BMCH2014-104578-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application.Description:
Property Zoning:
Application Valuation:
T'!t44
COMMUNITY DEVELOPMENT DEPARTMENT
BMCH2O14-1045
54395 AVENIDA CARRANZA
774242018
HVAC 4 TON 13 SEER
$6,300.00
Applicant:
I A S MECHANICAL INC DBA PERFE
P 0 BOX 13308
PALM DESERT, CA 92255
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/12/2014
Owner:
SEAN SIMON
54395 AVENIDA CARRANZA
LA QUINTA, CA 92253
Contractor:
I A S MECHANICAL INC DBA PERFE
P 0 BOX 13308
PALM DESERT, CA 92255
(760)770-0404
Llc. No.: 897743
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
1 hereby affirm under penalty of perjury one of the following declarations:
(commencing with Section 7000) of Division 3 of the BuSNX13sand Professions Code, and
_ I have and will maintain a certificate of consent to self -insure for workers'
my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code,.for the performance of
License Class: C20. C38 License No.. 7
w k for which this permit is issued.
have and will maintain workers' compensation insurance, as required by
Date: Contractor:
Se ion 3700 of the Labor Code, for the performance of the work for which this permit is
�CLARATION
issued. My workers' compensation insurance carrier and policy number are:
OWNER -BUILD
Carrier:— Policy Number:_
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
_ I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any m ' nner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair any
compensation laws of California, and gree that, if I s ecome subject to the
structure, prior to its issuance, also requires the applicant for the permit to file a signed
workers' compensation provisions of S tion 379Q the La r Code, I shall forthwith
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
comply w'th tho a provisions.
,
and Professions Code) or that he or she is exempt therefrom and the basis for the alleged
Date: Applicant:
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).:
WARNING: FAILURE TO SECURE WORKERS CO NSATION COVERAGE IS UNLAWFUL,
(_) I, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
compensation, will do the work, and the structure is not intended or offered for sale.
HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that he
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on this application.
(_) I, as owner of the property, am exclusively contracting with licensed contractors to
1. Each person upon whose behalf this application is made, each person at whose
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State
request and for whose benefit work is performed under or pursuant to any permit issued
License Law does not apply to an owner of property who builds or improves thereon, and
as a result of this application, the owner, and the applicant, each agrees to, and shall
who contracts for the projects with a contractor(s) licensed pursuant to the Contractors'
defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
State License Law.).
employees for any act or omission related to the work being performed under or
(_) I am exempt under Sec. B.&P.C. for this reason
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
Date: Owner:
for 180 days will subject permit to cancellation.
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 Na
Lender's Add
I certify that I have read this application nd state that the abov ation is correct.
I agree to comply with all city and county rdinances and st a laws rel ting to building
construction, and hereby authorize represtativ s o"i'this ity to enter Pon the above-
mentioned pro erty for inspection purposes.
Date:0 Signature (Applicant or t
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT
CITY 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
CITY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - CONDENSER ONLY
101-0000-42402
0
$35.75
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - CONDENSER ONLY PC
101-0000-42600
0
$23.83
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $59.58 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$90.57
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $90.57 $0.00
TOTALS:• •0
jz3
#
. -.:
City of La Quinta
Btdkgng 8r Silky Di 4dw
1 P.O Box 1504,78-495 Cafe Tampico
ia.Qufita, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Perrrut #
Project Address: 54395 Avenida Carranza La Quinta 92253
Owner's Name:. Sean Simon
A. P. Number.
Address: 54395 Avenida Carranza
Legal Description:
City, ST, Zip: -La Quinta, CA 92253
Contractor IAS Mechanical Inc. dba Perfect Weather
Address: Po Box 13308
Telephone:
ProjectDescription:
City, ST, Zip: :Palm Desert, CA 92255
Telephone: 760-770-0404 t
i
State Lia # : City Lic. 9,
Arefi., Fag' Designer. / 12 S
Address:
City, ST, Zip:
Telephone:
Construction Type:. Occupancy:
Project type (circle one): New Add'a Abel Repair Demo
Sq. Ft.: 2100 # Stories: 1 # Unity 1
State Lia #:
Name of Contact Person:
Telephone # of Contact Person:
Value of Project
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACE3NG
PERMIT FFM
Plan Sets
Plan Check submitted.
Item Amount
Strgctuial Calcs.
Reviewed, ready for conve Ions
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check lwanee -
17de 24 Cates.
Plans picked up
Construction
Flood ply plan
Plans resubmitted
Mechanical
Grading plan
tad Review, ready for eorrections/rasne
Electrical
Sabcontaetor List
Called Contact Person
Mombing
Grant Deed
Pians picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
N HOUSE-,
''" Review, ready for correctionsrosae
Developer Impact Fee
Planning APPr'oval
Called Contact Person
A.LP.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 4 )
Project Name: Sean Simon Date Prepared: 2014-08-12
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:
Sean Simon
02
Date Prepared:
2014-08-12
03
Project Location:
54395 Avenida Carranza
04
Building Type:
Single family
05
CA City:
La Quinta
06
Dwelling Unit Name:
Sean Simon
07
Zip Code:
92253
08
Dwelling Unit Conditioned
2100
duct system
Floor Area (ft2):
(packaged unit, or
Number of space conditioning
accessible
09
Climate Zone:
15
10
(SC) systems being altered in
1
condensing unit,
Installing
for sealing,
this dwelling unit.:
B. Space Conditioning (SC) System. Information
01
02
03 ,' `
04,
05
.06
07
-08
09
10
-
',Installing new. -
'Isthe entire
components?
duct system
(packaged unit, or
accessible
Are all of the
condensing unit,
Installing
for sealing,
system's
Is the altered
Altering or
or
more than 40
and is more
components
or installed
installing a
cooling/heating
linear feet of
than 75%.of
and ducts new
SC System
SC System
CFA served
system a
refrigerant
coil, or
new or
the duct
or replaced?
Identification or
Location or Area
by this SC
ducted
containing
air -handling unit,
replacement
system new
(entirely new
Name
Served
System (ft2)
'system?
component?
etc)
ducts?
or replaced?
system)
Alteration Type
whole house
main
2100
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: 214-AO07325OA-000000000-0000 Registration Date/Time: 2014-08-12 12:30:15 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-08-12 12:30:46
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 4 )
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
No heating
This field or
This field or
Central large
No cooling
This field or
This field or
Less than or
whole house
packaged HP
component
section is not
section is not
ackaed HP
pg
component
section is not
section is not
Setback
equal to 40
R-8
altered
applicable
applicable
altered
applicable
applicable
feet
Required Documentation:
CF2R-MCH-03-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 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 2 300 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 requirements.
-Heating-only systems and Air Handler/Furnace changes do not require�verification of Air Flow MCH -23, or Refrigerant Charge MECH-25.
-Existing duct systems constructed, insulated or -sealed with asbestos are exempt from MCH,20 Duct Leakage Testing requiremen.4s
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)iDiia and 150.2(b)1E, F)
This section does not apply to this project.
Registration Number: 214-A00732SOA-000000000-0000
Registration Date/Time: 2014-08-12 12:30:15
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-08-12 12:30:46
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 of 4 )
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 214-A0073250A-000000000-0000
Registration Date/Time: • 2014-08-12 12:30:15
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-08-12 12:30:46
.n;,w.� ..� L;..«-
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w., �.,e ....
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Registration Number: 214-A0073250A-000000000-0000
Registration Date/Time: • 2014-08-12 12:30:15
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-08-12 12:30:46
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 4 of 4 )
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature: �� + /J
Cullen, David
avr l�ulLen
Company:
Signature Date:
IAS MECHANICAL INC
2014-08-12 12:30:15
Address:
CEA/ HERS Certification Identification (if applicable):
PO BOX 13308
City/State/Zip:
Phone:
PALM DESERT CA 92255
(760) 770-0404
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.
4. The building design features or system design features identified on this Certificate of Com�pl(ance are.consistent with the Information provided on other applicable compliance documents, worksheets,
calculations, plans and specificatioris;submitted:to the enforcement', agency for approyaf with this building permit appll 'tion.
ss. •- 4: �.
5. I will ensure that a registered copy of this Certificate of Compliance shall bem- 'e available with.the building permif(s) Issued fog the. building anal 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 the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature: Zavr /C /e^
Cullen, David
u en
Company:
Date Signed:
IAS MECHANICAL INC
2014-08-12 12:30:15
Address:
License:
PO BOX 13308
897743
City/State/Zip:
Phone:
PALM DESERT CA 92255
(760) 770-0404
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: 214-AO07325OA-000000000-0000 Registration Date/Time: 2014-08-12 12:30:15 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-08-12 12:30:46