BMCH2014-103778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T`'Y' 4 i''�w
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Application Number:
BMCH2O14-1037
Owner:
Property Address:
79710 MIRAFLORES BLV BLV
LINDA LYON
APN:
600320033
79710 MIRAFLORES BOULEVARD
Application Description:
MECH - REPLACE COIL
LA QUINTA, CA 92253 €
Property Zoning:
3
Application Valuation:
$1,200.00
Applicant:
Contractor: m
BEST IN THE WEST AIR CONDITION
BEST IN THE WEST AIR CONDI
255 N ELCIELO ROAD #140-125
255 N ELCIELO ROAD #140-12 m
PALM SPRINGS, CA 92262
PALM SPRINGS, CA 92262 M-
(760)343-1002 (760)343-1002
LIc. No.: 967982 14
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. C38 License No.: 967982
Date: Z — 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
Date: 8/7/2014
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'
compens tion, as provided for by Section 3700 of the Labor Code, for the performance
of th k for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Sects 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 th Labor Code, I shall forthwith
comply with those provisions. �
Date: /— N Applicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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 toe upon the above-
mentioned property for inspection purposes.
Dater Signature (Applicant or Agent)
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306 0
$1.00
$0.00
PAID BY METHOD RECEIPT #
CHECK # CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - COIL ONLY
101-0000-42402
0
$11.92
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - COIL ONLY PC
101-0000-42600
0
$4.77
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forCHANGEOUT: $16.69 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$90.57
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $90.57 $0.00
•TALS: $108.26 $0.00
Description: MECH - REPLACE COIL
ADDITIONAL
Type: MECHANICAL
Subtype: Status: ISSUED
Applied: 8/6/2014 SKH
Approved: 8/7/2014 SKH
Parcel No: 600320033 Site Address: 79710 MIRAFLORES BLV BLVLA QUINTA,CA 92253
Subdivision: TR 28601-1
Block: Lot: 64
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $1,200.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
CONDITIONS
Details: HVAC CHANGE OUT-13SEER COIL [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED
PRIOR TO FINAL INSPECTION.
2013 CALIFORNIA BUILDING CODES.
ADDITIONAL
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX EMAIL
APPLICANT
BEST IN THE WEST AIR CONDITION
.255 N ELCIELO ROAD
PALM SPRINGS
CA
92262
(916)704-5899
#140-125
CONTRACTOR
BEST IN THE WEST AIR CONDITION
255 N ELCIELO ROAD
PALM SPRINGS
CA
92262
(916)704-5899
#140-125
OWNER
LINDA LYON
79710 MIRAFLORES
LA QUINTA
CA
92253
(916)704-5899
BOULEVARD
INFORMATION
Printed: Thursday, August 07, 2014 9:05:32 AM
1 of 2
CN?WsrsrEMs
'moi\, • •
�"' Perl'Y11t �etal�5 PERMIT NUMBER
r
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City of La Quinta BMCH2O1r4-1'037
Printed: Thursday, August 07, 2014 9:05:32 AM 2 of 2 (UU
SYSTEMS
CLTD
-]
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$11.92
$0.00
COIL ONLY
HVAC CHANGEOUT -
101-0000-42600
0
$4.77
$0.00
COIL ONLY PC
Total Paid forCHANGEOUT: $16.69 $0.00
PERMIT ISSUANCE
101-0000-42404 1
0
$90.57
$0.00
Total Paid for PERMIT ISSUANCE: $90.57 $0.00
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Printed: Thursday, August 07, 2014 9:05:32 AM 2 of 2 (UU
SYSTEMS
Din #
:City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: _ ��
Owner's Name: f' CYom
A. P. Number:
Address: jreS
vel
Legal Description:
City, ST, Zip: L 2
Contractor: 7 f
0�-
Telephone: qla— Q 7_5 �.
Min
r
Address: 2
��/ZS
Project Description: �� /�
q10,
City, ST, Zip:Ch
2
1
I
dvu>< .
Telephone: 7G0 3�3-/0®�
State Lic. # : ;747
City Lie. #;
.r�
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
`'s:.,;:.i:;>...•:::.:.Y:..;.:Y;::::.:;::•;:::
>:; ::;;:; ;:<:> ::::#:>: >: <':.>::: <>:i•':>:::>s
....................................
Construction Type: 2 Occupancy:
State Lic. #
Project type (circle one): New Add, n r epair Demo
Sq. Ft.: # Stories: # Units:
Name of Contact Person: RIr61CA V.16�t—
Telephone #,of Contact Person: -760
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Pian 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°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
t
Total Permit Fees
CERTIFICATE OF COMPLIANCE CF111-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 4 )
Project Name: Linda Lyon Date Prepared: 2014-07-17
A. General Information
CF111-ALT 02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be
documented, use one MR -ALT -02 document for each dwelling unit.:
01
Project Name:
Linda Lyon
02
Date Prepared:
2014-07-17
03
Project Location:
79710 Mira Flores Blvd
04
Building Type:
Single family
05
CA City:
La Quinta
06
Dwelling Unit Name:
Linda Lyon
07
Zip Code:
92253
08
Dwelling Unit Conditioned
1600
components?
duct system
Floor Area (ft2):
Number of space conditioning
09
Climate Zone:
15
10
(SC) systems being altered in
1
condensing unit,
Installing
this dwelling unit.:
system's
B. Space Conditioning (SC) System information
_4"
01
02
03 �/�'
1' 04
r 05
06
,07
08i. -,l
09
10
Installing new
+- `•i
-Is the entire
components?
duct system
(packaged unit, or
accessible
Are all of the
condensing unit,
Installing
for sealing,
system's
Is the altered
Altering or
or
more than 40
and is more
components
or installed
installing a
cooling/heating
linear feet of
than 75% of
and ducts new
SC System
SC System
CFA served
system a
refrigerant
coil, or
new or
the duct
or replaced?
Identification or
Location or Area
by this SC
ducted
containing
air -handling unit,
replacement
system new
(entirely new
Name
Served
System (ft2)
system?
component?
etc)
ducts?
or replaced?
system)
Alteration Type
1
Living Zone
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)1Diib)
This section does not apply to this project.
Registration Number: 214-A0058042A-000000000-0000 Registration Date/Time: 2014-07-17 16:43:38 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-07-17 16:43:56
CERTIFICATE OF COMPLIANCE CFIR-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 2 of 4 )
D. Altered Space Conditioning System (Sections 150.2(b)3E 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
This field or
1
furnace
component
section is not
section is not
AC
Indoor coil
SEER
13
Setback
section is not
R-8
altered
applicable
applicable
applicable
Required Documentation:
CF211-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct insulation requirement for new plenums: R6.
CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing 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: 515%, or15 10% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCN-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow,e 300 CFM/ton required when MCH -25 is required.
Exceptions: �,!
-Duct systems registered with HERS as sealed are exempt from MCH -20 Duct Leakage.Testing requirements.
provider previously
-Heating-only systems and Air Handler/Furnace`changes do not require verification of Air Flow MCH -23, or Refrigerant Charge MECH-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)lDiia and 150.2(b)lE, F)
This section does not apply to this project.
Registration Number: 214-A0058042A-000000000-0000 Registration Date/Time: 2014-07-17 16:43:38 HERS Provider: CalCERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-07-17 16:43:56
CERTIFICATE OF COMPLIANCE CF111-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 3 of 4 )
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) :
This section does not apply to this project. -
Registration Number: 214-A0058042A-000000000-0000 Registration Date/Time: 2014-07-17 16:43:38 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2014-07-17 16:43:56
E
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:
Stewart, Wendy
!'(/
Company:
Signature Date:
Best in the West Air Conditioning & Heating Inc
2014-07-17 16:43:38
Address:
CEA/ HERS Certification Identification (if applicable):
31225 Plantation Dr
City/State/Zip:
Phone:
Thousand Palms CA 92276
(760) 343-1002
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 specifica'tions, 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 dentified on this Certificate of Compliance al consistent with the informs onon other applicable compliance documents, worksheets,
_provided
calculations, plans and specifications submitted -to the enforcement agency for approval with this building permit application. f
S. I will ensure that a registered copy of this Cert ficete 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:
Responsible Designer Signature:
Stewart, Wendy
Company:
Date Signed:
Best in the West Air Conditioning & Heating Inc
2014-07-17 16:43:38
Address:
License:
31225 Plantation Dr
967982
City/State/Zip:
Phone:
Thousand Palms CA 92276
(760) 343-1002
Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the
information.
Registration Number: 214-A0058042A-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2014-07-17 16:43:38 HERS Provider: CaICERTS
Report Version: 2014-03-31 Report Generated: 2014-07-17 16:43:56