BMCH2017-037578-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&t!t 4 4 Qubtz
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O17-0375
Property Address: 78780 LOWE DR
APN: 604232037
Application Description: GETZELMAN RESIDENCE/ HVAC
Property Zoning:
Application Valuation: $4,800.00
Applicant:
J ANTHONY PLUMBING HEATING & AIR CONDITI
72216 NORTH SHORE•ST#101
THOUSAND PALMS, CA 92276
AUG 2 8 2017
CITY OF•LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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 Cl ss: C 0 C36 License No.: 7 9
Date: v 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).:
(_) 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: 8/28/2017
Owner:
KEVIN GETZELMAN
78780 LOWE DR
LA QUINTA, CA 52253
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 certifica; a of consent to self -insure for workers'
compensation, as provided for by Section 370 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 perfo•mance of the work for which this permit
is issued. My workers' compensation insuran:e carrier and policy number are:
Carrier: MIDWEST EMPLOYERS CASUALTY COMPANY Policy Number:
BNU WC0135300
I certify that in the performance of the work for which this permit is issued, I
shall not'employ any person in any manner sc as to become subject to the workers'
compensation laws of California, and agree tI pt, if I should become subject to the
workers' compensation provisions of Section 700 of the Labor Code, I shall forthwith
comply wi thos provisions.
Date: 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 ACKNC'WLEDGEMENT
IMPORTANT: Application is hereby made to tae 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 perforned 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 : he work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this appleation 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 sate that the above information is correct.
I agree to comply with all city and county ord:nances and stat laws relating to building
construction, and hereby authorize represent3tives.of this it to enter upon the
above- ion/ property for inspection purposes.
Date: Signature (Applicarx or Agent) i
Date: 8/28/2017
Applicant: Contractor:
J ANTHONY PLUMBING HEATING & AIR CONDITI 1 ANTHONY PLUMBING HEATING & AIR CONDITI
72216 NORTH SHORE ST #t101' 72216 NORTH SHORE ST ##101
THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276
(760)328-8096
Llc. No.: 777794
-------------------------------------------------- -----------------------------------------
Detail: COIL AND CONDENSER CHANGE OUT- 14 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2016 CALIFORNIA BUILDING CODES.
l
Application Number:
BMCH2017-0375
Owner:
Property Address:
78780 LOWE DR
KEVIN GETZELMAN
APN:
604232037
78780 LOWE DR
Application Description:
GETZELMAN RESIDENCE / HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$4,800.00
Date: 8/28/2017
Applicant: Contractor:
J ANTHONY PLUMBING HEATING & AIR CONDITI 1 ANTHONY PLUMBING HEATING & AIR CONDITI
72216 NORTH SHORE ST #t101' 72216 NORTH SHORE ST ##101
THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276
(760)328-8096
Llc. No.: 777794
-------------------------------------------------- -----------------------------------------
Detail: COIL AND CONDENSER CHANGE OUT- 14 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2016 CALIFORNIA BUILDING CODES.
l
FINANCIAL INFORMATION
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
HVAC CHANGEOUT - CONDENSER ONLY
101-0000-42402
0
$38.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - CONDENSER ONLY PC
101-0000-42600
0
$25.33
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42402
0
$12.67
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - REPAIR/ALTERATION PC
101-0000-42600
0
$5.07
Total Paid for CHANGEOUT: $81.07
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
IOTALS: $183.34
s
S
1
Bin f#.
na
City of l�Qul'
Building 8t Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
Gp cv e Owner's Name: �jfG�f o% P�ZeL/Lt
Permit ##
Project Address: 75;' %�V
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: J ANTHONY SERVICES'
Telephone:
Address: 72216 NORTH SH
TROLISAND PALMS- CA 76
Project Description::
,e p Ir`. � `C Td Gv
City- ST, Zip:
Telephone:
A � L
C N S r'l..
State Lic. #
City Lie
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone.'
one:
Construction n TYPe: Occupancy:cY
:
Sta toi
Lc.#.
Project type (circle rcle one • New Ad d'n Alter Repair. Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
li Submittal Req'd Rcc'd TRACKING FERMIT 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
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Reviciv, ready for corrections/issue
Electrical .
Subcontaetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L.
Ii.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'rd Rcvicw, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Ms. Appr
Date of permit issue
School Fees,
I
Total Permit Fps
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3)
Project Name: GETZELMAN Date Prepared: 2017-08-28
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
CF111-ALT-02 document for each dwelling unit.
01
Project Name
GETZELMAN
02
Date Prepared
2017-08-28
03
Project Location
78780 LOWE DR
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
GETZELMAN
Dwelling Unit Conditioned
Installi g°a
07
Zip Code
92253
08
2
Floor Area (ft)
1600
SC System
CFA served
system a
refrigerant
Number of Space
Installing
09
Climate Zone
15. -
10
Conditioning (SC) Systems in
1
ducted
containing
system
more than 40
this Dwelling Unit:
entirely new
B. Space Conditioning (SC) System Informationk f IN"
.> .
01
02
03
- 04
05
0.6 r
�.... ::d
07
4.E 4.�
08
q. a
09
10
4.
"Is the SCS
Installi g°a
f
M
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 (ftz)
system?
component?
components?
feet of ducts?
duct 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)iDiib)
This section does not apply to this project.
Registration Number: 217-A020294814A-000-000-0000000-0000 Registration Date/Time: 2017-08-28 10:08:19 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-28 10:08:33
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
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
Central split
Outdoor
This field or
This field or
System 1
Indoor coil
AFUE
81
AC
condensing
SEER
14
Setback
section is not
section is not
furnace
unit
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems
- Duct insulation requirement for the new portions of supply -air and return -air duds or plenums: R6 (CZ 1-10, 12 and 13) and R8 (CZ 11 and 14-16)
CF211 and CF3R-MCH-20-H - Dud Leakage Test required when heating or cooling components are installed in ducted systems, or when more than 40 ft of dud length is replaced
-Leakage rate compliance: <= 15% or <= 10% leakage to outside; or seal all accessible leaks.
CF2R and CF3R-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 penton 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 MCHt2 3 or Refrigerant Cha' ge MCH"25 <,
-Existing ducts stems constructed, insulated or sealed with asbestos are exem tfrom M
g y p- CW Dud?LeakageTestmgjegwremertts.
E. Entirely New or Complete Replacement Duct -System, with or without Equipment Changeout (Sections 150.2(b)1Diia and 150.2(b)lE, F)
1 l f to
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)lC)
This section does not apply to this project.
Registration Number: 217-A020294814A-000-000-0000000-0000
Registration Date/Time:
2017-08-28 10:08:19
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-28 10:08:33
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. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
���
Robinson, Kevin
Company:
Signature Date:
J ANTHONY PLUMBING HEATING & AIR CONDITIONING
2017-08-28 10:08:19
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 statement
I certify the following under penalty of perjury, under the laws of the State of California:
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 R�la�tl°ons. r
4. The building design features or system design features identified ori this Certificate of Compliance are coonssistent wrththe information,provided on otherrapplicable compliance documents, worksheets,
building application. ¢�1] J$$
calculations, plans and specifications submitted to the enforcement0 for approvaLwittA this permit
V,yagency
5. 1 will ensure that a registered copy of this Certificate of:Cpmpliance shall befid with the bmtdingpermit(s) sued for e- budding, and made available towthe.enforcement agency for all applicable
inspections. I understand that a registered copy of this•Certficate of Com plianc eis required to be. included with the. documentation the builder provides to..the building owner at occupancy.
Responsible Designer Name: � s f"8 .; l
Responsible Designer signature: V t � .
Robinson, Kevin
Company:
Date Signed:
J ANTHONY PLUMBING HEATING & AIR CONDITIONING
2017-08-28 10:08:19
Address:
License:
72216 NORTH SHORE ST #101
777794
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-343-2121
Easy to Verify O, Q
at CaICERTS.com LUOL
"`
Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies
a
Registration Provider responsibility for the accuracy of the information.
Registration Number: 217-A020294814A-000-000-0000000-0000
Registration Date/Time: 2017-08-28 10:08:19
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-28 10:08:33
Schema Version: rev 10/16