BMCH2016-000378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tihr 4 4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O16-0003
Property Address:
79090 CANTERRA DR
APN:
604261010
Application Description:
ACOSTA / CHANGE OUT (1)14.SSEER/78AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$5,500.00
Applicant:
1
SPEEDY AIR CONDITIONING
54-685 AVENIDA HERRERA
LA QUINTA, CA 92253
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.: 834471
Date: /'/'7/L/ Contractor:or/ Z01,',C
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
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 ofcompletion, 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
Lender's
11111111111111111111
69
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
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 ork for which this permit is issued.
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: Polity 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. n
Date: Z e!�L 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 upon the
above-mentioned.property for inspection purposes. ,
Date: , . / / b Signature (Applicant or Agent)
Date: 1/14/2016
Owner:
LUPE ACOSTA
79090 CANTERRA DR
LA QUINTA, CA 92253
. rz
1
Contractor:
SPEEDY AIR CONDITIONING
-4
54-685 AVENIDA HERRERA 1- ^: r. o f
LA QUINTA, CA 92253
(760)567-0133.
Llc. No.: 834471
—�.-.•'._....-
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 ork for which this permit is issued.
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: Polity 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. n
Date: Z e!�L 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 upon the
above-mentioned.property for inspection purposes. ,
Date: , . / / b Signature (Applicant or Agent)
FORMAt 16
ng
DESCRIPTION R
_i , ACCOmog E AI + PAID DATE
UNT NMN QTY AMOUNT S WY MW
BSAS SB1473 FEE 101-0000-20306
0 $1.00• $0.00
. '�,ks. .: X+�__�ry. ._.-?.sa t -1A 3. jv"-LCIS::S.fY ax S1
EIPT # CHECK #,CLTD BY`RECI.
X_METFIODm
Total Paid'for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
4 5F YT{yh'."J:'s4K�
DESCRIPTION
_., K 64 a„— ,3'S''"°i,-;:bi•,YE.. `>"^",xyf �.
ACCO€UNTd
:K" i++Pi.
..a"j F 7t X'p,^'F":'f'�,,
AMOUNT',
yz
KPAID�f_fPAID:DATE
.. Av! 9)S+
yh f
+ . <
QTY
1
HVAC CHANGEOUT - SPLIT -SYSTEM :.
101-0000-42402:
0
$72.52
$0.00'
h s� PAID BY �,a �y� ��:, ;
^METFIOD1` �
RECEIPT # `�� ��
� CHECK #z `�`
CLTD BYE
„�
f"
.
"i-ig
�)k , °2:'S: k� PP 11,:F
ri"y"� CX$�`
>,�PAID�°�
i Y"tf._". (..,. A�,gyp.
.. it:
g r ° DESCRI?TION xx <,
ACCOUNT# ,,; {��QTYX�AMOUNT
n?F;.x.
2'
-ev-t°s fk,�:
sorb .rr E"�4;� .xt vb%&s
;PAIDTDATEr
�+•,- Fa.,,., ,
HVAC CHANGEOUT - SPLIT -SYSTEM PC'
101-0000-42600.
0
$36.26 ' .
$0.00
METHODERECEIPTF#
CHECK #'
ad"CLTU BYE
16
'Total Paid for-CHANGEOUT: $108.78 .$0.00 .
DESCRIPTION : y frz.�Y
ACCOUNTS'
.a
Fr
�, "PAID!
DATE
�;����u�r� ,
QIY�<AMOUNTrPAID
;,5.y
PERMIT ISSUANCE'
101-0000-42404
:: 0
$91.85
$0.'001.,.
� 1 4 '{
v,
;* PAIDuBY�a<°may{�METHODF
3 i ..F
9-�*�_`':�
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.. r p....
,rRECEIPyT#�
CCTDBY
Total Paid foi PERMIT ISSUANCE:' $91.85 $0:00"
e A��
Description: ACOSTA / CHANGE OUT (1)14.SSEER/78AFUE SPLIT SYSTEM
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 1/14/2016 SKH
Approved:
Parcel No: 604261010 Site Address: 79090 CANTERRA DR LA QUINTA,CA 92253
Subdivision: TR 23913 Block: Lot: 35
Issued:
Lot Sq Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $5,500.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: ACOSTA / CHANGE OUT (1)14.5SEER/78AFUE SPLIT SYSTEM 12013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
Printed: Thursday, January 14, 2016 8:41:29 AM 1 of 2N?
sysreees
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE ..
FAX
EMAIL
APPLICANT
SPEEDY AIR CONDITIONING
54-685 AVENIDA
HERRERA
LA QUINTA
CA
92253
CONTRACTOR
SPEEDY AIR CONDITIONING
54-685 AVENIDA
HERRERA
LA QUINTA
CA
92253
OWNER
LUPE ACOSTA
79090 CANTERRA DR
LA QUINTA
CA
92253
Printed: Thursday, January 14, 2016 8:41:29 AM 1 of 2N?
sysreees
INSPECTIONS
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed:- Thursday, January 14, 2016 8:41:29 AM 2 of 2 Or
sysrenns
_
- -
-- -- ---- -- --
— - _--- — --- --
--- — - -- - _
_ _ - _--
- -
---------------
CLTD
DESCRIPTION
ACCOUNT
QTYAMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS 581473 FEE
101-0000-20306
0
1 $1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
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:• • 0•
INSPECTIONS
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed:- Thursday, January 14, 2016 8:41:29 AM 2 of 2 Or
sysrenns
Bin #
Permit #
Project Address:
City of La Quinta.
Buifdinn & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Wracking Sheet
Owner's Flame:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:.
P
T hoot:
eie P
Address: L
j
Project Description:
City, ST, Zip:Zle H
ZZ�
Telephone: -O
6
7 .S-
State Lic. # : c
City Lic. #;
Arch., Cngr., Designer:
Address:
City, ST, Zip:
Telephone:
PantY•
n TY e• Occupancy:
Constructiontrecti P
Lic. #
New Add'n Alter Repairair Demo
e
project (circleleo
Name of Contact Person:
Sq. Pt.:
# Stories:
# Units: /
Telephone # of Contact Person:
Estimated Value of Project: o u
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'd
Rcc'd
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 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2". Review, ready for corrections/issue
Electrical
Subcontaclor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
M.O.A. Approval
Plans resubmitted
(trading
IN ROUSE:-
' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date or permit issue
School Fees,
FI
i
i
Total Permit ices
.. OR
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
Lupe Acosta I Date Prepared:
CF1R-ALT 02-E
(Page 1 of.3 )
2016-01-12
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 document for each dwelling unit.
01
Project Name
Lupe Acosta
02
Date Prepared
2016-01-12
03
Project Location
79090 Canterra Drive
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Lupe Acosta
07
Zip Code
92253
08
Dwelling Unit Conditioned
2000
44 44
Floor Area (ft2)
SC System
CFA served
systema
refrigerant i
-Installing new 5C
Number of space conditioning
Installing=
09
Climate Zone
15
10
(SC) systems in this dwelling
1
containing
system
more than 40
entirely new
unit.
B. Space Conditioning (SC) System InformationC
01
02
03
04t
05 `
J f 061
11. 07
It q05
09
10
1
\Is the SC
Installing a
44 44
SC System
SC System
CFA served
systema
refrigerant i
-Installing new 5C
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?
dud system?
SC system?
Alteration Type
System 1
Location 1
2000
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: 216-A0019629A-000000000-0000
Registration Date/Time: 2016-01-12 21:24:12
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2016-01-12 21:24:37
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)IE and F)
C yk'
01
02
03
04
05
06
07
08
09
30
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
. Dud Length
R -Value
Central gas
All new
Central split
All new
Less than or
System 1
furnace
heating
AFUE
0.78
AC
cooling
SEER
14.5
Setback
equal to 40
R-8
components
components
feet
Reauired Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Faris
-Duct insulation requirement for new plenums: R6.
MR -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%, or 510% leakage to outside, or seal all accessible leaks.
CF211-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 & CF313-MCH-23 Air Flow 2300 CFM/ton required when MCH -25 is required.
Exceotions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testting requirements...
Air Handler/Furnace do Air Flow MCH' Charge WIECH 2
-Heating-only systems and changes not require verification of -23, or'Reffrigerarit
duct insulated from MCH 20 Duct}Leakage Testingrequiremeni
-Existing systems constructed, or sealed with asbestos are exempt
_U 0 it NVII. 1F .. . 'I 1d 1% 0 — 11It ;it r111 Vv
E. Entirely New or Complete Replacement Duct -System, with or without -Equipment Changeout (Sections-150.2(b)iDiia,and 150.2(b)1E, F)
k. > '
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.
Registration Number: 216-A0019629A-000000000-0000
Registration Date/Time: 2016-01-12 21:24:12
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2016-01-12 21:24:37
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 3 )
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
TV /��. C170CM6J
Documentation Author Signature: IDTORRES,
DANIEL
o
Company:
Signature Date:
SPEEDY AIR CONDITIONING
2016-01-12 21:24:12
Address:
CEA/ HERS Certification Identification (if applicable):
54-685 AVENIDA HERRERA
City/State/Zip:
Phone:
LA QUINTA CA 92253
760-567-0133
Responsible Person's Declaration statement
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 the budding design or system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Part 1 and Part 6 of the California Code of Regulat ons. f�
4. The building design features or system design features identified on this Certificate of Compliance are.consisstent.with,the informatibn.provided on other -applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for'approval,with this building permitapplication.
5. I will ensure that a registered copy of this Certificate of Compliance shall be made,.ayailable with the building pgrmit(s),issued for thebuilding, and, made, available,to the -enforcement agency for all applicable
inspections. I understand that a registered copy of thmCertificate of Com pliance;is,requirree_d to be included with the documentation tthe builder provides to the building owner at occupancy.
Responsible Designer Name: 4 i�
.X i4� :-. i►�'
Responsible Des g er S'ignature: I U,, *AA, r7j-�� ,�y �+�
c ;?OC Cao[, 70 LR(�
TORRES, DANIEL
Company:
Date Signed:
SPEEDY AIR CONDITIONING
2016-01-12 21:24:12
Address:
License:
54-685 AVENIDA HERRERA
834471
City/State/Zip:
Phone:
LA QUINTA CA 92253
760-567-0133
Digitally signed by Ca/CERTS. 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: 216-A0019629A-000000000-0000 Registration Date/Time: 2016-01-12 21:24:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2016-01-12 21:24:37
Schema Version: 0.555SDD