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BMCH2015-0324_ 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4t1t 4 4 Qubtr(v COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O15-0324 Property Address: 50805 CYPRESS POINT DR APN: 770110007 Application Description: FRANCOIS LARRY HVAC SPLIT SYSTEM Property Zoning: Application Valuation: $12,300.00 Applicant: BREEZE AIR CONDITIONING INC 75-145 ST CHARLES PLACE PALM DESERT, CA 92211 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: LARRY FRANCOIS 50805 CYPRESS DRIVE LA QUINTA, CA 92253 Contractor: BREEZE AIR CONDITIONING 75-145 ST CHARLES PLACE PALM DESERT, CA 92211 (760)346-0855 Llc. No.: 416394 Date: 8/19/2015 I� �� C, c z n oo Cn mo o S m ~ O p $ v7 - -A- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - LICENSED CONTRACTOR'S DEC RATION I hereby affirm under penalty of perjury that I am li sed under provi 'ons of Chapter 9 (commencing with Section 7000) of Division 3 the Business a ofessions Code, and my License is in full force and effect. License Class: C20 . License No.: 41 4 Date: ( Contractor: OWNER -BUILDER DEC ATION I hereby affirm under penalty of perjury that 'K exempt from the Contractor's State License Law for the following reason (Sec. 70 .5, Business and Professions Code: Any city or county that requires a permit to co ruct, alter, improve, demolish, or repair -any structure, prior to its issuance, also)!Kuires the applicant for the permit to file a signed statement that he or she is lice ed 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 0 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 contractors) licensed pursuant to the Contraciors' 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: 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 oft ork 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 subje o the workers' compensation laws of California, and agree that, if I shouldle5pAe subject to the workers' compensation provisions of Secti 00 of the L r Code, I shall forthwith comply with t se p o/visions. Date: / Applicant: WARNING: FAILURE TO SECURE WORKERS' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO IMINAL 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 ab2infornrrect. I agree to comply with all city and county ordinances and staildingconstruction, and hereby authorize representatives of this cibove- mentioned gropqrty for inspection purposes. Date: / Signature (Applicant or A t): FINANCIAL •• DESCRIPTION ACCOUNT 1• QTY AMOUNTPAID 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 0i Description: FRANCOIS LARRY HVAC SPLIT SYSTEM Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 8/19/2015 PJU Approved: Parcel No: 770110007 Site Address: 50805 CYPRESS POINT DR LA QUINTA,CA 92253 Subdivision: TR 25389-4 Block: Lot: 2 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $12,300.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC SPLIT SYSTEM FURNACE 78% AFUE,13 SEER STON PER 2013 MECHANICAL CODES 2013 ENERGY] CARBON MONOXIDE ALARM (S) TO BE INSTALLED PRIOR TO FINAL INSPECTION CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY ' STATE ZIP PHONE FAX EMAIL APPLICANT BREEZE AIR CONDITIONING INC 75-145 ST CHARLES PLACE PALM DESERT CA 92211 (832)248-6113 CONTRACTOR BREEZE AIR CONDITIONING INC 75-145 ST CHARLES PLACE PALM DESERT CA 92211 (832)248-6113 OWNER LARRY FRANCOIS 50805 CYPRESS DRIVE I LA QUINTA I CA 1 92253 1 (832)248-6113 Printed: Wednesday, August 19, 2015 2:34:05 PM 1 of 2 RW-IYS TEMS PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE Printed: Wednesday, August 19, 2015 2:34:05 PM 2 of 2 CRWYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES MECHANICAL FINAL" BLD CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: HVAC CHANGEOUT - 101-0000-42402 0 $72.52 $0.00 SPLIT. -SYSTEM 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:• •• PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE Printed: Wednesday, August 19, 2015 2:34:05 PM 2 of 2 CRWYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES MECHANICAL FINAL" BLD PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE Printed: Wednesday, August 19, 2015 2:34:05 PM 2 of 2 CRWYSTEMS CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) CF1R-ALT 02-E (Page 1 of 3 ) IProject Name: 50805 Cypress Point Dr. I Date Prepared: 2015-08-19 I 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 CF1R-ALT-02 document for each dwelling unit. 01 Project Name 50805 Cypress Point Dr. 02 Date Prepared 2015-08-19 03 Project Location 50805 Cypress Point Dr. 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name 50805 Cypress Point Dr. 07 Zip Code 92253 08 Dwelling Unit Conditioned 2002 i Floor Area (ft2) SC System SC System CFA served ,Is system a — re Iger nt t Number of space conditioning Installin,`g 09 Climate Zone 15 l 10 (SC) systems in this dwelling 1 ducted containing system more than 40 unit. entirely new B. Space Conditioning (SC) System Information .. Ol 02 03 04' 05if 06 07' 08 09 10 the SC Installing a i SC System SC System CFA served ,Is system a — re Iger nt t +Installing a SC Installin,`g Insfalli 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 2002 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: 215-A6296464A-000000000-0000 Registration Date/Time: 2015-08-19 09:41:03 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-19 09:41:05 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E 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 Less than or System 1 furnace heating AFUE 0.78 AC cooling SEER 13 Setback equal to 40 ' R-8 components components feet Required Documentation: CF211-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. CF211-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. 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 Flow 2t 300 CFM/ton required when MCH -25 is required. Exceptions: -F 44 from -Duct systems registered with HERS provider as previously sealed are exempt MCH -20 Duct Leakage-Testirig requirements. -Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCHY23°dor Refngerant,Charge MECH-25. S n Existing duct systems constructed, insulated or sealed with asbestos a� a exempt from MCH 20 Du Leakage Test" requirements a - Z. E. Entirely New or Complete Replacement DuctSystem, with°or without Equipment Changeout'(Sections 150.2(b)1Diie;and 150.2(b)lE, 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: 215-A6296464A-000000000-0000 Registration Date/Time: 2015-08-19 09:41:03 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-19 09:41:05 Schema Version: 0.555SDD 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: ��GG�I�(//GGG�/ White, Butch Company: Signature Date: BREEZE AIR CONDITIONING INC 2015-08-19 09:41:03 Address: CEA/ HERS Certification Identification (if applicable): 75-145 ST CHARLES PLACE City/State/Zip: Phone: PALM DESERT CA 92211 (760) 346-0855 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 Reg lations. 4. The building design features or system design features identified onhis Certificate of Cmplianceare consistent with -the information provided o ther, p licatile� co npliance documents, worksheets, calculations, plans and specifications submitted.to the enforcement agency for approval with this building permit pplicationnp. A 3?f � , 5. I will ensure that a registered copy of this:Certificate.of�Compliance shall?be'rriade available wifh'the building,pecmit('s_)assued for the build g, andmade available;tofthe enforcement agency for all applicable �,,�� inspections. I understand that a registered copy of thirC�erti icate of Compl ance is!equiired to be included with thedocumentation the�builder provides to the building owner at occupancy. Responsible Designer Name: . 4-0 Responsible Designer Signature: V I L. -,-f White, Butch Company: Date Signed: BREEZE AIR CONDITIONING INC 2015-08-19 09:41:03 Address: License: 75-145 ST CHARLES PLACE 416394 City/State/Zip: Phone: PALM DESERT CA 92211 (760) 346-0855 Digitally signed by CaICERTS.. 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: 215-A6296464A-000000000-0000 Registration Date/Time: 2015-08-19 09:41:03 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-19 09:41:05 Schema Version: 0.555SDD o , Bin # . q of is QuInta. Req?d Recd tuilding & Safety Division PERMIT FEES Item Amount Penni[ # �?j 1 P.O. Box 1504,18-495 Calle Tampico Reviewed, ready for corrections La.Quinta, CA 9.2253 - (7d0) 777-7012 Plan Clecck Deposit Building ;Permit Application and Tracking Sheet Project Address: Owner's Name:. Called Contact Person . A. P. Number fDin+Address: 05 N10fe% Plans picked up Legal Description: Construction City, ST, lap: Flood plain. ptaa Contractor: Telephone: " ' .:;f:Y:;;,,r, Mechanical Giading plan Address: Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Project Description: City, ST, 'Lip:YMM. l.Li.q2-21 0 ae Telephone: U0 - Plans picked up �^!r State Lia # :L�454H City Lie. #.: I1.0.A. Approval Arch., Engr., Designer: Plans resubmitted Grading Address: IN DOUSE:- City, ST, Zip: 30 Review, ready for correctioris/issue Developei- Impact Pee Telehone: •:: k YY> •,�• N:},�� Construction T Type: Occupancy: , State Lic. #; �• ��,>� .�.s: �_�'�!� Project type (circle one): New Add n Atte Repair Demo Name of Contact Person: Sq. Ft.: 2 D2 , ','stories: # Tjnits: -4 of Contact Verson: --- Estimated Value of Project [ . --- APPLICANT: DO NOT wittiF rtt=t nw 7s4tc t mit: # Submittal Pfau Sets Req?d Recd TRACKING Plan Check submitted, PERMIT FEES Item Amount Structural Calm Reviewed, ready for corrections Plan Clecck Deposit Tress Gales: Called Contact Person Pian Check Balance Title 24 Cates. Plans picked up Construction Flood plain. ptaa Plans resubmitted Mechanical Giading plan Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.it7ti. I1.0.A. Approval Plans resubmitted Grading IN DOUSE:- 30 Review, ready for correctioris/issue Developei- Impact Pee Planning Approval Called Contact Person A-LP.P Pub. Wks. Appr Date of permit issue School Fees _ __ - Total Permit Fees