BMCH2017-001454190 Avenida Martinez
BMCH2017-0014
78-495 CALLE TAMPICO D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT FAX (760) 777-7011
FAX
(760) 777-7153
BUILDING PERMIT
Date: 1/24/2017
Application Number: BMCH2O17-0014 Owner:
Property Address: 54190 AVENIDA MARTINEZ VIVIAN CHEVALIER
A774222008 54190 AVENIDA
MARTINEZ
Application Description: CHEVALIER RESIDENCE LAQUINTA,CA92253
Property Zoning: U
Application Valuation: $2,000.00
JAN 2 3 2017
Applicant: Contractor:
TRUTEAM OF CALIFORNIA INC CIT( OF LA QUINTA TRUTEAM OF CALIFORNIA INC
260 JIMMY ANN DRIVE 260 JIMMY ANN DRIVE
ATTN: SHERYL LAIT- COMPLIANCE MANAGER. DESIGN AND DEVELOPMENT DEPARTMENT ATTN: SHERYL LAIT- COMPLIANCE MANAGER
DAYTONA BEACH, FL 32114 DAYTONA BEACH, FL 32114
(386)304-2222
Llc. No.: 221517
--------------------------- -------------------------------
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: C33, C-2. D28 D24 B D65. C20 License No.: 221517 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: ACE AMERICAN INSURANCE COMPANY Policy Number: WLRC47860180
Date: — LLI ' I 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.).
( ) 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
Lender's
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. 1 1 -
Date: 171 C) ' 7 Applicant: 1l C9V' 7'c N__
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 prdinances 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: i Z1I.. Signature (Applicant or Agent):_J%d +`LA_ &IV L
Application Number: BMCH2017-0014
Property Address: 54190 AVENIDA MARTINEZ
APN: 774222008
Application Description: CHEVALIER RESIDENCE / HVAC
Property Zoning:
Application Valuation: $2,000.00
Applicant:
TRUTEAM OF CALIFORNIA INC
260 JIMMY ANN DRIVE
ATTN: SHERYL LAIT - COMPLIANCE MANAGER
DAYTONA BEACH, FL 32114
Date: 1/24/2017
Owner:
VIVIAN CHEVALIER
54190 AVENIDA MARTINEZ
LA QUINTA, CA 92253
Contractor:
TRUTEAM OF CALIFORNIA INC
-260 JIMMY ANN DRIVE
ATTN: SHERYL LAIT - COMPLIANCE MANAGER
DAYTONA BEACH, FL 32114
(386)304-2222
Llc. No.: 22-1517
Detail: REPLACE HEAT PUMP CONDENSER -14 SEER/80AFUE SPLIT SYSTEM [2016 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2016 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306' 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR
101-0000-42402
0
$38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$25.33
Total Paid for MECHANICAL: $63.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404'
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
srn.
Cit}/ Of La Quina
Buffdfng 8[ Safety DfvLsion
P.O. Box 1504,78-495 Calle Tampico
La.Qufnta, CA 92253 - (760) 777-7012
Building Permit Application'and Tracking Sheet
Permit #
1
/ 1 R A ✓e )i di4 F` gkTl up'
Project Addtrss: -"110
Owner's Name:. bi!VrrJAJ flQ(/!¢ l
A. P. Niumber.
Address:jo. ✓ M -
Legal Description:
Contractor. py _ (; f
Address: S' &I (/CA -A
City, ST, Zip: L.14 lV -
Telephone:760-333-J'6,10
,u
ProjagDescription: e14
City, ST, Zip: ri. J! o .
Telephone: -C 5,-3 _ y Z
M
L i ,o t/ (.01=
State Lia #: 1 oa City Lic #;
Arch., Eng., Designer:
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Name of Contact Penson:
Constt c ion Type: X*(ti $,u 1 r A L Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: #Stories: # Unity:
Telephone # of Contact Person:
Estimated Valine of Project 00, I .
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
Submittal
Req'd
Rec'd
TRAC1aNG
PERMIT FEES
Plan Sets
Pian Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cal".
Called Contact Person
Plan Check Balance.
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
Z'j Review, ready for eorrectionsrmue
Electrical
Subcoutactor List
Called CoutactPerson
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE--
''' Review, ready for eorreetionsAssne
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC)
CFiR-ALT-02-E
(Pagel of 3) 1
Project Name: chevalier I Date Prepared: 2017-01-24 I
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one
CF111-ALT-02 document for each dwelling unit.
01
Project Name
chevalier
02
Date Prepared
2017-01-24
03
Project Location
54190 Avenida Martinez
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
chevalier
07
Zip Code
1
92253
08
Dwelling Unit Conditioned
z
Floor Area (ft )
1378
/
I tallin a
Number of Space
V i
09
Climate Zone
15 _ _ _ ' _
10
Conditioning (SC) Systems in
1
system a
refrigerant
Installing new SC
Installing
this Dwelling Unit:
Installing
B. Space Conditioning (SC) System Informationk
Ilk, R 1"
11
i a((7-
-Pnl
01
02
03 .
' 04 I--
1 1--1
05
06
07
08
09
10
.
'NIs the SCS
I tallin a
M
V i
11
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1378
Yes
Yes
No
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 217-A020014088A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-01-24 08:03:15
Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CalCERTS
Report Generated: 2017-01-24 08:03:52
CERTIFICATE OF COMPLIANCE CF111-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3)
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01
02
03
04
05
06
07
08
09
10
11
12
Heating
Cooling
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
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R -Value
Central gas
No heating
This field or
This field or
Central split
This field or
This field or
System 1
furnace
component
section is not
section is not
AC
Compressor
SEER
14
Setback
section is not
section is not
altered
applicable
applicable
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems A
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test required wlien heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced
-Leakage rate compliance: <= 15% or <= 10% leakage to outsidetor seal all accessible leaks.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate >1300 CFM per ton,required when MCH -25 is required.
Exceptions: l
Duct systems registered with HERS provider as previously sealed are exempt from -MCH -20 Duct Leakage Testing requirements.
Charge MCH=25
- Heating-onlysystems and Air Handler Furnace changes do not.require"venfication of Air Flow MCH -23, or"Refrigerant
Y g, 5i ra 1
-Existing duct systems constructed, insulated or sealed with asbestosare exemptafrom MCH -20 Ductlleakage Testing requirements.
1 ) / 41".1 1 Y % _ " t t 1 f 1 t %k It_ . Ilk 11 11 — .I
E. Entirely New or Complete Replacement Duct System, with or withoutzEquipment Changeout (Sections 150.2(b)lDiia-and 0.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 217-A020014088A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time:
Report Version: 2016.1.005
Schema Version: rev 10/16
Eiii taxi Z [ Z A XAi F7
HERS Provider: CaICERTS
Report Generated: 2017-01-24 08:03:52
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 3 of 3)
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Ponce, Edward
Company:
Signature Date:
TruTeam of California
2017-01-24 08:03:15
Address:
CEA/ HERS Certification Identification (if applicable):
12251 lavelli Way
City/State/Zip:
Phone:
Poway CA 92065 A
858-486-9155 4264
Responsible Person'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 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 performance specifications, materials; components, and manufactured dPevices for the building design -or system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part land Part 6 of the California Code ofd egulation "' i "' r ""W (' "
11
4. The building design features or system design features identified on this Certificate of Compliance are consistent with -the information.provided on otherFapplicable-compliance documents, worksheets,
r ,,.r•9, t a , .w c . n r j
calculations, plans and specifications submitted.t6 she' enforcement agency for approval This building permit application.
1
5. 1 will ensure that a registered copy of this'Certificate of,Compliance shalhbe`made.availabletyith the building:permit(s);issued foraihe"building, and_made available,to the..enforcement agency for all applicable
inspections. I understand that a registered copy of this C,ertifcate of Compl ance is_requ reed to be included the do cum e ntytion the buiWer pro v des to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer S gnature: V r r
Ponce, Edward
Company:
Date Signed:
TruTeam of California
2017-01-24 08:03:15
Address:
License:
12251 lavelli Way
221517
City/State/Zip:
Phone:
Poway CA 92065
858-486-9155 4264
Digitally signed by CaICERTS. 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: 217-A020014088A-000-000-0000000-0000
Registration Date/Time: 2017-01-24 08:03:15
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-01-24 08:03:52
Schema Version: rev 10/16