BMCH2014-1144Applicant:
AIR PRO SERVICES
D Q
478-495
VOICE (760) 777-7125
CALLE TAMPICO
0 OUTSIDE CITY LIMITS
D
NOV 4 2014
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011
(760)343-5500
COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/14/2014
Application Number:
BMCH2O14-1144
Owner:
Property Address:
78685 AVENIDA ULTIMO
HERBERT SHARP
APN:
770092004
78685 AVENIDA ULTIMO
Application Description:
HVAC CHANGE -OUT- 2 SYSTEMS INDIO, CA 92253
Property Zoning:
Application Valuation:
$11,873.00
Applicant:
AIR PRO SERVICES
D Q
Contractor:
AIR PRO SERVICES
0 OUTSIDE CITY LIMITS
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253,
NOV 4 2014
LA QUINTA, CA 92253
(760)343-5500
CITY
COMMUNIOFOPMQNTOTEPARTMEN7
Llc. No.: :LIC -0003078
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.
Licens Class: License No.::LIC-0003078
Date: 1ontractor:
OWNER -BUILDER CLARATION
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 anthe /
basis for the alleged exemption. Any violation of Section 7031.5 by y applicant foda
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 ) 1, 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:
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 war r which this permit is issued.
1-1 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: pplicant:
WARNING: FAILURE TO SECURE WORKERS' OMPENSATION 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 upo the above
mentioned property for inspection purposes.
Date: ��ZI-21111 Signature (Applicant or Agent):
FINANCIAL i•
!,
DESCRIPTION S
ACCOUNT "°"�
QTY>
AMOUNT ,'
PAID
i
PAI6 DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00,
$0.00
rt `PAID BY " `` h
w METHOD
RECEIPT.#
,CHECK # +
CLTD BY'
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION' ���
- ,' •ACCOUNT .:
QTY,
,.z
z `sAMOUNT�v
'PAID .,.
PAID DATE
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$72.52
$0.00
' t 9
PAID BY `
METHOD
RECEIPT # =
CHECK # a`'
CLTD BYs.
DESCRIPTION, . ' =
ACCOUNT, P ".`
QTY.
sl, AMOUNT°+
PAID
PAID DATE
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$48.34
$0.00
PAID BY�METHOD
„"RECEIPT # �.
'- CHECK #
'CLTD BY "
Total Paid forCHANGEOUT: •$120.86 $0.00
�. DESCRIPTIONS''-'
�
.. ACCOUNT a..
QTY
' AMOUNT
_' PAID'!PAID
DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
-PAID BY . '° „
f ` METHOD k
. " RECEIPT #
CHECK #
sr CLTD BY
i Total Paid for PERMIT ISSUANCE: $91.85. $0.00
TOTALS:00
Description: HVAC CHANGE -OUT - 2 SYSTEMS
Type: MECHANICAL ' Subtype: Status: APPROVED
Applied: 11/14/2014 KHE
Approved:
Parcel No: 770092004 Site Address: 78685 AVENIDA ULTIMO LA QUINTA,CA 92253
Subdivision: DESERT CLUB TR UNITS Block: Lot: 4
Issued:
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $11,873:00 Occupancy Type: Construction Type:
Expired:
No..Buildings: 0 No. Stories: 0 No. Unites: 0
AIR PRO SERVICES
Details: INSTALL 2 GAS/ELECTRIC PACKAGE UNITS- 14 -SEER. 2013 CODES..
,.. CHRONOLOGY"'� .
DESCRIPTION : s ACCOUNT. U QTY`_ EC
AMOUNT PAID PAID DATE REIPT # CHECK #_; METHOD PAID BY CBY
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
Printed: Friday, November 14, 2014 9:49:27 AM 1 of 2 r
sysrents
NAME
CONTACTS
ADDRESSi CITY
STATE ' ::. ZIP PHONE FAX 4 ;' .EMAIL
.NAME TYPE
APPLICANT
AIR PRO SERVICES
0 OUTSIDE CITY LIMITS LA QUINTA -
CA 92253
-
CONTRACTOR
AIR PRO SERVICES
0 OUTSIDE CITY LIMITS LA QUINTA
CA 92253
OWNER
HERBERT SHARP
92253 ,
DESCRIPTION : s ACCOUNT. U QTY`_ EC
AMOUNT PAID PAID DATE REIPT # CHECK #_; METHOD PAID BY CBY
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
Printed: Friday, November 14, 2014 9:49:27 AM 1 of 2 r
sysrents
Printed: Friday, November 14, 2014 9:49:27 AM 2 of 2
. SYSTCiY1S '
CLTD
DESCRIPTION.
ACCOUNT
QTY
AMOUNT~
PAID
PAID: DATE
RECEIPT #
CHECK #- .
'METHOD.'
_PAID BY ..
BY:
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$0.00
PACKAGED UNIT
HVAC CHANGEOUT -
101-0000-42600
0
$48.34
$0.00
PACKAGED UNIT PC
Total Paid forCHANGEOUT: 1$120.86 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Printed: Friday, November 14, 2014 9:49:27 AM 2 of 2
. SYSTCiY1S '
CERTIFICATE OF COMPLIANCE CF111-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 1 of 4 )
Project Name: KATHY SMITH Date Prepared: 2014-11-14
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 CFiR-ALT 02 document for each dwelling unit.
01
Project Name
KATHY SMITH
02
Date Prepared
2014-11-14-
03
Project Location
78685 AVENIDA ULTIMO
04
Building Type
Single family
05
CA City
La Quinta -
06
Dwelling Unit Name
KATHY SMITH
92253
08
Dwelling Unit Conditioned
2604
07
Zip Code
Floor Area (ft2)
SC System
SC System
CFA served
systema
refrigerant
Number of space conditioning
Installing
09
Climate Zone
15:.:.,,;
10
(SC) systems in this dwelling
2
ducted
containing
Y,• y .
more than 40
unit.
entirely new
B. Space Conditioning (SC) Systernf nformation
..
Ol
02
03�'x�i
��"z 04y
osie
06 t
y i4 07
p OS
09
10
..
.„
r
, e
;Is the SC
I stalls g a
`' �
SC System
SC System
CFA served
systema
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Areat
*OV this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (#t2)-.
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
MAIN LIVING AREA
1417
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
�
System 2
BEDROOMS
1187
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.
' J
Registration Number: 214-A0139689A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2014-11-14 07:57:44
Report Version: 2014-03-31
HERS Provider: CaICERTS�
Report Generated: 2014-11-14 07:58:15
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
-Alterations to Space.Conditioning Systems (formerly CF -1R -ALT HVAC) (Page 2 of 4 )
D. Altered Space Conditioning System (Sections 150.2(b)lE and F) -
O1
02
03
04
05
06
07
08
09
30
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 .
All new
heating.
AFUE
0.78
Central
All new,.
cooling '
SEER
14
Setback
Less than or
equal to 40
R-8
System 1
packaged HP
components
acka AC
p ged
components
feet
2
Central
All new
heating
AFUE .
=
;, 0.78
Central
All new
cooling
SEER
14
Setback
Less than or
equal to 40
R-8
System
packaged HP
components.,
.._
packaged AC
components
feet
Required Documentation: s .
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6W.0'01
h i components are installed m ducted systems or when more than 40 ft of duct length is replaced.
CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage.testing required when or cooling ww
Leakage rate compliance: <_ 15%, or <_ 30%leakageto outside, orseal .all accessible leaks.W.,
K F"d.0dj �FY' b"
CF2R-MCH-25-H & CF.3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are,,installed(or altered (ap�pjl{icableJn CZ.2 8 15) -
red
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow a 300 CFM/ton requiwhen MCH 25 is required
Exceptions:
"�'
Dud systems registered with HERS provider as prewiouslysealed.are exempt from MCH 20 Duct Leakage Testing requirements.''+ •
-Heating-only systems and Air Handler/Furnace changes do not.require venficaUon of Air Flow MCH -23, or Refrigerant Charge MECH-25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)iDiia and 150.2(b)1E, F) -
This section does not apply to this project.
Registration Number: 214-A0139689A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2014-11-14 07:57:44
Report Version: 2014-03-31
HERS Provider: CaICERTS
Report Generated: 2014-11-14 07:58:15
Z'1
CERTIFICATE OF COMPLIANCE CF111-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 4 )
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)iC)
This section does not apply to this project.
Registration Number: 214-A0139689A-000000000-0000 Registration Date/Time: 2014-11-14 07:57:44
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31
HERS Provider: CalCERTS
Report Generated: 2014-11-14 07:58:15
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) -
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: Documentation Author Signature:
Priest, Michelle
Company: i Signature Date: -
AIR PRO SERVICES CORPORATION 2014-11-14 07:57:44
CEA/ HERS Certification Identification (if applicable):
Address:
P0BOX 1120
City/State/Zip: Phone:
CATHEDRAL CITY CA 92235 (760) 343-5502
Responsible Person's Declaration statement
I certify the following under penalty of perjury, u.riderthe;laws.of the.state of,,;California:
1. The information provided on this. Certificate of Compliance is true and correct
2. I am eligible under Division 3 of the Busiriess and Professions Code to accept responsibility for the buildmg.design or,system deesign den
s gsua� p
3. That the energy features and performance speufiwations, materials components and manufactured deuces for the building design or
requirements of Title 24, Part 1 andPact,_6of the California Code ofRegulations. isy,c t
4. The building design features or systemFdesign features identifieed onkthis Certificate of compliance are consisrmation.p
calculations, plans and specifications submitted to the enforcement agency for. approval with thisId mg"ptrapp�hcation�
r
S. I will ensure that a registered copy ofthis-Certificate of Compliance shall be made aya�lable with the buildmg.permrt(s) issued for the,b�
,,. ,
inspections. I understand that a registere&Eopyof this Certificate of:Compliance is.regui.red to be included with the documentation"the
Responsible Designer Name: Responsible Designer Signature:
aa
Priest, Michelle
Company: Date Signed:
}=-
- AIR PRO SERVICES CORPORATION 2014-11-14 07:57:44
License:
Address: -
P O BOX 1120 780198
City/State/Zip: Phone:
CATHEDRAL CITY CA 92235 (760) 343-5502
CFiR-ALT 02-E
(Page 4 of 4 )
-d on this Certificate of Compliance (responsible designer).
m design identified on this Certificate of Compliance conform to the
ded on other applicable compliance documents, worksheets,
G
ng .and; made;ayailable to the enforcement agency for all applicable
Ider provides to the building owner at occupancy.
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-A0139689A-000000000-0000 Registration Date/Time: 2014-11-14 07:57:44 HERS Provider: CaICERTS
Re ort Generated: 2014-11-14 07:58:15
rn Riiilrlina Fnarev Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 P
1)
4q6Z
Bin #
Qty of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
-T
Permit#
0 rAO
ProjectAddress: 78626' Ave.,'JA M
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: A-,
Telephone: ?(,0-.z8Cj so
7
. ... .......
Address: -7.)
,629 SAog,- S74A,d
Project Description: V,4 e -
1,
City, ST, Zip: 7-X0q Vj All e4 %a.X;,
SA
-;u S 7'
-2 A 114 A6
Telephone:
.... .......
t4AI
State Lic. #
City Lic. 7
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
... .......
onstruction Type: Occupancy:
State Lic.
P type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq.F t.:
I # Stories:
I #Units:
Telephone # of Contact Person:
Estimated Value of Project:. 1�//, S-73. �5—'
APPLICANT: DO NOT WRITE BELOW THIS LINE
it
Submittal
Req1d
Rec1d
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
It.
Amount'
Structural CaIcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 CaIcs.
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.I.
H.O.A. Approval
Plans resubmitted
Grading
FN 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
Total Permit Fees