BMCH2014-110778-495 CALLE TAMPICO , D� VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Dater 10/13/2014
Application Number:
BMCH2O14-1107
Owner:
Property Address:
49298 MONTANA WAY
LATHROP, JAMES & LINDA
APN:
602170015
4109 HIDDEN LAKES DR
Application Description:
REPLACE 2 TON A/C & 80K BTU FURNACE
KIMBERLY, ID 83341
Property Zoning:
Application Valuation:
$8,374.00
;
Applicant:
Contractor:
ALL SEASONS A/C, PLMBG & HTG
ALL SEASONS A/C, PLMBG & HTG
0 OUTSIDE CITY LIMITS
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
LA QUINTA, CA 92253
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.: :LIC -0006631
Date: N O %311* 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, 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 J
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
(760)568-2660
Llc. No.: :LIC -0006631
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 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: 101 la 114 Applicant: tiw�
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.
13 Signature (Applicant or Age
1 1 1 •
'' .DESCRIPTION``'
ACCOUNT .`
!QTY' AMOUNT`,
r `'� °,PAID„
PAID"DATE:
BSAS S61473 FEE
101-0000-20306
0 $1.00
$0.00
"' tPAIDBY `� '�
METHODS"
"{RECEIPT# �,
'�
`CHECK#
'3•CLTD
Total Paid fo�BUILDING STANDARDS ADMINISTRATION BSA $1.00, $0.00
n
.* DESCRIPTION;,` ` °
` ` ACCOUNT ' '
QTY
T AMOUNT
`'PAID
DATE'
in T R k..,� V, •
Y .P
,LLPAID
HVAC CHANGEOUT - PACKAGED' UNIT
101-0000-42402
0-
$36.26
$0.00
�"£ sw �yPAID BY' `>`�r � ��P � �
; a METHOD'
�1 � "., ��
RECEIPT #
��. � . ., `
CHECK #
„
.CLTD,BY`
.:
t
ACCOUNT 1
DATE
~,
E.#`
_PAID �y
,PAID
HVAC CHANGEOUT - PACKAGED UNIT, PC
101-0000-42600
0
$24.17
$0.00
" a PAID
METHOD . `
a ¢' RECEIP.`T #,�CLTD
BY
, ,;
Total Paid for6ANGEOUT: '. $60.43 $0.00
- '�
ACCOUNT
QTY
AMOUNT,
PAID
'PAID DATE
�.DESCRIPTION-
.`
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY ,`
METHOD .
x "*RECEIPT #
CHECK #' `M
CLTD BY,
, d ,q N �$
.� ,
Total Paid forPERMIT ISSUANCE:. .$91.8S $0.00
•
r
t
f
Description: REPLACE 2 TON A/C & 80K BTU FURNACE
Type: MECHANICAL Subtype: Status: SUBMITTED
Applied: 10/7/2014 MFA
Approved:
Parcel No: 602170015 Site Address: 49298 MONTANA WAYLA QUINTA,CA 92253
Subdivision: TR 28912 Block: Lot: 59
Issued: ,
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $8,374.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 14 SEER/90 FAU SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAI
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
DESCRIPTION= ACCOUNT QTY AMOUNT -PAID. PAID DATE , RECEIPT # CHECK # METH.OD PAID BY L CLTD
BY
BSAS SB1473 FEE 101-0000-20306 .0 $1.00 $0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
Printed: Monday, October 13, 2014 1:53:01 PM 1 of 2 sysTrms
DESCRIPTION
ACCOUNT
' QTY
<-AMOUNT .'
PAID
PAID DATE,
,,RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
HVAC CHANGEOUT -
101-0000-42402
0
$36.26
$0.00
PACKAGED UNIT
HVAC CHANGEOUT -
101-0000-42600
0
$24.17
$0.00
PACKAGED UNIT PC
Total Paid forCHANGEOUT: $60.43 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:$0.00
BOND INFORMATION
ATTACHMENTS
Printed: Monday, October 13, 2014 1:53:01 PM 2 of 2
SYSTEMS
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 4 )
Project Name: JIM LATHROP Date Prepared: 2014-10-01
A. General Information ,
CF11R-ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one MR -ALT -02 document for each dwelling unit.
01'
Project Name T
11191 LATHROP
02
Date Prepared
2014-10-01 -
03
Project Location
49298 MONTANA WAY
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
JIM LATHROP
07
Zip Code
92253 `
08
Dwelling Unit Conditioned
3077
Floor Area (ft2)
SC System
SC System
-.CFA served
f
'''� refrigerant
Number of space conditioning
Installing
09
Climate Zone, "
15
10
(SC) systems in this dwelling
1 +
ducted
containing
system
more than 40
unit.
.entirely new
t
B. Space Conditioning (SC) System�,Information k "r
..qF 7'A" .' 'eke:•
Ol
02
02
M
05 kR
U6�
07
08� `
09
— 10
...
; , »
r
e
ti
kgl s the,SC
Instalhi g a
SC System
SC System
-.CFA served
'syste a j"
'''� refrigerant
Installing new SC
Installing
Installing
Installing
t
Identification or
Location or Ar"ea;
T by Lhis'k,
ducted
containing
system
more than 40
entirely new
.entirely new
,Name
Served
System (ft2)
. system?
component?
components?
feet of ducts?
duct system?
SC system?.
Alteration Type
'-
Altered space
' System 1
Location 1
3077
Yes
Yes
Yes
No
No
No ,
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib)
This section does not apply, to this project.
Registration Number: 214-A0109133A-000000000-0000 Registration Date/Time: 2014-10-01 19:18:00 HERS Provider: CaICERTS --
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03:31 Report Generated: 2014-10-01 19:18:41
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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
Requiredy
Identification
System
Heating'-
Efficiency
Efficiency.
Cooling
Cooling
Efficiency
Efficiency_
Thermostat
_New _or
Replaced
_
New Duct -
or Name
Type I
Components_
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R -Value
Central gas
All new
_
Central split'
All new
This field or
This field or
System 1
furnace,
heating Z
AFUE
0.78 '
ACAC
cooling
SEER
14
-Setback
section is not
section is not
components
applicable
applicable
Reauired 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 & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). -
CF2RCF3R-MCH-23 & CF311-MCH-23 Air Flow 2;300 CFM/tonrequired when MCH -25 is required
Exceotions:
Duct systems registered with HERS provider as previously sealed areOAA.,exempt from MCH=20 Duct Leakage TestingMenments
A',-
-Heating-only systems and Air Handler/Furnacechanges do not require verification of Air Flow MCH -23 or Refrigerant Charge M-
OR
0 Duct,Leakage_Testing requirements a`
Existingduct systems constructed, insulated onsealed wit asbestos are exemot: from MCH. 2PIC" 5
. r _ _ • . _ M ...pi,R, . ..ems.. .... ,Yv-.....:'�SCYRx. '•k. -: -..•....f.;:. .. ..• , y:. ...«.•,;,. .. 'Y. q .... ... ., '
. • E. Entirely New or Complete Replacement Duct System, witFi or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, F) • ; _
.. This section does not apply to this project. r • " r
Registration Number: 214-A0109133A-000000000-0000. Registration Date/Time: 2014-10-0119:18:00 HERS Provider: CalCERTS
+- CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014 03 31 , y Report Generated: 2014-10-03 19:18:41
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f.
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.. • '�. � ✓�'°� 'u'°'; r'���a�,� ct s � ,isih 4i .�•��e� i 1y� � w a+ ^tt - � utt i”. _ � -
Registration Number: 214-A0109133A-000000000-0000 Registration Date/Time: 2014-10-01 19:18:00 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03=31 Report Generated: 2014-30-01 19:18:41, 4.
' _ , • - - - Schema Version: 0.551SDD;
CERTIFICATE OF COMPLIANCE - C11`111 -ALT -024
Alterations to Space Conditioning Systems (formerly CF -1R -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:-- - �_ .. __ , _, � _ ; M _ `
Documentation Author Signature: 4
+-
Cain, Shantel
�
Company:
Signature Date:
ALL SEASONS AIR CONDITIONING PLUMBING & HEATING INC
2014-10-01 19:18:00
Address:
CEA/ HERS Certification Identification (if applicable):
73605 Dinah Shore Drive, Suite 1310M
`
City/State/Zip:
Phone:
Palm Desert CA 92211 ' ' •
(760) 568-2663 .
Responsible Person's Declaration statement z` :•: `
I certify the following under penalty of periury, under the laws of the State of California:
1.' The information provided on this Certificate of Compliance is true and correct.
2. I m eligible under Division 3 of the Business and.Professions Code to acce t.res onsibili f r the building -design r i n i n '
a g p., p _ty oo system design identified o this Certificate of Compliance (responsible designer).
3. That the energy features and performance sp cifi ations, matenp s zomponents,.and manufactu ed device or the build ni g d sign of systYem design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part 6 of the California,Code of Regulat'i'ons ", `ns ; rte' �: .
4. The building design features or system design features identified on this`,Certificate of Compliance are consistent with'the information p6videfth other applicable compliance documents, worksheets,
x� .� .
calculations, plans and specificaUoris submitte�to�e enfo�rceme�ntagency fopp�val With �is b�u�ilding pe mrt applicatio�n ��"�'"'
5. I will ensure that a registered copy of this Certificate of Complian^e shall4be matle available with the building per. s) issued for;the buildmg�d-made available to the enforcement agency for all applicable
inspections. I understand that a registered copy.of this Certificate of.Comphance a required to be'nduded withahe documentation the builder provides to the buildirig owner at occupancy.
.... _
Responsible Designer Name:
ru�
Responsible Designer Signature: /-}
Cain, Shantel
�7
Company:
Date Signed:
ALL SEASONS AIR CONDITIONING PLUMBING & HEATING 'INC f :"
2014-10-01 19:18:00
Address:
License:
73605 Dinah Shore Drive, Suite 1310M
827420 _
City/State/Zip:
Phone: '
Palm Desert CA 92211-
(760) 568-2663
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the
information.
Registration. Number: 214-A0309133A-000000000-0000 Registration Date/Time: 2014-10-01 19:18:00 ^HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance' '' _ Report Version: 2014-03-31 ^. -, Report Generated: 2014-10-01 19:18:41'
• Schema Version: 0.551SDD - -