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BMCH2016-000178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Titr 44Qumr COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O16-0001 Property Address: 81913 IL SERENATA DR APN: 764460002 Application Description: HAWKINS / REPLACE 18 DUCTS Property Zoning: Application Valuation: $6,750.00 Applicant: IE INC 31225 LA BAYA WESTLAKE VILLAGE, CA 91362 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: _ License No.: 686310 Date:) 10Contractor: 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.). (_) 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: 111111111111111 a 1111 67 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 .Date: «, 1/8/2016 Owner: !�� r�-`D cc CHARLES HAWKINS C.0 ;< 81913 IL SERENATA D Nt LA QUINTA, CA 92253 00 4 Ul Contractor: € HARRISON ENTERPRISESINCDBA'GENERALAI_R. 31170 RESERVE DRIVE CL-:. THOUSAND PALMS, CA 92276 (760)601-3500 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. 1 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: 11L., Applicant: 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. �a Date: I g Signature (Applicant or Agent): � —� PAID DATE FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING 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 for CHANGEOUT: $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 for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:•• • i0 Description: HAWKINS / REPLACE 18 DUCTS CONDITIONS Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 1/8/2016 SKH Approved: Parcel No: 764460002 Site Address: 81913 IL SERENATA DR LA QUINTA,CA 92253 Subdivision: TR 30092 Block: . Lot: 2 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $6,750.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 WESTLAKE VILLAGE Details: CHANGE OUT 18 DUCTS. 2013 CALIFORNIA BUILDING CODES. 91362 CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT IE INC 31225 LA BAYA WESTLAKE VILLAGE CA 91362 CONTRACTOR HARRISON ENTERPRISES INC DBA GENERAL AIR 31170 RESERVE DRIVE THOUSAND PALMS CA 92276 OWNER CHARLES HAWKINS 81913 IL SERENATA DR LA QUINTA CA 92253 Printed: Friday, January 08, 2016 11:21:49 AM 1 of 2 CR SYSTEMS Permit Details PERMIT NUMBER r City of La Quinta BMCH2O1;6"0001 v.,lot .. Printed: Friday, January 08, 2016 11:21:49 AM 2 of 2 �� SYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid.for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: HVAC CHANGEOUT -' 101-0000-42402 0 $12.09 $0.00 REPAIR/ALTERATION HVAC CHANGEOUT - 101-0000-42600 0 $4.83 $0.00 REPAIR/ALTERATION PC Total Paid for CHANGEOUT: $16.92 $0.00 PERMIT ISSUANCE 101-0000-42404 1 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:0• • 00 Printed: Friday, January 08, 2016 11:21:49 AM 2 of 2 �� SYSTEMS i31n. # Qty, Of %ci Q-utvn: td Building 8T Safety Division P.O. Box 1504,78-495 Calle Tampico la.Quinta, CA 92253 - (760) 777-7012 b Building Permit Application and Tracking Sheet Permit # J Project Address: 81913 II Serenada Drive Owner's Name:. Charles Hawkins A. P. Number. Address: 81913 II Serenada Drive Legal Description: Contractor: 9 Air Conditionin City, ST, Zip: La Quinta, CA :92253 Telephone: `" ai>v w:�>>:s° < ONOGeneral p 760-296-3967 . >� E110 Address; 31170 Reserve -Drive Project Description: Replace 18 Ducts City, ST, Zip: Thousand Palms, CA 92276 Telephone: P 760-343-7488 State Lic. # : 686310 City Lie'. #: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: V Y. ,:. ; ' ' `° r4� ~.' State Lic. #: /» ..� Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Steven Schnierer Sq. Ft.: # Stories: Unit;: Telephone # of Contact Person: 8.18-735-7876 Estimated Value of Project: $6,750.00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req Id Recd TRACKING PERMIT FEES• Plan Sets PIan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit. . Truss C21eS. Called Contact Person Plan Check Balance_ Title 24 Calci. Plans picked up Construction Flood plain plan Plans resubmitted. " Mechanical Grading plan V Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval. Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) Project Name: CHARLES HAWKINS I Date Prepared: CF1R-ALT-02-E (Page 1 of 3 ) 2016-01-06 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 CHR -ALT -02 document for each dwelling unit. 01 Project Name CHARLES HAWKINS 02 Date Prepared 2016-01-06 03 Project Location 81913 IL SERENADA DR 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name CHARLES HAWKINS 07 Zip Code 92253 OS Dwelling Unit Conditioned 2700 ,r/` Floor Area (ft2) SC System CFA served *",,system a�—+ refriger nt f ,Installing new SC Number of space conditioning r1 sn talli g 09 Climate Zone 15 30 (SC) systems in this dwelling 1 containing aw system more than 40 A ely new unit. B. Space Conditioning (SC) System Information 01 02 03 04& U5 k�6 I M # 6-7)) 1108 11 ( 09 10 i � -k's the SC""' Installing a ,r/` SC System SC System CFA served *",,system a�—+ refriger nt f ,Installing new SC { lnstalling I r1 sn talli g Installing Identification or Location or Area by this SC `ducted containing aw system more than 40 A ely new entirely new Name Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Location 1 2700 Yes No No Yes No No Extension of existing duct system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)IDiib) 01 02 System Identification or Name New Duct R -Value System 1 R-8 Required Documentation: Registration Number: 216-A0011544A-000000000-0000 Registration Date/Time: 2016-01-06 12:54:14 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2016-01-06 12:54:35 r,rhpma Vprcinn• 0 SSSGnn CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -111 -ALT -HVAC) (Page 2 of 3 ) CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. CF2R & CF3R-MCH-20-H — Duct Leakage Verification - Leakage rate compliance: <_ 15%, or <_ 10% leakage to outside, or seal all accessible leaks Exceptions: Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 duct leakage testing requirements D. Altered Space Conditioning. System (Sections 150.2(b)1E and F) This section does not apply to this project. E. Entirely New or Complete Replacement Dud System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)lE, F) This section does not apply to this project. F: Entirely.New or Complete Replacement Spac6_Conditioning System (Section 150.2(b)1C) This sectionrdoes: o applly�to thi p ojej 3 �r if it d l( U4 r J i I i Registration Number: 216-A0011544A-000000000-0000 Registration Date/Time R 2016-01-06 12:54:14 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2016-01-06 12:54:35 CrhPma Vcrcinn n.CCCCnn 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: r/} / t+ Salazar, Barbara 1.7arbara ( aLzar Company: Signature Date: i PERMIT E RATERS 2016-01-06 12:54:14 Address: CEA/ HERS Certification Identification (if applicable): 31225 La Baya Drive #213 City/State/Zip: Phone: West Lake Village CA 91362 818-735-7876 Responsible Person's Declaration statement 1 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 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 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 t t - "t om `Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are'consistent with the information provided on otherapplicatile compliance documents, worksheets, * r t.w- i i� r i Calculations, plans and specifications submitted to the enforcement agency for approvalii with this building permit application. 5. I will ensure that a registered copy of this Certificate of,Compliance shallmade.available with the building.permit(si: issued forthe:building, and ,made available to the, enforcement agency for all applicable :be inspections. I understand that a registered copy of this Certificate of Compliance, is required to be -included with the, clocumen - tation-the.buiider provides to,the building owner at occupancy. Responsible Designer Name: ' i ..r� Responsible Designer Signature: V ll� 1)..+/� ! /' �► Salazar, Barbara ar ara a[wzar Company: Date Signed: HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING 2016-01-06 12:54:14 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: 216-A0011544A-000000000-0000 Registration Date/Time: 2016-01-06 12:54:14 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2016-01-06 12:54:35 r,rhpma Vprcinn• n SSSSf)n 5c)--71 0 5&sr_ A',7� -A -�