BMCH2016-0128VOICE (760) 777
O�i4 , -
78-495'CALLE TAMPICO T 0 l�/ V � . 7125
•
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT FAX (760) 777-7011
INSPECTIO ONS (760) 777-7153-
BUILDING
77-7153BUILDING PERMIT
/) Date: 4/26/2016
Application Number: BMCH2O16-0128 Ower: 4P� l/
Property Address: 50605 SPYGLASS HILL DR RUZELL GESME
�,v8� D
APN: 770320004 � 874 E'G .` Y$TAuL�DOWNS
Application Description: GESME RESIDENCE / HVAC CHANGE OUT FRANKF0RT.,MI;9 53�NT
Property Zoning: FyT 9
Application Valuation: $14,000.00 �FOg9rti,
Applicant:
AIR EXPERTS AIR CONDITIONING & HEATING
84-160 MEADOWS LANE
COACHELLA, CA 92236
Contractor:
AIR EXPERTS AIR CONDITIONING & HEATING
84-160 MEADOWS LANE
COACHELLA, CA 92236
(760)397-3438
Llc. No.: 1008665
---------------------------------------------------------------------------------------------
J
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.: 1008665
Date: '� 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.
w
(Sec. 7044, Business and Professions Code: The Contractors' State License.Ladoes 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 underSec. 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 Na
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 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: Polity 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 shout ecome subject to the
workers' compensation provisions of Section 3700 oft abor Code, I shall forthwith
comply with those provisions. /
Date: '7' 26 6 Applicant
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 ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter u he
above-mentioned property for inspection purposes.
Date: _X$' Signature (Applicant or Agent)
♦
FINANCIAL ••
•
,�DESORJPTION5 'F" R r efA000UNT *
'QTY° AMOUNT PAID `PAID:DATEt;
*`fi:, s
BSAS SB1473 FEE 101-0000-20306
0 $1.00 $1.00 4/26/16
PAID BY METHOD -m
"RECEIPT #
x„ �� , ,. . • •;;0:
AIR EXPERTS AIR CONDITIONING & CHECK
R15062 1073 MFA '
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1:00
s, a '/DESCRIPTION.i
ACCOUNTS
AMOUNT
PAID
PAID DATE`
sC�T>Y
.HVAC CHANGEOUT - SPLIT -SYSTEM '
101-0000-42402
0
$145.04.
$145.04
4/26/16
t*.0 PAID BY
'a+ METHODS: ¢ x'
'"iy RECEIPT# X
CHECK #
CLTD BY:
F.'
AIR EXPERTS AIR CONDITIONING &
CHECK
R15062
1073
MFA
DESCRIPTION,,, ;'
-
PAID DATE,
.z _�ACCOUN�T�
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$72.52
$72.52
4/26/16
;�,, METHOD �'
°RECEIPT #
#
CLTD BY
qPAID,BY;{
yrm=CHECK .
'AIR EXPERTS AIR CONDITIONING &
CHECK
R15062
1073
MFA
Total Paid for CHANGEOUT: $217.56 $217.56
+ f.; "DESCRIPTION `F�ACCOUNTw=$
:QTY
'AMOUNT Y
-PAID"'
PAIDxDATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
4/26/16
'PAID BY r
METHOD s�K
.,Fz3RECEIP.T #
# CHECK # #u�
LTD BY
BY
4
r
_A
'F
AIR EXPERTS AIR CONDITIONING &
CHECK..
R35062
1073.
MFA
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:
♦
1
Y
1
i
Description: GESME RESIDENCE HVAC CHANGE OUT.
Type: MECHANICAL Subtype: Status: ISSUED
Applied: 4/26/2016 MFA
Approved: 4/26/2016 MFA
Parcel No: 770320004 Site Address: 50605 SPYGLASS HILL OR LA QUINTA;CA 92253
Subdivision: TR 25389-3 Block: Lot:4
Issued: 4/26/2016 MFA
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finalecl:
Valuation: $14,000.00 Occupancy Type:, Construction Type:
Expired: 10/23/2016 MFA
No. Buildings: 0 No. Stories: 0 No. Unites: 0
LIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
Details: '(2)'HVAC CHANGE OUTS -'15SEER/80AFUE SPLIT
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
COI%DITIeNIS
TYPE
-�'ADDRESS1
ZIP
11
4 IL
e;.',4NAM
NJ-
APPLICANT-
AIR EXPERTS AIR CONDITIONING &
84-160 MEADOWS COACHELLA
CA
92236
HEATING
LANE,
f
CONTRACTOR
AIR EXPERTS AIR CONDITIONING &
84-160 MEADOWS COACHELLA
CA
92236
HEATING
LANE
OWNER
RUSSELL GESME
874 ECRYSTAL DOWNS FRANKFORT
MI
92253
FINANCIAL INFORMATION
Printed: . Tuesday, April 26, 2016 3:39:42 PIVI 1of2 CB?w1ySTEmS-
DESCRIPTIONACCOUNT
: *
CITY
° �tAMOUNT
PAID � �
�PAID,DATE'
`RECEIPT #.
`CHECK #, f
METHOD
"PAID BY �
CLTD
Sr . -
Yom.. C
•i
- .(
F
3.•
BY
BSAS 581473 FEE
101-0000-20306
0
$1.00
$1.00
4/26/16
R15662
1073
CHECK
AIR EXPERTS AIR
CONDITIONING-&
MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00
BSA:
HVAC CHANGEOUT-
101-0000-42402
0
$145.04
$145.04
4/26/16
-1115062
1073'
CHECK
AIR EXPERTS AIR ,
MFA.
SPLIT -SYSTEM
CONDITIONING &
HVAC CHANGEOUT -
101=0000-42600
0
$72.52
$72.52
4/26/16
1115062
1073
CHECK
AIR EXPERTS AIR '
MFA
SPLIT -SYSTEM PC
CONDITIONING &
Total Paid for CHANGEOUT: $217.56
PERMIT ISSUANCE
101-0000-42404
0
F$91.85
$91.85
4/26/16
R15062
1073
CHECK
AIR EXPERTS AIR
CONDITIONING &
MFA
Total'Paid for PERMIT ISSUANCE: $91.85 $91.85
•
PARENT PROJECTS
REVIEWS
:._ _._ ... RETURNED STATUS .: a • w>�„ ,: REMARKS
REVIEW TYPE t :REVIEWER SENT,DATE: ;DUE DATE
GATE,,°Y ° V
M
n
Printed: Tuesday, April 26, 2016 3:39:42 PM 2 of 2
SYSTEMS
BOND
INFORMATION
ATTACHMENTS
......
n
Printed: Tuesday, April 26, 2016 3:39:42 PM 2 of 2
SYSTEMS
Qin #
City of La Qui; t
•- Building 8t Safety Division
78-495 Calle Tampieo.
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: f
Owner's Name:
A. P. Number:
Address:5 0_ S y 4-A5 LI,I
Legal Description:
City, ST, Zip: cA cf 225
Contractor:
T ele h n
Address: S
Project Description:
City, ST, Zip: p��C 14 ..
,IYI.cnl -• r
Telephone: o- 3
7.
i'
State Lie. #: ,C) 6
City Lie. #:
+
Arch., Engr., Designer:
SAV
Address:
City., ST, Zip:
Telephone:
n
Co n structi T
o e• Occupancy:
YP 1.1� aneY:
State Lic.#•
Project ct tYPa (circle one • New Add'n Ie•ReP a'u Demo
Name of Contact Person:-`'(�
S Ft.: `��
#Stories:
#Units: 1
Telephone # of Contact Person: ' 26'O`a �-{'r3 a
U G'(3 C1
Estimated Value of Project: 1 1 i v D °
APPLICANT:'DO NOT WRITE BELOW THIS LINE ,
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
RevieNved, ready for corrections,
Plan Check Deposit
Truss Calcs.
r
Called Contact Person .
Plan Check Balance
Title 24 Calcs.
Plans picked up ,
Construction
Flood plain plan
G
Plans resubmitted
'Mechanical
Grading plan
2nd Revicw, ready for, correctionsfissue
Electrical.
Subcontactor List
Called Contact -Person
'
Plumbing
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE. -
4
Review, ready for correctionsfissue
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 CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC) (Page 1 of 3 )
Project Name: GESME Date Prepared:. 2016-04-25
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 CFIR-ALT 02 document for each dwelling unit.
01
Project Name
GESME
02
Date Prepared
2016-04-25
03
Project Location
50-605 SPY GLASS HILL DR
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
GESME
07
Zip Code
92253
08
Dwelling Unit Conditioned
2200
Installing new„ 8C
Installing
tir
Lnstalling
Installing
R
Floor Area (ft2)
Identification or
Location or Area
by this SC
ducted
fir,
containing
Number of space conditioning
more than 40"
09
Climate Zone
15
10
(SC) systems in this dwelling
2
system?
r.,
components?
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System Information-
Ol
02.03'
F
a05
6fM
'It 07,8
.:
09
10
FIs the SC
Installing a
SC System
SC System
�•,�
CFA served
system a
refrigerant
m.
Installing new„ 8C
Installing
tir
Lnstalling
Installing
R
Identification or
Location or Area
by this SC
ducted
fir,
containing
„s
system
more than 40"
1
entirely new
.
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
BEDROOM
1100
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
System 2
LIVING ROOM
1100
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.
v
Registration Number: 216-A0152283A-000000000-0000 Registration Date/Time: 2016-04-25 13:28:57 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-25 13:29:43
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-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)1E and F)
01
02
03
04
05
06
07
09
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
Central gas
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
0.78
AC
cooling
SEER
16
Setback
section is not
section is not
components
components
applicable
applicable
Central gas
All new
Central split
All new
This field or
This field or
System 2
furnace
heating
AFUE
0.78
AC
cooling
SEER
16
Setback
section is not
section is not
components
-
components
applicable
applicable
Reauired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and F�s
-Duct insulation requirement for new plenumsrR6 --.-J A
CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testi g required when heating or cooling -components are installed
inducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: 515%, or 510% leakage to outside, or seal all'ac ec ssible:leaks.
CF211-MCH-25-H & CF3R-MCH-25-H Refrigerant CFiarge Verifica equired installed.or'a.ltered;(applicable in CZ 2 8-15).
tion; whei refrigerant containing components`are
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton-regwred.when MCH=25 is required:
Exceptions:
,
nco
-Duct systems registered with HERS Provider as previously sealed are exempt from MCH=20 DucCLeakage Testing
regwrements.
-Heating-only systems and Air Handler/Furnace chang s do not require verification of Air Flow MCH -23, or Refrigerant Charge MECH-25.
a f�"h a'i^�61•.
-Existing duct systems constructed, insulated or sea ed with asbestos are from.MCHL20 Duct:LeakageTesting regwrements,
tlexempt
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia 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)1C)
This section does not apply to this project.
Registration Number: 216-A0152283A-000000000-0000 Registration Date/Time: 2016-04-25 13:28:57 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-25 13:29:43
Schema Version: 0.555SDD
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:
Lira, Luis M
-
Company:
Signature Date: -
Air Experts Air Conditioning
2016-04-25 13:28:57
Address:
CEA/ HERS Certification.ldentification (if applicable):
PO Box 94
City/State/Zip:
Phone: `
La Quinta CA 92247
1760-777-1724
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the. Taws d`f the State of California:
1. The information provided on -this Certificat of Compliance,is-truuee and correct.
2. 1 am eligible under Division 3"of1the Business and Professions Codeo_a�ccept: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 1and Part hof the Ca�Ufornia.Code o egulation
4. The building design features or system design feat�uresdentified on this Certificate of Compliance are:conAsistent with the informatibmprovided on ott erFapplicabfoecompliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for ioval,with thisbuildin o .
p p g ty pp g permit application. � �
q.E �. f'
.�t.. 9 rtG q 9+ �F :.k w
5. I will ensure that a registered copy of this: Certificate of Compliance shall be"made available withrthe building permit(s),issued for the building, and_ma* available f ie' enforcement agency for all applicable
inspections. I understand that a registered copy of this:Certificate of Com plancers.required to beinduded with thedocum�eptationthebuilder provides to the building owner at occupancy.
Responsible Designer Name: . -
Respons'ibfe De'signer Signat"ure: � �Ae�
Lira, Luis M�•/����'j
Company:
Date Signed:
Air Experts Air Conditioning
2016-04-25 13:28:57
Address:
License:
PO Box 94
1008665
City/State/Zip:
Phone:
La Quinta CA 92247
760-777-1724
Digitally signed by Ca/CERTS. 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-A0152283A-000000000-0000 Registration Date/Time: 2016-04-25 13:28:57 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-04-25 13:29:43
Schema Version: 0.555SDD