BMCH2015-0067_
78 495 CALLE TAMPICO D
LA QUINTA, CALIFORNIA 9225 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O15-0067
Property Address: 54860 AVENIDA DIAZ
APN: 774291006
Application Description: ROVATE RESIDENCE SPLI TEM d E OUT
Property Zoning:
Application Valuation: $6,100.00
Applicant:
J & W AIR CONDITIONING
10025 EAST AVENUE 54
LITTLEROCK, CA 93543
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 License No.: 712056
Date: " 2 3 — 61 Contractor: O R�
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 Divisiory
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 ) 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 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: 3/23/2015
Owner:
JOELLOVATO
54860 AVENIDA DIAZ
LA QUINTA, CA 92253
Contractor:
J & W AIR CONDITIONING
10025 EAST AVENUE 54
LITTLEROCK, CA 93543
(818)982-4505
Llc. No.: 712056
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 of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
date: ^ Z 3 C ";-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 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 up the ove-
mentioned property for inspection purposes.
r
'ate: 3 Z ^O Signature (Applicant or Agent):
C—
CERTIFICATE OF COMPLIANCE
CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 1 of 3 )
Project Name:
54-860 Avenida Diaz. I Date Prepared:
2015-02-23
A. General Information
CFIR-ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one CFIR-ALT 02 document for each dwelling unit.
01
Project Name
54-860 Avenida Diaz.
02
Date Prepared
2015-02-23
03
Project Location
54-860 Avenida Diaz.
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
54-860 Avenida Diaz.
07
Zip Code
92253
08
Dwelling Unit Conditioned
1583
Floor Area (ft2)
SC System
SC System
CFA served
system a
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 Information / � '
--4 -k
01
02
03 'j(�
04
0$ -
+y 06 �_ /y
- 07' �-
'`x`'t'i08
09
10
is the SC `
s " I'nstalling e
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 1
Location 1
1583
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)iDiib)
This section does not apply to.this project.
Registration Number: 215-A0051421A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2015-02-23 21:47:37
Report Version: 2014-03-31
Schema Version: 0.551SDD
HERS Provider: CalCERTS
Report Generated: 2015-02-23 21:47:36
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)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
Central split
All new
Central split
All new
This field or
This field or
System 1
HP
heating
HSPF
7.7
AC
cooling
SEER
13
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts acid Fans
-Duct insulation requirement for new plenums: R6.
CUR -MCH -20-11 & 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.
r
-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_ 300 CFM/ton-,req red when MCH -25 is required.
Exceptions:. �r
Duct HERS Duct2eaka7�Testinglr)equiretnents.
systems registered with provider as previously sealedexemptlfroMCH-20
-Heating-only systems and Air Handler/Furnace changes do notrequireverification of Air Flow MCH-23,'or Refrigerant Charge MECH-25.
_
Existing duct systems constructed, insulated or sealed with,asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
L. .6- - ri -. _ .. I r 1 '-1 - - yam/ 1. t.4 V f.f
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia 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)lC)
This section does not apply to this project.
Registration Number: 215-A0051421A-000000000-0000 Registration Date/Time: 2015-02-23 21:47:37 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-02-23 21:47:36
Schema Version: 0.551SDD
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
PAID PAID DATE
BSAS S81473 FEE
101-0000-20306
0
$1.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK # CLTD BY
Total Paid forBUILDING 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 forCHANGEOUT: $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
TOTALS:i •0
Description: ROVATE RESIDENCE SPLIT SYSTEM CHANGE OUT
Type: MECHANICAL Subtype: Status: ON HOLD
Applied: 3/10/2015 PJU
Approved:
Parcel No: 774291006 Site Address: 54860 AVENIDA DIAZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 277 Lot: 19
Issued:
UNIT 25
APPLICANT
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $6,100.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
(
Printed: Monday, March 23, 2015 8:43:23 AM 1 of 2
RWYS iEMS
FINANCIAL
INFORMATION
DESCRIPTION ACCOUNT
QTY
AMOUNT
PAID
PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD
BY
BSAS S81473 FEE 101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
BSA:
$1.00
$0.00
Printed: Monday, March 23, 2015 8:43:23 AM 1 of 2
RWYS iEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINALS"
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
HVACCHANGEOUT-
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 forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:• 00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINALS"
Printed: Monday, March 23, 2015 8:43:23 AM 2 of 2
��SYSTEMS
Bin. #
Cit/ 0Quinta
Btdldfng at Safety Division
P.O. Box 1504, •78-495 Calle Tampico
b{7�� La .Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
ProjectAddtrss:54866 AVENIDA DIAZ
Owner's Name:.
A. P. Number.
Address: •��'gFi9oQ
Legal Description:
Contractor: AW AIR CONDITIONING
City, ST, Zip:
Telephone:
Project Description:
Address: 3301 N San Fernando Blvd.
city, ST, zip: Burbank Ca 91502
Telephone: (818)266-0645
State Lic. # : City Lic. #;
n.
Arch., Ettgt•., Designer.
Address:
City' ST, Zap.
Telephone:
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
State Lic. M
Name of Contact Person:
- Telephone # of Contact Person:
Estimate slue of Project: 0
APPLICANT: DO NOT WRITE BELO
#
Submittft ---
RWd
Reed
TRACICTiVG
PERMIT FEES
P14n Sets
Plan Check submitted .
Ibem Amount
Structural Calm
Reviewed, ready for cwrtectious
Plan Check Deposit. .
Truss Cales.
Called Contact Person
Plan Check Balance.
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.'.
Mechanical
Grading plan
2`! Review, ready for correctiouslissue
Electrical
Subcoitactor List
Called Contact Person
Ph mbing
Grant Deed
Plans picked up
S.M.I.
ILO -6- Approval
Plans resubmitted
Grading
IN HOUSE:-
3rfl Review; ready for correetionslissae
Developer Impact Fee
Planning Approval.
Called Contact Person
Pub. Wks. Appr
Date of permit issue _
School Fees
Total Permit Fees