BMCH2016-0143aw _
78-495 CALLE TAMPICO r" VOICE (760)-777-7125.
•
SLA QUINTA, CALIFORNIA FAX (760) 777-7011 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
' BUILDING PERMIT
O
Date: 5/5/2016
Application Number: BMCH2O16-0143 Owner:
Property Address: 55269 FIRESTONE MIKLOS RY
APN: 775151019 55269 E
Application Description: KOHARY RESIDENCE / MECHANICAL LA Q NT CA �2r25�5
Property Zoning: �, D
Application Valuation: $14,728.00 GNIn �� 7c, Z0�6
Applicant: Contractor:
IE INC ALL SEASONS AIR CONDITIO PLUMBING &
31225 LA BAYA 73605 DINAH SHORE DR STE 1310M
WESTLAKE VILLAGE, CA 91362 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 Class: C20, C36 License No.: 827420
S
Date: Jr '3 L- Contractor: � 2
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:l
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.). -
(_J 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 constructiori lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's
Lender's Add
(760)568-2663
Llc. No.: 827420
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
Sectiori 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: —GS 1 Applicant:, u;- ., Z�
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 be 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: S rJa I to _Signature (Applicant or Agent):
DESCRIPTION
FINANCIAL ./•
ACCOUNT QTY AMOUNT
PAID
PAID DATE
-BSAS SB1473 FEE
101-0000-20306
0 $1.00
$0.00
PAID BY
METHOD t
RECEIPT #
CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - OTHER EQUIPMENT
101-0000-42402
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - OTHER EQUIPMENT PC
101-0000-42600
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for CHANGEOUT:. $72.52 $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
TOTALS: $165.37 00
Description: KOHARY RESIDENCE / MECHANICAL
CONDITIONS
NAME TYPE
Type: MECHANICAL Subtype:
Status: APPROVED
Applied: 5/5/2016 MFA
Approved: 5/5/2016 MFA
Parcel No: 775151019 Site Address: 55269 FIRESTONE LA QUINTA,CA 92253
Subdivision: TR 21381-3 SEE ASSESSORS MB 769-41 Block:
Lot: 5
Issued:
40 FOR CMS
APPLICANT
IE INC
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $14,728,00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
ALL SEASONS AIR CONDITIONING
PLUMBING &
Details: REPLACING 85% OF DUCT WORK 15% IS NOT ACCESSIBLE. PER 2013 CALIFORNIA BUILDING CODE
PALM DESERT
CHRONOLOGY
CONDITIONS
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
IE INC
31225 LA BAYA
WESTLAKE
VILLAGE
CA
91362
(206)459-9297
CONTRACTOR
ALL SEASONS AIR CONDITIONING
PLUMBING &
73605 DINAH SHORE
DR STE 1310M
PALM DESERT
CA
92211
(206)459-9297
OWNER
MIKLOS KOHARY
55269 FIRESTONE
I LA QUINTA
CA
1 92253
1 (206)459-9297
FINANCIAL INFORMATION
Printed: Thursday, May 05, 2016 9:53:08 AM 1 of 2 0?SYSTEMS
BOND INFORMATION
Printed: Thursday, May 05, 2016 9:53:08 AM 2 of 2
SY57.M5
CLT
DESCRIPTION
ACCOUNT
QTY
AMOUNT.
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY.,
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$36.26
$0.00
OTHER EQUIPMENT
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$0.00
OTHER EQUIPMENT PC
Total Paid for CHANGEOUT: $72.52 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00 .
TOTALSi $16S,37 $0.00
BOND INFORMATION
Printed: Thursday, May 05, 2016 9:53:08 AM 2 of 2
SY57.M5
ern.#
oty Of La Qulh�
Building 8[ Safety Division
D P.Q. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
MOP j. (
Project Address: 55269 Firestone Lane
Owner's Name:. Miklos Kohary
A. P. Number �(
Address: 55269 Firestone Lane
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor. All Seasons A/C, Plumbing& Heatinsst'Ma.
9
Telephone:
a`«
.•,<,;Y..'�•.-�.•..i;;.,;„.
Address: 73605 Dinah Shore Drive.Suite 1310M
Project Description: Replacing 85% Of Ductwork In Home
City, ST, Zip: Palm Desert, CA 92211
15% Is Not Accessible
Telephone: 760-568-2663
State Lie. #: 827420 City Lie. #:
Arch, Engr., Designer.
Address:
City., ST, Zip:
Telephone: Construction Type:. Occupancy:
State Lia #: 3j N Project type (circle one): New Add'n Alter Repair Demo
�r
Name of Contact Person: Steven SchniererSq. Ft.:' # Stories: #Units:
[Estimated
Telephone # of Contact Person: 818-735-7876
Value of Project: $14,728.00.
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACIMG
PERMIT FEES
Plan Sets
Pian Check submitted
Item Amount
Structural Calks.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs•
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Hood plain plan
Plans resubmitted..
Mecharilcal
Grading plan
2i0 Review, ready for correctionslissue
Electrical
Subcontactor List
Called CoutectPerson
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Gradiog
IN HOUSE:-
'^k Review, ready for correctionslissae
Developer Impact Fee
Planning Approval
Called Contact Person
AXP 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: MIKLOS KOHARY. Date Prepared: 2016-05-03
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 MR -ALT -02 document for.each dwelling unit.
01
Project Name
MIKLOS KOHARY
02
Date Prepared
2016-05-03
03
Project Location
55269 Firestone Lane
04
Building Type
Single family
'05
CA City
La Quinta
06
Dwelling Unit Name
MIKLOS KOHARY
S IN the SC"'"-°`
Dwelling Unit Conditioned
07
Zip Code
92253
08
Floor Area (ft2)
3164
CFA served
'*, system a
�1'
Klnstalling>newSC
Number of space conditioning
ilnstallingInstalling
09
Climate Zone
15
10
(SC) systems in this dwelling
1
containing
system
more than 40
entirely a
unit.
B. Space Conditioning (SC) System Information
01
02
.03
04"kV
05
06! M
07)
08 1
09
10
ff ,
S IN the SC"'"-°`
Ins`tallin`g a
SC System
SC System
CFA served
'*, system a
refrigerant {
Klnstalling>newSC
�
Installing
ilnstallingInstalling
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely a
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
3164
Yes
No
No
Yes
No
No
Extension of existing
duct system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib)
01
02
System Identification or
Name
New Duct R -Value
System 1
R-8
Required Documentation:
Registration Number: 216-A0165831A-000000000-0000 Registration Date/Time: 2016-05-03 18:13:16 HERS Provider: CaICERTS'
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-05-03 18:13:16
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 )
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R & CF3R-MCH-20-H — Duct Leakage Verification
- Leakage rate compliance: 5154, or 5105 leakage to outside, or seal all accessible leaks
Exceptions:
Existing duct systems constructed, insulated or sealed with asbestos are.exempt from MCH -20 duct leakage testing requirements
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
This section does not apply to this project.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 15O.2(b)1Diia and 150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or CompleteFReplacement Space Conditioning System (Section 150.2(b)iC)
�. This section #do�e ;no aPp y o this, project;
if
Registration Number: 216-A0165831A-000000000-0000
Il It 71 Il
t>Ar a~
Registration Date/Time: 2016-05-03 18:13:16
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-05-03 18:13:16
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-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: ��!!
Jacoby, Ian
�Yan �aco Jc
Company:
Signature Date:
i PERMIT E RATERS
2016-05-03 18:13:16
Address:
CEA/ HERS Certification Identification (if applicable): ,
31225 La Baya Drive #213
City/State/Zip:
Phone:
West Lake Village CA 91362
1818-735-7876
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under thelaws 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, mate rials,'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 13e01at ons.
(rr�c Coar
4. The building design features or, system design features identified on this Certificate of mpllance are consistentwith.the information vided oroth app atile-compliance documents, worksheets,
calculations, plans and specifications submitted to the a orcemen agency foPapp ova Ith,this building permllt-a'pplicatio .
+fir : #: rrt w �w ar rr f„ r
,
sh
5. I will ensure that a registered copy of this Certificate of Compliance shall be inade:availablewith th"e building permits}issued foKthe buildirig, and made available fo_the,ehforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance)s required to be.included with the.documentation the builder provides to.the building owner at occupancy.
Responsible Designer Name:+.+. «..7
Responsible Designer Signature: n 1'.
J.
Jacoby, Ian
n �acZ
Company:
Date Signed:
ALL SEASONS AIR CONDITIONING PLUMBING & HEATING INC
2016-05-03 18:13:16
Address:
License:
73605 Dinah Shore Drive, Suite 1310M
827420
City/State/Zip:
Phone:
Palm Desert CA 92211
760-568-2663
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-A0165831A-000000000-0000 Registration Date/Time: 2016-05-03 18:13:16 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-05-03 18:13:16
Schema Version: 0.555SDD