BMCH2015-02684 QJ1,41e4 VOICE (760) 777-7125
78-495 CALLE TAMPICO FAX (760) 777=7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/13/2015
Application Number: BMCH2O15-0268 Owner:
Property Address: 4787513OUGAINVILLEA ST JAMIE MACTAGONE
APN: 600320014 47875 BOUGAINVILLEA ST
Application Description: MACTAGONE RESIDENCE HVAC CHANGE OUT LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $14,000.00
Applicant: D Contractor:
FIRST CHOICE A/C & HEATING INC-JUL 205 FIRST CHOICE A/C & HEATING INC
79747 CASSIA ST 79747 CASSIA ST
LA QUINTA, CA 92253 CIT(OF LA Qh1fllTA LA QUINTA, CA 92253
COMMUNITYDEVELOPP.IENTDEPART"' PST (760)989-2370
Llc. No.: :LIC -0109319
LICENSED CONTRACTOR'S DECLARATION .
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: _ License No.: :LIC -0109319
�fY '� ✓
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 (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.).
(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 Address:
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: 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 the above•
mentioned property for, inspection purposes. V. . _ . ��,/)/►,
Date. �+ / J Signature (Applicant or Agent):
DESCRIPTION
ACCOUNT
QTY
AMOUNT ..%::!.
PAID ;
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
7/13/15
- PAID BY
METHOD'
x.RECEIPT
#
CHECK #
CLTD BY
FIRST CHOICE A/C & HEATING INC
CHECK
R7687
1132
EVA
Total Paid forBUILDING
STANDARDS ADMINISTRATION BSA:
$1.00
$1.00
:`DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$145.04
$145.04
7/13/15
PAID BY
4 METHOD
RECEIPT # ,
CHECK.#
CLTD BY
FIRST CHOICE A/C & HEATING INC
CHECK
R7687
1132
EVA
DESCRIP„
TY::
s AMOUNT ;.
PAID .
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$72.52
$72.52
7/13/15
PAID BY
HOW",
RECEIPT #
.,,'.:CHECK #.
CLTD BY
FIRST CHOICE A/C & HEATING INC
CHECK
R7687
1132
EVA
Total Paid forCHANGEOUT:
$217.56
$217.56
DESCRIPTION :w
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
7/13/15
PAID BY
METHOD , ; s
`RECEIPT #
CHECK #
CLTD BY
FIRST CHOICE A/C & HEATING INC
CHECK
R7687
1132
EVA
Total Paid forPERMIT ISSUANCE:
$91.85
$91.85
Description: MACTAGONE RESIDENCE HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 7/13/2015 EVA
Approved:
Parcel No: 600320014 Site Address: 47875 BOUGAINVILLEA ST LA QUINTA,CA 92253
Subdivision: TR 28601-1 Block: Lot: 45
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $14,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
CONTACTS
CITY
Details: HVAC CHANGE OUT - (2) 16 SEER/ 80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(5) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES
CHRONOLOGY
CONDITIONS
NAME TYPE
NAME
ADDRESS1
CONTACTS
CITY
STATE
ZIP
PHONE FAX
EMAIL
APPLICANT
FIRST CHOICE A/C & HEATING INC
79747 CASSIA ST
LA QUINTA
CA
92253
(760)777-2914
CONTRACTOR
FIRST CHOICE A/C & HEATING INC
79747 CASSIA ST
LA QUINTA
CA
92253
(760)777-2914
OWNER
JAMIE MACTAGONE
47875 BOUGAINVILLEA
ST
LA QUINTA
CA
92253
(760)777-2914.
Printed: Monday, July 13, 2015 11:57:37 AM 1 of 2
RWlYSTEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
7/13/15
R7687
1132
CHECK
FIRST CHOICE A/C &
EVA
HEATING INC
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$145.04
$145.04
7/13/15
R7687
1132
CHECK
FIRST CHOICE A/C &
EVA.
SPLIT -SYSTEM
HEATING INC
HVAC CHANGEOUT -
101-0000-42600
0
$72.52
$72.52
7/13/15
R7687
1132
CHECK
FIRST CHOICE A/C &
EVA
SPLIT -SYSTEM PC
HEATING INC
Total Paid forCHANGEOUT: $217.56 $217.56
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
7/13/15
R7687
1132
CHECK
FIRST CHOICE A/C &
EVA
HEATING INC
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:0.4
PARENT PROJECTS
BOND INFORMATION
Printed: Monday, July 13, 2015 11:57:37 AM 2 of 2 cf? sysTrms
Bin #
City of La Quinta
Building 8£ Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
G?—io� Building Permit Application and Tracking Sheet
Permit #
tA(1N'1-0 14s�
Project Address:
Owner's Name:—
Ae'7
A. P. Number:
Address: 'i _ Q YCdu e� LLc i
Legal Description:
City, ST, Zip: Z4ylArr e 2 S
Contract r
0 t/ �
Te1P e hone:
Address:Project
Description:
City, ST, Zip: (.' % r,rT2_�
T rc Yti1St.
Telephone: U .' g_
State Lic. #
CityLic. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:hone:
on uctionTYPe: Occupancy:
an
cYC
Lic.
airState
ter Repair
PPe (circle one): DemoroJecthNew Add'nAl
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
H
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan'Check submitted
Iterq
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2". Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"''Review, 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 Fees
CERTIFICATE OF COMPLIANCE
CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name:
Jamie Mactagon I Date Prepared: 2015-07-13
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 CF1R-ALT-02 document for each dwelling unit.
01
Project Name
Jamie Mactagon
02
Date Prepared
2015-07-13
03
Project Location
47-875 Bougainvillea Street
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Jamie Mactagon
07
Zip Code
92253
08
Dwelling Unit Conditioned
2275
Floor Area (ft2)
SC System
SC System
CFA served
,system a
aw
refrigerant '
Number of space conditioning
nstalhng
09
Climate Zone
15
10
(SC) systems in this dwelling
2
ducted
containing
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) System Information �—T-
Ol
02
03
`� 04�
05 �Ik
06
07 j
08 j
09
10
T1s the SC"`
66. .
Installing
SC System
SC System
CFA served
,system a
aw
refrigerant '
Installing new SC
nstalhng
I� talli g'
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
Living room
1175
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
Bedrooms
1100
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
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: 215-A0191055A-000000000-0000
Registration Date/Time: 2015-07-13 11:13:58
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-13 11:14:19
Schema Version: 0.555SDD
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
0S
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
Gas furnace
Central split
All new
Less than or
System 1
furnace
AHU
AFUE
0.8
AC
cooling
SEER
16
Setback
equal to 40
R-8
components
feet
Central gas
Gas furnace
Central split
All new
Less than or
System 2
AFUE
0.8
cooling
SEER
16
Setback
equal to 40
R-8
furnace
AHU
AC
components
feet
Reauired Documentation:
CF211-MCH-014 - 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 S 10% leakage to outside, or seal all accessibleieaks._ f ' c
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant-containir components are installed or altered'lapplicable in CZ 2; 8;15).
MCH -23 & CF3R-MCH-23 Air flow 2 300 CFM/ton requiredwhenMGH725 is requi
Exceptions:
-Dud systems registered with HERS provider as previously sealed'are exempt from MCH, 20 Duct Leakage Testing requirements
-Heating-only systems and Air Handler/Furnace changes do not require,verification of Air Flow MCH -23, or Refrigerant Charge MECH-25.
-Existing dud systems constructed, insulated or sealed with asbestos are exempt from MCHr20 Duct Leakage Testing requirements
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia 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)lC)
This section does not apply to this project.
Registration Number: 215-A0191055A-000000000-0000 Registration Date/Time: 2015-07-13 11:13:58 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-13 11:14:19
Schema Version: 0.555SDD
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:
Documentation Author Signature: %%�
Both, Atila
J�j
�ittaOtfI
Tl
Company:
Signature Date:
FIRST CHOICE A / C & HEATING INC
2015-07-13 11:13:58
Address:
CEA/ HERS Certification Identification (if applicable):
79-747 CASSIA STREET
City/State/Zip:
Phone:
LA QUINTA CA 92253
1(760) 989-2369
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 Regulation /�: "
4. The building design features or system design features identified on this CertificateofCompliance are consistent-witKthe information.provided on other,appl_icable-compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approvafwith this building permit application. ]4 ff
S. I will ensure that a registered copy of this Certificate of,Compliance shall be:made available with:the building permit(s); issued for,the building, and made availWe,to the enforcement agency for all applicable
L
a
inspections. I understand that a registered copy of this Certificate of Compliance_is required to be included with the-documentation�th ebuilder provides to the building owner at occupancy.
4-.,
Responsible Designer Name: I ..-.:
Responsible Designer S gnature:
Both, Atila
.-3tc(a OE
Company:
Date Signed:
FIRST CHOICE A / C & HEATING INC
2015-07-13 11:13:58
Address:
License:
79-747 CASSIA STREET
968138
City/State/Zip:
Phone:
LA QUINTA CA 92253
(760) 989-2369
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: 215-A0191055A-000000000-0000 Registration Date/Time: 2015-07-13 11:13:58 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-13 11:14:19
Schema Version: 0.555SDD