BMCH2016-014678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
Application Number: BMCH2O16-0146
Property Address: 53220 AVENIDA NAVARRO
APN: 774065010
Application Description: JOANNE HALLERT/HVAC CHANGE OUT
Property Zoning: .
Application Valuation: $17,000.00
Applicant:
FIRST CHOICE A/C & HEATING INC
79747 CASSIA ST.
LA QUINTA, CA 92253
BUILDING PERMIT
u�r Y 0.9 2016 L
CITyCOMMAUTYD OF(q QVINTA
EV ELOPIREN7DER1RTA1EN1
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: License No.: :LIC -0109319
Date:. 0S/09 Contractor:
OWNER -BUILDER DECLARATION
L 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.).
(_�_j 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 isa construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. Q
Lender's
Lender's
VOICE (760) 77777125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/9%2016
Owner:
JOANNE HALLERT .
P O BOX 1433,
BIG BEAR, CA 92253
Contractor:
FIRST CHOICE A/C& HEATING INC
79747.CASSIA ST. - ,
LA QUINTA, CA 92253
(760)989-2370
Llc. No.::LI&0109319
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificateof consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
oft a rk 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 tie 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 3:00 of the Labor Code, I shall forthwith'
comply with those provisions.
Date: 05 /05 ( 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 th a 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 store that the above information is correct.
I agree to comply with all city and county'ordin3nces and state laws relating to building
construction, and hereby authorize representatves of this city to enter upon the
above-mentioned property for inspection purpcses.
Date: J` �� Signature (Applicant or Agent): /
='r
FINANCIALINFORMATION
•! : �
DESCRIP.TION�6�K x ACC OUNT^ ak 3 s- ti QTY AMOUNT y� ,�, PAID :, PAID DATE
r BS_ AS SB1473 FEE
101-0000-20306
0
$1.00
$1.00 5/9/16
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METHOD , < > <�
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CLTD BY
FIRST CHOICE A/C & HEATING INC
CHECK
R15338
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Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00
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PAIDDATEESCRTON
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.101-0000-42402•
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-'.,,PAID.,•:PAIDDATE`
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101-0000-42600
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$36.26
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CHECK
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RSE
Total Paid for CHANGEOUT: $108.78 $108.78
e�,$ DESCRIPTION+�rx"�z� r,w'�s
<; ACCOUNT, ic K`QTY
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"AMOUNT
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yPA1D6DATE''
PERMIT ISSUANCE
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$91.85
5/9/16
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CHECK
R15338
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RSE
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
•$201.63
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r.
Description: JOANNEMALLERT / HVAC CHANGE OUT
Type: MECHANICAL Subtype:
Status: APPROVED
SITFS
Applied: 5/9/2016 RSE
Approved: 5/9/2016 RSE
Parcel No: 774065010 Site Address: 53220 AVENIDA NAVARRO LA QUINTA,CA 92253
CHRONOLOGY
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 204
Lot: 14 -
CA
Issued: .
UNIT 20 -
CONTRACTOR FIRST CHOICE A/C & HEATING INC
79747 CASSIA ST LA QUINTA
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $17,000.00 Occupancy Type:'
Construction Type:
92253 '
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: HVAC CHANGE OUT-.17.OSEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXJDE ALARMS) TO BE INSTALLED PRIOR TO
.FINAL INSPECTION.. 2013 CALIFORNIA BUILDING CODES.
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CONTACTS
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CHRONOLOGY
APPLICANT FIRST CHOICE A/C & HEATING INC
79747 CASSIA ST LA QUINTA
CA
CONDITIONS
CONTACTS
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APPLICANT FIRST CHOICE A/C & HEATING INC
79747 CASSIA ST LA QUINTA
CA
92253
CONTRACTOR FIRST CHOICE A/C & HEATING INC
79747 CASSIA ST LA QUINTA
CA
92253
OWNER JOANNE HALLERT P 0 BOX 1433 BIG BEAR
CA
92253 '
FINANCIAL INFORMATION
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FIRST CHOICE A/C &
BSAS SB1473 FEE •101-0000-20306 0 $1.00 $1.00.
5/9/16.
R15338 1172. • :
CHECK RSE
HEATING INC
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00...
;
BSA:
Printed: Monday, May 09, 2016 4:41:49 PM 1 of 2
SYSTEMS.
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'— DESCRIPTION
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$72.51
5/9/16
R15338,
1172
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FIRST CHOICE A/C &
RSE
SPLIT -SYSTEM
HEATING INC
HVAC CHANGEOUT -
101-0000-42600
0
$36.26-
$36.26
. 16 .
5/9/
RlS338
1172
-CHECK
FIRST CHOICE A/C &
RSE
SPLIT -SYSTEM PC
HEATING INC
Total Paid for CHANGEOUT: $108.78 $108.78
FIRST CHOICE A/C &
PERMIT ISSUANCE2404
101-00004
•HEATING
07
1
$9 .85
$91.8s
F
5/9/16
R15338
1172
CHECK
' INC
RSE
Total Paid -for PERMIT ISSUANCE: $91m $91.85
TOTAW' S201.63 $20i.63
INSPECTIONS- .. .. .. ....... .... .
PARENT PROJECTS'
REVIEWS
B;" # City of La Q uin to
Building &r Safety Division
Permit # 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
�jdhL1�- 2� 06 �1 b Building Permit Application and Tracking Sheet
Project Address: g 22,0 Owner's Name:
A. P. Number:
Address:. S 3 /rJ1igm NAItA2RO
Legal Description:
City, ST, Zip/4 U I/V —FA - 0225S
Contractor: t
Ita
C V�/V
n
telephone:
e. C) �i
Address: _
Project Description: sLT�T lt✓
City, ST, Zip: 44---
v
Telephone: co
9 �G J
State Lic. # : I.09 3
City Lic. A:
Arch., Engr., Designer:
Address:
City., ST, Zip: .
Tele
'.
Co n structi n TY e• Occupancy:
P cY:
State to Lic. #
Project type (circle one): New. Add'n - A rRe Repair Demo
Name of Contact Person:
Sq.-Ft.: M
#Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
EERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"a 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 correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School. Fees,
Total Permit Fps
` ��,,fLL `'4 i F.�Z y.;. - - ^. -• '~ ' - x» - wr. � r � r - - v t
CERTIFICATE OF COMPLIANCE ` ' CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF 1R -ALT HVAC) (Page 1 of 3 ).
Project Name:. Hallert TDate Prepared: 2016-05-09
A. General Information r
MR -ALT -02 is applicable to multiple space conditioning systems contained withinAa single dwelling unit. When multiple dwelling units must be documented,
use one MR-ALT-02'document.for each dwelling unit.. ; a
02
01.
Project Name
Hallert
02
Date Prepared
2016=05-09,
03
Project Location
53220 Avenida Navarro
04
Building Type t
Single family r
+ 05
CA City
La Quinta
06
Dwelling Unit Name < ,
Hallert
'
r,,*�
Is the SC
Dwelling Unit Conditioned -
07
Zip Code y
92253
08
Flooi Area (ft2)
1900 ,
CFA served
4
r ige a t
a.-?�
Installing ewoSC
.• w a
Insta'fling .
ray,,,-
:In talli
Installing
Identification or.
or Area
Number of space conditioning
- -
09
Climate Zone'
15 ' i�
10'
(SC) systems in this dwelling
1 '
Name
Served
System (ft2)
system?
unit.
components?
B. Space Conditioning (SC) System Information ^•,' _ ,
r ; 01
02
03
04
A04051
06'
0'
U.8
09
10
.
..
r, .
y
r,,*�
Is the SC
Installing a
f 4
g
SC System
SC System`
.Location
CFA served
systema
�' i..
r ige a t
a.-?�
Installing ewoSC
.• w a
Insta'fling .
ray,,,-
:In talli
Installing
Identification or.
or Area
..by this SC ;
ducted
containing
system
_
more than 40
entirely new
entirely new,
_a
'
^Alteration
Name
Served
System (ft2)
system?
component?.
components?
feet of ducts?
duct system?
SC system?
Type
System 1
Location 1
1900
Yes
Yes
Yes
No
No
No
All space
conditioning system
� L y
r
1, •. Yt .. �. i „ � .. . ;�_. �. i. .. . � ,.x .. a +. -. , - . -r � -
Registration Number: 216-A0171716A-000000000-0000 Registration Date/Time: 2016-05-09 08:04:14 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards -2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-05-09 08.04:25 ^
Schema Version: 0.5555DD f ,
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 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'
All new
1
This field or
This field or
System 1
Central gas
Gas furnace
AFUE
0.8
Central split
cooling
SEER
A&
Setback
section is not
section is not
furnace
AHU
AC
components
applicable
applicable
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: 5 15%, or <_ 10% 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 z 300 CFM/ton required when,MCH-25 is required.
Exceptions:.�°a
-Duct systems registered with HERS provider as"previouslysealed are exempt from MCH -20 Duct Leakage Testing requirements.
i„ d'; e.". �+ml if x ! .arWl V * Fm°4�• y. qgg
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MECH-2;.'
�"y 'A �# 'Y^"�
Existing duct systems constructed, insulated or sealed with_asbest gs�are exemptifrom MCH -20 Du Gt}Leakage Test'ng requiresots.
N11A % I? 1et.W.4 "s 40 %0 •w� Rif as *-s ria
E. Entirely New or Complete Replacement DucttSystem, with or without Equipment Changeout (Sections lS0.2(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)1C)
This section does not apply to this project.
Registration Number: 216-A0171716A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-05-09 08:04:14 HERS Provider: CaICERTS
Report Version: 2013 Rev 1.007 Report Generated: 2016-05-09 08:04:25
Schema Version: 0.555SDD -
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. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature: �-
Both, Atila
v l tila 'Both,
Company:
Signature Date:
FIRST CHOICE A / C & HEATING INC
2016-05-09 08:04:14
Address:
CEA/ HERS Certification Identification (if applicable):
79-747 CASSIA STREET
City/State/Zip:
Phone:
LA QUINTA CA 92253 A
1760-989-2369
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 the;Business and Pr`ofessio`ns' 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 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 Regulat ons. ,
4. The building design features or system ;design features identified orhis Certificate of Compliance are consisteLA nt.wrt the inform'ation,provided ori"other�ipplicablecompliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement- agency forIr 00. pppprrova with this building permit applicatio
r : ,tea - �, * .. i'i .s:
S. I will ensure that a registered copy of this'Certificate opliance.shall be`made,a_vaiiable with th'e bwlding permit(s_),issuetl forithe building, and_macfe available fo the enforcement agency for all applicable
in
6u Ider building
inspections. I understand that a registered copy of thise�rtifiicate of Co1mplIianc%is requiire�d to bye included with the documentation the provides to the owner at occupancy.
Responsible Designer Name: �" STN -*L;
Response. Designer S gnature: V I ,#7�/' � • �^
cTt tiia �oth
Both, Atila
Company:
Date Signed:
FIRST CHOICE A / C & HEATING INC
2016-05-09 08:04:14
Address:
License:
79-747 CASSIA STREET
968138
City/State/Zip:
Phone: -
LA QUiiq'(A CA 92253
760-989-2369
Digitally signed byCaICERTS. 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-A0171716A-000000000=0000 Registration Date/Time: 2016-05-09 08:04:14 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007' Report Generated: 2016-05-09 08:04:25
Schema Version: 0.555SDD