BMCH2014-116057168 Medinah
BMCH2014-1160
78=495 CALLE TA. APICO VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 '-- — —F.AX (760)77-7011
COMMUNITY DEVELOPMENT DEPARTMENT D ,INSPECTIONS (760) 77-7153
BUILDING PERMIT
e: 22/2014
Application Number: BMCH2014-1160 , Owner:
Property Address: 57168MEDINAH LISA CLE IIiiSS CITY OF LAQLIINT•q
MUNITY DEVELOPMENT DEPARTMENT
APN: 762110021 57168 MEDMVAH
Application Description: REPLACE 2 3 TON HVAC SYSTEMS LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $15,000.00
Applicant: Contractor:
GENERAL AIR CONDITIONING GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS 0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253 LA QUINTA, CA 92253
.(760)343-7490
Llc. No.: :LIC -0003606
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: —2-2J 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 sheds 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.).
( 1, 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 Address:
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:2-2
i- Applicantz nti aT s
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.
_ v
Date: Iz22J 14 Signature (Applicant or Agent):
5y 4ew.1
STATE OF CALIFORNIA
ALTERATIONS - HVAC'
is �" �
CEC-CFIR-ALT-04-E Revised 06114 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E
Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1)
Site Address:
Enforcement Agency:
Datj Pre ared:
Permit#:
5-71(olk McA;r�h
C: L
(?n Zi 14
Equipment Type
Equipment Efficiency
New ducting, Plenums, Lineset:
Conditioned
Thermostat
Required R -value
Floor Area (sq ft)
❑ Packaged System
Evaporator Coil
-7❑
AFUE
COP
R-6 (CZ 2, 8-13) Ducting
Served by system
3K Setback
Split System
Condensing Unit
❑ R-8' (CZ 11, 14, 15) Ducting
sgft
(If not already
❑ Mini Split
❑ Compressor
SEER
HSPF
❑ R-6 (all CZ's) Plenums
present must
]Furnace
❑ Lineset
EER
❑ R-5 or R7.5) Lineset'
be installed)
❑ TXV
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.
1. HVAC Changeout/Repair
Required Compliance Documents to be left on site for Final:
All Equipment,
CFIR-ALT-02-E
Condenser Unit, Evaporator Coil,
CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)' -HERS, MECH-25-HERS'
Compressor, TXV, Lineset,
CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS'
Air Handler/Furnace' (Can include new ducting)
Installer Requirement: Duct leakage (:S_15%, or < 10% to outside, or seal all accessible leaks), Air Flow >_ 300 CFM/ton, Refrigerant Charge.
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' CF111-ALT-02-E
including Mini Split CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS'
CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS'
Mini Splits require CF1R-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge
❑ 3. All New Ducts with Replacement Required Compliance Documents to be left on site for Final:
All New Ducts' and one or more of the following CF1R-ALT-02-E
replaced: Condenser Unit, Evaporator Coil, CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS
Compressor, TXV, Lineset, Furnace' CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge
Exempted from duct leakage testing if: ❑ 1. 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:
New ducting but less than All New Ducts' CF1R-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS
Installer Required to: Duct leakage (< 15% or, < 10% to outside or, or seal all accessible leaks)
❑ EXCEPTION: Existing duct systems 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.
' Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25
' All New Ducts is when at least 75 percent of the duct system is 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, coil, plenums, duct material)
° 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-2'/<", 3.5 to 4T-2%", 5T-4%"
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:
Res onsible Designer Signature:
Date Signed:
License: -2 9�
evenr1 J��1Y�1
'�� -
!Z 2
G26 J Iv
Company:
Address:
City/State/Zip: Phone:
C l
30��
% — 34
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300
STATE ASLIFORNIA
ALTERATIONS - HVAC'
GEC -CHR -ALT -04-E Re sed 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E
Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) (Page 1 of 1)
Site Address:
Enforcement Agency:
Dae Pre ared:
Permit#:
5-71W; ed
- o Z
1 . zz q
Equipment Type
Equipment Efficiency
New ducting, Plenums, Lineset:
Conditioned
Thermostat
Required R -value
Floor Area (sq ft)
❑ Packaged System
WEvaporator Coil
7QL. AFUE
COP
❑ R-6 (CZ 2, 8-13) Ducting
Served y system
Sd bt
Setback
Split System
X Condensing Unit
❑ R-8 (CZ 11, 14, 15) Ducting
sgft
(If not already
❑ Mini Split
❑ Compressor
SEER
HSPFpresent
❑ R-6 (all CZ's) Plenums
must
yi(Furnace
C1 Lineset
EER
❑ R-5 or R7.5) Lineset°
be installed)
❑ TXV
LL
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.
X1. HVAC Changeout/Repair
Required Compliance Documents to be left on site for Final:
All Equipment,
CFIR-ALT-02-E
Condenser Unit, Evaporator Coil,
CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24)2 -HERS, MECH-25-HERS'
Compressor, TXV, Lineset,
CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS'
Air Handler/Furnace' (Can include new ducting)
Installer Requirement: Duct leakage (:<_15%, or < 10% to outside, or seal all accessible leaks), Air Flow >_ 300 CFM/ton, Refrigerant Charge.
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
including Mini Split CF2R: MECH-01, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24) -HERS', MECH-25-HERS'
CF3R: MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)-HERS2, MECH-25-HERS2
Mini Splits require CF1R-ALT-02-E, CF2R-MECH-01, and (CF2R-CF3R) MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Fan Efficacy (.58W/CFM), Air Flow z 350 CFM/ton (or alternative), Refrigerant Charge
❑ 3. All New Ducts with Replacement
Required Compliance Documents to be left on site for Final:
All New Ducts' and one or more of the following
CF1R-ALT-02-E
replaced: Condenser Unit, Evaporator Coil,
CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS
Compressor, TXV, Lineset, Furnace
CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS
Installer Requirement: Duct leakage < 6%, Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge
Exempted from duct leakage testing if: ❑ 1. 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:
New ducting but less than All New Ducts' I CFIR-ALT-02-E, CF2R: MECH-20-HERS, CF3R: MECH-20-HERS
Installer Required to: Duct leakage (L15% or, < 10% to outside or, or seal all accessible leaks)
❑ EXCEPTION: Existing duct systems 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.
2 Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25
' All New Ducts is when at least 75 percent of the duct system is 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, coil, plenums, duct material)
4 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-2'/.", 3.5 to 4T -2y.", 5T-4%"
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:
Res onsible Designer Signature:
Date Signed:
Licennss0e:_
QZ
86310
Company:
Address:
City/State/Zip:
Phone:
1
5C
CiU-`•t 7 QZZ% -
%iii 215- —
For assistance or questions migarding the Energy Standards, contact the Energy Hotline at: 1-$00-772-3300
FINANCIAL INFORMATION
x
Co $"F DESCRIPT10N y1 A ACCOUNT, t „:,iii QTY AMOUNT Z PAID t AID -DATE
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 12/22/14
3 PAI D BY n , , —,--CHECK nF; sF LTD BY
x ,.3s`,RECEIPT#
.k . 4 .. ..,-. >M.:,., A.ai.aC
GENERAL AIR CONDITIONING CHECK R3272 20153 MFA
Total Paid forbUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00
k> °;DESCRIPTION 3 E`
, .'"a 5 r •.::%+i
RACCOUNTri°y +e
-QTY;
jAMOUNT r- sr.`sPi41Dy
;
PAID DATE'
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$72.52
$72.52
12/22/14
PAID!BYp
-'f.. >
'METHOD t
v ",
tart
zF ECEIPT #;'
{-
tl CHECK# rF
CLTD BY
, 4`
GENERAL AIR CONDITIONING
CHECK
R3272
20153
MFA
DESCRIPTION t IY : &gyp
# e
is s A000UNT e
s
:QTYAMOUNT
ri+
y{
° PAIDx , p , 7
PAID.DATE'
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$48.34
$48.34
12/22/14
BYE \x E,e
z ?METHOD x o r
t :§ RECEIPT #fix
_ CHECKCLTD
T BY
GENERAL AIR CONDITIONING
CHECK
R3272
20153
MFA
Total Paid forCHANGEOUT:
$120.86 $120.86
DESCRIPTION
'iACCOUNTr %e is
E;QT .
$ AMOUNTs ':
x T PAID `t
PAID;DATE'
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
12/22/14
¢ § PAID:BY 1 F s
eaMETHOD lrvr
i i2ECEIPT # `
t-. CHECK #
CLTD BY
GENERAL AIR CONDITIONING
'CHECK
R3272
20153
MFA
Total Paid forPERMIT ISSUANCE: $91.85 $91.85 _
1
0
Description: REPLACE 2 3 TON HVAC SYSTEMS j
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 12/22/2014 MFA '
Approved:
Parcel No: 762110021 Site Address: 57168 MEDINAH LA QUINTA,CA_92253
f
Subdivision: TR 28410-2 Block: Lot: 54
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 - Zoning:
Finaled:
Valuation: $15,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0 1 '
Details: HVAC CHANGE OUT - (2) 13 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
NAME TYPE _ ' NAME ;F' ADDRESSi ; CITY `'' ;STATE ZIP :.
'PHONE T` FFAX
REMAIL
APPLICANT GENERAL AIR CONDITIONING 0 OUTSIDE CITY LIMITS LA QUINTA
CA 92253
(442)400-3104
CONTRACTOR GENERAL AIR CONDITIONING 0 OUTSIDE CITY LIMITS LA QUINTA
CA 92253
(442)400-3104
OWNER LISA CLEMISS 57168 MEDINAH LA QUINTA
CA 92253
(442)400-3104
FINANCIAL INFORMATION
DESCR£ION ACCOUNT QTY ' AMOUNTsPAID CHECK # PAIDtlBY, t "
Y, Q xP.AIDDATE RECEIPTr#
wMETHOD
d: ' aXy': BY
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00
12/22/14 R3272
20153 CHECK
GENERAL AIR MFA
•
CONDITIONING
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
-
4 ..
1
0
Description: REPLACE 2 3 TON HVAC SYSTEMS j
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 12/22/2014 MFA '
Approved:
Parcel No: 762110021 Site Address: 57168 MEDINAH LA QUINTA,CA_92253
f
Subdivision: TR 28410-2 Block: Lot: 54
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 - Zoning:
Finaled:
Valuation: $15,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0 1 '
Details: HVAC CHANGE OUT - (2) 13 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL
CHRONOLOGY
CONDITIONS
•
NAME TYPE _ ' NAME ;F' ADDRESSi ; CITY `'' ;STATE ZIP :.
'PHONE T` FFAX
REMAIL
APPLICANT GENERAL AIR CONDITIONING 0 OUTSIDE CITY LIMITS LA QUINTA
CA 92253
(442)400-3104
CONTRACTOR GENERAL AIR CONDITIONING 0 OUTSIDE CITY LIMITS LA QUINTA
CA 92253
(442)400-3104
OWNER LISA CLEMISS 57168 MEDINAH LA QUINTA
CA 92253
(442)400-3104
FINANCIAL INFORMATION
DESCR£ION ACCOUNT QTY ' AMOUNTsPAID CHECK # PAIDtlBY, t "
Y, Q xP.AIDDATE RECEIPTr#
wMETHOD
d: ' aXy': BY
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00
12/22/14 R3272
20153 CHECK
GENERAL AIR MFA
•
CONDITIONING
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
'DESCRIPTION
- ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT,q
CHECK #-
17-7 - -
METHOD
- --
'
PAID BY
C TD
L
BY .
HVACT-
101-0000-42402
0
$72.52
$72.52
12/22/14
R3272
20153
CHECK
GENERAL AIR
MFA
PACKAGEDKAGED UNIT
CONDITIONING
HVAC CHANGE -
101-0000-42600
0
$48.34
$48.34
12/22/14
R3272
20153
CHECK
GENERAL AIR
MFA
P
PACKAGED UNITIT PC
CONDITIONING
Total Paid forCHANGEOUT: $120.86 $120.86
PERMIT ISSUANCE
101-0000 42404
0
$91.85
$91.85
12/22/14
R3272
20153
CHECK
GENERAL AIR
MFA
CONDITIONING
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS: $213.71 $213.71
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Monday, December 22, 2014 3:00:25 PM 2 of 2
' srsreins
Bin # .,
Permit #
Project Address:.5 -71 62 L
City of La Q Uin to .
=Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name: L, S -r, C1 erni'ss
A. P. Number:
Address: 6-71112 Me ehrad,
Legal Description:
City, ST, Zip: LR iK CA ZS
Contractor; G e-yA - -o
Telephone: '414i- 4CO- 31C -}
.;::•::<.,»k,><s::>::><<><::<:.;>:^rs:
Address: 0
Project.Description:
City, "ST, Zip:. hOVSq \ rr\s CA Z-76
+
?,atact
Telephone: (00 •-343 -7 4 B8
::::.::.:;::.:>;::.;.
State Lic. #
'City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
if!i":'<(isi' i::Y.'iJ::':tii ...i.iiiY<v: '.}ii::•: 0:
:':<'' `'°`;:":":':":'::
;< :......:.;:s.<:.:..; .
Construction T e: Occupancy
State Lic. #:
Project tYPa circle one): New Add'n Alter Repairair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: i S oco • co
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'd TRACKING PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance •
Title 24 Calcs:
Plans picked up : "
Construction
Flood plain plan
Plans resubmitted.
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontaclor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'rd Review, ready for eorrectionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
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