BMCH2014-1081r'
i
78-495 CALLE TAM'PICO _ D
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O14-1081
Property Address:
78760 SUNBROOK LN LN
APN:
604293006
Application Description:
SPLIT SYSTEM CHANGE OUT 16 SEER
Property Zoning:
Application Valuation:
$7,200.00
Applicant:
FIRST CHOICE A/C & HEATING INC
79747 CASSIA ST
LA QUINTA, CA 92253
SEP 1.2 2014
CITY OF LA QUINTA
TY DEVELOPMENT DEPARTMENT
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 LiFense Is in full force and effect.'-
Licnse Class: License No.: :LIC -0109319
�D�te: ~ /.. Contractor: � y 6#070e 6 .41C.4�
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.).
(_J 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: 9/12/2014
Owner:
TAWNY ARGUELES
78760 SUNBROOK LANE
LA QUINTA, CA 92253
Contractor:
FIRST CHOICE A/C & HEATING INC
79747 CASSIA ST
LA QUINTA, CA 92253
(760)989-2370
Llc. No.: :LIC -0109319
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: _ 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: 6w"&—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 certifythat 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. a_ . A
Date: o_9rt Signature (Applicant or Agent)
FINANCIAL ,• a
'DESCRIPTION a' �:� t s T 1ACCOUNT i p � .QTY �" AMOUNT = r `' PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 9/12/14
' [ PAID BY s a :,. • METHOD f . ,� -4,rE RECEIPT # ~' a= �, HECK # CLTD BY
<.
z _ E - r.::. , , � V , — ry C
FIRST CHOICE A/C & HEATING INC CHECK R1144 1080 MFA
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00
DESCRIPTION �'' '
#< .. ACCOUNT, `i' a `
, QTY`
'`AMOUNT '_' r=:PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$71.50
$71.50
9/12/14
`PAID:BY .`� t
RECEIPT #� �`
",-c
CHECK #
3
CLTD BY "
n,m
FIRST CHOICE A/C & HEATING INC
CHECK
R1144
1080
MFA
ACCOUNT :z -'i
QTY
AMOUNT'{
PAIDaPAID
DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$35.75
$35.75
9/12/14
7,.. 1PAID BY?
METHOD g' �v
°;; �
'RECEIPT#�
,6A ±, �
CHECK # F3
CLTD BYE
FIRST CHOICE A/C & HEATING INC
CHECK
R1144
1080
MFA
Total Paid forCHANGEOUT: $107.25 $107.25
'`DESCRIPTION ''
ACCOUNT f
QTYE
"AMOUNT` P
PAID
PAID:DATE
PERMIT ISSUANCE
101-0000-42404
0
$90.57
$90.57
9/12/14
f
r=. 'PAID BY: a
- METHOD ` k
„RECEIP.T #
CHECK #
%CLTD BY" -
FIRST CHOICE A/C & HEATING INC
CHECK
R1144
1080
MFA
Total Paid forPERMIT ISSUANCE: $90.57 $90.57
TOTALS:
Description: SPLIT SYSTEM CHANGE OUT 16 SEER
Type: MECHANICAL
Subtype:
Status: SUBMITTED
Applied: 9/12/2014 MFA
Approved:
Parcel No: 604293006 Site Address: 78760 SUNBROOK.LN LN LA QUINTA,CA 92253
Subdivision: TR 23995-1
Block:
Lot: 37
Issued:
Lot Scl Ft: 0
Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $7,200.00
Occupancy Type:
Construction Type:
Expired:
No. Buildings:'0
No. Stories: 0
No. Unites: 0
Details:
CHRONOLOGY
rnMnw'kuwL. 11vrvn1V1r►I ww
Printed: Friday, September 12, 2014 3:51:36 PM 1 of 2
SYSTEMS
DESCRIPTION
ACCOUNT
.QTY
AMOUNT.
PAID.
PAID;DATE .
RECEIPT #
GHECK # .
METHOD
PAID BY
CLTD
-- <
,
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
9/12/14
R1144
1080
CHECK
FIRST CHOICE A/C &
MFA
HEATING INC
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$71.50
$71.50
9/12/14
R1144
1080
CHECK
FIRST CHOICE A/C &
MFA
SPLIT -SYSTEM
HEATING INC
HVAC CHANGEOUT -
101-0000-42600
0
$35.75
$35.75
9/12/14
R1144
1080
CHECK
FIRST CHOICE A/C &
MFA
SPLIT -SYSTEM PC
HEATING INC
Total Paid forCHANGEOUT: $107.25 $107.25
PERMIT ISSUANCE
101-0000-42404
0
$90.57
$90.57
9/12/14
R1144
1080
CHECK
FIRST CHOICE A/C &
MFA
HEATING INC
Total Paid for PERMIT ISSUANCE: $90.57 $90.57
TOTALS:
PARCNT ('ROJCCTS
Printed: Friday, September 12, 2014 3:51:36 PM 2 of 2
JYJ IL'M�
lain #. -
City Of La Quinta
"Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico.
La Quints,CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: L4&4,g,
Owner's Name: ^ N V
A. P. Number:
Address: A6 —76 6 v sit
Legal. Description:
City, ST, Zip:
Telephone: ...........:...:.....:......:.
Contractor:
Address: ' �.J
Project.Description: AePLAe,& 1/3
City, ST, Zip:
Telephone: A0
?:>;:.,;•:::::;:<: r;;<<:.;:.:,;,
State Lic. #:
City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
P
«:;:;::>�;:;:=::>:zz=;<.:::>::
:a>:...." .
Construction Type: Occupancy:
State Lic.
tYPa circle one): New Addn Alter R ePair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
Units:
Telephone # of Contact Person:
gi�pp#
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIMG
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Cluck Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrcctionsfissue
Electrical
Subcontactor List
Called ContactPcrson
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'rd Review, ready for correctionsrissue
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 -1R -ALT -HVAC) • (Page 1 of 4 )
Project Name: Tawny Argueles , Date Prepared: - 2014-09-12
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_ r
Tawny Argueles V
02
Date Prepared
2014-09-12
03
Project Location
78-760 Sunbrook Lane ,
04
Building Type
Single family
05'
CA City
La Quinta,
06
Dwelling Unit Name
Tawny Argueles
-07
Zip Code,,
92253 "
'
081950
Dwelling Unit Conditioned
Floor Area (ft2)
-SC System
SC System
CFA served
system a
refrigerant
Number of space conditioning
Installing
09
Climate Zone
15.`
10
(SC) systems in this dwelling
1
ducted
containing
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) Systemllnformation x i
if.
01
02018
09
10
"IstheSc�Iristalling
-SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area:'
7" y 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
1950
Yes
No
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: 214-A0093183A-000000000-0000 - Registration Date/Time: 2014=09-12 09:35:58 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report V6rsion:'2014-03-31 Report Generated: 2014-09-12 09:33:31
• Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 4 )
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01
02
+ 03
04
:a
-06
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 4 )
D. Altered Space Conditioning System (Sections 150.2(b)1E 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 ,4
System Type
Components
Type
Value
Type
Duct Length
R -Value
System 1. -
Central gas
Gas furnace
AFUE
l
0.78
Central split
All new
cooling
. SEER
16
Setback
less than or
equal to 40
R-8—
furnace
AHU
AC
components
-
feet
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF311-MCH-20-H — 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: 515%, ors 10% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CBR -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 Flow >300 CFM/ton required when MCH -25 is,required.
Exceptions:#' : is YY';'
-Duct systems registered with HERS provider as previously sealed are.exempt from MCH -20 Duct Leakage Test ing,reguirements , :• E
�{
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23 or;F;efngerant Charge MECH 25.
i- a r..,. o. F f ,y a.
-Existing duct systems constructed, insulated or`sealed with asbestos are. exempt from MCH -20 Duct Leakage Testing requirements
4 I } Y !
Registration Number: 214-A0093183A-000000000-0000 Registration Date/Time: 2014-09-12 09:35:58 HERS Provider: CalCERTS•
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-12 09:33:31'
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE r ' CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 of.4 )
a •
Registration Number: 214-A0093183A-000000000-0000 Registration Date/Time: 2014-09-12 09:35:58 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-12 09:33:31
Schema Version: 0.551SDD
- 1 -
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 4 of 4 )
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. "
Documentation Author Name: ' '
Documentation Author Signature: �•
Sot
Both, Atila
v�tila
Company:
Signature Date:
FIRST CHOICE A / C & HEATING INC' -
2014-09-12 09:35:58
Address:
CEA/ HERS Certification Identification (if applicable):
79-747 CASSIA STREET '
City/State/Zip:
Phone: t:
LA QUINTA CA 92253.
(760) 989-2369 t .
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. r
2. 1 am eligible under Division 3 of the Bu iness and Professi ns Code to accept-respon i ilityf r.the buildmg.design orsystem.design identified on this Certificate ofCom li nce (responsible d si ner).
s m)anufa device building or em
3. That the energy features and performance specifications, materia =comp no entNand red forth design sy design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part land Part 6 -of the California -Code of Regulations //t }� %'� jp}f `, - • '
{Y ,` J % Fr,yP• -" ii'..tu-�r _ A �±r�y.�.. :.��
.
4. The building design features or system -design features identified on this Certificate of Compliance are consistent with'the information provided on other applicable compliance documents, worksheets, ;
calculations, plans and specifications submitted,to•theenforcement agency for approval.with'this buildmg,permit application._,,' * T -
A k r.�,� M '
Odin
..,a A 4 „� i�^�� � � J� A r• s,
5. I will ensure that a registered copy of this Certificate of`Compliance shall be made available wrth'the budding permits) issued for the building and,ma de available to the enforcement agency for all applicable
,
inspections. I understand that a registered copy of this Ceit�ficate.of,Comphance is required to:e included with the documentation the builiJer provides to the building owner at occupancy.
Responsible
Responsible Designer Name: ,
Responsible Designer Signature:
Both, Atila
Company:
Date Signed:. '
FIRST CHOICE A / C & HEATING INC '
2014-09-12 09:35:58
Address:
License: +
79-747 CASSIA STREET +
968138 -
City/State/Zip:
Phone:
LA QUINTA CA 92253
(760) 989-2369. `
f+
Digitally signed by CalCERTS. 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: 214-A0093183A-000000000-0000 Registration Date/Time: 2014-09-12 09:35:58 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance + 'Report Version: 2014-03-31` Report Generated: 2014-09-12 09:33:31
A Schema Version: 0.551SDD