BMCH2015-0143A
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
BMC
Property Address:
5001
APN:
6582
Application Description:
CIND
Property Zoning:
Application Valuation:
$17,�
Applicant:
GENERALAIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
Twit 4 44&ro
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/23/2015
12p 013 Owner:
SIL E ROA -TA DCINDERS HOPE
fo) 50016 CALLE ROSARITA
OPf4VkCQIL & FURNAC C NGE OUT LA QUINTA, CA 92"253
HH 11"" '32015 32015
1CINOFLAOUINTA
COMMUNITVDEVELOP
MENTpEPARTMENT Contractor:
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92.053
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.: :LIC -0003606
1p Date: 4+1 Z� V Contractor: S^ 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.).
(_j 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 ) 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:
(760)343-7490
Llc. No.: :LIC -0003506
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
ofth 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 perfornance 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 -is 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 3 700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 4 23 IS Applicant
WARNING: FAILURE TO SECURE WORKERS' COPA PENSATION 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 FOF 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 cancelation.
I certify that I have read this application and snate 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: y )� Signature (Applicam or Agent):
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: CINDERS HOPE Date Prepared: 2015-04-20
A.* General Information
CF1R-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.
CINDERS HOPE
02
Date Prepared
2015-04-20 '
03
Project Location
50016 CALLE ROSARITA
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
CINDERS HOPE
07
Zip. Code
92253
08
Dwelling Unit Conditioned
1389.
Floor Area (ft2)
SC System
'
SC System ;�
HCFA served'system
a
iefriger nt
Number of space conditioning
Iristalhng.
09
Climate Zone
15
10
(SC) systems in this dwelling
1 '
ducted
containing a
system
more than 40 1
unit.
entirely new
B. Space Conditioning (SC) System Information
Ol
0203'
04
05
06
0
OS
09
10
-.. .
�Is the SC
Installing a
SC System
'
SC System ;�
HCFA served'system
a
iefriger nt
Installi g new SC
Iristalhng.
Installii gInstalling.
Identification or,
Location or Area
by this SC
ducted
containing a
system
more than 40 1
entirely new
entirely new
Name .
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?SC
system?
Alteration Type
System 1
Location 1
1389
Yes
Yes
Yes
No
No
No
Altered space .
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 1.50.2(b)1Diib)
This section does not apply to this project.
Registration Number: 215-A0102989A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-04-20 16:54:07
Report Version: 2014-03-31
Schema Version: 0.5S5SDD
HERS Provider: CaICERTS
Report Generated: 2015-04-20 16:53:50
CERTIFICATE OF COMPLIANCE CF1R-ALT-024
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
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
0.8
AC
cooling
SEER
18
Setback
section is not
section is not
components
components
applicable
applicable
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.
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— 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 Leakage Testing requirements.
Heating -only systems and Air Handler/Furnace changes do not require verification of Air FIow,MCH 23, or Refrigerant Charge MECH-25.
Existing dud insulated from 20
'
systems constructed, or sealed with asbestos are exempt MCH Duct Leakage Testing requirements. I
}
E. Entirely New or Complete Replacement Duct System, with or thout Equipment Ghangequt{Sections 150.2(0)1Dii6"and150.2(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-A0102989A-000000000-0000
Registration Date/Time: 2015-04-20 16:54:07
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-04-20 16:53:50
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-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
can dacobJt.
Company:-
Signature Date:
Stratz Permit Service
2015-04-20 16:53:48
Address:
CEA/ HERS Certification Identification (if applicable):
5858 Dovetail Drive.....
City/State/Zi p:
Phone:
Agoura Hills CA 91301
818-735-7876
Responsible Person's Declaration statement.
,�; .; ..
I certify the.following under penalty of perjury, under the I`aws of the State of California:
1. The information provided on this.Certificate of Compliance is true. and correct.
2. I am eligible under Division 3 of the Busin s and Professions Code to accept<resp'ontibility for the building design or system design identified on this Certificate of Compliance (iesponsible designer).
3. That the energy features and performance specifications materials compopnents, 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 R g lations.., its
4. The building design features.or system design features identified o nihis Certi91 W-9
ficaeof Compliance areGconsistent witthe rriformafion,provided on�ottier a plicatilecompliance documents, worksheets,
�forcemen
calculations, plans and specifications 5ubmitted.to the a agency foraval with this building permit application.
C mpliance shall w th
5. I will ensure that a registered copy of thisCertificate of be: de, ail ble the buildirig-permrt(s)_issued for the�buildi�ng, andi rnade available to the -enforcement agency for all applicable
bgjncluded
inspections. I understand that a registered copy of thisC.e ficate of Co�mpliance�is,;required to with the_documentation the builder provides to the building owner at occupancy.
v rt.... e r L s� •a
Responsible Designer Name: �Y
Responsible Designer Signature:
Valdez, Dayana
Company:
Date Signed:
HARRISON ENTERPRISES INC'dba GENERAL AIR CONDITIONING
2015-04-20 16:54:07
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-A0102989A-000000000-0000 Registration Date/Time: 2015-04-20 16:54:07 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-04-20 16:53:50
Schema Version: 0.555SDD
r `J
1
FINANCIAL INFORMATION
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FQTY „AMOUNT PAID PAID;DATE
14. =4 =,'DESCRIP.TIONn�=;aj �,;o e3 ;d
i F4
BSAS SB1473 FEE 101-0000=20306
0
$1.00 + $0.00
}
f�Y PAID BY
�� rRECEIPT# CHECK #' Cab By
..sa y,METHOD`
Y '• ,- i^ , ,a� n 4�'wi� ,. :ice..
a,
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 '
k
DESCRIPTION'Si
=ACCOUNTF 4
QTY;
AMOUNT
AI
f ` ? Dt
PAID DATE
µ �L, e!! ��,
�s,�
q
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
;PAID BY`METHOD
RECEIPT#
:CHECK#
CLTD,BY
r.
_
..DESCRIPTION ' ��trf�r
rc
:`A000UNT
CITY
AMOUNT w•
e_ PAID 's t'
'PAID DATE
i'�,
,
r. z
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
yMETHOD j%'_7 -,>.r•
_4 RECEIPT, #)
'CHECK # .
CLTD BY. '
,
,' t
j
Total Paid forCHANGEOUT: .$108.78' $0.00
-`' " Y �•� K DESCRIPTION •�
'x �� A000UNTi '
QTY
' , AMOUNT �
PAID Ir, ,-`-
PAID DATE`
` PERMIT ISSUANCE
.101-0000-42404
0
$91.85
$0.00
PAID $Y ci s rix 'z ? Y
!3 -METHOD -r',
syRECEIPT. r
.'---;',.CHECK#
CLTD BY:e
, k�'.
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:• 00
r `J
1
Description: CINDERS HOPE A/C COIL & FURNACE CHANGE OUT
Type: MECHANICAL Subtype: Status: UNDER REVIEW,
Applied: 4/23/2015 PJU
Approved:
Parcel No: 658250009 Site Address: 50016 CALLE ROSARITA LA QUINTA,CA 92253
Subdivision: TR 14496-1 & INT IN COMMON AREAS Block: Lot: 149
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $17,481.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: REPLACE (4) TON A/C COIL & 90,000 BTU FURNACE 2013 CALIFORNIA MECHANICAL COODES.CODES 2013 ENERGY] CARBON
MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
DESCRIPTION * .x ACCOUNTS' t.. «
QTY
j' -J"' :AMOUNT
PAID'DATE
4
RECEIPT;# CHECK#
' 'CLTD
METHOD PAID BY
:«
FPAID.
BY �4
BSAS SB1473 FEE 101-0000-20306
0
$1.00
1 $0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00
$0.00
BSA:
Printed: Thursday, April 23, 2015 1:50:35 PM 1 of 2 C SYSTEMS
ATTACHMENTS
�
Printed: Thvnday Ap,|ZlZO1Sl:5O:35 PN ZcfZ'
77,777; _717 e,0
CLTD�
DESCRIPTION
*ACCOUNT --i*,
CITY
Af VIOLIN
'k PAID
CKi
PAI E) BY'
HVACCHANGEOUT-
101-0000-42402
0
$72.52
$0.00
HVACCHANGEOUT-
101-0000-42600
0
$36.26
$0.00
SPLIT-SYSTEM. PC
Total Paid forCHANGEOUT: $108.78 $0.00
PERMIT IS UANCE,
101-0000-42404
0
$91.8.5
$0.00
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS: $201.63 $0.00
ATTACHMENTS
�
Printed: Thvnday Ap,|ZlZO1Sl:5O:35 PN ZcfZ'
Bin #
Qty of La Qi11Cltd
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Permit#
Project'Address: 500k(o C'11', i)—OSC0.r�`VC.
Owner's Name: C:,,,clec!s
A. P. Number:Address:
SUO\�o ��tk� oSGr.%c
Legal Description:
Contractor: G 2Nnex ,
c. �\C
City, ST, Zip: LG Q Ui r k a 1 CA ri 22 53
hone:
Address: 3\ 110 Vc
Project. Description:
City, ST, Zip: �ovsc�Y.d 7ctiwns eQ G22i
�ckcc AIC -1, CoII Z; r -/D cm
-Telephone: ' 7 O-
io `� y
3-13 &
8
T
13 u
State Lia # : 863
City Lic. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
'
Telephone:
P
State Lic. #•
...........................
Construction Type: P
P Occu an cY'
Project tYPa (circle one):: New Ad d'n Alter Repair r Dem 0
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: 17, 4 8 k CKD
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
£ERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Baiance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked 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. W.ks. Appr
Date of permit issue
School Fees
Total Permit %ees