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BMCH2015-029778-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 C Application Number: BMCH2O15-0297 Property Address: 78584 NAPLES DR APN: 609551049 Application Description: HVAC CHANGE OUT Property Zoning: Application Valuation: $4,500.00 Applicant: PALOMA AIR CONDITIONING P 0 BOX 3501 PALM DESERT, CA 92261 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 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: C2/0y- ,License No.: 619091 Date:*. / �' C` nt`ract`or:----_ 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 f 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).: (1 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, Liv. C.). Lender's Name: Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/31/2015 Owner: DONALD BENNETT 78584 NAPLES DR. LA QUINTA, CA 92253 Contractor: PALOMA AIR CONDITIONING P 0 BOX 3501 PALM DESERT, CA 92261 (760)347-1212 Llc. No.: 619091 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 those provisio 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 in ec n purposes. r. (/ -Date:- �fsignature (Applicant or Agent):_+ FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00'. $0.00 DESCRIPTION ACCOUNT CITY AMOUNT. PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $72.52 $0.00 PAID BY ' METHOD RECEIPT #• CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY. Total Paid forCHANGEOUT: $108.78 $0.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PERMIT'ISSUANCE: $91.85 $0.00 TOTALS:00 Description: HVAC CHANGE OUT ADDITIONAL Type: MECHANICAL Subtype: Status: UNDER REVIEW Applied: 7/31/2015 EVA Approved: Parcel No: 609551049 Site Address: 78584 NAPLES DR LA QUINTA,CA 92253 Subdivision: TR 28458-3 Block: - Lot: 8 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $4,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NAME Details: HVAC CHANGE OUT - 13 SEER/ 78 AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S)-TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. STATE Printed: Friday, July 31, 2015 10:50:57 AM 1 of 2 sysrenns ADDITIONAL CHRONOLOGY NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE; FAX EMAIL APPLICANT PALOMA AIR CONDITIONING P 0 BOX 3501 PALM DESERT CA 92261 CONTRACTOR PALOMA AIR CONDITIONING P O BOX 3501 PALM DESERT CA 92261 OWNER DONALD BENNETT 78584 NAPLES DR. LA QUINTA CA 92253 Printed: Friday, July 31, 2015 10:50:57 AM 1 of 2 sysrenns PARENT PROJECTS Printed: Friday, July 31, 2015 10:50:57 AM 2 of 2 sysrcrns INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES MECHANICAL FINAL" BLD CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT #., CHECK # METHOD PAID BY BY HVAC CHANGEOUT - 101-0000-42402 0 $72.52 SPLIT -SYSTEM HVAC CHANGEOUT - 101-0000-42600 0 $36.26 $0.00 SPLIT -SYSTEM PC Total Paid forCHANGEOUT: $108.78 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS: $201.63 00 PARENT PROJECTS Printed: Friday, July 31, 2015 10:50:57 AM 2 of 2 sysrcrns INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES MECHANICAL FINAL" BLD PARENT PROJECTS Printed: Friday, July 31, 2015 10:50:57 AM 2 of 2 sysrcrns I cvv— C)It) I — (51 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 3 ) Project Name: Don Bennett FDate Prepared: 2015-07-30 A. General Information CFIR-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 Don Bennett 02 Date Prepared 2015-07-30 03 Project Location 78-584 Naples Dr. 04 Building Type Single family 05 CA City La Quinta 06 Dwelling Unit Name Don Bennett 07 Zip Code 92253 08 Dwelling Unit Conditioned 2200 Installing Installing Installing Floor Area (ft2) Location or Area by this SC ducted containing system Number of space conditioning entirely new 09 Climate Zone 15 10 (SC) systems in this dwelling 1 component? components? feet of ducts? duct system? unit. Alteration Type B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 08 09 10 Is the SC Installing a 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 Entirely new or System 1 Whole House 2200 No Yes Yes No No Yes complete replacement 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: 215-A0211233A-000000000-0000 Registration Date/Time: 2015-07-30 15:38:48 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-30 15:38:42 Schema Version: 0.555SDD CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -SR -ALT -HVAC) (Page 2 of 3 ) D. Altered Space Conditioning System (Sections 150.2(b)lE and F) This section does not apply to this project. 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) 01 02 03 04 05 06 07 08 09 10 it Heating Cooling System Heating Minimum Cooling Minimum Required Identification or Heating System Altered Heating Efficiency Efficiency Cooling . Altered Cooling Efficiency Efficiency Thermostat New Duct Name Type Component Type Value System Type Component Type Value Type R -Value This field System 1 y Central gas All new heating AFUE 0.78 Central split All new cooling SEER 13 SetbackTher or section furnace components AC components mostat is not applicable Required Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. CF2R & CF311-MCH-20-H Duct Leakage Verification required. -Leakage rate compliance: <_ 6%. CF2R & CF3R-MCH-22 Fan Efficacy Verification CF2R & CF3R-MCH-23 System Air Flow Rate Verification -Compliance: Fan Efficacy <_ 0.58 W/cfm and System Airflow >_ 350 cfm/ton. - Alternative Compliance: CF2R & U311 -MCH -28 Return Duct Design Verification is an alternative to MCH -22 and MCH -23 verification. CF2R & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable in CZ 2, 8-15). Exceptions: Heating -only systems are exempt from the 0.58 W/cfm and 350 cfm/ton requirements. Note: An "entirely new or replacement duct system" means at least 75 percent of the duct system is new duct material, and up to 25 percent may consist of reused parts from the dwelling unit's existing duct system (e.g., registers, grilles, boots, air handler, coil, plenums, duct material) if the reused parts are accessible and can be sealed to prevent leakage Registration Number: 215-A0211231A-000000000-0000 Registration Date/Time 2015-07-30 15:38:48 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-30 15:38:42 Schema Version: 0.555SDD 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: Paredes, Herman //� -� Documentation Author Signature: 7�C2%l/ �A2'2%BlL�a' Company: Signature Date: PALOMA AIR CONDITIONING 2015-07-30 15:38:48 Address: CEA/ HERS Certification Identification (if applicable): P 0 BOX 3501 City/State/Zip: Phone: PALM DESERT CA 92261 (760) 347 1212 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 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 other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 1 5. 1 will ensure that a 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: - Paredes, Herman Responsible Designer Signature: y �tiZ�%O� 7�1�Jtil1LCLll/ Company: Date Signed: PALOMA AIR CONDITIONING 2015-07-30 15:38:48 Address: License: P 0 BOX 3501 619091 City/State/Zip: Phone: PALM DESERT CA 92261 (760) 347-1212 Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 215-A0211231A-000000000-0000 Registration Date/Time: 2015-07-30 15:38:48 HERS Provider: CaICERTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-30 15:38:42 Schema Version: 0.555SDD Bin # City of La Quinta Building 8i: Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012. vZ1 % Building Permit Application and Tracking Sheet Permit # Project Address: Owner's Name: O 1 A. P. Number: Address: `1 Q Legal Description: City, ST, Zip: Contractor: ry A W , LC Telephone: hone: Address: -1 Project Description: City, ST, Zip: U C lY �J. IP [�t1' ele n e• Telephone: ho P VJ� J� IZ State Lic. # : I ! O� City Lie. Arch., Engr., Designer: Address: City, ST, Zip: Telephone: one: <. .................... on C structi n o Type: Occupancy: P c P Y: t . #• State a Lic Project type �c'ycle ne • New Add'n Alter Repair. Demo o Name of Contact Person: Sq. Ft.: # Stories: # Units.. Telephone # of Contact Person: Estimated Value of Project: APPLICANT: -DO NOT WRITE BELOW THIS LINE 11 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 Cales. 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 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