BMCH2016-000878-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&t�p 4 4 0"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O16-0008
Property Address:
80837 CALLE AZUL
APN:
762470048
Application Description:
HOWISON / HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$13,500.00
Applicant:
IBARRA'S AIR CONDITIONING
AND HEATING
47718 MARGARITA ST
INDIO, CA 92201
is
Pl[ 2, 6 2C:3
luOf.7:,i'Ji`.iiYOEVELi? c;T�cF-i''
-
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed undgr prolKlo
s of Chapter
9 (commencing with Section 7000) of Division 3 of the Bus a Professions Cody,
and License is in full force and effect.
License
Class: C20 License No.: 990604
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 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 Add
11111111111111111111
73
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/26/2016
Owner:
STEVE ELLIS
513 BEACH ST
ENCINITAS, CA 92253
Contractor:
IBARRA'S AIR CONDITIONING AND HEATING
47718 MARGARITA ST
INDIO, CA 92201
(760)880-7083
lic. No.: 990604
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 polity number are:
Carrier:- Policy Number: _
I certify that in the performance of the work orich this p it i issued,
shall not employ any person in any manner so as t6beco�)sct thew kers'
compensation laws of California, and agree at, if I shoulsubject e
workers compensation provisions of ction 3700 oft e Code, I s forthwith
comply with those provisions. /
DApp icant:
WARNING: FAILURE TO SECURE WORKE OMPENSATION 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�aforma iI c re
I agree to comply with all city and county ordinances and a laws reI' gob ilding
construction, and hereby authorize representatives of thi city to entJe p t e
above-mentioned property for inspection purposes. / ��
Date:,Z� b' Sign pphcanPor-Agent
FINANCIAL INFORMATION
DESCRIPTION 'ACCOUNT QTY
" :AMOUNT PAID'
PAID DATE
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00
1/26/16
PAID BY METHOD RECEIPT # CHECK #
CLTD BY
IBARRA'S AIR CONDITIONING AND CHECK R12345 1209
RSE
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT`
- PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$72.52
1/26/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
IBARRA'S AIR CONDITIONING AND
CHECK
R12345
1209
RSE
DESCRIPTION
ACCOUNT
QTY
AMOUNT,
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$36.26
1/26/16
PAID BY
METHOD
RECEIPT #
, CHECK #
CLTD BY
IBARRA'S AIR CONDITIONING AND
CHECK
R12345
1209
RSE
Total Paid for CHANGEOUT: $108.78 $108.78
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
1/26/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
IBARRA'S AIR CONDITIONING AND
CHECK
R12345
1209
RSE
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:•
a Permit Details PERMIT NUMBER
City of La Quinta BMCH2O16Il-0,,r_8__"-0
Description: HOWISON / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 1/26/2016 RSE
Approved: 1/26/2016 RSE
Parcel No: 762470048 Site Address: 80837 CALLE AZUL LA QUINTA,CA 92253
Subdivision: TR 30096-2 Block: Lot: 48
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $13,500.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT - 14. SEER/78 AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY.
STATE.
ZIP
PHONE ?
FAX
EMAIL
APPLICANT
[BARRA'S AIR CONDITIONING AND
HEATING
47718 MARGARITA ST
INDIO
CA
92201
CONTRACTOR
IBARRA'S AIR CONDITIONING AND
HEATING
47718 MARGARITA ST
INDIO
CA
92201
OWNER
STEVE ELLIS
513 BEACH ST
ENCINITAS
I CA
92253
FINANCIAL INFORMATION
Printed: Tuesday, January 26, 2016 9:48:38 AM 1 of 2 CR
sysrr:Ms
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
......... -....
CHECK #
METHOD
--
PAID BY
CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
1/26/16
R12345
1209
CHECK
IBARRA'S AIR
RSE
CONDITIONING AND
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00
BSA:
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$72.52
1/26/16
R12345
1209
CHECK
IBARRA'S AIR
RSE
SPLIT -SYSTEM
CONDITIONING AND
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$36.26
1/26/16
R12345
1209
CHECK
IBARRA'S AIR
RSE
SPLIT -SYSTEM PC
CONDITIONING AND
Total Paid for CHANGEOUT: $108.78 $108.78
PERMIT ISSUANCE
101-0000-42404
0
.$91.8s
$91.85
1/26/16
R12345
1209
CHECK
MARRA'S AIR
RSE
CONDITIONING AND
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
•$201.63
INSPECTIONS
Printed: Tuesday, January 26, 2016 9:48:38 AM 2 of 2
SYSTEti1S
Bin # Gty of Q uin to
Building S - Safety Division
Permit # 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
13 wk to Ib 05008 Building Permit Application. and Tracking Sheet
Project Address: Owner's N�amc: %U Ce (�C/�/ Sd
A. P. Number:
Address: U` `( zu I
Legal Description:
City, ST, Zip: 012 e_ _ 3
1 '
Cotatr
co. .r
n
0 1 "
nc:
Telephone:
e P ho
Address:
GY;
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC)
Project Name:
80837 CALLE AZUL I Date Prepared:
CF1R-ALT 02-E
(Page 1 of 3 )
2016-01-20
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 CF111-ALT-02 document for each dwelling unit.
01
Project Name
80837 CALLE AZUL
02
Date Prepared
2016-01-20
03
Project Location
80837 CALLE AZUL
04
Building Type
Single family
05
CA City
'La Quinta
06
Dwelling Unit Name
80837 CALLE AZUL
07
Zip Code
92253
08
Dwelling Unit Conditioned
Floor
1734
Area (ft2)
SC System
'CFA served
'system i�
re rf ige a t
,Installing ew SC
Number of space conditioning
?In'sstalli g
09
Climate Zone
15 �� ; �..t
10
(SC) systems in this dwelling
1
containing
system
more than 40
entirely new
unit.
B. Space Conditioning (SC) System Information,-
nformation01
01
02
- ,, 03 -
047tV
05 I
$ F-061 FN
J I 07
J! 08 11
C 09
10
J
FIs the St --
" Installing a
SC System
SC System
'CFA served
'system i�
re rf ige a t
,Installing ew SC
I�Instelling I
?In'sstalli g
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
System 1
Location 1
1734
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: 216-A0027626A-000000000-0000
Registration Date/Time: 2016-01-20 17:33:47
HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2016-01-20 13:21:48
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF111-ALT 02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 150.2(b)1E 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
Central gas
All new
Central split
All new
Less than or
System 1
furnace
heating
AFUE
0.78
AC
cooling
SEER
14
Setback
equal to 40
R-8
components
components
feet
Reouired Documentation:
CF2R-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%, ors 10% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH-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 a 300 CFM/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 -23,4r 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, rith or without Equipment Changeout (Section 150.2(b)1�Diiaandt150.2(b)1E, 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.
Registration Number: 216-A0027626A-000000000-0000 Registration Date/Time: 2016-01-20 17:33:47 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2016-01-20 13:21:48
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1111-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:
Documentation Author Signature:
Eads, Roy
Company:
Signature Date:
1st Choice HERS Rating
2016-01-20 13:21:25
Address:
CEA/ HERS Certification Identification (if applicable):
68811 Risueno Road
R13-14-10013
City/State/Zip:
Phone:
Cathedral City CA 92234
760-641-2447
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 ofrRegulatlons�t i �" ��
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on otherr-applicable,compliance documents, worksheets,
calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. "� " {
a, iF lF ."' (t
of
S. I will ensure that a registered copy of this Certificate of,Compliance shall be made available with,the building permits) issued forithe 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 tothe bbuiillding owner at occupancy.
Responsible Designer Name: 1 if --+
Responsible Designer Signature:`i/�%Vt7Q/?/ZC%
Ibarra,Ernesto
Company:
Date Signed:
IBARRA'S AIR CONDITIONING AND HEATING
2016-01-20 17:33:47
Address:
License:
81875 AVENUE 48 #160
990604
City/State/Zip:
Phone:
INDIO CA 92201
760-880-7083
Digitally signed by CafCERTS. 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: 216-A0027626A-000000000-0000 Registration Date/Time: 2016-01-20 17:33:47 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013-1.006 Report Generated: 2016-01-20 13:21:48
Schema Version: 0.555SDD