BMCH2017-026878-495 GALLE TAMPICO
aw
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BMCH2O17-0268 Owner:
Property Address: 55775 PEBBLE. BEACH PEBBLE BI
APN: 775170014 55775 PEI
Application Description: PEBBLE BEACH ASSETS, LLC / (4) HVAC CHANGE OUT LA QUINT
Property Zoning:
Application Valuation: $20,000.00.
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
` Date 6/28/2017
CH ASSETMLL2 8 2057
LE BEAC� !v / IM
CA t9325t31Tv OF LA WN T A
COMMUNITY DEVELOPMENT DEPARTMENT
Applicant:'
Contractor:
SPEEDY AIR CONDITIONING
SPEEDY AIR CONDITIONING
54685 AVENIDA HERRERA
54685 AVENIDA HERRERA
LA QUINTA, CA 92253
LA QUINTA, CA 92253
(760)567-0133
LIC. No.: 834471
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: C20 License No.: 834471
Date: (D ' �z�` 17 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:
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: STATE COMPENSATION INSURANCE FUND Policy Number: 9051534
_ 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 Code, I shall forthwith
comply with those provisions.
Dater Applicant: o <.
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 thivapplication , 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 upon the
above-mentioned property for inspection purposes. JJ
Date: LP Signature (Applicant or Agent):
Date: 6/28/2017
Application Number: BMCH2017-0268
Owner:
Property Address: 55775 PEBBLE BEACH
PEBBLE BEACH ASSETS, LLC
APN: 775170014
55775 PEBBLE BEACH
Application Description: PEBBLE BEACH ASSETS, LLC / (4) HVAC CHANGE OUT
LA QUINTA, CA 92253 .
Property Zoning: .
Application Valuation: $20,000.00
Applicant:
Contractor:
SPEEDY AIR CONDITIONING
SPEEDY AIR CONDITIONING
54685 AVENIDA HERRERA
54685 AVENIDA HERRERA
LA QUINTA, CA 92253
LA QUINTA, CA 92253
(760)567-0133
---------------------------------------------------------------------------------------------
Llc. No.: 834471
Detail: (4) HVAC CHANGE OUTS - 14 SEER/81AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S)
TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016
CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION 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 - SPLIT-SYSTEM
101-0000-42402
0
$304.00 .
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT-SYSTEM PC
101-0000-42600
0
$152.00
Total Paid for CHANGEOUT: $456.00
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
Bin ;</
y
City ofC u11
d • -
i
.
,.
r Building SZ Safety Division
Permit #
78-495 Calle Tampico
' - La .Quinta; CA 92253 - (760) .777-701,2
Building Permit Application and Tracking Sheet
Project Address:
Owner's Name:
t
A. P. Number:
Address: S
1
Legal Description:City,
ST, Zip: �
Contractor:
P
Telephone: h
on c: 0 C9
Address:
'W7 "
Project Description:
City, ST, Zip:
7 7
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;
Telephone: e
P 7 D -O
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State Lic. # : EEL
City Lie. #.-
-
Arch., Engr., Designer:
Address:
.City, ST, Zip:
✓
-
Telephone:
Con aneY
structi n Type: Occupancy:
•
_
State ./<
Ltc
Project nPe circle one • New Add n Alter Repair. Demo.
0
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units: ;
Telephone # of Contact Person:
Estimated Value of Project: 20 dam.
APPLICANT: DO NOT WRITE BELOW THIS LINE
H
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Chcck submitted
Item
°
Amount
-
Structural Calcs.
Reviewed, ready for corrections
Plait Chcck 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"' Review, ready for corrections/issue
Electrical
Subcontact'or List,-
Called Contact Person
Plumbing
Grant Deed
'Plans picked up
II.O.A. Approval
Plaits resubmitted
Grading
IN IiOUSE:- •
" Review, ready for corrections/issue
Developer Impact Fee '
Planning Approval-
Called Contact Person
A.I.P.P.
Pub. IYks. Appr
Date of permit issue
School Fees,
t
-
• r
Total Permit Fees .,
r
i
.
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
I Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC) (Pagel of 4) I
Project Name: 55775 Pebble Beach ( Date Prepared: 2017-06-21
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
CF1R-ALT 02 document for each dwelling unit.
01
Project Name
55775 Pebble Beach
02
Date Prepared
2017-06-21
03
Project Location
55775 Pebble Beach
04
Building Type
Single family.
05
CA City
La Quinta
06
Dwelling Unit Name
55775 Pebble Beach
07
Zip Code
92253
08
Dwelling Unit Conditioned
4636
Installing new SC
Installing
Installing
Installing
Floor Area (ft2)
Identification or
Location or Area
by this SC
ducted
containing
Number of Space
more than 40
09
Climate Zone
15
30
Conditioning (SC) Systems in
4
system?
component?
components?
feet of ducts?
this Dwelling Unit:
SC system?
r — — S r _ . r s -�' .__I ..•—.- r", a s
B. Space Conditioning (SC) System Information
01
02
03*,
�1 04
05
06 �..
07 .� ��
X08
09
10
""I's the SC'
Ihstalling_a
r,- rN
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 ducts?
duct system?
SC system?
Alteration Type
5 ton
Location 1
2000
Yes
Yes
Yes
No
No
No
Altered space
.conditioning system
3 ton # 1
Location 2
878
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
3 ton # 2
Location 3
878
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
3 ton # 3
Location 4
879
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
Registration Number: 217-A020211548A-000-000-0000000-0000
Registration Date/Time:
2017-06-21 14;44;37
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Verslon; 20161,005 Reoort Generated: 2017-06-21 14:43:45
CERTIFICATE OF COMPLIANCE
CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 4)
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
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 _
Dud Length
R -Value
Central gas
All new
Central split
All new
Less than or
5 ton
furnace
heating
AFUE
81
AC
cooling
SEER
14
Setback
equal to 40
R-8
components
components
feet
3 ton # 1
Central gas
furnace
All new
heating
AFUE
81
Central split
All new
cooling
cooling
SEER
14
Setback
Less than or
equal to 40
R-8
components
AC
� �
, components;
� �.�. ,-� ,�,..,.,.
�
feet
3 ton # 2
Central as
g
fu
All new
heating
AFUEI81
i
I I 1
Central•split
+
ZAll: new _
r -�
y
'�
t °�
. SEER
<
14
.r
Setback
Less than or
equal to 40
R 8
components
.E•
AC
lcooling;
s f
componerits
4- -'
feet
Central gas
All new
#---
�"Cent�ral
splits
All new`..
'"
Less than or
3 ton # 3
furnace
heating
AFUE
81
AC
cooling
SEER
14
Setback
equal to 40
R-8
components
components
feet
Reauired 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 1-30, 12 and 13) and RS (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.
CF211 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 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.
Registration Number: 217-A020211548A-000-000-0000000-0000
Registration Pate/Time: 2017.06-21 14:44:37
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version; 2016,1,005 Rpnnrtr;pnpratpri• 7r117-nr-71 1 n•nQ•n1Z
CERTIFICATE OF COMPLIANCE
CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 of 4)
E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, F)
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.
lit '114qx co
' ER
Registration Number: 217-A020211548A-000-000-0000000-0000 Registration Pate/Time: 2017.06-21 14:44:37 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Verslon: 2016,1,005 Rannrt r anarntnrl• Ini-7_nc_11 , A.AO•AC
CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 4 of 4)
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
TORRES, DANIEL
Company:
Signature Date:
SPEEDY AIR CONDITIONING
2017-06-21 14:44:37
Address:
CEA/ HERS Certification Identification (if applicable):
54-685 AVENIDA HERRERA
City/State/Zip:
Phone:
LA QUINTA CA 92253
760-567-0133
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_ or. system design identified on this Certificate of Compliance conform to the
_design
requirements of Title 24, Part 1 and Part 6 of the California Code of R ul"ations.
4. The building design features or system design features identified ony this Certificate ?fcompliance are�consistent with the information provided on othe 'applicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approvallwit this building per itt ap, lication, e aa ¢`
F p t . �� Pt 'I 5`f ) {
5. I will ensure that a registered copy of this Certificate of Compliance shall; be made'availa.ble withthe building permit(s) issued for-'thg; builc�i�g and_rimade available totheenforcement agency for all applicable
inspections. I understand that a registered copy of this Cert fi_ Cate of compliance,Jsrequjred to be;included wlLh the,d9cumerlt4ation�the4buil er proy des tq the building owner at occupancy.
Responsible Designer Name: i
TORRES, DANIEL
Responsible DeQner Signature: V r7� IL. �,Wj ��Jr—��••�/
�cIC��U
oCJ�TIV YcY( �oC
Company:
Date Signed:
SPEEDY AIR CONDITIONING
2017-06-21 14:44:37
Address:
License:
54-685 AVENIDA HERRERA
834471
City/State/Zip:
Phone:
LA QUINTA CA 92253
760-567-0133
IM
Easy to Verify aa,.
at CaICERTS.00m
Digitally signed by Ca/CERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibilityf
_
the accuracy of the inforr
Registration Number: 217-A020211548A-000-000-0000000-0000
Registration Date/Time:
2017.06-21 14;44.37
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards -2016 Residential Compliance Report Version; 2016.1.006 RPnnrtrPnPratarl' 7M7 -(1F_71 ,n•n�•�c