BMCH2015-0359r ..
178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4'w 44Qumrw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:• BMCH2O15-0359
Property Address: 78377 TERRA COTTA CT
APN: 604022041
Application Description: DEGE / CHANGE OUT (1) 13SEER/7.7HSPF SPLIT SYSTEM
Property Zoning:
Application Valuation: $4,500.00
Applicant:
ALDCOAIR
50100 VISTA MONTANA CT
INDI0, CA 92201
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 License No.: 857079
Date:�2! 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 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
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 wo k for which this permit is issued.
X1 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 polity 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 Labor Code, I shall forthwith
comply with those provisions.
Date: f / Applicant:
10
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: 7 /Signature (Applicant or Agent):
Date: 9/21/2015
Owner:
NANCY DEGE
78377 TERRA COTTA CT
LA QUINTA, CA 92253
w
LO o
ow
Contractor:
N
_z
d w
ALDC0AIR
ga •
0
50100 VISTA MONTANA CT
05
INDIO, CA 92201
W
�o
C�
U�
z
(760)564-9963
Llc. No.: 857079
$
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 wo k for which this permit is issued.
X1 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 polity 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 Labor Code, I shall forthwith
comply with those provisions.
Date: f / Applicant:
10
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: 7 /Signature (Applicant or Agent):
FINANCIAL •• •
DESCRIP,TION4'ACCOUNT �, rQTY* s ^f PAID:DATE:
,AMOUNTS¢ "PAID
BSAS SB1473 FEE
101-0000-20306 0
$1.00 $0.00
METHOD `.4�Z.R #, �` °` tCHECK# g ';
ECEIPT
CLTDBY
s r
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00. $0.00 ..
:y.
DESCRIPTIONx-`
ACCOUNT
Q
AMOUNT,
<_ PAID ` t'�
PAID
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BY ;,
; > `4METHOD
RECEIPT #E
�� CHECK # u `"
7,7
CLTD BY
.
-
: s r
s.-•
DESCRIPTION
ACCOUNTgTY
AMOUNT
';gam PAID, G ';
PAID DATE
�:'}
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAIDBY
RECEIPT #,� r
CHECK # Yt.
CLTD BY.d
Total Paid for CHANGEOUT: $108.78 $0.00.
DESCRIPTIONs' `
ACCOUNT < f
QTY,
AMOUNT
s �PAID�tx
PAID DATE'.
�F.
1A
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD 'rRECEIPT
#
"'' CHECK #
CLTD BYE
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:0•
r
nasrriptinn• nFGF. / CHANGE OUT (1) 13SEER/7.7HSPF SPLIT SYSTEM
Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 9/21/2015 SKH
Parcel No: 604022041 Site Address: 78377 TERRA COTTA CT LA QUINTA,CA 92253 Approved:
Subdivision: TR 18915 Block: Lot: 1 Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $4,500.00 Occupancy Type: Construction.Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT-13SEER/7.7HSPF SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
.,.. _ _
;�� a.
CONDITIONS
FINANCIAL INFORMATION
Printed: Monday, September 21, 2015 9:20:11 AM 1 of 2 srsTrMs
I1\
. r`
Printed: Monday, September 21, 2015 9:20:11 AM 2 of 2 CRWYSTEMS
7-
RETYRN�D.,
�,SENT6ATE'4,��DUE
STATUS'
. .... ..........
REMARKS
REVIEW TYPIE
-REVIE
DATE
DATE
NOTES r,
DESCRIPTION T
ACCOUNT
Acco
COY
0
;AMOUNT
,",PAID
PAID DATE
RECEIPT #,,
M
'D
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
.HVACCHANGEOUT-
101-0000-42402
0
$72.52
$0.00
SPLIT-SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$0.00
.SPLIT -SYSTEM PC
Total Paid for CHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
1 $0.00
1
Total Paid for PERMIT, ISSUANCE: $91.85 $0.00
TOTALS: $201.63 - $0.00
... . ..........
Printed: Monday, September 21, 2015 9:20:11 AM 2 of 2 CRWYSTEMS
WE
RETYRN�D.,
�,SENT6ATE'4,��DUE
STATUS'
. .... ..........
REMARKS
REVIEW TYPIE
-REVIE
DATE
DATE
NOTES r,
Printed: Monday, September 21, 2015 9:20:11 AM 2 of 2 CRWYSTEMS
CERTIFICATE OF COMPLIANCE CFIR-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:
Aldaz, Rafael
Company:
Signature Date:
A L D C O Air
2015-09-21 08:35:45
Address:
CEA/ HERS Certification Identification (B applicable):
50100 Vista Montana Ct.
City/State/Zip:
Phone:
Indio CA 92201
760-564-9963
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California:
L The information provided on this CertificateofCompliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Processions 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 budding 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 Rejulaifbns. `''
jr
4. The building design features or ""'-
ngsystem design features Identified on [his Certficate of Compliance are consistent information provided on other applicable pliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this bullding permit application.''.
S. 1 will ensure that a registered copy of this Certificate of Compliance'shall_be'made:avallable with the bullding permits) issued for the building, and made available to the agency for
enforcement all applicable
inspections. I understand that a registered copy of this CeFtificate of Com pliance• is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: '' ` if i I" T%
Responsible Designer Signature: W
Aldaz, Rafael
Company:
Date Signed:
A L D C O Air
2015-09-2108:35:45
Address:
License:
50100 Vista Montana Ct.
857079
City/State/Zip:
Phone:
Indio CA 92201
760-564-9963
Digitally slgned by Ca10ERT3. 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: 215-A6332009A-000000000-0000 Registration Date/Time: 2015-09-2108:35:45 HERS Provider. CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-09-21 08:35:40
Schema Version: 0.555SDD
e
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3
Project Name: Nancy Dege Date Prepared: 2015.09-21
A. General Information
MR -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
Nancy Dege
02
Date Prepared 2015-09-21
03
Project Location
78377 Terra Cotta Ct.
04
Building Type Single family
05
CA City
La Quinta
06
Dwelling Unit Name Nancy Dege
07
Zip Code
92253 t
08
Dwelling Unit Conditioned 1200
SC System `�.
CFA served
system a o-
refrigerant °
Floor Area (ft2)
installing
Installing
�,1
Number of space conditioning
09
Climate Zone
15 L
I
10
(SC) systems in this dwelling 1
more than 40
�
entirely new
unit.
B. Space Conditioning (St) System information'' �,. �
�
•d' .•nom �` a.� �� 9;� 6t- E-� ..,�.
"Ol
02
! j 03-
04,
af^ Osi
`06i '
07 y
08 1
09
30
'
"is the SC"
Installing a "
w• w` , `c "
r
" "
". r
SC System
SC System `�.
CFA served
system a o-
refrigerant °
installing new SC
installing
Installing
t7;71nstalling
Identification or
Location or Area
by this SC
ducted "
containing "
.x system 4
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
Main Unit
Location 1
1200
No
Yes
Yes
No
No
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: 215-A6332009A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-09-2108:35:45
Report Version: 2013-1.006
Schema Version: O.SSSSDD
HERS Provider. CalCERTS
Report Generated: 2015-09-21 08:35:40
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)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)lE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)SC)
01
02
03,
04
05
06
07
08
09
10
11
r;
Heating
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
r
This field
Main Unit
Central split HP
All new heating
r�components �.
HSPF
7:=
Central split
HP '#tom°'4y
P All:new cooling
componerifs
ww"Kv
`SEER t
t 13
SetbackTher
mostat
or section
Is not
§� "'
�;.
applicable
Required Documentation:
i �, S Y' T�'0 kT s
A..•.
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans •wP`
;
-Duct insulation requirement for new plenums: R6.
CF2R & CF3R-MCH-20-H Duct Leakage Verification required. -
-Leakage rate compliance: s 6%.
CF2R & CF3R-MCH-22 Fan Efficacy Verification
CF2R & CF3R.MCH-23 System Alr Flow Rate Verification
-Compliance: Fan Efficacy s 0.58 W/cfm and System Airflow a 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/dm and 350 chn/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: 215-A6332009A-000000000-0000 Registration Date/rime: 2015-09-2108:35:45
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006
Schema Version: 0.555SDD
HERS Provider. CaICERTS
Report Generated: 2015-09-21 08:35:40
Bin #
Qty' of La Quinto
Building u Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #1
Project Address:3
Owner's Name:4e G
A. P. Number:
Address:
Legal Description:
City, ST, Zip: v,� 7 G `%
Contractor:
G
Y'
ele hone: U t�
TP
Address:
G G Cr
Project Description: �........�.�..
City, ST, Zip:
TeleP h0 n G
7 iOR 3
State Lic. # :
City Lie. #.:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
:
Lie. #:
Project type � .State ircle ne)• New Add' n Alter Repair
Demo
Name of Contact Person:
$q. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'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
2"a Review, ready for corrections/issue.
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'"! Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
Schodl Fees,
Total Permit Fees