BMCH2014-111977490 Loma Vista
BMCH2O14-1119
Owner:
Property Address:
77490 LOMA VISTA
DAVID FAUVRE
APN:
658220013
77490 LOMA VIST
Application Description:
REPLACE (1) 15SEER/80AFUE SYSTEM
LA QUINTA, CA 92
Property Zoning:
3700 of the Labor Code, for the performance of the work for which this permit
Application Valuation:
$19,518.00
Carrier:_ Policy Number:
Applicant:
EFFICIENT'AIR CONDITIONING INC
P 0 BOX 1043
THOUSAND PALMS, CA 92276
Contractor:
EFFICIENT AIR CO
VOICE (760) 777-7125
FAX(760)777-7011
INSPECTIONS (760) 777-7153
Date: 10/20/2014
OCT 20 2014
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
P 0 BOX 1043
THOUSAND PALMS, CA 92276
(760)343-5335
LIc. No.: 881926
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: B. C20 License No.: 881926
of the -work for which this permit is issued.
_140( 1 have and will maintain workers' compensation insurance, as required by
Date: Contractor.fLl 2atJ )4-/t*,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:
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 ode, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply vvith those provisions.
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
Date: IU 1 1,0 Ce Applicant: '
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
WARNING: FAILURE TO.SECURE WORKERS' COMPENSATION COVERAGE S UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) I, 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
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:
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:
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 , above-
mentioned property for inspection purposes.
i
Date`.N, 961 Signature (Applicant or Agent):
1
DESCRIPTION`"r
FINANCIAL .
aAC000NT :.
r
1
QTY AMOUNT, "`
PAID: rPAID DATE'
BSAS SB1473 FEE
101-0000-20306
0 $1.00
$0.00
PAID BYY
'' METHODv ''
5.. « RECEIPIT_# .:;'
7 .
CHECK# t. CLTD BY "
r
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
4-' DESCRIPTION-_.:
:.ACCOUNT' 1
QTY
-AMOUNT ' -"
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
t = .
:PAIDBY
METHOD". &'
,A RCEIPT
CHEC#
: CLTD BY
a> DESCRIPTION , .,
.;" "ACCOUNT ".
QTY
.., AMOUNT '
., .PAID
'PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
"101-0000-42600
0
$36.26
$0.00
PAID BY ' i M
* h - METHOD
°RECEIPT #
^. CHECK #
- CLTD BY
Total Paid forCHANGEOUT: $108.78 $0.00
E „DESCRIPTIONS - a
: '° ",ACCOUNT
-QTY'
"-AMOUNT"
PAID ,
PAID DATE
Y PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
r r', . { r PAID BY r •, , - ;' '
;. r METHOD
RECEIPT#
1
'z. CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:0i
Description: REPLACE (1) 15SEER/80AFUE SYSTEM
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 10/20/2014 SKH
Approved: 10/20/2014 SKH
Parcel No: 658220013 Site Address: 77490 LOMA VISTA LA QUINTACA 92253
Subdivision: TR 2S237 Block: Lot: 41
issued:
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $19,518.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0. No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 15SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES
CHRONOLOGY
CONDITIONS
CONTACTS
TATE
APPLICANT
EFFICIENT AIR CONDITIONING INC
P 0 BOX 1043
THOUSAND
PALMS
CA
92276
(760)564-4360
CONTRACTOR
EFFICIENT AIR CONDITIONING INC
P 0 BOX 1043
THOUSAND
PALMS
CA
92276
(760)564-4360
0
T DAVID FAUVRE
77490 LOMA VISTA
LA QUINTA
CA
922.53
-(760)564-4360
/.
~
Printed: Monday, October 20,ZOl4lO:l5:55AM ' ' / lofZ
^ .
`
~
------- '
'.,DESCRIPTION:-- `
A00OUNT
QTY :
AMOUNT
PAID '. `
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
i-
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$0.00
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• 00
Printed: Monday, October 20, 2014 10:25:55 AM 2 of 2
_ SYS iEMS
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACAIterations CF -IR -ALT -HVAC
Climate Zones 10 to 15
Site Address:% ( } 1-oy / p n 1 y
Enforcement Agency:
Datep tl
Permit N.
Conditioned Floor
Equipment Type'
List Minimum Efficient 2
Duct insulation requirement
Area
Thermostat
❑ Packaged Units
Furnace
VAFUE 1-
❑ COP
Over 40 fl of ducts added or
Setback
Indoor Coil
EER
❑ HSPF
replaced in unconditioned space
O R 6 (CZ 10-13)
Served by system
sf
prose already
prrsen must be
Condensing Unit
8
90ther
EER 1'L.
❑ Resistance
❑ R 8 (CZ / 4-15)
ircrm/led)
13 O
1. Equipment Type: Choose the equipment being installed: ijmore than one system, use another CF -1 R -ALT -HVAC jor each system.
2. Minimum Equipment EJJiciendes: 13 SEER 78% AFU& 7.7HSPFjor typical residential systems.
HERS VERIFICATION SUMMARY Listed below are four HVAC alteration Options. The installer decides what work is being done and
picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall be left on site for final
inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fact the work completed by the
installer. The inspector also verifies that each appropriate CF -611 and registered CF4R forms (no hand filled CF4Rs allowed) are filled out and
si ed. Beginning October 1, 2010, a registered copy of the CF -IR and CF -611 shall also be on site for final inspection.
. HVAC Changeout ,
Required Forms:
• All HVAC Equipment replaced"
-CF-6R forms: MECH414, MECH-21-HERS and (for split system_ s) MECH- 25 -HERS
CF4R forms: MECH- 21 and for split sterns MECH-25
• Condenser Coil and /or
• Indoor Coil and/or
CF -6R Corms: MECH-2I-HERS and (for split systems) MECH- 25 -HERS
C174R forms: MECH- 21 and (for split systems) MECH-25
• Pomace
For Split Systems: Duct leakage < 15 percent; RC, CCA >_ 300 CFM/ton(Minimum Air Flow Requirement), TMAH
For Packaged Units: Duct leakage < 15 percent
Exempted from duct leakage testing if:
❑ L Duct system was documented to have been previously sealed and confirmed through HERS verification, or
❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or
O 3. Existing duct systems are constructed, insulated or sealed with asbestos
❑ 2. New HVAC System
Required Forms:
• Cut in or Changeout with new
ducts: (all new ducting and all
CF -611 forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and MECH-25-HERS
CF -4R Corms: MECH 20-, and (for split systems)MECH-22, and MECH 25
new equipment)
For Split Systems: Duct leakage < 6 percent; RC, CCA > 350 CFM/ton, FWD, TMAH, STMS, and either HSPP or PSPP.
For Packaged Units: Duct leakage < 6 percent
❑ 3. New Ducts with Replacement
Required Forms:
• Includes replacing or installing all new ducting
CF -6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-25-HERS
and/or outdoor condensing unit and/or indoor
CFVR forms: MECH-20 and (for split systems) MECH-25
coil and/or furnace. Not all equipment changed.
For Split Systems: Duct leakage < 6 percent, RC, CCA >_ 300 CFM/ton, TMAH
For Packaged Units: Duct leakage < 6 Dercent
❑ 4. New Ducting over 40 feet
Required Forms:
• Includes adding or replacing more than 40
linear feet of duct in unconditioned space.
CF -611 forms: MECH-04, MECH-2I-HERS CF4R forms: MECH-21
For split system or packaged units: Duct leakage < 15 percent
O EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
• I certify that this Certificate of Compliance documentation is accurate and complete.
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for diedesignidentified on this Certificate Compliance._
_of
I certify that the energy feaaluras and O formance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24,
Parts 1 and 6 of the Cal ifomia Code of Regulations.
• T1me design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms, worltsheetc,
calculations elans and specifications submitted to the enforcement agency for approval with the permit application.
Name: 'D
Signature:
Company:
Date:
tol t1l I
Address: 151 L" I ,/1 x m/) „/
((ten h,t L (/;
-1 I UJ
License:
City/State/Zip•
Phone:
Din #
City of La'Quinta
-Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
4 20 Ov
Projekt Address: _qq0 1701yw.o_k
7
Owner's Na mc.,(),Jd FQUL)fO
A. ?.Number:
Address: T?_qqD t_j k VIV7ft,
Legal Description:
City, ST, Zip: LA; wn &,
Contractor: 1C
Address: 60)(- IDL43
Telephone: ( A d- L4 2ifJt
Project Description: ty) 11ta (i) ---4n ri VnrlL
City. ST, Zip: _TV)L
ei r s P -M 4M ImW
Telephone
r le -
State Uc. #:14W q VT—tf
City Lie. C r6
Arch., Engr., Designer
Address:
City, ST. Zip:
Telephone:;yy
M .0
-1
p
Construction Type: Occupancy:
State Lit. #:
Project type (circle one): /ge-D Add'n Alter Repair Demo
Narric of Contact Person:
Sq. Ft.:
Stories:
#Units.
Telephone #.of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Rcqld
Rec1d
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount'
Structural Cates.
ready for corrections
Pl2UChcck Deposit
Truss Cates.
-Reviewed,
Called Contact Person
Plan Cbeck Balance.
Tide 24 CaIcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
MCC112111C31
Grading plan
2' Review, ready for correctionsrissue
Electrical
Subconigetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M1
11.0-C Approval
Plans resubmitted
Grading
IN HOUSE--
Review, ready for corrcction&rissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date Of permit issue
School Fees
Total Permit Fees
I I