BMCH2015-0221L
41
78-495 CALLE TAMPICO T 4 �. VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/18/2015
Application Number:
BMCH2O15-0221
Owner:
Property Address:
47645 VIA MONTANA
FRANK RASADA
APN:
643120050
1115 MADISON ST NE # 816
Application Description:
RASADA RESIDENCE HVAC CHANGE OUT
SALEM, OR 92253
t�s�. 1
W
Property Zoning:
Application Valuation:
$10,000.00
�c�
Q w
O
�w
Applicant:
Contractor:
c[J
o
J
PREC H & A INCPREC'H.&
A INC
in
P O BOX 10991P
O BOX 10991
r.a
v
PALM DESERT, CA 92255PALM
DESERT, CA 92255
z
(760)776-1550
::2
Llc. No.: 818759
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 C3 License No.: 81 9
Date: /P 0 �S Contracto .
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 hot 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.).
(_) 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: _ 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 6f -Section 370 f the Labor Co , I shall forthwith
comply with t ose ovisions.
/ c
Date: Applican .
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 statoms relating to building
construction, and hereby authorize representatives of this " to friterupont e bove•
mentioned pro erty or inspection purposes.
Date: �L�Signature (Applicantor Ag t r�
.° PAID° PAID DATE
z... _.
FINANCIAL INFORMATION
DESCRIPTION'' ACCOUNT x�AMOUNT
BSAS SB1473 FEE 101-0000-20306 0
$1.00
$0.00
>m ' ,PAIO:BY ` w `$� METHOD`, '¢3 F RECEIPT # it M s_
:"; ' ',:.Rt•. .n" -"i+, .x ._ •'..x .. x. .::: v k : i _.,,.. s..:-.... th'e'lx. n. 'i. �rzt,ck'�'3
CHECK
CLTD BY y
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
,* DESCRIP,TION Y ;�
a� 4ACCOUNT <„
`QTY
,AMOUNT ?�r;
PAID
'PAID DATE{
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BY
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CHECK#11 r >
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T": N; 4,DESCRIP,TION '• k , : t
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QTY
AMOUNT "
r r Al
PAID DATE.
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
�
Pi41D,BY i
„ METHOD �
a :RECEIPT# ,
a r ;� CHECK#t,
o CLTD BY '
' 'Total Paid forCHANGEOUT: $108.78 $0.00
DESCRIPTION S r."
':,, "gCCOl1NT' g
AMOUNT "
14, PAID, x'
,PAID DATE'
PERMIT ISSUANCE
101-0000-42404
0
$91.85/
$0.00
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Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:• 00
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Bin #
City of La. Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
to2y I Building Permit Application and Tracking Sheet
Permit #
G4 2-01 tS
Project Address: S (�
Owner's Name:
A. P. Number:-
Address: .
Q yj o
Legal Description:
Contractor:
�c tin l�r
City, ST, Zip:
Telephone li
�
Address: �—� 1 U "L v
Project Description: �nS f ( rnI
City, ST, Zip:. Qi I (/A
' Lfl/1/l sC�i"
ele h
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P a 5
ure
no-e-0-,Y)d rn I
State Lic. # :
City Lic. #:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
e one:
P
Con
Construction
structi n T
Type: Occupancy: P Y: or
State Lic. #•
Project tYPa circle one):: New Add'n Alter r ReP ai r Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: 1I-) .
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
.Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2pd 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 .
IN 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
Description: RASADA RESIDENCE HVAC CHANGE OUT
Type: MECHANICAL Subtype:
Status: APPROVED
Applied: 6/18/2015 EVA
Approved: 6/18/2015 EVA
'Parcel No: 643120050 Site Address: 47645 VIA MONTANA LA QUINTA,CA 92253
Subdivision: TR 26152 Block:
Lot: 278
Issued:
Lot Scl Ft: 0 Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $10,000.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: HVAC CHANGE OUT - 13 SEER SPLIT.SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Printed.: Thursday, June 18, 2015 4:52:15 PM 1 of 2
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HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$0.00
-SPLIT-SYSTEM
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$0.00
-
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: _ $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85• $0.00
TOTALS$201.03 0r
�t ... �.. � .....�._.
VI W TYPE" '" REVIEWER SENT DATE; DUE'DATE «.:._ _ *REMARKS a K
RE E� e, u s. *fin to s r ,-rNOTESk
DATE ,� �� �.� w� � , s .; -� ��;- � �°�. �� `��..� ��•:� �.
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BOND INFORMATION
ATTACHMENTS
Printed: Thursday, June 18, 20154:52:15 PM 2 of 2
srs7enns
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 )
Project Name: Rasada Residence Date Prepared: 2015-06-18
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
Rasada Residence
02
Date Prepared
2015-06-18
03
Project Location
47645 Via Montana
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Main Unit
SC System
SC System
CFA servedl
08
Dwelling Unit Conditioned
4000
07
Zip Code
92253
Floor Area (ft2)
,.Location or Area
t(
by this;5t
ducted""
containing
system
Number of space conditioning
entirely new
09
Climate Zone
15
10
(SC) systems in this dwelling
3
component?-
components?
feet of ducts?
duct system?
unit.
B. Space Conditioning (SC) System Information
01
02
03
04
OS
06
07
08
09
10
* Is the SC
Installing a
3
'f
SC System
SC System
CFA servedl
systema
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
,.Location or Area
t(
by this;5t
ducted""
containing
system
more.than 40
entirely new
entirely new
Alteration Type
Name
Served:
System (ft2))
system.
component?-
components?
feet of ducts?
duct system?
SC system?
>f
Mam Uhit
t
Yes
Yes_,'Yesa,
No,tis
No
No
Altered space
System 1
conditioning system
System 2
Bdrm Area
2000
U.z 5. Energy
Yes
.
hal
rS ASSOC
No
ion
No
No
No
No alteration
performed
System 3
Garage
2400
No
No
No
No
No
No
No alteration
performed
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: 315-A1008291A-000000000-0000 Registration Date/Time: 2015-06.18 12:59:22 HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06-18 13:00:02
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE ti, 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) r •. `
,
_
01
02
03
04
05 r -
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
t. Cooling
Efficiency
'Efficiency
Thermostat
Replaced
. New Duct
or Name
Type
Components
Type
Value
System Type
Components
- Type
Value
Type -
Duct Length
R -Value '
All new
•. -
_ r
All new
. '• ..
, "
Less than or
System(
Central gas
heating
AFUE
x.78
Central split
cooling
_
SEER
13
•Setback
equal to 40
R-8
furnace
components
AC
components
�
.r
feet
Required Documentation:-
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans-
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & COR -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: 5 15%, or 5 10% leakage to outside, or seal all accessible leaks. - , - • 1.
-
CF2R.MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8.15)., • -
• s f '
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow >-- 300 CFM/ton required when MCH -25 is required..'3s
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements.'-
•'
• j
_ -
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MECH-25.7-p
_'
` •^
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct leakage Testing requirements. ..r• -�
~ ' '
E. Entirety New, or Complete Replacement Duct System with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)lE; F) '
•-�Y ;tr �t,.�...,...„.as ;: i it ,e �' :4 '
This section does not apply to this protect.
F. Entirely New or Complete Replacement Space Co t` t�%nirE ftdp. Qec-1fpq.15OS (/ib5{iClr`a 10 1 I
�7 �Y f V �Sc1iCf
1 • y .t, This section does not apply to this project.
r 'Registration Number: 315-A1008291A-000000000-0000 Registration Date/Time: 2015-06-18 12:59:212 HERS Provider: USERA
.. . _ -� -
CA Building Energy Efficiency Standards - 2013 Residential Compliance , , : Report Version: 2014-03-31 • r r Report Generated: 2015.06-18 13:00:02
...r Schema Version: 0.555SDDo
ely
- {.,. •' - , 3 c .tin as. .t ^. '- .
s
a 'n
-- • � t' • : mil, J '
• a. r -:,'• -F st r±�`t "c., i e` ap a t '.. F •' - -4 -
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:
Alberto Aceves
//ty Y•
Signature Date:
Company:
Precision Heat & Air
2015-06-18
Address:
CEA/ HERS Certification Identification (if applicable):
68805 Perez Rd.F42
818759
City/State/Zip:
Phone:
Cathedral City CA 92234
760-776-1150
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.
2. I 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.
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 for approval with this building permit application.
5. 1 will ensurethat a registeredcopy of his Certificate.of Compliance shall -be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable
inspections. I understand tliat aregistgred,copy of hi Certiflcate of: Compliance is required.tobe.included;with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: _ _„� 3
Res�sible Desi ner Signature: /� /�I bEr t0 / (.,r.
]Bj
xJ l /�R
Alberto Aceves E
2n I M
Company: .4{ ' (._ `
Precision Heat & Aif `"`� } } i
Date Signed:!
2015 06-18 e
Address: U.S.License:
U Energy Ra
em Association
68805 Perez Rd.F42
City/State/Zip:
Phone:
Cathedral City CA 92234
760-776-1150
TM
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.”
U.S. Energy Rsters A.soolatlon
Registration Number: 315-A1008291A-000000000-0000 Registration Date/Time: 2015-06-18 12:59:22 HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-06.18 13:00:02
Schema Version: 0.555SDD