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BMCH2014-110478-495,CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: BMCH2O14-1104 78959 BRECKENRIDGE DR 770320044 c&�t 4 a w VOICE (760) 777-7125 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 10/7/2014 Owner: GARY DEBIASI �� w �J- a D ti �o Contractor: a LU GENERAL AIR CONDITIO ING *—r 0 0 OUTSIDE CITY LIMITSLu o LA QUINTA, CA 92253 O c� 9 z (760)343-7490 Llc. No.: :LIC -0003606 WORKER'S COMPENSATION DECLARATION ereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' mpensation, as provided for by Section 3700 of the Labor Code, for the performance the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by ction 3700 of the Labor Code, for the performance of the work for which this permit issued. My workers' compensation insurance carrier and policy number are: rrier: Policy Number: ' I certify that in the performance of the work for which this permit is issued, I all not employ any person in any manner so as to become subject to the workers' mpensation laws of California, and agree that, if I should become subject to the xkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith mply with those provisions. � r ite: 101111194 Applicant: ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, JD SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO VE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF )MPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, TEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IPORTANT:Application is hereby made to the Building Official for a permit subject to e conditions and restrictions set forth on this application. L. Each person upon whose behalf this application is made, each person at whose quest and for whose benefit work is performed under or pursuant to any permit sued as a result of this application , the owner, and the applicant, each agrees to, and all defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and nployees for any act or omission related to the work being performed under or Ilowing issuance of this permit. ?. Any permit issued as a result of this application becomes null and void if work is it commenced within 180 days from date of issuance of such permit, or cessation of irk for 180 days will subject permit to cancellation. ertify that I have read this application and state that the above information is correct. agree to comply with all city and county ordinances and state laws relating to building nstruction, and hereby authorize representatives of this city to enter upon the above- entioned property for inspection purposes. t ite: 1011aki Signature (Applicant or Agent): FINANCIAL ' 1 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION . ACCOUNT.. QTY AMOUNT '. PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $72.52 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY . DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forCHANGEOUT: $108.78 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:i 00 Permit Details City of la Quinta Description: REPLACE 5 TON A/C, COIL & 90K BTU FURNACE Type: MECHANICAL Subtype: Status: SUBMITTED Applied: 10/7/2014 MFA Parcel No: 770320044 Site Address: 78959 BRECKENRIDGE DR LA QUINTA,CA 92253 Approved: Subdivision: TR 25389-3 Block: Lot: 44 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $17,489.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT - 16. SEER/90 FAU SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. go 0 PERM • 0 0 0 IT N.U.M BE BMCH2414-:14 0 � 0 0 � Description: REPLACE 5 TON A/C, COIL & 90K BTU FURNACE Type: MECHANICAL Subtype: Status: SUBMITTED Applied: 10/7/2014 MFA Parcel No: 770320044 Site Address: 78959 BRECKENRIDGE DR LA QUINTA,CA 92253 Approved: Subdivision: TR 25389-3 Block: Lot: 44 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $17,489.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT - 16. SEER/90 FAU SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. o• o DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE- RECEIPT #. CHECK* METHOD PAID, BY CLTD. BY BSAS 561473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: Printed: Tuesday, October 07, 2014 3:19:10 PM 1 of 2 0O SYSTEMS go 0 • 0 0 0 0 � 0 0 � NAME TYPE NAME ADDRES51: 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 GARY DEBIASI 3231 VERONA CT CONCORD CA 92253 o• o DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE- RECEIPT #. CHECK* METHOD PAID, BY CLTD. BY BSAS 561473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: Printed: Tuesday, October 07, 2014 3:19:10 PM 1 of 2 0O SYSTEMS DESCRIPTION. ACCOUNT QTY. AMOUNT :. PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD ATTACHMENTS BY HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $72.52 $0.00 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 forPERMIT ISSUANCE: $91.85 $0.00 TOTALS:• i0 REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED. STATUS REMARKS. NOTES _ DATE INSPECTIONS INFORMATION SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETEDRESULT DATE' DATE REMARKS NOTES MECHANICAL FINAL" REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED. STATUS REMARKS. NOTES _ DATE Printed: Tuesday, October 07, 2014 3:19:10 PM 2 of 2 CRSrSTEMS BOND INFORMATION ATTACHMENTS Printed: Tuesday, October 07, 2014 3:19:10 PM 2 of 2 CRSrSTEMS CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) CF1R-ALT-02-E (Page 1 of 4 ) Project Name: GARY DEBIASI I Date Prepared: 2014-10-06 I 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 GARY DEBIASI 02 Date Prepared 2014-10-06 03 Project Location 78959 BRECKENRIDGE RD 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name GARY DEBIASI 07 Zip Code 92253 08 Dwelling Unit Conditioned 5232 Floor Area (ft2) SC System SC System _ CFA served system a refrigerant Number of space conditioning Installing 09 Climate Zone 15 10 (SC) systems in this dwelling 1 ducted containing system more than 40 unit. entirely new B. Space Conditioning (SC) System'Information O1 02 a, 03 05;.� 6; 07 "U8 : ` 09 10 e04 �► s''Is iFie'SC , 7lnstalling z;' 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 1 5232 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib) This section does not apply to this project. Registration Number: 214-A0112055A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance k' Registration Date/Time: 2014-10-06 21:39:33 HERS Provider: CalCERTS Report Version: 2014-03-31 Report Generated: 2014-10-06 21:40:29 Schema Version: O.S5ISDD i CERTIFICATE OF COMPLIANCE CF111-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 4 ) D. Altered Space Conditioning System (Sections 150.2(b)IE 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 All new Central split All new This field or This field or System 1 furnace heating AFUE 0.78 AC cooling SEER 16 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. CF211-MCH-20-H & CF3R-MCH-2d-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 15%, or 5 10'0 leakage to outside, or seal all accessible leaks. CF211-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 & CF311-MCH-23 Air Flow >_ 300 CFM/ton required when MCH -25 is•required y Exceptions: tA' -s ;`• Yf"' a� -Duct systems registered with HERS as previously sealed are exempt from, MCH -20 Duct LeakagWesting reequir provider rts. Charge Heating -only systems and Air Handler/Furnace changes do not require venficaUon of Air Flow MCH 23'or Refrigeranf MECH 25. -Existing duct systems constructed, insulated or sealed with.asbestos are exempt from MCH -20 Duct Leakage Testing requirements:-,, h. etx r. *w c 9nz` 'w," k" ,q MOW,-: x. roe wr�ser er :, a x � 1'. �: JW nine c 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-A0112055A-000000000-0000 Registration Date/Time: 2014-10-06 21:39:33 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-10-06 21:40:29 Schema Version: 0.S51SDD CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF-lR-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. Registration Number: 214-A0112055A-000000000-0000 Registration Date/Time: 2014-10-06 21:39:33 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-10-06 21:40:29 Schema Version: 0.551SDD f .✓. , is ,y c < Registration Number: 214-A0112055A-000000000-0000 Registration Date/Time: 2014-10-06 21:39:33 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-10-06 21:40:29 Schema Version: 0.551SDD 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 Company: Signature Date: HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING 2014-10-06 21:39:33 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.for,the building design or, system. design identified on this Certificate of Compliance (responsible designer). , .✓_ . -,,. 3. That the energy features and performance.a' specificationsi', materialsnt , 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 Regulations. 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, P P #;,,.. PP t gpe�mitapplication. -t- calculations, tans and ecificaUons submitted -to the enforcement agency for with this � �t �4•' *-a t, ,, , ..; sax,<��w.z• s+� m- ,4+ ;�..� �.. r� a , _.yorr � t. �,. F S. I will ensure that a registered copy of this Cert ficate. 'f Compliance.shall be made available;with th.e building permits) issued forahe;building�and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Compliance i required to tie 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 2014-10-06 21:39:33 Address: License: 31-170 RESERVE DRIVE STE A 686310 City/State/Zip: Phone: THOUSAND PALMS CA 92276 (760) 343-7488 Digitally signed by Ca10ERTS. 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: 214•AO112055A-000000000-0000 Registration Date/Time: 2014-10-06 21:39:33 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-10-06 21:40:29 Schema Version: O.SSISDD Bin # City of La Quinto Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico. La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: '"78ClsC� ��eCH _a ��� Owner's Name: ' � - 9 A. P. Number: Address: -� QS 3t^e cker t^i e�. 12e� Legal Description: City, ST, Zip: G ( irk a CA gZ'Z4"� Contractor: � �Y' fj - ` 'p Telephone: •::;.�>.<:>��:=::<:::>�>a-;;::<: Address: 31l-7© 2�cve= Project Description: City, ST, Zip: hov 3t 3 m CA q22-71_ 1�4 1 ac_6 5}�... A c: C t �n►t 3�v e h ne T le o -7 -343 P 8 7 � C-0 ti State Lic. # : City Lie. C Arch., Engr., Designer: Truss C21cs. Address: City, ST, Zip: Telephone: P >..<.:::::,::.:::::::,•::..:::,.,:..:.:•:..:::::. Construction Type: Occupancy: . State Lic_ M Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: S'�eN er �� e Sq. FL: #Stories: # Units: Telephone # of Contact Person: CIS-)-2_t41_(-� j� Estimated Value of Project: 1-7. `i C? 'a .cam APPLICANT- DO NOT WRITE BELOW THIS LINE i # 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 C21cs. 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 corrcctionsrssue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN IiOUSE:- '`" Review, ready for corrections(ssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees