BMCH2016-02454
arw
78-495 CALLE TAMPICOT
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LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0245
Property Address: 49110 RANCHO POINTE
APN: 602320013
Application Description: PEDICINI RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation: $8,998.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
J01
ULJ
L--" 01TY EO CPPI NTDEPARRIENT
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: C20, C36 License No.: 686310
011111111IDate: -7Ib 1 Lb 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 the4
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 Name
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/6/2016
✓ner.
CHAEL PEDICINI
110 RANCHO POINTE
QUINTA, C 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-7488
Llc. No.: 686310
WORKER'S COMPENSATION DECLARATION
1 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 th6 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.
Rate: -7/4' 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 ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the condition's and restrictions set forth on this application. •
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
� q
Datelk 1 Lo Signature Applicant or Agent)
1JINANCIAL INFORMATION'
DESCRIPTION p$
_ :_ACCOUNT .g_, QTY
AMOUNT. 'PAID
PAID,DATE-
BSAS SB1473 FEE.
101-0000-20306 0
$1.00 $0.00
PAID BY t .,
3
, " METHOD I RECEIPT # ' CHECK #,
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
ACCOUNT',
CTY
UNT�
AMOR
"•PAI°DESCRIPTIO
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 � r «
x �"
_° METHOD
RECEIPT #.m
.' CHECK,# ,'•
CLTD BY
Total Paid for CHANGEOUT: $108.78 $0.00
• , = - DESCRIPTIOW .
; .
ACCOUNT ', 4
_
-QTY '
AMOUNT,
'. _PAID"" .
PATO DATE
PERMIT ISSUANCE
'101-0000-42404 r
0
$91.85
$0.00
PAID BY`,„� _7,� "•T
`, m'METHOD w
RECEIPTa#
CHECK#
_CLTD BY
• ? Total Paid for PERMIT ISSUANCE:. $91.85 .' $0.00
TOTALS:0-
i
Description: PEDICINI RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED Applied: 7/6/2016 MFA
Parcel No: 602320013 Site Address: 49110 RANCHO POINTE' LA QUINTA,CA 92253 Approved: 7/6/2016 MFA
Subdivision: TR 29457-2 Block:- Lot: 55 Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $8,998.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0.
Details: HVAC CHANGE OUT -14 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
_.. - FINANCIAL INFORMATION s _
Printed: Wednesday, July 06, 2016 9:13:46 AM 1 of 2
SYSTEMS.
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$0.00
SPLIT -SYSTEM
HVAC CFIANGEOUT -
101-0000-42600
0
$36.26
$0.00
SPLIT -SYSTEM PC
Total Paid for CHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:••
INSPECTIONS
-7
BOND INFORMATION
- - - - - -
ATTACHMENTS '
Printed: Wednesday, July 06, 2016 9:13:46 AM 2 of 2 Ci
SY57EM5
Bin.#
Cray 0f ILCJ Quo:
lnta
BdIding Sr Safety Division
aq P.O. Box 1504, 78 495 Calle Tampico
La.Qulnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Pennft # �
'(Vl( div
Project Address: 49110 Rancho Pointe
Owner's Name:. Armand Pedieini
A. P. Number
Address: 49110 Rancho Pointe
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor. General Air Conditioning
Telephone:
„Ys.;T.,
Address: 31170 Reserve Drive
Project Description: Replace 3ton A/C, Coil, & 70,000 BTU .
City, ST, Zip: Thousand Palms, CA 92276
Furnace
p �.
Telephone: 760-343-7488 _ ���Y `
State Lic. # : 686310 City Lia #.:
Arch., Engr., Designer
Address:
City, ST, Zip:
Telephone:
State Lie. #: '�.
jy
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 ContactPerson: 818-735-7876
Estimated Value of Project $8,998.00 .
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance .
Title N Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.'.'
Mechanical
Grading plan
tad Review, ready for correctionstiissue
Electrical
Subcontactor List
Called ContactPerson
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
TN ROUSE:-
'"' Review; ready for correctionsfissue
Developer Impact Fee
Planning Approval.
Called Contact Person
AJ..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 l.of 3 )
Project Name: . ARMAND PEDICINI I Date Prepared: 2016-07-05
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
2016-07-05
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
4243
Installing new Sic
staling
Installi
Installing
Floor Area (ft2)
Identification or
Location or Area
by this SC
containing
Number of space conditioning
more than 40
09
Climate Zone
15
10
(SC) systems in this dwelling
1
system.
component.
components?
feet of ducts.
unit.
SC system.
B. Space Conditioning (SC) System Information �'
�� n
.. .
01
02
03
04;x?
05'
06
U7�`
US1'1
09
10
NZA
If, the SCS
x kInstalling ate.
SC System
SC System
CFA served
'`*, ystem as
r f igea t t
Installing new Sic
staling
Installi
Installing
Identification or
Location or Area
by this SC
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
4243
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: 216-A0247780A-000000000-0000
Registration Date/Time: 2016-07-05 10:24:10
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-05 10:24:24
Schema Version: 0.5555DD
CERTIFICATE OF COMPLIANCE CF1R-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)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
All new
Central split
All new
Less than or
System 1
furnace
heating
AFUE
80
AC
cooling
SEER
14
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.
CF211-MCH-20-1-1 & CF311-MCH-20-11 — Duct Leakage testing required when healing or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: 5 15%, ors 10% leakage to outside, or seal all accessible leaks.
CF211-MCH-25-1-1 & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF211MR-MCH-23 & CF311-MCH-23 Air FIow2 300 CFM/ton required when MCH -25 is required.
-
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct LeakagTesting requirements. - -
Air Handler/Furnace do Air Flow. MCH23, Refrigerant Chakge MECH 2
Heating -only systems and changes not require verification of or
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Ductzleakage Testhng requirements. ffor
.*� ��, � ....,r,a,A.:' �,...�-.,. s..r •e+-.,,.�: �..-� s.a ae,� ..t .�..a.:w � ''^"F �--a, �,:.+� a,.k
E. Entirely New or Complete Replacement Duct=System, with or without Equipment Changeout (SectionsT50.2(b)1Dna.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)1C) .
This section does not apply to this project.
Registration Number: 216-AO24778OA-000000000-0000 Registration Date/Time: 2016-07-05 10:24:10 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-05 10:24:24
Schema Version: 0.5555DD
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: �/ �
Jacoby, Ian
cyan dacobJr
Company:
Signature Date:
i PERMIT E RATERS
2016-07-05 10:24:10
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive #213
City/State/Zip:
Phone:
West Lake Village CA 91362
818-735-7876
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 ti of the California Code ofd g lations e j
,
r
4. The building design features or system design features identified on this Certificate of Compliance are consistent withAhe information -provided on other ¢applicabl -compliance documents, worksheets,
a ,< *,€ poe r € :. r .. - g tai,, � . e.i
calculations, plans and specifications submitted to the enforcement agency for approval with,this building permit application.
5. I will ensure that a registered copy ofAhis Certificate of Compliance shall be•made:available withQ4 bulldhg;permit(s)jissued for'the building, and made available to tfie enforcement agency for all applicable
inspections. I understand that a registered copy of thisl&ert ficate of Compliance ispequiced to be,included with the documentationthe�builder provides to -the building owner at occupancy.
Responsible Designer Name: " 1 F-'% *.
Responsible Designer Signature: 1 In "`�
Jacoby, Ian
cyan �aco�
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-07-05 10:24:10
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: 216-A0247780A-000000000-0000 Registration Date/Time: 2016-07-05 10:24:10 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-05 10:24:24
Schema Version: 0.555SDD