ) . -i •- —,.re: ,.rNr•' -) T > -,�- • I" r 'x.. \ AP --Y." Jr.�%, Jkv'.. A ( , ' 3: ' That the energy features and performance specifications, materials', componentma,n_ufactured devices for the building design or system design identified on this Certificate Compliance of conform to the "• ' requirements of Title 24, Part land Part 6 of the California -Code of Regulations. j q �f .f 4 _ The building design features or system design features'identified on this Certificate of Compliance are consistent wrth'tfie information provided -on other applicable`compliance documents, worksheets, �'. calculations, plans and specifications submitted.to the enforcement a enc fora royal with this buildin f , p P agency g Permit application "� �>�'"" �PPr t 5. 1 will ensure that a registered copy of this Certificate -of Compliance shall be,made available with the building permif(s),issued for,the,building and made available to the enforcement agency for all applicable 1.inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the buildei provides to the building owner at occupancy. Responsible Designer Name:4- Responsible Designer Signature: a �� Valdez, Dayana, { } r Company: ' - t - Date Signed:. HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING 2014-07-24 17:53:46 '+ t• ~, r Address: 3 , .. - License: - s 31-170 RESERVE DRIVE STE A '• F� 686310 City/State/Zip:' �, Phone: THOUSAND PALMS CA 92276 ' (760) 343-7488 p ti 1• r 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. F - Registration Number: 214-A0062115A-000000000-0000 Registration Date/Time: 2014-07-24 17:53:46 -HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance , Report Version: 2014-03-31 Report Generated 2014-07-24 17:54:17 '