BMCH2014-10077/8/2014
PERMIT NO BMCH2O14-1007
14 @ 1 of 2 ? j ®J 1�3
Building Permit
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78-495 CALLE TAMPICO
LAQUINTA, CALIFORNIA 92253
Application Number:
BMCH2O14-1007
Property Address:
80901 VIA PUERTA AZUL
APN:
762450019
Application
Description:
Property Zoning:
$7,421.00
Application Valuation:
App Iica nt:
GENERAL AIR CONDITIONING
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
'buy °%4vQw^fw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (commencingwith Section 7000)of Division 3 ofthe Business and
Professions Code, and my License is in full force and effect.
License Class: License No.: AEC117
t
Date: % �'r ) 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 rea son (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 applicantfor the permit to file a signed statement that he or she is licensed
pursuant to the provisions ofthe Contractor's State License Law (Chapter 9
(commencing with Section 7000) of Division 3 ofthe 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 anyapplicantfor a permit
subjects the applicant to a civil penaltyofnot more than five hundred dollars
($500).:
(_) I, as owner ofthe 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 himselfor herselfthrough 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 ofsale.).
U I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project. (Sec. 7044, Business and Professions Code:
The Contra ctors'State License Law does not apply to an owner ofproperty who
builds or improves thereon, and who contracts for the projects with a
contractor(s)licensed pursuant to the Contra ctors'State License Law.).
C_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 ofthe work for which this permit is issued (Sec.
3097, Civ. C.).
Lender's Name:
View Report
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/8/2014
Owner:
JEANNE MALMO
73 COTTAGE LN
ALISO VIEJO, CA 92253
Contracto °
GENERAL ND
31170 RES V DRIVE
THOUSAN A MS, da22 21014
(760)343- 488 CITY OF QUINTA
Ll c. No.: EC117 FINA. E _SPT.
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one ofthe following declarations:
_ I have and will maintain a certificate ofconsent to self -insure for
workers'compensation, as provided for by Section 3700 ofthe Labor Code, for
the performance ofthe work for which this permit is issued.
I have and will maintain workers'compensation insurance, as required
by Section 3700 ofthe Labor Code, for the performance ofthe work for which this
permitisissued. Myworkers'compensation insurance carrier and policy
numberare:
Carrier:_ Policy Number:_
—I certify that in the performance ofthe workfor 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, ifl should become
subject to the workers'compensation provisions of Section 3700 ofthe Labor
Code, I shall forthwith complywith those provisions.
Date: i ) Applicant: !�_,ZZ72,
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECTAN 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 fora permit
subject to the conditions and restrictions set forth on this application.
1. Each person upon whose behalfthis 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 ofthis 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 anyact or omission related to the
work being performed under or following issuance ofthis permit.
2. Any permit issued as a result ofthis application becomes null and void if
work is not commenced within 180 daysfrom date ofissuance ofsuch permit, or
cessation ofwork 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: Signature (Applicant orAgent):��—
http://Iaq ui nta.crw.com/tralat9/DocumentViewer.aspV&report=/Documents/PERM ITS/Building %20Permit&ACTIVITYN 0= BM C H2O14-1007&g roup= PERMIT&... 1/2
Bin #
city of L3 Quinfa
Building 8i: Safety Division
P.O. Box 1504, 78-495 Calle Tampico.
La Quinta,CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
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Imlr7
Project Address: a o 9 0 v iF L �+Z u
Owner's Name: V eca h �1 rri
A. P. Number: l�vE=t^�c`
Address: 1 ve ��•
�ogo4 Via Azul
Legal Description:
City, ST, Zip: La Qv i C A Q zZS 3
Contractor: Gevne-re, k A � r
Telephone: 793- 7y 4 2
Address: 3\170 X_zeserve 1�r
Project Description:
City, ST, Zip: SOV s�ha �c.�mS C A q 227(,
e l ace o,\ Alc s Coy V
Telephone: �O- 3'-43- 7r-f a fi
State Lic. # : (o $ (0 3 j C7
City Lic. k
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
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Construction Type: Occupancy:
State Lic. #
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: "7, 4 zl - 00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Caics.
Reviewed, ready for corrections
Plan Check Deposit
Truss C21cs.
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 corrcctionsrssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'`d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Feu
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 1 of 4 )
Project Name: JEANNE MALMO Date Prepared: 2014-07-07
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 CF1R-ALT 02 document for each dwelling unit.:
01
Project Name:
JEANNE MALMO
02
Date Prepared:
2014-07-07
03
Project Location:
80901 VIA PUERTA AZUL
04
Building Type:
Single family
05
CA City:
La Quinta
06
Dwelling Unit Name:
JEANNE MALMO
07
Zip Code:
92253
08
Dwelling Unit Conditioned
1549
accessible
Are all of the
Floor Area (ft2):
condensing unit,
Installing
Number of space conditioning
system's
09
Climate Zone:
15
10
(SC) systems being altered in
1
or
more than 40
and is more
components
this dwelling unit.:
B. Space Conditioning
SC S stem:
Iriforrriaton
01 02 03
, 09 10
C. Extension of Existing Duct System, Greater Than 40 Feet (SectioniS0.2(b)1Diib)
This section does not apply to this project.
46 Registration Number: 214-A0051879A-000000000-0000 Registration Date/Time: 2014-07-07 19:03:34 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-07-07 19:03:17
nsta ng new ;:
Is;:the entire
omponents?
ducts stem
Y
(packaged unit, or
accessible
Are all of the
condensing unit,
Installing
for sealing,
system's
As:tke altered
Altering or
or
more than 40
and is more
components
`'or.iri tilled
installing a
cooling/heating
linear feet of
than 75% of
and ducts new
SC System
SC System
CFA served
systema
refrigerant
coil, or
new or
the duct
or replaced?
Identification or
Location or Area
by this SC
ducted
containing
air -handling unit,
replacement
system new
(entirely new
Name
Served
System (ft2)
system?
component?
etc)
ducts?
or replaced?
system)
Alteration Type
SYSTEM 1
ENTIRE HOUSE
1549
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (SectioniS0.2(b)1Diib)
This section does not apply to this project.
46 Registration Number: 214-A0051879A-000000000-0000 Registration Date/Time: 2014-07-07 19:03:34 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-07-07 19:03:17
CERTIFICATE OF COMPLIANCE CF1R-A1.T 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 4 )
D. Altered Space Conditioning System (Sections 1S0.2(b)IE 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
All new
Central large
No cooling
This field or
This field or
This field or
SYSTEM 1
Boiler
heating
AFUE
0.78
pacage
kd AC
component
section is not
section is not
Setback
section is not
R-8
components
altered
applicable
applicable
applicable
Reouired 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 heafing or cooling components are installed inducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: 5 15%, or 5 10%.Ieakage'to outside; or seal all'accessi" le leaks.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required:iNFi'en refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow:2' 00'CEM/tcimre uired when'. ` CH=25:is>re: iii :d.•.;::.;::;,:::;,:,,;;:
9 M„ 9. , to
Exceptions. ....:.,....:......:.. ... ,::::>:... .
>r �:
Duct systems registered with HERS provider as prevrously sealed are exemptfrorn�MCH-20 Duct LeakageTe3ting requiteinents
-Heating-only systems and Air Handler/Furnace
g Y Ys changes do not require vEnficatlon of Air Flow MCH 23 ar Aefner@nt Charge MECH 25
Existing duct systems constructed, insulated orsealed with_a;tiestos`are exempt.Fom MCH -20 Duct.leakage Tesd , re, ulrement5,';.?;.;a.:'>i
E. Entirely New or Complete Replacement.,Duct Sys#em ;with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)IE, F)
This section does not apply to this project.
Registration Number: 214-A0051879A-000000000-0000
Registration Date/Time: 2014-07-07 19:03:34
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-07-07 19:03:17
CERTIFICATE OF COMPLIANCE MR -ALT -02-E
Mterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC) (Page 3 of 4 )
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
ra Registration Number: 214-A0051879A-000000000-0000 Registration Date/Time: 2014-07-07 19:03:34
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Report Version: 2014-03-31
HERS Provider: CaICERTS
Report Generated: 2014-07-07 19:03:17
CERTIFICATE OF COMPLIANCE ( CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -111 -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
2014-07-07 19:03:34
Address:
CEA/ HERS Certification Identification (if applicable):
31-170 RESERVE DRIVE STE A
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
(760) 343-7488
Responsible Person's Declaration statement
I certify the following under penalty of perjury:uhder.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 the.buildig,design or. system design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications,materials i omponents and manufactured devices for the building design orsystem.designidentified on this Certificate of Compliance conform to the
gig:u.a tions.
requirements Title 24 Part and o'f the .
.'il; {.' ..:.i%:. ....
4. The building design features or system design features idrttified nn tfisi'Certificate of Cotnptiance are consistent witFi;,the information provided on other applicable compliance documents, worksheets,
calculations plans and ecificationtS 6rrmittedao the enforc menta " c fora rovalwith this:bu ldin ermlta .'lication ::
P P 4.... g....,......8? ..y....P.P,:.......,,: g.P.:.
,..,,...
..:..1 . :... . ....:..:..::::::: . ....
5. I will ensure that a registered co ofittiis Certtficate of Com Irance shall tie:rriade avaUablewitti th@ buddl ermit s'issi ed•`fgr tfye Budd''.' 2anN.'mad' available to the enforcement agency for all applicable
g PY 8.:.,... i!8; P C.,l>., N>ll g Y PP
.
inspections. 1 understand that a regisEere,dcopy ofthls Certificate of. omphar ce is required#o be;iniiltiQed with the :docurtientaticin:i ie:tiuiider provides to the building owner at occupancy.
Responsible Designer Name:
Valdez, Dayaha
Responsible Designer Signature:��
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITI'ON.I;NG
2014-07-07 19:03:34
Address:
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip:
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 noway implies Registration Provider responsibility for the accuracy of the
information.
Registration Number: 214-A0051879A-000000000-0000 Registration Date/Time: 2014-07-07 19:03:34 HERS Provider: CaICERTS
CPt Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-07-07 19:03:17