BMCH2015-0054VOICE 760 777-7125
78-495 CALLE TAMPICL, � ��, ,� , ( )
LA QUINTA, CALIFORNIA 92253\�FAX (760) 777-7011
��,•�' COMMUNITY DEVELOPMENT DEPARTMENT ' INSPECTIONS (760) 777-7153
w BUILDING PERMIT
Date: 2/23/2015
Application Number:' BMCH2O15-0054
' • Owner:
Property Address: 54275 AVENIDA OBREGON
'ALICIA GARCIA
APN: ' 1 774241027 54275 AVENIDA OBREGON • .
Application Description: GARCIA RESIDENCE HVAC CHANGE_OUT LA QUINTA, CA 92253
Property Zoning: r
Application Valuation: $4,900.00
Applicant:
FE,9 n
.,
5,• 2� 15 Contractor: -
COMPRESSOR AIR CONDITIONING AN COMPRESSOR AIR CONDITIONING AN
0 OUTSIDE CITY LIMITS i '-PTY or0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253 flMFfilIYDEVFd�y�r+c;gpf�yEBT LA QUINTA, CA 92253
(760)610-3120
Llc. No.: 'LIC -0101096
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: License No.: :LIC -010i096 of the work for which this permit is issued.
® ^ n _ I have and will maintain workers' compensation insurance, as required by
Date: 2 — is Contractor: 'cJa.�.rC pc w -r Section 3700 of the Labor Code, for the performance of the work for which this permit
r 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. • r.
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3
`-2
of the Business and Professions Code) or that he or she is exempt therefrom and the :Date: :?') Applicant
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a AV <
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 CRIMINALPENALTIES AND CIVIL FINES UP TO
(_) 1, 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: B.&P.C. for this reason 2. Any permit issued as a result of this application becomes null and void if work is r
i 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. Q. mentioned property for inspection purposes. '
Lender's Name:r Date: lI Z�Z3` �� Signature (Applicant or Agent):
Lender's Address: 4'
».
CERTIFICATE OF COMPLIANCE; CFIR-AUT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC) (Page x of 3 )
Project:Name: 54275 Avenida Qbergon Date Prepared: 201502-21
A. General Information
CUR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit; When multiple dwelling -units, must be
documented, use one MRLALT 02 document fcrr each dwelling unit,
01
Project Name •
54275 Avenida Obergon
02
Date Prepared
2015-02-21
03
Project Location -
54275 Avenida Obergon .
04
Building Type
Single family,
05
CA City
La Quinta
06
IDwelling Unit Name
54275 Avenida Obergon
09
ZipCodie
92253
08
Dwelling Unit Conditioned
2000
FloorArea (ft2)
SC System
SC System
CFA served
systema
refrigerant
Number of space conditioning
Installing
09
Climate Zone
15 -
10
(SC) systems in this dwelling
1;
ducted
'
system
morte than 40
unit.
"
B, Space Conditioning (SC) System Informatio y� j
Ul
02
03 r;
04
06 M
07
`{ + 08+1° `
09
SO
a
z
:05
..}' 1
ar
,r
lithe Sa,
Installing a
SC System
SC System
CFA served
systema
refrigerant
Installing new SC
Installing
Installing
Installing
Identifkation or .
Location ctr Area
" by WiSC
ducted
containing
system
morte than 40
entirely new
entireIV neva
Name
Served
System (ft 2)
system
component?
components?
feettof ducts?
duct system?
SC system?
Alteration Type
System 1
whole house
2000
Yes
Yes
Yes
No
No
No •
Altered space
conditioning system,
.C., Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2Qb)1Diib)
This section does not apply -to this project.
Registration Numbev:215-A0049923A-000000000-0000
CA Building Energy Efficiency Standards 2013 Residential Compliance
Registration Date/Time: 2015-02-21 15:28:53
Report Version: 2014-03-31
Schema Version: 0.551SDD
HERS Provider: CaICERTS
Report Generated: 2015-Oz�21 15:28:27
CERTIFLCATE. OF COMPLIANCE,. CFZR-AUT 02-E
Alteratiions to Space Conditioning Systems (formerly CF -1R -ALT HVAC) (Page 2 of 3 )
D. Altered Space ConcGtionung System (Sections 150.2(b)lE andl F)
f
011
02
03
04
QS
06
07
0a
09
10
11
12�
Heating
Cooling
System
Keating:
Altered,
Heating
Minimum
Altered
Cooling
Miltimurn
Required
New or
'
Idlentificatiort
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
All new
Central
All new
Less than or
System 1
fwrnace
heating
'AFUE
0.78
packaged HP
cooling
SEER
13
Setback
equal to,40
'R-8'
components
components
feet
Required Documentation:
CFZR-MCH-01-E - Space Ctonditioning Systems Ducts and Fans
s
-Duct insulation requirement fon new plenums;; R6. „
CFZR-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing required when heating or cooling components are installed in ducted systems, on when more tbari 40 ft of duct length is replaced.
-Leakage rate compliance: <_ 15%, ors 10% leakage to)outside, or seal all accessible leaks. r
CF211-11VICH-25-H & MR -MCH -25-H Refrigerant Charge Verification required when refrigerant containing components are installed on altered (applicable in CZ 2, 8-15).
;
MRCF311-11VICH-28 & CF3R-MCH-23 Air, Flow >!300 CFM/ton required when MCH -25 is required.
Exce tions:, - c. - i�
Duct systems registered with HERS provider as previously sealed are exemptfromIMCH-2D Duct;Leakage Testing '
•
requirements. s ,. *
-Heating-only systems and Air Handler/Furnacew han�es do Flow or RefrjgerantiCharge.
fcapt
not requierier tioq of Air MCH -23 MECHf25.
Existing duct systems constructed, insulated of sealed with asbestos are exemom MCH -20 Duct Leakage Testing rr q irements! �r t
f
— --
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)iC)
This section does not apply -to this project.
Registration Number::215-A•0049921A-000000000-0000
CA Building Energy Efficiency Standards 2013 Residential Compliance
Registration Date/Time: 2015-02-21 15:28:53
Report Version: 2014-03-31
Schema Version: 0.551SDD
HERS Provider: CaICERTS
Report Generated: 2015-021-21 15:28:27
CERTIFICATE OF COMPLI'ANC , - MR -ALT 02-E
Alterations to Space Conditioning Systems (formerlyCF-1R-ALT HVAC) , (Page'3 of 3 )
Documentation Author's Declaration Statement - -
1. I certify that this Certificate of Compliance documentation is accurate and complete. 'V
Documentation Author Name: • j
Documentation Author Signature: .
Leal, David
Company: ,
ignat4re Date:
COMPRESSOR,AIR CONDITIONING AND HEATING;
2015x02-Zl 15:28:53.
Address: % /� f
CEA/ HERS Certification Identification (if applicable):
Gt}s/State%Zip:
-- !/1611 o cA . ?20
Phone:: '
(760) 61a3118
Responsible Person's Declaration statement
I certify the following under penalty of perjury, underthe laws of the State of California:
1. The information provided on this Certificate of Compliance is true andlcorrect. -
2. ' 1 am eligible under Rivisioni3 ofthe Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer).
•� _ � -K-'x . .�s.- ..� .�. k�---5, rx•- -a mac. � � .
3. That the energy features and performance specifications, matenls, components, and manufactured dewces 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 Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the IAformation provided on other applicable -compliance documents, worksheets;
calculations, plans and specifications submitted to the enforcement agency for approval with this buildini.,p rmit application. ' � -; " r yl .!
S. I will ensure that a registered copy of this.Certificate of Ciompliance shall be made available with the building permits) 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 requirewT dIto be incl ded with the 6c4mentatio`4the builder provides to the building owner at occupancy.
Responsible Designer Name: z
Responsible Design err Signature:
Leal, David
Company::
Date Signed:
COMPRESSORWR CONDITIONING AND HEATING; '' ;:;•' .
2015x02 -2'I 15:28:53
Address: 1 Q I _
`L
_ `L 1 � 12 Pk 6er\ x - s-/
License:
957516 -
Phone::
(760) 610-3118
'City/State/,Zip: a•
V j nd1 ry rA ?2®
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility forthe accuracy ofithe information.
Registration Number::215-A0049921A-000000000-0000 Registratjon Dae/Time: 2015-02-21 15:28:53 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2014.03-31 Report Generated: 2015-02121 15:28:27
Schema Version: 0.551SDD
FINANCIAL .•.
`DESCRIPTION]°,ri. " ;ACCOUNT r; !t QTY �AMOUNTg k' u PAIDa#; ' PAID DATE
FEi
BSAS SB1473 FEE ,101-0000-20306 0
$1.00 $1.00 2/23/15
PAID BY• .:., METHOD t�f' RECEIPT # ; E, : CHECK #
COMPRESSOR AIR CONDITIONING AN DEBIT .113793 MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00
i 'DESCRIPTION :.4 s r °
-° {ACCOUNT n'
QTY
AMOUNT TF
PAID DATErt
�"
IPAID
�Zr:
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$72.52
2/23/15
c ''PAID BY ` ii +; Y7METHOD411
.
RECEIPT s #.
CHECK #41
? GLTD�BY•
COMPRESSOR AIR CONDITIONING AN
DEBIT
R3793
MFA
DESCRIPTION': ��
ACCOUNT ''
QTY
# AMOUNT f
PAIDI w
PAID DATE
_ r:
...�,.
z
c
x
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$36.26
2/23/15
PAID BY cr, t E
y`METHOD i
eFRECEIPT # "F F- ,
'a CHECK #
CLTD BY
COMPRESSOR AIR CONDITIONING AN
DEBIT
R3793
MFA
Total Paid forCHANGEOUT: $108.78 $108.78
v- DESCRIPTION "�
ACCOUNT " �; �, C
Q TY
w: AMOUNT
+ r r
�PAID ` ��
w ..
4 P AID DATE'.
,. #
PERMIT ISSUANCE
101-0000-42404
0
$91:85
$91.85
2/23/15
`PAID BY ; .-r
METHOD
RECEIPT.#
x''
COMPRESSOR AIR CONDITIONING AN
DEBIT
R3793
MFA
Total Paid for PERMIT ISSUANCE: $91.85 • $91.85
TOTALS:
r
r
+ • +
��ryr
Description: GARCIA RESIDENCE HVAC CHANGE OUT _.
Type: MECHANICAL Subtype: Status: APPROVED Applied: 2/23/2015 MFA
Parcel No: 774241027 Site Address: 54275 AV_ENIDA OBREGON LA QUINTA,CA 92253 .. Approved: 2/23/2015 MFA
Subdivision: SANTA CARMELITA VALE LA.QUINTA Block: 265 Lot: 2 Issued: -
UNIT 24
Lot Sq Ft: 0 -. Y Building Sq Ft: 0., Zoning:.. Finale d: -
Valuation: $4,900.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT-135EER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S)
FINANCIAL INFORMATION
Printed: Monday, February 23, 2015 1:06:35 PM 1 of 2
J SYSTEMS
TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
r
+ • +
��ryr
Description: GARCIA RESIDENCE HVAC CHANGE OUT _.
Type: MECHANICAL Subtype: Status: APPROVED Applied: 2/23/2015 MFA
Parcel No: 774241027 Site Address: 54275 AV_ENIDA OBREGON LA QUINTA,CA 92253 .. Approved: 2/23/2015 MFA
Subdivision: SANTA CARMELITA VALE LA.QUINTA Block: 265 Lot: 2 Issued: -
UNIT 24
Lot Sq Ft: 0 -. Y Building Sq Ft: 0., Zoning:.. Finale d: -
Valuation: $4,900.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT-135EER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S)
FINANCIAL INFORMATION
Printed: Monday, February 23, 2015 1:06:35 PM 1 of 2
J SYSTEMS
PARENT PROJECTS
ATTACHMENTS
Printed: Monday, February 23, 20151:06:35 PM 2 of 2
SYSTEMS
-
ACCOUNT
-QTY
'a:AMOUNT
77,-•;.r?:
">'
'PAID
TCHEGK#
`" j
:CLTD*
DESCRIPTION
.
PAID
-r
RECEIPT
_.
METHOD,
"PAID BY"
3=
�. _<
.. " - Es .
� _,'r r °._w�s
", •.:_',
°• = ;., :c"
"�-�
� � ��.
„rs
F-�
�x-fix
?��'
BYE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
2/23/15
R3793
DEBIT
COMPRESSOR AIR
MFA
CONDITIONING AN
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$72.52
2/23/15
R3793
DEBIT
COMPRESSOR AIR
MFA
SPLIT -SYSTEM
CONDITIONING AN
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$36.26
2/23/15
R3793
DEBIT
COMPRESSOR AIR
MFA
SPLIT -SYSTEM PC
CONDITIONING AN
Total Paid forCHANGEOUT: $108.78 $108.78
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
2/23/15
R3793
DEBIT
COMPRESSOR AIR
MFA
CONDITIONING AN
Total Paid forPERMIT ISSUANCE: $91.85 $91.85
TOTALS:•
PARENT PROJECTS
ATTACHMENTS
Printed: Monday, February 23, 20151:06:35 PM 2 of 2
SYSTEMS
• . r .
Bin #City
of La Quinta.
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 #
Project Address:. 2AM81,11.0 Amcm.Owner's
Name:
A. P. Number:
Address: 5 2
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
Address: 2-M
Project Description: ti
City, ST, Zip: r CA qz?ol4-
C
Telephone:
O�
i
`r
State Lic. # :
City Lie. #;io. 10
Ca , �P ^
Arch., Engr., Designer:
, r 1 r , At
Address:
u
City., ST, Zip:
r
l ( G
Telephone: _
2a
........................................
Construction Type: .Occupancy:
i�
State Lic. #:
Project type (circle one): New Add n Alter Repai Demo
Name of Contact Person: D
Sq. Ft.: 0
# Stories:
# Units:
Telephone #,of Contact Person: ?% —
Estimated Value of Project: too
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd .
Rcc'd
TRACKING
PERMIT FEES,
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
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 corrections/issue
Electrical
'Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
IiA.A. Approval
Plans resubmitted
Grading
IN IfOUSE:-
'rd 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