BMCH2016-017178-495 CALLE TAMPICO-; 4 �NMU�il/ VOICE (760) 777-7125
D �1
LA ClUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/23/2016
Application Number:' BMCH2O16-0171 Owner:
Property Address: 53860 AVENIDA VALLEJO ®GU► PETER KODANI
APN: 774163008 "V 53860 AVENIDA VALLEJO
Application Description: KODANI RESIDENCE/ HVAC CHAN UT LA QUINTA, CA 92253
Property Zoning: NWy 2 3 Z�a�
Application Valuation: $6,750.00
Applicant: COMjuUIV1C OFOQUINTq Contractor:
IE INC I/ELOPIVENTpEFARTMENT A#1 SERVICES HEATING & AIR CONDITIONING
31225 LA BAYA 78206.VARNER ROAD #D-189
WESTLAKE VILLAGE, CA 91362 PALM DESERT, CA 92211
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.: 977333
Date: 'Z� Ito Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 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. 704 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 perjurythat 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:
(760)342-3610
Llc. No.: 977333
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,
orkerscompensation, as provided for by Section 3700 of the Labor Code, for the performance
oft 'e 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 perrr it
is issued. My workers' compensation insurance carrier and polity 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 forthwit-I
comply with those provisions.
Date: 42-1,11t, 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 cF
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: Z3 Signature (Applicant or Agent): 2�
FINANCIAL •• •
'DESCRIPTION ,`
`ACCOUNT ' QTY
AMOUNT .< r't ..' PAID `
PAID DATE
' BSAS`SB1473 REE
101-0000-20306 0
$1.00 $0.00
'.4 PAID BY
' ',METHOD_'. ` > `': RECEIPT # n CHECK # ; '
t
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
D. ESCRIPTION
,. a :: ACCOUNT
QTY
AMOUNT
PAID ',
PAID DATE:
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$36.26
$0.00
PAID BY �
: , METHOD T
w RECEIPT # �"
CHECK # .r
;CLTD. Bj,y
DESCRIPTION '"
}v `: ACCOUNT
QTY,
AMOUNT,
PAID
PAID DEtiTE'
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$24.17
$0.00
PAID BY "::
METHOD METHOD ,: , ' ;
RECEIPT #
a CHECK # : =�
x
LTD KY -
Total Paid for CHANGEOUT: $60.43 $0.00
DESCRIPTION
QTY ,
AMOUNT'
= PAID
PAID DANE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
a" :BY '"
PAID
METHOD
RECEIPT # x
'CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:0•
Description: KODANI RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 5/23/2016 MFA
Approved: 5/23/2016 MFA
Parcel No: 774163008 Site Address: 53860 AVENIDA VALLEJO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 237 Lot: 17
Issued:
UNIT 22
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $6,750.00_ Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HEAT PUMP CHANGE OUT- 14 SEER/80AFUE PACKAGE SYSTEM [2008 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED
PRIOR TO FINAL INSPECTION. PER 2013 CALIFORNIA BUILDING CODES.
,CONDITIN
• 1 � L lk' i .r•y f „•! do f ,,, rd .. 1 A
FINANCIAL
n �.�N„� � ,�V ,�.wh� ,� ��N „» �,� w, ,.,.•�:•. ::, „ . _, �,�� ,.CIAL,INFORMATIQN
Pi ii td: Pvlunday, May 23, 201G 11:21:42 AM 1 of 2
SYSTEMS'
HVACCHANGEOUT- -1
W
'AM
�IYAID,
DESCRIPTIOW,
AtCOUNT.1--:,.:'
CITY
ouNT*
Total Paid for CHANGEOUT: $60.43. $0.00
6b:
T161-0600-42404
0
$91.8S
$0.00
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0*
$36.26
$0.00
HVACCHANGEOUT- -1
101-0000-426000
$24.17
$0.00
PACKAGED UNIT.PC
Total Paid for CHANGEOUT: $60.43. $0.00
PERMIT ISSUANCE
T161-0600-42404
0
$91.8S
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
. . . . . . . . .
.
m.
. . .. . . . .... . . . =11.,
`PARENT PROJECTS
. . ... . ...... . ....... .. . . .. . ......................... . ... . . ....... . ...... ............ . .. . . ..
BOND INFORMATIOW,
...... . ......
ATTACHMENTS
. .. . ........... . .. ....... . . ..... . ... ....... . .. ....
Printed: Monday, May 23, 201611:21:41 AM 2of2
CRWIYSTEMS
Bin. #
, .
Clay Of QUIhta
8uiiding u-Saky Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
ProjectAddress: 53860 Avenida Vallejo .
Owner's Name:.Peter Kodani
A- P. Number.
Address: 53860 Avenida Vallejo
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor: A#1 Services Heating& A/C
Telephone: 760-485-0570 ` ��,�;-w.�
.....
Address: 78206 Varner Road #D-189
Project Description: Replace 4ton Heat Pump Package Unit.
City, ST, Zip: Palm Desert, CA 92211
Telephone: 760-342-3610 4,
State Lic. # : 977333 City Lic. #:
Arch., Engr, Designer.
Address:
City, ST, Zip:
Telephone: `� ` .
^ _ .,:.-1
State Lia #: j . j;..�
Construction Type: . Occupancy
Project type (circle one): New Add'n Alter RepaidDemmo
Sq. Ft : #Stories: #Univ:
Name of Contact Person:
Telephone # of Contact Person:
Estimated Value of Project: $6,750.00
APPLICANT: DO NOT. WRITE BELOW THIS LIME y
#
Submittal
Req'd
Recd
TRACKNG
PERMIT FEES
Plan Sets
Plan Check submitted
item Amount
Structural CaIcs.
Reviewed, ready for corrections
Plan Check Deposit, .
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.'.
Mechanical
Grading plan
r4 Review, ready for correctionsfissue
Electrical
SabcontactorList
Called ContactPerson
Plumbing'
Grant Deed
Plans picked up
S.M.I.
H.O.A- Approval
Plans resubmitted
Grading
IN HOUSE:-
'j° Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE
CFIR=ALT702-E
I Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 1 of 3 ) I
I Project Name: PETER KODANI I Date Prepared: 2016-05-20 I
A. General Information
MR -ALT -02 is applicable to'ryiultiple 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
PETER KODANI
02
Date Prepared
2016-05-20
03
Project Location
53860 AVENIDA VALLEJO
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
PETER KODANI
SC System
SC System f
'y CFA served
'*3ystem a
Dwelling Unit Conditioned
Installing ne SC
07
Zip Code
92253
08
Floor Area (ft2)
1797
by this SC
ducted
.»
containing
a
system
more than 40
entirely new
entirely new
Name
Served
Number of space conditioning
system? .
09
Climate Zone
15 r rr i '
10
(SC) systems in this dwelling
1
System 1
Location 1
1797
Yes
unit.
Yes
No
No
No
Altered space
conditioning system
B. Space Conditioning (SC) System Information` -
�.. _.
Ol
02
;'. X03
04
5'06,
U7
; 08
09
10
J'A is the SC
Installing a
..r.
SC System
SC System f
'y CFA served
'*3ystem a
refrigerant &
Installing ne SC
Installirig
Installing
Installing
Identification or
Location or Area
by this SC
ducted
.»
containing
a
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
1797
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.
Registration Number: 216-A0189186A-000000000-0000
Registration Date/Time: 2016-05-20 17:15:01
HERS Provider_ CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-05-20 17:15:30
Schema Version: U.555SDD
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 150.2(b)lE and F)
O1
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
System Type
Components
Type
Value
Type
Duct Length
R -Value
Central
All new
Central
All new
Less than or
System 1
packaged HP
heating
AFUE
0.8
packaged AC
cooling
SEER
14
Setback
equal to 40
R-8
components
components
feet
Reauired Documentation:
CF2R-MCH-03-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 & CF311-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 2300 CFV/ion required when MCH -25 is required.
Exceotions: 1
-Duct systems registered with HERS provider as previously sealed areexemp`t from MCH -20 Duct Leakage Testing requirements.
AI 'or'Refffgerant CH 2
-Heating-only systems and Air Handler/Furnace changes do not require verification of Flow MCH=23 Charge
b
rom MCH 2uctaLeakage Testing requirements.
-Existing duct systems constructed, insulated or sealed with asbesto's•are exemptf0
f:0.0%, A I<( 14 J4 it,_. ILA..... P "%1( ,JI 11 4s' o f '4:K
.
E. Entirely New or Complete Replacement Duct�System, with or without Equipment Changeout (Sections 150.2(b)Miia�and 150.2(b)IE, F)
lig " i�'Z . 4 3 t W 5
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-A0189186A-000000000-0000
Registration Date/Time: 2016-05-20 17:15:01
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-05-20 17:15:30
:)chema versi6n; Ll.5555Uu
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:
Jan
Jacoby, Ian
Jr
Company:
Signature Date:
i PERMIT E RATERS
2016-05-20 17:15:01
Address:
CEA/ HERS Certification Identification (if applicable):
31225 La Baya Drive #213
City/State/Zip:
Phone:
West Lake Village CA 91362
818-735-7876
Responsible Person's Declaration statement:;
I certify the following under penalty of perjury, under the laws of the State of California:
• �4
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 Part6 of the California Code of Regulations11
4. The building design features or system design features identified on,this Certificate of Compliance are consistentwithahe information.provided on ottierrapplicable compliance documents, worksheets,
calculations, plans and specifications submttted'to the enforce me ncy forapproval with bwlii lin permktt application.a
9
Kthis
a
S. 1 will ensure that a registered copy of this'Certificate of Compliance shall;be made;available with`the bulldin
_ g:per_,mit(s)issued forthesbuildmg, and made available to:the enforcement agency Wall applicable
inspections. I understand that a registeredcopy of this Certificate of Compliance is�required to be ncluded with the documentation the builder provides totthe building owner at occupancy.
Responsible Designer Name:
Responsi6ie Desig r Signature: , ��// ILS� ' V
Jacoby, Ian
cyan �acob
Company:
Date Signed:
A 1 SERVICES
2016-05-20 17:15:01
Address:
License:
74866 Lennon PI
977333
City/State/Zip:
Phone:
Palm Desert CA 92260
760-565-2269 1
Digitally' signed by Ca10ERTS. 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-A0189186A-000000000-0000 Registration Date/Time: 2016-05-20 17:15:01 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-05-20 17:15:30
Uliema Version: u.ss5suu