BMCH2015-019352198 Avenida Martinez
BMCH2015-0193
78-495 CALLE TAMPICO
O i
o C` 0 D Z'QuW4
VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253
i
4FAX (760) 777-7011 .
COMMUNITY DEVELOPMENT DEPARTMENT • INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/8/2015
Application) Number:
BMCH2O15-0193
Owner:
Property Address:
52198 AVENIDA MARTINEZ'
-PARISA ANDERSON
APN:
773232011
52198 AVENIDA MARTINEZ
Application Description:
ANDERSON RESIDENCE HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$3,000.00
n ' :
Applicant:JUN Qp I '"I! Contractor:
RELIABLE ENERGY MANAGEMENT INC t OV f RELIABLE ENERGY MANAGEMENT INC
7201 ROSECRANS AVENUE CI1Y F- 7201 ROSECRANS AVENUE
PARAMOUNT, CA 90723 MNIIfNw7 A PARAMOUNT, CA 90723
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: B C36 C20 License No.: 70441
Date: 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
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.).
( 11, 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 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
Lender's
(562)984-5511
Lic. No.: 704414
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 o he L b r Code, I shall forthwith
comply with those provisions.
Date:_L44 _ Applicant: ,
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 a er u nhhe above-
mentioned prope y for inspection purposes.
Date: t Signature (Applicant or Agent):
1
DESCRIPTION
INFORMATION •.
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.S2
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #.
CLTD BY
DESCRIPTION
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
ACCOUNT •
QTY
AMOUNT
PAID:
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: ANDERSON RESIDENCE HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED Applied: 6/8/2015 MFA
Parcel No: 773232011 Site Address: 52198 AVENIDA MARTINEZ LA QUINTA,CA 92253 Approved: 6/8/2015 MFA
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 95 Lot: 12 Issued:
UNIT 11
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $3,000.00. Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT -13 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMQTinN
Printed: Monday, lune 08, 2015 10:30:06 AM 1 of 2
SYSTEMS
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE FAX
EMAIL
APPLICANT
RELIABLE ENERGY MANAGEMENT
INC
7201 ROSECRANS
AVENUE
PARAMOUNT
CA
90723
(949)748-7973
CONTRACTOR
RELIABLE ENERGY MANAGEMENT
INC
7201 ROSECRANS
AVENUE
PARAMOUNT
CA
90723
(949)748-7973
OWNER
PARISA ANDERSON
52198 AVENIDA
MARTINEZ
LA QUINTA
CA
92253
(949)748-7973
FINANCIAL INFORMQTinN
Printed: Monday, lune 08, 2015 10:30:06 AM 1 of 2
SYSTEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL"* BLD
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK R
METHOD
PAID BY.
BY
BSAS SB1473 FEE
101-0000-20306
0.
$1.00
$0.00
Total Paid for BUILDING 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
1 0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
$201.63 $6.00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL"* BLD
REVIEWS
RETURNED STATUS REMARKS
REVIEW TYPE REVIEWER SENT DATE DUE DATE DATE NOTES
BOND INFORMATION
Printed: Monday, lune 08, 2015 10:30:06 AM 2 of 2
SYS7EH15
Bin #
City of La Quinta
Building tat 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:
A\iqj
Owner's Name: V C, , r7
A. P. Number:
Address:jalv
Legal Description:Vka&—
City, ST, Zip:
Contractor:Vo\\'
L
V1telephone:
l
Address:
0
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T C L ... .
Project Description: Ln di Pj
City, ST, Zip:
Telephone: hone
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!nk O
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State Lic. # : L
Arch., Engr., Designer:
17
City Lic. #:
Address:
City., ST, Zip:
Telephone:
><<< »>»>
Construction stru ti
on TY e: ccu
Occupancy:
P P Y:
State Lic. #•
Project type (circle r
cle one • New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
Stories:7(
#Units:
Telephone # of Contact Person:
Estimated Value of Project: 3000
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.,
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2pd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted i
Grading
IN HOUSE:-
'rd Review, ready for correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEC-CF1 R -ALT -03-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-03-E
Alterations - HVAC CZ 1, 3 to 7 and 16 (formerly CF -1R -ALT -HVAC) (Page 1 of 1)
Site Address:
Enforcement Agency:
Da Prepred:
Permit#:
Equipment Type
Equipment Efficiency
New: Ducting, Plenums, Lineset
Conditioned
Thermostat
Required R -value
Floor Area (sq ft)
❑ Packaged System
Ja Evaporator Coil°6
AFUE
COP
❑ R-6 (CZ 1,3-7) Ducts
Served by system
13 Setback
'Split System
('Condensing Unit
SEER
❑ R-81 (CZ 16) Ducts
s ft
q
(if not already
HSFF
13R-6 (all CZ's) Plenums
present, must
Furnace
❑ Lineset
EER
❑ R-5 or R7.5 Lineset'
be installed)
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.
X,1. HVAC Changeout/Repair
Required Compliance Documents to be left on site for Final:
Can include new ducting
All Equipment,
CF1R-ALT-02-E
Condenser Unit, Evaporator Coil,
CF2R: MECH-01, MECH-20-HERS ,
Air Handler/Furnace
CF3R: MECH-20-HERS
Installer Requirement: Duct leakage (c.15% or, 1.10% to outside, or seal all accessible leaks)
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'
CF1R-ALT-02-E
CF2R-MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS
CF3R-MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS'
Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow 2 350 CFM/ton (or Standards Table 150.0-C / D alternative)
❑ 3. All New Ducts with Replacement
Required Compliance Documents to be left on site for Final:
Includes replacing or installing All New
CF1R-ALT-02-E
Ducts' and one or more of the following:
CF2R-MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS
Condenser Unit, Evaporator Coil, Furnace
CF311-MECH-20-HER!, MECH-(23 or 24) -HERS
Installer Requirement: Duct leakage:S 6%, Air flow
2 350 CFM/ton (or Standards Table 150.0{ / D alternative)
❑ Exempted from dud leakage testi n
I 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:
Adding or replacing ducts in unconditioned
CF1R-ALT-02-E
space but less than All New Duds'
CF2R: MECH-20-HERS
CF3R: MECH-20-HERS
Installer Required to: Dud leakage (:s.15% or,: 30% to outside, or seal all accessible leaks)
❑ Exempted from duct leakage testing I existing dud systems are 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.
'A New Dud system is when the duct system is constructed of at least 75 percent 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, plenums, duct material.
3 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-2%", 2.5 -3T -2W, 3.5 to 4T-2%", 5T -43V
Contractor (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, worksheets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building permit application.
Responsible Designer Name:
Responsible Designer Signature: Date Sign Ucense:
:- / —
?C)q(1
CCoomprany:
I
Address: A City/State/LP: Phone:
l"
1 r
C
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,,..y„ , cs—,,,,,6 u,c cncrgy awnuarus, contact tee tnergy hotline at: 1-SUo-772-3300