BMCH2017-035978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O17-0359
Tiot 4lie
DESIGN & DEVELOPMENT DEPARTMENT '
BUILDING PERMIT
Property Address: 54575 AVENIDA MADERO
APN: 774261004
Application Description: MCINTYRE RESIDENCE / HVA rHA�NGE OUT
Property Zoning: �
Application Valuation: $3,200.00
Applicant: ~U l 20
J ANTHONY PLUMBING HEATING & AIR CONDITI72216 NORTH SHOE ST #11
THOUSAND PALMSRCA 92206 ' D�SIGNANDG
ti -
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.: 777794
Date: 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 Na
Lender's Add
VOICE (760) 777-7125 -
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/16/2017
Owner:
MIKE MCINTYRE
54575 AVENIDA MADERO
LA'QUINTA, CA 9.2253
Contractor:
J ANTHONY PLUMBING HEATING & AIR CONDITI
72216 NORTH SHORE ST #1101
THOUSAND PALMS, CA 92276
(760)328-8096
Llc. No.: 777794
WORKER'S COMPENSAMON DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificat-_� 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 insuranca carrier and policy number are-.
Carrier: MIDWEST EMPLOYERS CASUALTY COMPANY Policy Number:
BNUWC0135300
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 3s to become subject to the workers'
compensation laws of California, and agree thst, if I should become subject to the
workers' compensation provisions of Section 370 of the Labor Code, I shall forthwith
comply with those provisions.
Date: Applicant: �/1
WARNING: FAILURE TO SECURE WORKERS' COLA PENSATI ON COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,00,)). 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 &e 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 abo a information is correct.
I agree to comply with all city and county ordinances and sta laws relating to building
construction, and hereby authorize representatives of th' . to enter upon the
aboveVeioned roperty for inspection purposes.Date^ Signature_(Applicant or A Int
Date: 8/16/2017
Application Number: BMCH2017-0359
Owner:
Property Address:. 54575.AVENIDA MADERO
MIKE MCINTYRE'
APN: 774261004
54575 AVENIDA MADERO
Application Description: MCINTYRE RESIDENCE / HVAC CHANGE OUT
LA QUINTA, CA 52253
Property Zoning:
Application Valuation: $3,200.00
Applicant:
Contractor:
J ANTHONY PLUMBING HEATING & AIR CONDITI
J ANTHONY PLUMBING HEATING & AIR CONDITI
72216 NORTH SHORE ST ##101
72216 NORTH SHORE ST #f101
THOUSAND PALMS, CA 92276 •
THOUSAND PALMS, CA 92276
(760)328-8096
Llc. No.: 777794
Detail: HVAC CHANGE OUT - 14 SEER/80AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
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 - SPLIT -SYSTEM
101-0000-42402
0
$76.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$38.00
Total Paid for CHANGEOUT: $114.00
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 Q urn is
Building 8i- Safety Division
Permit #; 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
Project Address: 5(.( 57 j //��,,,, ���� ` AA 1 9, o
/'I(/Y/� � Owner's ►U'i-
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Address: J ANTHONY SERVICES
City, ST, Zip: THOUSAND PALMS, CA 92276
hone:
Telephone:
Project Description:
.
Telephone: a.
`% 3 .3 Z
:
e
State Lic. # : ��
City Lie. #..:
Arch.,'Engr., Designer:
Address: .T
City, ST, Zip:
Telephone:
h one:
Construction s on T e:
YP Occupancy:
to
S toi .
L c #:
Project tYPa circle ne • New Add'n Alter Repair. r 'Dem 0
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: '3 �D
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT 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'a Review, ready for corrcctions/issue
Electrical .
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
''°. Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks_ Appr
Date of permit issue
School Fees,
Total Permit Fees
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3)
Project Name: MCINTYRE Date Prepared: 2017-08-16
A. General Information
CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must hp dnrnmPntarl iita nna
CF1R-ALT-02 document for each dwelling unit.
01
Project Name
MCINTYRE
02
Date Prepared
2017-08-16
03
Project Location
54575 AVENIDA MADERO
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
MCINTYRE
Dwelling Unit Conditioned .
M
Installing aX
07
Zip Code
92253
08
Floor Area Z
2000
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 Information
_ ... ).
01
02
03
k 04
'�� '.
OS'
:..;.:
06
07
08
09'
10
'" Is the SG
M
Installing aX
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? Jfeet
of ducts?
duct system?
SC system?
Alteration Type
Altered space
FSystem 1
Location 1
2000
Yes
Yes
Yes
No
No
No
conditioning system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 217-A020280343A-000-000-0000000-0000 Registration Date/Time: 2017-08-16 09:53:22 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-16 09:54:04
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
it
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
No heating
This field or
This field or
Central split
Outdoor
This field or
This field or
System 1
furnace
component
section is not
section is not
AC
condensing
SEER
14
Setback
section is not
section is not
altered
applicable
applicable
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 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 oytsicle or seal all accessible leaks.
CF211 and CF3R-MCH-25-H Refrigerant Charge verification; .required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
300 CFM er ton required when,MCH-25.is required.
CF2R and CF.3R MCH -23 Airflow Rate >=;300 p
Exceptions:
Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements ,
n�Wg ✓4'�x �- r�k a�
Air Handler Furnace do Air Flow MCH'23, Mrrigeii t Charge MCH 25
v'
Heating -only systems and changes not regwre`verification of or
$
-Existing duct systems constructed, insulated or seal'e`d with asbestos_are exempt;from MCH 20 DucE:Leakage Testutg re,Gwrements P +s
1w w�
b
:Yt1Pa ?i. d„n _rt .:r
NO - :✓F. h .t .v..:. ':, :.'i
E. Entirely New or Complete Replacement Duct System, with or wY ithouat,Equipment Changeout .(Se+,ctio{ns,150 2(b)lDna and 1$0.2(b)lE, F)
y`�
.-.4 '. •F•r 9. +i :eT.. 8.F' .� n' x.'.r". N"'�i$.
This section does 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: 217-A020280343A-000-000-0000000-0000 Registration Date/Time: 2017-08-16 09:53:22 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 Report Generated: 2017-08-16 09:54:04
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-lR-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:0
/
Robinson, Kevin
/�B!/G!!i%kGtLOBsI/
Company:
Signature Date:
J ANTHONY PLUMBING HEATING & AIR CONDITIONING
2017-08-16 09:53:22
Address:
CEA/ HERS Certification Identification (if applicable):
72216 NORTH SHORE ST #101
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
1760-343-2121
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 Cahforriia Code of Regulations.tr
t
4. The building design features or system design features identified on this Certific a 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 applicatiw 0 ; i
5. I will ensure that a registered copy of thi;.Certificate of Compliance shall be made a_vaila6le with:,the build ng permit(s);issued for the;building, and'made available to the enforcement agency for all applicable
inspections. I understand that a registeFed copy of this Certificate of Compliance is:required to be.,included the,documentation1the builder provides to.the building owner at occupancy.
with
Responsible Designer Name:''y R•= �i -,'
Respons"ible Designer Signafiire:/9
Robinson, Kevin
/�P�/G1(/ /�G1Ladsli
Company:
Date Signed:
J ANTHONY PLUMBING HEATING & AIR CONDITIONING
2017-08-16 09:53:22
Address:
License:
72216 NORTH SHORE ST #101
777794
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-343-2121
Easy to Verify
C�
at CaICERTS.com
W�,*
Digitally signedby Ca10ERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility f
the accuracyof the inforr
Registration Number: 217-A020280343A-000-000-0000000-0000
Registration Date/Time
2017-08-16 09:53:22
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2016.1.006 ReportGenerated: 2017-08-16 09:54:04