BMCH2017-005078-495 CALLE TAMPICO D '
LA QUINTA, CALIFORNIA 92253 DESIGN'& DEVELOP MENT.DEPARTMENT
r BUILDINGPERMIT
VOICE (760) 777-7125
FAX(760)777 -7011
INSPECTIONS (760) 777-7153
Date: 3/13/2017
Application Number:. BMCH2O17-0050. Owner:
Property Address: 53730 AVENIDA RAMIREZ THEODORE FREITAG
APN: 774122011 53730 AVENIDA RAMIREZ
Application Description: FREITAG / HVAC CHANGEOUT - 14 SEER/81AFUE SPLIT SYSTEM LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $6,500.00
Applicant: ® ontractor:
J ANTHONY PLUMBING HEATING.& AIR CONDITION ANTHONY PLUMBING HEATING & AIR CONDITION
72216 NORTH SHORE ST #101 MAR 1 3 20:172216'NORTH SHORE ST #101
THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276
CITY OF LA QUINTA 760)328=8096
DESIGN AND DEVELOPMENT DEPARTMENTI'c. 'No.: 777794
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 I hereby affirm under penalty of perjury one of the following declarations:
(commencing with Section 7000) of Division 3 of th 'Business and Professions Coge and I have and will maintain a certificate of consent to self -insure for workers'
my License is in full force and effect. compensation as provided for by Section 3700 of the Labor Code, for the performance
License Class: C20, C36 License No.: 77779 A / of the wowhich this permit is issued.
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
following issuance of this: ermit.
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 abov information is correct.
I agree to comply with all city and county ordinances and stat aws relating to building
construction; and, hereby.authorize representatives of th41:4 to enter upon the above-
mentioned property for inspection'purposes.
Date: Signature (Applicant or Agent) .
1 have'and'will maintain workers' compensation insurance, as required by
Datel 1111-7 Contractor:
Section 3700 of the Labor Code, for the performance of the work for which this permit is
' '
issued. My workers' compensation insurance carrier and polity number are:
OWNER-BUILDEKDECLARATION
Carrier:'MIDWEST EMPLOYERS CASUALTY COMPANY Policy Number:
I hereby affirm under penalty of perjury that lam exempt from the Contractor's State.,
BNUWC0135360
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
__ (certify that.in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter; improve, demolish, or repair any
shall not_employ'any person in any manner so as to ecome subject to the workers'
structure, prior to its issuance; also requiresthe•applicanffor the permit to file assigned"-
compensation laws of California, and agree that, i should become subject to the
statement that he or sheds licensed pursuant to the provisions of the Contractor's State
workers' compensationprovisions of -Section 37 of the Labor Code, I shall forthwith
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the:Business
comply with those provisions.
and Professions Code) of that he or she is exempt therefrom and the basis'#or the
alleged exemption. Any violation.of.Section 7031.5.by any applicant for a permit
Date:.g Applicant:
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(� I, as owner of the property, or:my;employeeswith wages as theirsole.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
compensation; will do the work, and the structure isnot intended or offered for sale.
AND SHALL SUBJECT,AN EMPLOYER TO.'CRIMINAL PENALTIES AND CIVIL FINES UP TO
(Sec. 7044, Business and Professions Code: The Contractors':State License Law does not :
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
apply to an owner of property who builds or improves thereon, and who does the,work
COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
himself or herself through his or her own employees, provided that the improvements
INTEREST, AND ATTORNEY'S FEES.
are not intended or offered for sale. 'if, however, the'building or impro4ement,is sold
Y.
within one year of completion, the owner -builder will have the burden ofproving'that he
APPLICANT:ACKNOWLEDGEMENT
or she did not build or improve for the purposeof sale:). c
IMPORTANT: Application is hereby.made to the'Building Official for a permit subject to
(� 1, as owner of the property, am exclusively contracting with licensed contractors to
the conditions and restrictions set forth on this application.
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State'
1. Each person.upon whose behalf this application is.made, each person at whose
License Law does not apply to an owner of property who builds or'improves thereon,
request and for whose benefit work.is performed under or pursuant to any permit issued
and who contracts for the projects with a contracto(s) licensed pursuant to the„as
a result of this application, the owner, and the applicant, each agrees to, and shall
Contractors' State License Law.).
defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
( ) I am exempt under Seca B.&P.C. for this reason
employees fok.any act or omission related to the work being performed under or
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
following issuance of this: ermit.
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 abov information is correct.
I agree to comply with all city and county ordinances and stat aws relating to building
construction; and, hereby.authorize representatives of th41:4 to enter upon the above-
mentioned property for inspection'purposes.
Date: Signature (Applicant or Agent) .
Application Number: BMCH2O17-0050
Property Address: 53730 AVENIDA RAMIREZ
APN: 774122011
Application Description: FREITAG / HVAC CHANGEOUT - 14 SEER/81AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation: $6,500.00
Applicant:
1 ANTHONY PLUMBING HEATING & AIR CONDITION
72216 NORTH SHORE ST #101
THOUSAND PALMS, CA 92.276
Date: 3/13/2017
Owner:
THEODORE FREITAG
53730 AVENIDA RAMIREZ
LA QUINTA, CA 92253
Contractor:
J ANTHONY PLUMBING HEATING & AIR CONDITION
72216 NORTH SHORE ST #101
THOUSAND PALMS, CA 92276
(760)328-8096.
Llc. No.: 777794
--------------------------------------------------------------------------------------------
Detail: HVAC CHANGE OUT - 14SEER/81AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
xc h
DESCRIPTION
DEStli
QTY
AMOUNT
101-0000-20306
101-0000-42402 ;
�r
Total Paid for. BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
.ACCOUNT 1
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402 ;
0.
$76.00
DESCRIPTION"
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT- SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for CHANGEOUT: $114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE.
101-0000-42404:
0
$96.27
"Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT '
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE : "
502-0000-43611 ,
0
$5.00
,Total Paid for TECHNOLOGY ENHANCEMENT FEE:
b' +
Qin # pity of La Quinta
Building & Safety Division
Permit # 78-495 Calle Tampico
La. Qui&a, CA 92253 - (760) 777-701;2
—0090 Building Permit Application and Trackink..Sheet
Project Address: Owner's Name: L .
A. P. Number:
Address:
Legal Description:
City,.ST, 'Zip:
Contractor:
T elephone: 7 1
Address:
NY SERVICES
Project Description:
City, ST, Zip:
- .._._
Telephone: one:
72216 NORTH SHORE ST- STE 101
Q. I co
State Lic. # : ��
City L.ie #.;;a
Arch.,'Engr., Designer:
Address:
City, ST, Zip:
Telephone:
'Construction T YPe.: O ecuPaneY-
a L ,.
t Lic. c.#.
•ProJect
type �etrcle.one � N wAdd'n Alter Repair r
Name of Contact Person:
N 0 d� .
' '
Sq: Ft.:
# Stories:
EDemo
Units:.
Telephone # of Contact Person: 7(a0 3q�) —Zm(
Estimated Value of Project:
APPLICANT: DO NOT.WRITE BECOW;.THIS LINE._
N
Submittal
Req'd
Rec'd
TRACKING
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 Calcs.
Plans picked up
Construciioit
Flood plain plan .,
Plans resubmitted',
.Mechanical '
Grading plan
2" Review, ready for.corrcctionsfissue
Electrical
'Subcontactor List.*
Called Contact Person
Plumbing ?
Grant Deed
Plans picked up
II.O.A. Approval
Plans resubmitted
Grading"
IN HOUSE:- .
'`9,Rcyiew, ready for corrections/issue
Developer Impact Fee
Planning Approval .
'Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue '.
school Fees,
Total, Permit. Fecs
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly'CF-iR-ALT HVAC) (Page 1 of 3)
Project Name: FREITAG Date Prepared: 2017-03-13
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
CFiR-ALT-02 document for each dwelling.unit.
01-
Project Name
FREITAG
02
Date.Prepared
2017-03-13,
03.
Project Location
53730 AVENIDA RAMIREZ
04
Building Type
Single family =
05Y
CA City
.La Quinta -
06
Dwelling Unit Name
FREITAG'
FIs the SC
. 1 s allin a
07
Zi Code
Zip
92253 lk
08
Dwelling Unit Conditioned
1600
SC.S, stem
-
s stem.a
refrigerant
Floor Area (ft)
Installin
09
Climate Zone
-
Identification or.,
Number of Space ;.
in
by this SC
ducted
containing
15��
10
Conditioning (5G) Systems
1
Name
'Served
System (ft?)
this Dwelling unit:
-
components?
feet of ducts?
duct,system?
SC system?
Alteration Type
System l
' s nr B: Space Conditioning (SC) System Informationi
�', �.,�4
i� .... •.. .. �._ � _. � � .. .. - »:, __ .vim§ '..
Ol:.
02
:. 03
04 :
41
IM0 __4
O5
07
08
09
ip
s #
FIs the SC
. 1 s allin a
'
..
SCS stem �
SC.S, stem
CFA served
s stem.a
refrigerant
Installin new SC
Installin
Installin
Installing,
Identification or.,
location or Area
by this SC
ducted
containing
system
more Phan 40
entirely new
entirely new
Name
'Served
System (ft?)
system?
component?
components?
feet of ducts?
duct,system?
SC system?
Alteration Type
System l
Location 1
1600
Yes
Yes
Yes
No
No
No
Altered space
:rn]conditioning
syst
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: 217-A020079335A-000-000-0000000=0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-03-13 10:25:26
Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CaICERTS
Report Generated: 2017-03-13 10:25:37
CERTIFICATE OF COMPLIANCE CFIR-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)3E 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 -Component's
Type
Value
System.Type
Components
Type
Value
Type
Duct Length
R -Value
Central gas ,
"Gas furnace
Central split
Outdoor
This field o'r
.:This field;qr
System 1
furnace
AHU
AFUE
81
AC • •
condensing
SEER
-
14
' Setback
section,is not
-
section;is not*:
:
unit
applicable
applicable
Reauired Documentation:
CF211-MCH-01-E - space`1Conditioning Systems
- Duct insulation requirement for'the'new portions of supply°air and return -air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ it and 14-16)
CF2R and,CF3R MCH -20-H -Duct Leakage Test required whenlh`eating or cooling components are installed inducted systems, or.when more than 40 ft of duct length.is replaced
�r
Leakage Safe compliance < 15% or c ,10%leakage to o�utsidefor seal all accessible leaks.
CF2R and MR MCH=25 H Refrirgegerant Chaverification requifed.When refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate > 300 CFM per ton requi etl when MCH 25 is required
Exceptions:
as p
- Duct systems registered with HERS provider eviously sealed are exempt4f m MCH 20 Duct Leakage Testing requirements
- Heating'only systems and Air Handler Furnace changes do not require-venfication of AIV Flow MCH=23, or Refrigerant`Cha a MCH-25rc.
-Existing duct systems constructed, insulated or se led with asbestos dare exemp fiom MC'rH�' 0 Du Le`a�kage Test g4requi er menus
E.
Entirely' New or Complete Replacement Dud�Sy5tem.w�
, with orthout Egwpment Changeout (Sections 'S0 2(b)1Dna and 1 02(b)1E, F)
!
This sectiomdoes not epplyto 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: 217-A020079335A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-03-13 10:25:26
Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CaICERTS
Report Generated: 2017-03-13 10:25:37
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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:
Robinson, Kevin
Company:
Signature Dater
J;ANTHONY_PLUIVIBING HEATING & AIR.CONDITIONING
2017-03="3 ,10:25:26:2611 .
Address:
CEA/ HERS. Certification Identification (if applicable):
72216 NORTH SHORE ST #101
City/State/Zip: '
.Phone:
THOUSAND.•PALMS.CA 92276
760-343-2121
Responsible Person's Declaration stateme ; .
I certify the following under penalty of perjury, under the lawsof the State ofiCalifornia `.
omw IiM
1. The information provided on.this Certificate,of Compliance is true and correct. "
2. I am eligible under Division 3 ofkth jj usmess 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 matenals Components, and manufactured devices for..the:building;design or.systern design identified -on this Certificate of Compliance conform to the.
requirements of Title 24, Part 1 and Part 6 of the Calrfo im aCode of R la�tionsr. f
4. The building design features or system;ags n feat res dl entified onthis Certificate of Compliance are was ffit with:ihe information; rovided on other applicable compliance documents, worksheets,
- �. .. ,
calculations, plans and specifications submitted'tb the enforcement agency for approval2withthis building permit application `
;
. ' ,� �: � - - . ' , ` . r -tea
building=permit(s)sissued for. building enforcement for
5. I will ensure that a registered copy ofthis-Certificate of Compliance shalhbe made available with tke, the and(made available p the agency all applicable
�: , .;.
.
inspections. l understand that a registered copy of thWCettificate of Gompl ance s required to be ncluded w �h.the doocument ation he b lder pr wades to4he budding owner at occupancy.
�< <:.
Responsible Designer Name: ..
Responsible Designer 5gnaiure `/,�/
Robinson, Kevin
Company:
Date"Signed:-
J ANTHONY PLUMBING HEAT -114G'& AIR CONDITIONING
2017-03-1310.25:26
Address:
License:
.72216 NORTH SHORE ST #101
77.7794
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-343-2121
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: 217-A020079335A-000-000-0000000-0000 Registration Date/Time: 2017-03-13 10:25:26
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CaICERTS
Report Generated: 2017-03-13 10:25:37