Loading...
BMCH2015-0440iiiiiiiii iiii. I _ 68 78-495 CALLE TAMPICO U Q�&4 VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 11/20/2015 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: ADAM SIMMONS P 0 BOX 314 LA QUINTA, CA 92247 BMCH2O15-0440 77.581 LOSARBOLES 658260040 PERRY / HVAC CHANGEOUT DUCTLESS $2,000.00 Pd0d 0 2015 CITY OF LA QUINTA COMMUNITY DR'EI.OPMENT DEPARWEN T 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.: 780534 Date: L I/ 'Z.Q /11' _ Contractor. , &.,- ,� 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 per 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).: (1 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 Name Lender's Address: Owner: JEFFREY PERRY 8 CHURCH RANCHES CLOSE CALGARY AB CANADA T3R, C192253 Contractor: ADAM SIMMONS P 0 BOX 314 LA QUINTA, CA 92247 (760)564-7525 LIC. No.: 780534 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 ork for which this permit is issued. Qj 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 Labor Code, I shall forthwith comply with those provisions. Date: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 whosebenefit 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 nter upon the above-mentioned property for inspection purposes. Date: 1112-41- 2 Signature•(ApplicantorAgent]: MHACCOUNT�,,fi AIVIUUNTPA�DT N cD ATEi MMNM 1YRV-Y'l-w, Ngg, IPAIJ, BSAS S81473 FEE 101-0000-20306 $1.00 $0.00 ;PAID!-BY--, 0 W-RECEIPT�,#;CHECK 'I"M IN -,W WBY`�k Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 sk ,DESCRIPTION`i �AMOUNTM,5 M TV". 'K. RR -N.NPAID-1 Zig R V4 4�. A-1 A R5 PAID HVAC CHANGEOUT - SPLIT-SYSTEM 101-0000-42402 0 $72.52. $0.00 >ztiCHECK 1.�'METHOD' R" 417�,1.11,11114!i,Y4 R�,,F RECEIPTi I I. 411:10� #��I,CLTDMY-" RIPTIO1,4t C60Nt"N "AMoW T PAID A AMAID'DATEW M HVAC CHANGEOUT - SPLIT-SYSTEM PC 101-0000-42600 0 $36.26 $0.00 Kj ,RECEIPTg '�,-ICHECK #"-:, JXLTQ�BW. , Total Paid for CHANGEOUT: $108.78 $0.00 I, 40,,Nlk�.,o .ESCRI�,T R.- ip�, -MUM m pF_ t il 3'WC0U - ."AMOUNTW W_ A,, ,P A I D �.p A bATE,,,4.,, PERMIT ISSUANCE 101-0000-42404 0 :$91.85 .$0.00 1. Eo,�, R 'OU"Rm, W V In"METHOWA -RECEIPT `#.; Wj ��ffi�.,,KhVCHECK LWZY-;. Total Paid for PERMIT ISSUANCE: $91.85 $0.00 $0.00 Permit Details PERMIT NUMBER City of La Quinta BMCH2O1504 0 Description: PERRY / HVAC CHANGEOUT DUCTLESS Type: MECHANICAL Subtype: Status: APPROVED Applied: 11/20/2015 SGU Approved: 11/20/2015 SGU Parcel No: 658260040 Site Address: 77581 LOS ARBOLES LA QUINTA,CA 92253 Subdivision: TR 14496-1 & INT IN COMMON AREAS Block: Lot: 106 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 APPLICANT Details: HVAC CHANGE OUT - 13SEER/78AFUE DUCTLESS SPLIT SYSTEM FOR CASITA [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES CHRONOLOGY CONDITIONS NAME TYPE -NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE y FAX x EMAIL APPLICANT ADAM SIMMONS P O BOX 314 LA QUINTA CA 92247 Simmonscda@yahoo.c om CONTRACTOR ADAM SIMMONS P 0 BOX 314 LA QUINTA CA 92247 Simmonscda@yahoo.c om OWNER JEFFREY PERRY 8 CHURCH RANCHES CLOSE CALGARY All C1 CANADA T3R 92253 Printed: Friday, November 20, 20152:52:01 PM 1 of 2 0 , SYSTEMS PARENT PROJECTS REVIEWS _F_ REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS DATE NOTES ATTACHMENTS Printed: Friday, November 20, 2015 2:52:01 PM 2 of 2. rp SYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY • BY 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 HVAC CHANGEOUT - 101-0000-42600 0 $36.26 $0.00 SPLIT -SYSTEM PC Total Paid for CHANGEOUT: $108.78 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:• 0• PARENT PROJECTS REVIEWS _F_ REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS DATE NOTES ATTACHMENTS Printed: Friday, November 20, 2015 2:52:01 PM 2 of 2. rp SYSTEMS Bin # City of La Quinta Building &' Safety Division rr,, P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Permit # Project Address: ( Owner's Name: A. P. Number: Address: S r Legal Description: City, ST, Zip: Q 7 Contractor: o . r �e < � G. Tele ne: ho 2 P D y Address: © , Project Description: City, ST, Zip: TelP one• - eh �U z State Lic. # : p Mc. #; Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: e: O ecu an cY • State Lic. #• Repair Demo Project type ne • New A dd'n AlterRe Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Perso 2 (,xj '%S b Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Ree'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed; ready for corrections Plan Check Deposit Truss Cates. 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:- '"' Review, 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 CFIR-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 ) Project Name: Perry I Date Prepared: 2015-10-22 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 Perry 02 Date Prepared 2015-10-22 03 Project Location 77581-C-a#e Los Arboles 04 Building Type Single family OS CA City La Quinta 06 Dwelling Unit Name Perry 07 Zip Code 92253 CFA served Dwelling Unit Conditioned 2000 �Installingnew SC a ` Installing Installing9 installing Floor Area (112) Identification or Location or Area by this SC tlucted c retaining Number of space conditioning more than 09 Climate Zone 15 10 (SC) systems In this dwelling 1 systemT componentT components? feet of ducts? unit. SC symnif B. Space Conditioning (SC) System Information . 01 02 03 �1� ,� �S 06 07 - 08: J: ' : 09 10 Nis the SC Installing a SCS stem System SCS stem y CFA served systema refrigerant �Installingnew SC a ` Installing Installing9 installing Identification or Location or Area by this SC tlucted c retaining system more than entirely new entirely new Name Served System (ft2) systemT componentT components? feet of ducts? duct system? SC symnif Alteratlon Type System 1 Casita 500 Yes Yes Yes No No No Altered 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: 215-A6366460A-000000000-0000 Registration Date/Time: 2015-10-22 06:35:21 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 . Report Generated: 2015-10-22 06:35:19 CERTIFICATE OF COMPLIANCE CF111-ALT-024 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 Ductless split All new Ductless split All new less than or System 1 HP heating AFUE 0.78 AC cooling SEER 13 Setback equal to 40 R-8 components components feet Reouired Documentation: MR -MCH -01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. MR -MCH -20-1-1 & MR -MCH -20-1-1 — Duct Leakage testingrequired when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced. -Leakage rate compliance: 515%, or 510% leakage to outside, or seal all accessible leaks. MR -MCH -25-1-1 & 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 2300 CFM/ton required:when MCH -25 is required. Exceptions: -Dud systems registered with HERS provider as previously sealed are exempt fro mMCH-20 Duct Leakage Testing requirements.- -Heating -only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23 dr'Refngerant Charge MECH 251 -Existingdud 4° � 4 x � systems constructed, insulated or sealed with asbestorare exemp#from MCH -20 puettLeakage Testing-requiremertts A F 3'4, U9 � t'1 1i� 31 � k � L t' Jt ..a it f F 11 Q 4. "*r . iw E. Entirely New or Complete Replacement Duc%$�yst�em, with or without Equipment C�hange�outa(Sections 15p.2(b)1Diiaand50.2(b)lE, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 1S0.2(b)1C) This section does not apply to this project. Registration Number: 215-A6366460A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: Report Version: 2013-1.006 2015-10-22 06:35:21 HERS Provider: CaICERTS Report Generated: 2015-10-22 06:35:19 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: %`/��G�wnBN4' Simmons, Donna Company: Signature Date: ADAM SIMMONS 2015-10-22 06:35:21 Address: CEA/ HERS Certification Identification (if applicable): 54440 AVENIDA CARRANZA City/State/Zip: Phone: LA QUINTA CA 92253 760-564-7525 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 of the California Code oftlRegutatfons 4. The building design features or system design features identified on phis Certificate of Complianreoo�ce areRnsistAtwiAitheinir aUon.provided on other applicable compliance documents, worksheets, calculations, plans and specifications submittedao the enforcement agency for approval•wdh this building permitapplication. 4 ,r?`0.. t NA t t � t .1 1 # � . .t t . .� S. I will ensure that a registered copy of this Certificate of,Compliance shall 4e;inatle.available wi;h Life building permit(s)5issued forzthe building, and;madg available to the enforcement agency for all applicable Inspections. I understand that a registered copy of thisGerfl ficate of Compliance is.required to be-iincluded with the,documeenta�tion�the b5ilder p to -the building owner at occupancy. rntides Responsible Designer Name: WA `e Desig er Signature: Simmons, Donna Company: Date Signed: ADAM SIMMONS 2015-10-22 06:35:21 Address: License: 54440 AVENIDA CARRANZA 780534 City/State/Zip: Phone: LA QUINTA CA 92253 760-564-7525 Digitally signed by CaICERTS. 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: 215-A6366460A-000000000-0000 Registration Date/Time: 2015-10-22 06:35:21 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-10-22 06:35:19