BMCH2014-109178435 Magenta Dr
BMCH2014-1091
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O14-1091
Property Address:
78435 MAGENTA
APN:
604026029
Application Description:
HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$6,000.00
Applicant:
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
Tjb/ U VOICE (760) 777-7125
o FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/23/2014
n Owner:
FnnDD II II GLADYS HAYNES
SEP B 3 2014
CITY OF LA OUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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-0003606
Date: -2---S 14 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
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
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 Address
78435 MAGENTA DRIVE
LA QUINTA, CA 92253
Contractor:
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)343-7490
Llc. No.: :LIC -0003606
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.
s 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: X114- Applicant: S AZ
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALLSUBJECT 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.
Date: C" Signature (Applicant or Agent)
FINANCIAL INFORMATION
`DESCRIPTION ACCOUNT
QTY AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE 101-0000-20306
0 $1.00
$0.00
;.PAID BY METHOD
RECEIPT #
CHECK # ; '
CLTD BY `.
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
`PAID,
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
-PAID B.Y
„ METHOD
= ;RECEIPT #
CHECK #
CLTD BY. t
DESCRIP f ION
ACCOUNT .'
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $108.78 $0.00
DESCRIPTION
ACCOUNTQTY
.
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: HVAC CHANGE OUT
ADDITIONAL
CHRONOLOGY
Type: MECHANICAL
Subtype: Status: SUBMITTED
Applied: 9/23/2014 MFA
Approved:
Parcel No: 604026029 Site Address: 78435 MAGENTA LA QUINTA,CA 92253
Subdivision: TR 18915
Block: Lot: 14
Issued:
Lot Scl Ft: 0
Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $6,000.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
STATE
Details: REPLACE HEAT PUMP AND AIR HANDLER 13 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
APPLICANT
Printed: Tuesday, September 23, 2014 12:03:53 PM 1 of 2 erpm- , „ .
ADDITIONAL
CHRONOLOGY
CONDITIONS
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY
STATE
ZIP
PHONE FAX EMAIL
APPLICANT
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
(760)565-1648
CONTRACTOR
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
(760)565-1648
OWNER
GLADYS HAYNES
78435 MAGENTA DRIVE
LA QUINTA
CA
92253
(760)565-1648
Printed: Tuesday, September 23, 2014 12:03:53 PM 1 of 2 erpm- , „ .
Printed: Tuesday, September 23, 2014 12:03:53 PM 2 of 2le-fipw........
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-426000
$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: Tuesday, September 23, 2014 12:03:53 PM 2 of 2le-fipw........
CERTIFICATE OF COMPLIANCE
tem'Information,,,
I CF1R-ALT-02-E
Alterations to Space Conditioning
Systems (formerly CF -IR -ALT -HVAC)
I (Page 1 of 4 )
Project Name:
GLADYS HAYNES ,
Date Prepared:
2014-09-18
A. General Information
tem'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 MR-Al(IT-02
document for each dwelling unit.
01
Project Name
GLADYS HAYNES
02
Date Prepared
2014-09-18
03
Project Location
78435 MAGENTA DRIVE
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name.
GLADYS HAYNES
isthe SC. -
:, installing
Dwelling Unit Conditioned
i
07
Zip Code
92253
08
Floor Area (ft2)
912
•1
system a
refrigerant
Installing new SC
Installing
Installing
Number of space conditioning
09
Climate Zone
15
10
(SC) systems in this dwelling
1
more than 40
entirely new
entirely new
Name
unit.
B. Space Conditioning (SC) Sys,
tem'Information,,,
O1
02
,a'' 01/Y4,%:04";
OS
X06-
g07, yys
a''rU8
09
10
isthe SC. -
:, installing
i
SC System
SC Systerr
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location orIrea
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served 1
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1 -T-
Location 1
912
Yes
Yes
Yes
No
IAltered
N-1
-7
space
1o
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 214-A0097327 -000000000-0000
Registration Date/Time: 2014-09-18 20:52:48
HERS Provider: CaICERTS
CA Building Energy Efficiency Standarlds - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-18 20:53:19
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE I I CF1R-ALT-02-E
Alterations to Space Conditionin? Systems (formerly CF -IR -ALT -HVAC) I (Page 2 of 4 )
D. Altered Space Conditioning
System (Sections 150.2(b)IE and F)
01
02
03
04
05
06
07
08
09
)
10
11
12
Heating
Coolir
l
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
VMapo
Type
Value
a
Type
Value ,I
Type
Duct Length
R -Value
Central split
new
entral splitI
All new
This field or
This field or
System 1
HP
CA
ating
AFUE
0.78
HP
cooling
SEER
13
Setback
section is not
section is not
rraaaents
componen
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Syste
s 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: 515%, or <_ 10%
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 & CF3R-MCH-23 Air Flo
Exceptions:
v >_ 300 CFM/tonrequired when MCH -25 is required g
-Yor "f, F� �s
d g r rT 4 i I'
-Duct systems registered with HERS provider
..
as previously sealed are exempt from MCH -20 Duct Leakage�Testing'requirements t4 -:
-Heating-only systems and Air Handler/Fur
ace changes do not regwre venficationbf Air Flow MCH 23, orRefngerant Charge MECH-25
rd x
-Existing ducts stems constructed, insulat
g Y
or sealed with ast esto a e exem t from MCH -20 Duct Leaka a Testm re uirements ' h
p .3.. ,qr. g g
`w
-..^ma+'-s;..s. .:.w,,.. ^.+,+,v«x.- +,x.ti'?-•s!.nks. » axa+ckss+.nt;ip„µ:. ,+^
E. Entirely New or Complete Rieplacement Duct System ','with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)lE, F)
This section does not apply to this project.
Registration Number: 214-AO097327
Registration Date/Time: 2014-09-18 20:52:48
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 I Report Generated: 2014-09-18 20:53:19
Schema Version: 0.S5ISDD II
CERTIFICATE OF COMPLIANCE
;
CF1R-ALT-02-E
Alterations to Space Conditioning
Systems (formerly CF -IR -ALT -HVAC)
(Page 3 of 4 )
t.
F. Entirely New or Complete Replacement
Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
1
,
iare L t
5
t t t
2 'd
Registration Number: 214-A0097327A-000000000-0000
Registration Date/Time: 2014-09-18 20:52:48
HERS Provider: CaICERTS
CA Building Energy Efficiency StandarI
s - 2013 Residential Compliance Report Version: 2014-03-31
Report Generated: 2014-09-18 20:53:19
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) I (Page 4 of 4 )
Documentation Author's Declaration
Statement
1. 1 certify that this Certificate
Qf Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Valdez, Dayana
Company:
Signature Date:
HARRISON ENTERPRISES INC dba GENERAL
AIR CONDITIONING
2014-09-18 20:52:48 -
`f
Address:
CEA/ HERS Certification Identification (if applicable):
31-170 RESERVE DRIVE STE A
I —
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
(760) 343-7488
Responsible Person's Declaratipn
statement
I certify the following under penalty of perjury,
under the laws of the State of California:
1. The information provided on tt
is Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 o
the Business and.Professions Code to accept.,responsibility for,the building.design or system design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and p
xs"..' .,F .a'i•. r: v.E .... ..;
rformance 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 I
and Part 6 of the California Code of Regulations.
fi
4. The building design features or
n: -: r
system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets,
calculations, plans and specific
r o` a w. r..,. v .;.
tions. submitted to the enforcement agency for approval,with this buildmg.permit application. 1 "
5. I will ensure that a registered c
py of this Certificate of Compliance shall be made;available with the building permit(s) issued for the Wlding,,and made.available to the enforcement agency for all applicable
inspections. I understand that
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:
Valdez, Dayana
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL
AIR CONDITIONING
2014-09-18 20:52:48
Address:
License:
31 170 RESERVE DRIVE STE A
1686310
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
(760) 343-7488
Digitally signed by CaXERTS. 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-A0097327A-000000000-0000 Registration Date/Time: 2014-09-18 20:52:48 i HERS Provider: CaICERTS
CA Building Energy Efficiency Standards 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-18 20:53:19
Schema Version: O.SSISDD
Bin #
Qty of La Quints
-Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
1t
q
Project Address: %gJ4 3S Q
Owner's Name: Qa N
A. P. Number:
Address: -7'914 g5
Legal Description:
City, ST, Zip: La Qv i r GA q ZZ S 3
Contractor:Telephone:
Gt✓he rc., ; rS
'7 0•- S-(® - b
Address: 3\1-70 -j ,eSycje
Project Description:
City, ST, Zip: ' j Qum CA CiZz'1L-
1 e 2. S pv; e ;.4 Pum 4
Telephone: 7X0' 3— '
<;:,..:: ;:.:;,..:: ;;:.,.:-:.:::,<
r e
A.Q*t
State Lic. # : ( 3 I Q
City Lie. #•:
Arch., Engr., Designer:
LT., . t
Address:
City., ST, Zip:
Telephone:
':'<><.'>:€=,<%% <
:^;;.•:::° ' > ' '' `r
..........................:...............
Construction Type: Occupancy:
State Lic. #:
Project type circle one): New Add'n Alter Repair Demo
Name of Contact Person: S.i V—%J6^
Sq. Ft.:
# Stories:
# Units:
Telephone #,of Contact Person: X 51—ZL} 1—(e$1
Estimated Value of Project: 4;(',00C::>
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIGNG
PERMIT FEES
Plan Sets
Plan Check submitted
p
7 '
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrcctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'`" Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
P:0•