BMCH2016-033578-495 CALLE TAM PICO C� 0 D
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0335
Property Address: 48119 CALLE SERANAS
APN: 646110048
Application Description: OSBORNE / CHANGE OUT CONDENSOR
Property Zoning:
Application Valuation: $6,500.00
Applicant:
J ANTHONY PLUMBING HEATING & AIR CONDITI
72216 NORTH SHORE ST 6101
THOUSAND PALMS, CA 92276
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.
Licensee CClass- C20 C36 License No.: 777794
Contracto�
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 th1w
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
VOICE (760) 777-712S
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner: ' .
CARLOSBORNE
47850 VIA OPERA
LA QUINTA, CA 92253
Contractor:
J ANTHONY PLUMBI
72216 NORTH SHOF
THOUSAND PALMS,
(760)328-8096
Llc. No.: 777794
WORKER'S COMPENSATIO
I hereby affirm under penalty of perjury one of th
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 wor 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: MIDWEST EMPLOYERS CASUALTY COMPANY Policy Number:
Date: 9/7/2016
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 the Labor Code, I shall forthwith
comply with those provisions.
Date: 7 / Applicnt:
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 ter upon the
above-mentioned property for inspection purposes.
01
Signature (Applicant or Agent)761,
.
{.
Date: 9/7/2016
Application Number: BMCH2O16-0335
Owner:
' Property Address: 48119 CALLE SERANAS"
CARL OSBORNE
APN: 646110048
47850 VIA OPERA
Application Description: OSBORNE / CHANGE OUT CONDENSOR
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $6,500.00 "
Applicant:
Contractor:
J ANTHONY PLUMBING HEATING & AIR CONDITI
J ANTHONY PLUMBING HEATING & AIR CONDITI
,72216 NORTH SHORE ST #101
J 72216 NORTH SHORE ST #101
THOUSAND PALMS, C492276'
THOUSAND PALMS, CA 92276
(760)328-8096 i
Llc.' No.: 777794
" Detail: HVAC CHANGE OUT.- (1) 14SEER CONDENSORJ2013 ENERGY] CARBON MONOXIDE ALARM(S) TOPE INSTALLED PRIOR TO FINAL INSPECTION. 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 - CONDENSER ONLY
101-0000-42402
0
$36.26
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - CONDENSER ONLY PC
101-0000-42600
0
$24.17 .
Total Paid -for CHANGEO IT: $60.43
DESCRIPTION
ACCOUNT
QTY-
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$91.85
Total Paid°for PERMIT ISSUANCE: $91.85
r
i
Bin #
city of La Qulnta
Building 8T Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit.#
l C�j
(�
Project Address:
t lL° 5¢ P6
Owner's Name: JAN jGf—
A. P. Number:
Address:
Legal Description:
Contractor:
City, ST, Zip:
Telephone: 310 [Yo l— (gam
Address: J ANTHONY SERVICES
72916 NORIH SHORE SISTE 101
Project Description:
City, ST, Zip: THOUSAND PALMS, CA 92276
.e To N 60 P 0 C rias ,
Telephone: i^0 2/ 3 Z
f
State Lic. # : % -777City Lic. C/015
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:hone:
'`'<::»:«<<d»::>'»:<:#::<:i:i<i#<i<:?»:>r
Construction TY Pe: Occupancy:
`State Lic. #:
Project type (circle one): New Add'n. Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: el,
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 Cala.
Called Contact Person
Plan Check Balance
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" 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:-
Ud 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 -IR -ALT HVAC)
use one MR -ALT -02 document for each dwelling unit.
(Page 1 of 3 )
Project Name:
OSBORNE
Date Prepared:.-
2016-09-07
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.
02
01
Project Name
OSBORNE •
02
Date Prepared
2016-09-07
09
03
Project Location
48119 CALLE SERANAS
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
OSBORNE
07.
Zip Code
92253
08
Dwelling Unit Conditioned
1800
SC System
SC System
CFA served
r
�vsystem a
Floor Area (ft2)
installing new 5
�-� r n'
'a. Iristaling
: -Y, m
InstallmgInstalling
�-
Identification or
Number of space conditioning
by this SC
ducted
09
Climate Zone
15
10
(SC) systems in this dwelling
1
Name
Served
System (ft2)
system?
component?
unit.
feet of ducts?
duct system?
aa
4 i
B. Space Conditioning (S.C) System Information.... 0 `''
01
02
03'
04
05 h
tF 06 K %
07
08 } a
09
10
M. -.
Is the SC
d `Y^3`""zJ €r ':4 " rz
Installing a
P-1,; MSyt.�.'FK:1W i& : r
ii„ TB:t--nu�i` l
Vit' I &0
SC System
SC System
CFA served
r
�vsystem a
a —
refrigeant
installing new 5
�-� r n'
'a. Iristaling
: -Y, m
InstallmgInstalling
�-
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
Location 1
1800
Yes
Yes
Yes
No
No
No
Altered 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: 216-A0330783A-000000000-0000 Registration Date/Time: 2016-09-07 07:15:09
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008
Schema Version: 0.555SDD
H
Report Generated:
�RS Provider: CalCERTS
2016-09-07 07:15:05
CERTIFICATE OF COMPLIANCE '
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
CF1R-ALT 02-E
(Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)lE and F)
This section does not apply to this project.
01
02
03
04
05
06
07
08
09
10
11
12
Heating
Cooling
System
Heating
Altered
Heating
Altered
Cooling
Minimum
Required
New
or
Identification
System
Heating
. Efficiency
_Minimum
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
No heating
This field or
This field or
Central split
Outdoor
This field
or
This field or
System 1
furnace
component
section is not
section is not
AC
condensing
SEER
14
Setback
section
is not
section is not
altered
applicable
applicable
unit
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 & MR -MCH -20-1-1 — 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: <_ 15%, or15 10% leakage to outside or seal all accessible leaks.
CF2R-MCH-25-H & MR -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 Fldw a 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.
�iA a asp€- 4 ,y
Air or
It
Heating -only systems and Air Handler/Furnace changes do not require verification'of Flow MCH -23 Refrigerant Charge MECH-25.
F
''
-Existingducts stems constructed, insulated or sealed with asbestos,are exemfrom MCH20 Ductleaka a Testm re wremerits.
Y P�.sv g e.� q
e
.
. , r44 wrw a,.Y .,r,p: S
:a _-_�' ..'_ _. ;.a tsi nxo •n,i t'
E. Entirely New or Complete Replacement DucfQgtem, with or without�Equipment Changeout (Section ,150 2(b)1Dnq�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-A0330783A-000000000-0000 Registration Date/Time: 2016-09-07 07:15:09
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008
Schema Version: 0.5555DD
H RS Provider: CalCERTS
Report Generated 2016-09-07 07:15:05
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:
Robinson, Kevin
/�P,!/llfiiklL�L4BJf/
Company:
Signature Date:
J ANTHONY PLUMBING HEATING & AIR CONDITIONING
2016-09-07 07:15:09
Address:
CEA/ HERS Certification Identification (if applicable):
72216 NORTH SHORE ST #101
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-343-2121
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 Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (respo
sible designer).
3. That the energy features and performance specification's, materials,' components, and manufactured devices for -the build ing,design,or system design identified on this Certificate of
mpliance conform to the
requirements of Title 24, Part 1 and Part6 of the California Code of Regulations i� �;
a plicable compliance
4. The building design features or system design features identified on is Certifica a of Compliance areconsiste^Y wit6ithe informaUon.provided onithe� clocur
to the enforcement agency fogappf6val;with this building permit application. ))
R
ients, worksheets,
calculations, plans and specifications submitted µ t ,
' . �k
for
S. I will ensure that a registered copy ofShis Certificate of•Compliance shall:be,made,available with'tbe building permit(s)jssued for+thebuildipg and;rnade avallable,to thetenforcemen
agency all applicable
inspections. I understand that a registered copy of this�Cert ficate of Compl*ante ls.,req lf�d to be.included with the documeRtation�theAbu lder p ov des to the buile�ing owner.at occ
panty.
< b.
Responsible Designer Name: a ..
Responsible Designersignature: " T LAO'
Robinson, Kevin.
l.QBiv
Company:
Date Signed: .
J ANTHONY PLUMBING HEATING & AIR CONDITIONING
2016-09-07 07:15:09
Address:
License:
72216 NORTH SHORE ST #101
777794
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-343-2121
Digitally signed by Ca10ERTS.. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accura of the information.
Registration Number: 216-A0330783A-000000000-0000 Registration Date/Time: 2016-09-07 07:15:09 F ERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.008 Report Generatec: 2016-09-07 07:15:05
Schema Version: 0.555SDD