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BMCH2015-0267r 78-495 CALLE TAMPICO D � � VOICE (760) 777-7125 ISA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/13/2015 Application Number: BMCH2O15-0267 Owner: Property Address: 54105 AVENIDA JUAREZ STEVE FRASCA APN: 774193017 54105 AVE JUAREZ Application Description: FRASCA RESIDENCE HVAC CHANGE OUT LA QUINTA, CA 92253 Property Zoning: Application Valuation: $7,100.00 n Applicant: FIRST CHOICE A/C & HEATING INC 79747 CASSIA ST LA QUINTA, CA 92253 paUN OE PA1t1ENT COMMO� NiEVELOPME LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. license Class: /_�. License No.::LIC-0109319 Date: �'' /J ��/ Contractor: 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 L 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).: . (_) 1, 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 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 Na Lender's Contractor: FIRST CHOICE A/C & HEATING INC 79747 CASSIA ST LA QUINTA, CA 92253 (760)989-2370 LIC. No.: :LIC -0109319 • 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: 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: O i�s 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 city to enter upon the above- mentioned property for inspection purposes. Date: 011 Signature (Applicant or Agent): DESCRIPTION : FINANCIAL INFORMATION ACCOUNT CITY AMOUNT PAID PARD DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $72.52 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forCHANGEOUT: $108.78 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forPERMIT ISSUANCE: $91.85 $0.00 TOTALS:00 Description: FRASCA RESIDENCE HVAC CHANGE OUT Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 7/13/2015 EVA Approved: Parcel No: 774193017 Site Address: 54105 AVENIDA JUAREZ LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 257 Lot: 5 Issued: UNIT 24 Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $7,100.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT - 14.5 SEER / 8.5 AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES ADDITIONAL SITES CHRONOLOGY CONDITIONS DESCRIPTION I ACCOUNTI QTY I AMOUNT I PAID I PAID DATE I RECEIPT # I CHECK # I METHOD I PAID BY I CTD BY BSAS SB1473 FEE 1 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 Printed: Monday, July 13, 2015 11:49:01 AM 1 of 2 CTI SYSTEMS INSPECTIONS SE ID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES MECHANICAL FINAL" BLD CLTD DESCRIPTION ACCOUNT QTY : AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY 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 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:r r rr INSPECTIONS SE ID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES MECHANICAL FINAL" BLD PARENT PROJECTS Printed: Monday, July 13, 2015 11:49:01 AM 2 of 2 C§? SYS7C•N1S Bin # % City of La Quinta 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: ! - V ; • -4-u 2• Owner's Name: A. P. Number: Address: �� , 105F. f14 Legal Description: City, ST, Zip: Lt` I Ari e.:A 4 Contractor: o. 120 t A Telephone:h -� - Address: 7Z� .�j C� S��✓llj Project Description: Pro tion: �- •., e f yA City, ST, Zip:44 ele h - Telephone: P IfoO State Lie. # 3 6 31.3F3City Lie. Arch., Engr., Designer: Address: City., ST, Zip: Telephone: hone: Construction T e: ccu Type: Occupancy: P Y• State Lc #. Lie. • Project 'e tYPa (circle e cir one • New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: P Estimated Value of Project: J%t;�.t� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd 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 Flood plain plan Plans resubmitted Mechanical Grading plan god 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. 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 -1R -ALT -HVAC) (Page 1 of 3 ) Project Name: Frasca I Date Prepared: 2015-07-13 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 CRR -ALT -02 document for each dwelling unit. 01 Project Name Frasca 02 Date Prepared 2015-07-13 03 Project Location 54105 Ave Juarez 04 Building Type Single family 05 CA City. La Quinta 06 Dwelling Unit Name Frasca 07 Zip Code 92253 08 Dwelling Unit Conditioned 1400 Floor Area (ft2) SC System SC System CFA served systema refrigeYa�t Number of space conditioning nstallwng 09 Climate Zone 15 10 (SC) systems in this dwelling 1 ducted containing system more than 40 unit. entirely new B. Space Conditioning (SC) System Information e c—ems. 01 . 02 `°.�. 03 0% 01 0$ {fir 09 !. 4Is the SC Installing a SC System SC System CFA served systema refrigeYa�t Installing,n 5C nstallwng 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 System 1 Home 1400 Yes Yes Yes No No No Altered space conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib) This section does not apply to this project. Registration Number: 215-A0191006A-000000000-0000 Registration Date/Time: 2015-07-13 10:57:22 HERS Provider: CalCERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-13 10:58:08 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF1R-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)1E 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 split Central split All new Less than or System 1 Fancoil AHU HSPF 8.5 cooling SEER 14.5 Setback equal to 40 R-8 HP AC components feet 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 2-.300 CFM/ton required when MCH -25 is required. Exceptions: Duct systems registered with HERS provider as previously sealed are exempt from'M�CH--20 Duct Leraakage T" Te g ce merits. 1 l CZ!,'0:t Heating -only systems and Air Handler/Furnace changes do not require verification of Air Flo iv1CH-23; or RefrigerantCha " Existing duct systems constructed, insulated or sealed with asbestos are exemptfrom MCH -20 Ouet;leakage Testing requi yements. .1" *� , .: ._ E. Entirely New or Complete Replacement Duct System, with or WithouvEquipment Changeout {Sections 150.2(b)1Diia. and150.2(b)lE, F) 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: 215-A0191006A-000000000-0000 Registration Date/Time: 2015-07-13 10:57:22 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-13 10:58:08 Schema Version: 0.5555DD .o CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -1R -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: Both, Atila.titaot� Company: Signature Date: FIRST CHOICE A / C & HEATING INC 2015-07-13 10:57:22. Address: CEA/ HERS Certification Identification (if applicable): 79-747 CASSIA STREET City/State/Zip: Phone: LA QUINTA CA 92253 (760) 989-2369 Responsible Person's Declaration statement I 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 3 of the73usiness and Professions Code to accept responsibility 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 for the building design or system design identified on this Certificate of Compliance conform to the qdevices requirements of Title 24, Part 1 and Part 6 of the California Code of g latlon.� s**, loom/04hance 4. The building design features or system design features identified on this Certificate.of are consisten with the informatio*n�.ptrovided on"otheSFr-apphcati'le compliance documents, worksheets, calculations, plans and specifications submitted to the `itforcement.agency for;approveliwith this building permit application. 10 5. I will ensure that a registered copy of this Certificate ofCompliance shall':be made;aVailable with_the buildin. g permit(s);issued for<the-build ng, and made avail'able.to the enforcement agency for all applicable inspections. I understand that a registered copy of this Cert)ficate of Comphance is,requiired to be- eluded with the_dokcumentationthe builder provides to the building owner at occupancy. Responsible Designer Name: ' T -» Responsible Designer Signature: V Both Both, Atila v�tila Company: " _ FIRST CHOICE A /'C,9..,. HEATING INC " `'� ,• ::;.•• . Date Sig*d: iQ01-07-13 10`5722 Address: License: 79-747 CASSIA STREET 968138 City/State/Zip: Phone: LA QUINTA CA 92253 1(760) 989-2369 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. Registration Number: 215-A0191006A-000000000-0000 Registration Date/Time: 2015-07-13 10:57:22 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-13 10:58:08 Schema Version: 0.555SDD ru9W1211 CERTIFIED& org Certificate of Product Ratings AHRI Certified Reference Number: 7995405 Date: 7/13/2015 Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source Outdoor Unit Model Number: GSZ140421K* Indoor Unit Model Number: CA*F4860*6D*+MBVC1600**-1A* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR Series name: GSZ14 Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO.,- LP. Rated as follows in accordance with AHRI Standard 210/240-2008 -for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: __ , _ __ _• _ r Cooling Capacity (Btuh): _ 40000 EER Rating (Cooling): 12.00 s ' t SEER Rating (Cooling). 14.50 `. Heating Capacity(Btuh) @ 47 F: 39000 Region IV HSPF Rating (Heating): 8.50 Heating Capacity(Btuh) @ 17 F: 23600 Ratings followed by an asterisk (`) indicate a voluntary rerate of previously published da`a, unless accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and AM confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disse.. nated; entered into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link wv make life better - and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which is listed at bottom right. ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130812836658125129 ;