BMCH2016-020978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4tyl 4 Xi� Qumro.
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O16-0209
Property Address: 44631 LIBERTY AVE
APN: 604513014
Application Description: ARREDONDO / HVAC CHANGE OUT
Property Zoning:
Application Valuation: $7,500.00
Applicant:
J ANTHONY PLUMBING HEATING & AIR CONDITI
72216 NORTH SHORE ST #101
THOUSAND PALMS, CA 92276
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect./
License Class: C20 C36License No.: 777194 A
Date: I� 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.).
( ) 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
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
JUAN ARREDONDO
44631 LIBERTY AVE
LA QUINTA, CA 92253
Contractor:
J ANTHONY PLUMBING H
72216 NORTH SHORE ST
THOUSAND PALMS, CA 9
(760)328-8096
Uc. No.: 777794
Date: 6/16/2016
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 thefor 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 37007Of the Labor Code, I shall forthwith
comply with those provisions. B
Date: to 4 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 tk1s
ation is correct.
I agree to comply with all city and county ordinances anting to building
construction, and hereby authorize representatives of tpon the
above-menone pprroperty for inspection purposes.
Date /a r Signature (Applicant or Agent
W
s
a
O
O
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Ca
C)
r-
i U_ w
1TING
& Ar IR CO D .
o;
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 thefor 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 37007Of the Labor Code, I shall forthwith
comply with those provisions. B
Date: to 4 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 tk1s
ation is correct.
I agree to comply with all city and county ordinances anting to building
construction, and hereby authorize representatives of tpon the
above-menone pprroperty for inspection purposes.
Date /a r Signature (Applicant or Agent
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT PAID.
PAID DATE
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
PAID BY METHOD RECEIPT # CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:. $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
PAID BY
METHOD
RECEIPT #
CHECK#
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT # •
CHECK #
CLTD BY
Total Paid for CHANGEOUT: $108.78 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE.
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
• 1 • 00
Description: ARREDONDO / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 6/16/2016 SKH
Approved:
Parcel No: 604513014 Site Address: 44631 LIBERTY AVE LA QUINTA,CA 92253
Subdivision: TR 24197-4 Block: Lot: 49
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $7,500.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT-16SEER/78AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
FINANCIAL INFORMATION
Printed: Thursday, June 16, 2016 11:08:27 AM 1 of 2 J
sys•rcMs
CHRONOLOGY
CONDITIONS
'"""NAME "TYPE w ''"' m' '' `IVftIVI
„
ADDRESSI
CONTACTS
CITY
STATE
....... _.......
ZIP PHONE
FAX
EMAIL
APPLICANT
J ANTHONY PLUMBING HEATING &
AIR CONDITI
72216 NORTH SHORE
ST #101
THOUSAND
PALMS
CA
92276
CONTRACTOR
J ANTHONY PLUMBING HEATING &
AIR CONDITI
72216 NORTH SHORE
ST #101
THOUSAND
PALMS
CA
92276
OWNER
JUAN ARREDONDO
44631 LIBERTY AVE I
LA QUINTA
CA
92253
FINANCIAL INFORMATION
Printed: Thursday, June 16, 2016 11:08:27 AM 1 of 2 J
sys•rcMs
PARENT PROJECTS
BOND INFORMATION
Printed: Thursday, June 16, 2016 11:08:27 AM 2 of 2
SYS7EiMS
C
CLTD
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID. DATE.
RECEIPT #
HECK#
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:
HVACCHANGEOUT-
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 for CHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALSi $201.63 $0.00
PARENT PROJECTS
BOND INFORMATION
Printed: Thursday, June 16, 2016 11:08:27 AM 2 of 2
SYS7EiMS
Bin #
Qty of La Quinta
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: 3) ,
�,�
Owner's Name:
0g�
A. P. Number:
Address:
Legal Description:
Contractor:
r:
City, ST, Zip:
Tele hone: —
z
Address: 72216 NORTH SHORE ST STE +
Project Description:
city, ST, zip: THOUSAND PALMS,
GA%aN
I UPQ
L
Telephone: 6tT%3/7 3
-r
;:•>:
::::::.::::....:::.
7 % Gli
State Lie. # : % %
CityLie. #:1056 S
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
Cons truction Type: Occupancy:
State Lie. #:
Project type circle one • New Add'n n Alter
Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories•
# Units:
Telephone # of Contact Person:Estimated
Value of Project:00
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance
Title 24 Cala.
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.
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
�+
CERTIFICATE OF COMPLIANCE. CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name: ARREDONDO Date Prepared: 2016-06-16
A. General Information
MR -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
ARREDONDO
02
Date Prepared
2016-06-16
03
Project Location
44631 LIBERTY AVE
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
ARREDONDO
07
Zip Code
92253
08
Dwelling Unit Conditioned
1800
Installing new SC
Installing
_
InstallingInstalling
n
i
Floor Area (ft2)
Identification or
Location or Area
by this SC
r
ducted
x - G�
containing
Number of space conditioning
�
more than 40
09
Climate Zone
15
10
(SC) systems in this dwelling
1
system?
component?
components?
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System Information
Ol
02
03t
04
05 iY t
06'
07 tY
08
;` 09
10
<�
?the SC
r
"..ils Installing a
SC System
SC System
CFA served
'`system at—
r f igerant
of
Installing new SC
Installing
_
InstallingInstalling
n
i
Identification or
Location or Area
by this SC
r
ducted
x - G�
containing
v ,.
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 l
1800
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-A0223124A-000000000-0000 Registration Date/Time: 2016-06-16 10:00:43 HERS'Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-06-16 10:01:10
Schema Version: 0.5555DD
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page'2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(4)lE 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
Outdoor
Less than or
System 1
Central gas
Gas furnace
AFUE
78
Central split
condensing
SEER
16
Setback
equal to 40
R-8
furnace
AHU
AC
unit
feet
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: <_ 15%, or <- 10% 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 & CF311-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 Duct Leakage Testing requirements. a�
Mrif'.-1 f4. ! Si,. ,"ltYltt'xR1f"."'rS �wPU
-Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH 23, or Refrigerant Charge MECH-25:
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH 26buct Leakage Testmg:requiremen'ts.
,4d. 'Vxi. `%. R _12. 1a Nix, f4 It %A rd I= W $rt T.r P ;L
E. Entirely New or Complete Replacement Duct -System, with or without.Equipment Changeout,(Sections,150.2(b)lDiia,and,150.2(b)lE, F)
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-A0223124A-000000000-0000
CA Building'Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-06-16 10:00:43
Report Version: 2013 Rev 1.007
Schema Version: 0.555SDD
HERS Provider: CaICERTS
Report Generated: 2016-06-16 10:01:10
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:
Robinson, Kevin
Company:
Signature Date:
J ANTHONY PLUMBING HEATING & AIR CONDITIONING .
2016-06-16 10:00:43
Address:
CEA/ HERS Certification Identification (if applicable):
72216 NORTH SHORE ST #101
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-343-2121
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
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 arelcconsisteni with the information. provided on other pa plicagble compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcemeniagency for approval with this building permit application. i
S. I will ensure that a registered copy of this Certificate ofComplianceshall'be'made4vailable with;the building permit(s); issued forth building, and-'M'ade available:to-the',enforcement agency for all applicable
inspections. I understand that a registered copy of this•Certificate of Compliance isyequired to be: included with the.documentaation,the.builder provides to the building owner at occupancy.
Responsible Designer Name: A ..;
Responsible Designer Signature: V,(1''✓r
Robinson, Kevin
e!/Gw/iL4BJv
Company:
Date Signed:
J ANTHONY PLUMBING HEATING & AIR CONDITIONING
2016-06-16 10:00:43
Address:
License:
72216 NORTH SHORE ST #101
777794
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-343-2121
Digitally signed by CaICERTS. 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-A0223124A-000000000-0000 Registration Date/Time: 2016-06-16 10:00:43 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 -Residential Compliance Report Version: 2013 Rev 1.607 Report Generated: 2016-06-16 10:01:10
Schema Version: 0.555SDD