BMCH2017-001778-495 CALLE TAMPICO U VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 77.7-7153
BUILDING PERMIT.
Date: 2/1/2017
Application Number: BMCH2O17-0017 Owner:
Property Address: 53330 AVENIDA VALLEJO AMY KREMER
APN:. 774083005 53330 AVENIDA VALLEJO
Application Description: KRAMER / CHANGE OUT (1) HVAC SYSTEM LA QUINTA, CA 92253 .
Property Zoning:
Application Valuation: $16,237.00 '
Applicant: Contractor:
IE INC ALL SEASONS AIR CONDITIONING PLUMBING &
31225 LA BAYA 75-450 GERALD FORD DR STE 303
WESTLAKE VILLAGE, CA 91362 PALM DESERT, CA 92211
(760)202-3067
Lit. No.: 827420
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, C36 License No.: 827420
Date: t 11 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, after, 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).:
(1 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 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: SECURITY NATIONAL INSURANCE COMPANY Policy Number:
SWC1104S44
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 37.00 of the Labor Code,'I shall forthwith
comply with those provisions.
� � 6
Date: O'2 I� Applicant:,vwYd '2---�
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.l 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: Z 11
� Signature (Applicant or Agent),
t- .
Date: 2/1/2017
Application Number: BMCH2017-0017
Owner:
. Property Address: 53330 AVENIDA VALLEJO
AMY KREMER
APN: 774083005 -
53330 AVENIDA VALLEJO
Application Description: KRAMER / CHANGE OUT (1) HVAC SYSTEM
LA QUINTA, CA 92253
Property. Zoning:
Application Valuation: $16,237.00
Applicant:
Contractor:
IE INC
ALL SEASONS AIR CONDITIONING PLUMBING &
31225 LA BAYA
75-450 GERALD FORD DR STE 303
WESTLAKE VILLAGE, CA 9136.2
PALM DESERT, CA 92211
(760)202=3067
LIC. No.: 827420
Detail: HVAC CHANGE OUT - (1) 14SEER/8AFUE PACKAGE SYSTEM [2016.ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2016 CALIFORNIA BUILDING CODES:
DESCRIPTION
ACCOUNT QTY
AMOUNT
BSAS SB1473 FEE
FINANCIAL
INFORMATION
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
DESCRIPTION
ACCOUNT QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT'
QTY
AMOUNT
HVAC CHANGEOUT- PACKAGED UNIT
101 0000-42402
0
$38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVACCHANGEOUT- PACKAGED UNIT PC
101-0000-42600
0.
$25.33
Total Paid for CHANGEOUT:
$63.33
T DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
'Total Paid for PERMIT ISSUANCE:
TOTALS -$160.60
$96.27
Y -
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3)
Project Name: Amy Kramer Date Prepared: 2017-02-01
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
CF111-ALT-02 document for each dwelling unit.
01
Project Name
Amy Kramer
02
Date Prepared
2017-02-01
03'
Project Location
53330 Avenida Vallejo
04
Building Type
Single family
05 ,
CA City
La Quinta-
06
Dwelling Unit Name
HOUSE
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
{s`' 1.'
`
Dwelling Unit Conditioned
Served,
07
Zip Code92253
component?
08
'
Floor Area (ftp)
1450
SC system?
Alteration Type
SYSTEM 1
WHOLE HOUSE
1450
Yes
Yes
Yes
Yes ..
No
Number of Space
Altered space
conditioning system
09
Climate Zone
15 ,�
10.
Conditioning (SC) Systems in
1
this Dwelling Unit:
B. Space Conditioning (SC) System Information {{ a # i
t I FT ---R 4t >= i i t
i
01
02
03
04
05_
Ufi
07
08
09
10
SC System
SC System
CFA served
Is the SC
I
systema
Installing a
.0fi mor � �'�'('
refrigerant
'w
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 (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
SYSTEM 1
WHOLE HOUSE
1450
Yes
Yes
Yes
Yes ..
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: 417-A020014988A-000-000-0000000-0000
Registration Date/Time: 2017-02-01 11:31:25
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-02-01 11:31:27 .
CERTIFICATE OF COMPLIANCE CFiR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) . (Page 2 of 3)
D. Altered Space Conditioning System (Sections 1S0.2(b)1E and F) -
.01
02
03
04
05
06
x07
68
09
10
it
12
Heating "
Cooling
w ,.
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
.Central
All new
r •
Greater than -
_
SYSTEM 1
packaged HP
heating
AFUE
0.8
packaged HP
cooling
SEER
'
14
Setback
40 feet
R-8
•
components
�
components,
Required Documentation: °Ot; 4 .
CF2R-MCH-01-E - Space Conditioning Systems.'(.`
.
- Duct insulation requirement for.the new portions of supply -air and return -air ducts or plenumyp,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
ft of duct length is replaced
_Leakage rate compliance: <= 15% or <= 10%leakage to outside, or seal all accessible leaks. ' � l ;� i�
s t,
CF2R and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing components are in/stalled or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate >= 30.0 CFM per ton required when MCH -25 is required.�r
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.
:Heating -only systems and Air Handler Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MCH -25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
Registration Number: 417-A020014988A-000-000-0000000-0000 Registration Date/Time: 2017-02-01 11:31:25 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 ' Report Generated: 2017-02-01 •11:31:27
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -SR -ALT -HVAC) (Page 3 of 3)
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Corripliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
David Bealel7awcdl*8ea&
Company:
Signature Date:
All Seasons Air Conditioning Plumbing & Heating, Inc.
2017-02-01
Address:
CEA/ HERS Certification Identification (if applicable):
73605 Dinah Drive #13101V
827420
City/State/Zip: �`
Phone:
760-5-68-2663
Palm Desert CA 92211 r
Responsible Person's Declaration statementi,�
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 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. Fes:
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 the enforcement agency�forapproval,with this building permit application.
, . € iu t
S. I will ensure that a registered copy of this Certificate of Compliance'shall be made available ate with tbuilding permits) issued for the building, and made available to the enforcement agency for all applicable
:
+ e E R k rs ,. i w• , 4 d
inspections. I understand that a registered copy of this Certificate of Compliance is°requiren.E d to be'included wrth"the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
David Beale
Responsible Designer Signature:
L7GtVi,G�i�P.A�Fi
Company:
Date Signed:
All Seasons Air Conditioning Plumbing & Heating, Inc.
'2017-02-01
Address:
License:
73605 Dinah Drive #1310M
827420
City/State/Zip:
Phone:
Palm Desert CA 92211
760-568-2663
Registration Number: 417-A020014988A-000-000-0000000-0000
Digitally signed by CHEERS"". 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 Date/Time: 2017-02-01 11:31:25 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-02-01. 11:31:21
Bin #
City. of La Quinta
Building & 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: 53330 Avenida Vallejo
Owner's Name:. Amy Kramer
A. P. Number.
Address: 53330 Avenida Vallejo
Legal Description:
Contractor. All Seasons A/C, Plumbing and Heating
City, ST, Zip: La Quinta, CA 92253
Telephone: 310-880-2203>„3Ss x:
Address: 73605 Dinah Shore Drive #1310M
Project Description: Replace 3 ton package unit; 9 ducts, and
City, ST, Zip: Palm Desert, CA 92211
80 gallon electric water heater.
Telephone:. 760-568-2663
City Lie. #;
State Lic. # : 827420
Archy Engr., Designer
Address:
.City., ST, Zip:
Telephone: v Y.: `:� :�
State Lic. #: .„ , ,: ; „jsy ,rV
Name of Contact Person: Steven Schnierer
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair • Demo
Sq. Ft.:
# Stories:
# Units:
-Telephone # of Contact Person: 818-735-7876
Estimated Value of Project: $17,237.00.
'APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd ,
Reed
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calc$.
Called Contact Person
Plan Check Balance
Tide 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
tad Review, ready for correctionsfissue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up,
S.M.I.
H.0 -A. Approval
Plans resubmitted
Grading
IN ROUSE.-
'^' 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
17,
Total Permit Fees