BMCH2014-115278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
BMCH2O14-1152
Property Address:
51300 AVENIDA DIAZ
APN:
773044032
Application Description:
HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$6,000.00
Applicant:
AIR EXPERTS AIR CONDITIONING -H
PO BOX 94
LA QUINTA, CA 92247-0094
COMMUNITY DEVELOPMENT DEPARTMENT
Q—Bull71NG MIT
D �J
DEC
:02.:014]0
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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 th mess and Professions Code,
and my License is in full force and effect.
License Class: C2 /� License No.: 7252/�
Da 1 ) �— \ Contractor
r
OWNER -BUILDER DE RATION
„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).:
(_J 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.).
( 11, 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:
VOICE (760).777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/11/2014
Owner:
MICHAELFASH
51300 AVENIDA DIAZ
LA QUINTA, CA 92253
Contractor:
AIR EXPERTS AIR CONDITIONING -H
PO BOX 94
LA QUINTA, CA 92247-0094
(760)777-1724
Llc. No.: 725283
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 become subject to the
workers'. compensation provisions of Section 37 of the abor Code, I shall forthwith
compl�(APpint -
Dat :
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 sta elating to building
construction, and hereby authorize representatives of this ity to ent upon the above-
mentioned profor inspection purposes.
Date: t'f Signature (Applicant or gent):
I�fi.✓TTiY YK s1 y, y,�-II.J��{+�.,i i',+`EESA t1y i
e AMOUNT4,yY, PAID DATE;
, ti, ;DESCRIPTION y i ..: s �ACCOl1NTs QN.. PAID _"
. u...., t•. rar .�
BSAS SB1473 FEE 101-0000-20306
0
$1.00 $1.00
12/11/14'
PAIDMETIiOD�
= RECEIPT # CHECK'*
CLTD BY JT
z
.h*' ..,rw-
AIR EXPERTS AIR CONDITIONING -H CHECK
R3178 2532
MFA
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00.
J DESCRIPTION �
Y.. � d�.: �.g T`Y tjY'�;:
`
>'
Q TAY
'�. )4 TF .:?j.
' AMOUNT b ;
PAID
:
PAID; DATE:
n
'... ,n..:a,,.,.v 'f.,,xc'•'X. ..�.., r...:E; -gr,Fx _k::r +.... _.�:,.�,---:M'-Es.'.:.,:,
f ,ACCOUNT + �� ..
.,,.a*sg.,."Pt .,:s....:. -..,.. �.,,#d:P A,,,
, .m &. '�..cia.:
c
ftsa S.a� .�--k7s ?. -t"...`;
-
HVAC CHANGEOUT - PACKAGED UNIT .
101-0000-42402
0
$36.26
$36.26
12/11/14,
PAID+BY
r°'',
::Y :b:;.z'�m7 yr x
RECEIPT,#
>g r .. ra:,c
� CHECK
ti Tri W
� ,METHODig
�
R
� �
AIR- EXPERTS AIR CONDITIONING -H
CHECK
R3178
2532
MFA
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d ak{ t y {�Si£{ "tw `.
GY
..: ` t
a"''L S X ..-4{
aDESCRIPTION�€�, ;
txACCOUNT+C{TYz
'AMOUNT y
W PAID g %1
yPAIDIDATE
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600.
0
$24.17
$24.17
12/11/14.
{ ✓ iy y'fvep
jg
PAID BY
e I ." _zl f SE in'u' Yiu5 ci .f's
1—in}
#:3
2 CLTD BY.,
ofvt...v:: :
7METHOD�ry
tiy.:t:'..RECEIPT
T �CHEGKf'#,...:;
.
AIR EXPERTS AIR CONDITIONING -H
_ . CHECK
R3178
2532
MFA -
Total Paid forCHANGEOUT:. $60.43 $60.43
"f q&P 3.:`f?`�5'}m
DESCRIPTIONS es �
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�tACCOUNT, fr
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QTYJ
't,' 4:sp - ;' -C'�!
� : ; AMOUNT "
}:
`' PAID
PAID DATE;
r ?
,C<SSP:.v..
4{
PERMIT ISSUANCE
101-0000-42404
0 :
$91.85
$91.85
12/11/14
Lrs. {�`° a ; '{ t - •:9"' fix: }
BAY
y�a�i�j.��. `.:'fix
METHOD
.
'm fi : P,9 � a - o y+�
RECEIPT#
'E ;3�i
CHECKk#,.::
BY
.._ �: PAIp . _ ;, � :,:.F
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{
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GCTD
AIR EXPERTS AIR CONDITIONING -H
CHECK
R3178
2532 '.
MFA
Total Paid forPERMIT ISSUANCE: ,$91.85 $91.85
7 --
TOTALS:, 153.28
Description: HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: SUBMITTED
Applied: 12/11/20.14 MFA
Approved:
Parcel No: 773044032 Site Address: 51300 AVENIDA DIAZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 48 Lot: 19
Issued:
UNIT 4
PO BOX 94
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $6,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 13 SEER PACKAGE SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES
CONTACTS
.NAME TYPE . NAME
:. _ . RESSl ,_ 4 CITY STATE
`ZIP
PHONE FAX EIVIAiL -
APPLICANT AIR EXPERTS AIR CONDITIONING -H
PO BOX 94
LA QUINTA CA
92247-
(
FINANCIAL INFORMATION
Printed: Thursday, December 11, 2014 12:27:09 PM 1 of 2 C
' SYSTEMS
PARENT PROJECTS
ROND INFORMATION
Printed: Thursday, December 11, 2014 12:27:09 PM 2 of 2 Org?
SYSTEMS
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT # -j
CHECK #
METHOD
PAID BY
-
'BYDESCRIPTION
By
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
12/11/14
R3178
2532
CHECK
AIR EXPERTS AIR
MFA
CONDITIONING -H
-
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$36.26
$36.26
12/11/14
R3178
2532
CHECK
AIR EXPERTS AIR
MFA
PACKAGED UNIT
CONDITIONING -H
HVAC CHANGEOUT -
101-0000-42600
0
$24.17
$24.17
12/11/14
R3178
2532
CHECK
AIR EXPERTS AIR
MFA
PACKAGED UNIT PC
CONDITIONING -H
Total Paid forCHANGEOUT: $60.43 $60.43
PERMIT ISSUANCE
101-0000-424040
$91.85
$91.85
12/11/14
R3178
2532
CHECK
AIR EXPERTS AIR
MFA
CONDITIONING -H
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:
PARENT PROJECTS
ROND INFORMATION
Printed: Thursday, December 11, 2014 12:27:09 PM 2 of 2 Org?
SYSTEMS
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
Michael Fash I Date Prepared:
CF111-ALT-024
(Page 1 of 3 )
2014412-11
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 MR -ALT 02 document for each dwelling unit.
01
Project Name
Michael Fash
02
Date Prepared
2014-12-11
03
Project Location
51300 Avenida Diaz
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Michael Fash
07
Zip Code
92253
08
Dwelling -Unit Conditioned
1400
.. x.R
w• tom -t.,-
baa?.
Floor Area (ft2)
SC System
SC System
CFA served
systema
refrigerant
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'lnformation J,
01
02
03'
'
,
06 .:.. _
... { 07
'T a 08 ` '
09
30
.�� a04
+05
s.•,
is the SC'
-
Installing a
.. x.R
w• tom -t.,-
baa?.
SC System
SC System
CFA served
systema
refrigerant
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
Location 1
1400
Yes
Yes
Yes
No
No
No
Altered sp::e
conditioning em
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: 214-A0157216A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2014-12-11 11:31:28
Report Version: 2014-03-31
Schema Version: 0.551SDD
HERS Provider: CaICERTS
Report Generated: 2014-12-11 11:30:26
.!
CERTIFICATE OF COMPLIANCE CFIR-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(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
All new
Central
All new
This field or
This field or
System 1
furnace
heating
AFUE
0.78
packaged AC
cooling
SEER
13
Setback
section is not
section is not
components
components
applicable
applicable
Reouired Documentation:
CF2R-MCH-01-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%, or 510% 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 C2 2, 8-15).
CF2RCF3R-MCH-23 & MR -MCH -23 Air Flow t 300 CFM/td-h"required when MCH -25 is required
r,
Exceptions:.
t from MCH 20 Duct Leakageesting req�yirremeents:
Duct systems registered with HERS provider as previously sealed are exemp7
Heating -only systems and Air Handler/Furnaceychanges do notFrequire verification of Air Flow MCH -23; or Refngerent Charge MECH-25.
Existingducts stems constructed, insulated or,sealed with,asbestos are exem t from MCH -20 Duct Leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System, with 'or without Equipment Changeout (Sections 150.2(b)1D11a and 150.2(b)1E, 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: 214-A0157216A-000000000-0000
Registration Date/Time: 2014-12-11 11:31:28
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-12-11 11:30:26
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE CFIR-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:
Van Vlymen, Paul
/«
Company:
Signature Date:
Air Experts Air Conditioning
2014-12-11 11:31:28
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.P.,rofessions Code to accept responsibility for the building design or-systemdesign 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 enforce'men't agency for approval witli this building permit application:O
5. 1 will ensure that a registered copy of this 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 that a registered copy of this Certificate of Compliance is required to be included with the documentation -the bu_ilder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Van Vlymen, Paul
Company:
Date Signed:
Air Experts Air Conditioning
2014-12-11 11:31:28
Address:
License:
PO Box 94
725283
City/State/Zip:
Phone:
La Quinta CA 92247 1760-777-1724
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: 214-A0157216A-000000000-0000 Registration Date/Time: 2014-12-11 11:31:28 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-12-11 11:30:26
Schema Version: 0.551SDD
Bin #
.City of La Q uin to
-Building &r 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: %300 A& 10>q
Owner's Name: /7/
A. P. Number:
Address: < -/floc) lfvc�-j 1 DA &14Z
Legal Description:
City, ST, Zip: �/k- Q�;,��;� t:/I
r•
Contractor: r
o. .
Telephone:hone:
Address: �v dwX 9
Project Description:
City, ST, Zip: OVi N rW A 92 2/ %
,tTelCPhone-
2!U �Z
�ir U
E
State Lic. # :
City Lie. #•:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
:.
•
Constructio n Type: Occupancy:an
cY
State Lie. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone #,of Contact Person:
Estimated Value of Project: 06
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
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 CaleS.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
y'
2°" Rcvicw, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant peed
Plans picked up
S.M.I.
iI.O.A. Approval
-
Plans resubmitted
Grading
IN If OUSE:-
Jrd Review, ready for correctionsrissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fces