BMCH2016-00881 '
78-495 CALLE TAMPICO C� 0 D �KM{ICl/
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0088 Owner:
Property Address: 79035 CALLE BRISA ROY STREET
APN: 602130034
Property Zoning:
Application Valuation: $14,000.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Applicant: Contractor:
AIR EXPERTS AIR CONDITIONING & HEATING AIR EXPERTS AIR CONDIT
84-160 MEADOWS LANE 84-160 MEADOWS LANE
COACHELLA, CA 92236 COACHELLA, CA 92236
(760)397-3438
Llc. No.: 1008665
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 License No.: 1008665
l
Daite/ 9- 6�� � Contract�.r: - �Ke._-
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
Lender's Address:
Date: 4/6/2016
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_ Lhave 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 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 foe whose benefit work is performed undee 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 pon the
above-mentioned property for inspection purposes.
Date: 6 /� Signature (Applicant or Agent):
z
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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_ Lhave 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 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 foe whose benefit work is performed undee 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 pon the
above-mentioned property for inspection purposes.
Date: 6 /� Signature (Applicant or Agent):
"' QT1(AMOUNT; �� PA D PAD DATE
o BSAS SQ1473 FEE' 101-0000-20306 0. '
$1.00 $0.00
METHOD xRECEIP,.Ts# CHECK #� r s CLTD BY
IX PAID BY��. x ;��
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0:00
DESCR POTION ���}AC
..5 ,h `'�x.iksS.fii.�xdL'i• rw,� ,',.'�1
OUNT{ r
Y1 ?ADCC .ti."i?:i'."d:,
QTYAIVIOUNT�
�.��n'.x
✓�`�(£'vh. iSz�''.+....
PAISD�AIDDATE
kxitH."
HVAC CHANGEOUT - SPLIT -SYSTEM
'101'-16000-42402.
0
$145.04
$0.00
x PAIO`BY � �x
.>" r,:5.. r:.;W_ .. 3 .5.
METFIOD' �y
.;' ,.n,�:ir'«: +�A t,'4.. 3�'..;✓Ae
ECEIPT#
.�4:."s'✓ aac. A,*,v5�i .,i'.F'r�.. .#
CHECK°#K ��`
^� v �",}Y.,'a..v>�'
" R)
, �;,f.,."r"rsks;xY.
AMOUNT
..�„'j,„5.`:5;'fi'xlh.vt:Z'Sg..�.kfi^^si§�
P.AI�D��x
v nflO
DX D
HVAC; CHANGEOUT -. SPLIT -SYSTEM PC '
101-0000-42600
0- .-$72.52
$0.00
KI �;�-MD��RECE�PT#..
VI
CHECK# r
yCLTDBY
Total Paid for CHANGEOUT: $217.56 $0.00
'�'��
PAIDttcPAIDDATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
NY u`� S,X G'�'YT �,} �"
t x PAID^Bl( ����
",hY: � ��t'S �'��{'.�i �k:'s: �v '�' ��' �. ,�{ �
° METIiOD�`
�, ^��
��
' 'Y .,�'i''�'-Y'1 `v C t"C�.3,yt k4
RECEIPTS#,
y 1s1.'Stih�+C�6 is k k?� Y
.CHECK#�
?.�:xz,'y'^�'.r,i "•
CLTD BY
Total Paid'for PERMIT ISSUANCE: $91.85 . - $0.00` ,
TOTALS:00
Description: BARKER / CHANGE OUT (2) HVAC SYSTEMS
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 4/6/2016 SKH
Approved:
Parcel No: 602130034 Site Address: 79035 CALLE BRISA LA QUINTA,CA 92253
Subdivision: TR 28640 Block: Lot: 32
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
AdDRE�Sl
Details: HVAC CHANGE OUT - (2)16SEER/78AFUE SPLIT SYSTEMS [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
CONTACTS
CITY STATE
ZIP
.. _..........
PHONE
FAX
EMAIL
AME TYPE ""
"" "'NAME... ' '
AdDRE�Sl
APPLICANT
AIR EXPERTS AIR CONDITIONING &
HEATING
84-160 MEADOWS
LANE
COACHELLA CA
92236
CONTRACTOR
AIR EXPERTS AIR CONDITIONING &
HEATING
84-160 MEADOWS
- LANE
COACHELLA CA
92236
OWNER
ROY STREET
455 GENTRY WAY
RENO NV
92253
FINANCIAL INFORMATION
Printed: Wednesday, April 06, 2016 3:08:03 PM 1 of 2 C ,
SYSTEtitS
INSPECTIONS
REVIEWS
:REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKSDATE17
NOTES
BOND INFORMATION
Printed: Wednesday, April 06, 2016 3:08:03 PM 2 of 2
SYSTEMS
LTD
DESCRIPTION
ESC
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
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
$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 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:0.40.00
INSPECTIONS
REVIEWS
:REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKSDATE17
NOTES
BOND INFORMATION
Printed: Wednesday, April 06, 2016 3:08:03 PM 2 of 2
SYSTEMS
Bin #
Permit #
�jivt 1lP -
Project Address -,('N
City of La Quinto
Building 82 Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name
A. P. Number:
Address:. o S 1
Legal Description:
City, ST, Zip: l 1 �JZ S
Contractor: AN Y C 5
Telephone: hon
e.
Address: 8•L - M t ��0 S
L '
Project Description: e
City, ST, Zip: t!o
12 3C
Full 5
Telephone: ne
. : u
7 6a-� 3
-3
_
State Lie. # ;:...
City Lie. M.
Arch., Engr.; Designer:
Address:
City., ST, Zip: ,
Telephone:
_
Construction ton TYe: Occupancy:
P • AIV -4
State Lie. #•
Project hP (circle one • New
Add'n e]tRepair Demo
o
Name of Contact Person:
Sq. Ft.: 00
#Stories:
# Units:
Telephone # of Contact Person:O�
-4-1
Estimated Value of Project: to> �
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.Called
Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mcchanicat
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.T.
Ii.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 -1R -ALT -HVAC)
Project Name:
Harry Baker .1 Date Prepared:
CF111-ALT-02-E
(Page 1 of 3 )
2016-04-06
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 CF111-ALT-02 document for each dwelling unit.
01
Project Name
Harry Baker
02
Date Prepared
2016-04-06
03
Project Location
79-035 Calle Brisas
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Harry Baker
07
Zip Code
92253
08
Dwelling Unit Conditioned
3600
Floor Area (ft2)
SC System
SC System
CFA served
system a
refrige nt f
Number of space conditioning
Installing
'wr
09
Climate Zone
15�
30
(SC) systems in this dwelling
2
ducted
r -
40 :m M. 7d
system
more than 40
unit.
,
entirely new
B. Space Conditioning (SC) System Informat on n � �
03
02
k 04
` b5
6,1
07
{
08
09
10
t� 103
,
�,/ �
.3 FIs the SC
Installing a
SC System
SC System
CFA served
system a
refrige nt f
Installing new SC
Installing
'wr
1 -In talli g
g,
Installing
r
Identification or
Location or Area
by this SC
ducted
A. y a
containing
40 :m M. 7d
system
more than 40
:;.w�
entirely new
,
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
I SC system?
Alteration Type
System 1
living room
1950
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
bedrooms
1650
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: 216-A0128881A-000000000-0000
Registration Date/Time: 2016-04-06 14:26:41
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-06 14:26:54
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1111-ALT-024
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
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
Central gas
All new
Central split
All new
This field or
This field or
System 2
furnace
heating
AFUE
0.78
AC
cooling
SEER
16
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation: f'
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6. ----,J _
CF2R-MCH-20-H & CF3R-MCH-20-H — Dua: Leaked age testing requirwhen heating or. cooling components are installed
inducted systems, or when more than 40 ft of duct
length is replaced.
-Leakage rate compliance: 515%, or 510% leakage to outside, or seal all accessibIg-leaks.
;�?
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when-refrigeraan ontaining components`are
±?
...`T+,
mstelled.oraltered,(applicable in CZ:2; 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required.when MCH'25 is required:
r
4= .
U
-DucExceptions:
t systems registered with HERS provider as previously sealed are exempt from MCH=20 DuctLeakage Testing
regm_rements. `-
�j0C
1
i t.
-Heating-only systems and Air Handler/furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MECH-25. �Tt
Existing duct systems constructed, insulated :s 'Jed with asbestos are exempt from MCHi2o DuctaeakageJesting re uirement�ss:
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150:2(b)H, 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-A0128881A-000000000-0000 Registration Date/Time: 2016-04-06 14:26:41 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-06 14:26:54
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -111 -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:
Lira, Luis M
Company:
Signature Date:
Air Experts Air Conditioning
2016-04-06 14:26:41
Address:
CEA/ HERS Certification Identification (if applicable):
PO Box 94
City/State/Zip:
Phone:
La Quinta CA 92247 A
760-777-1724
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
1 r
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 Cod o 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 system design identified on this Certificate of Compliance conform to the
-or
requirements of Title 24, Part 1 and Part 6Pof 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 o0 oth'er applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of,Coompliance shall; be -made available with"the building permit(s),issued forthe building, and made available tothe enforcement agency forall applicable
inspections. I understand that a registered copy of this:Certificate of Compliance is. req aired to be,included with the documentation�th ,builder provides to -the building owner at occupancy.
Responsible Designer Name: �`
Responsible Desig er S gnature: V I Z IVA
Lira, Luis M
Company:
Date Signed:
Air Experts Air Conditioning
2016-04-06 14:26:41
Address:
License:
PO Box 94
1008665
City/State/Zip:
Phone:
La Quinta CA 92247
760-777-1724
Digitally signed by Ca/CERTS. 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-A0128881A-000000000-0000 Registration Date/Time: 2016-04-06 14:26:41 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-06 14:26:54
Schema Version: 0.555SDD