BMCH2014-109378-495 CALLE TAM?ICO
LA QUINTA, CALIFORNIA 92:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
BM(
49151 WASHINGTON ST
646170018
HVAC CHANGE OUT
$9,374.00
Applicant:
GENERAL AIR CONDITIONING
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
r1
`444,,;.rw
AMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Owner:
JACQUES MEYER
SEP 2 3 2014 *1101 92253
CITY OF LA OUINTA
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.::CONV:140528101254139615
s
/Date: 9 �3 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 ?
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, 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 contractors) 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
Contractor:
JACQUES MEYER
, 92253
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/23/2014
Llc. No.::CONV:140528101254139615
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.
�S 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: r9 Applicant:- C
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.
� c
Date/� �3 1 Signature (Applicant or Agent):
r
CERTIFICATE OF COMPLIANCE (
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (for ierly CF -IR -ALT -HVAC)
I (Page .1 of 4 )
Project Name: ' JACQUES MEYER
Date Prepared:
2014-09-22
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 CF1R-ALT-02 docume i t for each dwelling unit.
02
01
Project Name
JACQUES M`EYER
02
Date Prepared
2014-09-22
�r
03
Project Location
49151 WASHINGTON STREET
04
Building Type
Single family
tt ,�05 _. �D
05
CA City
La Quinta i
06
Dwelling Unit Name
JACQUES MEYER
07
Zip Code
i
92253 `
08
Dwelling Unit Conditioned
1368
r %[ ;err,..yr,. zx
-
SC System
Floor Area (ft2)
CFA served'
system a
refrigerant
Installing new SC
(
Installing
Number of space conditioning
09
Climate Zone
15 j
10
(SC) systems in this dwelling
1
more than 40
entirely new
entirely
It
unit.
Served
System (ft2)'
P: *%¢'e .'.saY!'.afsx te. .F!a. z++°xt'.;!. t!wx'.as§. .,rV I.
tf ani
B. Space Conditioning (SC) System nformation A e
�.
s..
Ol
02
O�I'"r04tr`
06:r.
U7U.
y"`Q8
�r
09
10
tt ,�05 _. �D
a+:
,
.
ry•�:: gym.^-ar :: i
}wrv.:sK' S #-w•
Is°the SC s
...�;.. >.c.� -°c ",t_+s:
;Installmga
y ..,., js
,...,> : may; <:
r %[ ;err,..yr,. zx
-
SC System
SC System
CFA served'
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area :
<: b' this SFC
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
1368
k
%
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 214-AO09917
CA Building Energy Efficiency Standards - 2013 Residential Compliance
I
Registration Date/Time: 2014-09-22 16:35:55 ! HERS Provider: CaICERTS
!
Report Version: 2014-03-31 Report Generated: 2014-09-22 16:35:40
Schema Version: 0.551SDD I
CERTIFICATE OF COMPLIANCE I CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-111-ALT=HVAC) (Page 2 of 4
D. Altered Space Coniclitio.ning System (Sections
150.2(b)lE and F)
F)
01
02
03
104
05
06
07
08
09
10
I
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-Valbe
Central gas
All new
Central split
All new
This field or
This field or
System 1.
furnace
heating
AFUE
.0.78
AC
cooling
SEER
14.5
Setback
section is not
section is not
- . .
components
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 h'eating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: 5 15%, or 5 10% leakage to outsidef:or
seal all accessible leaks.
CF2R-MCH-2S-H &CF3R-MCH-25-H Refrigerant Charge Verificlation
required when refrigerant containing components are installed or altered (a . pplicable in CZ 2, 8-15
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow >_ 300 CFM/ton-r6quired
Exceptions:
when MCH 25 is,required .
p, g
-Duct systems registered with HERS provider as previous y sea
ei
I' are exempt
d ,from 'WGH-20 Duct Leakage Testin&reqb ire'iy
-Heating-only systems and Air Hancller/Furnace,�grigesclo not
require veri icationof Air Flow MECH1,25.
�
-Existing duct systems constructed, insulated orsealecl wit !P!�e
ra:exe��n MCH; pakge T6king-rtquirementsZI,,"_
�
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.
Registration Number: 214-A00991.73A-000000000-0000 Registration Date/Time: 2014-09-22 16:35:55
CA Bu . ilding Energy Efficiency Standards - 2013 Reside n�tial Compliance Report Version: 2014-03-31
Schema Version: 0.551SDD
c.
Report
HERS Provider: CalCERTS
erated: 2014-09-22 16:35:40
— -1
I
CERTIFICATE OF COMPLIANCE
CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly
CF -IR -ALT -HVAC)
I
(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.
•�'?s,, va
�,z A
`""`�:u'y �'l',
.
•. "S %t. ;»+
Nfi,s.;':e# s a'�I= wi'r.`A,t,+v'n+A• .",�' :..�✓.?Y�7g
6 �
Registration Number: 214-A0099173A-000000000-00
0
i
Registration Date/Time: 2014-09-2216:35:55
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards 2013 Reside
i
tial Compliance Report Version: 2014-03 31 ,RepordGenerated:
2014-09-22 16:35:40
Schema Version: 0.551SDD }
CERTIFICATE OF COMPLIANCE
' Alterations to Space Conditioning Systems
merly CF -IR -ALT -HVAC)
CF1R-ALT-02-E
(Page 4 of 4 )
DttiAthDl
l I
ocumenaon uor's ecaration 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, . 2014-09-22 16:35:55 •' - ' - `- "- ,
Address: + I CEA/ HERS Certification Identification (if applicable):
31-170. RESERVE DRIVE STE A- - f
City/State/Zip: ', r Phone:
I�
THOUSAND PALMS CA 92276 ` (760) 343-7488
I. .
Responsible Person's Declaration statement r I'
I certify the following under penalty of perjury, under the laws of the State of California: t
1. The information provided on this Certificate of Colmpliance is true and correct.
I am eligible under Division 3 of the Business andAAProfessions Code 4accept responsibility,for the building design or system design identified ori this Certificate of Compliance (responsible designer). ti
«x .. t"sY'F ..,
3. That the energy features and performance specifications,�matenals :components,zand manufactured dev ces+for the building d ign or, sys em design identified on this Certificate of Compliance conform to the
44 mss' M- , � �
requirements of.Title 24, Part 1 and Part 6 of the California:Code of Regulations. ' 3 + • _
i' '• r 75-., e" R2 ..•, n
4 The building design features or system riesign feaEures ides tfied onthis Certificate of�Compi(arice are consistent wrthatlie information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted tofhe enforcement agency for approval with this bu ding permitappti ation u= ` ,
`zr.5�'.,' i."gi' ,�' - . r �a s.tet "ti.ek wr:v n . •'' " v�:3?
S. I will ensure that a registered copy of thts,Certrficate of Compliance shall be made avatlable<wth the;buildmg,permrt(s)Essued for the�butldirig •and'made.,available to the enforcement agency' all applicable
-, ;:,
inspections: I understand that a registered copy of.ttiis C6ftificate of = ompliance is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: t''t2. Responsible Designer Signature:
Valdez, Dayana
,
Company : _ _ r ,: Date Signed:
li..
HARRISON ENTERPRISES INC dba GENERAL AIR C6NDITIONING1 i 2014-09-22 16:35:55.
Address: ti License: v
31-170 RESERVE DRIVE STE A ' 686310' I _
City/State/Zip: Phone:
THOUSAND PALMS CA 92276 (760) 343-7488
1
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. I v_
• f . Registration Number: 214-A0099173A-000000000-0000 Registration Date/Time: 2014-09-22 16:35:55 ( HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance, Report Version: 2014-03=31 Report! Generated: 2014-09-22 16:35:40 -
Schema Version:0.551SDD -
1
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. I v_
• f . Registration Number: 214-A0099173A-000000000-0000 Registration Date/Time: 2014-09-22 16:35:55 ( HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance, Report Version: 2014-03=31 Report! Generated: 2014-09-22 16:35:40 -
Schema Version:0.551SDD -
FINANCIAL
-INFORMATION
TI �.. _.i'r,�``?y„ S{ "'� i .: a.'�Sy,2, te'-�`nx`'%
D,SCRIPTION s ACCOUNT QTY AMOUNT
PAID DATE?
4,1, .
x a ,`.; Y r
.teet .� s ,
Xx
BSAS SB1473 FEE. 101-0000-20306 0 $1.00 $0.00
4` Mme, ' =k, Y.L�-rF �'{ ,,,y�.� a."£Si < A fi A ..da:;
r iF}ixC i. ' S : it ""S 'L ?:.i� y 'R ' # y L at S 1X K.- i '4 s
;PAID B1( a s METHOD RECEIPT #� � CHECK # f
.1' Y
CLTD BY`�
x, ��€ u =, s :
.r:�. ,�,..:b.;a- �'
Total Paid forBUILDING STAN DARDSADMINISTRATION BSA $1.00 $0.00
� � 1
D...E��.S, C+aRwIP.-.T. N»w.,
'"
N,.r AC.C..,OT..
MOrt T iAq
AP C
AIDDATE
r:IO.
e..Ur .YNr?,
yUs.N
-
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
<8. «v�''•h V -4 a u'F..'3.:
g �
MTHO� : D
t4i.t ECEIPY
T #
CHECK
BY'PAIDBY
LTD 9
z ..:..
x
AC
DESCRIPTION,
�:..
AM_OUNT
� y�
' _ PAID
;PAID DATE:
3.
L#xyACCOUNT r r, z
.QTY
�n F . s <
,,
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600 {
0
$36.26
$0.00
. ""`� ,.. -. f* �.�, '+• �
PAID BYE `.
�� �b E
�,�$� ��
�. x ���.Mti
RECEIPT #
#
Blf"
._: F ,., .
«
(METHOD x
f`�?> �r....�CHECK
,, :CLTD
1
Total Paid forCHANGEOUT: $108.78 $0.00
lq DESCRIPTION,s.-
Va
PAIDDATE:A
F
tiPA1D"`s
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID
RECEIPT#xi €
'CHECK#iCLTDBY.;:
'54.t,.tMETHOD'rf4,,
ryx
I"=«
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: $201.63 00
Description: HVAC CHANGE OUT
Type: MECHANICAL Subtype: -Status: SUBMITTED
Applied: 9/23/2014 MFA
Approved:
Parcel No: 646170018 Site Address: 49151 WASHINGTON ST LA QUINTA,CA 92253
Subdivision: TR 3455 & INT IN COMMON AREAS Block: Lot:.36
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $9,374.00 Occupancy Type: = Construction Type: y
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
JACQUES MEYER
Detai.ls: HVAC CHANGE OUT -14.5 SEER/80AFUE SPLIT.SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. -
w, .CONDITIONS
-•aNAME . ; ,NAME � - � .� __: ;:� ADDRESSI.> .-�
.. . x ,a•. �, , r� �. £..y , s2�c3 -:"�M .. u¢ .�v e._. Y# .&....a= „+�',. f .. _ �. 4, ,� ;£ ;., t,r 5�.., �.�!.:, <-..ti .+fid:,
•
, �-,,CITY ��:: ;STATE • � �� �. ZIP'S,
�a:- PHONE .� : _ . FAX -r _ N� ' �.«_�EMAII: ..� .::<
APPLICANT
'GENERAL AIR CONDITIONING
0 -OUTSIDE CITY LIMITS
LA QUINTA CA
92253
'
CONTRACTOR
JACQUES MEYER
92253
OWNER
JACQUES MEYER
92253
Printed: Tuesday, September 23, 2014 1:05:23 PM 1 of 2 .
^ .
^ '
Printed: Tuesday, September 23, 2014 1:05:23 PM . ' 2of2
. ^
BOND
INFORMATION
RIP I
PAID
Al
HVACCHANGEOUT-
101-00.00-42402
0
$72.52
$0.00
SPLIT-SYSTEM
HVACCHANGEOUT-
101-0000-42600
0-
$36.26
$0.00
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $10838 $0.00
PERMIT ISSUANCE
101-0000-42404
-0
$91.85
$0.00 -
Total Paid forPERMIT ISSUANCE.: .$9i.85 $Q.00
^ .
^ '
Printed: Tuesday, September 23, 2014 1:05:23 PM . ' 2of2
. ^
BOND
INFORMATION
^ .
^ '
Printed: Tuesday, September 23, 2014 1:05:23 PM . ' 2of2
. ^
1
Bin # ...0ty Of La QUJnta
Building 8£ Safety Division
Permit # P.O. Box 1504,78-495 Calle Tampico.
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Trkking- Sheet
Project Address: y q I S 1 Owner's Name: •
A. P. Number:
Address: 11 °► 15 I l,J e-- }ph SD .
Legal Description:
City, ST, Zip: L p& axil r -X a CA Q ZZs 3
Contractor: Gee.er.G1 w —0 Ya`
Telephone: +7GO-3cl7 38 7
^> ^=<
` Address: 30-70
Project.Description:
City, ST, Zip: (N• C-aSahc� ��Yv� CA 4 27(,
2 l0.0 e 3 • S -ko1•-\ •
G CD;
Telephonti: %(00- 3- SSIo(v
:::,:...,<.:;:.:::::::.:...:, :....:::::::.
`'�<;�..;�:-:.;:<:�«-�:�'>::;:<:;.:;«•�
90, 000 t-3Tv (Evr n cce=.
Statc Lic. # : MW 6,(0 3i v
City Lic. C
Reviewed, ready for corrections •
Arch., Engr., Designer:
Plan Check Deposit ,
Address:
,
City, ST, Zip:
Telephone:
State Lie. #:
^
:.::.f.::;;.;.:: •.:;:.:;h;;:.;.:: ,:::;:;;;:;:
Occupancy: Construction
dd'n Alter Repair De
Project type (circle one): New A p , mo
Name of Contact Person:
Sq. Ft.:
# Stories:
It Units:
Telephone #,of Contact Person:Estimated
Value of Project: q Z• C9(>
APPLICANT: DO NOT WRITE BELOW THIS LINE
#/
Submittal
Req'd
Recd
TRACKING
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections •
Plan Check Deposit ,
Truss Calcs. '
Called Contact Person
Plan Check Balance.
Title 24 Cala.
Plans picked up
Co.nstruetion
y.
Flood plain plan
Plans resubmitted
Mcchanic2l
Grading plan
Zed Review, ready for corrcctionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
ILO.A. Approval
Plans resubmitted
Grading
IN If OUSE:-
'`d Review, ready for correctionsAssue`
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P,.
Pub. Wks. Appr
Date of permit issue
School.Fees
Total Permit Fees