BMCH2014-10887&495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O14-1088
Property Address:
53675 AVENIDA DIAZ
APN:
774111019
Application Description:
HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$8,274.00
Applicant:
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
4�rw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
A
SEP 2 3 2014
CITY OF LA QUINTA J
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 the Business and Professions Code,
and my License is in full force and effect.
License Class: License No.: :LIC -0003606
Date: Contractor: Sty TLS
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).: f
(__) 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 ) 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.).
(_J 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/23/2014
Owner:
WILLIAM WILSON
, 92253
Contractor:
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)343-7490
Uc. No.::LIC-0003606
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.
1 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 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: c1 Z'3114 Applicant: Ste,
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 upon the above-
mentioned property for inspection purposes.
Date: 23 1 Signature (Applicant or Agent):
i
f:
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ACCOUNT DATE';
f bDESCRIPTION ,. Y".',5, 8 .::�
QTY. AINIOUNT PAID, s_ PAID
BSAS SB1473 FEE
101-0000-20306 0 $1.00 $0.00
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HVAC CHANGEOUT - SPLIT-SYSTEM
101-0000-42402
0
$72.52
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DESCRIPT
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HVAC CHANGEOUT-�SPLIT-SYSTEM PC
101-0000-42600' .
0
$36.26
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Total,Paid for.CHANGEOUT: $108.78 $0.00
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PERMIT ISSUANCE
101-0000-42404 .'
0
$91.85.
.$0.00
PAID BY
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Tota l..Paid for PERMIT'ISSUANCE: $91.85 $0.00
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Description: HVAC CHANGE OUT
CONDITIONS
Type: MECHANICAL Subtype:
Status: SUBMITTED
Applied: 9/23/2014 MFA
Approved:
Parcel No: 774111019 Site Address: 53675 AVENIDA DIAZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 192
Lot: 7
Issued:
UNIT 19
CA 92253
CONTRACTOR
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $8,274.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: HVAC CHANGE OUT -13. SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD
BY
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
Printed: Tuesday, September 23, 2014 12:17:41 PM 1 of 2 lCow „___• • _
CONDITIONS
NAME TYPE
NAME
CONTACTS
ADDRESSI CITY
STATE ZIP PHONE FAX EMAIL
APPLICANT
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS LA QUINTA
CA 92253
CONTRACTOR
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS LA QUINTA
CA 92253
OWNER
WILLIAM WILSON
92253
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD
BY
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
Printed: Tuesday, September 23, 2014 12:17:41 PM 1 of 2 lCow „___• • _
Printed: Tuesday, September 23, 2014 12:17:41 PM 2 of 2 __.
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
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
1 0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE:
$91.85
$0.00
TOTALS:$0.00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR
SCHEDULED COMPLETED
RESULT REMARKS NOTES
DATE
DATE
MECHANICAL FINAL"
Printed: Tuesday, September 23, 2014 12:17:41 PM 2 of 2 __.
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
WILLIAM WILSON I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 4 )
2014-09-18
A. General Information
CHR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one CHR -ALT -02 document for each dwelling unit.
01
Project Name
WILLIAM WILSON
02
Date Prepared
2014-09-18
03
Project Location
53675 AVENIDA DIAZ
04
Building Type
Single family
OS
CA City
La 4uinta
06
Dwelling Unit Name
WILLIAM WILSON
07
Zip Code
92253
08
Dwelling Unit Conditioned
1360
Installing new SC
Installing
Installing
Installing
Floor Area (ft2)
Identification or
Location or Area
'by this SC
ducted
containing
Number of space conditioning
more than 40
091
Climate Zone
15
10
(SC) systems in this dwelling
1
system?
component?
-
feet of ducts?
unit.
SC system?
B. Space Conditioning (SC) System�Information r
01
02
03� qtr
/nw�
r 04
/ 0506.
07
8
09
10
AIMO-v --
Is the SC'Installing
a F
ry S- .,-C.....w+f
".-•••° :
µ ti..i' of
SC System
SC System
CFA served
system a
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 1Location
1
1360
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: 214-A0097328A-000000000-0000
Registration Date/Time: 2014-09-18 20:56:03
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-18 20:56:15
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 4 )
D. Altered Space Conditioning System (Sections 15O.2(b)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
ompon
Type
Value
System TypeLom
one is
Type
Value
Type
Duct Length
R -Value
Central split
All new
entral split
All new
This field or
This field or
System 1
heating
AFUE
0.78
cooling
SEER
13
Setback
section is not
section is not
HP
components
HP
c mponents
applicable
applicable
Required Documentation:
CF2R-MCH-01-E -Space Conditionin Systems Ducts and Fans
-Duct insulation requirement for new lenums: R6.
CF2R-MCH-20-H & MR -MCH -20-H — uc 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%, ors 1 Y leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & MR -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 >_ 300 CFM/ton-required when MCH -25 is required.
Exceptions: j�fr ' � / 0t; ,
Duct systems registered with HERS provider as previously sealed amore exempt.froi6CH-20 Duct Leak ing requirements.
t•.
-Heating-only systems and Air Handler/Furnace changes do not require venfication of Air Flow MCH -23; or Refrigerant Charge MECH-25.
-Existing duct systems constructed, insulated or, with�asbest�os are exempt from MCH;20 Duct Leakage Testing requirements: ,-
I
ry.,, �«r^�s a„ .:.... •1...-a.-,,._..�..-- _-.atm- ,yF.[.+' v.. ,�
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F)
f- This section does not apply to this project.
Registration Number: 214-A0097328A-000000000-0000
Registration Date/Time
2014-09-18 20:56:03
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-18 20:56:15
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 of 4 )
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
r:.
Registration Number: 214-A0097328A-000000000-0000 Registration Date/Time: 2014-09-18 20:56:03 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-18 20:56:15
Schema Version: 0.551SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 4 of 4 )
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Valdez, Dayana
Company:
Signature Date:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2014-09-18 20:56:03
Address:
CEA/ HERS Certification Identification (if applicable):
31-170 RESERVE DRIVE STE A
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
(760) 343-7488
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 respons.ibility,for.the building design orlsystem.design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance ecifications, materials, co ponentstand manufactured devices for the building design o system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Pa rt of the California Code of Regulations. ,�
4 rl '..a, //'; �
4. The building design features or system design features identif ed oh this Certificate of Compliance are consistent with,the information providedon other applicable compliance documents, worksheets,
calculations, plans and specification's submitted•to the enforcement. agency for approval with this building permit application.Ar y)!
5. I will ensure that a registered copy of thjs Cectifieate ILompliarice_ shall be made available with the building permif(s) issued for.the building, and`inade,ayailable 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 bdilder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Valdez, Dayana -
l/
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2014-09-18 20:56:03
Address:
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip:
ne:
r(760)
THOUSAND PALMS CA 92276
343-7488
Digitally signed by Ca10ERTS. 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.
Registration Number: 214-A0097328A-000000000-0000 Registration Date/Time: 2014-09-18 20:56:03 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-09-18 20:56:15
Schema Version: 0.551SDD
gin #
City Of La Quinta
-Building 8l: Safety Division
, �� P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # J
Project Address: S -ac- -2s div Gh, dc, -, 0.2
Owner's Name: J ;8�, t W d j • Q (,J t SO�n
A. P. Number:
Address: S -3 AN d
Legal Description:
City, ST, Zip: L C� �i hAGCA q zZs3
Contractor: exc.� � r �: �o
-
P
: <>
Address: 3 X -7O ��
Project.Deseription:
City, ST, zip: Ca g7271•
Telephone: 7 3H3- 7�1 ��
,.«•:::.;:;<.;;:.: ,y.::,,:::....:::::.,.
State Lic. # : Ga fo 31 O
City Lie.A..
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
State Lie. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:ll
# Units:
Telephone # of Contact Person:
Estimated Value of Project: $ 2_7 7 (DO
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIONG
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Cluck Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for corrcctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:
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