BMCH2015-009678-495 CALLE TAMPICO (_
VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, .CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 3/25/2015
Application Number:
BMCH2O15-0096
Owner:
Property Address:
78258 PINNACLE POINT
DAN GUISTINA
APN:
770370028
78258 PINNACLE POIN
Application Description:
GIUSTINA DAN HVAC CHANGE OUT
LA QUINTA, CA 92253
U—�1
Property Zoning:
Application Valuation:
$13,187.00
MAR 3 0 2015
Applicant:
Contractor:
GENERAL AIR CONDITIONING
GENERAL AIR CONDITI ��yyI
G CITY OFLAQUINTA
0 OUTSIDE CITY LIMITS
CAMUNITY
0 OUTSIDE CIN LIMIT
DEVELOPMENT DEPARTMENT
LA QUINTA, CA 92253
LA QUINTA, CA 92253
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: _ License No.: :LIC -0003606
3AiS ate: Contractor:
D�y
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 Na
Lender's Address:
(760)343-7490
Uc: No.::LIC-0003606
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.
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:
Vallnrot
_ Policy Number:
I certify that in the performance of the work for which this permit is issued, I
mploy anyperson 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: 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.
c
s
gae: 3 30 is Signature (Applicant or Agent):
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
DAN GIUSTINA I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2015-03-23
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
DAN GIUSTINA
02
bate Prepared
2015-03-23
03
Project Location
78258 PINNACLE POINT
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name'
DAN GIUSTINA
07
Zip Code
92253
08
Dwelling Unit Conditioned
3094
Wlnstalling new SC
,,
�Iristalling
In falling»
Installing
Floor Area (ft2)
Identification or
Location or Area
by this SCducted
containing
Number of space conditioning
more than 40
09
Climate Zone
15
10
(SC) systems in this dwelling
1
system?
component?
components?
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System Information .
;; t
O1
02
031
04
05kk
�06`
07;
08
09
10
FIs the SC
'.t i t
Installing a
Mir w
a x
rJ sa
w a+
SC System
SC System
CFA served
system a�
r f igerr nt i
Wlnstalling new SC
,,
�Iristalling
In falling»
Installing
Identification or
Location or Area
by this SCducted
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
3094
Yes
Yes
Yes
No
No
No
Altered spaceconditioning
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: 215-A0075720A-000000000-0000
Registration Date/Time: 2015-03-23 12:37:39
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Repur L Version: 2014-03-31 Report Generated: 2015-03-23 12:37:18
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-ALT-024
Alterations to Space Conditioning Systems (formerly CF -SR -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
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
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
21
Setback
section is not
section is not
components
components
applicable
applicable
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%, or <_ 10% leakage to outside, or.seal all accessible leaks.
CF2R-MCH-25-H & MR -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 >,30i) CFM/ton required when MCH=25' is required.
Exceptions:
Duct systems registered with HERS provider as previously sealed are exempt from MCH-20DuctLeakage?Testing req�u;irements
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH 23�;or Refrigdfant.Cha ge MECH-25
tea, � ..»� � � t �x �r sx�--��,
W.-
I,, nri.I.,
-Existing duct systems constructed, insulated or sealed wit h as�best exempt from MCH420 Duc tLeakage TestiMg
requq ements. -
1
E. Entirely New or Complete Replacement Duct System, wifh or withoutzEquipment Ch'angeout (Sections 150 2(b),1Dna and150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC)
This section does not apply to this project.
Registration Number: 215-AO07572OA-000000000-0000
Registration Date/Time: 2015-03-23 12:37:39
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-03-23 12:37:18
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: �/ �
JM
Jacoby, Ian
�rcob01
Company:
Signature Date:
Stratz Permit Service .
2015-03-23 12:37:21
Address:
CEA/ HERS Certification Identification (if applicable):
5858 Dovetail Drive
City/State/Zip:
Phone:
Agoura Hills CA 91301
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.sy stem design identified on this Certificate of Complia nce. 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 Compliance arettconsistentkwith,the informatio „provided on.otherrapplicatile"compliance documents, worksheets,
vi
calculations, plans and specifications submitted to the enforce mentagency for'ap'proval with this building permit application. I y
J _t r li,x .fit .41 M c'.. arz r .
S. I will ensure that a registered copy of this:Certificate of Compliance shall be ma,tleta_va�lable with the buildingpermit(s),issuetl for+ttie:building, andzmade avatl'able to ghepenforcement agency for all applicable
inspections. I understand that a registered copy of this -Certificate of Co npliance,is.reglred to be;included y ith the documentation the. iIger provides loathe building owner at occupancy.
"IlResponsible Designer Name:
Respons b Des g er Signature: t L.' *—v
Valdez, Dayana
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-03-23 12:37:39
Address:
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
(760) 343-7488
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: 215-A007S720A-000000000-0000 Registration Date/Time: 2015-03-23 12:37:39 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-03-23 12:37:18
Schema Version: 0.S55SDD
FINANCIAL . 1
-:DESCRIPTION r#� ' ACCOUNT. _ QTY,*'` AMOUNT ;; PAID.,' `PAID DATE;
BSAS SB1473 FEE 101-0000-20306
0
$1.00 $0.00
' { ; PAID BY
CHECK # CLTD BY,
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
�t :.
aDESCRIP,TION-,
+
f...j'
r.- ; ;>ACCOUNT; . �x{ "
i'CITY
''''AMOUNT
Q.
PAID , ,
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
BY
RECEIPT
.a.
CHECK#-
CLTD, BY-
DESCRIPTION ' :o ,
���' ? sACCOUNT
QTY
'., �,�AMOUNT ..
PAID
'PAID DATE
HVAC CHANGEOUT - SPLIT-SYSTEM,PC
101-0000-42600
0
$36.26
$0.00
.::
,PAID.BY '''{
>
-
a ' +" ''METHOD, « : ,
`' RECEIPT # '
"CHECK # .
>,
CLTD BY '
Total Paid forCHANGEOUT: $108.78 $0.00
y
' DES CRIPTIONS,.
ACCOUNT. .» , i
QTY
y` AMOUNT •'' S.
3 ' PAID;' ,
PAID DATE,
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID.BYx
�WETHOD
' RECEIPT #
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: GIUSTINA DAN HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 3/25/2015 PJU
Approved:
Parcel No: 770370028 Site Address: 78258 PINNACLE POINT LA QUINTA,CA 92253
Subdivision: TR 30056 Block: Lot: 1
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $13,187.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
r .-.. :�
"NAME:TYPEw� ' � k " :' , `NAME*"' <.""� }'
-.."o-_':.`-c'.•;sr .+'F �.,r4. .-tib;. R t..K�^.-•c...s.• u..-.. �, ::,8�,. c .R+-.
Details: HVAC UNIT CHANGE OUT FURNACE,CON DENSER 78% AFUE,21 SEER 2TON PER 2013 MECHANICAL CODES 2013 ENERGY) CARBON
MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
Total Paid forBUILDING STANDARDS ADMINISTRATION
BSA: $1.00 $0.00
Printed: Wednesday, March 25, 2015 2:09:28 PM 1 of 2
CRSYSTEMS-
a +,DESCRIPTION ;�
CONTACTS
;AMOUNT
PAID 'f
r .-.. :�
"NAME:TYPEw� ' � k " :' , `NAME*"' <.""� }'
-.."o-_':.`-c'.•;sr .+'F �.,r4. .-tib;. R t..K�^.-•c...s.• u..-.. �, ::,8�,. c .R+-.
ADDRESS1 C
.'.,+.. .'.:- '... ...d!-
`fit CITY '
- _iAti
,STATE
' .ZIP - PHONE ;'�
t ,FAX'S J�
r�.r �......•.: .4.LL.• "�„-`Y'i.~.
APPLICANT GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
(541)954-8005
$1.00
CONTRACTOR GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
(541)954-8005'
OWNER DAN GUISTINA
78258 PINNACLE POINT
. LA QUINTA
CA
92253
(541)954-8005
Total Paid forBUILDING STANDARDS ADMINISTRATION
BSA: $1.00 $0.00
Printed: Wednesday, March 25, 2015 2:09:28 PM 1 of 2
CRSYSTEMS-
a +,DESCRIPTION ;�
$ ACCOUNT r QTY,
;AMOUNT
PAID 'f
PAID DATE .RECEIPT.#
'CHECK # , .,METHOD ;;
'PAID BY -3141.,
A�
BSAS SB1473 FEE
101-0000-20306 0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
BSA: $1.00 $0.00
Printed: Wednesday, March 25, 2015 2:09:28 PM 1 of 2
CRSYSTEMS-
..,
., . tom -
INSPECTIONS
'SEQID, INSPECTION TYPE' ': ^:
INSPECTOR
_
�* M1
MECHANICAL FINAL"*
DESCRIPTION
ACCOUNT
QTY
AMOUNT '°'
• PAID;
PAID DATE
,IRECEIPT#I
CHECK #AMETHOD
PAID BY
LBYD
do_._
-
-
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$0.00
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:$0.00
BOND INFORMATION
ATTACHMENTS
Printed: Wednesday, March 25, 2015 2:09:28 PM 2 of 2 CR
SYSTEMS
INSPECTIONS
'SEQID, INSPECTION TYPE' ': ^:
INSPECTOR
'SCHEDULED COMPLETED
DATE.`- ' DAT
-,,RESULT » REMARKS NOTES ' `
MECHANICAL FINAL"*
BLD
BOND INFORMATION
ATTACHMENTS
Printed: Wednesday, March 25, 2015 2:09:28 PM 2 of 2 CR
SYSTEMS
13inl City of La Quin to .
Buifding 8t: Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777 7012
Building Permit Application and Tracking Sheet
Project Address: 26 2'�� h� �`� epi Owner's Name: G
Yi vi �� iv1
A. P. Number:
t
Address:
Legal Description:
City, ST, Zip: (e— Qcui•v1-\ CJS C( 2.-253
Contractor: rr
' l� i✓rP�I`t�`
� � ;�
Telephone: S .)= q - g0
Address: 311-70 3?ese" le-
Project Description:
City, ST, zip:'
CA gz2-7t,
A4
c Cc>
Telephone: --?(-0. 43-7 ��
?a e9e�v1
State Lie. # : 0$(03)
City Lia #:
Arch., Engr., Designer:
Address: '.
City., ST, Zip:
Telephone:.
?.4:::
n:ftii:!i:^<'icY`!:?�'�'�:•i,F, `S2i':::�^?
Construction Type: Occupancy:
-
Project c circle one): New Add'n Alter Repair Demo
J t'P .( )
State Lie. #:
"'is is
}.•.;r:. ;.; .,.; � vii•:ii:4.`•;:'vf: j�1!Yi:'ifi:':':!'$:.14
Name of Contact Person: P��� Sc hh� PSC C,
Sq. Ft.:
# Stories:
# Units:
Telephone *,of Contact Person: 9 S - Ze-1 �- %���(�
Estimated Value of Project: st 131 ( a:-% • Cl®
APPLICANT: DO NOT WRITE 13ELOW THIS LINE
t< Submittal
Rcq'd
Recd
TRACKING
PERMIT FEES
Plan Sets
PIan Check submitted
Item
Amount
Structural Cates.
Reviewed; ready for corrections
Plan Check Dcposit
Truss Cala.
Called Contact Person
Plan Cheek Balance_ '
Title 24 Calcs.
PIans picked up
Construction
Flood plain plan
Plans resubmitted
LMechanical
Grading plan.
2od Rcvicw, ready for corrections/issue
Electrical
Subcontaclor List
Called Contact Pcrson
Plumbing
Grant Decd
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN IIOUSE:-
'rd Review, ready for corrcctionsfissue
Developer Impact Fee
Planning Approval
Called Contacl.Person
A.I.P.P..
Pub. Wks. Appr
Date of permit issue
School Fees
Total Pcrmil Fccs