BMCH2017-017578-495 CALLE TAMPICO Twit 4 4 0".
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O17-0175
Property Address:
52660 EISENHOWER DR
APN:
773301011
Application Description:
SEVIER RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$10,000.00
Applicant:
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11 11
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NEXGEN AIR CONDITIONING
AND HEATING INC
700 N VALLEY ST STE K
ANAHEIM, CA 92801
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C20 License No.: 1011173
Date: 01 Contractor:
OWNER -BUILDER DECLARA N
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).:
(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 of she did not build or improve for the purpose of sale.).
I ) 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 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/10/2017
Owner:
CATHERINE SEVIER
52660 EISENHOWER DR
LA QUINTA, CA 92253
Contractor:
NEXGEN AIR CONDITIONING AND HEATING INC
700 N VALLEY ST STE K
ANAHEIM, CA 92801
(714)710-3947
Llc. No.: 1011173
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: GRANITE STATE INSURANCE COMPANY Policy Number: WC002008128
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 Co I shall forthwith
comply with those provisions.
0—
Date: (O 1 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 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 up
above-mentioned property for inspection purposes.
Date: �� Signature (Applicant or Agent):
'
Date: 5/10/2017
Application Number: BMCH2017-0175
Owner:
Property Address: 52660 EISENHOWER DR
CATHERINE SEVIER
APN: 773301011
52660 EISENHOWER DR
Application Description: SEVIER RESIDENCE / HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $10,000.00
Applicant:
Contractor:
NEXGEN AIR CONDITIONING AND HEATING INC
NEXGEN AIR CONDITIONING AND HEATING INC
700 N VALLEY ST STE K
700 N VALLEY ST STE K
ANAHEIM, CA 92801 _
ANAHEIM, CA 92801
(714)710-3947
----------------------------------------------------------------------------------------------
Llc. No.: 1011173
Detail: HVAC CHANGE OUT - 14 SEER/80AFUE PACKAGED SYSTEM. (8) DUCTS.
CARBON MONOXIDE ALARM(S) TO, BE INSTALLED PRIOR TO FINAL
.INSPECTION. 2016 CALIFORNIA BUILDING CODES.
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FINANCIAL
DESCRIPTION
INFORMATION
ACCOUNT QTY AMOUNT
BSAS SB1473 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
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Iain ff'
I'ity of La Qu«nta
Building 9 Safety Division
Permit #.. - 78-495 Calle Tampico
La Quinta,•CA 92253 - (760) 777-701:2
Building Permit Application and Tracking Sheet
Project Address: ,�Z`(p '�,�� � 4� Owner's Name:
A. P. Number:
Address: S Z C-
Legal Description:
City, ST, Zip: Lam. �e/:b. • 4 2_
Contractor: L C fti tN wT
T le o
l honcSi � ' Z s
Address: -7 b0 . Irl 4ILL,
Project Description:
City, ST, Zip:
Telephone: 71 l . f.
Z I
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State Lic.
City Lic.
Arch., Engr., Designer:
Address:
City, ST, Zip:.
Telephone,
e one:
Con T Construction Occupancy:
o e: O u Y•
Y P
P
,.
Slate L ic. # •
Project type (circle one • New Add'n Alter r ReP atr• Demo
0
Name of Contact Person:Sq.
Ft.:
#Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact I crson
Plan Check Balance. -
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'd Review, ready for corrections/issue
Electrical ,
Subcontactor.List
Called Contact Person
Plumbing
Grant Dced
Plans picked up
S.M.I.
II.0.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.1.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-1HVAC)
Project Name:
52660 Eisenhower Dr I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3)
2017-05-05
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
CHR -ALT -02 document for each dwelling unit.
01
Project Name
52660 Eisenhower Dr
02
Date Prepared
2017-05-05
03
Project Location
52660 Eisenhower Dr
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
Main
Identification or
Location or Area
by this SC
ducted
containing
07
Zip Code
t'c_
92253 {�
08 '
Dwelling Unit Conditioned
1209
Served
System (ft)
M
component?
Floor Area (ft2)
feet of ducts?
duct system?
SC system?
Alteration Type
Number of Space
09
Climate Zone
15
` 10
Conditioning (SC) Systems in
1
Altered space
System 1
e
1209
this Dwelling Unit:
Yes
B. Space Conditioning (SC) System Information,
01
02
03
04 L�
U 05 k,4
0-6°4
07
08
09
10
SC System
SC System
CFA served
Is the SC .
.�
systema
Installing a
, .i r.01%1, ,-'r
refrigerant
a 1r°, '1 I- ., r tk
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?
Alteration Type
Altered space
System 1
Main
1209
Yes
Yes
Yes
Yes
No
No
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib)
This section does not apply to this project.
Registration Number: 417-A020092483A-000-000-0000000-0000
Registration Date/Time: 2017-05-05 11:52:35
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-05 11:52:37
Schema.Version: rev 10/16
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
All new
Central
All new
Greater than
System 1
packaged HP
heating
HSPF
8
packaged AC
cooling
SEER
14
Setback
40 feet
R-8
components
components
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 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
CF2R and CF3R-MCH-20-H - 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. il, ' J.- i - ,
CF2R and MR -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.
E. EntirelyNew or Complete Replacement Duct System, with or'wit`hout Equipment Chan eout Sections 150.2 b lDiia and 150.2 b 1E F)
P P Yg ( () O,
'This°section clogs 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: 417-A020092483A-000-000-0000000-0000
Registration Date/Time: 2017-05-05 11:52:35
HERS Provider: CHEERS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.005 Report Generated: 2017-05-05 11:52:37
Schema Version: rev 10/16
LE
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:
Ismael Valdez
Company:
Signature Date:
NexGen Air Conditioning and Heating
2017-05-05
Address:
CEA/ HERS Certification Identification (if applicable):
700 N. Valley Street, Suite K
City/State/Zip:
" "
Phone:
Anaheim CA 92801
657.208-1987
Responsible Person's Declaration statement +_
I certify the following under penalty of perjury, under the laws of the State of California: e ' ' "
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 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 fonapproval with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made'iavailable with the building pe�mit(s),issued for the building, and made available to the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compliance is required to be included 5Mt the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
t.lj"ffi,,` i.tt" r Lr' �
Responsible Designer Signature:
. v4: -it v %vt:;r.i,y
Ismael Valdez
Company:
Date Signed:
NexGen Air Conditioning and Heating
2017-05-05
Address:
License:
700 N. Valley Street, Suite K
1011173
City/State/Zip:
Phone:
Anaheim CA 92801
657-208-1987
Digitally signed by CHEERS•"'. 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-A020092483A-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Registration Date/Time: 2017-05-05 11:52:35
Report Version: 2016.1.005
Schema Version: rev 10/16
HERS Provider: CHEERS
Report Generated: 2017-05-05 11:52:37