BMCH2016-013278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Tity,, 4 4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BMCH2O16-0132
78665 AVENIDA NARANIA
770106002
SMITH RESIDENCE / HVAC CHANGE OUT
$13,900.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
IP
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/2/2016
Owner:
MARK SMITH
78665 AVENUE NARANJA
QUINTA, CA 92253
mg0 `L 1r- ntractor:
A 1 SERVICES HEATING & AIR CONDITIONING
7 206 VARNER ROAD #D-189
Cay . LM DESERT, CA 92211
(760)342-3610
Llc. No.: 977333
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, C36 License No.: 977333
�= C�
Date: Z.. 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 N
Lender's Address:
WORKER'S COMPENSATION DECLARATION
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'
:ompensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
'5� 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
s 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: Z. )(v Applicant:ss����
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: I, u, Signature (Applicant or Agent):trs—
Description: SMITH RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: ISSUED
Applied: 5/2/2016 MFA
Approved: 5/2/2016 MFA
Parcel No: 770106002 Site Address: 78665 AVENIDA NARANJA LA QUINTA,CA 92253
Subdivision: DESERT CLUB TR UNIT 5 Block: Lot: 114
Issued: 5/2/2016 RSE
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $13,900.00 Occupancy Type: Construction Type:
Expired: 3/24/2017 BHA
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: (2) TWO HVAC CHANGE OUTS - 16 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED
PRIOR TO FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES.
PERMIT EXTENSION GRANTED TO MARCH 24, 2017 TO PASS FINAL INSPECTION.
Printed: Friday, April 21, 2023 8:55:04 AM 1 of 2
WsYsrEMS
CHRONOLOGY
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
IE INC
31225 LA BAYA
WESTLAKE
VILLAGE
CA
91362
(213)216-7220
CONTRACTOR
A#1 SERVICES HEATING & AIR
CONDITIONING
78206 VARNER ROAD
#D-189
PALM DESERT
CA
92211
(213)216-7220
OWNER
MARK SMITH
78665 AVENUE
NARANJA
LA QUINTA
CA
92253
(213)216-7220
Printed: Friday, April 21, 2023 8:55:04 AM 1 of 2
WsYsrEMS
Printed: Friday, April 21, 2023 8:55:04 AM 2 of 2
WSYSiEMS
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
COMPLETED RESULT
REMARKS NOTES
■
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
DCL
1/30/2017
1/30/2017 CANCELED
HOMEOWNER HAD TO LEAVE, WILL RECALL
WHEN READY.
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
5/2/16
R15210
31115
CHECK
IE INC
MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$72.52
5/2/16
R15210
31115
CHECK
IE INC
MFA
PACKAGED UNIT
HVAC CHANGEOUT -
101-0000-42600
0
$48.34
$48.34
5/2/16
R15210
31115
CHECK
IE INC
MFA
PACKAGED UNIT PC
Total Paid for CHANGEOUT: $120.86 $120.86
PERMIT ISSUANCE
101-0000-42404
1 0
$91.85
$91.85
5/2/16
R15210
31115
CHECK
IE INC
MFA
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
Printed: Friday, April 21, 2023 8:55:04 AM 2 of 2
WSYSiEMS
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
COMPLETED RESULT
REMARKS NOTES
DATE
DATE
- CANCELLED OER CONTRACTOR,
MECHANICAL FINAL"
DCL
1/30/2017
1/30/2017 CANCELED
HOMEOWNER HAD TO LEAVE, WILL RECALL
WHEN READY.
Printed: Friday, April 21, 2023 8:55:04 AM 2 of 2
WSYSiEMS
City of La Quinta
This Letter is written in the hope of receiving an extension for permit# BMCH2O16-0132 at property
address 78-665 Avenida Naranja La Quinta CA. 92253. The homeowner was out of town and will be back
for the fall/winter season to complete the final inspection.
Thank you for your time,
Joey S. "Service Heroes"
CSLB# C-20, 977333
(760)625-9034 company cell
(760)698-0110 personal cell
WWW.AISVC.COM
RECEIVED
DEC 20 2016
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT
Bin. #
City . f b Quina
ring 8r Division-
Safety Div
BWk'
P.O. Box 1504, 78-495 Calle Tampico
La..Qldnta, CA 92253 - (760) 777-7012
Building Pennit Application and Tracking Sheet
Permit #
/
° (
Project Address: 78665 Avenue Narahja.
Owner's Name:. Mark Smith
A. P. Number.
Address: 78665 Avenue Naranja
Legal Description:
Contractor: A#1 Services Heating & A/C
City, ST, Zip: La Quinta, CA 92253
Telephone: 213-216-7220:..:.
Address: 78206 Varner Road #D-189
Project Description: Replace (2) 4ton Package Units
City, ST, Zip: Palm Desert, CA 92211
Telephone: 760-342-3610
_ " "'Y
State Lic. #: 977333
4�ty Lie. #:
Arch, Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: Steven Schnierer
Construction Type:. Occupancy:
Pro3ecttypa (circle one) New Add'n AlterRepair Demo
Sq. Ft.:
# Stories: #Units:
Telephone # of Contact Person: 818-73577876
Estimated Value of project: $13,900.00.
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACKNG
PERMIT FEES
Plan Sets
Plan Check submitted
item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2i° Review, ready for correctionsrkssue
Electrical
Subcoetactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
' `Review; ready for correctionsrkssue
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
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
MARK SMITH I Date Prepared:
CFIR-ALT-02-E
(Page 1 of 3 )
2016-04-26
A. General Information
.MR -AJ -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, .
use one CHR -ALT -02 document for each dwelling unit.
01
Project Name
MARK SMITH
02
Date Prepared
2016-04-26
03
Project Location
78665 Avenue Naranja
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
MARK SMITH
07
Zip Code
92253
08
Dwelling Unit Conditioned
2700
,Installing new SC
Installing
Installing
Installing
Floor Area (ft2)
Identification or
Location or Area
by this SC
ducted
c ntaining
Number of space conditioning
more than 40
09
Climate Zone
15
30
(SC) systems in this dwelling
2
system?
component?
components?
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System Information"
01
02
03
04"x
" U5
('T06
07) ..a
08
09
10
'�...
� FIs the SC—Installing
t 0. .� .'
a
SC System
. SC System
CFA served
",,system a°��+
refrigerant
,Installing new SC
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ducted
c ntaining
system
more than 40
en ely w
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1350
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Location 2
1350
Yes
Yes
Yes
No
No
No
Altered space
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: 216-A0155314A-000000000-0000
Registration Date/Time: 2016-04-26 13:04:04
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-26 13:03:54
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF=1R-ALT-HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)lE and F)
O1
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
C
All new
Less than or
System 1
furnace
component
section is not
section is not
AC
cooling
SEER
16
Setback
equal to 40
R-8
altered
applicable
applicable
components
feet
Central gas
No heating
This field or
This field or
Central split
All new
Less than or
System 2
furnace
component
section is not
section is not
AC
cooling
SEER
16
Setback
equal to 40
R-8
altered
applicable I
applicable
components
feet
Reauired 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: 515%, or 510% leakage to outside, or seal all accesslbleaeaks. fa
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing componentsare installed or altered (applicable in CT2, 8-15)_
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton requiredwhenMCH-25 is reg'Gim& I
Exceptions:
Duct systems registered with HERS provider as previously sealed are exempt frOm.MCH=20 Duct Leakage,Testing requiremerits j
4 t 1
-Heating-only systems and Air Handler/Furnace changes do not require"verification of Air Flow MCH -23 or Refrigerant Charge MECH-25.
Jt
Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCHk20 Duct eakage esting requirements n V
E. Entirely New or Complete Replacement 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.
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-A0155314A-000000000-0000
Registration Date/Tirrie: 2016-04-26 13:04:04
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards'- 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-26 13:03:54
Schema Version: 0.555SDD
CERTIFICATE OF. COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -111 -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:
Jacoby, Ian
can Bacot
Company:
Signature Date:
i PERMIT E RATERS
2016-04-26 13:04:04
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive #213
City/State/Zip:
Phone:
West Lake Village CA 91362
818-735-7876
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 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 '�a" 1- hr -W- 1 rr
4. . The building design features or system design features identified on this Certificate of Compliance are consistent with the Information provided on otherapplicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
__.e, ., if , 1 g , x �
5. 1 will ensure that a registered copy of this Certificate of:Compliance shall, be,inade available with the building permit(s) issued for.the building, and made available to the' -enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is -required to be.included with the, documentation th ebullder provides to the building owner at occupancy.
Responsible Designer Name: 1' 1 it.— 4'%
Responsible De'sign`er Signature:
Jan
Jacoby, Ian
L7acob'
Company:
Date Signed:
A 1 SERVICES
2016-04-26 13:04:04
Address:
License:
74866 Lennon PI
977333
City/State/Zip:
Phone:
Palm Desert CA 92260
760-565-2269 1
Digitally signed by Ca10ERTS. 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-A0155314A-000000000-0000 Registration Date/Time: 2016-04-26 13:04:04 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-26 13:03:54
Schema Version: 0.555SDD
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: �l �
Jan
Jacoby, Ian
dacobJr
Company:
Signature Date:
i PERMIT E RATERS
2016-04-26 13:04:04
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive #213
City/State/Zip:
Phone:
West Lake Village CA 91362
818-735-7876
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 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
j(t , ,y -w
4. The building design features or system design features identified on this Certificate of Compliance are consistent with"the informatrCm provided on other;applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for pproval with this building permit application. j
"(
5. 1 will ensure that a registered copy of this Certificate ofCompliance shall.be;made,available with"the building' permit(s),,issued for"the building, and made available to the enforcement agency for all applicable
11 inspections. I understand that a registered copy of this Certificate of Compliance.isrequired to be.included with the documentationthe builder provides to the building owner at occupancy.
Responsible Designer Name: ''* 1i
Responsible Designer signat ire: V
J9
Jacoby, Ian
n �acobJr
Company:
Date Signed:
A 1 SERVICES
2016-04-26 13:04:04
Address:
License:
74866 Lennon PI
977333
City/State/Zip:
Phone:
Palm Desert CA 92260
760-565-2269 1
Digitally signed by Ca10ERTS. 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-A0155314A-000000000-0000 Registration Date/Time: 2016-04-26 13:04:04 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-26 13:03:54
Schema Version: 0.5SSSDD