BMCH2016-001778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&tit 4 4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O16-0017
Property Address:
54385 AVENIDA CARRANZA
+APN:
774242017
Application Description:
MEADOWS / 14SEER/80AFUE
Property Zoning:
Application Valuation:
$6,500.00
Applicant:
SUPERIOR HEATING & AIR CONDITIONING INC
73510 30TH AVENUE
THOUSAND PALMS, CA 92276
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: 20_/ License No.: 990826 A' ///
//.�aDate: �/ 4l/ A( Contractor: /)/(1%� ZA2
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 applicantfor a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
I 11, 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.).
(__j 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
ii
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/9/2016
Owner:
LINDA MEADOWS
54385 AVENIDA CARRANZA
LA QUINTA, CA 92253
Contractor:
SUPERIOR HEATING & AIR CONDITIONING INC
73510 30TH AVENUE
THOUSAND PALMS, CA 92276
(760)250-0694
Llc. No.: 990826
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 ould become subject to the
workers' compensation rovisions of Section 3700 he Labor Cod , sh II f rthw'th
comply with th le pr isions.
Date: Applicant:
WARNIN :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 tlAave' themation is correct.
I agree to comply with all city and county ordinanclating buildingconstruction, and reby authorize representatives up eabove-mentia pro erty for inspection purposesDate: Signature (Applicant or A
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY., AMOUNT . ,
-PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306 0 $1.00
$1.00 2/9/16
PAID BY METHOD RECEIPT.#
CHECK# CLTD. BY
SUPERIOR HEATING & AIR CONDITI CASH R12717
SKH
'Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT.
PA16
PAID DATE.
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$36.26
$36.26
2/9/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
SUPERIOR HEATING & AIR CONDITI
CASH
R12717
SKH
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$24.17
$24.17
2/9/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
SUPERIOR HEATING & AIR CONDITI
CASH
R12717
SKH
Total Paid for CHANGEOUT: $60.43 $60.43
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
2/9/16
PAID BY
'METHOD
RECEIPT.#
CHECK #
CLTD BY
SUPERIOR HEATING & AIR CONDITI
CASH
R12717
SKH
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:
Permit Details PERMIT NUMBER
City of la Quinta
BMCH2O1�6'�001�7
Description: MEADOWS / 14SEER/80AFUE
CONDITIONS
Type: MECHANICAL Subtype:
Status: ISSUED
Applied: 2/9/2016 SKH
Approved: 2/9/2016 SKH
Parcel No: 774242017 Site Address: 54385 AVENIDA CARRANZA LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 287
Lot: 7
Issued: 2/9/2016 SKH
UNIT 26
NAME
ADDRESSI
Lot Sq Ft: 0. Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $6,500.00 Occupancy Type:
Construction Type:
Expired: 8/7/2016 SKH
No. Buildings: 0 No. Stories: 0
No. Unites: 0
THOUSAND CA
PALMS
Details: HVAC CHANGE OUT - 14SEER/80AFUE SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES. .
V?
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
SUPERIOR HEATING & AIR
CONDITIONING INC
73510 30TH AVENUE
THOUSAND CA
PALMS
92276
(951)660-9619
CONTRACTOR
SUPERIOR HEATING & AIR
CONDITIONING INC
73510 30TH AVENUE
THOUSAND CA
PALMS
92276
(951)660-9619
OWNER
LINDA MEADOWS
54385 AVENIDA
CARRANZA
LA QUINTA CA
92253
(951)660-9619
Printed: Tuesday, February 09, 2016 11:09:36 AM 1 of 2
Cff?w.1YS7EMS
Printed: Tuesday, February 09, 2016 11:09:36 AM 2 of 2 0ri
SYSTEiMS
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS 581473 FEE
101-0000-20306
0
$1.00
$1.00
2/9/16
R12717
CASH
SUPERIOR HEATING &
SKH
AIR CONDITI
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$36.26
$36.26
2/9/16
R12717
CASH
SUPERIOR HEATING &
SKH
PACKAGED UNIT
AIR CONDITI
HVAC CHANGEOUT -
101-0000-42600
0
$24.17
$24.17
2/9/16
R12717
CASH
SUPERIOR HEATING &
SKH
PACKAGED UNIT PC
AIR CONDITI
Total Paid for CHANGEOUT:. $60.43 $60.43
PERMIT ISSUANCE
101-0000-424040
$91.85
$91.85
2/9/16
R12717
CASH
SUPERIOR HEATING &
SKH
AIR CONDITI
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:
Printed: Tuesday, February 09, 2016 11:09:36 AM 2 of 2 0ri
SYSTEiMS
Bin #
City of La Quinta .
Building U Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:
Owner's Name: G
A. P. Number:
Address:
Legal Description:
City, ST, Zip: Z, Z��3
Contract •
r
o. 'L
Telephone:
P
Address: l!� r_i5_/O
Project Description:
City, ST, Zip:
`
Tel h ne• 6
TePo . Q
State Lic. # : 90 City Lic. #•.
Arch., Engr., Designer: qD
Address:
City, ST, Zip:
Telephone:
c •
Co tructi n Type: Occupancy:
State Lic.
�circle one : New Add'n Alter Repair
air DemoProJecttYPe
Name,of-Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: --ZSa — 04r, % e,4
Estimated Value of Project ' - O 0
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'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
2qd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.i.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'"' Reyiew, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
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)lE and F)
O1
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
Dud Length
R -Value
Central
All new
Central
All new
Less than or
System 1
packaged HP
heating
AFUE
80.00
packaged HP
cooling
SEER
14
Setback
equal to 40
R-8
components
components
feet
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::5 15%, or 510% 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 >_ 300 CFM/tori required when MCH -25 is required.
Exceptions:
-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 Air Flow MCH -23, or Refrigerant Charge MECH-25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
Registration Number: 316-A10200416-000000000-0000 Registration Date/Time: 2016-02-09 09:34:35 HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-02-09 09:36:32
Crhorria Vprcinn• n.SSSSr) )
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-lR-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:
Shawn Malette
Documentation Author Signature: �• /C�
Signature Date:.
Company:
Superior Heating and Air Conditioning, Inc.
2016-02-09
Address:
CEA/ HERS Certification Identification (if applicable):
73510 30TH Ave.
990826
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-250-0694
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
requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. 1 will ensarethat a registe d!copy of this-Ceitificate4of Compliance -shall -be, made available with the building permit(s) issued.for the building, and made available to the enforcement agency for all applicable
�ut...� �°i. '.
�-', '•+rw�i'Y'••••.."�P1 �Si
inspecUonF I•u�nderstand thata regisktered.eopyof thhis ertificat& of"Compliance s ret uiretl to-beJndUded with the do^umentaUon the builder provides to the building owner at occupancy.
Responsible Designer Name:
_ ;
�'
x•a ,g
Responsible Desigtief Signature: /
•Sha►✓ro /yaGerre
Shawn Malette
a'`
Company : —d ti
Date Signed Wit,.
Superior Heating a Ai . �o�nditipning n by
201 '02 093
,d r
Address: a
73510 30TH Ave. U.S. EnergyRa
License:
fmAssociatio'n
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-250-0694
Registration Number: 316-A1020041B-000000000-0000
"This digital signature is provided in order to secure
.the'content of this registered dbcurnent.,and in no
way implies Registration Provider responsibility for
.the. accuracy of the information."
Registration Date/Time: 2016-02-09 09:34:35
HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-02-09 09:36:32
Cr•hpma Vprcinn• n rrrgn )
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 )
Project Name: L.Meadows I Date Prepared: 2016-02-09
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
L.Meadows
02
Date Prepared
2016-02-09
03
Project Location fj+3a;5
A39.5 -Avenida Carranza
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
House
07
Zip Code
92253
08
Dwelling Unit Conditioned
1811
refrigerant
ci
'
Installing new S
system
Installing
than 40
Installing
Floor Area (ft2)
or
r
or Area
�.:
this SC.
Number of space conditioning
containing,--�
j
E
Climate Zone
15
10
(SC) systems in this dwelling
1
Served
system?
unit.
+ components?-
B. Space Conditioning (SC) System Information
01
02
03
04
05
06
07
08
09
10
Is the
Installing a ;.
''
SC System
Identification
`?Location
SC System (
`
GFA served:cO
by
systema
ducteii"""'
refrigerant
ci
'
Installing new S
system
Installing
than 40
Installing
Installing
new
or
r
or Area
�.:
this SC.
9 w
containing,--�
j
more
y_ 4
entirely new
entirely
Name
Served
system?
component? ^
+ components?-
v feet of ducts?
duct system?
SC system?
Alteration Type
pSysterrm*(ft2).
System 1
Ho
81r
rt.._,_.,
Yes.
Yes,��Yes
'►�
No
No
Altered
,;se
,�No
y t
i ning s s em
conditioning
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)IDiib)
Registration Number: 316-A1020041B-000000000-0000
This section does not apply to this project.
Registration Date/Time: 2016-02-09 09:34:35
HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-02-09 09:36:32
,rhpma Vprcinri• n rrrcnr)