BMCH2019-010178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
T4t�p 4 4v QuIR&
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
MECHANICAL/
BMCH2O19-0101
60343 POINSETTIA PL PL
764370021
MASSEY / HVAC CHANGE OUT - 18SEER/80AFUE SPLIT SYSTEM
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
ELDEN MASSEY
60343 POINSETTIA PLACE
LA QU I NTA, CA 92253
f{ Contractor:
r-ij
I VIC'S AIR CONDITIONING INC
P 0 BOX 215
APR 0 3 2019 THOUSSAND PALMS, CA 92276
CITY OF LA QUINTA (760)343-5033
DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 756658
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: C20 License No.: 7
1
D#1: 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.).
(_) 1, 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:
Date: 4/3/2019
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 vfork for which this permit is issued.
WL] 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: EVER ATi NAL INSURANCE COMPANY Policy Number:
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
complywit those provisions.
Date3 AppliE9ylt:
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 upon the
above-mentioned property for inspection purposes.
Date: Signature (App)(cant a Agerjt)Lw.
Application Number: BMCH2019-0101
Property Address: 60343 POINSETTIA PL PL
APN: 764370021
Application Description: MASSEY / HVAC CHANGE OUT - 18SEER/80AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
Applicant:
IE INC.
32115 LA BAYA
WESTLAKE VILLAGE, CA 91362
Owner:
ELDEN MASSEY
60343 POINSETTIA PLACE
LA QUINTA, CA 92253
Contractor:
VIC'S AIR CONDITIONING INC
P 0 BOX 215
THOUSAND PALMS, CA 92276
(760)343-5033
Llc. No.: 756658
Date: 4/3/2019
Detail: 5 -TON HVAC CHANGE OUT - 18 SEER/ 80 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER
2016 CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$40.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$80.05
Total Paid for CHANGEOUT: $120.07
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.40
I Total Paid for PERMIT ISSUANCE: $101.40
DESCRIPTION I ACCOUNT I QTY I AMOUNT
RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
taPERMIT '6M'�
L20O(9 — I ()i
W PLAN LOCATION:
Project Address: 60343 Poinsettia Place Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #: Replace 5 ton / 53,000 BTU complete HVAC system
Applicant Name: Steven Schnierer
Address: 31225 La Baya Drive Suite 213
City, ST, Zip: Westlake Village, CA 91362
Telephone: 818-735-7876
Email: swschnierer@roadrunner corn Valuation of Project $ 14,918.00
Contractor Name: Vic's Air Conditioning Inc.
Address: PO Box 215
City, St, Zip Thousand Palms, CA 92276
Telephone: 760-343-5033
Email:
State Lie: 756658 City Bus Lie:
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lie:
City Bus Lie:
Property Owner's Name: Elden Massey
Address: 60343 Poinsettia Place
City, ST, Zip La Quinta, CA 92253
Telephone: 306-460-7215
Email:
New SFD Construction:
Conditioned Space
Garage
Patio/Porch
Fire Snrinklers
Construction Type:
Grading:
Bedrooms: I Stories
SF
SF
SF
SF
Occupancy:
# Units:
New Commercial / Tenant Improvements:
Total Building SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QUI NTA, CA 92253
760-777-7000
OFFICE USE ONLY
# Submittal
Req'd Ree'd
Plan Sets
Structural Calcs 1
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
CERTIFICATE OF COMPLIANCE
(SC) System
Information
CFIR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
(Page 1 of 3)
Project Name:
01
ELDEN MASSEY Date Prepared: 2019-04-02
A. General Information
04
05
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.
09
10
01 Project Name ELDEN MASSEY
02
Date Prepared 2019-04-02
03 Project Location 60343 POINSETTIA PLACE
04
Building Type Single family
05 CA City La Quinta
06
Dwelling Unit Name ELDEN MASSEY
07 Zip Code 92253Dwelling
08
Unit Conditioned
2131
CFA served
systema
Floor Area (ft)
Installing new SC
Installing
Number of Space
09 Climate Zone 15
10
Conditioning (SC) Systems in 1
Location or Area
by this SC
this Dwelling Unit:
B. Space Conditioning
(SC) System
Information
01
02
03
04
05
06
07
08
09
10
Is the SC
Installing a
SCS stem
Y
SCS stem
Y
CFA served
systema
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
2131
Yes
Yes
Yes
No
No
NoAltered
space
Tconditioning
system
C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)1Diib)
Registration Number: 219-A020077012A-000-000-0000000-0000
This section does not apply to this project.
Registration Date/Time: 2019-04-02 16:47:27
HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-04-02 16:47:18
Schema Version: rev 20180426
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
Registration Number: 219-A020077012A-000-000-0000000-0000
This section does not apply to this project.
Registration Date/Time: 2019-04-02 16:47:27
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-04-02 16:47:18
Schema Version: rev 20180426
CF111-ALT 02-E
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -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
All new All new
This field or This field or
Central gas Central split
System 1 heating AFUE 80 cooling SEER 18 Setback
section is not section is not
furnace AC
components components
applicable applicable
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 1-10, 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 percent or <= 10 percent 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 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. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)1Diia 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)
Registration Number: 219-A020077012A-000-000-0000000-0000
This section does not apply to this project.
Registration Date/Time: 2019-04-02 16:47:27
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001 Report Generated: 2019-04-02 16:47:18
Schema Version: rev 20180426
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:
Victoria, Blanca
Company:
VIC'S AIR CONDITIONING INC
Address:
P 0 BOX 215
City/State/Zip:
THOUSAND PALMS CA 92276
Responsible Person's Declaration statement
Documentation Author Signature: ��
anca tctoria
Signature Date:
2019-04-02 16:47:27
CEA/ HERS Certification Identification (if applicable):
Phone:
760-343-5033
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 Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on otherapplicable compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. 1 will ensure that it registered copy of this Certificate of Compliance shall be made available with the building permit(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 with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name:
Victoria, Blanca
Company:
VIC'S AIR CONDITIONING INC
Address:
P 0 BOX 215
City/State/Zip:
THOUSAND PALMS CA 92276
Responsible Designer Signature:
Date Signed:
2019-04-02 16:47:27
License:
756658
Phone:
760-343-5033
Aanca Ticto,ia
Digitally signed by CaICERTS. This digital signalure is provided in order to secure the content of this registered document and in noway implies
Registration Ffoviderresponsibility for the accuracy of the informa(ion.
Registration Number: 219-A020077012A-000-000-0000000-0000
Registration Date/Time: 2019-04-02 16:47:27
CA Building Energy Efficiency Standards - 2016 Residential Compliance Report Version: 2018.0.001
Schema Version: rev 20180426
- 7W
Easy to Verify 0�
at CaICERTS.com
NEI
HERS Provider: CaICERTS
Report Generated: 2019-04-02 16:47:18