BMCH2017-015978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 J .
DESIGN &DEVELOPMENT DEPARTMENT
BUILDING PERMIT
r
Application Number: BMCH2O17-0159
Property Address: 50350 VISTA MONTANA �.
APN: 777020012
Application Description: JOHNSON RESIDENCE / HVAC CHAN
Property Zoning:
Application Valuation: $50,000.00
Applicant:
IE INC ' t
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
I
VOICE (760) 777-7125
FAX (760) 777-7011
'INSPECTIONS (760) 777-7153
Date: 5/1/2017
Owner:
TROY & MELISSA JOHNSON
50350 VISTA MONTANA
LA QUINTA, CA 92253-
Contractor:
2253
Contractor:
ALL SEASONS AIR CONDITIONING PLUMBING &
75-450. GERALD FORD DR STE 303
PALM DESERT, CA 92211
(760)202-3067
Llc. No.: 827420
f
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 Name:
Lender's Add
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and cdunty 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: � t �� <Signature (Applicant or Agent):
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION /
' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the,Business and Professions Code,
I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C20, C36 License No.: 827420
of the work for which this permit -is issued.
(Date: i 7 CContractor. �'��—
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:
OWNER -BUILDER DECLARATION
Carrier: SECURITY NATIONAL INSURANCE COMPANY Policy,Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
SWC1104544 I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair
shall not employ any person in any manner so as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for the permit to file a
compensation laws of California, and agree that, if I should become subject.to the
signed statement that he or she is licensed pursuant to the provisions of the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
comply with those provisions.
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
C�
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a-
Dat'_e_"' L 1-7 --Applicant:
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(� 1 I, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF '
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
within one year of completion, the'owner-builder will have the burden of proving that
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
he or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on this application.
(_) I, as owner of the property, am exclusively contracting with licensed contractors
1. Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
request and for whose benefit work is performed under or pursuant to any permit
State License Law does not apply to an owner of property.who builds or improves
issued as a result of this application , the owner, and the applicant, each agrees to, and.
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
the Contractors' State License Law.).
employees for any act or omission related to the work being performed under or
(_) I am exempt under Sec. : B.&P.C. for this reason
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
'Date: Owner:
work for 180 days will subject permit to cancellation
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 Name:
Lender's Add
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and cdunty 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: � t �� <Signature (Applicant or Agent):
y Date; 5/1/2017
Application Number:. ' BMCH2O17-0159 Owner:
Property Address: 50350 VISTA MONTANA TROY &MELISSA JOHNSON
APN: 777020012 50350 VISTA MONTANA
Application Description: JOHNSON RESIDENCE/ HVAC CHANGE OUT LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $50,000.00
Applicant: Contractor:
IE INC ALL SEASONS AIR CONDITIONING PLUMBING &
31225 LA BAYA 75-450 GERALD FORD DR STE 303
WESTLAKE VILLAGE, CA 91362 PALM DESERT, CA 92211 .
{ (760)202-3067
LIC. No.: 827420
Detail: (4) HVACCHANGE OUTS -16 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES. r
Ar
e
1
;FINANCIAL INFORMOON't: t' ,
"DESCRIPTION ACCOUNT CITY
AMOUNT
BSAS SB1473 FEE 101-0000-20306 0
$2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT.- SPLIT -SYSTEM a
101-0000-42402
0
$304.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC.
101-0000-42600
0
$152.00
"Total Paid for CHANGEOUT: $456.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0.
$96.27
_ • ' Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
.Bin .#
City. Of ILA Qulnta
Building U 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: 50350 Vista Montana Road
Owner's Name:.Troy & Melissa Johnson '
A. P. Number.
Address: 50350 Vista Montana Road
Legal Description:
City, ST, Zip: La Quinta, CA' 92253
Contractor: All Seasons A/C, Plumbing &Heating
�,>.,• w3�? Flu s
Telephone: 303-550-6060 >�':
Project Description: Replace (2) 4 ton / 80,000 BTU
Address: 75-450 Gerald Ford Suite.303
City, ST, Zip: Palm Desert, CA 92211
complete HVAC systems
Telephone:
P 760-568-2663
' �l^ £ '.?
fr;n�V'';
City Lie. #;
Replace (2) 3 ton / 80;000 BTU complete HVAC systems
State Lic. # : 827420
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone: t, �.
State Lic. #:
Name of Contact Person: Steven Schnierer
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. FL:
#Stories: #Units:
Telephone # of Contact Person: 8.18-735-7876Estimated
Value of Project: $50,000.00.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
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 Calcs.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted.'.
Mechanical
Grading plan
r' Review, ready for correctionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O A Approval
Plans resubmitted
Grading
IN HOUSE--
'^' Review; ready for corrections/issue
Developer Impact Fee
Planning Approval.
Called Contact Person
'O.P:P.
Pub. Wks. Appr '
Date of permit issue
School Fees
Total Permit Fees
a
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
1
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 4)
Project Name: TROY & MELISSA JOHNSON I Date Prepared: 2017-05-01
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
CF111-ALT-02 document for each dwelling unit.
01
Project Name
TROY & MELISSA JOHNSON
02
Date Prepared
2017-05-01
03
Project Location
50350 VISTA MONTANA ROAD
04
Building Type
Single family
05
CA City
LA QUINTA
06
Dwelling Unit Name
WHOLE HOUSE
SC System
SC -System
CFA served
system a
refrigerant
07
Zip Code
92253
86
Dwelling Unit Conditioned,
408
Location or Area
by this SC
ducted
containing
Floor Area (ftz )
more than 40
entirely new
entirely new
i
Name
Served
System (ftz)
system?
component?
t
(
Number of Space
SC system?
09
Climate Zone
:j
15 i
10 `
Conditioning (SC) Systems in
1
Yes
_
No
No—
.u"
.
this Dwelling Unit:
SYSTEM 2
B. Space Conditioning (SC) System Information
Ol
02
03
04'
0 x'05
06 *al
07
08
09
10
Is the SC
°.��at'�
Installing a,
I<�.;Tb�rktt
rl;� fr`mr»t�t'if:s
SC System
SC -System
CFA served
system a
refrigerant
Installing new SC"
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served
System (ftz)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
SYSTEM 1
WHOLE HOUSE
1602
Yes
Yes
Yes
_
No
No—
No
Altered space
conditioning system
SYSTEM 2
WHOLE HOUSE
1602
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
SYSTEM 3
WHOLE HOUSE
1602
Yes
Yes
Yes
No
No
No
Altered space
\
conditioning system
SYSTEM 4
WHOLE HOUSE
1602
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
Registration Number: 417-A020091744A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
RegistPation Date/Time: 2017-05-01 09:43:56
Report Version: 2016. 1.005
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-05-01 09:43:57
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning -Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 4)
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project. l
D. Altered Space Conditioning System (Sections 150.2(b)lE 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
All new
f
Alfhew
J
This field or
This field or
SYSTEM 1
Central gas
furnaceAC
heating
AFUE
80-W
Central split
.
cooling
SEER
16
Setback
section is not
section is not
components
.T71 f'
Q
, tcomponents
applicable
applicable
Central gas
All new
"'A•
Central split ~:
All new
rx
This field or
This field or
SYSTEM 2
furnace
heating
AFUE
80
AC.Sv:
cooling
SEER
16
Setback
section is not
section is not
components
:x"`
components..
applicable
applicable
Central gas
All new -
Central split
All new
i
This field or
This field or
SYSTEM 3
furnace
heating
AFUE
804,-
�- i
" A
"*"� cooling
compo ents
SEER
16
Setback
section is not
section is not
components
applicable
applicable
Central gas
All new
Central split
Ali new . `
This field or
This field or
SYSTEM 4
furnace
heating
AFUE
Wi t'4 to
;hrad A��i i
> w'cooling�
l� SEER
16
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - Duct Leakage Test 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: <= 15% or <= 10% leakage to outside, or seal all accessible leaks.
CF2R and CF311-MCH-25-H Refrigerant Charge -verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate >= 300 CFM per ton 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 MCH -25.
Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
Registration Number: 417=A020091744A-000-000-0000000,-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
L
Registration Date/Time: 2017-05-01 09:43:56
Report Version: 2016.1.005
Schema Version: rev 10/16
\ J -
HERS Provider: CHEERS
Report Generated: 2017-05-01 09:43:57
CERTIFICATE OF COMPLIANCE CFiR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 of 4)
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F)
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.
W
EIE R S
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5 .t `.
Registration Number: 417-A020091744A-000-000-0000000-0000 Registration Date/Time: 2017-05-01 09:43:56- HERS Provider: CHEERS
CA Building Energy Efficiency.Standards - 2016 Residential Compliance Report Version:, 2016.1.005 Report Generated: 2017-05-01 09:43:57
Schema Version: rev 10/16
1
CERTIFICATE OF COMPLIANCE CFiR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 of 4)
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F)
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.
W
EIE R S
Yt • .'� .. ;.. • 4 .... i..siri'i,;;l'`t.'t` ,..'�"�C'''4'=' 'A�'rui �.kn':fi„�•1 ' - -
5 .t `.
Registration Number: 417-A020091744A-000-000-0000000-0000 Registration Date/Time: 2017-05-01 09:43:56- HERS Provider: CHEERS
CA Building Energy Efficiency.Standards - 2016 Residential Compliance Report Version:, 2016.1.005 Report Generated: 2017-05-01 09:43:57
Schema Version: rev 10/16
•
CERTIFICATE OF COMPLIANCE CF111-ALT-024
Alterations to Space Conditioning Systems (formerly CF-iR-ALT-HVAC) (Page 4 of 4)
Documentation -Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
David Beale
%dl*5ea& -
Company:
Signature Date:
All Seasons Air Conditioning Plumbing & Heating, Inc.
2017-05-01
Address:
CEA/ HERS Certification Identification (if applicable):
73605 Dinah Drive #1310M
City/State/Zip:
Phone:
Palm Desert CA 92211. t�
:760=568-2663
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. lam eligible under Division 3 of the Business and Professions Code to accept responsibility for the bi ilding design or system design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications, materials, components, and manufactu ed 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 forapproval.with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made,available with th'e building:permit(s). issued for the building, and made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is�Erequi ed to bei clude'd with the do mentation the builder provides to the building owner at occupancy.
Responsible Designer Name:. S �, ,
David Beale .l �'s °t
Responsible Designer Signature: -
iZ ,egP.A Pr
Vci)
Company:
Date Signed:
All Seasons Air Conditioning Plumbing & Heating, Inc.
2017-05-01
Address:
License:
73605 Dinah Drive #1310M
827420
City/State/Zip: —
Phone:
Palm Desert CA 92211
760-568-2663
Digitally signed by CHEERSTM This digital signature is provided in order to secure the content of this registered
document, and in no way implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 417-A020091744A-000-000-0000000-0000 Registration Date/Time: 2017-05-01 09:43:56
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-05-03 09:43:57