BMCH2014-110378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
i
T4 t 4
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: 6MCH2O14-1103
Property Address: 49845 AVENIDA OBREGON
APN: 658400009
Application Description: REMOVE & REPLACE INDOOR FAN COIL
Property Zoning:
Application Valuation: $400.00
Applicant:
BEST IN.THE WEST AIR CONDITION
255 N ELCIELO ROAD#140-125.
PALM SPRINGS, CA 92262
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjurythat 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, C38 License No.: 967982
ontractor:
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.P,rofessions 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
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 f r 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 notin tended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State. License Law does no
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 improvement's
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.).
J
( 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:
Owner:
RICHARD, BERTAIN
2915 REMY PL
BURBANK;'CA 92253
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/6/2014
Contractor:
BEST.IN THE WEST AIR CONDITION
255 14 ELCIELO ROAD'#140-125
PALM SPRINGS, CA 92262
(760)343-1002
Llc..No.: 967982
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:
Carrier: - Policy Number:
I certify that in the performance of the work for which this permit is issued, I
shall not employ anyperson 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 th Labor Code, I shall forthwith
comply with those provisions.
3 /
ate: % (o plicant:
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,
t 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 Ouinta,.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. .
('certify that I have read this application and state that the above information is correct.
(: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-
mentio ed property for inspectio purposes.
ate: +� r nature (Applicant or Agent)
1 1 ® • 1
n 5s.'<.c. f3±1, is .F.,_3n xx'g+77:' 3=a`-»x"n>r fart x"a «. f`x'S �" 3 "e. i«.,'" . i R j"'� SE; a 'i .:.;; W` `� •ss '. A'tt'. s'-gz�z: Vis- p `d`. :< �fi. " Jaz` :'ifi t.; j :'�#»??t' `w'4 fgq
DESCRIPrTIONi >�" ACCO.UNT Mum,��P,AID��` � tip", PAID'`DATE`
�,#.i'`'8�s. �`"
r
..' ���f:�.'"�3n,���L'h a..vs:��'is"_=�'a"�'�'2sc''.
BSAS'S61473 FEE '..'101-0000-40306
$0.00
"T`.. x, .xs 3Sz`3%3 '" "°ii �i k�v,,.•#ii"'mS ..;i -m,. . •y e "."'F .Y'�i 1 : i's*` ": .S h.i ng�'�i'im
PAID:BY at ¢E� METHOD
, x`zi'T't'iS-,r+i�`%.QFBr"ilW.P%ifE F, sz •fF:y>.T,':Y'i}-SCCee=Fl. i{': '. ..
RECEIPT #rr_£;n E CHECK # t CLTDaBY;xfw
�'mrL'^�..::;.,
.n
�.
Total Paid for BUILDING STANDARDS ADMINISTRATION BSAc $1".001 $0.00
:
!'.< s•'$X3k. _ rn =e+ 1..t:F.Mf mT,}rgx. _-�.vi
� a DESCRIPhTION_.:��- >
E pF jEx=W k:4:::i8A" >'AMOUNT
ACCOUNT
QTZY::
"bT:"..p(pa�•
AMOU.NT�:.'-��:
¢@.a"EP.e;�` ..'�5:.+'
�;� �
�-P{.AID.DATE:r
t: .£�:::.:: W..i
.�.�z?h
' `.''A."5 �4�s:�'..i Y,sxrzL&"k"-P.:;... a'...s �::]:r4��X�+���
3�. tF S.�
:ui..t£ev'�.+Y:•&:,.FS:.a4nYi v'.
�.�..�PAID�
�..¢v9,«:i.C_�
HVAC CHANGEOUT,-;OTHER`EQUIPIVIENT
101 OOOO 42402 ;
0
a`$36
$0.00
�?Fx
p�j 0 PAID BY �° � :
".`... _. :"� -. .. 5t s., ^ x .e
- � �METHOD�
s' ytn;
�..a-w.,rx:x a "'
RECEIPTr#� z +
mo
#
"'L'd5:i'k''vw °
`CLT;D BYE
W, ,
£3 s'6'5e"'.`F.S�".:,:.:+%..RTi.''.�i'a`-,'xis:x"...N"&iPT✓.":...ESP.FV.::,.:7'.i...F:?Yn';#.:;YrK
,E
iwNN
y
k�'r.T..a&«E gk.".
,-[<'4.:a :.fA>v.,"H4t'*�=;�.%''Kik'@."'%.Y:isS's'5^.s�.�:.:.$.'."'.f`AaY?rz•lLV'
pCHECK
,.:...,�?.
�.�R`.i.....�K..iv.`l+;rA{'i[`.rsYi#..xtl.h....Ys..°.IXec'3`5X
's� . ': 'v.ts;.xt;."Cb''#SEasS`.w:;
,QTyY
. _S
;
PAID°DATE
,DESCRIPTION�z��A000UNT�F
1:�AMOUNT.:
`,�, :.✓1':' ai's:,,. ^:F3t:f :?`.'F'T`$.$:§:... �:�
5PAIDr
},t1..P�9. 3:.z
HVAC CHANGEOUT - OTHER,EQUIPMENT PC
; 101 0000=42600. °
' 0 $3626 ..
$0.00.. .
PAID BY
4.'i'i tk`t3vE 33?- '-'gk2
� mR�
METHOD ��RECEIPT`#".
�'. '3��:•.
i"'�`.X.k� x`� ex2'X':,
CHECK # �CLTDsBY
'.
,,
�, .,
rg.er'°t.'cs3i.,::v5ea;±13iT€6f.'hsa'��!'.A"�3.'t,t.,tart:::.s"Xt'iia.-i:::+k#•,$,li$�1rrvkW;.ro�Z;;-a&'m5-AT.eC
;q
Total:Paid forCHANGEOUT ° _ $72 52::.: $0.00
.
WAN, 5'. T �S'3;,.,5; 7i�^1;;�,`z ,':« _ a' �:;
DESCRIPTIONU°.r::
-E•-,'„ 34�s-»dv't='$} E`w •: y. `E°r
-ACCOUNT'=(]TY'f"AMOUNT
:'.{` €': �"''F :k&�+'ssr 2€€;f ::.aYax «.'-
��
PAID
PAIU'DATEk
b'Ec.'-,w'`.w,ba>.F;Fdi`4x'rv'�rx.$3'e. ..':fdf�u�F
z::..'4.z;.€;C:Bfr�€.zf.XR%,EcCia:?«.:.s:',a.s,`
''.:�:m,.�,,a"a., x.. . rna._
��-w9'r:?-;S'ss'. �i.Zu'
PERMIT ISSUANCE
1010000-;'
0 x$91 85 }.
` $0.00
f• .,-:: �¢ 1 `k%' T.�iu iv !,
�, y
....x E :° , SY*"L'4c,;...i tom' n «...
:.L��
F ' •an,„>: :: r
"Y ,:.5 s b#" '-
t; 7"e"W'.'
MINE"
� a,RECEIPT#,�4'
Total Paid forPERMIT, ISSUANCE $9185 $0.00
... y'. ..: ...,..--r5 n�.x :, G: n..ti...xf...., o. ..._..�'..i..r,..?:.:n. �u:a.a. r,. .-�sf sr ,: ;£.,.a .'yF...r:.... ....�..::.• -�
• 1 1 11
Description: REMOVE & REPLACE INDOOR FAN COIL
Type: MECHANICAL
Subtype: Status: ISSUED
Applied: 10/6/2014 KHE
Approved: 10/6/2014 KHE
Parcel No: 658400009 Site Address: 49845 AVENIDA OBREGON LA QUINTA,CA 92253
Subdivision: TR 28545-2
Block: Lot: 60
Issued:
Lot Scl Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $400.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: REMOVE & REPLACE INDOOR COIL (AIR HANDLER) WELD, WIRE, EVAC & RECHARGE.
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
FINANCIAL INFORMATION
Printed: Monday, October 06, 2014 12:39:21 PM 1 of 2
SYSTEMS
.` DESCRIPTION
-ACCOUNT
QTY
,AMOUNT
PAID ¢
PAID DATE
'RECEIPT:#
CHECK'# :
_
METHOD '
. '`. PAID BY
L D
Y,,
..
r
t
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
1 IF
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$36.26
$0.00
OTHER EQUIPMENT
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$0.00
OTHER EQUIPMENT PC
Total Paid forCHANGEOUT: $72.52 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
PARENT'PROJEICTS
BOND INFORMATION
ATTACHMENTS
Printed: Monday, October 06, 201412:39:21 PM 2 of 2
SYSTEAAS
a
Bin #
Cit} Of b 'Quinta
'Buifding 8i• Safety Division
P O Box 1504; 78=495 Calle Tampico
La Quetta, CA 92253 - (760) 777-7012
Building Perirlit Application, and Tracking Sheet
Permit,
0�
Project Address: �%- c.f S ' ,� �. �.» 173
`Owner's Name: P, -CA .
A. P. Number:
' Address: 4J67- '8q 17T14
Legal Description:
.-Ci ST, Zip: C Q crt 017.Z5 -3
Contractor: �eJ'f fvl e, '��G !►'IC.
Telephone:. 4sI -5:7 yIS"1w_3
Address:165 Ai• El Clete r -o( P� /��-rzs
gp
Project.Descri tion: v' -L
1 ew � R j���
City, ST, Zip: F4147 S r/'N C/f 2 ,2"
m, 19i;
Telephone: 7,60 - 3•. .- 10 0 -2-
hgtd.tr C P
State Lic. #: 96 -1 V -Z
City Lic: ..c
TS• �`&.ai
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
h:iii
...........
Co itructi n Type: Occupancy:
.�,'✓,':/:C:iii:Jiy{`iiia
State Lic. #:.........
Project type' (circle one): New Add'n Alter Re emo
Name of Contact Person: t!G�
Sq. Ft.:.
# Stories:
# Units:
Telephone #,of Contact Person: -76i,-,T
p .�/?� �
Value of Pro ect: .,
J
APPLICANT: DO NOT WRITE ZELOW THISf LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT,FEES.
Plan Seti. °
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
god Review, ready for corrections/issue
-Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans -resubmitted
Grading
IN HOUSE:-
'"' 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 Fees
CERTIFICATE OF COMPLIANCE CFlk-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 1 of 4 )
Project Name: Bertain, Richard.2 Date Prepared: 2014-10-03
A. General Information
MR -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-ALT702 document for each dwelling unit.
,02'
Ol
Project Name
Bertain, Richard.2
02
Date Prepared
2014-10-03
03
Project Location
49845.2 Avenida Obregon _
041
Building Type. "
Single family
05
CA City.
La Quints
:,06„
Dweiling-Unit 'Name
Bertain, Richard.2
'�
-
C)ond t ned
njUnit i
•F
07
Zip -Code,.; ..-
92253 , 1
ti
{08�.
Doo�h
r Area (ff 3z r
960, ,.
served
systema
"refigerant
Installing new SC
Installing
Installing
Installing
. •
`� "- -
Location or Areas
Number of'space conditioning
ducted
09
ClimateZone
i5
10
(SC) systems to this dwelling
1
Name
r Served L
System (ft2)
system?
component?
•
components?:
feet of ducts?
dud system?
",.SC system? ,
Alteration Type,
f4;'T
'�s•t' yr "+�• . eso;.- +,_,. �,R, a ._[i
B.}Space_Conditionmg;(SC) System}y Information
�.�
T,.._v.., yyr _�"'i
._IT•'.D J...l:_u 4 T.. 'F"<'3!r., �* Hl�r
01 ..: ;•
,02'
0
07��
09
10
,.
..
','j
'�
•F
SC System
SGSystem-CPA'_
served
systema
"refigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Areas
Eby isSC
ducted
containing
system
more than 40
entirely new.
entirely new,
Name
r Served L
System (ft2)
system?
component?
•
components?:
feet of ducts?
dud system?
",.SC system? ,
Alteration Type,
System 2 t
t Bedrooms
960
t .res;,.�'!•ri''Altered
"w Yes '
Yes
No
No
No'No
'
space'
�i�•
+.
�~
,
r..r„� !conditioning
system
C. Extension of Existing. Duct System, Greater Than 40 Feet (Settion150.2(b)Mib)
f ' _ This section does not,apply to this project. .
S.
Registration Number: 214'-A0110513A-000000000-0000 Registration Date/Time: 2014-10-03 13:45:19
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31
Schema Version: 0.551SDD
HERS Provider: CalCERTS
Report Generated: 2014-10-03 13:46:25
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 4 )
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 split
Central split
This field or
This field or
System 2
Fancoil AHU
HSPF
7.7
HP
Fancoil AMU
SEER
13
Setback
section is not
section is not
HP
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 510% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & C.F3R-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 2 300 CFM/ton required when MCH -25 is required. - — -
Exceptions: r /
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MECH-25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, F)
This section does not apply to this project.
Registration Number: 214-A0110513A-000000000-0000
Registration Date/Time
2014-10-03 13:45:19
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-10-03 13:46:25
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE CF111=ALT-024
Alterations to Space Conditioning Systems (formerly CF•111-ALT HVAC) (Page 3 of 4 )
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)IC)
This section does not apply to this project.
Registration Number: 214-A0110513A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2014-10-03 13:45:19
Report Version: 2014-03-31
Schema Version: 0.551SDD
HERS Provider: CaICERTS
Report Generated: 2014-10-03 13:46:25
CERTIFICATE OF COMPLIANCE r CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -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: �^
Hansen, Jamie
Jamie d-iansen
Company:
Signature Date:
Best in the West Air Conditioning & Heating Inc
2014-10-03 13:45:19
Address:
CEA/ HERS Certification Identification (if applicable):
31225 Plantation Dr
City/State/Zip:
Phone:
Thousand Palms CA 92276
(760) 3434002
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.the building design orsystem_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 andPart6 of the California Code of Regulations.
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. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature: r�
Hansen, Jamie
Jamie d'tansen
Company:
Date Signed:
Best in the West Air Conditioning .& Heating Inc
2014-10-03 13:45:19
Address:
License:
31225 Plantation Dr
967982
City/State/Zip:
Phone:
Thousand Palms CA 92276
(760) 343-1002
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-A0110513A-000000000-0000 Registration Date/Time: 2014-10-03 13:45:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014.10-03 13:46:25
Schema Version: 0.5.51SDD