BMCH2016-011178-495 CALLE TAMPICO • Q�i D •
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0111
Property Address: 49500 W W MISSION DR
APN: 602150011
Application Description: GEORGE SATTLER / HVAC CHANGE OUT
Property Zoning:
Application Valuation: $10,625.00
Applicant:
VIC'S AIR CONDITIONING INC
P O BOX 215
THOUSAND PALMS, CA 92276
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: C20 License No.: 756658
Date: Contractor:.��r�y�i �-
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).:
(
11, 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 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 Name:_
Lender's Address
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: ' 4/19/2016
Owner:
GEORGE SATTLER
50 GL'
CASTL CO 9�
APR 19 2016
Contr ctor:
VIC'S IRC ITIONJNG-IN
P 0 x 215 CITYOFLA (UINTA
THOUSANEI' LMSzrCA@227 ..____
(760)343-5033
Llc. No.: 756658
WORKER'S COMPENSATION DECLARATION
1 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.
Gil 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:_ Polity 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: - —I tel- G 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 enter upon the
above-mentioned property for inspection purposes.
Date: '6 ," Signature (Applicant or Agent): ��
r
FINANCIAL INFORMATION
r ' DESCRIPTION�� � �' ` u ACCOUNT= �` AMOUNT ��� � � PARD ' � PAID:DATE 1
� , ;QTY;
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BSAS S133473 FEE ..101-0000-20306 0 $1.00 $0.00
P.`LPAID BY € ` ,METHODS. ;RECEIPT #���x� #V CLTD BY
. 4# a,§. `€. :6CHECK
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: ,. $1:00 $0.00.
DESCRIPTION f
`� cE s j
?' ACCOUNTS Na
iTgTY
AMOUNT`
� � PAIpAe
PAIDgDATE"
.` S
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
s s' PAID'BY
METHOD
RECEIPT
CLTD BY
€
' x s ` tom'
r�DESCRIPTION
c'H ACCOUNT '
'QTY
AMOUNTS
SPA D '=
PAID'DATE
�, a
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
h
r IPT #RPAID E
CHECK #
�CLTD
4 r.
fMETODBp
BYE
' Total Paid for CHANGEOUT: $108.78 • $0.00
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DESCRIPTION
+ `ACCOUNT
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AMOUNT;'
DATf
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,PAID
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PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0:00
METHOD
E PAIDBIf
rFP�:
RECEIPT #� ;,
�£; CHECK #CLTD
BYE
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Peimit Details -,",.PERMIT NUMBER......'
IRP . ........ . ...... . ... . ..... ..... ...... . ......... A. ... . . ... .... W� . ..... t .. .......... .
pin a -H11
y of _BMCU
Lj
Description: GEORGE SATTLER HVAC CHANGE OUT
NAME TYPE
,NAME'-
Type: MECHANICAL
Subtype:
Status: APPROVED
Applied: 4/19/2016 RSE
Approved: 4/19/2016 RSE
Parcel No: 602150011 Site Address: 49500 W W MISSION DR LA QUiNTA,CA 92253
Subdivision: TR 28912
Block:
Lot: 11
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation:- $10,625,00
Occupancy Type:
Construction type
Expired:
No. Buildings: 0
No. Stories: 0
No.. Unites: 0
Details:
ppiied to AISpr6ved;,
ADDITIONAL SITES
,ice y
CHRONOLOGY
CONDITIONS
NAME TYPE
,NAME'-
AD6REM
rnNTAr.,T.S
CITY
STAT�,7,1(P,71
I
PHONE
FAX EMAIL'
APPLICANT
VIC'S AIR CONDITIONING INC
P 0 BOX 215
THOUSAND
CA
92276
PALMS
CONTRACTOR
VIC'S AIR CONDITIONING INC
P 0 BOX 215
THOUSAND
CA
92276
PALMS
OWNER
GEORGE SATTLER
50 GLENALLA PL
CASTLE ROCK
CO
922.53
FINANCIAL INFORMATION
Printed:- Tuesday, April 19, 2016 3:09:10 PM 1 of 2 SYSTEMS
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BOND
INFORMATION
PAW
Total Paid for BUILDING STANDARDS ADMINISTRATION �i.00 $0.00
HVAC CHANGEOUT-'
i
101-0000-42402
0'
$72.52
$0.00
HVACCHANGEOUT-
101-0000-42600
0
$36.26
$0.00
SPLIT -SYSTEM PC
Total Paid for CHANGEOUT: .$108.78 $0.00
PERMIT lss��
101-0000-42404
0
$91.8s
$0.00
Total Paid for PERMIT ISSUANCE: $91.8S $0.00
TOTALS: $201.63 $0.00
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BOND
INFORMATION
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yin #
City of La Quinta
- Building 8i• 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: --5-00 1\A ` y sS a tw N,
Owner's Name:
A. P. Number:
Address: <A y�Q
Legal Description:
Contractor:
City, ST, Zip:
TelePho e• _ l)
S
Address: '70J -3o%
Project Description:
City, ST, Zip: ►'� ou Sc� . �i . (rt+
.�A� e G Lf
Telephone—
—
36
�+ ..
-7
State Lic. # -7 -4546
City Lie.
Arch., r., Designer:
Address:
City., ST, Zip:
ne:
Telephone:
Con structi n TY Pe: Occupancy:
:
State Lie. #:
Project Pa (circle one):: New Add'n Alter Repairair Demo
Name of Contact Person: Ci ee
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: ® 49Z, ® 6
Estimated Value of Project: 1
APPLICANT: DO NOT WRITE BELOW THIS LINE
tl
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" 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
Grading
IN I-IOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: Satler I Date Prepared: 2016-04-19
A. General 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 -ALT -02 document for each dwelling unit.
01
Project Name
Satler
02
Date Prepared
2016-04-19
03
Project Location
49500 Mission Dr W
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Satler
07
Zip Code
92253 ,.
08
Dwelling Unit Conditioned
1600
, is the SC "�
Js I-
Installing a
µms.
Floor Area (ft2)
SC System
SC System
CFA served
Number of space conditioning
refrigerant
09
Climate Zone
15
10
(SC) systems in this dwelling
1
Location or Area
by this SC
ducted
containing
unit.
more than 40
B. Space Conditioning (SC) System Information
01
02
03
04
05:1
: 06 . "
N 07
' 08
09
10
....
Y
"1 7
, is the SC "�
Js I-
Installing a
µms.
SC System
SC System
CFA served
*;system a.-«.
refrigerant
Installing<new 5C
I nstalling
Installing-
PInstalling
Identification or
Location or Area
by this SC
ducted
containing
systema
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
whole house
1600
Yes
Yes
Yes
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: 216-A0144907A-000000000-0000
Registration Date/Time: 2016-04-19 14:24:45
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-19 14:24:05
Schema Version: 0.5555DD
CERTIFICATE OF COMPLIANCE CFlR-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)lE and F)
01
02
03
04
05
06
07
08
09
10
it
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
All new
Central split
All new
Less than or
System 1
furnace
heating
AFUE
0.78
AC
cooling
SEER
14
Setback
equal to 40
R-8
components
components
feet
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems 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: <_ 15%, ors 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 Flow:300 CFM/ton required when MCH -25 is required.
)
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing require — 11 11mtentts s
orargECH-25
-Heating-only systems and Air Handler/Furnace changes do not require verification of AiF Flow MCH -23 r Refrigent Charge M
e
-Existing duct systems constructed, insulated or sealed with asbestos;are exemptfrom MCH—:26Dud' Leatkage Testing requirement1.s`. I (
r4 t': p:4 i°; 1'! ti N'4. 1:1 J.i l'F.
E. Entirely New or Complete Replacement Duct System, with or without.EgU ment Changeo,ut (Sections,150.2(b)lDila and 150.2(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: 216-A0144907A-000000000-0000 Registration Date/Time: 2016-04-19 14:24:45 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-19 14:24:05
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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:
Bachus, Tom
Company:
Signature Date:
MLC Building Performance
2016-04-19 14:23:28
Address:
CEA/ HERS Certification Identification (if applicable):
77825 Delaware Place
City/State/Zip:
Phone:
Palm Desert CA 92211
760-836-0066
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, matenals;'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 California Code of Regulations. )' " r
4. The building design features or system design features identified on this Certificate of Compliance am'consistent with -the informAion,provided on other applicable compliance documents, worksheets,
1
calculations, plans and specifications submitted to the enforcement agency for.`approval,with this building permit apphcaUon. : I
' �.'.
.,M §t { fix'? d; @ S. % ! .:r I a ,: ,.�.;. ) «+,
5. I will ensure that a registered copy of this Certificate of Compliance shall be made:availa6le with the building•permrt(s)iissued for the building and made available to the .enforcement agency for all applicable
.. :�.. .. .,
ax-
inspections. I understand that a 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: `*t,« .l
Responsible Designer Signature:/.... r'1T�
Blanca
Victoria, Blanca
victoria
Company:
Date Signed:
VIC'S AIR CONDITIONING INC
2016-04-19 14:24:45
Address:
License:
P 0 BOX 215
756658
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-343-5033
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: 216-A0144907A-000000000-0000 Registration Date/Time: 2016-04-19 14:24:45 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-19 14:24:05
Schema Version: 0.555SDD