BMCH2015-037078-495 CALLE TAMPICO ' D -VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
UNITY ENT DEPARTMENT INSPECTIONS (760) 777-7153
DING P1FtMI
(� Date: 9/29/2015
Application Number: BMCH2O15-0370 SEP 29 2015 Owner:
Property Address: 50175 VIA PUENTEANITA ASHFORTH
APN: 776290011 50175 VIA PUENTE
Application Description: ASHFORTH RESIDENCE/ i AN(A QUINT LA QUINTA, CA 92253
Property Zoning: v'VNG[VE A
Application Valuation: $9,000.00 �0pMENTQ1111 SEM
Applicant: Contractor:
ALL DAY HEATING & COOLING ALL DAY HEATING & COOLING
82578 PISA CT 82578 PISA CT
INDIO, CA 92203 INDIO, CA 92203
(760)834-1064
Llc. No.: 954337
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.: 954337
Date: iiC t S Contractor:
OWNER -BUILDER DECLARATIO
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).:
(1 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 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
Lender's Add
WORKER'S COMPENSATION DECLARATION
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
s 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 ecome subject to the
workers' compensation provisions of Section 370F if the L or Code shall forthwith
comply with those provisions.
Date: a V, is Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIO 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 t Inter�n jh,(�above-mentioned property for inspection purposes.
Date: 4 Za 1 1s Signature (Applicant or Agent):
fx y i..
EWWROOW
ACCOUNT QTY 1, MOUNT PAID PAgIDDATE
,JSC�`A'-'d-.+:t:
BSAS SB1473 FEE '101-0000-20306 0
$1.00
$0.00
r RECEIPT#
PAID BY METHOD"
.:. .t.;n.,. �.: an:f. x�'*h,.�ya..F #'. 5sn:+vFsr F`v:✓.. .lxa. ¢, .�>Y.'?,✓
CHECK # "
M.,^sz,�;' a m
CLTD Y
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00. $0.00
E.SCWiRV
n.O,rkc g nN x
AUNT
.
�I'
TE`
�!ffijALYn
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00.
PAID BYE
F. , Y'.�e:�a't.�"� t� ><'i�i..v,...0 Y�PC4 .�'. n .�c`
MEET D
�•t^�?n�s� .6'i..F,N��'-9_•
ECE PT #
k. Z�3...rNv+�'��k�.
CHEF CK#"
CLTDBY
� � 'DEiCR1,,TION _
ACCOUNT x�
TY
Nl
AMOUNT
= a d..,: ,
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
� sY��' 5'sx � 'v � .L'
PAID BY
ykx''4 :,=f:$ 'Sc�w.rS"e,
METHUD
mss-
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RECEIPT #,
�:
�X6X?,s;�,�' .?7i
CHECK
_STD BY
Total Paid for CHANGEOUT: $108.78 $0.00
��x. - ?��
•�d ;mac
ACCOUNT ,
A.CC {
� ��
QTY
:,
U
AMO NT
���` P�A�ID
,
PA DDA�1'E
N� kffiE
PERMIT ISSUANCE
101-0000-42404
0
$91.85.
$0.0.0
PAI BD YM
HOD.
REGE PT # #
C ECK#
T
C T B
Total Raid for PERMIT ISSUANCE:, $91.85 $0.00
Description: ASHFORTH RESIDENCE /, HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED Applied: 9/29/2015 MFA
Parcel No: 776290011 Site Address: 50175 VIA PUENTE LA QUINTA,CA 92253 Approved: 9/29/2015 MFA
Subdivision: TR 29858-1 Block: Lot: 21 Issued:
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $9,000.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 16 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
j __j Applied to Approved
Printed: Tuesday, September 29, 2015 10:05:03 AM 1 of 2 V
sysrr:Ms
A . bbTIO
CHRONOLOGY
CONMTONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP PHONE FAX EMAIL
APPLICANT
ALL DAY HEATING & COOLING
82578 PISA CT
INDIO
CA
92203
CONTRACTOR
ALL DAY HEATING & COOLING
82578 PISA CT
INDIO
CA
92203
OWNER
ANITA ASHFORTH
50175 VIA PUENTE
LA QUINTA
CA
92253
Printed: Tuesday, September 29, 2015 10:05:03 AM 1 of 2 V
sysrr:Ms
BOND INFORMATION
Printed: Tuesday, September 29, 2015 10:05:03 AM 2 of 2
SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
CITY
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 for CHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid -for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:i • 00
BOND INFORMATION
Printed: Tuesday, September 29, 2015 10:05:03 AM 2 of 2
SYSTEMS
Bin ##
Permit t#
Project Address:
City of La Quin to
Building 8i: Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777.-7012
Building Permit Application and Tracking Sheet
Owner's Name:
A. P. Number:
Address: .57 G- l i s J l d l.J� u•T�
Legal Description:
City, ST, Zip:
Contractor:
G Dom.
Telephone:
Address:
Project Description:
City, ST, Zip:
TeleP h 0 6
S
State Lic. # : q e..t33=
City Lie. #.-
:Arch.,
Arch.,Engr., Designer:
Address:
City, ST, Zip:
Telephone:
P one.
x.
.........................................
aneY
Occupancy:
:Construction Type:
Sa
t to Lac. #
ProJect type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: { ,
s.�
Sq. Ft.:
# Stories: t
# Units: '1
Telephone # of Contact Per
o 3u_ i o`y
Estimated Value of Project: t b o o
APPLICANT: DO NOT WRITE BELOW THIS LINE
lJ
Submittal
Rcq'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check 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 corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'"! Review, ready for correctionsCssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date or permit issue
School Fees,
Total Permit Fees
CERTIFICATE OF COMPLIANCE
CF111-ALT-024
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name:
50-175 Via Puente I Date Prepared:
2015-09-29
A. General Information
CF11R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one CF111-ALT-02 document for each dwelling unit.
01
Project Name
50-175 Via Puente
02
Date Prepared
2015-09-29
03
Project Location
50-175 Via Puente
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
50-175 Via Puente
07
Zip Code
92253
08
Unit Conditioned
1900
,, Installing
InstI
f ,Installing
Floor
Floor Area (ft2)
location or Area
by this SC
ducted
containing
system
Number of space conditioning
1_1alling
entirely new
09
Climate Zone
15
10
(SC) systems in this dwelling
1
component?
components?
feet of ducts?
duct system?
unit.
Alteration Type
B. Space Conditioning (SC) System Information
-
O1
02
03
04
I =, `05 •
06
07 i
08
09
10
Is the SC
Installing a '
SC System
SC System
CFA served
system a,
refrigerant ';
Installing new SC
,, Installing
InstI
f ,Installing
Identification or
location or Area
by this SC
ducted
containing
system
more than 40
1_1alling
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
System 1
Bedrooms
1900
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: 215-A6340851A-000000000-0000
Registration Date/Time: 2015-09-29 09:07:48
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-09-29 09:07:50
i
CERTIFICATE OF COMPLIANCE ( CF1R-ALT-02-E
I
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)1E 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 gas
All new
'
1
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
80
AC
cooling
SEER
16
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 heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced.
-Leakage rate compliance: 515%, ors 10% 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 Z 300 CFM/ton required when MCH -25 is required.
Exceptions: I
-Duct systems registered with HERS provider as previously sealed are exempt from,MCH-20 Duct Leakage Testing requirements.
Heating -only systems and Air Handler/Furnace changes do not require verification of Alr Flow MCH - 23 or Ref�igeranf Charge MECH 25 `
-Existing duct systems constructed, insulated or sealed with asbestos are exempt'from MC H-20OuctLeakage Testing require'ment's.
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: - P'
This, section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This�section does not apply to this project.
i
i
Registration Number: 215 A6340851A 000000000 0000 ; Registration Date/Time: 2015-09-29 09:07:48
I
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006
HERS Provider: CaICERTS
Report Generated: 2015-09-29 09:07:50
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
SANCHEZ, MIGUEL
Company:
Signature Date:
MIGUEL SANCHEZ
2015-09-29 09:07:48
Address:
CEA/ HERS Certification Identification (if applicable):
83947 Moonlit Drive
City/State/Zip:
Phone:
Coachella CA 92236
760-834-1064
Responsible Person's Declaration statement I
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 responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications, materials, components, and manufactured devices for thebuildingdesign or system design identified on this Certificate of Compliance conform to the
of Title 24, Part 1 and Part 6 of the California Code of Re ulations. 1 i. s4 ^:� %�'f ''"-:-
requirements ti
4
3.<
4. The building design features or system design features identified on thg Certif, ac to of Compliance are{consistent with�the information provided on other pa plicable'compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement, agency for approvalfwith this building permit applicatiori.
y'`
S. I will ensure that a registered copy of this Certificate of_Compliance shall be:'made;available withthe building permit(s).issued forthe Building, and,made avail" e'to;the:enforcement agency for all applicable
inspections. I understand that a registered copy of ths,Cert)ficate of Compliance is -required to be included with the,documentation.the;builder provides to the building owner at occupancy.
Responsible Designer Name:
Responsible Designer Signafure:~�
SANCHEZ, MIGUEL
Company: I
Date Signed:
MIGUEL SANCHEZ j
2015-09-29 09:07:48
Address: +
License:
83947 Moonlit Drive
954337
City/State/Zip:
Phone:
Coachella CA 92236
I
760-834-1064
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.
I
I
Registration Number: 215-A6340851A-000000000-0000 I Registration Date/Time: 2015-09-29 09:07:48 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-09-29 09:07:50