BMCH2017-017078-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Twit 4 44.um&
VOICE (760) 777-7125
FAX (760) 777-7011
DESIG ' "VELOPVE = kDEP 'R ME INSPECTIONS (760) 777-7153
�J LD1125 PERMIT
[J
Application Number: BMCH2O1770170 6� MAY O U 2017er:
Property Address: 55645 TURNBERRY WAY REIMERS
APN: 767550013 U5645 TURNBERRY WY
Application Description: REIMERS RESIDENCE / HVAC CHANGE OUT CITY OF LA QUINTA LA QUINTA, CA 92253
Property zoning: DESIGN AND DEVELOPMENT DEPARTMENT
Application Valuation: $7,000.00
Applicant:
AMEN AIR INC
31258 NEUMA DRIVE
CATHEDRAL CITY, CA 92234
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.: 799693
Date: Co tracto�Gc-tN—
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 ) 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 Address:
N
Contractor:
AMEN AIR INC
31258 NEUMA DRIVE
CATHEDRAL CITY, CA 92234
(760)321-2184
Llc. No.: 799693
Date: 5/8/2017
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.
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: FALLS LAKE FIRE AND CASUALTY COMPANY Policy Number: FLA004826
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 thhose provisions.
Dante -5-7-17 ,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 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 cit�to enter upon the
above-mentioned property for inspection purposes.
A .-tel �.
Date: v 1-7 signatu`e (Applicant or_ Agent)
i
Date: 5/8/2017 _
Application Number: BMCH2017-0170
Owner:
Property Address: 55645 TURNBERRY WAY
j
RON REIMERS
APN: 767550013
55645 TURNBERRY WY
Application Description: REIMERS RESIDENCE / HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $7,000.00
Applicant:
Contractor:
AMEN AIR INC
AMEN AIR INC
31258 NEUMA DRIVE
31258 NEUMA DRIVE
CATHEDRAL CITY, CA 92234
CATHEDRAL CITY, CA 92234 '
'
(760)321-2184
Llc. No.: 799693
Detail: HVAC CHANGE OUT - 14 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE
ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES.f
o
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
f f INFORMATION • l•
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for CHANGEOUT: $114.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 3)
I
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete:
Documentation Author Name:
Documentation Author Signature: s /'
�rtianfze
McLaughlin, Brianne E
c� c%Z�c�au�h�n
Company:
Signature Date: -
The Energuy CA LLC
2017-05-08 12:03:18
Address:
CFA/ HERS Certification Identification (if applicable):
1215 K St., 17th Floor
Gty/State/Zip:
Phone:
Sacramento CA 95814
877-600-0123
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 ofthe 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,'oomponents, 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 P4:a6 of the California {ode of Regula oh y
-11 rn
4. The building design features or system design features identified on this Certificate of Compliance are,conststentwith the information.provided o therapplicable compliance documents, worksheets,
Calculations, plans and specifications submitted to the enforcement a en fora x t ` 1 #' � ap' ' "n Y�itB
t,� z g cy �; pprova wnh this building permit application. .� �5.{
S. I will ensure that a registered copy oflthis Certifirate�of Compliance sl all"be'made ay ilable withYhe building pe MUNI) issueb for the building, and'mad�e available,to the- agency for all applicable
inspections. I understand that a regisie{e�d copy of this C,eertifcate of Compliance svequired to be included with the documentation the.builder provides to the building owner at occupancy.
- x` x^,w of - w,_ u
Responsible Designer Name: `�9:. V-4 U-1 Z2
Responsible De'ig er Signature: V t4
McLaughlin, Brianne E
�riantze Cc�au�/i�n
Company:
Date Signed:
The Energuy CA LLC
2017-05-08 12:03:18
Address:
Dcense:
1215 K St., 17th Floor
City/State/Zip:
Phone:
Sacramento, CA 95814
877-600-0123
Easy to'Verify "
at CaICERTS.Com
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 accuracy of the information.
Registration Number: 217-A020150517A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-05-08 12:03:18
Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CaICERTS
Report Generated: 2017-05-08 12:03:42
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name: 55645 TURNBERRY WAY Date Prepared: 2017-05-08
A. General Information
CF111-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one
CF111-ALT-02 document for each dwelling unit.
01
Project Name
55645 TURNBERRY WAY
02
Date Prepared 2017-05-08
03
Project Location
55645 TURNBERRY WAY
04,
Building Type Single family
O5
CA City
La Quinta
06
Dwelling Unit Name 55645 TURNBERRY WAY
07
Zip Code
92253
08
Dwelling Unit Conditioned
3829
SC System
CFA served
system a
refrigerant
Floor Area (ftZ)
Installing
Installing
Installing
Number of Space
09
Climate Zone
15. ,%; ' „ ...
10
Conditioning (SC) Systems in 1
more than 40
entirely new
entirely new
this Dwelling Unit:
B. Space Conditioning (SC) System Information'
A'
01
02
03
04
OS
U6
07
w O8
" 09
10
'es the SCS''
Installi g>a
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ft)
system?
component?
components?
feet of ducts?
ductsystem?
SC system?
Alteration Type
System 1
Location 1
S00
Yes
Yes
Yes
No
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: 217-A020150517A-000-000-0000000-0000 Registration Date/Time: 2017-0508 12:03:18 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-08 12:03:42
Schema Version: rev 10/16
t.
I
CERTIFICATE OF COMPLIANCE CF1R-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)3E and F)
01
I
CERTIFICATE OF COMPLIANCE CF1R-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)3E and F)
01
02
03
04
05
06
07
08
09
10
11
12
Heating
i 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
CentralAll
new
CentAl split
All new
This field or
This field or
System 1
furnace
heating
AFUE
80
C
cooling
SEER
14
Setback.
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning systems
- Duct insulation requirement for the new portions of supply=air and return -air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test required when heating or cooling components are installed in ducted systems, or when more than 40 it of duct length is replaced
-Leakage rate compliance: <= 15% or <= 10% leakage to oiit'side,.or seal all accessible leaks.
CF2R and CF3R-MCH-25-H Refrigerant Charge verification; required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15):
CF2R and CF3R-MCH-23 Airflow Rate >=•300tiCFM per.Sorrrequifed; when MCH -25 is required.
Exceptions: x:S
Duct
- Duct systems registered with HERS provider aiyireviously sealed are exempt from MCH -20 Duct Leakage Testing requirements.
`
- Heating -only- ",{eyi :e n+1 �,-Kn *_Z tr, Zt * W;
systems and Air Handler Furnace changes do not regwre verificabon of Aiir FlowhMCH-23 zor Refrigerant Charge MCH -25.
20
I
-Existing duct systems constructed, insulated or sealed with asbestos are exemp from MCH Duc sleakage Test ni g requvements.
}r!; .,lN ,ov R. .[� .YF W,.
�' `'\' ktaa "` e= q.L+au w »nar,+*^ wa,wie• :�V sy. K. -110,1 �, .car. ...e. "•.,�.t'u+
E. Entirely New or Complete Replacement DucUSystem with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)IE, 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: 217-A020150517A-000-000-0000000-0000 Registration Date/Time: 2017-05-08 12:03:18• HERS Provider: CaICERTS
CA Building Energy Efficiency Standards'- 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-08 12:03:42
Schema Version: rev 10/16
i
Bill !!
Permit #
Project Address: j
Qty ..of La Quinta
Building 8F Safety Division '
78-495 Calle Tampico
La Quinta, CA 92253 - (7.60) 777-701,2
Building Permit Application and Tracking Sheet
/`� • Owner's Name:ec
A. P. Number:
Address: 5— 7-
i�r,-7 % )eA-\/
Legal Description:
City, ST, Zip: 4a L vl/ f -r, c A ;L> 3
Contractor: l
h ! — _
Telephone:
one: J� 9 7 7 9
Address:IGZ /
Project Description: LrlSfCrcQ.P $LC
City,
City, ST, Zip: do -AL
Tele nc.7fe7_3L�7
�/�-cZ�f
State Lic. #
City c. 9..
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone-
Construction Type:. Occupancy:'
cY
State #
S to Lic.
Project type'(circle Ie one. New Add'n Alter Repair. De mo
Name of Contact Person:: �� S��
Sq. Ft.:
T# Stories:
# Units:
Telephone # of Contact Person: lie 0(p
Estimated Value of Project: 00-
APPLICANT: DO NOT WRITEiBELOW THIS LINE 4
.
$1
Submittal
Req'd
Rcc'd
TRACKING
i
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales..
Called Contact Person
Plait Check Balance.
Title 24 Cates.
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.[.
II.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
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,
y
Total Pcrmit Fccs