BMCH2016-030378-495 CALLE TAMPICO
VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253
DESIGN &DEVELOPMENT DEPARTMENT
FAX (760) 777-7011
. INSPECTIONS (760) 777-7153
BUILDING PERMIT
ate --8/42/.20.16
Application Number:
BMCH2O16-0303
Owner:
o
L 7 n
Property Address:
54855 AVENIDA DIAZVERNA
SLEIGHT
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APN:
774266017
P 0 BOX 5487
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lnn
Application Description:
Property Zoning:
SLEIGHT/ HVAC CHANGE OUT
LA QUINTA, CA 92253rn
Application Valuation:
$9,321.00
C> k d
Applicant:
Contractor:
m p �
CYNTHIA HENRY
DESERT TECH
ma "
a`;
13699 MONUMENT ST
DHS, CA 92240
68-120 ALVA COURT
CATHEDRAL CITY, CA 92234
(760)327-2501
Llc. No.: 978831
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.: 978831
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D� /k Co� - \ Contractor. %2..A 'eC
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 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
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: WESCO INSURANCE COMPANY Policy Number: WWC3189853
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 provisions.
Date: O ' t Applicant: VW 4UNLAWFUL,
WARNING: FAILURE TO SECURE WORKERS'COMP SATION COVERAGE ISAND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FI
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. i
Date: O ' `� uignature (Applicant or Agent .
� ,1
•
Date: 8/12/2016
Application Number:
BMCH2O16-0303
Owner:
Property Address:
54855 AVENIDA DIAZ
VERNA SLEIGHT
` APN:. 4
774266017
P 0 BOX 5487
Application Description:
SLEIGHT/ HVAC CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:.
Application Valuatioh:
$9,321.00
Applicant:
Contractor:
CYNTHIA HENRY
DESERTTECH
13699 MONUMENT ST
68-120 ALVA COURT
DHS, CA 92240
CATHEDRAL CITY, CA 92234
(760)327-2501
----------------------------------------------------------------------------=----------------
Lic. No.: 978831
Detail: HVAC CHANGE OUT - 14SEER/8HSPF SYSTEM [2013 ENERGY] CARBON MONOXIDE
ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013
' CALIFORNIA BUILDING CODES.
� ,1
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$36.26
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$24.17
Total Paid for CHANGEOUT: $60.43
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$91.85
Total Paid for PERMIT ISSUANCE: $91.85
r
CERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems (formerly CF-iR-ALT HVAC)
Project Name:
VJ.Sleight I Date Prepared:
CFiR-ALT 02-E
(Page 1 of 3 )
2016-08-12
A. General Information
MR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one CHR -ALT -02 document for each dwelling unit.
01
Project Name
VJ.Sleight
02
Date Prepared
2016-08-12
03
Project Location
54855 Avenida Diaz
04
Building Type
Single family
05
CA City
La Quinta
06
Dwelling Unit Name
House
07
Zip Code
92253
08
Dwelling Unit Conditioned
1875
F Installing
Installing
Installing
Floor Area (ft2)
Location or Area '
bythis"SC ..
I containing----'
system
Number of space conditioning
entirely new
09
Climate Zone
15
10
(SC) systems in this dwelling
1
component?
components?
-feet ofiducts?
duct system?
unit.
Alteration Type
B. Space Conditioning (SC) System Information
01
02
03
04
05
06
07
08
09
10
j
* Is theSCInstalling
a
�`'�
SC System
SC System
CFA served/
system a
'ducted
refrigerant
Installing new SC
F Installing
Installing
Installing
Identification or
Location or Area '
bythis"SC ..
I containing----'
system
more .than 40
entirely new
entirely new
Name
Served,
System (#2)
system?
component?
components?
-feet ofiducts?
duct system?
SC system?
Alteration Type
x
System 1
Z I
Living Space
X1875.
Yes
No\
No
No
Altered space
„Yes�,,-,,,,rt.:
,
,,Yes
,
conditioning system
W..%a. IG.11Vr!4'V 11714l'C1 a�-la'l►�•I`4F1.'L 11tI1LJA'1
C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number: 316-AI031320B-000000000-0000
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time: 2016-08-12 08:12:41
Report Version: 2013 Rev 1.007
HERS Provider: USERA
Report Generated: 2016-08-12 08:13:04
CERTIFICATE OF COMPLIANCE CF1R-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)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
Central
All new
Central
All new
Less than or
System 1
packaged HP
heating
HSPF
8.00
packaged AC
cooling
SEER
14
Setback
equal to 40
R-8
components
components
feet
Required 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: <_ 15%, 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, 8-15J-
CF2RCF3R-MCH-23 & CF313-MCH-23 Air Flow 2 300 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, or Refrigerant Charge MECH-25.
-Existing duct systems constructed, insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements.
Registration Number: 316-A1031320B-000000000-0000 Registration Date/Time: 2016-08-12 08:12:41 HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-08-12 08:13:0.4
CERTIFICATE OF COMPLIANCE CF1117ALT-02-E
Alterations to Space Conditioning Systems (formerly CF-lR-ALT-HVAC) (Page 3 of 3 )
Documentation Author's Declaration Statement
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Miguel Caballero
Signature Date:
Company:
Desert Tech
2016-08-12
Address:
CEA/ HERS Certification Identification (if applicable):
68120AIva ct
95-3700092
City/State/Zip:
Phone:
Cathedral City CA 92234
760-325-2501
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. - - I. am eligible under Division 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 ofthe California Code of Regulations.
4.. The building design features orsystem 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.
5. 1 will ensu a registervdmopy of thisr;Certificate of Compliance:shall be made availableF.withjhebuilcling permits) issued. -for the building, and made available to the enforcement agency for all applicable
.6that
inspectionsnderstand tharegis;e�re�copy�of this ertifncate,of Compliance is required to�beinclu%dedwith the docume�nftion thebuilder provides to the building owner atoccupancy.
Responsible Designer Name:
�.<�
Responsible Designer Signature
tieL
MigueICaballero:
Company : ��� 13 j ?
..
m
DateSignedMIN
Desert Tech - �"
5 $ . L:
2016'08 1.10.
c $ :amu flfl iA.
Address: �p�
cc lrta..:
68120AIva ct .�a iG��'i�g.
License:
+0 soc t�ti on
City/State/Zip:
Phone:
Cathedral City CA 92234
760-325-2501
x Tgl}f; -
This c/rgital signature .is provided rn order 6 secure
'_ � .: ,_ the conter?t ofahrs r+3gr'stered doccrment; and in rrv, - •
avay'impli®s;Regesttation '%eider resp.onsrbility'for
W S_ �n rgy, Rai�rs der Cation. _ the'accuracy of Me
information...
-Registration Number:. 316-A10313206 000000000 0000, Registration Date/Time: 2016-08-12 .-08:12:41 HERS Provider: USERA
CA Building Energy Efficiency Standards - 2013 Residential Compliance- Report Version: 2013 Rev_ 1.007 Report Generated: 2016-08-12 08:13:04
Bin. # ,
City of La Qurnta
Building a Safety Aivision
�erinit ; P.O. Box 1504,78 -495 -Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
KAIO1LeBuilding Permit Application and Tracking Sheet
Mill
F�r,0,t Addm. s: 591 v � 's Name:.
A P. Number. Address: (S n a- D k C,\"L'
Lege[ Description: C =City, ST, Zip: (,A 9 7 ZSR
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. w..;
?Address: (Q 2 Al vA c C Project Description: .
C ty, sT, zip: -%{) P ►--C l O' 0' ' ? S'-
5Felephon (v V �S`Zj �.• c ;y ,,rn C 1 `
tState Lic. #: Q ?� I C ty Lic. M.
Arch., Engr., Designer V '
Address:
City, ST, Zip:
Telephone: Construction Type Occupancy:
Y .. ,•`
ra ,;
I State Lie. #: Project type (circle one): Now Add'n Alter Repair Demo
Name of Contact Person: Sq. Ft: #Stories: # Units:
I
Telephone # of Contact Person: S"�— 2
• P � �p - �( Estimated Value of Project: q J. � G
3 O� r f TJY\U Y\kAt PLI : OC T W1itTE BE W THIS UNE
i
# Submittal Req'd ReNd TRACKNG PERMI•i'FEES
Plan Sets Plan Check submitted.Item Amount
Structural Cabs. Reviewed, ready for corrections Plan Check Deposit. .
;
Truss Calcs. Called Contact Person Plan Check Balance
Title 24 Gales. Plans picked up
Construction
Flood plain plan Plans resubmitted _ . Mechanical
Grading plan V Review, ready for corrections/'issue . Electrical
Subcoutactor List Called Contact Person Plumbing
Grant Deed Plans picked up S M.L
H.O.A. Approval Plans resubmitted Grading
IN HOUSE:- Review', ready for torrectionsfissue Developer Impact Fee
Planning Approval Called Contact Person A.I.P.P.
Pub. Wks. Appr Date of permit.issue
School Fees
Total Permit Fees