BMCH2014-1002IL
78-495 CALLE TAMPICO C 0 D VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/1/2014
Application Number:
BMCH2O14=1002.
Owner:
Property Address:
51080 EISENHOWER DR #4
MIKE KRANTZ
APN:
773071017
51080 EISENHOWER
Application Description:
REPLACE HEAT PUMP EXISTING UNIT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$5,000:00
Applicant:.
Contractor.
CHRISWILSON PLUMBING
& HEATIN
CHRIS WILSON PLUMBING & HEATIN
1112 PHOENIX AV
1112?HOENIX AV
SEASIDE, CA 93955
SEASIDE, CA 93955
(831)393-9321
Llc: No.: 772474
LICENSED CONTRACTOR'S DECLARATION
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: Mo
Ucens ::
Cl772474
Date: / "1L . Contractor:
OWNER -BUILDER DECLARATION
1 hereby.affirm under penalty of perjury that 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 thathe or.she Is exempt therefrom and the basis for the aIle
exemption..Any violation of Section 7031.5 by any applicant for a permit subjects th
applicant to a civil penalty of not more than five hundred dollars ($500).:
U I, as owner of the property, or my employees With wages astheir sole
compensation, will do the work, and the structure isnot intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
applyto 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 notintended or offered forsale. 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 did not build or improve for the purpose of sale.).
(__) (as,owner of the property, am exclusively contracting with.licensedxontractors to
construct the project (Sec: 7044, Business and Professions Code: The Contra.ctors';State
Ucense'Law does not apply to anowner of property who builds or improves thereon, and
who contracts for the,projects with a:contractor(s) licensed pursuanfto 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:
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of.perjury one of the following declarations:
I have andwiil maintaina 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 whichihis permit is issued.
_ I have and will maintain workers' compensation Insurance, as'required'by
Section 3700 of the Labor Code, for the performance ofthe 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 3,700 of the Labor Code„I shall forthwith
comply with those provisions.
DD,e: ” '�/ Applicant: ON
WARNING: FAILURE.TO SECURE WORKERS' COMP SATION 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 thisapplication.
1. Each person upon whose behalf this application is made, each person at whose
request and.forwhose benefit work is performed under or pursuant to any permit issued
as a resultof 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 omissionrelatedto the work being performed under or
followingissuance of this permit.
2. Any permit Issued as a resultof this application becomes null and void if work is not
commenced within,180 days from date of Issuance of such permit, orcessatiorvof work
for 180 days will subject permitto cancellation.
I certify that l have.read this application and state that the above Information is correct.
Ilagree 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: " ')Signature (Applicant or Agent).' AV
FINANCIAL••
DESCRIPTION• -.NT:.
•
." PAID DATE';
PAID
-
BSAS SB1473 FEE 101-0000-20306
0
$1.00 $1.00
7/1/14
f
'BY ' = METHOD
T. RECEIPT # , CHECK # :
CLTD BY
WILSON CHRIS PLUMBING & AIR CHECK
8239 1138.
PJU
Total Paid forBUILDING,STANDARDSADMINISTRATION BSA, $1.00 $1.00
_DESCfIPTION �:
r ACCOUNT _
QT1h
AMOUNT
7 �fPAID
PAID DATE
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$35.75
$35.75
7/1/14
PAID BY _
METHOD_
RECEIPT
CHECK'#
CLTD`'BY
WILSON CHRIS PLUMBING & AIR
CHECK
R239
1138
PJU
DESCRIPTION ' °-
s ACCOINT4 =.
QTYt'
AMOUNT
PAID
YtPAID'DA'TE-
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$23:83
$23:83
7/1/14
PAID36Y-"
METHOD
_ -RECEIPT`*.'
CHECK:#' .
CLTD`BY
WILSON CHRIS PLUMBING &.AIR
CHECK
R239
3138
PJU
Total Paid forCHANGEOUT: $59.58 $59.58
ESC OPTION
- D1.
ACCOUNT" ° t
qTY°
AMOUNT i
;PAID
D DATE'
PERMIT ISSUANCE
101-0000-42404
0
$90.57
$90.57
7/1/14
PAID. BY
'METHOD-.
_ < ' RECEIPT'# - .
CHECK #
CLTD' BY.
WILSON CHRIS PLUMBING &;AIR
CHECK
R239
1138
PJU
Total Paid forPERMIT ISSUANCE'- $90.57 $90.57
Bin #
City Of La QUint a
-Building 8t 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: . "
OwncesName:
Address: O
A. P. Number: 1071-01-7
Legal Description:
City, ST, Zip.
Contractor: C
Telephone: _
Address; L IZ
Projed Description:
vwbn
City, ST, Zip: tMToL1 1
Telephone: .4%
h ni+
State'Lic. # : Z City Lic. It..
^ e
Arch, Engr, Designer.
Address:
City., ST, Zip:
Telephone:
State Lica.#:Project
Constriction"Type:G " Occupancy:
type (circle;one): New Add'n Al • air Demo
Name of Contact Person: w%"O N
Sq. FL- 6r_>
# Stories: Z
Units:
Telephone #;of Contact Person:Estimated
Value of project SQdv
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACKWG
PERMITTEES.
Plawsets
Plan Cheek submitted
Item
Amount
Structural Cults.
Reviewed, ready for corrections
Plan Check Deposit
Truss Caics.
Called" Contact Person
Plan Check Balance •
'Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted a
4
Mechanical
Grading plan
2'' Review; ready for correetioaslissue
Electrical
Subeoatactor List
Called Coatad Person
Plumbing
Grant Deed
Plans picked up
S.MX
H.O.A. Approval
Planrresubmitted
Grading
IN HOUSE:-
'"' Review, ready for,comctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
AXP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Res
Simplified Prescriptive Certificate of Compliance: 2008 Residential HIZACAlterations CF-iR-ALT-HVAC
Climate Zones 10 - is
Site Address:
Enforcement Agency:
Date:
Permit #:
51080 eisenhower dr #4 La Quinta, CA 92253
City of La Quinta
Jul 1, 2014
Duct insulation
Conditioned Floor
Equipment TYPel
fist Minimum Efficiency2
requirement
Area
Thermostat
®;Package Unit
❑ Fumace
❑ Indoor Coil
❑ AFUE
® SEER 13.0
❑ COP
R HSPF 7.7950
❑ R 6 (CZ 10-13)
Served by'system
® Setback
If not already present, must be
❑Condensing. Unit
[lEER
[3 Resistance
El R 8 (CZ'14-IS)
sf
installed)
❑Other
1.. Equipment Type: Choose the equipment being Installed, If more than one system, use. another CF-1R-ALT-HVAC for each system.
Z. Minimum Equlpmeet Effldencfes: 13 SEER, 78% AFUE, 7.7HSPF for typical, residential systems.
HERS VERIFICATION SUMMARY•Listed below are FOUR HVAC alteration Options. The installer decides•what work is being done
and picks one of the appropriate Options. Each Option lists the HERS measures that:must be conducted..A.copy of-the forms shall
be left on site for final inspection and a copy given to the homeowner. At final; the Inspector verifies that the work listed on this
form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF-6R and registered Cf-4R
forms (no hand filled CF-4Rs allowed). are filled out and signed. Beginning October 1, 2010, a registered copy of the CF-1R
and CF-6R shall also be on site forrfinal inspection.
® 1. HVAC Ch'angeout
Required Forms:
. All HVAC Equipment
CF-6R forms: MECH-04, M=r._.+ W_��EXEMPTED
replaced
CF-411 forms: •4G,-24, EXEMPTED
. Condenser Coil and /or
. Indoor Coil and /or
CF-611 forms• MECH-04, MECH ,24 HERS EXEMPTED and &F Split systems) ME_G__I45 HERS
. Furnace
CF-4R forms: + MgGW aEXEMPTED ,Ra (f,._ splk a ,..temp) MF.GM 25.
-- --
For- Split Qvistemic, 0 9 peFm4i; RG, GGA !9 399 G9WtQR (MIR imum Ali: Pew RequireMeAQ, :144&�
For Packaged Units: Duct leakage < 15 percent
Exempted from duct leakage testlhq f:
❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or
® 2,. Duct systems with less iiian 40 linear feet in unconditioned space, or
❑ 3.:Existing duct-systems are,constructed, insulated or sealed with asbestos
❑ 4. The system will not be Ducted (ie. Ductless Mini-Split System) (Also Exempt from Refrigerant Charge)
❑ 2. New HVAiC System
Required,Forms.
.'Cutin or afigedtifwith
new du
ductin '
CF 6R"f i rn €CH 0 EsXEM .PTSD„i d',(f�t split y fns-' ECH-22-HERS, and
CH ��.� �
pall new
�,�
-4 r� •«u �n E , , and rrsp i sltstems ECH-22, na,MECH-*
eqqIpff
For S li ,� terns• Duct I ka < 6 cent,JR,TMAH I, S a d eltherj SPPIor,P�SPP” .�_`-For
Pac ged, ts� :, gens � a►
13 3 New o
hut�
ed FirwihoR: i
Replacement
.,Includes replacing o[ installing alfa:
new dutting°'and/or outdoor
CF-611 forms: MECH-04, 114KH ag Wgpg EXEMPTED, and (for split systems) MECH-257HERS
C
condensing unit and :indoor coil;
k
CF-4R M r3 EXEMPTED and (for split systems) MECH-25
forms: =,
and/or furnace. No orr some
.rr
equipment changed.
For Split Systems: Duct leakage•<`6 percent; RC, CCA Z 300 CFM/ton, TMAH
For Packaged Units: Duct leakage < 6 percent
❑ 4. New Ducting over 40 feet
Required Forms:
. Includes adding or replacing more
than 40 linear feet of duct in
CF-6R forms: MECH-04, Msc .. EXEMPTED
unconditioned space.
CF-4R forms: p4EC-M X11 EXEMPTED
-- --
For split system or packaged units: Dud leakage < 15 percent
❑ EXCEPTION: Existing dud systems constructed, insulated or sealed with asbestos.
Contractor (Documentation Authoes /Responsible Designer's Declaration Statement)
. I certify thattthis Certificate of Compliance documentation is accurate and complete.
..I am eligible.under Division 3 of the California Business and Professlons Codeao accept responsibility for the design Identified on this Certificate of
Compliance.
.'I certify that, the energy features and performance specifications forthe design Identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 6 of the -California Code of Regulations.
. The design features Identified on this Certificate of Compliance are consistent with the Information documented on other applicable compliance
forms, worksheets, calculations, plans:and specifications submitted to the,enforcement agency for approval with the permit application.
Name: vernon bakkedahl Signature: vernon bokkedahl
Company: CHRIS WILSON PLUMBING: & HEATING REPAIRS INC Date: Jul 1, 2014
Address: 1112 PHOENIX AV license: 772474
City/State%Zip: SEASIDE/ CA / 93955 Phone: (831) 393-9321
Reg: 214=A0049619A-000000000-'0000 Registration Date/Time: 2014/07/01.12:53:20 HERS Provider: CalCERTS, Inc:
2008 Residential Compliance Forms July 2010