BMCH2014-109578-495 CAKE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O14-1095
Property Address: 52925 AVENIDA BERMUDAS
APN: 773335028
Application Description: REPLACE 3 TON HVAC
Property Zoning:
Application Valuation: $8,274.00
Applicant:
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
c&t�p 4 4 QuiAr6i
OMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT .
SEP 2 6 2014
'— 0 —jA QUINTA
COMMUNIT4DEVELDPMErfDEPARTMENT
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: License No.: :LIC -0003606
Date: 4i Z 6 IL4 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, 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. Q.
Lender's
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/26/2014
Owner:
MIKE SEEMS
52925 AVENIDA BERMUDAS
LA QUINTA, CA 92253
Contractor:
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)343-7490
Llc. No.: :LIC -0003606
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 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 Labor Code, I shall forthwith
comply with those provisions.
Date: a Zfo )14 Applicant: S�J2i �—
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:_Wo t4 Signature (Applicant or Agent):
CERTIFICATE OF COMPLIANCE
j Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
fJ
LINDA SEEMS I Date'Prepared:
CF1R-ALT-02-E
(Page 1 of 4 )
2014-09-25
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 CF1R-ALT-02 document for each dwelling unit.
01
Project Name
LINDA SEEMS
02
Date Prepared
2014-09-25
03
Project Location
52925 AVENIDA BERMUDAS
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
LINDA SEEMS
07
Zip Code
92253
08
Dwelling Unit Conditioned
1286
F`
Floor Area (ft2)
SC System
SC System
CFA served
system a
refrigerant
Number of space conditioning
Installing
09
Climate Zone
15
30
(SC) systems in this dwelling
1
ducted
containing
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) System Information ,it ':
0 1
02
�' 03
fi.
�U4t
U5
07
" 08.
09
10
L'+'
y
..R x06
Is the SCS
,Filnstalling as
F`
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ducted
containing
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 11286
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)lDiib)
This section does not apply to this project.
Registration Number: 214-A0101679A-000000000-0000 Registration Date/Time: 2014-09-25 18:36:28 HERS Provider: CaICERTS
i
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-25 18:36:32
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 4 )
D. Altered Space Conditioning System (Sections 150.2(b)lE 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 split
All new
Central split
All new
This field or
This field or
System 1
HP
heating
AFUE
0.78
HP
cooling
SEER
14
Setback
section is not
section is not
components
components
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 & 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: 5 159/., or 5 10% leakage to outside, or seal all accessible leaks.
CF2R-MCH-2S-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:
F j j ✓gyp^
VJ
Duct systems registered with HERS provider as previously sealed are exempt from' Duct Leakage Testing requwrements.Al,
-Heating _only systems and Air Hand ler/Furnace�changes do not ven icat�ion"of Air Flow MEH 23 or,Refrigerant Charge MECH
�require t25. ic.
s:h,;:y
-Existing duct systems constructed, insulated or sealed with a^liestos are exempt from MCH 20 Duct Leakage Testing requirement ? s
�,�,e�u..^5{:. xu,.., •; :o �.: io'.eE,,,.� w--.rse�.':;:i�, ...."!�uwn+'_. r" ,�' 4i'- # ii�'kr q
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)lE, F)
This section does not apply to this project.
Registration Number: 214-AO101679A-000000000-0000
Registration Date/Time: 2014-09-25 18:36:28
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-2S 18:36:32
Schema Version: O.SSISDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 4 )
F. Entirely New or Complete *Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
w
r4
r f.
rJ
Registration Number: 214-A0101679A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
0,. ,
Registration Date/Time: 2014-09-25 18:36:28
Report Version: 2014-03-31
Schema Version: 0.551SDD
HERS Provider: CaICERTS
Report Generated: 2014-09-25 18:36:32
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 4 of 4 )
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Valdez, Dayana
�/��
y
Company:
Signature Date:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2014-09-25 18:36:28
Address:
CEA/ HERS Certification Identification (if applicable):
31-170 RESERVE DRIVE STE A
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
(760) 343-7488
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.forthe building design or system design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications, materials, coriiponents,Tand 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."
tun•
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 application.
'., - -
X .,. ,: d , .� w'C,..f 7 `.
r sI 4' � k .A i iF ./ „✓ !.: a. if
5. I will ensure that a registered copy of this Certificate of:Comphance shall be made available with the building permits) issued for.th_e-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 provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Valdez, Dayana
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2014-09-25 18:36:28
Address:
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
(760) 343-7488
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: 214-A0101679A-000000000-0000 Registration Date/Time: 2014-09-25 18:36:28 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-25 18:36:32
Schema Version: 0.S51SDD
ACCOUNT ...... "MOUNT-K� PAID
DESCRIPTIONS PAID DATE_
',`
g -Ik.
"Tty
BSAS SB147.3 FEE' 101-0000-20306" 0
$1.00. $0.00
4M.f'z'�xg" . . . . . . . I I I I
u
0 .0 �RN t M Rg
Total Paid for BUILDING.STANDARDS ADMINISTRATION BSA, $1.00 $0..00
4MDESCRIPTIONi�A&bj V'r.
00MOUNT"O',"
AMOUNT.{
PAID PAIM,0,H
PAID DATE: :
UW iW
I
HVACCHANGEOUT-SPLIT-SYSTEM
101-0000-42402
$72.52
� '
$o.00'
"PA1018YA
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ei. 1 .1`:1
-Y - TWBY--!>
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a
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ION;
qe.a'
ACCOUNTS
'x
NT
"R
a'
qAbbA'T-
MtM,
-
I.
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600,
0
$36.26
$0.00
gn, N.,
tEIPT4114 A
N4 —H iWN"
ECK`#`-`,%1
ff 1.111,11kN
Z"1"1XLTD.'BY,1,,
Total Paid forCHANGEOUT, $108.78 $0.00
-z
4 2E
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2
F rq
m4
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NTM,
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I 'Al A
M&#E@ iffP -:T-..M�-`kPAI6.DATE=
'N ,DESCRIPTIONS slffl4l-n A.Wx
mk 7 m - , .1
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5
1. A,
!
PERMIT ISSUANCE
-101-0000w42404
0.
$91.85-
$0.00
"Z='- n g. gqij O�'
qW,"'ft2 ft -1 —WILE
-M ETHOD1-v
z
'k, "0 N.
CHECK #
CLTD BYz
'x.:
=A V.11�
P1 --V
-RRECEIPTZIW� ,
Z:E -N.
OR -R. nit
N�'n
Total "Paid foe PERMIT ISSUANCE: $91.85 $0.00
Description: REPLACE 3 TON HVAC
Type: MECHANICAL Subtype: Status: SUBMITTED
Applied: 9/26/2014 MFA
Approved:
Parcel No: 773335028 Site Address: 52925 AVENIDA BERMUDAS LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 149 Lot: 11
Issued:
UNIT 15
PHONE
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $8,274.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
92253
Details: REPLACE 3 TON HEAT PUMP/AIR HANDLER -14 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE
INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
NAME TYPE
NAME
ADDRESSI CITY
STATE
ZIP
PHONE
FAX EMAIL
APPLICANT
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS LA QUINTA
CA
92253
CONTRACTOR
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS LA QUINTA
CA
92253
OWNER
MIKE SEEMS
52925 AVENIDA LA QUINTA
BERMUDAS
CA
92253
Printed: Friday, September 26, 2014 2:26:38 PM 1 of 2 cOw-
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL"
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
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
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: $201.63 00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL"
Printed: Friday, September 26, 2014 2:26:38 PM 2 of 2 le -VIN/
Bin #
Permit #
Project Address: JC' Qi'ZJ� •A
City of La Quinta
Building &r Safety Division
P.O. Box 1 SO4, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
; Owner's Name: L�haq S ,t,ng
A. P. Number:
Address: 52-9 2S
Legal Description:
City, ST, Zip: Lr, QviY.A a, CA Ci 2.7- 5 3
Contractor: Ge`t1Gx c.\' A; r
QgYc1Ajcs3n,% n
Telephone:
Address: 3l\ 70 e 5t=�tv� b
Project Description:
City, ST, Zip: 'To
CiZ.Z ?(0
12e �Gce tom- e�� X,
Telephone: '1(,0_ _-�14 '1�_ -714 8R
Statc Lic. # : !o$63iC�
City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
I elephonc:Construction
: � j �{�:iiStien �}� :�.Fr iti;%::•'iii=:'v'�iy�ii'
iii%ilr:��..•"�:' 'v
Type: Occupancy:
3tatc Lie- #:
'
Add'n Alter Repairair DemoProJecttJPa circle one): New
\1amc of Contact Person:
Sq. Ft.:
# Stories:
#Units:
Ccicphone # of Contact Person:
Estimated Value of Project: Fig -2--74, co
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rcc'd TRACKING PERMIT FEES
Plan Sets
PIan Check submitted
Item
Amount
Structural Ca1cs.
Reviewed, ready for corrections
Plan Cluck Deposit
--------------
Truss Cala.
Called Contact Person
Plan Check Balance.
Title 24 Cala.
Pians picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrcctionsfissue
Electrical
Subcontactor List
C211cd Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN I10USE:-
s`d Review, ready for eorrectionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees