BMCH2015-0040y�V D -` �INCl/ VOICE (760)777-7125
78-495 CALLE TAMPICCi D FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDIWPERMIT
Date: 2/12/2015
Application Number: BMCH2O15-0040 Owner:
Property Address: 53365 AVENIDA OBREGON HOFFMAN ERIKCRAWFORD,
APN: 774074018 53365 AVENIDA OBREGON
Application Description: EXISTING ROOF PACKAGED UNIT LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $2,000.00
Applicant: L�--
LICENSED
II Contractor:A & G HEATING & AIR A & G HEATING & AIR
4526 BERKLEY AVE 4526 BERKLEY AVE
HEMET, CA 92544 2 2015 HEMET, CA 9254,4 LCITY OPMENT DEPARTMENTQUINTA
Llc. No.:AEC304
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.: AEC304
Date: 2 Q'' J�- 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 reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alfer, 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 sheds exempt therefrom and;the
basis for the alleged exemption. Any violation of Section 7031`.5 by any.applicant fora
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 thework, 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 Addre:
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 any person imany manner so as to become subject to the: workers'
compensation laws of Californie,•and agree that, ifI should bec��s66ject to the
workers' compensation provisions of Section 3700 of. he Le156r Code, I shall forthwit
comply with those provisions.'
;Date: 12-'f 2�/S Applicant:
WARNING: FAILURE TO SECURE WO KERS' 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'ACKNOW LEDG EM ENT
IMPORTANT: Application is hereby made t`o the Building Official for a permit subject to
the conditions and resfrictions'set forth'on this application.
1. Each person upon whose behalf this application is made, each person at whose
requesf;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 actor 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 tormented 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 informatio s correct.
I agree to comply with all "city and county ordinances and state laws re!AtrhV16 building
construction, and hereby authorize representatives of this city to e r u n the a/q�v
mentioned property for inspection purposes. �
✓te: '` ""/2-/s Signature (Applicant or Agent
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEC-CFIR-ALT-04-E (Revise06/14) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E
t
Alterations •• HVAC CZ 2, and 8-15 (formerly CF -1R -ALT -HVAC) (Page 1 of 1)
Site Address:
do,
Enforcement Agency:
Date Prepared:
Permit#:
336'SA vem o�
Equipment Type
Equipment Efficiency
New Ducting, Plenums, Lineset:
Required R -value
Conditioned
Floor Area (sq ft)
Thermostat
P49 -Packaged System
❑ Evaporator Coil
2WAFUE
COP
❑ R-6 (CZ 2,8 . -13)Ducting
Served by system
❑ Setback
❑ Split System
❑ Condensing Unit
❑ R-8' (CZ 11, 14, 15) Ducting
12otO sgft
(If not already
❑ Mini Split
❑ Compressor
_651SEER
HSPF
❑ R-6 (all CZ's) Plenums
present must
❑ Furnace
❑ Lineset
EER
❑ R-5 or R1.5) Lineset°
be installed)
❑ TXV
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
form is allowed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site.
❑ 1. HVAC Changeout/Repair
Required Compliance Documents to be left onsite for Final:
All Equipment,
CF113-ALT-02-E
Condenser Unit, Evaporator Coil,
CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)' -HERS, MECH-25-HERS'
Compressor, TXV, Lineset,
CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS'
Air Handler/Furnace' (Can include new ducting)
1.
Installer Requirement: Duct leakage (< 15%, or < 10% to outside, or seal all accessible leaks), Air Flow z 300 CFM/ton, Refrigerant Charge.
Exempted from duct leakage testing if:
❑ 1. Duct system registered with HERS provider as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or
❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos (list manufacture date of building
❑ 2. New HVAC System Required Compliance. Documents to be left on site for Final:
All new equipment and All New Ducts' CF113-ALT-02-E
including Mini Split CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS'
CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)=HERS2, MECH-25-HERS'
Mini Splits require CFIR-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow z 350 CFM/ton (or alternative), Refrigerant Charge
❑ 3. All New Duds with Replacement I ' Required Compliance Docurrients to be left on site for Final:
All New Ducts' and one or more of the following CFIR-ALT-02-E
replaced: Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS
Compressor, TXV, Lineset, Furnace' CF3R: ,MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS
Installer Requirement: Dud leakage < 69% Air Flow z 350 CFM/ton (or alternative), Refrigerant Charge
Exempted from duct leakage testing. if: [111. Existing duct systems are'constructed, insulated or sealed with asbestos
❑ 4. New Ducting over 40 feet Required Compliance Documents to be left on site for Final:
New ducting but less than All Newbucts' CFIR-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS
Installer Required to: Duct leakage (< 15% or, < 10916 to outside or, or seal all accessible leaks)
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
' All new ducting R-8 required when more than 40 ft installed and -R-6 when less than 40 ft installed. This includes in walls, between floors etc.
' Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25
' All New Ducts is when at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the
dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material)
R-5 (1" thick insulation) for linesets 1" and less. R-7.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction line Diameter
with. insulation as the following 1.5 -2T -Z%", 2.5-3T-2'/<", 3.5 to 4T-2%", 5T -4W,
Con tractor.(Documentation Author's /Responsible Designer'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 California Business and Professions Code to accept responsibility for the information on this document.
3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations (CCR).
4. 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 CCR.
5. 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, orksheets, cal tions, plans and specifications submitted to the enforcement
agency for approval with this building permit appl' ion.
esponsible Designer N rre: y Res esign r Sign a
Date Signed:
License:
(
_ - L5
Com a y: ' A. Address:City/Sta
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V For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300
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Description: EXISTING ROOF PACKAGED UNIT
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 2/12/2015 PJU
Approved:
Parcel No: 774074018 Site Address: 53365 AVENIDA OBREGON LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 186 Lot: 6
Issued:
UNIT 18
CONDITIONS
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $2,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: REPLACE EXISTING ROOF PACKAGED UNIT 3 TON CONDENSER 80% AFUE,15 SEER PER 2013 MECHANICAL CODES2013ENERGY]
CARBON.MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
Printed: Thursday, February 12, 2015 11:41:05 AM 1 of 2
SYSTEMS
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CONDITIONS
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ZIPS
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.a,NAME
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Vis.:
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,
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APPLICANT
A &'G HEATING & AIR
452&BERKLEY AVE
HEMET ''' CA
92544
(760)835-4242
CONTRACTOR
A & G HEATING & AIR
4526 BERKLEY AVE
HEMET CA
92544
(760)835-4242
OWNER
HOFFMANERIKCRAWFORD
53365AVENIDA
LAQUINTA - CA-
92253
-(760)835-4242
OBREGON
FINANCIAL ••
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$1.00 $0.00
BSA:
Printed: Thursday, February 12, 2015 11:41:05 AM 1 of 2
SYSTEMS
Printed: Thursday, February 12, . 2015 11:41:05 AM 2 of 2 CRWSYSTEMS
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:-PAID�DATE-
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PACKAGED UNIT
HVAC CHANGEOUT-
101-0000-42600
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$24.17
$0.00
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Total Paid forCHANGEOUT: $60.43 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: .$91.85, $0.00
TOTALS: $153.28 $0.00
Printed: Thursday, February 12, . 2015 11:41:05 AM 2 of 2 CRWSYSTEMS
Bin #
Cray Of La Qu inta:
`
Building 8i Safety Division
P.O. Box 1504, 78-495 Calle Tampico . .
Permit #
La Quinta, CA 92253-" (746)'777-7012 "
Buridin Permri A Ircati anal Trackrng Sheet
Project Address-,.Owner's
Name: — r
A. P. Number:
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Legal Description:
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