BMCH2015-024778-495CALLE TAMPICO
LA QUINTA, CALIFORNIA.92253
N
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
BMCH2O15-0247
51675 AVENIDA RUBIO
773121014
BOYD RESIDENCE HVAC C
$7,090.00
Applicant:
GREENUP AIR CONDITIONING AND H
P 0 BOX 7431
LA QUINTA, CA 92248
. Tw�p 44aw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/2/2015
Owner:
TIMOTHY BOYD
1917 N EBONYWOOD ST
ORANGE, CA 92253
Contractor:
GREENUP AIR CONDITIONING AND H
P 0 BOX 7431
LA QUINTA, CA 92248
(760)771-2920
Llc. No.: 985406
---------------------------------------------------------------------------------------------
k
LICENSED CONTRACTOR'S DECLARATION -
I hereby affirm under penalty of perjury that l 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 License No.: 985406
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 (Chapter9 (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.).
(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 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
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 LaborCode, 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:
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 he above-
mentioned property fo inspection purposes.
Date: L ignature (Applicant or Agent):
* + 1
FINANCIAL
DESCRIPTION � 'r `ACCOUNT 1 aq AMOUNT. -� PAID IDS "DATE'
_. E _ a ; PA
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
e.
'PAID' BY ' `& ;,. ,` �zMETHOD - ' RECEIPT# +`'CHECK# „.,� CLTD BY,'`
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
,DESCRIPTION �''al°�
, ``ACCOUNT> ,-3'QTY-
"AMOUNT1'
! y PAID '"€
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BY
RECEIPT # s »-
CHECK # b
CLTD BY
,tDESCRIPTION i '
' ACCOUNT , ".
,QTY `
AMOUNT,
��> �,PA,IDi
,PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
y' PAID BY +'
,*.ri METHOD t4
; , 'RECEIPT #
=t CHECK #�'' ,
, CLTD BY.
Total Paid forCHANGEOUT: $108.78 $0.00
DESCRIPTION
ACCOUNT Y" _
sQTYx
sAMOUNT
PAID s.PAIO
DATE
PERMIT ISSUANCE
101-0000-42404.
0
$91.85
$0.00
PAID BYE fc " " ,Cr S
<' .^ METHOD :s
.�� r ,� h
RECEIPT # ..
r.
�• CHECK #
CLTD BY
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
Bin #
City of La Quinta
"Building 81: Safety Division
P.O. Box 1504, 78 495 Calle Tampico.
La Quinta, CA 92253 - (760) 777-7012
t 02`17 Building Permit Application and Tracking Sheet
Permit #
�M c-(20 (IS
Project Address: 15 Awad Pwbi17
Owner's Name: 1 m - enlS
A. P. Number:
Address: 51U-75
Legal Description:
City, ST, Zip: k-a—aw C
1 `t a 3
Co or: Teen RICA ICA H e 1 I �
Telephone:
Address: P.O . —14-31
Project Description: t IA t7
^ ^� I
City, ST, Zip: L& Qu n+o._ � " 1 DD.
C5 _
Tele hone:
p �lQO- 71-
'``%: :<'fz%`;»`> .
; : ............ ; ;-::.:..... :
State Lic. # :
City Lie.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
Construction Type: Occupancy:
Project type (circle one): New Add' Alter Repair Demo
State Lic. #:
;.;.............
' V
Name of Contact Person:kJr( ee n
Sq. Ft.: (a
# Stories: I
# Units: 1
Telephone #,of Contact Person: (00 — _
Estimated Value of Project: $ _J C)q O . 00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRAC 04G
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrcctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing _
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3'" Review, ready for. correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Feu
Description: BOYD RESIDENCE HVAC CHANGE OUT
Type: MECHANICAL Subtype:
Status: APPROVED
Applied: 7/2/2015 EVA
Approved: 7/2/2015 EVA
Parcel No: 773121014 Site Address: 51675 AVENIDA RUBIO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 23
Lot: 3
Issued:
UNIT 2
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $7,090.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: HVAC CHANGE OUT -15 SEER /.80 AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S)
TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Applied to Approved
ADDITIONAL
I
Printed: Thursday, July 02, 2015 10:33:04 AM. 1 of 2
SYSTEMS
DESCRIPTION
ACCOUNT
-QTY
AMOUNT
'-.PAID =
= PAID DATE.
RECEIPT #
CHECK # '
METHOD
Y .-`PAID BY'-
CLTD
_
BY
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
1 0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS!,. 0e
Printed: Thursday, July 02, 2015 10:33:04 AM
2of2
CIFW.Iysrrms
:ERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
41terations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3
Project Name: Boyd Date Prepared: 2015-07-01
A. General Information
01
02
03 r
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 CF1R-ALT-02 document for each dwelling unit.
i 07 ))
f j 08 `:
l 09
01
Project Name Boyd
02
Date Prepared
2015-07-01
03
Project Location 51675 Avenida Rubio
04
Building Type
Single family
05
CA City La Quinta
06
Dwelling Unit Name
Boyd
07
Zip Code 92253
Og
Dwelling Unit Conditioned
1230
Name
Served
Floor Area (ft2)
system?
component?
components?
feet of ducts?
Number of space conditioning
SC system?
09
Climate Zone 15
10
(SC) systems in this dwelling
1
Yes
Yes
No
unit.
No
B. Space Conditioning (SC) System Information
01
02
03 r
04.s\
7 05 :
1 06,11 `
i 07 ))
f j 08 `:
l 09
SO
SC System
SC System
CFA served
`Is the SC' `
'`aystem aice-,
' Installing a�`
refrigeient `
.Installing new SC
Cinstallirig I
I stalling-
Installing
Identification or
Location or Area
by this SC
ducted
containirig
system '
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
only system
complete home
1230
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
:. Extension of Existing Duct System, Greater Than 40 Feet (Section1S0.2(b)IDiib)
This section does not apply to this project.
Registration Number: 215-A0180024A-000000000.0000 Registration Date/Time: 2015-07-01 16:09:06 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07.01 16:09:15
Schema Version: 0.SS5SDD
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
OS
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
All new
This field or
This field or
only system
furnace
heating
AFUE
0.8
packaged AC
cooling
SEER
15
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: s 15%, or 5 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 HERS from'MCH-20 sti g
systems registered with provider as previously sealed are exempt Duct Lea kage>Teµrequire ments ).
-Heating-only systems and Air Handler/Furnace changes donot 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(4)1Diia 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)IC)
This section does not apply to this project.
Registration Number: 215-AO180024A-000000000-0000 Registration Date/Time: 2015-07-01 16:09:06 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-01 16:09:15
Schema Version: O.SSSSDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -SR -ALT -HVAC) (Page 3 of 3 )
Documentation Author's Declaration Statement
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
3rian
Greenup, Brian
�Cjreer Nrp
Company:
Signature Date:
GREENUP AIR CONDITIONING AND HEATING
2015-07-01 16:09:06
Address:
CEA/ HERS Certification Identification (if applicable):
P 0 BOX 7431
City/State/Zip:Phone:
LA QUINTA CA 92248
(760) 625-6537
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 Regulatlons; 3 ("' 7 �`
4. The building design features or system design features identified on�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 appl¢atiori.
S. I will ensure that a registered copy of this Certificate of Compliance shall be made availablewRh the building perm t(s)dssued for the building, and made available[gthe.enforcement agency for all applicable
'Cfrtificate
inspections. I understand that a registered copy of this of Compliance is required to be included with the documentation the,builder provides to the building owner at occupancy.
Responsible Designer Name: �"i { k i,,.. it�� -..'
Responsible Des gner Signature: 11
Greenup, Brian
Xan Creenup
Company:
Date Signed:
GREENUP AIR CONDITIONING AND HEATING
2015-07-01 16:09:06
Address:
License:
P 0 BOX 7431
985406
City/State/Zip:
Phone:
LA QUINTA CA 92248
(760) 625-6537
Digitally signed by CaICERTS. 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-A0180024A-000000000-0000
Registration Date/Time:
2015-07-01 16:09:06
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 - Report Generated: 2015-07-01 16:09:15
Schema Version: 0.555SDD