BMCH2017-035478-495 CALLE TAMPICO
c&!t 4 4v Q91k&
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O17-0354
Property Address: 77535 CALLE CHIHUAHUA
APN: 774051024
Application Description: WOOSTER / HVAC CHANGEOUT - 14SEER/81AFUE RACKAGED UNIT
Property Zoning:
Application Valuation: $9,000.00
Applicant:
BURGESONS HEATING AND AIR CONDITIONING I
P 0 BOX 7310
REDLANDS, CA 92375-0310
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: License No.: 26382-1—
Thereby affirm under penalty of perjury that I am exempt from the Cont ctor' tate
License Law for the following reason (Sec. 7031.5, Business and Profession ode: 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).:
(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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153 .
Date: 8/10/2017 t/
Owner:
ANDREW WOOSTER
77535 CALLE CHIHUAHUA
LA QUINTA, CA 92253
Contractor:
BURGESONS -iEATING AND AIR CONDITIONING I
P0BOX 7310
REDLANDS, CA 92375-0310
(909)793-3685
Llc. No.: 263E71
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certifi:ate of consent to self -insure for workers'
compensation, as provided for by Section 2700 of the Labor Code, for the performance
M3�
k for which this permit is issued.
I have and will maintain workers compensation insurance, as required by
00 of the Labor Code, for the peformance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Carrier: ACE AMERICAN INSURANCE OMFANY 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.
D App' n .
WARNING: FAILURE TO SECURE WOR ERS'tOMPENS TIO COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENQ(�IES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED POR 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 Cty 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 apolication 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 cancella:ion.
I certify that I have read this application an -3 state that the above information is correct.
I agree to comply with all city and county o-dinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned property for inspection purpose.
or
a
Date: 8/10/2017
Application Number: BMCH2O17-0354
Owner:
Property Address: 77535 CALLE CHIHUAHUA
ANDREW WCOSTER
APN: 774051024
77535 CALLE CHIHUAHUA
Application Description: WOOSTER / HVAC CHANGEOUT - 14SEER/81AFUE PACKAGED. UNIT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $9,000.00
Applicant:
Contractor:
'BURGESONS HEATING AND AIR CONDITIONING I
BURGESONS -lEATING AND AIR CONDITIONING I
P 0 BOX 7310
P 0 BOX 7310
REDLANDS, CA 92375-0310
REDLANDS, CA 92375-0310
(909)793-3685
-------.-------------------------------------------------------------------------------------
LIc. No.: 263E-11
Detail: HVAC CHANGE OUT - 14SEER/81AFUE PACKAGED SYSTEM. CARBON MONOXIDE ALARM(S)
TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
a
DESCRIPTION
ACCOUNT QTY AMOUNT
BSAS 561473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$25.33
Total Paid for CHANGEOUT: $63.33
DESCRIPTION
ACCOUNT
QTY
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
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
.0
u
t
Bin#
-0q,5H
City of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
BuildingPermit Application and Tracking Sheet
Permit#
JFr0Q-lo101
Project Address: 2
J
Owner' Name:
A.P. Number
Address:
Legal Description:
City, ST, Zip:
Contractor:Telephone:
: _
Address Z,
Project Description:
City, ST, Zip: _/
2
Telephone:
.3
State Lic. #:19 9-7
Ci Lic #:
Arch, Engr., Designer:
AV 19441 -
Address: 14
City, ST, Zip:
'
Telephone:,?Construction
Type:
Occupancy:
State Lic. ' d
Proj. Type
New
Add'n
Alter
Repair
Demo
Name of Contact: h
SgFt:
#Stories
# Units:
Telephone of Contact: /
/
Estim dlue oProject:
APPLICANT: DO NOT WRIMBELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERM_T FEES
Plan Sets
Plan Check Submitted
Item
Amount+
Structural Calcs
Reviewed, ready for corrections
Plan Check Deposit:
Truss Calcs
Called Contact Person
Plan Check Balance:
Title 24 Calcs
Plans Picked Up
Constriction:
Flood Plain Plan
Plans Resubmitted
Mechanical:
Grading Plan
2nd Rev; Ready for corrections /
Electrical:
Subcontractor List
Called Contact Person
Plumbing:
Grant Deed
Plans Picked Up.
S.M.I.
HOA Approval
Plans Resubmitted
Gradin,
IN-HOUSE
3rd Rev, Ready for corrections /
Develooer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Apps
Date of permit issue
School Fees
Total P-rmit Fees
0
4
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
ANDREW WOOSTER I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3)
2017-08-09
A. General Information
CF111-ALT-02 is applicable t4 multiole 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
ANDREW WOOSTER
02
Date Prepared
2017-08-09
03
Project Location
77535 CALLE CHIHUAHUA
04
Building Type
Single family
05
CA City
La Quinta06
Dwelling Unit Name
HOUSE
SC System
SC System
CFA served
system a
refrigerant
Installing new SC
Installing
Installing
Installing
Dwelling Unit Conditioned
Location or Area
07
Zip Code
92253
0811
Floor Area (ft2)
2500
entirely new
Name
Served
System (ft)
system?
component?
components?
y „w
c
duct system?
Number of Space
I Alteration Type
09
Climate Zone
15 ""
Yes
Conditioning (SC) Systems in
1
No
No
r
X10
this Dwelling Unit:
B. Space Conditioning (SC) System Information �„
01
02
03
04 "40
d 05
* '. 064,
07
08
09
10
Is the SC
Onry
Installing,a,
ats.:r "� "� ;M i
.,
-,a iA.#h lnteor i�•
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 (ft)
system?
component?
components?
feet of ducts?
duct system?
SC system?
I Alteration Type
SYSTEM
HOUSE
2500
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section iS0.2(b)iDiib)
This section does not apply to this project.
Registration Number: 417-A020108627A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-08-09 13:20:02
Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-08-09 13:20:02
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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
heating
AFUE
0.81
AC
cooling
SEER
14
Setback
equal to 40
R-8
furnace
components
components
feet
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: 1Q 12 erid 13) and R8 (CZ 11 and 14-16)
CF2R and CF311-MCH-20-H - Duct Leakage Test required when heating or cooling components are installed. in_dueted-systems, or when more than 40 ft of duct length is replaced
-Leakage rate compliance: <= 15% or <= 1091. 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.
fo- V__J0 it— . 4t___ IN 7l, W_`
�:'+ tt .ft - ►`�"� kik
E. Entirely New or Complete Replacement Duct System, with or without Equipml'ent Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, F)
This sect on d es not applyltotli s prroject.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 417-A020108627A-000-000-0000000-0000
Registration Date/Time: 2017-08-09 13:20:02
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-09 13:20:02
Schema Version: rev 10/16
7
IZ �
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -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:
Kevin Burgeson
Kev%n.8us^rjebon.
Company:
Signature Date:
Burgesons Heating & Air Conditioning
2017-08-09
Address:
CEA/ HERS Certification Identification (if applicable):
620 Tennessee Street
City/State/Zip:
I
Phone:
909-792-2222
Redlands CA 92374 ,..-�
Responsible Person's Declaration statement
I certifythe following under penalty of perjury, 4
g p y p � ry, 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 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 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 for,approval;with this building permit application.
.kyr dt✓ �4' d:l _..,, k� � it �✓< �=..
5. 1 will ensure that a registered copy of this Certificate of Compliance'shall be made available with the building=permit(s) issued for the building, and made available to the enforcement agency for all applicable
ti_"
inspections. I understand that a registered copy of this Certificate of Compliance isfrequired to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:Responsible,
Unmatcheed Sar 4f.
Designer Signature:
Kevin Burgeson
Company:
Date Signed:
Burgesons Heating & Air Conditioning
2017-08-09
Address:
License:
620 Tennessee Street
263871
City/State/Zip:
Phone:
Redlands CA 92374
909-792-2222
Digitally signed by CHEERST`^. 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-A020108627A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-08-09 13:20:02
Report Version: 2016.1.006
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-08-09 13:20:02