BMCH2015-02047VOICE (760) 777-7125
8-495 CALLE TAMPICO
~.LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
' BUILDING PERMIT
Date: 6/12/2015
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
BMCH2O15-0204
51395 AVENIDA VALLEJO
773083021
CITY OF LA QUINTA
$5,960.00
Applicant:
GREENUP AIR CONDITIONING AND H
P 0 BOX 7431
LA QUINTA, CA 92248
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.: 985406
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).: 4,
( ) 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. Q.
Lender's Name:
Lender's Address:
Owner:
HOUSING AUTHORITY OF CITY OF
P 0 BOX 1504,
LA QUINTA, CA 92253
Contractor:
GREENUP AIR CONDITIONING AND H
P 0 BOX 7431 r
LA QUINTA, CA 92248
(760)625-6537
Llc. No.: 985406
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: 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 city.to enter upon the above-
mentioned property for inspection purposes. -
Date: Signature (Applicant or Agent):
FINANCIAL INFORMATION
DESCRIPTIONx5 '.'`ACCOUNT AM:_ PAID 'PAID:DATE
AV FFQTY
BSAS SB1473 FEE 1 101-0000-20306 0 $1.00 $1.00
6/12/15
,
PAD BY ' `METHOD ' , # ,, ' �� CHECK #
k CLTD BY
z ;'RECEIPT N' ° ��
GREENUP AIR CONDITIONING AND H CHECK R6999 1090
AZA
'Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00
i
&
+° ACCOUNT
'QTYti
�
+ AMOUNT
F,
PAID a::
PAID DATE'.
r'z�DESCRIPTION
x
�i r
CONDENSER/COMPRESSOR
101-0000-42402'
0
$36.26
$36.26.
6/12/15
PAID BY ; �'
METHOD ' �r
ii�RECEIPT,# +p> f' �
� gg,� CHECK #
CLTD BY�r;'
w €
GREENUP AIR CONDITIONING AND H
CHECK
R6999
1090
AZA
j F,DESCRIPTION _ f ::`
:.'F ACCOUNTS "�'
QTY
-- AMOUNT, �
PAIDF� ' '
PAID DATE
, P �,
�
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$24.17
$24.17
6/12/15
4 METHODRECEIPT
#, `.:
*-.CHECK #
CLTO BY
°
x ,
GREENUP AIR CONDITIONING AND H
CHECK
•116999
1090
AZA
4bDESCRIPTION.y , 7K;,S�F
ACCOUNT :�
QTY
z AMOUNT
` ' M
PAID DATE;
£PAID
OTHER MECHANICAL EQUIPMENT
101-0000-42402
0
$36.26
$36.26
6/12/15
s x PAID BYa g'"" 3y
.}: T;: METHODr' ' t
�
` # ?"'':
;RECEIPT
IC
CHEC #
F C LTD BY
,
+
GREENUP AIR CONDITIONING AND H
CHECK
R6999
1090
AZA
�;. , DESCRIPTION
3
ACCOUN
sAMOUNT
r
PAID"
PAID
�.
va
. }
.DATE
OTHER MECHANICAL EQUIPMENT PC
101-0000=42600
0
`$36.26
$36.26
6/12/15
• �®
y' s ; + METHOD
RECEIPT #
CHECK # y;
CLTD BY
GREENUP AIR CONDITIONING AND H
CHECK
R6999
1090
AZA
Total Paid forMECHANICAL: $132.95 $132.95
=i DESCRIPTION�s; , 4;
ACCOUNT, ' .
?":QTY
i AMOUNT ",
' � PAIDi Y
PAID DATE
E ,
-
PERMIT ISSUANCE
101-0000-42404
0
$91.85.
$91.85
6/12/15
« r PAID; BY E{.N
s,..
RECEIPT #
hx
CHECK #
CLTD BYE
!"'t
_
GREENUP AIR CONDITIONING AND H.'
CHECK
R6999
1090
AZA, ,
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS::0 $225.80
4
Description: CITY OF LA QUINTA
Type: MECHANICAL
Subtype:
Status: ISSUED
Applied: 6/12/2015 AZA
Approved: 6/12/2015 AZA
Parcel No: 773083021 Site Address: 51395 AVENIDA VALLEJO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA - Block: 66
Lot: 9
Issued: 6/12/2015 AZA
UNIT 6. -
Lot Sq Ft: 0
Building Sq Ft: 0 ,
Zoning:
Finaled: -
Valuation: $5,960.00
Occupancy Type:
Construction Type:
Expired: 12/9/2015 AZA
No. Buildings: 0
No. Stories: 0
No. Unites: 0
Details: HVAC CHANGE -OUT -REPLACE EXISTING CONDENSOR AND FANCOIL. 2013 CALIFORNIA ENERGY AND BUILDING CODES.
Appliedt6ApproJed
Approved to issued
Printed: Friday, June 12, 2015 10:30:57 AM 1 of 2
CIRWSYSTEMs
Printed: Friday, June 12, 2015 10:30:57 AM 2 of 2
• c§?WysTEms
'A
777=
��CHECK-#`
'CLTIJ
ION
DESCRIPTION
cc Ob NT2 2,
CITY
MOUNT
PAID;
.PAID;DATgWRECEIPT#t
METHOD:�l
PAID BY
BY;.
CONDENSER/COMPRES101-6000-42402
0
$36.26'
$36.26
6/12/15
R6999
1090
CHECK
�GREENUP AIR
AZA
SOR
CONDITIONING AND H
CONDENSER/COMPRES
GREENUP AIR
101-0000-42600
0
$24.17
$24.17
6/12/15
R6999
logo
CHECK
AZA
SOR PC
CONDITIONING AND H
OTHER MECHANICAL
101-0000-42402
0
$36.26
$36.26'
6/12/15
R6999
1090,
CHECK
GREENUP AIR.
AZA
EQUIPMENT,
CONDITIONINGAND H
OTHER MECHANICAL
101-0000-42600
0
$36.26
$36.26
6/12/15
R6999
1090
CHECK
GREENUP AIR
AZA
EQUIPMENT PC,
CONDITIONING AND H
Total Paid forMECHANICAL: $132.95 $132.95
GREENUP R
PERMIT ISSUANCE
101-0000-42404
0
I
$91.85
$9 1.85
6/12/15
R6999
1090
CHECK,
AZA
.
CONDITIONING AND HI
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS: $225.80 $22S.80
Printed: Friday, June 12, 2015 10:30:57 AM 2 of 2
• c§?WysTEms
Bin #
City Of L Quihta
Building 8t Safety Division
P.O. Box 1504, 78-495 Calle Tampico.
La Quinta, CA 92253 - (760).777-7012.
Building Permit Application and Tracking Sheet
Permit #
Project Address: I �� it 1 GZ V �-� e ' O
Owner's Name: ,+ C_ - �( �
A. P. Number:
Address: i2 4(l IES CaJ l �T� LQ
Legal. Description:
City, ST, Zip: lA..► v.+a- CA 1 Da 53
Contractor: G re -e -n 1"tlC
Telephone: W - -
Project Description: R, -
Address: -.7
City, ST, Zip: lS�l_ lam! Y4a- <___A `1 a 49
Telephone:
I O ��
.l'�""X{%+?�! '.:..Fi?Y�l 1::n}•p•: vyY:::;{� _
_ a �" �-:�.f�jr<�s;iµ?:.aew•:>;s:� :;
�• .t �: �iih�.Jl: �{..:!.?!tyi:Y�i i}'}J:: `F ii':
State Lic. # 9 -J L
Lo I City Lic. #;=
Arch., Engr., Designer:
1
Address:
City., ST, Zip: '
Telephone:
9:v:.vlj ~•?':n i'N iJ��:' - : ifii�i}?ice
'" ? ti <; „c«':•':>:
-
Construction Type Occupancy:
,ff.?:-f'�
State Lic. #: i
Project e. circle one New Add'n Alter Repair Demo
Name of Contact Person: B�/(�(� re-
Sq. FL:
#Stories:
#Units
Telephone #,of Contact P.ason: I too -77 ( - D9 aD
Estirnated.value of Project: 5 O 01 00
i
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIGNIG ,
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plau Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plaas.picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading pian
j
2"° Review, ready for correctioasiusue
Electrical
Subcontactor List
i
Called Contact Person
Plumbing
Grant Dccd
'.
Plans Oickcd up
S.M.L
H.O.A. Approval
I
Plans resubmitted
Grading
IN IiOUSE:-
i
as Review, ready for correctionsliissue
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 -IR -ALT -HVAC) 1 (Page 1 of 3 )
Project Name: City of La Quinta Date Prepared: 2015-06-11
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 CF1R-ALT-02 document for each dwelling unit.
01
Project Name
City of La Quinta
02
Date Prepared 2015-06-11
03
Project Location
51395 Avenida Vallejo
04
-
05
:.
La Quinta
06
Dwelling Unit Name City of La Quinta
07
Zip Code
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) 1 (Page 1 of 3 )
Project Name: City of La Quinta Date Prepared: 2015-06-11
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 CF1R-ALT-02 document for each dwelling unit.
01
Project Name
City of La Quinta
02
Date Prepared 2015-06-11
03
Project Location
51395 Avenida Vallejo
04
Building Type Single family
05
CA City
La Quinta
06
Dwelling Unit Name City of La Quinta
07
Zip Code
92253
08'
Dwelling Unit Conditioned 1444
CFA served
rystem a
refrigerant
7'1nstallingnewdC
Floor Area (ft2)
!Installing
Installing
—1]N
Identification or
umber of space conditioning
09
Climate Zone
15
SO
(SC) systems in this dwelling 1
entirely new
entirely new
Name
unit. '
B. Space Conditioning (SC) System Information- '
01
02
03
A, 04
0SJI&
'If —06
A. 07"
Q8
09
10
.axs
" �Is the SC
w �"
In""stalling a
sw!•ew•= v+b ua
xa �+m:«
,es ;c.
^+mc,u Y'^
SC System
SC System
CFA served
rystem a
refrigerant
7'1nstallingnewdC
JAstall�ng
!Installing
Installing
Identification or
Location'or Area
by 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
whole house
1444
Yes •
Yes
Yes
No
No
No
Altered space
I
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 1S0.2(b)1Diib)
This section does not apply to this project.
Registration Number: 215-A0157257A-000000000-0000 Registration Date/Time: 2015-06-11 17:54:48 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance _ Report Version: 2014-03-31 Report Generated: 2015-06-11 17:54:43
Schema Version: 0.SSSSDD `
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)lE and F)
01
"
03
04
OS
06
07
08
09
10
11
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)lE and F)
01
02
03
04
OS
06
07
08
09
10
11
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 split
Central split
Outdoor
This field or
This field or
' System 1
HP-
Fancoil,AHU
HSPF
8.2
HP
condensing
SEER
14
Setback
section is not
section is not
unit
applicable-
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Favi.
'
-Duct insulation requirement for new.plenums: R6.
'
CF2R-MCH-20-H & CF3R-MCH-20-H —Duct Leakage testind;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:' 915%, or 510%leakage to outside, or. seal all accessible leaks..
CF2R-MCH-2S-H & CF3R-MCH-25-H Refrigerant Charge 'Verlficatlon;required when refrigerant containing components are Installed
or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2300 CFM/ton required when MCH -25 is'requlred.
Exceptions: ? �::`.
-Duct systems registered with HERS provider as previously sealed are exempt from`M�CH 20 Duct Leakage T'e ti g req�uuements
-Heating-only systems and A(r Handler/furnace changes do not require venfiratlon of Air Flow MCH° -23; or Refrig re ant Chaige.MECH 25 -'
baa ,der k r~' at -
-Existing duct systems constructed, insulated or sealed with'asbestoss exempt, from MCH 2O;6u5iLeakage Testing requifemenfts.
E. Entirely New or Complete Replacement Duct y tem, with or w houtlEquipment Changeout"(Sections 150.2(b)SDiia andJ150.2(b)3E, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)SC)
This section does not apply to this project.
12
pt
Registration Number: 215-A0157257A-000000000-0000 Registration Date/Tme:. 2015-06-11 17:54:48 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-11 17:54:43
' Schema Version: 0.5555DD -
• t
CERTIFICATE OF COMPLIANCE CF1R-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:
Aidit
Greenup, Brian
q ---p
Company:
Signature Date: '
GREENUP AIR CONDITIONING AND HEATING
2015-06-11.17:54:48
Address:
CEA/ HERS Certification Identification (if applicable):
P 0 BOX 7431
City/State/Zip:
Phone:•
LA QUINTA CA 92248
(760) 625-6537 -
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 CertificaWof Compliance is true and correct.
2. 1 am eligible under Division 3 of the 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 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 1 and Part 6 of the. California Code of Regulations
4W 0"71
4. . The building design features or system design features identified ondhis Cerriflcate of Compliance are -consistent with the information,provided another applicabI:* mpliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement zgency for approvatwtth this building permit application. - € 6fgj
S. I will ensure that a registered copy of this Certifiute otftmpliance shall;be macde available with the bullding pe mn(s);issued forthe•bu'ilding, and,made available,tothe;enforcementagency for all applicable
inspections. I understand that a registered copy of this'Ceitlficate of Complxanceris,required to be,induded with therdocumentationithe�builder pvroyides to,the building owner at occupancy.
Responsible Designer Name: -w.
Responsible Designer Signature: V y
Greenup, Brian
Srian0reenup
Company:
Date Signed:
GREENUP AIR CONDITIONING AND HEATING
2015-06-11 17:54:48
Address:
License:
P 0 BOX 7431
985406
City/State/Zip:Phone:
LA QUINTA CA 92248
(760) 625-6537
Digitally signed by CsICERTS. 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: 215-A0157257A-000000000-0000 Registration Date/Time: 2015-06-11 17:54:48 HERS Provider: CaICERTS
,CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-11 17:54:43
Schema Version: 0.555SDD