BMCH2015-02740 f. c&ht 4
aw
78-495 CA. LE TAMPICO
LA&QUINTA, CALIFORNIA 92253 nwwwwi uu r, rtf�wrw�! nri� nre
D )8_qLDING'IER
Application Number: ' BMCH2O15-0274 JUL 1 6.2��5
Property Address: 49110 RANCHO POINTE
APN: 602320013 QUI�jA
Application Description: PEDICINI RESIDENCE/ HVAC HANGE OL�jTi of
LA Property zoning: C() U �`�E�PMEMDi
Application Valuation: $9,588.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
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.: 686310
y Date: I b I5 Contractor:L
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. C.).
Lender's Name
Lender's Address
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: •,,7/16/2015
Owner:
MICHAEL PEDICINI
49110 RANCHO POINTE
LA QUINTA, CA 92253
FN4C'
Contractor:
HARRISON ENTERPRISES
31170 RESERVE DRIVE STEiA
c ri
THOUSAND PALMS, CA 92276—,_
(760)343-7488
Llc. No.: 686310
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.
�_�. 1 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: _7 I 1 � 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.
Date: -?11616 Signature (Applicant or Agent►: y Li
FINANCIAL 1 •
DESCRIPTION =''ACCOUNT 'QTY' .AMOUNT PAID PAID DATE
101-0000-20306'
0
$1.00 $0.00
PAID BYMETHOD
"� RECEIPT #,, T, CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION " , _
a
ACCOUNT: '
QTY;
AMOUNT
PAID,' '
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
='a PAID BY
METHOD'.
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 x
' -METHOD ;;
<'�` RECEIPT -.# �_:
CHECK#:
" CLTD BY
Total Paid forCHANGEOUT: $108.78 $0.00
'DESCRIPTION ."._ . "
ACCOUNT . ,.. s
Q n
AMOUNT
PAID
PAID DATE.
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY _
METHOD
e . RECEIPT #
CHECK #
CLTD:BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: PEDICINI RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 7/16/2015 MFA
Approved: 7/16/2015 MFA
Parcel No: 602320013 Site Address: 49110 RANCHO POINTE LA QUINTA,CA 92253
Subdivision: TR 29457-2 Block: Lot: 55
Issued:
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $9,588.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 14.5 SEER SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Printed: Thursday, July 16, 2015 9:59:03 AM 1 of 2 ai
SYSTEMS
DESCRIPTION
QTY
AMOUNT-,"
PAID BY-
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
101-0000-42402
0
$72.S2
$0.00
HVACCHANGEOUT-
101-0000-42600
0
$36.26
$0.00
SPLIT-SYSTEM PC
Total Paid forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: $201.63 $0.00
Printed: Thursday, July D6,20159:59:03AM ZofZ
_____ __ __ _____
BIR #
City Of % Quihta
Buiidigg 8r Safety Division
6 P.O. Box 1504,78-495 Catte Tampico
0.11 La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
�(f
ProjeccAddress: 49110 Rancho Pointe
owner's Name:. Armand Pedicini
A. P. Number.
Address: 49110 Rancho Pointe
Legal Description:
Contractor: General Air Conditioning
City, ST, zip: La Quinta, CA 92253
Telephone•
Address: 31170 Reserve Drive
Project Description:
City, ST, Zip: Thousand Palms, CA 92276
W
Telephone: 7607343-7488 a '
"'
Replace 3.5ton A/C, Coil, & 90,000 BTU Furnace
State Lie. # : 686310
City Lic #, bu-
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: Steven Schnierer
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft,:#Stories: #Units:
Telephone # of Contact Person: 818-735-7876
Estimated Value of Project: $9,588.00 .
APPLICANT: DO NOT WRITE BELOW THIS UNE
M
Submittal
Req'd
'Reed
TRACKING
PERMrY FEES
Plan Sets
Plan Check submitted
item Amount
Structural Calm
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance
Mile 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.'.
Mechanical
Giading plan
2•d Review, ready for correctionormue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans pleked 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
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
CFIR-ALT 02-E
(Page 1 of 3 )
Project Name: ARMAND PEDICINI I Date Prepared: 2015-07-15
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 MR -ALT -02 document for each dwelling unit.
01
Project Name
ARMAND PEDICINI
02
Date Prepared
2015-07-15
03
Project Location
49110 RANCHO POINTE
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
ARMAND PEDICINI
07
Zip Code
92253
08
Dwelling Unit Conditioned
4240
Floor Area (ft2)
SCS stem
Y
CFA served
4
'"s stem a
e,Y r`
rte. �
refs Brant
*. g r ,
� �^+►.
�Installin mnew SC
ag �,.
Number of space conditioning
°�: +r-�
Insfallin
ra
09
Climate Zone
15
30
(SC) systems in this dwelling
1
.
containing
system
more than 40
entirely new
unit.
B. Space Conditioning (SC) System Information 17
, it
`
40�71i
01
02-
03
041I
+
U5 1 k�
1r6'
08
09
10
a.
#�.
fF�
*� FIs the SC
Installing a
SCS stem
Y
SCS stem
Y
CFA served
4
'"s stem a
e,Y r`
rte. �
refs Brant
*. g r ,
� �^+►.
�Installin mnew SC
ag �,.
r . ,y
Installin
+ g
°�: +r-�
Insfallin
ra
Installing
g
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
4240
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib)
This section does not apply to this project.
Registration Number:.215-A0194909A-000000000-0000
Registration Date/Time: 2015-07-15 20:15:14 .
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-15 20:15:01
Schema Version: 0.5555DD
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)' (Page 2 of 3 )
D. Altered.Space Conditioning System (Sections 150.2(b)lE and F)
01
02
03
04
05
06
07
08
09
10
it
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
Less than or
System 1
furnace
heating
AFUE
0.78
AC
cooling
SEER
14.5
Setback
equal to 40
R-8
components
components
feet
Reauired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & MR -MCH -20-1-1 — 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 510% 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 Air F16w,2 300_ CFM/ton required when MCH -25 -is required.
y1 4
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from°MCH-20 Duct LeakagerTesting requirements.
tf Flowitwa
Heating -only systems and Air Handler/Furnace changes do not require verificayidn of Air Flow MCS 23, or Refrige ChaAge MECH-25.
int
-Existing duct systems constructed, insulated or sealed with asbestos are exemp from MCH-20,Duc�t Leakage Testing requir�ement�.
`est i. C .!` _ tt vw. C".
E. Entirely New or Complete Replacement Duct System, with or wttho it Equipment Changeout (Sections 150.2(b) Diia 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-A0194909A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
M
Registration Date/Time:
Report Version: 2014-03-31
Schema Version: 0.555SDD
2015-07-15 20:15:14 HERS Provider: CaICERTS
Report Generated: 2015-07-15 20:15:01
CERTIFICATE OF COMPLIANCE CF1R-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:
Jacoby, Ian
can jaco Jc
Company:
Signature Date:
Stratz Permit Service
2015-07-15 20:14:36
Address:
CEA/ HERS Certification Identification (if applicable):
5858 Dovetail Drive
City/State/Zip:
Phone:
Agoura Hills CA 91301 .F
818-735-7876
Responsible Person's Declaration statement;
I certify the following under penalty of perjury, under the law's of the State of California:
1. The information provided on this Certificate ofJCompliance is.true and correct.
2. 1 am eligible under Division 3 ofthe:Business and Professions Code to accept Tesponsibility 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 system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part hof the California Code ofrglat n � ►+w.
4. The building design features or system design features entified o ry tthis Certificat(;%f Compliance a," coo nsiste`t�t� the i,pf�ormation,provided on other applicable compliance documents, worksheets,
.e.
r#
calculations, plans and specifications submitted to the enforcement agency for approvaliwdh this building permit application. IK
yea, Nt 34
-t �a,.is. ". r
S. I will ensure that a registered ropy of this'Certificate�of compliance shall be,made,avadable with the:building,permit(s)ussued forthebwld-Fg, and _made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of thisLertificate of Co�mpl ance.is requi�re�d to be;includediw�itrth the docume,'ntationOubuilder pro vides tithe building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:'
Shanley, Barbara
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-07-15 20:15:14
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: 215-A0194909A-000000000-0000 Registration Date/Time: 2015-07-15 20:15:14 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-15 20:15:01
Schema Version: 0.555SDD