BMCH2014-1154/ter
aw
78-495 CALLE TAMPICO
LA QUINTA, CALIF'ORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
�• 4
t) BUILDING PERMIT
Application Number: BMCH2O14-1154
Property Address:
.50116 CALLE ROSARITA
APN:
658250001
Application Description:
HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$9,500.00
Applicant:
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
DEC 16 2094
11 CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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
Date: %7_66114 Contractdr
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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Dater 12/16/2014
Owner:
EUGENE PLEIMA,N
2743 SQUIRES ST
MINDEN, NV 921-53
r
Contractor:
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)343-7490
Llc. No.: :LIC -0003606
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one o 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 S 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.
Date: V Applicant:SIZZZ—
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 ($100,00[). 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 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 th-: 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 cancellztion.
I certify that I have read this application and sta'e 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: Signature (Applicant cr Agent): SLAs�lL� _
CERTIFICATE OF COMPLIANCE -' CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) ; (Page 1 of 4 )
2014-12-10 -
Project Name: - Y, GENE PLEIMAN , Date Prepared:
A. General Information
.CFiR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling unitsVmust be
documented, use one CHR -ALT --02 document for each dwelling unit.
01
Project Name
GENE PLEIMAN
02
Date Prepared
2014-12-10
03.
Project Location '
50116 CALLE ROSARITA
04
Building Type
Single family,
05
CA City
La Quinta
06
Dwelling Unit Name
GENE PLEIMAN
4
Dwelling Unit Conditioned
07
Zip Code �"
92253.
08
Floor Area (ft2)
1591 ;
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
. Installing
°
Identification or
Number of space conditioning
-'IAr is SC
09
Climate Zone _. • ,
15 - - ''
10
(SC) systems in this dwelling
1
,
Name
Served
System (ft2)
unit.
"
7t ;
fYJj
B. Space Conditioning (SC) System Information�r:�
' •
02
",,Q4
06..
x'07a5O1
09
100:/
,• s -
is the SC.:"
SC System -
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
. Installing
°
Identification or
Location or Area `.
-'IAr is 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
i System 1,
Location 1
1591
Yes'
Yes
Yes
No.
No
No.
Altered space
conditioning system ~
AI
' Registration Number: 214 A0156424A-000000000-0000 `-r 1
Registration Date/Time:
2014-12-10 13:26:38
•p :HERS Provider: CalCERTS
'
. `CA Building Energy Efficiency Standards - 2013 Residential Compliance
Report Version: 2014-03 31
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Schema Version: 0.551SDD
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D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
O1 •
02 ,,
03
04. -
05
06
07
-
08
t. 09
' ;10
it r ,
12
Heating
Cooling -
System,
,Heating
Altered
Heating`
Minimum
Altered
Cooling-
Minimum
Required,
New or
.t . • 1 ,' •,
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 R -Value
' ..
Central gas
All new
t
ySchema Version:0.551SDD .�
Central split
All new
Less than or
System
furnace-
heating
AFUE
0.78'
AC
cooling
SEER
13
Setback'
equal to 40
r
R-8 ;
components
components
feet
Reouired 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: 5 15%, or 5 10% leakage to outside, or seal all accessible leaks. •
9 '
*
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: y$f py)� 7 i`
-Duct systems registered with HERS provider as previously sealed are exempt from,MCH-20 Duct Leakage2Testing^'requirements
-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 withh.asbestos are exemp�t.from MCHH-20 Duct Leakage Te"sting requirements `+4" , y •. ,
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Registration Number: 214-A0156424A-000000000-0000. ,
Registration Date/Time: 201412-10 1326:38,
J
HERS Provider CaICERTS
'AS
_
-
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. •, .F CA Building Energy Efficiency Standards- 2013 Residential Compliance
Report Version 2014-03-31
Report Generated: 2014-12-10 13.26:39
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CERTIFICATE OF COMPLIANCE - x CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 4 )
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply tothisproject. - '; • r ', " r•' ,
fa
" 4,,e
• may.. - � ['g.� .. �.��, �A• 3 •
, � . • ; . .- _ , a r. r � a ... ' .. � ti .: _ f •- 7e. -tet r t-
Registration Number: 214-A0156424A-000000000-0000 Registration Date/Time:_ 2014=12-10 13:26:38 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance • Report Version: 2014-03.31 Report Generated: 2014-12-10 13:26:39
. Schema Version: 0.551SDD s `,
CERTIFICATE OF COMPLIANCE i - •CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF• -1R -ALT -HVAC)' _ ' 4 (Page 4 of 4 )'
Documentation Author's Declaration Statement
00; 't
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. •. .�4 '
.", .. a .. ,..
Documentation Author Name:
Documentation Author Sig nature: /�// /�• . a' V '
Jacoby, Ian ,, s
J
TT oGJt
Company:
Signature Date: ' • ., '
Stratz Permit Service -
2014-12-10 13:26:03
Address: - 4 s rr
CEA/ HERS Certification Identification (if applicable): v +
5858 Dovetail Drive
City/State/Zip: a
Phone:
Agoura Hills CA 91301
818-735-7876 .. • ,
Responsible Person's Declaration statement
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 f h in f
g s 3 o the Bus -and Professions Code to accept.responsibility_for,.the building design design identified on this Certificate of Compliance (responsible designer)
mess tr,- ,tem
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 of 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 on other applicable compliance documents, worksheets,
' calculations, plans and specifications submitted•to the enforcement agency for approval with this building permit application � ° r V
5. 1 will ensure that a registered copy of this Certificate of.Compliance shall be made available with the building permit(s) issued for.the building, and made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. '
Responsible Designer Name: f '
Responsible Designer Signature:
Valdez, Dayana a.
J`
�lu1CLlGRi`� -
O
Company: `-
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2014-12-10 13:26:38 -
Address: ,
License: '
31-170 RESERVE DRIVE STE A
686310'
City/State/Zip:
Phone:
.l HUUSAIVU PALMS LA 922/b
(760) 343-7488 ti
j
•wI
`r
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.
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.Registration Number: 214-A0156424A-000000000-0000 t
Registration Date/Time: ` 2014-12-10 13:26:38
• HERS Provider. CaICERTS r-
MCA'Building Energy Efficiency Standards: 2013 Residential Compliance i
r Report Version: 2014-03-31
,Report_ Generated: 2014-12-10 13:26:39`
" '
Schema Version: 0.551SDD
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FINANCIAL INFORMATION
w` DESCRIPTION _. 4.cr=°*;ACCOUNT
�_ QTY, AAMOUNT PAID ,PAID DATE
sY
BSAS 561473 FEE
101-0000-20306 0
$1.00 $0.00
PAID BY
$< METHOD _ « '` RECEIPT # CHECK #' CLTD BY;
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00. $0.00
3 "`'DESCRIiPTION'`ACCOUNT'*;•�w;
QTY
AMOUNT>A
+ .PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101=0000-42402
0
$72.52
$0.00.
' • }' PAID BY;;t �'
EMETF90D"RECEIPT#
` CHECK #.
CLTD BY
x errDESCRIPTION
" ACCOUNT -
CITY .
• -AMOUNT
'"R . g ° PAID ` "w
DATE
:_;
aPAID
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
,� « PAID BY > .9.
r " . METHOD: u
" RECEIPT #
CHECK # .
By
„ § m -
,
T_CLTc
Total Paid forCHANGEOUT: $108.78 $0.00
s
ACCOUNT
PAID "'-
PAID DATE
i, ,DESCRIPTION
,QTY
. ,AMOUNTf{, #„
,.
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
_r =.x` PAID BY :
' MET
# RECEIPT
-� CHECK # ` 3C6TD
BYE.
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• 0•
� N'Man-PA1
Description: HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: SUBMITTED Applied: 12/16/2014 MFA
Parcel No: 658250001 Site Address: 50116 CALLE ROSARITA LA QUINTA,CA 92253 Approved:
Subdivision: TR 14496-1 & INT IN COMMON AREAS Block: Lot: 141 Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $9,500.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT -13 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL" INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Printed: Tuesday, December 16, 2014 2:49:57 PM 1 of 2
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.�>NAME TYPE a z t-`. '�ADDRESS1' _
, NAME ...x
CITY
STATE `
ZIP P..HONE ? FAX
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�.. x �.
APPLICANT
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
CONTRACTOR
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA
CA •
92253'
OWNER
EUGENE PLEIMAN
2743 SQUIRES ST
MINDEN
NV
92253
Printed: Tuesday, December 16, 2014 2:49:57 PM 1 of 2
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'�'+C,"h• `.
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BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid' for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
Printed: Tuesday, December 16, 2014 2:49:57 PM 1 of 2
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''ACCOUNT
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--RECEIPT#
TYPE INSPECTOR' INspt dk`'S CH6ULED
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DATE
DESCRIPTION .'
Qi
AMOUNTP
PAIW,
PAID DATE
CHECK
:METHOD,:
Y_
ID B"
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 —FO
$91.85
$0.00
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
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Bin #
01�' Cray of La Quinta
`�� Building &r SafetyDivision
j "� `' `, P.O. Box 1504' p 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet.
Permit #
Project Address:tj 0 tho Cm-11� IZo sari 4 C
Owner's Name: (jer.,e—
A. P. Number:
Address: SD \11m
Legal Description:
City, ST, Zip: CA ZS 3
Contractor: or• i✓ ,
G r 1 A;
Telephone: `
Address: ���-�p
P;;rro�ojectDescription:
City, ST, Zip: 1 HOUd 7�`rKts ('� • .a 2Z7(®
K� A \' CID
Telephone:
r e3y3-�8�
State Lic..# : (A63i ®
City Lie. #;
Arch., Engr., Designer: .
Address:
City, ST, Zip:
Telephone:ne
Construction Type:. 0 ccu F an cY:
State Lic.# -
Mo type circle one • New Add'n Alter Repair De
Name of Contact Person:
Sq. Ft.: 7#
# Units:
Telephone #,of Contact Person:
Estimated Value of Project: q, S-Cjc>, OCA
APPLICANT: DO NOT.WRITE BELOW THIS LINE
#
Submittal
Req'd
-ReedTRACKDVG
P RMIT FEES.
Plan Sets
Plan Check submitted
Item •
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Dep )sit
Truss Calcs.
Called Contact Person
Plan Check Ilal�nce. .
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
y"
2°" Review, ready for corrections/issue '.
Electrical
Subcontactor List
Called Contact Person
Plumbing .
Grant Dccd ,
Plans picked up
S.M.I.
H.O.A. Approval
-
Plans resubmitted
Grading
IN HOUSE:- _.
'rd Review, ready for correctionsCssue.
Developer Impart, Fee.
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issuc
School Fees
Total Pcrmit Fc -:s