BMCH2016-0286C� 0 D .�" VOICE (760) 777-7125
78-495 CALLE TAMPICO
FAX (760) 777-7011
LA QUINTA, CALIFORNIA. 92253 DESIGN &DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/3/2016
Application Number: BMCH2O16-0286 Owner:
Property Address: 78358 CALLE LAS RAMBLES BRIAN WADA�--�
APN: 770015023 78358 CALL jE 13SRAMBLAS n,
Application Description: WADA / REPLACE CONDENSOR AND COIL LA QUINTA, 02253
Property Zoning:
Application Valuation: $4,100.00 n
D
Applicant: Contractor: O
AIR EXPERTS AIR CONDITIONING & HEATING AIR EXPERTS '(F@NQITI KING & HEATI G
84-160 MEADOWS LANE 84-160 MEADONV& E
COACHELLA, CA 92236 COACHELLA, C_M6 N
(760)397-343
Llc. No.: 1008
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.
Lice/nse.Class: C20 License No.: 1008665
Date: _J 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).:
(_) 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.).
(1 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 Add
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 t 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 permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: NORGUARD INSURANCE COMPANY Policy Number: LUWC739940
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 sho Id become subject to the
workers' compensation provisions of Section 3700 a Labor Code, I shall forthwith
comply with those provisions.
-3 /�
Date: 6Applica -
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 u n the
above-mentioned property for inspection purposes.
i
7
Date: Signature (Applicant or Agent)-
Date: 8/3/2016
Application Number: BMCH2016-0286
Owner:
Property Address: 78358 CALLE LAS RAMBLES
BRIAN WADA
APN: 770015023
78358 CALLE LAS RAMBLAS
Application Description: WADA / REPLACE CONDENSOR AND COIL
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $4,100.00.
Applicant:
Contractor:
AIR EXPERTS AIR CONDITIONING & HEATING
AIR EXPERTS AIR CONDITIONING & HEATING
84-160 MEADOWS LANE
84-160 MEADOWS LANE
COACHELLA, CA 92236
COACHELLA, CA 92236
(760)397-3438
----------------------------- ----------------------------------------------------------------
Llc. No.: 1008665
Detail: HVAC CHANGE OUT -14 SEER CONDENSOR AND COIL [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
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- CONDENSER ONLY
101-0000-42402
0
$36.26
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT- CONDENSER ONLY PC.
101-0000-42600
0
$24.17
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42402
0
$12.09
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - REPAIR/ALTERATION PC
101-0000-42600
0
$4.83
Total Paid for CHANGEOUT: $77.35
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$91.85
Total Paid for PERMIT ISSUANCE: $91.85
1"
Description: WADA / REPLACE CONDENSOR AND COIL
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 8/3/2016 SKH
Approved:
Parcel No: 770015023 Site Address: 78358 CALLE LAS RAMBLES ,CA
Subdivision: TR 29586 Block: Lot: 2
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $4,100.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
ADDRESSI
Details:. HVAC CHANGE OUT -14 SEER CONDENSOR AND COIL [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
AIR EXPERTS AIR CONDITIONING &
HEATING
84-160 MEADOWS
LANE
COACHELLA
CA
92236
CONTRACTOR
AIR EXPERTS AIR CONDITIONING &
HEATING
84-160 MEADOWS
LANE
COACHELLA
CA
92236
OWNER
BRIAN WADA
78358 CALLE LAS
RAM BLAS
LA QUINTA
CA
92253
Printed: Wednesday, August 03, 2016 3:24:23 PM 1 of 2
sysrrnns
,..
PARKNT.,.
PRAd6GTS
ATTACHMENTS
Printed: Wednesday, August 03, 2016 3:24:23 PM 2 of 2
SYS TERAS
CLTD
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID .
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
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
CONDENSER ONLY
HVAC CHANGEOUT -.
101-0000-42600
0
$24.17
$0.00
CONDENSER ONLY PC
HVAC CHANGEOUT -
101-0000-42402
0
$12.09
$0.00
REPAIR/ALTERATION
HVAC CHANGEOUT -
101-0000-426000
$4.83
$0.00
REPAIR/ALTERATION PC
Total Paid for CHANGEOUT: $77.35 $0.00
PERMIT ISSUANCE
101-0000-42404 1
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
,..
PARKNT.,.
PRAd6GTS
ATTACHMENTS
Printed: Wednesday, August 03, 2016 3:24:23 PM 2 of 2
SYS TERAS
CERTIFICATE OF COMPLIANCE
-CFIR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT HVAC) (Page 1 of 3 )
Project Name: Brian Wada I Date Prepared: 2016-08-03 I
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
Brian Wada
02
Date Prepared
2016-08-03
03
Project Location
78-358 Calle Las Ramblas
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Brian Wada
07
Zip Code
92253
08
Dwelling Unit Conditioned
1320
Floor Area (ft2)
SC System
SC System
CFA served
a
r�geant t
Number of space conditioning
(Installing
09
Climate Zone
15
10
(SC) systems in this dwelling
1
ducted
containing
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) System Information : • _ `r
.'
ff
01
02
03
04
05
06.
07
08
4 09
10
r
Is the SC'
t ti`s
Ustallinig a
SC System
SC System
CFA served
a
r�geant t
ylnstallmg-newSC
(Installing
:In�stalli
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
living room
1320
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-A0289024A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-08-03 07:47:07
Report Version: 2013 Rev 1.007
Schema Version: 0.555SDD
HERS Provider: 610ERTS
Report Generated: 2016-08-03 07:47:22
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)1E and F)
01
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 gas
No heating
This field or
This field or
Central split
All new
This field or
This field or
System 1
furnace
component
section is not
section is not is
cooling
SEER
14
Setback
section is not
section is not
altered
applicable
applicable
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF3R-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%, or 510% leakage to outside, or seal all -accessible leaks.
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).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required when MCH -25 is required.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH, -20 Dud Leakage Testing requirements.
-Heating-only systems and Air Handier/Furnace changes do of Air Flow MCH=23, o Refrigerant Charge ME`C
not require verification
d'M H --0t l�!' k' i tz i
Existing dud systems constructed, insulated or sealed with asbestos are exempt:from MCH -20 Duct.;Leakage Testing requirements.
.
. � .-a^a'pYr'' `^s!Gd..N +%4' '�'�.."'.r i^+r =FFA 'ri? Y:s .. .TwFj^°•` P6. wy' K •aq4r... =.!"'
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections;150.2(b)lDiia:and 150.2(b)lE, F)
- *�
4 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-A0289024A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-08-03 07:47:07
Report Version: 2013 Rev 1.007
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2016-08-03 07:47:22
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. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Lira, Luis M
Company:
Signature Date:
Air Experts Air Conditioning
2016-08-03 07:47:07
Address:
CEA/ HERS Certification Identification (if applicable):
PO Box 94
City/State/Zip:
Phone:
La Quinta CA 92247
760-777-1724
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. 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
Part 6
requirements of Title 24, Part 1 and of the California Code of�g lat ns
4. The building design features or system design features identified on this Certificate of Compliance are,consistent with"the iniormation.provided on other'applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement� agency fo � pp�rova�l�wit�h this buil��ng perm�lt applicatiot�.
S. I will ensure that a registered copy of this Certificate of Compliance shall be -made: available withthe building.permit(s),issued for the building, and',"made available,to the_enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance,is required to be. Included with the documentation,thebuullder provides to the building owner at occupancy.
Responsible Designer Name: +.
Responsible Designer Signature: e""�e
Lira, Luis M
Company:
Date Signed:
Air Experts Air Conditioning
2016-08-03 07:47:07
Address:
License:
PO Box 94
1008665
City/State/Zip:
Phone:
La Quinta CA 92247
760-777-1724
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-A0289024A-000000000-0000 Registration Date/Time: 2016-08-03 07:47:07 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential. Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-03 07:47:22
Schema Version: 0.555SDD
DoWl e, -7--?o 61 - 0-1-3
Y
a;� 4
City. of La Q Gill to
Building & Safety Mlision
Permit # 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
52,D Ro Building Permit Application and Tracking Sheet
Project Address: �� 3.s--� �� 2 Owner's Name: r�
A. P. Number:
Address: 7S- Ss Cql
Legal Description:
City, ST, Zip: v Zzs
Contractor: r• s
hon
Address'- tS
Project Description:
City, ST, zip:
e-, Col 1
TeleP h n �
o e.f 3�
16 O 71
State Lic. # : 1002(5110-5--
City Lie. #:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
ancY
Occupancy:
Construction TYPe: VC • }
rc. #:
Pe (circle one): New Add'nState
Project ty Repair Demo
Name of Contact Person: I ��f�-1
Sq. Ft.: (32 O
# Stories:
# Units: '
Telephone # of Contact Person: 1%6U `3? -3y3-3
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calc s.
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.
II.O.A.-Approval
Plans resubmitted
Grading
IN ROUSE:-
'"! Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees