BMCH2014-1100'TR
78-495.CALLE TAMVICO
LA QUINTA, CALIFORNIA,92253
Application Number-: BMCH2O14-1100
Property,Address:
52470 DEL GATO•DR
APN:
770290001.
Application Description;
HVAC'CHANGE OUT
PropertyZoning:
Application Valuation:
$7,500:00
Applicant:
PRIORITY ONE AIR CONDITIONING
P0BOX 1681
PALM DESERT, CA 92261
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'SDECLARATION
SEP 3 0 2014
CITY OF LA Q&JNTA
!DEVEWPMENTDEPARTMENT
fherebyaffirm under penalty of,perjury that I am,licensed under provisions of Chapter
91commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License' is in fulfforce and effect.
License Class: C_20 License No.: 752180 n
Date: Contractor:
OWNER -BUILDER DECLARATION
I herebyaffirm.underpenalty of'perjury that 1 am exempt from,the Contractor's' State
License Law for the4ollowing reason (Sec..7031.5, Business and Professions Code: Any
city: or'county that,requires a permit to construct,'after, improve, demolish, orrepair
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'sState License Law (Chapter 9 (commencing,with;Section 7000) of Division_
of the Business and Professions Code) or that,he or she is exempt therefrom and the
Oasis forthe,alleged exemption. Any violation of Section 70315byany applicant fora
permit subjects the applicant,to a'civil penalty of not more ihanfive hundred dollars
($500b:
(__) I,,as owner of the property, or myemployees'with.wages astheir 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 of improves thereon, and who does the work
himself or herself through his or own employees, provided that the improvements
are not intended oroffered for sale: If; however, the building or,improvement'is sold
within one year of completion, the owner -builder will havethe burden of proving, that
he or she.did not.build orimprove for the purpose of sale.).
(_) 7, as owner of the property, am exclusively contractingwith 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 Contractors' State Licenseaaw:).
(_�.[am exempt; under Set._, B.&P.C. forthis
Date: Owner: -
CONSTRUCTION LENDING'AGENCY
I hereby affirm;underpenaityof perjury that there isa construction lending agency for
the performance of the work for which this permit is issued L(Sec.:3097, Civ. C.).
Lender's Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/30/2014
Owner:
JAY.SHULMAN
Contractor:
PRIORITY ONE AIR CONDITIONING
P0BOX 1681
PALM DESERT, CA 92261
(760)773-0811
Llc. No.: 752180
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.
1 have and will maintain workers' compensation insurance,_asrequired by
Section 3700 of the Labor Code, for the performance ofthe,work for which this permit
is issued. My -workers' compensation insurance carrier and,policy number are:
Carrier:- Policy Number:
1 certify that in.the performance of the work`for which this-permitis issued, I
shall`not employ any person' in any manner .so -at to. become subject to the workers'
compensation lawsof California, and agree that, if [should become:subjectto the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with•those provisions.
Date;w b' AApplicant:
WARNINGS FAILURE`TO SECURE WORKERS' COMPENSATION'C V GE IS WFUL,
AND.SHALL SUBJECT'AN EMPLOYER TO. CRIMINAL PENALTIES'A D IVIL FINES UI TO
ONE, HUNDRED THOUSANDDOLLAR&($100;000). IN.ADDITION O ECOST OF
COMPENSATION, DAMAGES AS PROVIDED FOK IN SECTION3706 F HELABOR 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.ii made; eachperson at whose
request and.for whose benefit workis 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 Cityof La Quinta, its officers, agents, and
employees for any actor omission, related,to.the work being performed. under, or
following issuance of this permit.
.2. Any permit issued as a result.of this, application;becomesnull and void if work is
not commenced within 1W days from date of issuance'of such permit, orcessation:of
work for 180.days will subject permit to cancellation.,
I certify that.l have readthis 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.herebyauthorize representatives of this city to enter gBOn the above-
mentioned property for inspection'purposes.
Date:G�- b' 14 Signature (Applicant orAgei
CERTIFICATE OF COMPLIANCE CFI1t-ALT-02-E
Alterations to Space Conditioning Systems .(formerly.CF-1R-ALT HVAC)(Page:1 of4)
Project Name: Jay,Shulman Date: Prepared: 2014409-24
A. General information
CFIR=ALT-02 is applicable to multiple space conditioning systems contained withima single dwelling unit. When multiple dwelling units:must be
documented,, use one'"CFIR-ALT.02'document for each dwelling unit.
01
Project Name
Jay Shulman
02
Date Prepared
2014=09=24
03
Project location
52470 Del Gato
04
Building Type.
Single family
0s"
CA City
LaQuinta
06
Dwelling Unit, Name
Jay Shulman
07
Zip Code
92253
08
Dwelling Unit Conditioned
1600
Locationor Area - by;thiaSC ;
ducted
containing
system more than 40
Floor Area (ft2)
errtirely new
Name
Served System (42),
system?
Number of space conditioning,
components? .feet of ducts?
09
ClimateZone
15
10
(SC)-systenls,inthis dwelling
1
Yes
yes
-
No
unit:
Altered,space
:�
.. i -:- 1011
B..Space Conditioning (SC) Syste im,ikn ._
.
01
02 0
�_ OTS': ,•
09
SO
In 0,. nga
SCSystem
FA
SC. System Cseryed
system,a:n:frfgerant.
.
Installing: new SC Installing
i Installing
Installing
Identification or
Locationor Area - by;thiaSC ;
ducted
containing
system more than 40
lentire-ly new
errtirely new
Name
Served System (42),
system?
component?
components? .feet of ducts?
ductsystem?
SC system?
Alteration Type
FSystem 1
whole home 1600
yes
Yes
yes
No
No
No
Altered,space
conditioningsystem
CuXxtensionof Existing Duct System, Greater Than 40 'Feet (Section15D.2(b)1Diib)
This section does not"apply to.thisproject..
Registration Number: 214-A0100937A-000000000-0000 Registration Datef ime: 2014-09.2416:29:12; HERS'Provider "CaICERTS'
CA Building Energy Efficiency. Standards - 20131 Residential Compliance Report Version: 2014-0331 Report Generate_ d_ : 2.014-09-24 16:29:31"
Schema.Version:.0.5515DD
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations.to Space Conditioning Systems (formerly CF-iR-ALT HVAC): (Page 2 of 4 )
D.• Altered,Space:Conditioning System (Sections 150.2(b)1E and F)
01
02
03.
04
05-
06 1
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
Centrai'split
Ali new
This field'or
This field or
System 1
furnace
heating
AFUE
0.78
AC
cooling
SEER
16
Setback
section is not
sedion'is'not
components
components
applicable,
applicable
Reaulred Documentation:.
CF2R-MCH-01-E -.Space Conditioning systems Ducts and Fans
-Duct insulation requirement for new plenums: R6._
MR -MCH -20-1-1 &'CF3R-MCH-20-H-- Duct leakage testing required when heating or cooling components arc instafledLin ducted systems, or when more than 40 ft of duct length Isreplaced.
-leakage{ate compliance: S IS%, or s 10% leakage to outside,or seal all acces;lble, leaks.
CF211-10CH-25-1-1'& CF3R-MCH-75-H Refrigerant Ctiaige.Varlflotion requlmd when refrigerant containing components are installed or alterediapplimble In CZ 2, &15);
CF2RCF3R-MCH-23&CF3R-MCH-23'Air Flow2300CFM/ton: ui.m when MCH25 aired. -y,
Exceptions:
Duct systems registered with HERS provider as prevqusty sealedreoempt�irom,Alit:H 2ODuct lrakagegTesting tequl�rements.
=Heating -only systems and Air Handler/Fumace changes do not require veNft� nbf Air Flow MCN 23 or Refri�tant harge MECH-25:.
-Existing duct systems constricted, insulated oraeafed.witli.asf "°are exemptdrom MCH -20 Oust leakage Testing Rquiremertty,
E. Entirely New or Complete Replacement Duct System, Witt, or without Equipment Change out, (Sections 150.2(b)1Dlia and 156:2(b)1E, F)
This section does not apply to this, project.
Registration Number:214-,A010D937A-000000000-0000 Registration Datefrime: 2014-09-2416129:12 HERS;Provider::CalCERTS
CA Building Energy Efficiency Standards- 2013 Residential Compliance Report Version:2014.03-31 Report Generated: 2014-09-24 16:2931
Schema Version: 0.SSISDD
CERTIFICATE OF COMPLIANCE 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' (Sectioa1S0.2(b)1'C)
Thissection does,not,appiyto"this project.
Registration 'Number.214-A0100937A-000000000-0000, 'Registration Date/nme: 2014-09.2416:29:72 HERS Provider::CaICERTS
CA BuildingEnergy Efficiency Standards -.2013 Residential Compliance Report Version: 2014-03-31. Report Generated: 2014-09-24 16:29:31
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE CUR -ALT -02-E,
Alterations to -Space Conditioning Systems (formerly CF -111 -ALT -HVAC), (Page 4,of 4 )
Documentation. Author's Declaration Statement
1.;1 certify that this Certificate of Compliance:documentation is accurate, and complete.
Documentation Author Name: -
Documentation Author Signature:
Meghnagi;,Roy
�BOy
Company:
Sigoatuie Date:
PRIORITY70NE AIR CONDITIONING AND, HEATING CO
2014-09-24 16:29:12
Address:
CEA/ HERS Certification IdentHlration (if applicable):
P'0 BOX 1681
CKVAtate/Zip: -
Phone;
PALM DESERT CA 92261
(760) 773-0811
Responsible Person's Declaration.statement
'.I certifythe following under penalty of perjury, under the laws of,,the`State o(C-allfornia:
1. The information provided"on this;Certtriate of Compliance is true'and correct.
2. 1 am eligible under Division 3 of 11 the ausinessandSrofesslons rade fo accept rensi�llty for the'bui design,tfr sysre�dasign Identifleci an this Cerufiate of. Compliance'(responsible designer).
spec 'f - �nen�antl �ffw
3. That tiie'energy features and performaari& tions, mateciR rigahufactured d t�i'e` bu _da_ lon orsystein design Identified on this Certtflate:of Compliance conform to the
requirements of Title 24 Part1 and fR�fi of the Ca11fo�12jyCodeaff lotions �,p. -
,
with riformat _ ided on other ap Ilcable compliance doairnents, worksheets,
4: The building design features or systam design natures Id ntlfle orP - CertlhaU o plbnce hdl
• ralnilations; plani andspecHltitio'usubmitteo,
ncy for dPPr wnlith�is nPiIwillensure
eenforceine
11 bemade el th;"i rt�wed:fo bull hd lg$via la6le to the enforcement agency for all appliable
that aeglstred cupyofihk Ce[`ifuate of-GoniplrYce �ie With _ ng nia
inspections: I understand that a registered M, of ails Certifiate of_Compllance reu quired to be`tricluded wiWthe doaimentaia the bu`lder provides to the building owner at occupancy..
Responsible Designer Name:
Respon ble Designer 4gnature:'.
Meghnagi, Roy
company:
Date Signed: '
PRIORITY ONE AIR CONDITIONING AND HEATING CO
2014-09-24 16:29:12
Address:
License:
P O•BOX 1681
.752180
City/SUte/Zlp:,
Phone:
PALM DESERT CA 92261
(760) 773-0811
Digitally signed by Ca/CEATS This digital signature is provided in order to seeure the content of this registered document and in noway implies Registration Provider, responsibility for the accuracy of the
inhormadoh.
Registration Number: 214-A0100937A-000000000-0000 RegistrationDatgMrpe: 2014.09-2416:24:12 HERS Provider: CaICERiS
CA Wilding Energy Efficiency Standards.. 2013 Residential Compliance, Report Version: 2014-03-31 Report Generated: 2014409-24 16:29:31
Schema Version:0.551SDD -
u '4
Bin # City Of La, Quin:ta
Building BT SafetyDivision
Permit !# P.O.. Box 1,504,, 78-496 Calle Tampico .
La Quinta, CA 92253'- (760) 777-7012-
77-7012Building Permit Application and Tracking Sheet
Building
project Address: SD -1, t�' E L �j.p j Q Owner's:Name:Ur^,V-N
.A. P: Number:
Address• o
LcgaTDcscxiptitin:
City, S.T, Zip: L G C t
Contractor: �� 7l, t
�;1`
Telephone:
:. .
Address: 9,-p (60k 841
'Project,Description:
City, ST,.Zip: (iD.
t o
nvA
Telephone: —jW -n' .- 6 b ))
State,Lic: # : 1 1:� i `$ �D
CityLic. #;
Arch., Engn, Designer
Address:
:�ity, ST, Zip:
Celephone;
�, l
:;��.«w:� '.... >=:.
Construction Type: Occupancy:
hate Lic. #: _:
Pro's, (circle one New Add'n, Alta Repair Demo
J type( )
lame of Contact Person:
Sq.;Ft :
#Stories:
#Units
`clephone l of Contact Person:
Estimated Valuaof.Project:
APPLICANT: 00 NOT WIi1TE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACENG
PERMIT FEES.
PIan.Sets
Plan Check' submitted
Item
Amount
Structural. Calc;:
Reviewed, ready for correction;
Plan Check -Deposit
Truss Cates.
Called Contact Person
Plan Check Balance •
Title 24 Cala.
Plans pichtd up
Constriction "
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'',Rev1cw, ready for eorrectioas/issueI
Electrical,
Subcontactor list
Called Contact Person
PlumbIng•.
Grant Decd
Plans:picked:up
H.OA Approval
Plans resubmitted
Grading'
IN HOUSE:-
'`' Review, ready, for correctionsliissue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Datc,ofpermit issue
Schod Fees
Total, Permit Fees
:1
Description: HVAC CHANGE OUT
Type:: MECHANICAL Subtype: Status:. SUBMITTED Applied: 9/30/2014 MFA
Parcel No: 770290001. Site Address: 52470 DEL GATO DR LA QUINTA,CA 92253* Approved:
Subdivision: TR 28470-2 Block: Lot:1 Issued:
Lot.Sq F -t:0 Building Sq,Ft: 0 toning: Finaled:
Valuation. -$7,500.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No..Unites: 0
Details: HVAC: CHANGE OUT -16SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Printed: Tuesday, September 30, 20143:44:19 PM 1 of 2 _„_
PARENT PROJECTS .
M
.y
3
Y
Printed: Tuesday, September 30, 2014'3:44:19- PM 2 of.2