BMCH2016-031444.
78-495 CALLE'TAMPICO C`
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0314
Property Address: 44645 SAFFRON CT
APN: 604252029
Application Description: EPSTEIN / CHANGE OUT 1 SPLIT SYSTEM
Property Zoning: j1
Application Valuation: $9800.00
Applicant:
J ANTHONY PLUMBING HEATING & AIR CONDITI AUG 7 0 :(J
72216 NORTH SHORE ST #101
THOUSAND PALMS, CA 92276 I 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: C20, C36 License No.: 777794
Contractor.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that'l 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
($500).:
(_) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that
he or she did not build or improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
(_) I am exempt under Sec. . B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY.
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097; Civ. C.).
Lender's
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: .8/1$/2016
Owner:
ROBERT EPSTEIN
44645 SAFFRON CT
LA QUINTA, CA 922.53
ontractor:
ANTHONY PLUMBING HEATING & AIR CONDITI
2216 NORTH SHORE ST #101
HOUSAND PALMS. CA 92276
Lic. No.: 777794
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of trae following declarations:
I have and will maintain a certificate cf consent to self -insure for workers'
compensation, a .provided for by Section 3700 d the Labor Code, for the performance
of the_wor . r 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: MIDWEST EMPLOYERS CASUALTY COMPANY Policy Number:
BNU W C0135300
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 b come subject to the
workers' compensation provisions of Section 3700 of the 1, or Code, I shall forthwith
comply with those provisions.
Applicants
WARNING: FAILURE TO SECURE WORKERS' COM SENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINA_ PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000)i IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR Ind SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the 3uilding 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 br
following issuance of this permit.
2. Any permit issued as a result of this applicat on 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 cancella'Jon.
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 5W er upon the
above-mentioned property for inspection purpo_es.
Date"/s
Signature (Applicant 011 Agent):" .
—_o
Date: 8/18/2016
Application Number: BMCH2O16-0314
Owner:
Property Address: 44645 SAFFRON CT
ROBERT EPSTEIN ,
APN: 604252029
44645 SAFFRON C --
-Application
Application Description: EPSTEIN / CHANGE OUT 1 SPLIT SYSTEM
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $9,800.00
Applicant:
Contractor:
J ANTHONY PLUMBING HEATING & AIR CONDITI
J ANTHONY PLUMBING HEATING & AIR CONDITI
72216 NORTH SHORE ST #1101
72216 NORTH SHORE ST ##101
THOUSAND PALMS, CA 92276
THOUSAND PALMS, CA 92276
(760)328-8096
-=---------=------------------------------------------=- '-----------------
Llc. No.: 777794
Detail: HVAC CHANGE OUT - 16SEER/78AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
1 1 INFORMATION
DESCRIPTION ACCOUNT -
CITY AMOUNT
BSAS SB1473 FEE 101-0000-20306
0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION.BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
DESCRIPTION
ACCOUNT
CITY
AMOUNT.
HVAC-CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
Total Paid for. CHANGEOUT: $108.78
DESCRIPTION
ACCOUNT
C:TY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$91.85
Ern #
City Of La Quinta.
Building 8i: 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: ZN6 YJ
._Owner's Name: Tob `�
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
Address: J ANTHONY SERVICES
Project Description:
` �c 6 1 STE101
•City; ST, Zip: THOUSAND PALMS CA 9227R
�J
Telephone7: 30 ,Z/24
e
cf �
State Lic. # :'7%77 9 City Lic.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
hone:
Construction TYP P Y• e: ccu anc •
O
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted'
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Floodplain 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 correctionstssue .
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 CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: EPSTEIN Date Prepared: 2016-08-18
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 MR -ALT -02 document for each dwelling unit.
01
Project Name
EPSTEIN
02
Date Prepared ..
2016-08-18
03
Project Location
44645 SAFFRON CT
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
EPSTEIN
07
Zip Code
92253
08
Dwelling Unit Conditioned
2000
d or^ca r',S
new�SC
"
en z p
Installing
� - w
Installing
�•
Installing
Floor Area (ft2)
Identification or
Location or Area
by this SC
ducted
e
containing
Number of space conditioning
,,.''
more than 40
09
Climate Zone
15
10
(SC) systems in this dwelling
1
system?
component?
components?
feet of duds?
unit.
SC system?
"rvm N.T1"i.'Y�' 10L'ii. ""�d�'P� +1:'+.ft.
B. Space Conditioning (SC) System Information:
01
02
03
0405`
+
. 06
07
08
09
10
�
�is the SC '
Installing a
SC System
SC System
CFA se rvedystem
�o
a� t
S
refngecantInstallirig
� r " 'L.
d or^ca r',S
new�SC
"
en z p
Installing
� - w
Installing
�•
Installing
Identification or
Location or Area
by this SC
ducted
e
containing
m
system
,,.''
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of duds?
duct system?
SC system?
Alteration Type
System 1
Location 1 .
2000 •
Yes
Yes
Yes
No
No .,
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater. Than 40 Feet (Section150.2(b)iDiib) `
This section does not apply to this project.
- Registration Number: 216-A0309018A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration-Date/Time: 2016-08,-18 10:01:08 HERS Provider: CalCERTS
Report Version: 2013 Rev 1.007 Report Generated: 2016-08-18 10:01:00
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFlR-ALT-02-E
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)
Heating
Cooling
System
Heating
Altered
Heating
minimum
Altered
Cooling
Minimum
Required
New or
Identification
�Ystem
Heating
Efficiency
Eff iclency
Cooling
Cooling
Efficiency
Efficiency
Thermostat
Replaced
New Duct.
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R -Value
System 1'
Central gas
Gas furnace
AFUE
78
Central split
Outdoor
condensing
SEER
16
Setback
Less than or
equal to 40
R-8
furnace
AHU
AC
unit
feet
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: RE. .
CF2R-MCH- . 20-H & CF3R-MCH-20-H - Duct Leakage testing.r*e q'uired when heating or cooling components are installed in clucted 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.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge "rification required when refrigerant containing components are installed or altered (applicable in CZ 2; 8-15).
-Duct systems registered with HERS provider as previously sealed are exemlpt'fi6m MCH -20 Duct Leakage Testing requirements.
do Air Flow MCH. -25,
OR
h not requir6'verificatibh'of -"23,-,b
Heating -only systems and Air Handler/Furnace c anges
5
-Existing duct s stems constructed, insulated or seale with asb*49icspre exem p'
E. Entirely.New or Complete Replatiem"ent DucVS, stem, withor without Equipment Chan".uq F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)k)
`
.
.
.
. .
^ . .
'
- '
. . .
,
'
Registration Number: uza+m»ooOz / nru,trationoate/nme: 2016-08-18 10:01:08
c^oui|dinosne�v8�denq/mondanb 2013 Residential nepn�ven�n:zo1»�nz�o7
`
Schema Version: o.esson '
^ '
` ~ `
�
`
� .
�
HERS Provider: ca|CcmS
Report 'Generated: zozoox-1x 10:01:00 �
'
CERTIFICATE OF COMPLIANCE CF1R-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.
5
Documentation Author Name:
Documentation Author Signature:
Robinson, Kevin
Company:
Signature Date:
J ANTHONY PLUMBING HEATING & AIR CONDITIONING
2016-08-18 10:01:08
Address:
CEA/ HERS Certification Identification,(if applicable):
72216 NORTH SHORE ST #101-
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-343-2121
Responsible Person's Declaiation statement:
I certify the following under penalty of perjury, under theliws'of the State of California:
1. The information provided on this Certifcateof Compliance. is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept resporisibility 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 of system design identified on this. Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part6, of the Cahfdrnia'Code of Regulations s
ti
;
compliance
4: The building design features or system design.featured identified o his Certificate of Compliance arePcon7�si",s2telhtwMith,theinformatibn,pr ovided on other applicabledocuments, worksheets,
calculations, plans and specifications submitted to the enforcements "agency forapprovalWith this building permit ap lication.
5. I will ensure that a registered copy of this Certificaieof Compliances all;be made`availableTw thsth'e bu Iding<permit(�5) issued for=.theibuildrig, andinaiie ava{Iable�to the enforcement agency for all applicable
inspections. I understand that a registered copy of thOCe�ficate of Compliancesls,;,require l to be,included.wit�h the documentation the builder provides to,the budding owner at occupancy.
Responsible Designer Name: @ t�» . a
P g g
Respons Designer Si naf'ure:,(�
Robinson, Kevin
Company:
Date Signed: ,
J ANTHONY PLUMBING HEATING & AIR CONDITIONING
2016-08-18 10:01:08
Address:
License:
72216 NORTH -SHORE ST #101
777794
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276•
760-343-2121
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: 216-A0309018A-000000000-0000 Registration Date/Time: 2016-08-18 10:01:08 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-18 10:01:00
Schema Version: 0.555SDD