BMCH2016-028478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O16-0284
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Property Address- 5285S AVENIDA RAMIREZ
APN: 7733.22025
Application Description: HHOUSING OF LA QUINTA / CHANGE OUT�j
Property Zoning: I D
Application Valuation: $5,290.00
AUG 032016
Applicant:
GREENUP AIR CONDITIONING AND HEATING CITY OF LAOUINTA
P 0 BOX 7431 WoMUNITYDEVELOF
LA QUINTA, CA 92248
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: C2 Licensee No..: 98540
DCS ate-" O 3 Com ntracto}: '
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).:
(1 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, 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
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/3/2016
Owner:
HOUSING AUTHOR:TY OF CITY OF
P 0 BOX 1504
LA QUINTA, CA 9253
gEENUP AIR CONDITIONING AND HEATING
P 0 BOX 7431
LA QUINTA, CA 92248
(760)771-2920
Llc. No.: 985406
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of he 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
ot_ rk 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:.
Carrier: EXEMPT 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 3 -ADO of the Labor Code, I shall forthwith
comply with those provisions.&
Date'? Ac pplicant:
WARNING: FAILURE TO SECURE WORKERS' CONIPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,00C). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FORON 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 appliotion 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 Ole 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 6suance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and st: to that the above information is correct.
'I agree to comply with all city and county ordir-ances and state laws relating to building
construction, and hereby authorize representa-ives of this city to enter upon the
above -mention d pyoperty for inspection purposes.
Signature (Ap'plicant�r
Date: 8/3/2016
Application Number: BMCH2O16-0284
Owner:.
Property Address: 52855 AVENIDA RAMIREZ
HOUSING AUTHOR,,TY OF CITY OF
APN: 773322025
P 0 BOX 1504
Application Description: HHOUSING OF LA QUINTA / CHANGE OUT
LA QUINTA, CA 92233
Property Zoning:
Application Valuation: $5,290.00 -
Applicant:
-Contractor:
GREENUP AIR CONDITIONING AND HEATING
GREENUP AIR CONDITIONING AND HEATING
P 0 BOX 7431
P 0 BOX 7431
LA QUINTA, CA 92.248
LA QUINTA, CA 922-48
(760)771-2920 .
Llc. No.: 985406
Detail: HVAC CHANGE OUT - 14.OSEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
FINANCIAL + Y
DESCRIPTION ` ACCOUNT. CTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
.Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT ,
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$7252
DESCRIPTION
- ACCOUNT
[TY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
Total Paid for CHANGEOUT: $108.78
DESCRIPTION
ACCOUNT
CTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
10
.$91.85
A
. z
A
Description: HHOUSING OF LA QUINTA / CHANGE OUT
Type: MECHANICAL Subtype:
Status: APPROVED
Applied: 8/3/2016 RSE .
Approved: 8/3/2016 RSE
Parcel No: 773322025 ` Site Address: 52855 AVENIDA RAMIREZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA_ VALE LA QUINTA Block: 157
Lot: 6
Issued:
UNIT 16
Lot Sq Ft:.O Building Sq Ft: 0 . -
Zoning:
Finaled:
Valuation: $5,290.00. Occupancy Type:,
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
-
Details: HVAC CHANGE OUT-14.OSEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
HEATING -
OWNER HOUSING AUTHORITY OF CITY OF P 0 BOX 1504 LA QUINTA. CA 92253
FINANCIAL •' •
Printed: Wednesday, August 03, 2016 11:45:08 AM 1 of 2'
SYSTEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
-.BY
1RECEIPT #
vCHECK #
METHOD
PAID BY ..`
CLTD
GREENUP AIR
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
8/3/16
R17591
DEBIT
CONDITIONING AND
RSE
H
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
GREENUP AIR
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$72.52
8/3/16
R17591
DEBIT
CONDITIONING AND
RSE
SPLIT -SYSTEM
H
GREENUP AIR
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$36.26
8/3/16
R17591
DEBIT
CONDITIONING AND
RSE
SPLIT -SYSTEM PC
H
Total Paid for CHANGEOUT: $108.78 $108.78
GREENUP AIR
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
8/3/16
R17591
DEBIT
CONDITIONING AND
RSE
H
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:•
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Wednesday, August 03, 2016 11:45:08 AM 2 of 2
. SYSTEMS
Bin #
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
6)2?L4Building Permit Application and Tracking Sheet
Permit #
W14 *20M
Project Address: 05`.� ��Q�� flimY�
Owner's Name: 07 Lao wkly�a—
A. P. Number:
Address: �, �j(� C50
C
Legal Description:
City, ST, Zip:��
Contractor: Green ptIC Neai�rt.
telephone:
Address: R0.Project
Project Description: S
�� n I
City, ST, Zip: a Qwt+� CA —Q 1:)X
O v�—
Tele hone:
.w...
><" «'....�N >.................<.
State Lic. #: 9005LICAP
_
City Lie.`#;L�'
.Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:_
=
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
State Lie.
;::>..; ;.;;:;:;.;;;;>; :.;::-, >:<:s:><
Name of Contact Person: Q�'1 ee
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: 5a a 00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cala.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
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 correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'"' Rcyicw, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
Sclio61 Fees
Total Permit Fces
t7
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems.(formerly CF -111- ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)3E and F) •
•
01
02
03
04
'05
06
07
08
09
10
31
12
Heating
Cooling
System
Heating
Altered.
Heating
Minimum
Altered
Cooling
Minimum
P.egteirpd
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
Outdoor
This field or
This field or
main system
Central split
Fancoil AHU
AFUE
8.2
Central split
condensing SEER
14.
Setback
section is not
. section is not
HP
unit
I
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: 515%, or <_ 10% leakage to outslde `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 C2 2, 8.15). •
CF2RCF3R-MCH-23 & CF3R-MCH-23 Airflow 5.300 CFM/ton required when MCH -25 is required.
Excentions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements
Air Handler/Furnace do Air Flow MCH23r Refnge nt Cha. MEeCH-2�
-Heating-only systems and changes not require verification of ge
-Existing duct systems constructed, insulated or sealed with asbestos are exempt'frorn MCS',,Duct Leakage Testing requirements.
. ,.:....-." ';.a�, .. ..,,.+ue �'.a . �s '^na��=c+�+ wa a�., ka. *s1'«•' .: as �*.>,w sYc+
E. Entirely New or Complete Replacement Duct' S m, with or without -,Equipment Ch�angeout (Sections 1S0 2(b)1Dnaand,,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)1C)
This section does not apply to this project.
Registration Number: 216-AO283584A-000000000-0000 Registration Date/Time: 2016-07-28 21:33:00. HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-28 21:33:01
Schema Version: 0.5555DD
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:
Doi7i.—antatinn A, dhnr SienattirP.:
Orian
Greenup, Brian
oCreeiip
Company:
Signature -Date:
GREENUP AIR CONDITIONING AND HEATING.
2016-07-28 21:33:00
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 thelaws of the State of California: 7)
1. ' . The information provided on this Certificate of Compliance is true and correct.
2. lam eligible under Division 3 of the Bus•iness'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
W J i -f q xPiy� „v +tea+ k SM
requirements of Title 24, Part 1 and Partt6 of the California Code of Regulations. �` �j �'
4. The building design features or system design features identified on this Certificate of Compliance areGn�sistent with,the information,provided on other pa plicable ompliance documents, worksheets,
}�
aoval
calculations, plans and specifications submitted to the enforcementlagency for"ppr with this builifing permit application.
5. I will ensure that a registered copy of tFiis Certificate'of Compliance sh`alhbeRmade avail' ble with th building permit(s):issued for:Lhe�b�uilding, and made available to�the enforcement agency for all applicable
inspections. I understand that a registered copy of th s Cert�lfcate of Co�mpl ance,is„required to be„included with the;, doocumnentationitthepuilder provides to the building owner at occupancy. .
Responsible Designer Name:
a
Responsr.be,De,rrig,nierSgnaiire: �+t
Ortan(greenup
Greenup, Brian
Company:
Date Signed:
GREENUP AIR CONDITIONING AND HEATING
2016-07-28 21:33:00 `
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 noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 216-A0283584A-000000000-0000 Registration Date/Time: 2016-07-28 21:33:00 • ' HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-28 21:33:01
Schema Version: 0.555SDD