BMCH2014-11344
aw
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O14-1134
Property Address:
81270 GOLF VIEW DR
APN:
762390015
Application Description:
HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$4,170.00
Applicant:
ALL TEMP HEATING & COOLING
8222 CARNATION CT
RIVERSIDE, CA 92503
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
NOV 3 2014
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 the Busin Professions Code,
and my License is in full force and effect.
License Class:: C20 j License No.: 789164
AV
Date:` ` Contract
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.).
( 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.).
(__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 Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/3/2014
Owner:
ROI THIBAULT
, 92253
Contractor:
ALL TEMP HEATING & COOLING
8222 CARNATION CT
RIVERSIDE, CA 92503
(800)323-9363
Llc. No.: 789164
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty ofperjury 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 shouldb o obje to the
workers' compensation provisions of Section 3700 of the L ode, I sha forthwith
c ��y�with t case pr vision/s.
Date: Z —1 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 orrect.
I agree to comply with all city and county ordinances and state laws relat' eto bw ing
construction, and hereby authorize representatives of this city to enter on the a ove•
mentioned prop y f r inspection purposes. r0
Date: - gnature (Applicant or Agent),!
DESCRIPTIONS ACCOUNT , AMOUNT � PAI PAID;DATE-
l
a v
<%-�?..�t -'a: •'. <s.1 �.�` .- ..F
BSAS SB1473.FEE 101-0000-20306, 0
$1.00
$1.00 11/3/14
.. :: .-- x, ,� ri s,E r '``
& PAID BY METHOD; "x
s t!.r.�`,a' r
R E a
EC IPT #
r ;, �, apt'%;a.; µ-, ..;�
CHECK # LTD BY
C
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,
X. <.s x."tt_-_.�. R _.1., $..s. iYfsk^'a.
,!.
`�F e _r, ,.[, `G .
ALL TEMP HEATING & COOLING CASH 112638
MFA
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00
N^%EBF a.y 7,_, x`'�
DESCRIPTIONhh
^dn' A aK':'-s.csr, ,X *>r:.>
a
QTYAMOUNT
x.,zx IF -:;t a,:
7-* _
PAIDDATE:
r x , E F x
#^ _ACCOUNT ,� k;£
im
*
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000742402
0
$145.04
$145.04
11/3/14
Z{
n k,PAID<BY u i
q
1 t � i-�£
METHOD
'k f3".`.,-�.1
T
SER L:$.s`. ..:{.';'s.
RECEIPT #
IRE
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CHECK #
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CLTD BY
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. Y: httc:i;�:?'31`VTvt.:
Y:'iC i'
.?'txY,. Y.t 4, ,. 4P, I:. f..3:. YY
ALL TEMP HEATING& COOLING
CASH
R2638
MFA
_�Y• > 1 x 3,v Z vi
DESCRIPTION
� ea ..j�.6T n '' _,'` '`v" R vi. d"a.[ i`y:
ACCOUNT
4n £.f:+ Y
Y' `i"X Yx.; F=u Ff .7 q9 m
AMOUNT��
':..1 •_� t F
PAID
r+ $� �$
'.'..�K✓z�
#i.. �tu'.°PCbW,#...+:P..:..'�t %xk.
,QTY
'i`4,9, e.�'
cx. Y iTr-�f:`z.-s 1.: i'k. v•.,.;d,
x rh L..: ''3
;PAID:DATE
HVAC CHANGEOUT - SPLIT -SYSTEMPC '
101-0000-42600
0
$72.52
$72.52
11/3/14
>>
i. .',i 'C.- { °t '�'{.�
PAID BY`.,Y. Y
3¢ q'}F'� tY �2i= w�'✓"P,.
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CLTD BY
,. t.METIiOD;RECEIPT
�CFiECK
ALL TEMP HEATING &:COOLING,
CASH
R2638
MFA
Total.Paid forCHANGpEOUT: $217:56 $217.56
ai a.C+
DESCRIPTION
N
''Y�Sf�-q''. 'l M Ont 4-f rM Na vF V `:4t �'Y
A000UNT>
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PAID,
.
PAID
:ltit'.^H16'S9d3t
t' �. b
"F,"ct:5!tassaCa�,�,�s�'tK�"j
QT1F
z AMOUNT "'�
j•_
DATE;
PERMIT ISSUANCE
101-000042404
0 .
$91.85.
$91.85
11/3/14
g y:.y�i.•iT�c
PAID B_Ys
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Sam
'X .'. (} A t
,jR:
CHECK # K
CLTD BY
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ff g�
W ERECEIPT .� .4 E
.:;
*ALL TEMP,HEATING& COOLING
CASH
R26�38
MFA
Total Paid forPERMIT ISSUANCE: $91.85 $91.85
74 •
.l
Description: HVAC CHANGE OUT
CONDITIONS
Type: MECHANICAL
Subtype: Status: SUBMITTED
Applied: 11/3/2014 MFA
Approved:
Parcel. No: 762390015 Site Address: 81270 GOLF VIEW DR LA QUINTA,CA 92253
Subdivision: TR 28838-2
Block: Lot: 26
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $4,170.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: 2 HVAC CHANGE OUTS-16SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Printed: Monday, November 03, 2014 3:31:49 PM 1 of 2 C
SYSTEtiiS
CONDITIONS
NAME TYPE
NAME <
CONTACTS
ADDRESSl CITY = :: :
STATE' ZW `: PHONE FAX EMAIL
APPLICANT.
ALL TEMP HEATING & COOLING
8222 CARNATION CT RIVERSIDE
CA 92503
CONTRACTOR
ALL TEMP HEATING & COOLING
8222 CARNATION CT RIVERSIDE
CA 92503
OWNER
ROI THIBAULT
92253
Printed: Monday, November 03, 2014 3:31:49 PM 1 of 2 C
SYSTEtiiS
INSPECTIONS
SEQID INSPECTION TYPE. INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL"
'CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #�
CHECK #
METHOD
PAID BY
•
BY
HVAC CHANGEOUT -
101-0000-42402
0
$145.04
$145.04
11/3/14
R2638
CASH
ALL TEMP HEATING &
MFA
SPLIT -SYSTEM
COOLING
HVAC CHANGEOUT -
101-0000-42600
0
$72.S2
$72.52
11/3/14
R2638
CASH .
ALL TEMP HEATING &
MFA
SPLIT -SYSTEM PC
COOLING
Total Paid forCHANGEOUT: $217.56 $217.S6
PERMIT ISSUANCE
101-0000-424040
$91.85
$91.85
11/3/14
R2638
CASH
ALL TEMP HEATING &
MFA
COOLING
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:0.4
INSPECTIONS
SEQID INSPECTION TYPE. INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
MECHANICAL FINAL"
PARENT PROJECTS
Printed: Monday, November 03, 2014 3:31:49 PM 2 of 2 CN?
SYS7Fti1S
CERTIFICATE OF COMPLIANCE CFiR-ALT 02I E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT HVAC) (Page 1 of )
Project Name: Thlbaultl Date Prepared: 2014-11-03
A. General Information
CF111-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
Thibault
02
Date Prepared
2014-11-03
03
Project Location
81270 Gulf View Drive
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Thibault
07
Zip Code
92253
08
Dwelling Unit Conditioned'
2700
N -y� stF'127
f'i by '....J :fi.S,`
-
Floor Area (ft2)
SC System
SC System
CFA served
systema
refrigerant
Number of space conditioning
Installing
09
Climate Zone
is ' >.
10
(SC) systems in this dwelling
2
ducted
containing
system
more than 40
unit..
entirely new
.......... <�.
��iwararsa�sw.. -
B. Space Conditioning (SC) System„{formation.' r ! .
Ol
02
2 03,
04;°�
O5' ..
` �r ,...
07
008
a . 09
10
e... �_ v
,... n��6-
•
'" .! xw
iN.fi-i,°"`"J^ _ b�Y
FSIs theSC
ACF h3Qi.�i✓
Installing
N -y� stF'127
f'i by '....J :fi.S,`
??7:,.'j,`�..,+z, sr`?'
.
SC System
SC System
CFA served
systema
refrigerant
Installing new SC
Installing
Installing
Installing
Identification or
Location or Area_,...
*3...
byahisSC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ff2);
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
.
System 1
Location 1
1400
�z.<;:
Yes
Yes
Yes
l No
No
No
Altered space
conditioning system
System 2
Location 2
1300
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Dlib)
This section does not apply to this project.
Registration Number: 214-A0131147A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2014-11-03 06:44:59
Report Version: 2014-03-31
Schema Version: 0.551SDD
HERS Provider: CaICERTS
Report Generated: 2014-11-03 06:43:55
CERTIFICATE OF COMPLIANCE - CFIR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC) (Page 2 of 4 )
D. Altered Space Conditioning System (Sections 150.2(b)IE and F)
01
02
03
04
OS
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 split
Outdoor
. This field or
This field or
System 1.
furnace
heating
AFUE
0,78
AC
condensing
SEER
16
Setback
section is not
section is not
components
unit
applicable
applicable
Central gas
All new
Central split
All new
This field or
This field or
System 2
furnace
heating
AFUE
_
0.78
AC
cooling
SEER
16
Setback
section is not
section is not
components
components
applicable
applicable.
Reaulred Documentation:
MR -MCH -01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for newplenums.-. R6.
& LeakaQtesting hatlar;fooling ductedsystems
CF2R-MCH-20 H CF3R-MCH-20 H —Duct required when components are.installed in of when more:than 40 ft of duct length is replaced.
Leakage rate compliance: 515%, ors 10% leakage, 'outside, or seal all accessible leaks: " r yF .�
`:AY
i �5�d�s' g' -4�1 F'h`:l *u{E Fct'K a y. .
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerent)Cha�rge Verification,requ�-l�redMh,! efrigerant contain ng td'mponentUv;reinstalled°'or altered (appli ble in GZ 2,.8AS)............
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300'CFM/ton required, whl MCH. S is required
Exceotions:y, ��
.Pi -v, �6:t y
-Duct systems registered with HERS provider as previouslysealed are.exemp�from MCH. 20 Ductsleakage.TesEing cegulrements
-Heating-only systems and Air Handler/Furnace changes do not require verificafion of Air flow MCH -23, or Refrigerant Charge MECH-25.
-Existing duct systems constructed, Insulated oraealed rVit. ; bestos are exemptfrom MCH -20 Duct leakage Testing requirements.
E. Entirely New or Complete Replacement Duct System with or without Equipment Changeout (Sections 150.2(b)iDiia and 150.2(b)1E, F)
This section does not apply to this project.
Registration Number: 214-A0131147A-000000000-0000 Registration Date/Time: 2014-11-03 06:44:59
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31
Schema Version: 0,551SDD
HERS Provider: CaICERTS
Report Generated: 2014-11-03 06:43:55
CERTIFICATE OF COMPLIANCE CKR-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.;
Registration Number: 214-A0131147A-000009000-0000'" Registration Date/Time. 2014-11-03 06:44:59
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31
Schema Version: 0.551SDD
HERS Provider: CalCERTS
Report Generated: 2014-11-03 06:43:55
CERTIFICATE OF COMPLIANCE CFiR-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:
pamron, Mel
Company:
Signature Date:
ALL TEMP HEATING & COOLING
2014-11-03.06:44:59
Address:
CEA/ HERS Certification identification (if applicable):
4524 VINCENT WAY
City/State/Zip:
Phone:
RIVERSIDE CA 92501
(909) 689-0429
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State 6i: alifornia:
1. The Information provided on this Certificate of Compliance is true and correct.
2. lam eligible under Division 3 of the Business and Professions Code to accept;rgsQonsibility for buuilding,deslgn orsystem�design Identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performahcespecificatons, materials, p�onehtsand manufactured d evices,for the building.desigirarsystem design identified on this Certificate ofCompliance conform to the
requirements of Title 24, Part 1 and Part %f the Callfornia-Code of'Regulations. fi ¢ �5°_'
icy...'�''
4. The building design features or system design features igen ified onaf5 Certificate o dmpflance arret� Alstent withahhe*information�pwrovided�on,other applicable compliance documents, worksheets,
calculations, plans and speclficatlons submitted tothe enforcers ent-ag'e'ncy for approvahwith this bupdingypenmit application �� �< ,a'
�.
h.' ?Y',v`��
5. 1 will ensure that a registered copy of this.,Certificate?of Compliance sk aWbe made available with the,bwlding permif(s) Issued for,,the building matle av ailable to the enforcement agency for all applicable
Kand
fid:, 2 xr. s Y^ 4z,lV, a i. R .z ?, f' lre✓,ht"Ya'v-iv! ,t, ... ,. y N y.
Inspections. I understand that a registered.copy.+of thirCertificate of CompllanceaS regufred to be.lni uded wifh.the'doeunientatlon the"builder provides to the building owner at occupancy.
Responsible Designer Name:
Res onsible Designer 51
nature: p g g
AW
pamron, Mel. • ;;=`
Company:
Date Signed:
ALL TEMP HEATING & COOLING ' '''^` '
2014-11-03 06:44:59
Address:
License:
4524 VINCENT WAY
789164
City/State/Zip:
Phone:
RIVERSIDE CA 92501
(909) 689-0429
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-A0131147A-000000000-0000 Registration Date/Time: 2014-11-03 06:44:59 HERS Provider: CaICERTS
'CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-11.03 06:43:55
Schema Version: 0.551SDD