BMCH2015-029078-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
BMCH2O15-0290
49370 VISTA MIRASOI
602300033
REPLACE A/C & FURN
$9,874.00
Applicant: .
GENERAL AIR CONDITIONING & HEA
OUTSIDE CITY LIMITS
L
TAtr 4 lwQ�rw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
JUL 2 7 2015.
CfTY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
VOICE (760) 777-7125
FAX (760),777-7011
INSPECTIONS (760) 777-7153
Date: 7/28/2015
Owner:
DIANE STOLLE
49370 VISTA MIRASOL
LA QUINTA, CA 92253
Contractor:
GENERAL AIR CONDITIONING & HEA
OUTSIDE CITY LIMITS
(760)343-7490
Llc. No.::LI C-0003606
1
---------------------------------------------------------------------------------------------
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: _ License No.: :LIC -0003606
of the work for which this permit is issued.
t _
p —7 Z a Ij Sw.�� ��
-;ZZ:, I have and Will maintain workers' compensation insurance, as required by '
Date: Contractor:
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: _ Policy Number.
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State.
I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisioris of the
comply with those provisions. '
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
of the Business and Professions Code) or that he or she is exempt therefrom and the
Date:28
I� •• Applicant:�-
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).:
( 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.).
( 11, 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:
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.
Dater Zg S Signature (Applicant or Agent):'
FINANCIAL INFORMATION �;;DESCRIP.,TION;� z; ; rrF ACCOUNTfx�.cAMOUNT, x y..` PAIf);k�y- PAID DATE'
BSAS SB1473 FEE *1 101-0000-20306 0 $1.00 $0.00
,i
}1METHOD .*RECEIPT# CL BY,
Total.Paid forBUILDING STANDARDS ADMINISTRATION BSA',, '$1.00 $0.00
DESCRIPTION 5`, t.a
-: + yf'-'�ACCOUIVTF
.r
•: CITY
�� AMOUNT , .
, t "Wi PAID' ria
:� ,. �,
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
- 101-0000-42402
0
$72.52_
$0.00
N
k't� ,f r=a PAID BY '`,..,� r'ry;"METHODRECEIPT#wCHECK#`
,= CLTD'BY.
DESCRIPTION j=r� i
_, jy ACCOUNT<M't�
s:QTY;
rzAMOUNT�
ae ',PAI
;PAID DATE.
HVAC CHANGEOUT•- SPLIT -SYSTEM PC
101-0000-42600,
0
. ' $36.26'.
$0.00
?y4� "fPAIDEBY K� ; ,
r ; ,�� aJ
•METHOD , ^ ,.�
rx� ;;
'^ a RECEIPT;# r'
CHECK #
: r
CLTD BY �
Total Paid forCHANGEOUT: $108.78 '$0.00
wr;� xDESCRIPTIONtkSh 7.
{:" Ak000UNTjQTY
+x;AM'OUNT
�4PAID�;,m
PAID DATE
PERMIT ISSUANCE
101-0000-42404 `
—.0
$91.85
"-$0.00
$0.00
a �
METHODS s v
x
. ,
'* RECEIPT;Vt ..
n. to
CHECK #" x
F
"CLTD°BYf'
Total Paid for PERMIT ISSUANCE: '$91.85 $0.00
TOTALS:00
S
Description: REPLACE A/C & FURNACE STOLLE RESIDENCE
Type: MECHANICAL . Subtype: Status: APPROVED
Applied: 7/28/2015 PJU ,
Approved: 7/28/2015 PJU
Parcel No: 602300033 Site Address: 49370 VISTA MIRASOLLA QUINTA,CA 92253
Subdivision: TR 29457-2 Block: Lot: 33
Issued: _
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $9,874.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Y�,L� .�. �. y.�.
.`1-_ ., N -c3 r �
Details: REPLACE 4 TON COIL & 90,000 BTU FURNACE .78 14.5 SEER 2013 CALIFORNIA MECHANICAL CODES. 2013 ENERGY] CARBON,
MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION ` - - • t
li Approved 0
ADDITIONAL SITES
Printed: Tuesday, July 28, 2015 12:10:28 PM. 1 of 2
SYSTEMS
CONDITIONSCHRONOLOGY
CONTACTS
. aw jh A ^Y. .H .tk' �' - • �i .,A. .14%S. � :. :- ,. �'.^
Lr
. , NAME71Y ,E� :d ,]] NAMEt '4 �
Y F ^�w. ��4.x �c�,..._.9ti_ �. z ^ :ifs s '�,�r... , _ _.. ., t -'- - 4a.�
Y�,L� .�. �. y.�.
.`1-_ ., N -c3 r �
,,...+. sT .�
.�. w
J. ".f •M -. .
r_,zfi _�".FFii !.+�^* ...n
d
.µn •TY •#^ ' v:�'•
`� :• :. ,v- 3�^, • i�.._ s .aa n:... « .-M G` ��
APPLICANT GENERAL AIR CONDITIONING & HEA OUTSIDE CITY LIMITS
(760)777-4121
r
CONTRACTOR GENERAL AIR CONDITIONING & HEA OUTSIDE CITY.LIMITS
(760)777-4121
OWNER DIANE STOLLE -' 49370 VISTA MIRASOL
LA QUINTA
CA
92253 (760)777-4121
Printed: Tuesday, July 28, 2015 12:10:28 PM. 1 of 2
SYSTEMS
117�
iRT 1 ' -1,
.
.E I INSPECTION PE'
S
7777
- -
- �ic —
1.
k
L
,.,DESCRI PTION-
ACCOUNT,
QTY;
AMOUNT
PAID, -ra,
PAID DATE"
RECEIPT#_
C�
M"
PAID ;P,
I.-,
� �, e. z
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 ,
I
. -1.
Total Paid forCHANGEOUT: $108.78 $0.00
PERMIT ISSUANCE .
1*01-0000-42404.
$91.85-.
$6.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: $201.63 $0.00
PARENT PROJECTS
REVIEWS
KS;,
ET U 1 0
_'j REMAR
WE'D,; flkf
4�7
T. DATE
REVIE
-LSE
I DUE DATE
EWER -4
,NOTES
BOND INFORMATION
ATTACI IMENTS
Printed: Tuesday, July 28, 2015 12:10:28 PM 2of2 C97wlYSTEMS.
INSPECTIONS
.E I INSPECTION PE'
S
yxw Fi
4,
MECHANICAL FINAL" BLD
PARENT PROJECTS
REVIEWS
KS;,
ET U 1 0
_'j REMAR
WE'D,; flkf
4�7
T. DATE
REVIE
-LSE
I DUE DATE
EWER -4
,NOTES
BOND INFORMATION
ATTACI IMENTS
Printed: Tuesday, July 28, 2015 12:10:28 PM 2of2 C97wlYSTEMS.
CERTIFICATE OF COMPLIANCE a CF111-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-1R-ALT=HVAC) . (Page 1 of 3 )
Project Name: DIANE STOLLE Date Prepared: 2015-07-27
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
DIANE STOLLE
02
Date Prepared
2015-07-27
03
Project Location
49370 VISTA MIRASOL
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
DIANE STOLLE
07
Zip Code
92253
08
Dwelling Unit Conditioned
3300
kso, baa say N!",,
to e s+ Y
_
A_ tom'
Floor Area (ft2)
SC System
SC System
CFA served
Tsystem.'refrigerafnt
Number of space conditioning
J I stallg
09
Climate Zone
15
10
(SC) systems in this dwelling
1
ducted
containing
system
more than 40
unit.
entirely new
B. Space Conditioning (SC) System Information .-" ,> `` ' MY z
r:}i
01
02
03°'
0410k L
05
06 1
07
08
09
10
Fa..
� +
is the SC
a �• ,�r3t Err to
Installing a
kso, baa say N!",,
to e s+ Y
c s ' +
A_ tom'
SC System
SC System
CFA served
Tsystem.'refrigerafnt
-JnstaIIing7hew�S�C
J I stallg
Ins_talling�
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?
duct system?
SC system?
Alteration Type
System 1
Location 1
3300
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to.this project. -
Registration Number: 215-A0207118A-000000000-0000 Registration Date/Time: 2015-07-2720:47:24 HERS. Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance. Report Version: 2014-03-31 Report Generated: 2015-07-27 .20:47:07
Schema Version: 0.5555DD
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)
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
Central gas
All new
Central split
All new
Less than or
System 1
heating
AFUE
0.78
AC
cooling
SEER
14.5
Setback
equal to 40
R-8
furnace
components
components
feet
Required Documentation:
CF2R-MCH-03-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: 5154, or15 104 leakage to outside, or seal all accessible leaks.
MR -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 & MR -MCH -23 Air Flow 2 300 CFM/ton required when MCH -25 is required.
Exceptions:
-Duct systems registered with HERS provider as previously sealed are exempt from MCH-200DDu� Leakage Testing requireme; ts.
-Heating-only systems and'Air Handler/Furnace changes do not require verification of Air Flow MCH=2 i, or Refrige&rant Charge MECHH-252sg
rs tt L20 • . r r ��
en I31;
-Existing duct systems constructed, insulated or sealed with asbestoyare exemps from MCH=20 D1.uct Leakage Testing requirements.Ir
E. Entirely New or Complete Replacement Duct System, with'or without Equipment Changequt"(Sections 150.2(4)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.
Registration Number: 215-A0207118A-000000000-0000
Registration Date/Time:
2015-07-27 20:47:24
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-27 20:47:07
Schema Version: 0.555SDD
II
CERTIFICATE OF COMPLIANCE CF113-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: /^
Jacoby, Ian
c�an�acoiy
Company:
Signature Date:
Stratz Permit Service
2015-07-27 20:47:00
Address:
CEA/ HERS Certification Identification (if applicable).
5858 Dovetail Drive
City/State/Zip:
Phone:
Agoura Hills CA 91301
818-735=7876
Responsible Person's Declaration statemenf`.
I certify the following under penalty of perjury, under the`ilaws`Of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. I am eligible under Division 3 of•the Busriess'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
gill PM
requirements of Title 24, Part 1 and Part 6W the California Code of.R�egulations.
4. The building design features or system design features identified on`this Certificateof Compliance arefConsis�tent with the information,provided or%othe pplicable'co"mpliance documents, worksheets,
r Ate' b� t . ", - - �h F F ""A4 -A, .44 ` j
for building }
calculations, plans and specifications submitted.to the enforcement<agency approval•with this permit application.
°.; Fy�i '-'. _
. a..
5. 1 will ensure that a registered copy of this cei ificateP2f�Compliance shalt be made>available withthe bwldmg•;permit('s)tissued forythe build g, and,made available to-tlie enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance isrequired to be included with the documion.the builder provides to the building owner at occupancy.
•vr- a. y R s- .v -•+w �r>-- u�`-� ,a�•w. +�, V. ,v tea,:, V3 W—L
Responsible Designer Name:��+
Responsible Designer Signature:
Shanley, Barbara
Company:
Date Signed:
HARRISON ENTERPRISES INC dba GENERAL AIR CONDITIONING
2015-07-27 20:47:24
Address:
License:
31-170 RESERVE DRIVE STE A
686310
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
(760) 343-7488
Digitally signed by Ca10ERTS. 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: 215-A0207118A-000000000-0000 Registration Date/Time: 2015-07-27 20:47:24 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-27 20:47:07
Schema Version: 0.555SDD
sin.#
C( / Of Q1. tnta
Buiidigg 8T Safety Division
P.O. Box 1504,78-495 Calle Tampico
LA.Quinta, CA 92253 - (760) 777-7012
Building Permit Application'and Tracking Sheet
Permit # .
ProjeccAddress: 49379 Vista Mirasol '
Owner's Name:. Diane Stolle
A. P.N.umber: i -3-70
Address: 49379 Vista Mirasol
Legal Description:
Contractor: General Air Conditioning;%>
City, ST, Zip: La Quinta, CA 92253
Telephone 760-777-4121 s w
>`�..>x•.s,
Address: 31170 Reserve Drive
Project Description:
City, ST, Zip: Thousand Palms, CA 92276
Replace 4ton A/C, 4ton Coil, &.90,000 BTU Furnace
Telephone: 760-343-7488
= r ISM
State Lic. # :. 686310
City Lia M
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
State Lic. #:c
..,,w�,uy
Name of Contact Person: Steven Schnierer
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo • ,
Sq. Ft.: # Stories: # Univ:
Telephone # of Contact Person: 8.18-735.-7876
Estimated Value of Project: $9,874.00 .
APPLICANT: DO NOT WRITE BELOW THIS LINE
N Submittal Req'd Recd TRACKING PERMIT FEES
Plan Sets Plan Check submitted Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit, .
Truss Cafes.
Called Contact Person
Plan Check Balance,
Title N Cafes,
Pians picked up
Construction
Flood plain plan
Plans resubmitted,.
Mecharilcal
Grading plan
2`6 Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.OA. Approval.
Plans resubmitted
Grading
IN HOUSE:-
'^' Review, ready for correctionsRssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P'.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees