BMCH2015-0206J�-7125
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VOICE (760)
78-495 CALLE TANIPICO D 11I 1 8F/ i 60 -7011
LA QUINTA, CALIFORNIA 92253 ( )7COMMUNITY DEVELOPMENT DEPARTMENT 60 77 -7153
BUILDING PERMIT CITYOFLAQUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
a e: /2015
Application Number: BMCH2O15-0206 Owner:
Property Address: 54540 AVENIDA CARRANZA DAVID BROWN
APN: 774275025 54540 AVENIDA CARRANZA
Application Description: BROWN / CHANGE OUT (1)13SEER/78AFUE PACKAGE SYSTEM LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $12,700.00
Applicant:
BREEZE AIR CONDITIONING INC
75-145 ST CHARLES PLACE
PALM DESERT, CA 92211
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 CI ss: O License No.: 416394
Date: / �/ Contractor:
OWNER -BUILDER D RATION
I hereby affirm under penalty of perjury tha exempt from the Contractor's State
License Law for the following reason (Sec. 031.5, 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 Name:
Lender's Addre:
Contractor:
BREEZE AIR CONDITIONING INC
75-145 ST CHARLES PLACE
PALM DESERT, CA 92211
(760)346-0855
Llc. No.: 416394
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'
compe n, as provided for by Section 3700 of the Labor Code, for the performance
I e w which this permit is issued.
a i_ maintain workers' compensation insurance, as required by
do 0 of the Labor Code, for the performance of the work for which this permit
ed. 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 r Code, I shall forthwith
complyt7lw
ions.
/5
Date:
Applicant:
WARNING: FAILURE TO SECURE WORKERS' PENSATION 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 ' o enter up n the above-
mentioned ro rty f ins ection purposes.
Date: ( / Signature (Applicant or Agent):
FINANCIAL . 1
DESCRIPTION ACCOUNT
QTY'
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
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $60.43 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
• 1 • 00
Description: BROWN / CHANGE OUT (1)13SEER/78AFUE PACKAGE SYSTEM
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 6/16/2015 SKH
Approved: 6/16/2015 SKH
Parcel No: 774275025 Site Address: 54540 AVENIDA CARRANZA LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 307 Lot: 24
Issued:
UNIT 28
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $12,700.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 13SEER/78AFUE PACKAGE SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE'
NAME
ADDRES51
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
BREEZE AIR CONDITIONING INC
75-145 ST CHARLES
PLACE
PALM DESERT
CA
92211
CONTRACTOR
BREEZE AIR CONDITIONING INC
75-145 ST CHARLES
PLACE
PALM DESERT
CA
92211
OWNER
DAVID BROWN
54540 AVENIDA
CARRANZA
LA QUINTA
CA
92253
Printed: Tuesday, June 16, 2015 3:03:29 PM 1 of 2 CJ?W
SYSTEMS
INSPECTIONS
- `
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL" BLD
_
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID'DATE
RECEIPT #
CHECK #
METHOD
PAID BY+
BY
BSAS S81473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$36.26
$0.00
PACKAGED UNIT
HVAC CHANGEOUT -
101-0000-42600
0
$24.17
$0.00
PACKAGED UNIT PC
Total Paid forCHANGEOUT: $60.43 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:••
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL" BLD
Printed: Tuesday, June 16, 2015 3:03:29 PM 2 of 2
RWYSTEMS
Jun 16 2015 08:28PM AHP Testing 760-772-4656
page 1
of La Quinti
BAft ar Safety Divhforr
P.O. Box 1544,-78.495 Cade Tampico
La.QtBnta, CA 92253 -:(760) 777-7012
Building Permit Applicationand Tracking Sheet
it
[Mn
02,
eat.Aadl'ess:54-540 Avenida Carranza oamea'sNsme:. arriie & Davi Brown
A. P: Nun*cr • Addles: 54-540 Avenida Carranza
Legal oewiptim: City, ST, Zi.: La Quinta, CA 92253
Contractor: Breeze Air Conditioning; Inc. Td,,,&?&
Address 75-145 St. Charles Place Projectnescriptiat: Replacing existing heat pump
city, ST, zippalm Desert -CA 92211 with 5 -ton heat pump, .15 -seer, variable speed
Tetephem:760-346-0855 no duct work changed
Stan Lic. iF 41639 City Lic, M
. Address, -
City, ST. Zip:
Telephone:ALTConstruction Type:. Oxupancy
State Lie. #l: Project b'pe (circle one): New Add'a Ahw RePair Demo
Name ofCoaotatPerson:Robert Bachus S4, FL: 1872 0 stmies: AUnitt:
12700
Telephone ii of ContW Potsoa: 7 -851-864Esdmttted Value of Ptojeok '
APPLICANT: DO NOT WRM BELOW THtS LINE
M
S' a61ttal
Req9d
2,ee'd
TRACKMG PERtdti'FEES
Plan Sets
Plan Check sabkaftaed Item Amoaat
Structural Cates.
Revtewed, ready for correcuoat Pba Cb tCk D epottt .
Tans Cala.
ce
Called Contact Persoa Flan. Cheek Balan,
Me 24 Caks.
Plana *kedap Coastracdon
Hood plata piss
Plans tYsnb+nflltd • . Meehaikst
Gi"ug plan
r Review, ruAy for correctinafawe Efe cUlial
6abeoabat:tor List
Called Coobet lunt
Person Pblag
Gnat Dead
Puna picked op SALL
H.O.A. Approval
Plan resabrntfted Gradfag
IN HOLM-
''*'Bevfew, ready for tarreetioulfaeae Dewdaper Impact Fee
Pluming Approval •
called Contact Person A.I.P.P.
Pub. TVb. Appr
Date of pertaft )me
stbool Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
S4-540 Avenida Carranza ( Date Prepared:
CF1R-ALT 02-E
(Page i of 3 )
2015-06-16
A. General Information
CFIR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented; use one CF1R-ALT 02 document for each dwelling unit.
01
Project Name
54-540 Avenida Carranza
02
Date Prepared
2015-06-16
03
Project Location
54-540 Avenida Carranza
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
54-540 Avenida Carranza
07
Zip Code
92253
08
Dwelling Unit Conditioned
1872
Installing
Installing
Installing
Floor Area (ft2)
Location or Area
by this SC
ducted
containing
system
Number of space conditioning
entirely new
09
Climate Zone
15
10
(SC) systems in this dwelling
1
component?
components?
feet of ducts?
duct system?
unit.
Alteration Type
B. Space Conditioning (SC) System Information
01
02
03
04
05
06
07
08
09
10
Is the SC
Installing 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
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
Altered space
System 1
Location 1
1872
Yes
Yes
Yes
No
No
No
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Sect ion150.2(b)1 Diib)
This section does not apply to this project.
Registration Number: 215-A0160689A-000000000-0000
Registration Date/Time:
2015-06-16 11:53:13
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Repan Generated: 2015-06-16 11:47:48
CrhPmn %lamimv n SSSGnn
CERTIFICATE OF COMPLIANCE CFIR-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)IE 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 .
All new
All new
This field or
This field or
System 1
Central
heating
AFUE
0.78
Centra!
cooling
SEER
13
Setback
section is not
section is not
packaged HP
components
ackaed AC
pg
components
applicable
applicable
geauimd 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 <_ 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 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 Dud Leakage Testing requirements.
-Heating-only systems and Air Handler/Fumace 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 requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)Wlia and 150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 1S0.2(b)IC)
This section does not apply to this project.
Registration Number: 215-A0160689A-000000000-0000
Registration Date/Time:
2015-06-1611:53:13
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-16 11:47:48
crhpm;a vorcinn• n r,tScnn
CERTIFICATE OF COMPLIANCE MR -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:
Bachus, Robert
J�
Company:
Signature Date:
Advancing Home Performance, Inc.
2015-06-16 11:47:41
Address:
CEA/ HERS Certification Identification (if applicable):
74998 Country Club Drive,
City/State/Zip:
Phone:
Palm Desert CA 92260
760-851-8648
Responsible Person's Declaration statement
1 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 an 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.
S. I will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permits) 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 the builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
White, Butch
Company:
Date Signed:
BREEZE AIR CONDITIONING INC
2015-06-16 11:53:13
Address:
License:
75-14S ST CHARLES PLACE
416394
City/State/Zip:
Phone:
PALM DESERT CA 92211
(760) 346-0855
Digitally signed by ca/CERTS. This digital signature is provided in order to secure the content of this registered document and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A0160689A-000000000-0000 Registration Date/Time. 2015-06-16 11:53:13 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-16 11:47:48
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