BMCH2016-026278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O16-0262
4 4v Qumrcv
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Property Address:
79215 RANCHO LA QUINTA DR
APN:
602100016
Application Description:
Property Zoning:
CAPUANO RESIDENCE / HVAC CHANGE
OUT
Application Valuation:.
$18,814.00
JUL 20
2016 [�
Applicant:
IE INC
CITYOFLA—,
31225 LA BAYA
CO MMUNITY DEVELOPMENT
TA
DEPARifAENT
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: C20, C36 License No.: 686310
Date: i ?t7I • C ntractor:SIza—
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).:
(_) 11 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 N
Lender's Ad
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/20/2016
Owner:
JOHN CAPUANO
79215 RANCHO LA QUINTA DR
LA QUINTA, CA 92253
Contractor:
HARRISON ENTERPRISES INC DBA GENERAL AIR
31170 RESERVE DRIVE
THOUSAND PALMS, CA 92276
(760)343-7488
Lic. 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 370) 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 perfomance 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 thet,.if I should become subject to the
workers' compensation provisions of Section _700 of the Labor Code, I shall forthwith
comply with those provisions.
p `7IZ0lllelic'ant:
WARNING: FAILURE TO SECURE WORKERS' CCM PENSATION COVERAGE 15 UNLAWFUL,
AND'SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED.THOUSAND DOLLARS ($100,01-0). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED F02 IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to tEe Building Official for a permit subject to
the conditions and restrictions set forth on th6 application.
1.. Each person upon whose behalf this appl cation 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 tante lation.
I certify that 1 have read this application and s:.ate 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 represent:.tives of this city to enter upon the
above-mentioned property for inspection purposes.
n
Date: �ZO I b Signature (ApplicanTo 'Agent)��`-z+a—c7z�
DESCRIPTION '�
, '� '. ACCOUNT'S.' CITY`
: AMOUNT
PAID=
PAID DATE:
BSAS SB1473 FEE -
=. 101-0000-20306 .0
$1.00
$0.00
PAID'BY t " ='
METHOD 4` RECEIPT # x
CHECK # `°�
CLTD`BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
s DESCRIPTION
`' a ' { ACCOUNT
QTY.
AMOUNT
? PAID -
'PAID DATE
HVAC CHANGEOUT - SPLIT-SYSTEM
101-0000-42402
0
$145.04
$0.00
g x.} PAID BY
METHOD,
RECEIPT #s .
l CHECK # . „.
CLTD BY "•
." -`,, a g`DESCRIPTION
t.HVAC
ACCOUNT= y
"QTY;
AMOl1NT
. �,;PAID
PAID* DATE,
CHANGEOUT - SPLIT,-SYSTEM PC
101-0000-42600
0
$72.52
o $0.00
PAID BY � E
METHOD `�,.
I RECEIPT #
€'a :CHECK #
CLT BY
-.
Total Paid for CHANGEOUT: $217.56 $0.00
" DESCRIPTION
w a1
k "> c ACCOUNT
Y
1
"AMOUNT 1
' * PAID' f
'=PAID DATE
'PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00 .
a rPAID BY,METHOD
,
RECEIPT #
CHECK #
Total Paid for PERMIT ISSUANCE: • $91:85 -$0.00,
• 00
Description: CAPUANO•RESIDENCE / HVAC'CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 7/20/2016 MFA
Approved: 7/20/2016 INIFA
Parcel No: 602100016 Site Address: 79215 RANCHO.LA QUINTA DR LA QUINTA,CA 92253
Subdivision: TR 27840 Block: Lot: 58
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $18,814.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 'No. Unites: 0
Details: (2) TWO 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.
. F N IAL INFORMATION
Printed:'Wednesday, July 20, 2016 9:48:58 AM 1 of 2 srsrenns
CHRONOLOGY
• •
CONTACTS:
ONE,
`NAME;TYPE c ° •- : E "NAME { CITY EMAIL
FA...�
.. <. ...... �,.u'...�
�
APPLICANT
If INC
31225 LA BAYA WESTLAKE
CA 91362
(
QUINTA DR
. F N IAL INFORMATION
Printed:'Wednesday, July 20, 2016 9:48:58 AM 1 of 2 srsrenns
DESCRIPTION
"ACCOUNT
;QTY
` AMOUNT
PAID
PAID
RECEIPT #
CHECK #
METHOD
PAID BY,,.. ;
CTD
.D1 1
4."
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
HVACCHANGEOUT-
101-0000-42402
0
$145.04
$0.00
SPLIT -SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$72.52
$0.00
SPLIT -SYSTEM PC
Total Paid for CHANGEOUT: $217.56
PERMIT. ISSUANCE
101-0000-42404.
0
$91.85
x$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:��
INSPECTIONS
_-------- -
PARENTPROJECTS �'..
Printed: Wednesday, July 20, 2016 9:48:58 AM 2 of 2
ORWlYSTEMSf
Bin #
Q of La . Quinta
Building 8i Safety Division
P.O. Box 1504,78-495 Calle Tampico
1.a.Qidrita, CA 92253.:(760) 777-7012
Building Permit APplication and Tracking Sheet
Permit # :.
Project Address: 79215 Rancho La Quinta Drive
Owner's Name:. John Capuano "
A P. Number.
Address. 79215 Rancho La Quinta Drive
Legal Description:
City, ST, Zip: La Quinta, CA :92253
Contractor: General Air Conditioning
Telephone:
~�•iYs. `�'sx
Address: 31170 Reserve Drive
Project Description: Replace 3.5ton A/C Coil, & 90,000 BTU
City, ST, Zip: Thousand Palms, CA 92276.
Furnace
Telephone: 760-343-7488
�''_'
Replace Ston A/C, Coil, 8 70,000 BTU (Furnace .
State Lic. # : 686310
City Lie. !R:
Arch, Engr., Designer
Address:
City., ST, Zip:
Telephone:
`
r
wj
Construction Type: . Occcpancy:
State Lia #:
Project type (circle one): New Add'n .Alter Repan Demo '
Sq. -Ft.: #Stories: #Units:
Name of Contact Person:. Steven Schnierer
Telephone # of Contact Person: 818-735-7876
Estimated valine of project: $18,814.00 .
APPLICANT: DO NOT WHITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sete
Plan (heck submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check D<posit. .
Truss Cales•
Called Contact Person
Ptan Check Balance
Tide 24 Cates.
Plans picked up
Construction
Flood plain plan
I.Plans
resubmitted _ ,
Mechanical
Grading plan
tad Rcview, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.MX
H.O.A. Approval
Plans resubmitted
Grading
DV HOUSE:-
'^` Review; ready for corrections issue
Developer Impact Fee
Planning Approval •
Called Contact Person
M.P.P.
Pub. Wks. Appr '
Date of permlt issue
School Fees
'
Total Permi• Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems'(formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name: JOHN CAPUANO Date Prepared: 2016-07-19
A. General Information
CF111-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
JOHN CAPUANO
02
Date Prepared
2016-07-19
03
Project Location
79215 Rancho La Quinta Drive
04
Building Type
Single family
05
CA City
to Quinta
06
Dwelling Unit Name
JOHN CAPUANO
07
Zip Code
92253
08
Dwelling Unit Conditioned
2235
Sem.�'.«rad� I6F
: �o-.}wa.z"
.��; 1%.
`'Var..:.•sf '
Floor Area (ft2)
SC System
SC System
CFA served
stem a
re rf igera t f
Number of space conditioning
Stalling i
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
01
02
03`
04
05,
U6
U7'�Q
08
09
10
�,;
� FIs the SC"'"""'
P f nit `.,i "°:.;.
Installing a
Sem.�'.«rad� I6F
: �o-.}wa.z"
.��; 1%.
`'Var..:.•sf '
'
SC System
SC System
CFA served
stem a
re rf igera t f
Installing new SC
Stalling i
Jns alli 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
Location 1
1115
Yes
Yes
Yes
No
No
No
Altered space
.
conditioning system
System 2
Location 2
1115
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Sectioh150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 216-A0265735A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-07-19 09:17:39
HERS Provider: CalCERTS
Report Version: 2013 Rev 1.007 Report Generated: 2016-07-19 09:18:14
Schema Version: 0.5555DD
CERTIFICATE OF COMPLIANCE CFiR-ALT-02-E
Alterations to Space Conditioning Systems (formerly Umlllk-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
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
Central gas
All new
Central split
All new
Less than or
System 2
furnace
heating
AFUE
80
AC
cooling
SEER
14
Setback
equal to 40
R-8
components
components
feet
Required Documentation:
CF2R-MCH-01-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: 515%, or 510% leakage to outside, or seal all accessible leaks.
ras e:: o
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification s'5r t* 16 . `fie s
or CZ42 8-15).
required when refngerarntcontainingcomponents
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2:300 CFM ton re wired when MCH -25 is re uired
Exceptions: / q
n are mstalleti altered (applicable m
1
Duct systems registered with HERS provider as previously sealed are exempt from MCH=20 Duct Leakage Testing requirements
.. r,
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23 or Refrigerant Charge MECH-25.
Existing duct systems constructed, insulated or sealed with asbestos ar exempt from MCHC Duet eakage Testing requirements
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia 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-A0265735A-000000000-0000
0
Registration Date/Time: 2016-07-19 09:17:39
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-19 09:18:14
Schema Version: 0.55SSDD
CERTIFICATE OF COMPLIANCE 6111 -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: n
Jacoby, Ian
cYdnacobt
Company: .
Signature Date:
i PERMIT E RATERS
2016-07-19 09:17:39
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 6 of the California'Code of Rg
�`�• rf� �o lit �m
4. The building design features or system design features identified o this Certif c tea of Compliance are consistent with•the informatiomprovided on other,',applicable compliance documents, worksheets,
3 Y. 6
calculations plans andspecificationsmi S _� fin.
p submitted the enforcement agency for'approval,withthts building permit application. � �
5. I will ensure that a registered copy of this Certificate ofj� ompliance shall_be,madeavailable with'the bulldi_fg;permit(s).issued fonthe.;building, and,_,inade available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certifcate 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: V 11
Jacoby, Ian
cyan �acobJr
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2016-07-19 09:17:39
Address:
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip:
Phone:
THni,ISCNn P®I n.4$ CA 92276
760 343 7488 0
Digitally signed by Ca10ERTS. 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: 216-A0265735A-000000000-0000 Registration Date/Time: 2016-07-19 09:17:39 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-19 09:18:14
Schema Version: 0.5555DD