BMCH2016-0269L
78-495 CALLE TAMPICO D 4P VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT Q l,4 . /7
Date:� 2/2016
Application Number: BMCH2O16-0269 Owner: JUL 9
Property Address: 77211 CALLE SONORA DEBORAH HARDY, ?016
APN:77324.1007 77211 cML;vSONORAc[g 4UjN
Application Description: HARDY RESIDENCE / HVAC CHANGE OUT LA QUINTA, CX92.2S•30pdq�,�JrA
Property. Zoning: OEPARiy16Nt
Application Valuation: $6,500.00
Applicant: Contractor:
1 ANTHONY PLUMBING HEATING & AIR CONDITI J ANTHONY PLUMBING HEATING & AIR CONDITI
72216 NORTH SHORE ST #101 72216 NORTH SHORE ST #101
THOUSAND PALMS, CA 92276 _ THOUSAND PALMS,.CAj92276
(760)328=8096
Llc. No.: 777794
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.: 777794
Date: �� �)i Contractor.
OWNER -BUILDER DECLARAT
I hereby affirm under penalty of perjury that l 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).-
( 1
$500).:(1 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 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
Lender's Address:
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 performanca
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 perm0
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 tabor Code, I shall forthwith
comply with those provisions.
Date: CSG— lb Appli
WARNING: FAILURE TO SECURE WO KERS' 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 tc
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 rel ting to building
construction, and hereby authorize representatives of this city toe r upon the
above-mentioned property for inspection purposes. -
Date: �`'� Signature (Applicant or A�
FINANCIAL INFORMATION
<� �`ACCOUNT
DESCRIPTION
"#
QTY ` AMOUNT ' PAID PAID DAT_
BSAS SB1473 FEE
101-0000-20306
0
$1.00 $1.00 7/22/16
::—
-a PAID BY k
METHOD
�a s;.�E
,
#�"CHECK # CLTD BY
x�
a4RECEIPT ,4
J ANTHONY PLUMBING HEATING & A
CHECK
R17316 44879 MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:'. '$1.00 $1.00
p' �"�"DESCRIPTION, 'i+. �;
'';s i `A000UNT_4 , 3
QTY
°AMOUNT £'
``-.PAID �� r
. -
PAID DATA=;
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$72.52
7/22/16
PAID`BY +' 4:" ? '
ty °' F'c ; ,METHOD
CHECK # y
'CLTDrBY'
Al sF
J ANTHONY PLUMBING HEATING & A
CHECK
R17316 '
44879
MFA
31`£V111-
`u� :. ACCOUNT** -
QTY
i
!AMOUNT-_ * !
Pi41D g
rdDESCRIPTION�"
T
+PAIDsDAT=
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0''
$36.26
$36.26
7/22/16'
*'PAID'BY t= a s m
''.METHOD "{ s
# =
CHECK #
¢" CiT.D BYx
�opfRECEIPT gP
s�
J ANTHONY PLUMBING HEATING & A
CHECK
R17316
44879
MFA
Total Paid for CHANGEOUT: $108.78 $108.78
DESCRIPTION.` .. ; .
t; t�ACCO.UNT r' r
'QTY,:
?7 `AMOUNT-'
PAID`` ut
PAID DAT,:E
to
s
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
7/22/16
x PAID BY s
I-IMETHOD v:-,RECEIPT#�
�` •CHECK#
rClTDBY;
R4
J ANTHONY PLUMBING HEATING & A
CHECK
R17316
44879
-MFA
Total Paid for PERMIT ISSUANCE: $91.85. $91.85
• 1 -
Description: HARDY RESIDENCE / HVAC CHANGE OUT.
Type: MECHANICAL Subtype:
Status: ISSUED
Applied: 7/22/2016 MFA
Parcel No: 773241007: Site Address: 77.211 CALLE SONORA LA QUINTA,CA 92253
Approved:'7/22/2016 MFA
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 40
Lot: 7
Issued: 7/22/2016 MFA
UNIT 3
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $6,500.00 Occupancy Type:
,- Construction Type:
Expired: 1/18/2017 W -A .
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: HVAC CHANGE OUT - 16 SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S)
TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
CONDITIONS
FINANCIAL INFORMATION
Printed: Friday; -July 22, 2016 11:59:09 AM - _ - ^1 of 2
sysrenas
DESCRIPTION -Y
-..
QTY
- AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #-,:
PAID BY,
;>: :"ACCOUNT
:.
c.:
>METHOD
. x :..
BY,
J ANTHONY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
7/22/16
R17316
44$79
CHECK
PLUMBING HEATING
MFA
&A
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00
BSA: •
J ANTHONY
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$72.52
7/22/16
R17316
448:9
CHECK
PLUMBING HEATING
MFA
SPLIT -SYSTEM
&A
'JANTHONY
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$36.26
7/22/16
R17316
.44879
CHECK
PLUMBING HEATING
MFA
SPLIT -SYSTEM PC
&A
Total Paid for CHANGEOUT: $108.78 $108.78
J ANTHONY
PERMIT ISSUANCE-
101-0000-42404
0
$91.85
$91.85
7/22/16
R17316
44879
CHECK
PLUMBING HEATING
MFA
&A
Total Paid for PERMIT ISSUANCE: $91.85 $91.85 -
T6TALS: "$201.61 i
INSPECTIONS
PAREN,
T PROJECTS „
BON® INF6RIVI ATMN
Printed: Friday, July 22, 2016 11:59:09 AM 2 of 2-CRW
SYSTEiJIS
4
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning'Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name: HARDY.Date Prepared: 2016-07-22
t.
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 MR -ALT. -•02 document for each dwelling unit.
01
Project Name
HARDY
02.
Date Prepared
2016-07-22
03
Project. Location
77211 CALLE SONORA
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
HARDY
Dwelling Unit Conditioned
'Inss all ng a
07.
Zip Code
92253
08
Floor Area (ft2)
1600
SC System
CFA served
system a�
refrigerantInstalling+newSC
Number of space conditioning
Installing 9
'09
Climate Zone
15
10
(SC) systems in this dwelling
1
`ducted
containing x
system y
more than 40
unit.
entirely new
B. Space Conditioning (SC) System Information
01
02
03
04%y
Oslo
�-06� �
� 07
�. OS
� 09
10
m
Is the SC'
'Inss all ng a
Ay
:aa
SC System
SC System
CFA served
system a�
refrigerantInstalling+newSC
Installing 9
InstalUng
•Installing
Identification or.
Location or Area
by this SC
`ducted
containing x
system y
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
Location 1
1600
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater;Than 40 Feet (Section150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 216-A0273876A-000000000=0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-07-22 09:24:23
ReportVersion: 2013 Rev 1.007
Schema Version: 0.555SDD
HERS Provider: CalCERTS
Report Generated: 2016-07-22 09:24:18
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
.Alterations to Space Conditioning Systems (formerly CF-1R-ALf-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
System I'
Central gas
Outdoor
condensing
AFUE •
78
Central split
Fancoil AHU
SEER
16
Setback-
Less - than.or
equal to 40
R-8
furnace
unit
AC
feet
Reouired 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 testin&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 seat all accessible leaks.
CF2R-MCH-25-H &,CF3R-MCH-25-H Refrigerant Charge vikica'iibn required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH23 & CF311-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 MCH -20 Duct Leakage Testing requirements.
do Air Flow MCH-23,.or Refrigerpiit Charge ME' C AHH7�25:,
-Heating -only systems and Air Handier/Furnace changes not require verification of
2�0 LAUage Testl&requir "t
ifrom MCH Du(Qm
AN
-Existing duct systems constructed, insulated or sealed with asbesioszare exemO v e n
W�_ .. IF4 11 34 M WT P19 KM_ 4401
E. Entirely New or Complete Replacement Duti,System, with or without Equipment Changeout (Sections 150.2(b)1Diia.and. I 150.2(b)lE, F)
iR
This section does not apply to this project.
Registration Numb6r: 216-A0273876A-000000000-0000
CA Building Energy Efficiency Standards -.2013 Residential Compliance
Registration Date/Time: 2016-07-22 09:24:23
Report Version: 2013 Rev 1.007
Schema Version: 0.555SD0'
HERS Provider:'Ca]CERTS
Report Generated: 2016-07-22 09:24:18
CERTIFICATE OF COMPLIANCE CF111-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF-lR-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
Company:
Signature Date:
J ANTHONY PLUMBING HEATING & AIR CONDITIONING
2016707-22 09:24:23
Address:
CEA/ HERS Certification Identification (if applicable):
72216 NORTH SHORE ST #101
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276 1760-343-2121
Responsible Person's Declaration statement:
I certify the following under penalty of perjury, under thelaws'of the State of California:
1. The information provided on this, Certificateof Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business 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 devices for the building design or system design identified on this Certificate of Compliance conform to the
.nom, i,
uirements of Title 24, Part 1 and Pa'rt.6of the California Code of Re ulatlons
req •
�g i4
4. The building design features or system design features identified on.this Certificate of Compliance are consistent with the inform ation.provided on:other applicatile`compliance documents, worksheets,
)�
n2
calculations, plans and specifications submitted to the enforcement; agency for approv I with this bwlding permit application.
S. I will ensure that a registered copy of this Certificate o Compliance shall be:made available with'the building permit(sJ.isJu t for;.thg building, and?rnade availableito the enforcement agency for all applicable
inspections. I understand that a registered copy of this' Certificate of Compliance js_requirppd to be Included with the„documentation the builder provides to the building owner at occupancy.
:... N'' 2r G X'`n :W 'i4 ,•Y:.,"N. �. :&' M K• .-s. nF"... J..-. 4
Responsible Designer Name: b.F+
Responsible Designer Signature:U
Robinson, Kevin
Company:
Date Signed:
J ANTHONY PLUMBING HEATING & AIR CONDITIONING
2016-07-22 09:24:23
Address:
License:
72216 NORTH SHORE ST #101
777794
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-343-2121
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 for the accuracy of the information.
Registration Number: 216-A0273876A-000000000-0000 Registration Date/Time: 2016-07-22 09:24:23 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards = 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-22 09:24:18
Schema Version: 0.555SDD
Bin #
City Of La. Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application a d Tracking Sheet
Permit #
Project Address:
Owner's Name:
A. P. Number:
Address: 2
Legal Description:
City, ST, Zip: L% A
Contractor:
Telephone:
Address: ' Z I(O I Q (
Project Description:
City, ST, Zip - 4227 lP
Telephone:
State Lic. #: City Lie. #;
Arch., Engr., Designer:
Address:
'City., ST, Zip:
Telephone:
::;,::.
Construction Type: Occupancy
YP P Y
State Lie. #:
Project type (circle one): NewAdd'n ter pair Demo
Name of Contact Person:
Sq. Ft.: b C 0
# Stories:
# Units:
Telephone # of Contact Person: 3 ZI 2,1
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
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 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2o. 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 ROUSE:-
'"' 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
LL=:
Total Permit Fees
r
. c