BMCH2015-036978-495 CALLE TAMPICO D. D aw VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
CO UNITY D ELO DEPARTMENT
- - D INSPECTIONS (760) 777-7153
BUI IN IT
Date: 9/29/2015
Application Number: BMCH2O15-0369 SEP 2 9 2015 Owner:
Property Address: 79886 INDEPEND NCE Y DOUGLAS GEE
APN: 604501025 79886 INDEPENDENCE WY
Application Description: GEE RESIDENCE / VAC CHANabof LA QUINTA LA QUINTA, CA 92253
Property zoning: COMMUNITY DEVELOPMENT DEPARTMENT
Application Valuation: $8,000.00
l
Applicant:
Contractor:
ALL DAY HEATING & COOLING
ALL DAY HEATINC & COOLING
82578 PISA CT
82578 PISA CT
INDIO, CA 92203
INDIO, CA 92203
(760)834-1064
Llc. No.: 954337
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.: 954337
Date: Ilk at// 5 '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 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).:
( 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.).
( 11, 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:
WORKER'S COMPENSAT ON DECLARATION
I hereby affirm under penalty of perjury one ot'the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 370C 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 insurana2 carrier and policy number are:
Carrier: Policy Number: _
I certify that in the performance of -he 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 3 700 of the L or Code, I shall forthwith
comply with those provisions.
Date: Z°C I S Applicant:
WARNING: FAILURE TO SECURE WORKERS' COM PENSATIO COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMI"'%L 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 perform �d under or pursuant to any permit
issued as a result of this application , the ownea, 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 tme work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this applic: tion 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 rel ting to tluilding
construction, and hereby authorize representavives of this city o enter pon e
above-mentioned property for inspection purposes.
Date: ti� L� Signature (Applicant or Agen
i.
Description: GEE RESIDENCE /HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED Applied: 9/29/2015 MFA
Parcel No: 604501025 Site Address: 79886 INDEPENDENCE WAY LA QUINTA,CA 92253 Approved: 9/29/2015 MFA
Subdivision: TR 24197-3 Block: Lot: 6 Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $8,000.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites -_0
Details: HVAC CHANGE OUT -15 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Applied to Approved
ADDITIONAL
Printed: Tuesday, September 29, 2015 9:56:59 AM 1 of 2 r
SYS7EAAS
INSPECTIONS
PARENT PROJECTS
............ .
BOND INFORMATION
ATTACHMENTS
Printed: Tuesday, September 29, 2015 9:56:59 AM 2 of 2
SYSTEMS
---
CLTD
DESCRIPTION
' ACCOUNT
_.
QTY
AMOUNT•
PAID
a
PAID DATE
RECEIPT #
CHECK #
_
METHOD
PAID SY
BY
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:• 00
INSPECTIONS
PARENT PROJECTS
............ .
BOND INFORMATION
ATTACHMENTS
Printed: Tuesday, September 29, 2015 9:56:59 AM 2 of 2
SYSTEMS
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-1R-ALT-
Project-Name:
F-1R-ALT•
Project Name:
79-886 Independence Way I Date Prepared:
CF1R-ALT-02-E
(Page 1 of 3 )
2015-09-29
A. General Information
MR -ALT -02 is applicable to multiple space conditioning system
contained within a single dwelling unit. When multiple dwelling units must be documented,
use one CF1R-ALT 02 document for each dwelling unit.
02
01
Project Name
79-886 Independence Way
06
02
Date Prepared
2015-09-29
03
Project Location
79-886 Independence Way
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
79-886 Independence Way
07
Zip Code
I
92253
08
Dwelling Unit Conditioned
1950
SC System
;
CFA served
Floor Area (ft2)
refrigerant `
;Installing new":SC-
Install�in`g l
I
= RInstalling
Number of space conditioning
Identification or
09
Climate Zone
15
10
(SC) systems in this dwelling
1
entirely new
entirely new
Name
unit.
System (ft2)
fit
B. Space Conditioning (SC) System Information
01
02
03�
04;�
II ;05
06
' ° 07"
q 08
09
10
§ Is the SC`s
Installing a
b
{ •- �
o a
SC System
SC System
CFA served
system a
refrigerant `
;Installing new":SC-
Install�in`g l
installing
= RInstalling
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 ducts?
duct system?
SC system?
Alteration Type
System 1
whole home
1950
Yes
Yes
Yes
No.
No
No
Altered space
conditioning system
k
Registration Number: 215-A6340718A-000000000-0000 Registration Date/Time: 2015-09-29 07:01:43
CA Building Energy Efficiency Standards - 2013 Residential Compliance i Report Version: 2013-1.006
HERS Provider: CaICERTS
Report Generated: 2015-09-29 07:01:46
CERTIFICATE OF COMPLIANCE I CF1R-ALT-02-E
i
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 ).
D. Altered Space Conditioning System (Sections 150.2(b)1E andl
F)
O1
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 i
System Type
Components
Type
Value
Type
Duct Length
R -Value
Central gas
All new
I
1
Central split
All new
Less than or
System 1
furnace
heating
AFUE
80
AC
cooling
SEER
15
Setback
equal to 40
R-8
components
components
feet
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF311-MCH-20-H — Duct Leakage testing 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: 515%, ors 10% leakage to outside, or seal all accessible leaks l
CF211-MCH-25-H & 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 z 300 CFM/ton required when MCH -25 is required.
Exceptions: I1'
-Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage sting requirements. b ,
-Heating-only systems and Air Handler/Furnace changes do not require verification of AIrFlow MCH 23 or r&i erarit Charge MECH 25.,
} f
-Existing duct systems constructed, insulated or sealed with asbestos are exemptifrom MCH=20 Duct Leakage Testing IF _regui�emerits. r
,� ,��-$ �:.....o:.,l .;�- � r.,: �:•.,:.., c.:s,.,... _. :{.. -.,. fir....,..-� 'y .-. -:�::.w .k-,
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(ib)iDiia-and 150.2(b)1E, F)
This section does not apply to this project.
I
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
Thisisection does not apply to this project.
Registration Number: 215-A6340718A-000000000-0000 Registration Date/Time: 2015-09-29.07:01:43 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2015-09-29 07:01:46
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -1R -AL
CF111-ALT-02-E
(Page 3 of 3 )
Documentation Author's Declaration Statement
i.
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
SANCHEZ, MIGUEL
I
I' r '�"�►>
Company: (
Signature Date:
MIGUEL SANCHEZ
2015-09-29 07:01:43
Address:
CEA/ HERS Certification Identification (if applicable):
83947 Moonlit Drive
City/State/Zip:
Phone:
Coachella CA 92236
760-834-1064
Responsible Person's Declaration statement
I certify the following under penalty of perjury, under the laws of the State of California: I
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 6sponsibility for the building design or system design identified on this Certificate of Compliance (responsible designer).
I
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 ItegulatioI O. i l
—
4. The building design features or system design features identified ori this Certificate of Compliance are consistent with,the information provided ori other applicabl ompliance documents, worksheets,
ss 1 y.,r rr.t,; g -x a
calculations, plans and specifications submitted to the enforcement:agency for, approval;with this building permit application. f
:
S. I will ensure that a registered copy of this Certificate of Compliance shill-be.made.available'with'the building permit(s).issued for the.I wilding, and,ma4' available to_the enforcement agency for all applicable
inspections. I understand that a registered copy of this Certificate of Compinancexis,required to be,included with the,documentation,the builder provides to the building owner at occupancy.
Responsible Designer Name: f '� � �-�^
ResponSlble Designer Signature:
SANCHEZ, MIGUEL C
Company:
Date Signed:
MIGUEL SANCHEZ
2015-09-29 07:01:43
Address:
License:
83947 Moonlit Drive !
954337
City/State/Zip:
Phone:
Coachella CA 92236 i
760-834-1064
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure I the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 215-A634071SA-000000000-0000 Registration Date/Time: 2015-09-29 07:01:43 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance I Report Version: 2013-1.006 Report Generated: 2015-09-29 07:01:46
Bin #city of La Quinta
Building 8t• Safety Division
Permit #{ 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-70.12
Building Permit Application and Tracking Sheet
Project Address q—$g(. Owner's Name:,Dv--)
A. P. Number:
Address: q_� v� c ,loc ` e-.�•.a
Legal Description:
City, ST, Zip: �, ZZ�
ntra
Co ct r
o. c o
•.b � o
3
T elePhone:
Wm. WN
Address: �J
Project Description:
City, ST, Zip: 1 �-z'� v
q a -a-03
lLc c�oz �G A• �L Cb*eC7�%•o
TeleP he:
o a7 O
J
State Lie. #
City Lie. #.-
;Arch.,
Arch.,Engr., Designer:
Address:
City, ST, Zip:
Telephone:
�
n cti Co stru on Type: Occupancy:
P y.
State #•
Lie.
r
Demo Project tYPa (circle one • New Add'
Repair
Name of Contact Person: ,
S."•.� G
Sq. Ft.:hetj
# Stories:
#Units:
Telephone # of Contact Pers n: ^� 6� 3`{_ t tJ
Estimated Value of Project: t oat • ''
APPLICANT: DO NOT WRITE BELOW THIS LINE
t!
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Depos.a
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
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.
Ii.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
Review, ready for correctionstissue
Developer Impact Fee,
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
'School Fees,
Total Permit Fees
^C—