BMCH2016-005278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4'�p 4 e�-Qu!Kr(u
COMMUNITY DEVELOPMENT.DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O16-0052
Property Address:
52045 AVENIDA CARRANZA
APN:
773215026
Application Description:
JASON GIROUX / RELOCATE HVAC AND NEW DUCT
Property Zoning:
Application Valuation:
$5,000.00
Applicant:
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: ' C Contractor: -e
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).:
( ) 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 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 Address:
11111111111111111111
60
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/14/2016
Owner:
EILEEN DEGG-V'ORFER GIROUXi
P O BOX 58
LA QUINT , CAJ92253
Contractor:
SPEEDY AIR CONDITIONING"';,_
54-685 AVENIDA HERRERA
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 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 polity 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: C Applicant:Ze'oe'-1�
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. AI 4, n
Date: L ignature (Applicant or Agent):
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT
QTY AMOUNT PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306
0 $1.00 $1.00 3/14/16
PAID BY METHOD
RECEIPT # CHECK # CLTD BY
SPEEDY AIR CONDITIONING DEBIT
R13829 BMCH2O16-0052 MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 .$1.00
DESCRIPTION
ACCOUNT
QTY
`AMOUNT
PAID
'PAID DATE
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42402
0
$12.09
$12.09
3/14/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
SPEEDY AIR CONDITIONING
DEBIT
R13829
BMCH2O16-0052
MFA
DESCRIPTION
ACCOUNT
QTY
.. AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - REPAIR/ALTERATION
PC
101-0000-42600
0
$4.83
$4.83
3/14/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
SPEEDY AIR CONDITIONING
DEBIT
R13829
BMCH2O16-0052
MFA
Total Paid for CHANGEOUT: $16.92 $16.92.
DESCRIPTION
ACCOUNT
QTY
AMOUNT..
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
3/14/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
SPEEDY AIR CONDITIONING
DEBIT
R13829
BMCH2O16-0052
MFA
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:0• 0•
Description: JASON GIROUX / RELOCATE HVAC AND NEW DUCT
Type: MECHANICAL Subtype: Status: ISSUED
Applied: 3/11/2016 RSE
Approved: 3/14/2016 MFA .
Parcel No: 773215026 Site Address: 52045 AVENIDA CARRANZA LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 79 Lot: 2
Issued: 3/14/2016 MFA
UNIT 10
ZIP
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $5,000.00 Occupancy Type: Construction Type:
Expired: 9/10/2016 MFA
No. Buildings: 0 No. Stories: 0 No. Unites: 0
LA QUINTA
Details: HVAC CHANGE OUT -CHANGE OUT DUCT WORK FOR PACKAGED SYSTEM AND RELOCATING TO GROUND [2013 ENERGY] CARBON
MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
yApplied to Approved
IM'Approved to Issued
FINANCIAL INFORMATION
Printed: Monday, March 14, 2016 12:52:13 PM 1 of 2 CR
SYSTEMS
CONDI-tIONS
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY
STATE
ZIP
PHONE
FAX EMAIL
APPLICANT
SPEEDY AIR CONDITIONING -
54-685 AVENIDA.
HERRERA
LA QUINTA
CA
92253
(760)567-0133
CONTRACTOR
SPEEDY AIR CONDITIONING
54-685 AVENIDA
HERRERA
LA QUINTA
CA
92253
(760)567-0133
OWNER
EILEEN DEGGENDORFER GIROUX
P 0 BOX 581
LA QUINTA
CA
92253
(760)567-0133
FINANCIAL INFORMATION
Printed: Monday, March 14, 2016 12:52:13 PM 1 of 2 CR
SYSTEMS
INSNI C
.. .. _. _ ,.,,i luNs ,
PARENT PROJECTS
ATTACHMENTS
Printed: Monday, March 14, 2016 12:52:13 PM -2 of 2' ,,
SYSTEMS
CLTD'
DESCRIPTION
ACCOUNT
QTY-
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
•
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
3/14/16
R13829
B 6
DEBIT
SPEEDY AIR
MFA
-OOS2
-0052
CONDITIONING
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$12.09
$12.09
3/14/16
R13829
BMCH2O16
DEBIT
SPEEDY AIR
MFA
REPAIR/ALTERATION
-0052
CONDITIONING
HVAC CHANGEOUT -
101-0000-42600
0
$4.83
$4.83
3/14/16
R13829
BMCH2O16
DEBIT
SPEEDY AIR
MFA
REPAIR/ALTERATION PC
-0052
CONDITIONING
Total Paid for CHANGEOUT: $16.92 $16.92
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
3/14/16
R13829
BMCH2O16
DEBIT
SPEEDY AIR
MFA
-0052
CONDITIONING
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:0• 0• .77
INSNI C
.. .. _. _ ,.,,i luNs ,
PARENT PROJECTS
ATTACHMENTS
Printed: Monday, March 14, 2016 12:52:13 PM -2 of 2' ,,
SYSTEMS
T
Bln.#
Citj Of. Qil%lltd
Buftg 8E Safety Dfvlsfon
P.O. Box 1504, 78-495 Calle Tampico
La.Qufnta, CA 92253 - (760) 777-7012
VuSZ Building Permit Application and Tracking Sheet
Permit #
NLS pi
Project Address:
Owner's Name:. ' U
A. P. Number.
Address:
Legal Description:
City, ST, Zip: 3
Contractor. 1 .� . �.
Telephone:
Address: P ��p
Project Description: P
City, ST, Zip:
Telephone: 7 S — O
State Lia # : City Lic. #;
Archy Engr•, Designer:
Address:
City, ST, Zip:
Telephone: Construction Type:. Occupancy:
State Lic. #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq. FL: # Stories: # Units:
Telephone # of Contact Person: Estimated Value of Project: Leo.,.
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACIMG
PERMITFEES•
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cale$.
Called Contact Person
Pian Check Balance-
alance_Title
Title24 Calci.
Plans picked up
Construction
Hood plain plan
Pians resubmitted.'.
Mecharikal
Giading plan
21! Review, ready for correctionsfrssue
Electrical
Subcostactor List
Called Contact Person
Plumbing
Grant Deed
Plana picked up
SM.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review; ready for correctionslissae
Developer Impact Fee
Planning Approval.
Called Contact Person
Ad-P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC)
Project Name:
Jason I Date Prepared:
CFiR-ALT 02-E
(Page 1 of 3 )
2016-03-10
A. General Information
MR -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
Jason
02
Date Prepared
2016-03-10
03
Project Location
52045 Avenida Carranza
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Jason
07
Zip Code
92253
08
Dwelling Unit Conditioned
1400
Installing;Installing,
Installing
Floor Area (ft2)
Location or Area
by this SC
ducted
,�
containing
�.R
system
Number of space conditioning
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 Ile
Ol
02
03 `
+ 04R (
N,
I f'06.1)""
1 07" 1
' 08
09
10
\Is the SC
Installing a
SC System
SC System
CFA served
systema
re igerant f
Installing ew SC
Installing;Installing,
Installing
Identification or
Location or Area
by this SC
ducted
,�
containing
�.R
system
more than 40
entirely new
entirely new
Name
Served
System (ft2)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
Entirely new or
yes
1400
1400
Yes
Yes
Yes
Yes
Yes
Yes
completereplacement 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-A0094923B-000000000-0000
Registration Date/Time: 2016-03-10 20:14:12
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-10 20:13:17
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFIR-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)1E and F)
This section does not apply to this project.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)iDiia and 150.2(b)IE, F)
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
01
02
03
04
05
06
07
08
09
30
11
Heating
Cooling
System
Heating
Minimum
Cooling
Minimum
Required
Identification or
Heating System
Altered Heating
Efficiency
Efficiency
Cooling
Altered Cooling
Efficiency
Efficiency
Thermostat
New Duct
Name
Type -.
Component
Type
Value
System Type
Component
Type
Value
Type
R-Value
All heating~
.yov,
tL=;;=
Central
�"
te=*
No
This field or
This field or
section is
yes
Central gas
furnace
new
components
AFUE
0.78.
packaged ACg
cooling
,
component altered
sectionis
not
�not
SetbackTher
mostat
R-8
a' licabl
applicable
Required Documentation:
� e rN :5 P'1 0 V
0 � K
CF2R-MCH-01-E -Space Conditioning Systems Duds and Fans
t
-Dud insulation requirement for new plenums: R6.
CF2R & CF3R-MCH-20-H Duct Leakage Verification required.
-Leakage rate compliance: 5 6%.
CF2R & CF3R-MCH-22 Fan Efficacy Verification
CF211 & CF3R-MCH-23 System Air Flow Rate Verification
-Compliance: Fan Efficacy 5 0.58 W/cfm and System Airflow 2 350 dmAon.
- Alternative Compliance: CF2R & CF311-MCH-28 Return Dud Design Verification is an alternative to MCH -22 and MCH -23 verification.
CF2R & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are Installed or altered (applicable in CZ 2, 8-15).
Exceptions:
Heating -only systems are exempt from the 0.58 W/cfm and 350 cfm/ton requirements.
Note:
An "entirely new or replacement dud system" means at least 75 percent of the dud system is new dud material, and up to 25 percent may consist of reused parts from the dwelling unit's
existing duct system (e.g.,
registers, grilles, boots, air handler, coil, plenums, dud material) if the reused parts are accessible and can be sealed to prevent leakage
Registration Number: 216-A0094923B-000000000-0000
Registration Date/Time: 2016-03-10 20:14:12
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-10 20:13:17
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-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:
Documentation Author Signature:
c TC C�aC cJCcJC(
TORRES, DANIEL
Company:
Signature Date:
SPEEDY AIR CONDITIONING
2016-03-10 20:10:56
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 building design or system design identified on this Certificate of Compliance conform to the
�, _.°v
of Title 24, Part 1 and Part 6 of the California.Code of Regulations.
=n,erequirements
4. The building design features or system design features identified on this Certificate of Compre-consistent.wrth-the information.provided on otherPapplicatile compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for.approval with this building permit application �. �
I' w' 'R t � i` '$ Kw �; b A
A^k k tip .' � F' �' . . .. �
S. I will ensure that a registered copy of this Certificate ofzGompliance shallrybe,made available withthe bullding permrt(s);issued forthe building, and; made, available to thetie'nforcement agency for all applicable
inspections. I understand that a registered copy of t h is� Ce rtifi cate of Com pllianc%js required to be.included40gh the;documeentation tthe�buiIder pyroviides toAhe bullding owner at occupancy.
IMF
Responsible Designer Name:,
Responsible Designer Signature:V IM. '. S �+ �-7�-�
30v* ulJLRUIMS
TORRES, DANIEL
�oC
Company:
Date Signed:
SPEEDY AIR CONDITIONING
2016-03-10 20:14:12
Address:
License:
54-685 AVENIDA HERRERA
834471
City/State/Zip:
Phone:
LA QUINTA CA 92253
760-567-0133
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: 216-A009492313-000000000-0000 Registration Date/Time: 2016-03-10 20:14:12 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-03-10 20:13:17
Schema Version: 0.555SDD
i
a:'