BMCH2017-0449D "i �WNI1�il/ VOICE (760) 777-7125
78-495 CALLE TAMPICO U FAX (760) 777-7011
LA QCIINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT. INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/10/2017
Permit Type/Subtype:
MECHANICAL/
Owner:
Application Number:
BMCH2O17-0449
JAMESINA PA�.TON
Property Address:
54105 AVENIDA ALVARADO
54105 AVENIDA ALVARADO���
APN:
774202015
LA QUINTA, CA. 92253
Application Description:
PAYTON / HVAC CHANGEOUT
\
^ Q a
i: -_
Property Zoning:
r� N o
Application Valuation:
$30,439.00
j o s
t
'
a ISS
Applicant:Contractor:
lbw.
i o
IE INC
A - AVIS PLUMBING HEATI G & IRCONDI�aO=
31225 LA BAYA
600 EAST VALLEY BLVD
- e
WESTLAKE VILLAGE, CA 91362
COLTON, CA 92-324
(909)825-3600
Lic. No.: 630563
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, C36 License No.: 630503
Date-, 10 iCo�r�r
C�
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 applicant for 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 contractors) 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 Name:
Lender's Address:
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 3770 of the Labor Code, for the performance
o1f1bework for which this permit is issued.
tl have and will maintain workers' compensation insurance, as required -by
S°ect-ion3700 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: ARCH INSURANCE COMPANY Policy Number: ZAWC12536600
_ 1 certify that in the performance o= the work for which this permit is issued, I
shall not employ any.person in any manner sz) 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 Sectior 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date:,14) 4 Ii �A -�
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 zhe 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 is%jance of such permit, or cessation of work
for 180 days will subject permit to cancellation.
I certify that I have read this application and :.tate that the above information is correct.
I agree to comply with all city and county ord'nances and state laws relating to building
construction, and hereby authorize represerratives of this city to enter upon the above-
mentioned property for inspection purposes..
jD 1 01-7 � G�
.Date:, Signature -(Apel ica n1 -or -Agent):
Date: 10/10/2017
Application Number: BMCH2017-0449
Owner:
Property¢Addrms:•%`-•,i'!+ 54105 AVENIDA ALVARADO
JAMESINA PANTON
APN: 774202015
54105 AVENIDA ALVARADO
Application Description: PAYTON / HVAC CHANGEOUT
LA QUINTA, CH 92253
Property Zoning:
Application Valuation: $30,439.00
Applicant:
Contractor:.
IE INC
A - AVIS PLUMBING HEATING & AIR CONDITIO
31225 LA BAYA
600 EAST VALLEY BLVD
WESTLAKE VILLAGE, CA 91362
COLTON, CA 92324
(909)825-360C
--------------------------------- -------------------------------------------------
Llc. No.: 630503
--------------
Detail: HVAC CHANGE OUT - 20 SEER780AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTIOPf. 2016
CALIFORNIA BUILDING CODES.
DESCRIPTION
ACCOUNT I QTY I AMOUNT
BSA$ SB1473 FEE 101-0000-20306. 0 $2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:. $2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT- SPLIT -SYSTEM PC
101-0000-42600
0
$78.02
Total Paid for CHANGEOUT: $117.03
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83
Total Paid f6r PERMIT ISSUANCE: '$98.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
qTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0 •
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:
1
Bin.#
City of La Quina
Building 8r Safety Division
P.O. Box 1504,78-495 Calle Tampico.
L..Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
P it #
ProjectAddress: 54105 Avenida Alvarado
Owner'sName:.Jamesina Payton
A. P. Number.
Address: 54105 Avenida Alvarado
Legal'Desciiption:
Contractor. A -Avis Plumbing Heating & Air
City, ST, Zip: La Quinta, CA 92253
Telephone:
Address: 600 E Valley Blvd
Project Description: Replace 4 ton heat pump & air handler
City, ST, Zip: Colton, CA 92324
Telephone: 909-825-3600
State Lie. # : 630503
{qty Lic. #:
Arch., Eng., Designer.
Address:
City, ST, Zip:
'Telephone:
State Lia #:-
-rwij» ta ,r
Name of Contact Person: Steven Schnierer
Construction Type: Occcpancy:
Project type (circle one): New Add'n. Alter Repair Demo
Sq. FL: #Stories: #Units:
Telephone # of Contact Person: 818-735-7876
Estimated Value of Project: $30,439.00
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Reed
T RACIONG
�IERM[T FEES
Plan Sete
Pian Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Coles.
Called Contact Person
Plan Check Balance
Title 24 Calci:.
Plans picked up
Construction
Flood plain plan
Plaits resubmitted '
Mechanical
Grading plan
2`' Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
Shu
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review; ready for correetionsfissae
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.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 1 of 3)
.Project Name: JAMESINA PAYTON Date.Prepared: 2017-10-09
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
JAMESINA PAYTON
02
Date Prepared
2017-10=09
03
Project Location
54105 AVENIDA ALVARADO
04
Building Type
Single family
05
CA City
Moreno Valley
06
Dwelling Unit Name
HC;ME
SC.System
SC System
CFA served
system a
of gerant
" Install ng new SCS
07
Zip Code
92553
08
Dwelling Unit Conditioned
1500
by this SC
ducted
containing
system
Floor Area (ft2)
entirely new
entirely new
Name
Served.
Number of Space
system?
09
Climate Zone
10
.110
Conditioning (SC) Systems in
1
this Dwelling Unit:
B. Space Conditioning (SC) System Information +
I i
01
02
03.
04.4
0.5
06 i
07
08
09
10
Is the SC
Installing a
�
SC.System
SC System
CFA served
system a
of gerant
" Install ng new SCS
Installing
Installing
Installing
Identification or
Location or Area
by this SC
ducted
containing
system
more than 40
entirely new
entirely new
Name
Served.
System (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
Alteration Type
Altered space
SYSTEM 1
WHOLE HOME
1500
Yes
Yes
Yes
No
No
No
conditioning system
L. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 417-A020121157A-000-000-0000000-0000 Registration Date/Time: 2017-10-09 15:02:13 HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-09 15:02:15
Schema Version: rev 10/16
.CERTIFICATE OF COMPLIANCE CF1R-ALT-024
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 3)
D. Altered Space Conditioning System (Sections 150.2(b)1E and F)
01
02
03
04
0S
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 split
All new
Central split
All new
This field or
This field or
SYSTEM 1
HP
heating
AFUE
0.8
HP
Cooling
SEER
20
Setback
section is not
section isnot
components
components
applicable
applicable
Required Documentation: i
CF2R-MCH-01-E -. Space Conditioning Systems ,
- Duct insulation requirement for the new portions of supply -air and return -air ducts or plenums R6:(C2 1 10 12 and 13) and R8 (CZ 11 and 14=16)
'ste'ms,
CF2.R and CF3R-MCH-20-H -Duct Leakage. Test required when heating or cooling components are irnsialled Ihid"Uctedi 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..
CF211 and CF3R-MCH-25-H Refrigerant Charge verification required when refrigerant containing componehKare installed or altered (applicable in CZ 2, 845).
62R 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.
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)1E, F)
fhf s sect on does no applyto th s p�oj ct.
F. Entirely New or Complete Replacement Space Conditioning System (Section 1S0.2(b)1C)
This section does not apply to this project.
Registration Number: 417-A020121157A-000-000-0000000-0000 Registration Date/Time: 2017-10-09 15:02:13 -HERS Provider: CHEER'S
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-10-09 15:02:15
Schema Version: rev 10/16