BMCH2015-0325Ow
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
t11
�r44Qalarw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O15-0325
Property Address:
78535 VIA SONATA
APN:
646290008
Application Description:
COOPER GEORGE HVAC SPLIT
Property Zoning:
Application Valuation:
$6,000.00
Applicant:
KEN STARR INC DBA HOME COMFORT
3162 E LA PALMA AVENUE
ANAHEIM, CA 92806
AUG 2 0 2015
'-CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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.: 974908
ate: ZD Contractor: o
PU
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 Divisio 3
of the Business and Professions Code) or that he or she is exempt therefrom and the
ny
basis for the alleged exemption. Any violation of Section 7031.5 by aapplicant for
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(_J 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 Na
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/20/2015
Owner:
GEORGE COOPER
78535 VIA SONATA
LA QUINTA, CA 92253
Contractor:
KEN STARR INC DBA HOME COMFORT
3162 E LA PALMA AVENUE
ANAHEIM, CA 92806
(714)632-8789
LIC. No.: 974908
---------------------------------------
1
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 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 3700 of the Labo II forthwith
comply %," those provisions:
� r ��s
9Hte: 2V 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 /, Signature (Applicant or Agent). -
"C/
iALINF O• -
':; 4 �;•�^,h
MCR N: A X
PAID
�.��A000UNT a .QTY�AMOUNT��
- ,a_ '�'i 4, as :. 'x ° >PAID,DATE:
BSAS SB1473 FEE
101-0000-20306 0
$1.00 $0.00
PAID BYb.ir
METHOD:<RECEIP,T
#% CHECK #A CLTD BY
,
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
i
ACCOUNT
TY
Q,
c
AMOUNTaxPAID
fX_� i.
PAID.DATE:
sx#RrDESCRIPTION ,r,3�
.r s.
R
#
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$0.00
E";.sPAID 6YE5�METHOD''RECEIPT,#.t
gib;
# "�`'°'&CLTD
BYE'
- ,. :.._.:..') •s _ ...., . R_.y m. .w S .ysS1:�, u.,
Y #-^rsr. ,..'4% 1E i., fk"
sCHECK
.% pP;
sd" §
�.`'_
�DESCRIPTION'
ACCOUNT.
AIVIOUNTd„
PAIDC
`PAIDDATE'
_
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$0.00
{ a :' a s a xc,
i,'w PAIJJ BY
a m,"p
'METHOD �,
x t :tom
RECEIPT # ¢
a r
CHECK # " `
.-
CLTD BYE
s
v&�E•.4 F: -v p..id
a ..vh l
ib?C w.•F::yy.. �:,:
.4. ^'• � w,",
Total Paid forCHANGEOUT: $108.78 $0.00
x� x,..�c ' � •�x �6 � ,F. � � s '`�(7s
`DESCRIPTION x F
��w - +v + .'��{ e
�; ,fi ;
w. g
QTY i
a, .,,+, � e
AMOUNT} =
R
` � PAIU " n
DATE
,tA000UNT
�_ ..
wPAID
�...�_r
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
`,:' METHOD:
RECEIPT #m.a<�x.:
#
CLTD BYE
. • a ,PA10%BY rr. x ,s
�f
1CHECK f..... ,
i
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
• 6 •0
r
r
Description: COOPER GEORGE HVAC SPLIT SYSTEM
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 8/20/2015 PJU
Approved:
Parcel No: 646290008 Site Address: 78535 VIA*SONATALA QUINTA,CA 92253
Subdivision: TR 21555-4 Block: Lot: 8
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $6,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: SPLIT.SYSTEM HVAC CHANGE OUT 3 TON 70,000 BTU 14 SEER 80 % AFUE SYSTEM [2008 ENERGY) CARBON MONOXIDE ALARM(S) TO
BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL
,SITES ,,,,
„.
" ' ' CtiNGITIiiNS
FINANCIAL INFORMATION
Printed: Thursday, August 20, 2015 9:58:25 AM 1 of 2
SYSTEMS .
:DESCRIPTIW
ACCOUNT
CITY
AMOUNT
PAID'-':':!':::.'
7W7
7,
:'PA
171,7—
17
7
PAID'BY
CLIbl....
BSAS.SB1473 FEE
101-0000-20306
0
$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
HVACCHANGEOUT-
101-0000-42600
0
$36.26
$0.00
SPLIT -SYSTEM PC
Total Paid forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$.0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: $201.63 ..:$0.00
PARENT PROJECTS
......1. .. . .......... . . . . .. . . .. . ... ... ...... .....
... ......... .. .. ........... ..... . ..
BOND INFORMATION......... . . ...... . .....
.... ........ ... ........... ..........
Imly-9-m ;a..
. .. .......
'ATTACHMENTS, "•Illy,
Printed: Thursday, August 20, 2015 9:58:25 AM 2 of 2 SYSTEMS
I
61n #
City of La Q uin to
Building &r 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: `79 S 3s_ go
Owner's Name:
A. P. Number:
Address://S'7>
Legal Description:
City, ST, Zip: [�-Cl— �t �� • 7 22�-3
Contractor: ru.. �%o D2,T" �•
/
T S
ele h ne•
o Z
P 1 K
Address: / 2 Gci �cigA,
project Description:
City, ST, Zip: 0,11 1`v-- y� " �' i'�D
(w
Telephone: G 2- � 9
U
: Og
State Lic. # � tg
Z
City Lic.
��.
Arch., Engr., Designer:
C—
Address:
City., ST, Zip:
h
Telephone`
one`.
Con tructi n TY Pe: Occupancy.: ,
State •
S te Lac. #:
Demo hPa (circle one): New Add'n Alter Repair
Name of Contact Person:Sq.
Ft.:
# Stories:
#.Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cales.
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.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3ra Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
L
Pub. Wks: Appr
Date of permit issue
School Fees
Total Permit Fees
r
STATE OF CALIFORNIA
ALTERATIONS - HVAC ,
CEC-CFIR-ALT-044E Revised 06/14
CERTIFICATE OF COMPLIANCE
Y Alterations - HVAC CZ 2, and 8-15 (formerly CF -IR -ALT -HVAC) '
CALIFORNIA ENERGY COMMISSION
CFIR-ALT-04-E '
(Page 1 of 1)
Site Address: ' �- ,
Enforcement Agency:,
Date Prepared:,, ,
Permit#:
Equipment Type
Equipment Efficiency
New Ducting, Plenums, Lineset:
Conditioned
Thermostat
Required R -value
Floor Area (sq ft)
❑ Packaged System
❑ Evapgator Coil
WAFUE
COP
❑ R-6 .(CZZ 8-13) Ducting
Servedd by system
ack
9Spfit Sy tem
Split
0 condensing Unit
❑ Compressor
_7
❑ R-8' (CZ 11, 14, 15) Ducting
l /CFV sgft
�—
(if not already
❑Mini
t SEER
HSPF
❑ R-6 (all CZ's) Plenums
present, must
urnace
❑ Lineset
EER
❑ R-5 or R7.5) Lineset"
be installed)
❑ TXV
'HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
form >i416wed to be filled out by hand. For final inspection all forms are to be registered (no hand filled forms allowed) and a copy left on site.
1. HVAC Changeout/Repair
Required Compliance Documents to be left on site for Final:
All Equipment,
CF1R-ALT-02-E '
Condenser Unit, Evaporator Coil,
CF2R: MECH-01 MECH-20-HERS, MECH-(23 or 24)2 -HERS, MECH-25-HERS2 '
,Compressor, TXV, Lineset,
CF3R: MECH-20-HERS, MECH-(23 or 24) -HERS, MECH-25-HERS2,
Air Handler/FurnaceZ_(Can include new ducting)
I
Installer Requirement: Duct leakage (L15%, or < 10% to outside, or seal all accessible leaks), Air Flow >_ 300 CFM/ton, Refrigerant Charge.
Exempted from duct leakage testing if: 3
1. Duct system registered with HERS provider_as previously sealed, or ❑ 2. There is less than 40 linear feet of duct in unconditioned space, or
I
;❑ 3. Existing duct systems are const'rulded, insulated or sealed with asbestos (list manufacture date of building 1,
❑ 2. New"HVAC System Required Compliance Documents to be left on site for Final:
All'new equipment and All New Ducts' -CF111-ALT.-02-E. �
including Mini Split '• CF2R: MECH Ol,'MECH-20 HERS, MECH-22 HERS, MECH (23 or 24)-HERS2, MECH-25 HERS
CF3R:, MECH-20-HERS, MECH-22-HERS, MECH-(23 or 24)=HERS2, MECH-25-HERS2
:.. �' ?? Mini Splits require CFIR-ALT-02-E, CF2R-MECH-01; and -(CF2R-CF3R) MECH-25-HERS
Installer Requirement:. Duct leakage: 6%; Fan Efficacy (:58W/CFM),'Air Flow >_ 350 CFM/ton (or alternative), Refrigerant Charge
.❑ 3. All New Ducts with Replacement }: ,,`e ; Required Compliance Documents tribe left on site for. Final:
All New Ducts' and one or more of the following :CFIR-ALT.-02-E rw; • `"
`replaced: Condenser. Unit, Evaporator'Coil,-_ a CF2R: MECH-01, MECH-20-HERS, MECH-(23 or 24) HERS, MECH-25-HERS ,
Compressor, TXV; Lineset, Fumace2nC. CF3Ri;,MECH-20-HERS;.MECH-(23or24)-HERS, MECH-25-HERS '
Installer Requirement. Duct`leakage < 6%, Air Fl6v.>_ 350 CFM/ton (or a lie irn itive),i Refrigerant Charge
Exempted from duct leakage testing if: ❑ 1 Existing duct systems are constructed, insulat-e or sealed with asbestos
❑ 4: New Ducting over -'40 feet z; •' Required Compliance Documents to 6e left on-site for Final:
New ducting but less than All New Ducts' a5`;:. CFIR-ALT-02-E, CF2Ri 1fVIECH=20-HERS; CF3R: 'MECH-20-HERS
'Installer Required to:`Duct leakage(< 15%ar, c 10% to outside or orseal all accessible leaks)
". ' ❑ EXCEPTION`Existing duct systems constructed; insulated or sealed -with asbestos. ,
."All new ducting R-8 required when more than 40 ft installed and R 6when lessFthan 40 ft;installed. This includes in walls, between floors etc.
2 Heating only systems and Air Handler/Furnace changes do not requir•e Air Flow MECH-(23 or 24), or Refrigerant Charge verification MECH-25
a All New Ducts is when at least 75 percent of the duct system is: ` w -duct material, and up to 25 percent may consist of reused parts fro_ m the'•,
dwelling unit's` existing dud system (e g.; registers grilles, boots'air handler,"coil, plenums, duct material)
R-5 (1'; thick insulation) for linesets 1" end less.,114.5 (1.5" thick insulation) for linesets over 1 inch. Most mfg will require Suction line Diameter
with insulation es the following L5-2T-2s/a", 2.5 3T-2'/<" 3.5 to 4T 2% 5T-4%" -.;:J `
Contractor (Documentation Author's /Respoiisible Designer's Declaration Statement)',
4.,
I certify the following under penalty of perjury-, under -the laws of,thii State'of California:
1. The information provided on this Certifcate of Compliarice.is true and correct. {
2. 1 am eligible under Division 3 of theCalifornia Business a`nd Professions Lode to accept responsibility for the information on`this document.'
�.'`
3. That the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 15-of'the'California Cod of'Regulations (CCR)
4. That the energy features and performance specifications .materials, components and, rrianufadured�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 CCR.
S. 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, plansYarid specifications submitted to the enforcement '
agency for approval with this building'permit application. _. 1
Re;¢o Bible 0 ner Nab
Responsible Designer Signatures
Date signed:
UceQnse:
(
C mpany:.
Address 3;' c i '
;City/State/ZiP: r
-.Phone:
For assistance or questions regarding the Energy Standards, contact thii1nergy Hotline at: 1-800-772-3300
rP
Y§.4.ari�