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BMCH2014-106378-495 CALLE TAM NCO LA QUINTA, CALIFORNIA 92253 Application Number: BMCH2O14-1063 Property Address: 149875 AVENIDA OBREGON APN: 658180018 Application Description: REPLACE 1 PACKAGE UNIT Property Zoning: Application Valuation: $5,600.00 Applicant: MANNY VARGAS A / C & HEATING P 0 BOX 470 INDIO, CA 92202 I 6&QUM& ce-d4t 4 _IN COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT SEP 02 2014 CITY OF LA OUINTA — 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 Class: C20 License No.: 859195 Date:`�� Contractors OWNER -BUILDER DECLARA ION 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 r 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 Addre! VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/2/2014 Owner: CHURCH OF SPIRITUAL TECH NOLO 419 LARCHMONT BLV NO 86 LOS ANGELES, CA 92253 Contractor: MANNY VARGAS A / C & HEATING P 0 BOX 470 INDIO, CA 92202 (760)398-8034 Llc. No.: 859195 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:- 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 comply .with hose provisions.////�� Date: / Applicant: WA NIN : 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 thiZto r upon the above - menti property for inspection purposes. Date: �� Sign"ature (Applicant or Agent c Mil -g RAN. sS,.�.f 1"c"iAY.MiLS<G<5. Qb'y1CaXf: 2'.'.i..,�.,' ;s� �7+K�.i'.. ., ,��,.�rN ;rc�:.,'¢i4.rllV1-Le .A.. ate. t. :: L•£F..�{.?:PdF: , ', Gss ar,EJr"CSr��y'.ew(7m ACCOUNTii�r 3 AMOUNTwi"PAID��t;=D DAET 4 ` BSAS 561473 FEE 101 000020306.,. . ` 0 $1.00 $0.00 ,.+.. ..-.-�3?'kAbluIlD, FfN3.Y-. ,X.•tnlii� •'-Yv ra.....it�i?N s_�..:`Y�/4,.'MA,: TOL.tW..�:.dsYGcm .sf$Zc�3t'1YK"fsk".1f'!s2?„.0 i+."L'i �a5 L.TD?B )i•.9'�:'t,S�" Total Paid f&RUILDING STANDARDS ADMINISTRATION.BSA ` $1A0 " $0.00 iCSrc.tf n•' f i. �sDESCRIPTION } . ` . �R h + •.... ip4%'''l�F-lµ�y�y}�'riiN+f4=t". S w � ACCOUNT ��„F, �.�4F'. kk.,!:.::as.+m�ss&r.<a: �v .. ,rv.a�sw., ;�zQNx ix a,ss.r.,ur, 2 z 4_ w'Sb?KM C3i /Y' `J r�AMOUNTO 'x+'xk;x+rr?:_..: ��. - :: _,..,W+T�-G�Pii'u �Z� PAID `A E'er. •:. }FCS.YFfr :i. r HVAC CHANGEOUT- PACKAGED.UNIT 101-0000=42402 0 ' $35.75,. $0.00 6YiMvs'sa-+.`-''7'�' •fiu � ;• 3 AI.DACY '? RACY G.a. :t+e,YnM °'� � '.e `4�r'"a•'�r5fc;,r�#' :i METHOD . IINEW 4 d:3nti r.xF1.:>i!,MY.�.S' +qu.. .s+ ', COMMON ...+'i+!.r? rdR*.0 �!'_ a - RECEIPT aYe�w c, vzrW^.. ':.p;,•' �,�,rt,�7= . to .l.s•:?:ix'7-: +"nk�5 low 4 L y.! Js��r,•,";M.-nv�,F�'7.f3�+�9'4rfv�.:..r .;u ,y ...i't� pay, r!,e��i�.'i;DESCRIPTION.�` '',�t,: n1 �. r'ni�..r... r _ * ice° +5.3i,ih.„t `7� = ACCO,�UNT ,�QTYs"AMO,U "-: YS�G+ NT•. ..,,•. t -, 3 ,.PAID,�`��) fir^ ,iPAID; DATE HVAC CHANGEOUT'= PACKAGED UNIT PC l0Y 0000-42600, 0 $23 83 $0;00 a-:m•u FysY+ ����P#AIDBY :. �r s�' _ #' H1k,*k+ 1"6s Sip¢' ` f '.,s , 'm' ;METHODg.' ,''�: M-1111 eff�. a x� K c �`� fit, _ rx.. ar " i�'tt3 amu" WIN CEIPT�#w ;; . ? �_. 1 M xi�4F'dri'±a35;:•:7S "CHECK #CLTDBY >.,.as:-s��..« Total? 'id forCHANGE'6UT:- , $59:58 $0.00 ��,N� � ".�ca�r�•kvr��.a-� �.,. �,•� • a ea•:. ayte�,, ^� •�4.,,t DESCRIPITION '-, '' SF`. tiY..`.•^eu,.�z:..a5.44.'L4,Rc¢.kAti.l..k.�.rk =,�. t�� �;ez rye rte. >^,�, x , ., , � " yACCO.UNTyyS `� i «r� it ,QTp'Y' x5';�SS'Lt'i z.�itw.�,��J"+. yy� AMOUNT }..�45*Y`.i!a.;fi.."f'i� PERMIT'ISSUANCE ` 101-0060, 4? '40 0 `..:' $90.57 $0.00 _.. •�u x- PA D: *���METHOO 't7�sza_ ..+k.G ' a� _ ns ""'es.. ;,�: , +�r^ksilii, � R CEIPeTx# 3 r? t�Y. rnr..�. .wntaw,.x.5t4, .< .Et � �� CHECKS#� 5t -?a z;.:''.v `:.• a.si rh'. ` v CLsTD BY '�.vxdc:.'.�f,......i�,7 Total Paid for PERMIT ISSUANCE $90 57 $0.00 m Printed: Tuesday, September 02, 2014 3:42:06 PM 2 of 2 SYSTEMS Description: REPLACE 1 PACKAGE UNIT Type: MECHANICAL Subtype: Status: SUBMITTED Applied: 9/2/2014 SKH Approved: Parcel No: 658180018 Site Address: 49875 AVENIDA OBREGON LA QUINTA,CA 92253 Subdivision: Block: Lot: Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $5,600.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ��Pjn CI +fir!. r.�. w.>�, :r-:.-:R��i.�.. Details: HVAC CHANGE OUT - 13SEER/7.7HSPF PACKAGE SYSTEM [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. ADDITIONAL CHRONOLOGY CONDITIONS CONTACTS .NAMETYPE' R .y#4^v�"# NAMER'�.' .^+`tz' `.' -s . '+ ADDRESSl ��.:.,�[*..: r �' -?t;a,.fi'Y*:-:a.r'. ;a'«:. !k �..� ��Pjn CI +fir!. r.�. w.>�, :r-:.-:R��i.�.. STATE;' s}s-�..r�-,_wd.-� ZIP. ;xr :�S�.fi . ,."i#' t -w PHONE "# .FAX. -f€ a EMAIL r>.b ;a'S,E4 s+.�.arsr ✓:s a� ,..c vsc�. ::s-�-s.'+ ...�,��,'G�.::, APPLICANT MANNY VARGAS A / C & HEATING P 0 BOX 470 INDIO CA 92202 CONTRACTOR MANNY VARGAS A / C & HEATING P 0 BOX 470 INDIO CA 92202 OWNER CHURCH OF SPIRITUAL TECHNOLO 419 LARCHMONT BLV N086 + LOS ANGELES CA 92253 Printed: Tuesday, September 02, 2014 3:42:06 PM 1 of 2 SYS rEMS . Bin # Cray of La.,Quinta Buildink-a Safety Division P.O. Box 1504; :78-49S Calle Tampico . b--Quinta CA 92255 r-; (760)77.7-7012- it. Tracking Sheet. , Building, Perm it. TIP Permit # -ProjeotAddress: E2j —j411,, 9���� 'OwnsName: A. P. Number: to✓ Address: Legal Description: City, ST, Zip: 'Contractor: ,-KA.; ,�, Telephone: : Address: �Proje"� c crip ,ot n: l�P�w Ci 2C� y.AT, Zip:'P -� F� Telephone: '%Go G ...<.:..,;..,., 6 �+"C �I �- ty. Lic.`#.::: �t Arch., Engr., Designer,. Address: City., ST, Zip: Telephone: Construction Type: Occupancy: State Lie. #: New ep Project type (circle one). w Add'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 # Submittal Req'd " Rec'd ,o TRACMG PERMIT FEES. i Plan Sets Pian Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance • Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"d Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans pickedpp S.M.I: H.O.A. Approval Plans resubmitted Grading IN If OUSE:- '`d Review, ready for correctionsfissue Developer. Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees Total Permit Fecs Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 49875 AVENIDA OBREGON La Quinta, CA 92253 City of La Quinta Sep 2, 2014 Duct insulation Conditioned Floor Equipment Type1 List Minimum Efficiency2 requirement Area Thermostat ® Package Unit ❑ Furnace E3 Indoor Coil ❑ AFUE ® SEER 13.0 ❑ COP ® HSPF 7.7 ❑ R 6 (CZ 10-13) E3 R- R• 8 Served by system 10000 ® Setback If not already present, must be [3 Condensing Unit E3EER [3 Resistance (CZ 14-15) installed) ❑ Other 1. Equipment Type: Choose the equipment being Installed; if more than one system, use another CF-IR-ALT-HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems. HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the. forms shall be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF-6R and registered CF-411 forms (no hand filled CF-4Rs allowed) are filled out and signed. Beginning October 1, 2010, a registered copy of the CF-11111 and CF-6R shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: • All HVAC Equipment CF-6R forms: MECH-04, MECH-2I-HERS replaced CF-4R forms: MECH-21 • Condenser Coil and /or CF-611 forms: MECH-04, MECH-2I-HERS and (98F Split systems) MEGH ;!5 HERS . Indoor Coil and /or CF-4R forms: MECH-21 . Furnace For Packaged Units: Duct leakage < 15 percent Exempted from duct leakage testing if: ❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or ❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or [13. Existing duct systems are constructed, insulated or sealed with asbestos ❑ 4. The system will not be Ducted (ie. Ductless Mini-Split System) (Also Exempt from Refrigerant Charge) ❑ 2. New HVAC,System Required Forms: . Cut in or Changeout with new ducts; (.all new CF-611 forms MECH-04, MECH-20-Hf RS, and (for'splif systems) MECH-22-HERS, and ducting and all new MECH-25-HERS CF-4R:forms:. MECH-20, and (for split systems), MECH-22, and MECH-25 `. equipment) For Split Systems: Duct leakage < 6:percent; RC, CCA > 350 CFM/ton, FWD, TMAH; SIMS, and either.HSPP or PSPP. For Packaged,.Units% Duct leakage < 6 percent ❑ 3. New Ducts with/or without RequiredForms: Replacement . Includes replacing or installing all new ducting and/or outdoor condensing unit CF-611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace. No or some CF-4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 300 CFM/ton, TMAH For Packaged Units: Duct leakage < 6 percent ❑ 4. New Ducting over 40 feet Required Forms: • Includes adding or replacing more than 40 CF-6R forms: MECH-04, MECH-2I-HERS linear feet of duct in unconditioned space. CF-4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation Is accurate and complete. • I am eligible under Division 3 of the Californla Business and Professions Code to accept responsibility for the design Identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the design Identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. • The design features Identified on this Certificate of Compliance are consistent with the Information documented on other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: MANNY VARGAS Signature: MANNY VARGAS Company: MANNY VARGAS A / C & HEATING Date: Sep 2, 2014 Address: P O BOX 470 License: 859195 City/State/Zip: INDIO / CA / 92202 Phone: (760) 398-8034