BMCH2017-0253VOICE (760) 777-7125
78-495 CALLE TAMPICO Ct 0 U -`
LA QUINTA, CALIFORNIA 92253 � FAX (760) 777-7011
DESIGN & DEVELOPMENT DEP R ENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Application Number:
Property Address:
APN:
Date: 6/22/2017
BMCH2O17-0253 Owner:
44935 CALLE SANTA BARBARA /U/ PHN BRUNING
604392019 14 111
Application Description: BRUNING RESIDENCE/ HVAC CHANGE OUT
Property Zoning:
Application Valuation: $3,400.00
Applicant:
J ANTHONY PLUMBING HEATING & AIR CONDITI
72216 NORTH SHORE ST #101
THOUSAND PALMS, CA 92276
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.: 777 4
411P[tTate.�VS V-ontractor:
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 Name:
Lender's Address:
4WTA BARBA A
De JC C/ry LA Q9 %JeA 9 24S
NqN�
0D�44 QU/1yT
Contract�P���y�,
J ANTHONY PLUM IRIG HEATING & AIR CONDITI
72216 NORTH SHORE ST #101
THOUSAND PALMS, CA 92276
(760)328-8096
Llc. No.: 777794
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. .
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 WC0135300
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 700 of the Labor Code, I shall forthwith
comply w'th os p✓rfovisions.
l/L"
Bated / 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 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 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 ' y to enter upon the
above coned property for inspection purposes.
Dateg � Sig%&gj&pIicantAn
Application Number: BMCH2O17-0253
Property Address: 44935 CALLE SANTA BARBARA
APN: 604392019
Application Description: BRUNING RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation: $3,400.00
Applicant:
J ANTHONY PLUMBING HEATING & AIR CONDITI
72216 NORTH SHORE ST #101
THOUSAND PALMS, CA 92276
Date: 6/22/2017
Owner:
JOHN BRUNING
44935 SANTA BARBARA
LA QUINTA, CA 92253
Contractor:
J ANTHONY PLUMBING HEATING & AIR CONDIT[
72216 NORTH SHORE ST #101
THOUSAND PALMS, CA 92276
(760)328-8096
Llc. No.: 777794
---------------------------------------------------------------------------------------------
Detail: CONDENSER CHANGE OUT - 14 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION,. 2016
CALIFORNIA BUILDING CODES.
J
DESCRIPTIONACCOUNT
: "'QTY A
AMOUNT
BSAS SB1473 FEE
101-0000-20306 0
$1.00
f .
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION.;.
ACCOUNT. +
QTY
AMOUNT
CONDENSER/COMPRESSOR
101-0000-42402.
0
$38.00
DESCRIPTION •
ACCOUNTY
QTY
AMOUNT
CONDENSER/COMPRESSOR PC ,
101-0000-42600'
0. '
$25.33
Total PI'MECHANICAL:
$63.33
DESCRIPTION '
ACCOUNTQTY
AMOUNT
PERMIT ISSUANCE
: 101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE:
$96.27
DESCRIPTION' '
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611 s0
$5.00•
Total Paid forjk!-INOLOGY ENHANCEMENT FEE:
$5.00,
Bin # .
Permit u
PPoject Address: Y3 � Ci �
..City of La Quiata
Building a Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking.'Sheet
i� Owner's 4
A- P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Address:. J:ANTHONY SERVICES
'h1%N9RRfSHM.5_ ST STE 101
.T eleP ti ne:
Project Description:
City, ST, Zip: THOUSAND PALMS; CA 92276
P
TO
Telephone:
_
State Lic. # : *1 1-%ei
Arch.,'Engr., Designer:
Address:
City, ST, Zip:
Telephone:
h one:
cY:
Type: Occupancy:
` Construction.TYP
State ,- Lic. �.
Project -type circle'o'ne New Add Alter Repair. Demo
0
Name of Contact Person: 0,) .
4 Ft-:
# Stories:
# Units:
Telephone # of Contact Person: 7tQQ 34P3 U{
Estimated Value of Project:
APPLICANT: 00. NOT WRITE: BELOW THM.LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs...
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24 Calcs-
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrcclions/issueElectrical
Subcontactor List, .
Called ContactPcrson
Plumbing
Gran( Deed
Plans picked up
S.M.I:
II.O.A. Approval
.Plans resubmitted
Grading.
IN HOUSE:-
3,J'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,
. To taI Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC)
Project Name:
BRUNING I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3)
2017-06-22
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
BRUNING
02
Date Prepared
2017-06-22
03
Project Location
44935 CALLE SANTA BARBARA
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
BRUNING
Dwelling Unit Conditioned
07
Zip Code
92253 :« ,,
08
Floor Area (ft2)
1600
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
=s:
Installing
Number of Space
Identification or,
09
Climate Zone _;
15 . :: -
30
Conditioning (SC) Systems in
1
entirely new
entirely new
x
Name
this Dwelling Unit:
System .(ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
:A
B. Space Conditioning (SC) System Information''11 K.
01
02
r-' 03
.N:'
04
05
Sv"0. 4r'AF?°il'-`4 i Nw. 'w
06
'avrc'as.yy+
07
. v� R .{p1.
08
!9ftgisa�° 4.0.
09
10
_
Is the SCS ;
In talling{a J
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
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
Altered space
System 1.
Location 1
1600
Yes
Yes
Yes
No
No
No
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: 217-A020212689A-000-000-0000000-0000 Registration Date/Time: 2017-06-22 10:13:50 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-22 10:13:40
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3)
D. Altered Space Conditioning System (Sections 1S0.2(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
Outdoor
This field or
This field or
System 1
Central gas
TXV or EXV
AFUE
81
Central split
condensing
SEER
14
Setback
section' is not
section is not
furnace
AC
unit.
applicable
applicable
Required Documentations
CFAWCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supplyair and return -air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage.Test 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: <= 15% or <=10% leakage to outsidep,or seal all accessible leaks.
w'
CF2R and CHR -MCH -25=H Refrigerant Charge verificatioN,requ`.ired'when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate > 300 CFM per ton!regiured whernMCH-25;is required
Exceptions:
Y Y L .,
Duct systems registered with HERS provider as previously sealed are.exempt fr MGH -20 Duct Leakage esxtinng requirements.
�z
Heating -only systems and Air Handler Furnace changes do not require Gerification'of�F Flow MCh23 for Refrigerant Cfia a MGH 25
r :r
-Existing duct systems constructed, insulated or sealed with asbestosare exempf from MCI ZO Duct Leakage Testnhgegwepimer
"'I., • —%% ' AA L - 1 -- 3% sad; ._�4�. �.'W"� 'rz
.'°": -kk:3. r43'i�
E. Entirely New or Complete Replacement Dem, stem, with or without Equipment Chingeout.(Sections 150 2(b)iDna'and 150.2(b)1E, F)
..
s.
This section does not apply, to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150:2(b)iC)
This section does not apply to this project.
Registration Number: 217-A020212689A-000-000-0000000-0000 Registration Date/Time: 2017-06-22 10;13:50 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-22 10:13:40
Schema Version: rev 10/16
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.
Documentation Author Name:
Documentation Author Signature:
Robinson; Kevin
,(J
' `�Z*V �
Company: -
.Signature Date:
1 ANTHONY PLUMBING HEATING & AIR CONDITIONING
2017-06-22 10:13:50.
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. Declaration statementA-
I certify the following under penalty of perjury, under the lawsjo f the. State of California:
1. The information provided on this Certifiicatte oaf Compliance &true and correct
2. 1 am eligible under Division 3 of the Business and•Professions Codeto accept.responsibIility for the building design or system design Identified -on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications matenals` components, and, manufactured devices for the buildrn desigrror system design identified on this Certificate of Compliance conform to the
t
PQ i
requirements of Title 24, Part 1 and of the California`Code of,Regu�'aiions. J E
ate oFnpliance documents,
4. The building design features or systemdesign features identified on^t its Certi cf of C }mpliance are c�onii�stentwrt the f ormat on provided on other appiicab e(� worksheets,
calculations, plans and specifications submittedao the.'nforcemen�agency f r a pfaviil•wit thisbuiltling permit ap lication.
�.
- s i
5. 1 will ensure that a registered copy of tFiisfiC4 ificate of Compliance shall fieFinade available v�rth the buitding petmit Bissued for iherbuild�ng an1inade availablettaythe evforcementagency for all applicable
a z .r A
inspections. ) understand that a registered copy of. this ficate of Compigance I&eequrredto induded w ii h the jocumentation he buildecpxrovades torthe building owner at occupancy.
Responsible Designer Name: � �
Res on1Wi Desi Fier Sin •-
pg -g attire:,(
Robinson, Kevin
Company:
Date Signed:
1'ANTHONY PLUMBING HEATING & AIR CONDITIONING
2029 7-06-22 -10:13-50 .
Address:
License:
72216 NORTH SHORE ST #101
777794
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-34372121
Easy to Verify
at CaICERTS.com
c,
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility f
the accuracy of the inform
Registration Number: 217-A020212689A-000-000-0000000-0000 Registration Date/Time: 2017-06-22 10:13:50 HERS Provider: CaICERTS
CA Building Energy Efficiency. Standards - 2016 Residential Compliance Report Version: 2016.1.005. Report Generated: 2017-06-22 10:13:40
Schema Version: rev 10/16