BMCH2015-033278-495 CALLE TAMPICO 4
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
\ Application Number: BMCH2O15-0332
Property Address: 81589 RUSTIC CANYON DR
APN: 764780019
Application Description: BEVINGTON & ANDRE REPLACE CENTRAL SPLIT SYSTEM
Property Zoning:
Application Valuation: $16,373.00 D
Applicant: AUG 2
GENERAL AIR CONDITIONING & HEA 4 2015
OUTSIDE CITY LIMITS
CITY' �• COMMUNITY DEVOELOPMENTINTA
DEPARTMENT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/24/2015
Owner:
HARRY BEVINGTOM ROSIE ANDRE
81589 RUSTICE DR VE
LA QUINTA, CA 9253
Contractor:
GENERAL AIR CONDITIONING & HEA
OUTSIDE CITY LIMITS
(760)343-7490
Llc. No.: :LIC -0003606
----------------------------------------------------------------------------------------------
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
Date: g 24 S 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).:
(_J 1, 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.).
,(1 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 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 Add
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate if 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 zarrier 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 a:, 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:$ 24 I J 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 N SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the 3uilding 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 Cty 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 stag 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: 48)2-'4115 Signature (Applicant -o.- Agent): Ly�
FINANCIAL
DESCRIPTIONw ; "ACCOUNT& ;QTY a AMOUNT* PAID x L
PAID.DATE
s a.
BSAS SB1473 FEE 101-0000-20306
0
$1.00
$0.00
# 7x? PD `xr i' k ` METHOD`
z $RECEIPT # };
# `tCLTD
BYx `
-BY
y'CHECK
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION � a
' ACCOUNTS
QTY
AMOUNT# �'`
PAID £
PAID: DATE*
, »I
.' z
,,
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
�< _r PAID~BY ;
f METHOD t.: b t
s
*RECEIPT #
CHECK #
,^
CLTD BY
��fi
:
DESCRIPTION a `�
ACCOUNT*' hr
fC+TY
* AMOUNT
`F PAID'^'
q
,PAID.DATE,
HVAC
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID"BY
METHOD'. 4.
#s "
CHECK #
CLTD BY !:
4RECEIPT
t
Total Paid forCHANGEOUT: $108.78 $0.00
t-,DE,SCRIPTION ``
'_ ` ACCOUNU s • nt*
Y;g 'AMOUNT {
_ PAID 'g
DATE
r , _ <
C s::
{QTY
;PAID
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
iia'`"t s PAID BY
x 'METHOD `¢ r
£w ;RECEIPTW g
4 . CHECK#
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:•0
r
l
r
Description: BEVINGTON & ANDRE REPLACE CENTRAL SPLIT SYSTEM
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 8/24/2015 PJU
Approved:
Parcel No: 764780019 Site Address: 81588 RUSTIC CANYON DR LA QUINTNCA 92253
Subdivision: TR 30023-6 Block: Lot: 57
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $16,373.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
(
Printed: Monday, August 24, 2015 1:51:36 PM 1 of 2
• sysrrMs
INS 'S RE NOTES
INSPECTION TYPE -INSPECTOR 6' :�JCk6bLib t6l,41.66T S611, 7REMARKS,
DATE
A
D TE:
MECHANICAL FINAL" BLD
Printed: Monday, August 24, 2015 1:51:36 PM 2 of 2 SYSTEMS
7."
'
A`
CL
-'DESCRIPTION
VQTYiI
AMOUNT
�'
,PAID
PAID DATE
RECEIPT #;
CHECK
:
PAID BY,pTD'
+
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
.... .. .... . .. ..... . ......... . .... .. hil. I . ... . ... . .....
. . .........• 201 $0.00 ........... .
�63
INS 'S RE NOTES
INSPECTION TYPE -INSPECTOR 6' :�JCk6bLib t6l,41.66T S611, 7REMARKS,
DATE
A
D TE:
MECHANICAL FINAL" BLD
Printed: Monday, August 24, 2015 1:51:36 PM 2 of 2 SYSTEMS
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: HARRY BEVINGTON Date Prepared: 2015-08-19
A. General Information
MR -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
HARRY BEVINGTON
02
Date Prepared
2015-08-19
03'
Project Location
81589 RUSTIC CANYON DRIVE
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
HARRY BEVINGTON
07
Zip Code
92253 '
08
Dwelling Unit Conditioned
1725
Installing ew SC
Installuig
II taIIip
Installing
Floor Area (ft2)
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Number of space conditioning
System (ft2)
09
Climate Zone
15 /
10
(SC) systems in this dwelling
1
Alteration Type
'.
unit.
B. Space Conditioning (SC) System' IA3rmati n
_
Ol
02
r 03 a
04?a#
05 F
i! 06:
*,,
07.3
08
09
10
r .
,.
IIs the SC
Installing a
iv
SC System
SC System t-
CFA served
ystem a�__
re Igen nt i
Installing ew SC
Installuig
II taIIip
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
1725
Yes
Yes
Yes
No
No
No
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: 215-A6297367A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-08-19 16:18:08
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2015-08-19 16:17:50
CERTIFICATE OF COMPLIANCE CF1R-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)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
18
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 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 & CF313-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(NCH-20 Duct Leakage�Testing requirements. ,
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow:MCH X23; or Refrige}ra,nwt.,.�Cha:r� MEC.H-2
5,
ge �
Existing duct systems constructed, insulated Test
or sealed with asbestos are exempt e
retspi
E. Entirely New or Complete Replacement Duct System, wit h'or withoutlE'- e- ment Changeout'(Sections 150.2(b)aDiia_and�150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 215-A6297367A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: . 2015-08-19 16:18:08
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2015-08-19 16:17:50
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: �/
Jan Jacoly
Jacoby, Ian
Company:
Signature Date:
Stratz Permit Service
2015-08-19 16:17:55
Address:
CEA/ HERS Certification Identification (if applicable):
5858 Dovetail Drive
City/State/Zip:
Phone:
Agoura Hills CA 91301
818-735-7876
4
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 6o—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 Califorriia Code of Regulations. -
4. The building design features or system design features identified o Lhis Certific" amt of Compliance are1consiste"nFt,witA4he informat on..provided on*other pplicable co pliance documents, worksheets,
x b. rWR.i } I .�`: i ':7�f1 g
calculations, and specifications io'the enforcement for approval,with this building
plans sub`mttted agency permit application.
►3 ii pG d. • R i}i i'. IN - s , 4
5. I for
will ensure that a registered copy of"this Certificartve ofyCompliance shall be.made available w�fh th"e bwlding;permit(s);issued for'the building and:made availabl"eAolhe enforcement agency all applicable
:. :.
inspections. I understand that a registered copy of this Certificate of Compliance is,,required to bye=included with the docurn ntation.the builder proves to, he building owner at occupancy.
Responsible Designer Name:
Responsile Desier Signature: 1--.0 C. -
Shanley, Barbara]
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-08-19 16:18:08
Address:
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip:
Phone:
THOUSAND PAI MS CA 9227fi
(760) 34.3-7488
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-A6297367A-000000000-0000 Registration Date/Time: 2015-08-19 16:18:08 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-19 16:17:50
Schema Version: 0.555SDD
Bfn.#
City of La Quinta
Buildhg a Safety Aivision
P.O. Box 1504,78-495 Caile Tampico
la.Quinta, CA 92253 -:(760) 777-7012
Building Permit Applicatlon and Tracking Sheet
Permit #
ProjeccAdd.ress: 81589 Rustic Canyon Drive
owner's Name:. Harry Bevington & Rcsie Andre -
A. P. Number:
Address: 81589 Rustic Canyon DrivE
Legal Description:
City, ST, Zip; La Quinta, CA 92253
Contactor: General Air Conditioning
'=ag'''
Telephone: 1390101
Address: 31170 Reserve Drive
Project Description: Replace 4ton A/C. Coil, & 90,000 BTU
City, ST, Zip: Thousand Palms, CA 92276
Furnace
Telephone: 760-343-7488
State Lie. #: 686310
City Lic.. #-
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone: v :�
7
State Lic. #:,:~L -i
. �y„u ;•
Name of Contact Person: Steven Schnierer
Construction Type:. Occupancy:
Project type (circle one): New Add'n alter Repair Demo
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person: 8.18-735.-7876
Estimated Value of Project: $16,373.00
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Submittal Req'd Reed TRACKING PERMfrFEES
Pfau Sets
Pian Check submitted
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cafes.
Called Contact Person
Plan Check Bal'ince.
Title 24 Calci.
�.
Plans picked up
Constructlon -
Flood plain plan
Plans resubmitted.*.Mecharilcal
Grading plan
r' Review, ready for correctiionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
ML
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'^' Review; ready for corrections/issue
Developer Impaet Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit bees