BMCH2016-005478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
C&�t 4 4-094a
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O16-0054
Property Address:
48325 VIA SOLANA
APN:
646380065
Application Description:
PRAUSE / CHANGE OUT (1) SPLIT SYSTEM
Property Zoning:
Application Valuation:
$7,500.00
Applicant:
PAUL'S AIR CONDITIONING & HEATING CO INC
P 0 BOX 1818
CATHEDRAL CITY, CA 92235-1818
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 Busines and Professions Code,
and my License is in full force and effect.
License Class: C20, C38 License No.: 57795
Date: 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).:
I ) 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 Address:
62
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/14/2016
Owner:
GEORGE PRAUSE
24692 LAS ALTURAS
LAGUNA HILLS, CA 92253
Contractor:
PAUL'S AIR CONDITIONING & HEATING CO INC
P 0 BOX 1818
CATHEDRAL CITY, CA 92235-1818
(760)323-4776
LIc. No.: 577952
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 work for which this permit is issued.
tV
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:
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 r Code, I shall forthwith
comply with those provisions:
Date: (6 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.
Date: /f 6. Signature (Applicant or Agent
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNTQTY AMOUNT
PAID
PAIDDATE
BSAS SB1473 FEE
101-0000-20306
0 $1.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY.
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD.BY
Total Paid for CHANGEOUT: $108.78 $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:00
:T Permit Details PERMIT NUMBER
City of La Quinta ZioBMCH2B16:0054-,'7,
Description: PRAUSE / CHANGE OUT (1) SPLIT SYSTEM
Type: MECHANICAL Subtype:
Status: UNDER REVIEW
Applied: 3/14/2016 SKH
Approved:
Parcel No: 646380065 Site Address: 48325 VIA SOLANA LA QUINTA,CA 92253
Subdivision: TR 27840 Block:
Lot: 100
Issued:
Lot Sci Ft: 0 Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $7,500.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
NAMEI TYPE
Details: HVAC CHANGE OUT - (1)16SEER/80AFUE SPLIT SYSTEM (2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CITY
STATE
ADDITIONAL SITES
FINANCIAL INFORMATION
Printed: Monday, March 14, 2016 10:48:42 AM 1 of 2
SYSTEMS
CHRONOLOGY
CONDITIONS
CONTACTS
NAMEI TYPE
NAME
ADDRESSI
CITY
STATE
ZIP PHONE FAX EMAIL
APPLICANT
PAUL'S AIR CONDITIONING & •
P 0 BOX 1818
CATHEDRAL
CA
92235 -
HEATING CO INC
CITY
1818
CONTRACTOR
PAUL'S AIR CONDITIONING &
P 0 BOX 1818
CATHEDRAL
CA
92235 -
HEATING CO INC
CITY
1818
OWNER
GEORGE PRAUSE
24692 LAS ALTURAS
LAGUNA HILLS
CA
92253 .
FINANCIAL INFORMATION
Printed: Monday, March 14, 2016 10:48:42 AM 1 of 2
SYSTEMS
INSPECTIONS
ATTACHMENTS
Printed: Monday, March 14, 2016 10:48:42 AM 2 of 2
SysrrmS
CLTD
DESCRIPTION
ACCOUNT
CITY
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
$72.52
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$0.00
SPLIT -SYSTEM PC
Total Paid for CHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85.
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• 00
INSPECTIONS
ATTACHMENTS
Printed: Monday, March 14, 2016 10:48:42 AM 2 of 2
SysrrmS
I
Bin
City of La Quinta
Building &r Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit 9#
oject Address: 40 Z15- V/ 4 !!i; 1". Owner's Name:
A. P. Number: Address: La QL
Legal Description: Aity, ST, Zip: L, �1u;r �'i, Com. 1241Sj
0ntract r• Sr / vne•
�u I Telephone:ho
Address:v ��jg roject Description: }1%�f G GhtiF ,e 01,E
ity,ST, Zip: i'%�Gv#�crf G G,I.g2V,S5-
elePh ne 3Z3 y7
76U 7
State Lic. # : % 7IT2— City Lic. #c 00010 1L1
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: :
n Type: Occupancy:an
Constructiontructi cY
type e):N w Add'n Alter Repair airDemo
State Lic. #: ProJectty
Name of Contact Person: Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: stimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'"' Reyierv, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.T.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
George Prouse I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3 )
2016-03-14
A. General Information
CF111-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
George Prouse
02
Date Prepared
2016-03-14
03
Project Location
48325 Via Solana
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
George Prouse
07
Zip Code
92253
08
Dwelling Unit Conditioned
1600
Installin ew SC
Installin
more
Installin
Installing
Floor Area (ft2)
Identification or
location or Area
by this SC
'ducted
con c
Number of space conditioning
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" F
Ol
02
03.
041 .
-�
iT IO5
) 06 _�
h 071` .�
-. i.
09
10
)iIs the SC—
`Installing a"'
� "` `�
"`t
SC System
SC System
CFA served
system a
re i Brent
Installin ew SC
Installin
more
Installin
Installing
Identification or
location or Area
by this SC
'ducted
con c
system
than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Location 1
1600
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.2(b)1Diib)
This section does not apply to this project.
Registration Number: 216-A0097783A-000000000-0000
Registration Date/Time: 2016-03-14 08:39:26
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-14 08:39:32
Schema Version: 0.5555DD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3 )
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 gas
All new
Central split
All new
Less than or
System 1
furnace
heating
AFUE
0.8
AC
cooling
SEER
16
Setback
equal to 40
R-8
components
components
feet
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%, ors 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 >_ 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 Chwge MECH 25 "'
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH 20 Ductil_ akage Testing requiremerits.
?
E. Entirely New or Complete Replacement Duct.System, with or without Equipment Changeout (Sections,150.2(b)lDiia and 150.2(b)lE, 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: 216-A0097783A-000000000-0000 Registration Date/Time: 2016-03-14 08:39:26 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-14 08:39:32
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:
Ly5ing5ao, Chris
Company:
Signature Date:
PAUL'S AIR CONDITIONING & HEATING CO INC
2016-03-14 08:39:26
Address:
CEA/ HERS Certification Identification (if applicable):
P 0 BOX 1818
City/State/Zip:
Phone:
CATHEDRAL CITY CA 92235
760-323-4776
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. rt
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other. plicable'compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcemeni agency for i pproval,mith this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be`made available with the building permit (s):issued forthe 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 providdes to.the building owner at occupancy.
Responsible Designer Name: A --4
Responsible Designer Signature: V 4
LySingSao, Chris
°
Company:
Date Signed:
PAUL'S AIR CONDITIONING & HEATING CO INC
2016-03-14 08:39:26
Address:
License:
P 0 BOX 1818
577952
City/State/Zip:
Phone:
CATHEDRAL CITY CA 92235 1760-323-4776
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: 216-A0097783A-000000000-0000 Registration Date/Time: 2016-03-14 08:39:26 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-14 08:39:32
Schema Version: 0.555500