BMCH2016-0294r"
78-495 CALLE TAM k0 C� 0 U XP �ivNl��il/
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0294
Property Address: 54845 AVENIDA RAMIREZ
APN: 774295017
Application Description: FRED THOMPSON / HVAC CHANGE OUT
Property Zoning:
Application Valuation: $1,000.00
Applicant:
CARRERA AIR
78-970 SONESTA WAY
LA QUI NTA, CA 92253
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed rider p ons of Chapter
9 (commencing with Section 7000) of Division 3 of the siness d rofess' ns Code,
and my License is in full force and effect.
License Class:Qg License No.: 959853
Date• / Contractor:
I hereby affirm under penalty of perjurythat I am4exempt 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, 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/8/2016
Owner:
FRED THOMPSDN
286 MARLIN CC
APTOS, CA 92253
Contractor:
CARRERA AIR
78-970 SONESTA WAY
LA,QUINTA, CA 92253
(760)343-6675
Llc. No.: 959853
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'
compen tion, as provided for by Section 3700 of the Labor Code, for the performance
of the or . or which this permit is issued.
F I have and will maintain workers' ompensation insurance, as required by
Se tf '3700 of the Labor Code, for the performance ofthe work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9155895
I certify that in the performance of the work for which this permit is' ued
shall not employ any person in any manner so as to become s Ject to the er '
compensation laws of California, and agree that, if I should ecome subj to t
workers' compensation provisions of Section 3700 of th abor Code all hwith
comply with ose rovisions.
Date Afpplio
WARNING: FAILURE TO SECURE WORKE S' C EN ATI C RAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIM . AL PENA IES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FO'R IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES. -
APPLICANT ACKNQWLEDGEMENT
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 appl'cation 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 €ssuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
J
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is corr 15�"
I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county orditoances and state laws r ting to b ' ing
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this city to ter upon
ab ove-mernyonep property for inspection purpses.
Lender's Name:
t' 4 —Signature ("ApplicT an��=Ag
Lender's Address: 71
j ,
'
Date:. 8/8/2016
a
Application Number:
BMCH2O16-0294
Owner.
Property Address:
54845 AVENIDA RAMIREZ
FRED THOMPSDN
APN:
774295017
286 MARLIN C—
Application Description:
FRED THOMPSON / HVAC CHANGE OUT
APTOS, CA 92253
Property Zoning:
Application Valuation:
$1,000.00
Applicant:
Contractor:
CARRERA AIR
CARRERA AIR
78-970 SONESTA WAY
78-970 SONES -A WAY
LA QUINTA, CA 92253
LA QUINTA, CA 92253
(760)343-6675•
LIc. No.: 959853
--------------
-----------------------------'=----
---------------------------------
Detail; HVAC CHANGE OUT OF COND'cNSER [2013 ENERGY] CARBON MONOXIDE ALARM(S) T� BEI TALLED PRIOR TO FINAL INSPECTION. 2013
CALIFORNIA BUILDING CODES.
• f
1
+INANCIAL
DESCRIPTION. ACCOUNT
CITY AMOUNT
BSAS SB1473 FEE -101-0000-20306
0. $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT.
'HVAC CHANGEOUT - CONDENSER ONLY
.101-0000-42402
.0
$36.26 .
DESCRIPTION
ACCOUNT
CITY
AMOUNT .
HVAC CHANGEOUT- CONDENSER ONLY PC
101-0000-42600
0
$24.17
" Total Paid for CHANGEOUT: $60.43
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$91.85
Bin #
City of La Qulnta
{
Buitding a Safety Division
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Permit # 78-495 Catte Tampico
p La Quinta, CA 92253 - (760) 777-7012
�
Building Permit A Itcation and Trackin Sheet
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Project Address:I'SN2me:
A. P. Number.
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Construction Type Occupancy':,
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Project type (circle one). New Add.'n -Alter Repair Demo
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Name of Contact Person
Sq Ft ;
#i Stories
# Units:
Telephone # of Contact Person _.
Estimated Value of P,oject,
_. -
_. _..,,_APPLICANT: DO NOT WRITE BELOW THIS LINE t
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Submittal
Req'd
Rcc'd
TRACI{Tl\G.
MIT EES. _. ._.. _... _..;
Plan Sets
+
'Plan Check submitted , " f
x .
Item
Amount
Structural Cates.
'Reviewed, ready for corrections
Plan Chec7 Deposit
Truss Cal cs.
t
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
_.
_..
Constructen
Flood plain p[snI'
Plans resubmitted
Mechaniczl
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Grading plan
2 °Review, ready for correction,/issue i
Electrical
Subcontactor List
_
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+
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Called Contact Person `
'
Plumbing
r
Grant Deed
Plans picked up_
S,114.L
H.O.A. Approval
Plans resubmitted
Grading
...
IN HOUSF
; '
'•� Review, ready for corrections/issue _,
„ "
Developer Impact Fee
Planning Approval
Called Contact Person
A I P P
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Pub, Wks. Appr
'
Date of permit issue
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Sehooi rtes
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To t aPermit Fecs ,
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: 54845 AVENIDA RAMIREZ Date Prepared: 2016-08-05
r
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
54845 AVENIDA RAMIREZ
02
Date Prepared
2016-08-05
03
Project Location
54845 AVENIDA RAMIREZ
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
54845 AVENIDA RAMIREZ
w
_•
Dwelling Unit Conditioned
x 's Pieta '
Installing a
07
Zip Code
92253
08
Floor Area (ft2)
1407
SCS stem
System
CFA served
stem a
refs Brant a
°'g
Number of space conditioning
Installin
g001101)'1,
09
Climate Zone
15
10
(SC) systems in this dwelling
1
ducted
containing
x fr
more than 40
unit.
entirely new
B. Space Conditioning (SC) System Information "
01
02
03,,E
�A'. 04
05
.r06 ;
J 07
11,08
09
10
w
_•
5. ,. ''.e+,,:r..,.�..
As the SC
x 's Pieta '
Installing a
SCS stem
Y
SCS stem
System
CFA served
stem a
refs Brant a
°'g
Installin <new SC
g
Installin
g001101)'1,
Installing
Identification or
Location or Area
by this SC
ducted
containing
�.F
system
more 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
1407
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iCiiib)
This section does not apply to this project.
Registration Number: 216-A0292693A-000000000-0000 Registration Date/Time: 2016-08-05 09:23:39. HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-05 09:23:39
Schema Version: 0.555SDD
UIFICATE OF COMPLIANCE CFiR-ALT-O;
erations to Space Conditioning Systems.(formerly CF -IR -ALT -HVAC) (Page 2 of
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
No heating
This field or
This field or
Central split
Outdoor
This field or
This field or
System 1
furnace
component
section is not
section is not
AC
condensing
SEER
13
Setback
section is not
section is not
altered
applicable
applicable
unit
applicable
applicable
Required Documentation:
CF2R-MCH-03-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & MR -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: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 AirFlow2'300"CFM/t on'required'when.MCH-25 is required.
Exceptions: 'S , + P
-Duct systems registered with HERS provider as previously sealed are exempt from MCH 20 Duct Leakage Testing requirements
.�,.. F•.- .., ". .,}s3"^..�:f .rte' <:;. i,rs $„:;'?k, ,,y. .. ..
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH;; -23 tv�or„Refrigerant Charge MECH 25;
Existing duct systems.constructed, insulated or sealed withasbestos,are exempt;from MCH -20 Du gLeakage Testlhgrequi em�en�ts.
s..:a
L
.-:'
E. Entirely New or Complete Replacement Duct+System, with ,or with o ut,Equi pment Changeout.(Sections 150.2(:b)1Diia-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)iC)
This section does not apply to this project.
Registration Number: 216-A0292693A-000000000-0000 Registration Dat6/Time:- 2016-08=05 09:23:39
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2016-08-05 09:23:39
CERTIFICATE OF COMPLIANCE CFiR-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:
Carrera, Andrew
Company:
Signature Date:
CARRERA AIR
2016-08-05 09:23:39 -
Address: _
CEA/ HERS Certification Identification (if applicable):
78-970 SONESTA WAY
City/State/Zip:
Phone:
LA QUINTA CA 92253 f
760-343-6675
�p
Responsible Person's Declaration statement=
I certify the following under penalty of perjury, under thelaws' 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 buildingdesign or system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part 6 o the California Code ofR eg lat ons
4. The building design features or system desrign features identified on this Certificate :of Compliance are conslstent.withithe information provided on;other.apphcable-compliance documents, worksheets,
to the for this building
mitted enforcement`agency approval,wlth perriit application.
calculations, plans and specifications subkk
5. I will ensure that a registered copy of this Certificated f C, o^mpliance shall be made<available withwtl a buflding�permit(s)3issueci for the building, and;made avallabletothe,;enforcement agency for all applicable
inspections. I understand that -a registered copy of this�Certi ficate of Comp ancee is required to be included with ith the -documentation tthe�,builder pr�ovvides to the building owner at occupancy.
Responsible Designer Name:r
Responsible Designer Signature:/�.
Carrera, Andrew
Company:
Date Signed:
CARRERA AIR
2016-08-05 09:23:39
Address:
License:
78-970 SONESTA WAY
959853.
City/State/Zip:
Phone: -
LA QUINTA CA 92253
760-343-6675 -
Digitally signed by Ca10ERTS. 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: 216-A0292693A-000000000"-0000 Registration Date/Time: 2016-08-05 09:23:39 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-05 09:23:39
Schema Version: 0.555SDD