BMCH2016-0334O.�i uui,1cv
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
BMCH2O15-0334
78650 AVENIDA TUJUNGA
770092010
CORTEZ MIKI HEAT PUMP AIR HANDLER DUCT RUNS"
$11,424.00
Applicant:
GENERAL AIR CONDITIONING & HEA
OUTSIDE CITY LIMITS
---------------------------
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.
K
LicClass: License No.::LIC-0003606
� 1 -Date: Z 1S 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 sheds exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for
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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/26/2015
Owner:
MIKI CORTEZ
78650 AVENIDA TUJUNGA
LA QUINTA, CA 92253
Contractor: s
GENERAL AIR CONDITIONING & HEA
OUTSIDE CITY LIMITS -
(760)343-7490
LIC. No.: :LIC -0003606
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.
-fgS2E_ 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:
1 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.
FS'Z(aLS 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.l 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: ' Zb 15 Signature (Applicant or Agent):
y
FINANCIAL INFORMATION
A
DESCRIPTION € ''� " ACCOUNT QTY AMOUNTS ' "' PAID PAID DATE;,
BSAS SB1473 FEE
101-0000-20306 0 $1.00 $0.00
f .PAID BY ,
h' o**METHOD ": ::RECEIPT # ; t CHECK #*'.. CLTD BY:`
r
4
'Total Paid for BUILDING.p STANDARDS ADMINISTRATION BSA $1.00 $0.00
' ?Tf qsF t= z-�• t i''
DESCRIPTION I
7r.& Ste.'
ACCOUNT
t :.
AMOUNT°':. €
-ay 'mac
PAID a
PAID DATE."
,QTY
AIR HANDLER
101-0000-42402
0
$36.26
$0.00
3 " PAID BY�� `�.� �```�
�� 'METHOD ¢'7ps - �.
}'2 ti -z
#
i ,,
CHECK #"
CLTD BY
„
= yRECEIP,T s
DESCRIPTION `
w rACCOUNT ; : t =
QTY k
'' ` AMOUNT
d,`. PAID �`
'PAID. DATE
�:_
,
AIR HANDLER PC
101-0000-42600
0
$12.09
$0.00
'PAID
METHOD ,
+RECEIP.T # `
CHECK #; "
CLTD BYE
;BY�
Ms
f
'>> DESCRIPTION &'
"v ACCOUNT- � .
QTY
AMOUNT
PAID :��
PAID.DATE`
h s
�
FURNACE
101-0000-42402
0
$36.26
$0.00
`PAID BY F ',-+ {.
t METHOD
:RECEIPT # '•"
y CHECK #Y •'
CLTD By,,.
M a�u IDESCRIPTION +„
ACCOUNT r; ' *`
`;QTY
AMOUNT+ xN
PAIDI£
PAIL) DATE:
.;
a'_
FURNACE PC
101-0000-42600
0
•$24.17
$0:00
r ~.PAID BYE _,
;; METHOD
,fi
r RECEIPT # F
CHECK #@ j`'
,CLTD BY''
r
'
Total Paid for MECHANICAL: $108.78 $0.00
"DESCRIPTION ` t
is ACCOUNT
QTY`~.
AMOUNTS"
PAID •gi
PAID DATE
fit = N*
,,"
PERMIT,ISSUANCE
101-0000-42404
0
$91.85
$0.00
METHOD,
�, RECEIPTS#F
CHECK#CLTD
BY
�.
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
y
Description: CORTEZ MIKI HEAT PUMP AIR HANDLER DUCT RUNS
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 8/26/2015 PJU
Approved: 8/26/2015 PJU ,
Parcel No: 770092010 Site Address: 78650 AVENIDA TUJUNGA LA QUINTA,CA 92253
Subdivision: DESERT CLUB TR UNIT 5 Block: Lot: 22
Issued: "
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation:$11,424.00 Occupancy Type: Construction Type:
Expired:- -
No. Buildings: 0 No. Stdries: 0 No. Unites:.0
Details: REPLACE (3) TON HEAT PUMP AIR HANDLER & NINE DUCT RUNS. PER 2013 CALIFORNIA MECHANICAL CODES. 2013 ENERGY] CARBON
MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.APPROVED PER JJ.
R
„ONS
CON,DITL..,.. , , ,: � >,,.,
Printed: Wednesday, August 26, 2015 12:55:37 PM 1 of,2 CRWIYSTFms
CONTACTS-
NAME,TYPE'=i r = NAME:-_ _ t ADDRESS I
CITY STATE
................................
ZIPSPHONE FAX EMAIL=
APPLICANT GENERAL AIR CONDITIONING & HEA OUTSIDE CITY.LIMITS
(760)899-6876
CONTRACTOR GENERAL AIR CONDITIONING & HEA OUTSIDE CITY LIMITS
(760)899-6876
OWNER MIKI CORTEZ 78650 AVENIDA
LA QUINTA CA
92253 (760)899-6876
TUJUNGA
FINANCIAL••
•
f
' k.AMOUNT
CILTD
PAID RECEItPT # C,HECK METHOD '' -PAID BY.,
DESCRIPTIONy. x ACCO§UNT„<QTYd� m5
'pc• . F �h
PAID
DATE.'
#s3 <
An 9 ++„r3T. a ,; rt3'.'•'`X.-
.% eT-.?a CE., aj.0 ,
.N >efi
i
BSAS SB1473 FEE. -101-0000-20306 0: $1.00.
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00
$0.00
BSA:
Printed: Wednesday, August 26, 2015 12:55:37 PM 1 of,2 CRWIYSTFms
DESCRIPTION"
T-
�"A'CCOUN f, T:�
NT
A6 DATE..:
'!RECEIPT #,
V,
METHOD:
'41
BY,: �r
AIR HANDLER'
101-0000-42462
0
$36.26
$0.00
AIR HANDLER PC
101-0000-42600
0.
$12.09
$0.00
FURNACE
101-0000-42402
01
$36.26
$0.00
FURNACE PC
101-0000-42600
0
$24.17
$Oaoo
Total Paid forMECHANICAL: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
............. .... . ......... . .... ... ........... ...... ............
PARENT PROJECTS
Printed: Wedn'esday, August 26, 2015 12:55:37 PM 2 of 2
cff?W,1YSTrMS
Bin.#
OtOf QL1Il1ta
Building a Safety Division
P.O. Box 1504,78-495 Calle Tampico
14.Quinta, CA 92253 -:(760).777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 78650 Avenida Tujunga
Owner's Name:. Miki Cortez
A. P. Number:
Address: 78650 Avenida Tujunga
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor: General Air Conditioning
Telephone: 760-899-6876
Address: 78650 Avenida Tujunga
Project Description: Replace 3ton Heat Pump, Air Handler,
City, ST, Zip: La Quinta, CA 92253
and 9 Duct Runs
Telephone: 760-343-7488
State Lic. # : 686310
City Lie'. #:
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lic. #: `; �;
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq.Ft.: #Stories: #'Unite:
Name of Contact Person: Steven Schnierer
Telephone # of Contact Person: 818-735-7876 X 1
Estimated Value of Project: $11,424..00
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
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 Calea,
Called Contact Person
Plan Check Balance,
Title 24 Calci.
Plana picked up
Construction
Flood plain plan
Plans resubmitted.'.Mechanical
Grading plan
tad Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Pians, picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IlN HOUSE:-
'"' Review; ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact PersonA.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
I CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
MIKI CORTEZ I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2015-08-25
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 CF1R-ALT-02 document for each dwelling unit.
01
Project Name
MIKI CORTEZ,
02
Date Prepared
2015-08-25
03
Project Location
78650 AVENIDA TUJUNGA
04.
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name,
MIKI CORTEZ
07
Zip Code
92253
08
Dwelling Unit Conditioned
1425
: ?�.v�! c� �
Y�r. ' .x.'
sys � �6k
•" .cam+' '
Floor Area (ft2)
SC System
SC System
CFA served
'
r rige�rannt R
Number of space conditioning
nstall n'g
09
Climate Zone
15
10
(SC) systems in this dwelling
1
ducted
containing
�InstaIIing�new
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) System Information £'4
F
01
0203
04
05WRI
6fl
P%
08
09
10
-
�
-
-.
'•�-y
Is the
SC
:s
Insta*a3 llin-in -'
g a
: ?�.v�! c� �
Y�r. ' .x.'
sys � �6k
•" .cam+' '
SC System
SC System
CFA served
ystem a
r rige�rannt R
S4
nstall n'g
Installing
Installing
Identification or
Location. or Area
by this SC
ducted
containing
�InstaIIing�new
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
1425
Yes
. Yes
Yes
Yes
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-A6303635A-000000000-0000 Registration Date/Time: 2015-08-25 16:47:59 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-25 16:47:41
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)lE 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 1
Central split
All new
heating
AFUE
0.8
Central split,
All new
cooling
SEER .
14
Setback
Greater than
R-8
HP
HP
40 feet
components
components .
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans--
-Duct insulation requirement for new plenums: R6.
CF21R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testingrequired 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 Refrigeran'tCharge Verifica4ion 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: s
-Duct systems registered with HERS provider as previously sealed are exempt fromAMCH=20 Duct LeakagesTesting regwrements. .
+tfr* +",amu, 164, '
: ko- keV
Heating -only systems and Air Handler/Furnace changes do not require verification of Air FlowUCH�=!23 ;or Refrigerant@harge.MECH 25.?i
r•t #,� -s "1 .,�+. y -t"rips+
duct insulated Testing
in.
-Existing systems constructed, or sealed with ,asb�estos�are exempttffrom MCI *ez0u �,:LeaAage requirZemenyts.
8,, -
E. Entirely New or Complete Replacement Duct System, with'or without Equipment Ch'ange'out'(Secttons 150 2(b)1Diia and 150.2(b)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space. Conditioning System (Section 150.2(b)lC)
This section does not apply to this project.
Registration Number: 215-A6303635A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-08-25 16:47:50
Report Version: 2014-03-31
Schema Version: 0.555SDD
HERS Provider: UICERTS
Report Generated: 2015-08-25 16:47:41•
CERTIFICATE OF COMPLIANCE CF111-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: ��//
Jacoby, Ian
clan �acob'
Company:
Signature Date:
Stratz Permit Service
2015-08-25.16:47:38'
Address:
CEA/ HERS Certification Identification (if applicable):
5858 Dovetail Drive
City/State/Zip:
Phone:
Agoura Hills CA 91301
818-735-7876
Responsible Person's Declaration statement;.,
certify the following under penalty of perjury, under the,lews &Ahe State of California:
i. 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 (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 Reg la ons. "W l�
, N x. !Y TidFF�f
4. The building design features or system design features identified on„ihis Certificate of Compliance are consistent with the informafion,provided on other -applicable compliance documents, worksheets,
rtaf' &co
calculations, plans and specifications submrttedad the enforcemenfyaggency four-appprroval�wit% his build�yng per �it app icationn. �# z
40- NA for
S. I will ensure that a registered copy of this.Certificate�of Compliance shallabe:made,ayailable witlrthe bulldi i&pecmit(s);issued foreihe;building, andrmad, available;to the;enforcement agency all applicable. .
v
inspections. I understand that a registered copy of this C ficate of Compliance is.required to be.included with the documentation the builder,provides to.the building owner at occupancy.
4
a6'^"r k"«+, �' i4' `V• to "i1: 4n, S li 4 '"..C`"`" - 47
Responsible Designer Name: a Y- RZ 1-1. w;rIA
Responsib el Designer Signature:V it TMS
Js!il�Jtl��/t�e2�
Shanley, Barbara
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-08-25 16:47:59
Address:
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
(760) 343-7488
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: 215-A6303635A-000000000-0000 Registration Date/Time: 2015-08-25 16:47:59 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-08-25 16:47:41
Schema Version: 0.555SDD