BMCH2017-025478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
BUILDING��
Application Number: BMCH2O17-0254 P63
:
APN
Property Address: 60215 64400053 RT ROSE DR JUN 2 2 2017 M LUKE
DESERT ROSE DR
Application Description: LUKE RESIDENCE / HVAC CHANGE OUT NTA, CA 92253
Property Zoning: CITY OF LA DUiNTA
Application Valuation: $3,600.00
DESIGN AND pF\JEI.DPh��N-� pEPARTMENT
Applicant:
J ANTHONY PLUMBING HEATING & AIR CONDITI
72216.NORTH SHORE ST #101
THOUSAND PALMS, CA 92276
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of he Business and Professions Code,
and my License is in full force and effect.
Licens ass: C2 C36 License No.: 77 9
I
tFact r:
OWNER -BUILDER D LARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($S00).:
(_) 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:
Date: 6/22/2017
Contractor:
J ANTHONY PLUMBING HEATING & AIR CONDITI
72216 NORTH SHORE ST #101
THOUSAND PALMS, CA 92276
(760)328-8096
Llc. No.: 777794
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 work for which this permit is issued.
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: MIDWEST EMPLOYERS CASUALTY COMPANY 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 mannerso as to ecome subject to the workers'
compensation laws of California, and agree that, if should become subject to the
workers' co pensation provisions of Section 3 0 of the L bor Code, I shall forthwith
comply i tho provisions.
Date: plicant:
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 p6mit.
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 ave information is correct.
I agree to comply with all city and county ordinances and sty- laws relating to building
const
, and hereby authorize representatives of
is to en upon the
above- a tione pro ertyforinspectio urposes. /
Data : Signature (Applicant or Agen :
Date:.. 6/22/2017
'Application Number: BMCH2O17-0254 Owner:
Property Address: 60215 DESERT ROSE DR WILLIAM LUKE
APN: 764400053 60215 DESERT ROSE DR
Application Description: LUKE RESIDENCE / HVAC CHANGE OUT LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $3,600.00
Applicant: Contractor:
J ANTHONY PLUMBING HEATING & AIR CONDITI J ANTHONY PLUMBING HEATING & AIR CONDITI
72216 NORTH SHORE ST #101 72216 NORTH SHORE ST #101
THOUSAND PALMS; CA 92276 THOUSAND PALMS, CA 92276
(760)328-8096
Llc. No.: 777794
---------------------------------------------------------------------------------------------
Detail: CONDENSER CHANGE OUT - 14 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
r
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
FINANCIAL
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
CONDENSER/CO,MPRESSOR
101-0000-42402
0
$38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$25.33
Total Paid for MECHANICAL: $63.33
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27.
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin ##
City Of La Quill to
Building u Safety Division
Permit ## 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
Project Address: O ��S Q'L� pog �. Owner's Name: Ah,l[ e *xt (i lkje�
A. P. Number.
Address:
Legal Description:
City, ST, Zip:
Contractor:
' .
ele h o .
Telephone: P 77 1��
Address: J ANTHONY SERVICES
.
Project Description:
City, ST, Zip:
THOUSAMO PALMS.C
Ack__ Tz1,Q
Telephone:.
C„
fJ
State Lie. # : /7�%�
City Lie. #;::::�s0��'::::
Arch.,`Engr., Designer:
Address:
City, ST, Zip:
Telephone.'
.
Construction s on T Ye: Occupancy:
P ecu ane
P
State to i _ #:
roJect ty rcle one)• New Add'nAlter Repairs
PPe(ci Demo
Name of Contact Person: '13, "v-hL
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: -7( o `ice 7 Z(
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
if
Submittal
Req'd
Rcc'd
.TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit..'
Truss Cales..
Called Contact rcrson
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction '
'Flood plain plan..
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrcctions/issueElectrical
.
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
11.0 A. Approval
Plans resubmitted .
Grading
IN ROUSE:-
'"! Review, ready for corrcctions/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. APPr
Date of permit issue
School Fees,
1
Total Permit Fees
CERTIFICATE OF COMPLIANCE
CF1R-ALT 02-E I
Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC) (Pagel of 3) I
Project Name:
LUKE I Date Prepared:
2017-06-22
A. General Information
CF111-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
LUKE
02
Date Prepared
2017-06-22
03
Project Location
60215 DESERT ROSE DR
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
LUKE
07
Zip Code
92253
08
Dwelling Unit Conditioned
1600
L110 �.:.' .
i-
Floor Area (ft2)
SC System
CFA served
system a
refrigerant
Installing new SC
Number of Space
Installing
09
Climate Zone
Identification or
10
Conditioning (SC) Systems in
1
containing
system
more than 40
entirely new
this Dwelling Unit:
B. Space Conditioning (SC) System Information r r
01
02
03
04
y "0!9'.
06—
df -Y,08
x`09
10
Of
Is the SCS'
In talli ga`V
L110 �.:.' .
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 (ft2)
system?
component?
. components?
feet of duds?
dud system?
SC system?
Alteration Type
System 1
Location 1
1600
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: 217-A020212692A-000-000-0000000-0000
Registration Date/Time: 2017-06-22 10:16:14
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-22 10:16:01
Schema Version: rev 10/16
CERTIFICATE OF COMPLIANCE CF111-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
OS
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
Central split
Outdoor
This field or
This field or
System 1
furnace
TXV or EXV
AFUE
81
AC
condensing
SEER
14
Setback
section is not
section is not
unit
applicable
applicable
Required Documentation:
CF211-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 MR -MCH -20-1-1 - 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.
CUR and CF3R-MCH-25-H Refrigerant Charge verificatiori'required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2R and CF3R-MCH-23 Airflow Rate >= 300{FM per ton'required when.MCH-25 is required..
Exceptions:
Duct systems registered with HERS provider aspreviously sealed are exempt from MCH -20 Dud Leakage Testing requirements..
'• -' . ,�e`wA�r y... eais^nv �m °h +.
Heating -only systems and Air Handler Furnace changes do not requlre'venficatr ofAlr Flow MC 23 RefrigeranYChatge MC', 25
-Existing dud systems constructed, insulated or sealed with,asbestos.are exem�t�from MCI 20 9 "L�akage Testl6g•requi ments91-:rn-�t
U Y1 t� `tc 4 4 3 f' ag fit $,f r
E. Entirely New or Complete Replacement Ductyem, with or without Equipment Changeout (Sectins 150.2(b)1Diia and 150.2(b)IE, F)
1:
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)IC)
This section does not apply to this project.
Registration Number: 217-A020212692A-000-000-0000000-0000 Registration Date/Time: 2017-06-22 10:16:14 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-22 10:16:01
Schema Version: rev 10/16
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.-I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature: ,,JJ
Robinson, Kevin
�C�/ %��4lGitG46�tfi
Company:
Signature Date:
J ANTHONY PLUMBING HEATING & AIR CONDITIONING
2017-06-22 10:16:14
Address:
CEA/ HERS Certification Identification (if applicable):
72216 NORTH SHORE ST #101
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-343-2121
Responsible Person's Declaration statemelnt:.
I certify the following under penalty of perjury, under the lawsof the State of California:
'
1. The information provided on this Certificate ofJCom4pliance is true and correct.
2. 1 am eligible under Division 3'of the Business and Professions Code toaccept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications matenals, components, and anufactured devicesfor 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 Califomla Code of Re'gol'af on.s�.
4. The building design features or system design features identified on Phis Certificate of Cy mpfiance are nsistentRwi�.thxthe i�' rm on;provided o ther plicatile co pliance documents, worksheets,
calculations, plans and specifications submitted;to the 4051rcemen agency fortSppr AlWth this building per it ap (icaborr.
5. I will ensure that a registered copy of i s:Certificate bf Co pliance shallbetrtade avails le wifhtthe bu7tdfng p�mit(s issued forShe bij (ding an ;made available to th Onforcement agency for all applicable
„�, ,,,
inspections. I understand that a registered copy of this• rtificate of Compliance ls,required to be�included wjth the docume talion he4Liu (der provides to tLie building owner at occupancy.
.....
Responsible Designer Name: e
Responsible De g'ier Signature: -k lil.. 51— %
Robinson, Kevin
Company:
Date Signed:
J ANTHONY PLUMBING HEATING & AIR CONDITIONING
2017-06-22 10:16:14
Address:
License:
72216 NORTH SHORE ST #101
777794
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-343-2121
Easy to Verify J "
at CaICERTS.com❑
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 fc
the accuracy of the informIg ..
Registration Number: 217-A020212692A-000-000-0000000-0000 Registration Date/Time: 2017-06-22 10:16:14 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-06-22 10:16:01
Schema Version: rev 10/16