BMCH2016-029578-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O16-0295
Property Address:
54145 AVENIDA JUAREZ
APN: " .
774193019
Application Description:
HATCH RESIDENCE / HVAC
Property Zoning:
Application Valuation:
$4,500.00,
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
T4ty,, .4 4a Q9&&
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
pUG p 9 N16 �_,
CIT( Lp QUL TA
CDM!MUN11Y DEV.r-
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.: 827420
`Date: g G L Contractor:�,�r� _
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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/9/2016
Owner:
MASCHA HATCH
54145 AVENIDA JUAREZ
LA QUINTA, CA 92253
Contractor:
ALL SEASONS AIR CONDITIONING PLUMBING &
73605 DINAH SHORE DR STE 1310M
PALM DESERT, CA 92211
(760)568-2663
Llc. No.: 827420
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 ork 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: SECURITY NATIONAL INSURANCE COMPANY Policy Number:
SWC1104544
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: ZI 'A I I Lo 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: g G )l. -Signature (Applicant orAgent) : ��—
Date: 8/9/2016
Application Number: BMCH2O16-0295
Owner:
Property Address: 54145 AVENIDA JUAREZ
MASCHA HATCH
APN: 774193019
54145 AVENIDAJUAREZ
Application Description: HATCH RESIDENCE / HVAC
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $4,500.00
Applicant:
Contractor:
IE INC .
ALL SEASONS AIR CONDITIONING PLUMBING &
31225 LA BAYA
73605 DINAH SHORE DR STE 1310M
WESTLAKE.VILLAGE, CA 91362
PALM DESERT, CA 92211
(760)568-2663
--------------------------------- --------------- ------------------------------------------------
Llc. No.: 827420
.Detailz.INSTAU., NFW HF.AT.PUMP - 14 SEER/.80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED9RIOR TO FINAL
INSPECTION. PER 2013 CALIFORNIA BUILDING CODES.
! .•.
FINANCIAL
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00.
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT- OTHER EQUIPMENT
101-0000-42402
0
$36.26
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - OTHER EQUIPMENT PC
101-0000-42600
0
$36.26
Total Paid for CHANGEOUT: $72.52
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
-$91-.85
Total.Paed.for PERMIT ISSUANCE:. .$91.85
0
Bin. #
Qty. Of La Quinta
�/ p P.Building 8t' Safety bivW6n
li `� O. Box 1504,78-495 Calle Tampico
14.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet .
Permit # %
I �O
G
Project Address: 54145 Avenida Juarei
Owner's Name:. Mascha Hatch
A. P. Number.
Address: 54145 Avenida Juarez
Legal Description:
•Contractor. All Seasons A/C, Plumbing Heating �
City, ST, Zip: La Quinta, CA 92253
Telephone:
Address: 73605 Dinah Shore Drive #1310M '
Project Description: Install New 4ton;Heat Pump
City, ST, Zip: Palm Desert, CA 92211
Telephone: 760-568-2663
State Lic. # : 827420
City Lie. #;
Arch, Engr., Designer
Address:
City., ST, Zip:
Telephone: 1. `�,.
State Lia #: wl ~
.r
Construction Type: Occupancy
Pro'ect3%5
1 t3Pa circle one)New Add'n Alter Repair Demo
Sq. Ft : # Stories: # Utdt,s:
Name of Contact Person: Steven Schnierer
Telephone # of Contact Person: 818-7'3577876
Estimated Value of Project: $4,500.00
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACICllrIG
PERMIT FEES
Plan Sets
Plan Checksabmitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Cheek Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
M6eh21ilca1
Grading plan
2't Review, ready for correetionsrtme
Electrical
Subcontaetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'^' Review; ready for correetionsfissue
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: Mascha Hatch Date Prepared: 2016-08-08
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 CF111-ALT-02 document for each dwelling unit.
01
Project Name
Mascha Hatch
02
Date Prepared
2016-08-08
03
Project Location
54145 Avenida Juarez
04
Building Type
Single family
05
CA City
La Quinta
.06
Dwelling Unit Name
HOUSE
07
Zip Code
92253
6.08
Dwelling Unit Conditioned
1434
Installing
Installing
r
Floor Area (ft2)
Location or Area
09
Climate Zone
15
'e, W�'sVstem',gr"L)
Number of space conditioning
in dwelling
entirely new
entirely new
)
r–, ..,C-
10:'
(SC) systems this
1
component?
components?
feet of ducts?
unit.
Alteration Type
B. Space Conditioning (SC) System Information
01
02
03
04 hpt4
n n 05 r.—
Ir,— 06;-
07
OS
09
30
Is the SCS
Ilnstallirig a
L611 l'114
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ducted Inn
0(containing°V
'e, W�'sVstem',gr"L)
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
Entirely new or
SYSTEM 1
WHOLE HOUSE
1434
Yes
Yes
Yes
Yes
Yes
Yes
- complete
replacement space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 416-A0002509A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
r
Registration Date/Time: 2016-08-08 17:16:42 HERS Provider: CHEERS
Report Version: 2013 Rev 1.007 Report Generated: 2016-08-08 17:16:45
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)lE and F)
This section does not apply to this project.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC)
01
02
03
.04
p5;;('a
__06
07
08
09
10
11
Heating r
Cooling
System
Heating
Minimum"'
Cooling
Minimum
Required'
Identification or
Heating System
Altered Heating
Efficiency
Efficiency
Cooling
Altered Cooling
Efficiency
Efficiency
Thermostat-
New Duct'
Name
Type
Component
Type
Value-,,,
System Type
Component
Type
Value
Type
R -Value
SYSTEM 1
Central split HP
All new heating
AFUE
0.80
' Central split
All new cooling
SEER
14.00
SetbackTher
R-8
components
AC
components
mostat
Required Documentation:
CF2R-MCH-01-E -Space Conditioning Systems Ducts and Fans C H LL7- L11;; IR
-Duct insulation requirement for new plenums: R6.
CF2R & CF3R-MCH-20-H Duct Leakage Verification required.
-Leakage rate compliance:15 6%.
CF2R & CF311-MCH-22 Fan Efficacy Verification
CF2R & CF3R-MCH-23 System Air Flow Rate Verification
-Compliance: Fan Efficacy 5 0.58 W/cfm and System Airflow 2 350 cfm/ton.
- Alternative Compliance: CF2R & CF3R-MCH-28 Return Duct Design Verification is an'alternative to MCH -22 and MCH -23 verification.
CF2R & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
Exceptions:
Heating -only systems are exempt from the 0.58 W/cfm and 350 cfm/ton requirements.
Note*
An "entirely new or replacement duct system" means at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the dwelling unit's existing duct system (e.g.,
registers, grilles, boots, air handler, coil, plenums, duct material) if the reused parts are accessible and can be sealed to prevent leakage
Registration Number: 416-A0002509A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-08-08 17:16:42 HERS Provider: CHEERS
Report Version: 2013 Rev 1.007 Report Generated: 2016-08-08 17:16:45
Schema Version: 0.555SDD
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:
David Beale
17GW%G�T3P.AiPi
Company:
Signature Date:.
All Seasons Air Conditioning Plumbing & Heating, Inc.
2016-08-08 -
Address:
CEA/ HERS Certification Identification (if applicable):
73605 Dinah Drive #1310M
City/State/Zip:
Phone:
Palm Desert CA 92211
760.568-2663
Responsible Person's Declaration statement ``,r!'` _j
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 the Business and Professions Code to accept res onsibilYfor thebuildingdesign 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 or system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part 6 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.
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 for all applicable
-agency
inspections. I understand that a registered copy of this Certificate of Compliance isrequirred'to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
t71"tic3ll'i�.
David Beale
ResponsibleDesigner Signature:
�GVv1G+,-,
Company:
Date Signed:
All Seasons Air Conditioning Plumbing & Heating, Inc.
2016-08-08
Address:
License:
73605 Dinah Drive #1310M
827420
City/State/Zip:
Phone:
Palm Desert CA 92211
760-568-2663
Digitally signed by CHEERS'"'. 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: 416-A0002509A-000000000-0000 Registration Date/Time: 2016-08-08 17:16:42 HERS Provider: CHEERS
CA Building,Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-08 17:16:45
Schema Version: 0.5555DD